Inspection on 21/07/08 for Silverdale Care Home

This inspection was carried out on 21st July 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Silverdale Care Home 31/07/09

Silverdale Care Home 14/02/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Silverdale Care Home 49-51 Egerton Park Rock Ferry Wirral CH42 4RA Lead Inspector Patricia Thomas Unannounced Inspection 21 July 2008 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale Care Home Address 49-51 Egerton Park Rock Ferry Wirral CH42 4RA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0151 644 6696 Silverdale Care Home Ltd Manager post vacant Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of people who can be accommodated is 20. Date of last inspection 14 February 2008 Brief Description of the Service: Silverdale is a care home for twenty elderly people, owned by Silverdale Care Home Limited. The manager is Susan Butterworth and she intends to apply for registration with CSCI. Silverdale is a converted dwelling house in a quiet residential area, having a car park at the front of the premises and surrounding gardens. The weekly charge for this service is £366.17 with extra charges for hairdressing, chiropody and newspapers. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that people receive adequate quality outcomes. The methods we (the commission) used to assess Silverdale against National Minimum Standards are as follows. We looked at the information that was sent to us in a questionnaire we asked the home to complete before we visited. This gave us a lot of information about what the home considers it does well, what it could do better, and improvements made in the last twelve months. We carried out an unannounced visit to Silverdale, and spoke with residents, staff and the manager. We read records compiled in the home about care, health & safety, staffing and quality assurance. We made a tour of the premises to make sure the building is comfortable and suitable for people to live and work in. We also looked at a sample of the home’s quality assurance surveys, which had been filled in by the people who live in Silverdale. What the service does well: Silverdale provides care in a homely and relaxed setting and there is an established staff group so people who live in the home are familiar with the staff. People said they were satisfied with their home and support from staff. One person said, “The staff are here when you need them. I could not ask for more”. People described staff as “helpful” and one person wrote in a survey, “I couldn’t fault the service”. There is a thorough recruitment process to make sure that only people who are suitable to work in care are appointed so residents are protected from possible harm or abuse. There is a complaints procedure for residents and their families, so that they know who to speak with about any concerns they may have. People said they are very pleased with their meals and there is plenty of choice and alternatives available. One person said, “The food is good and good portions”. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Professional advice about how one of the people who lives at the home is needed to make sure that they are moved safely. In addition, a moving and handling plan needs to be put into place for this person to protect them and the staff who assist them. The service users’ guide for the home should be updated so that people who are interested in moving into the home have accurate information about it. Care plans should be reviewed at least monthly or more often as needed to make sure that people are receiving the care they need. Reviews should accurately record any change in the person’s condition to make sure the care plan can be amended. Staff need to be aware of how to record medication accurately in order to avoid errors. The people who live at the home should be consulted regularly about activities and outings they would like to make sure they have the lifestyle they would prefer. To ensure the home is maintained in good condition, we have recommended that improvements to the building should continue, as communal areas and the kitchen are in need of upgrades. Some mandatory training needs updating, including moving people safely, fire safety and infection control. Appraisals and formal supervision should be carried out for staff so they can receive guidance on best practice. Arrangements should be made for them to receive the training they need to carry out their role We have asked for a copy of the chlorination certificate for Silverdale to show that the water system in the home is safe and does not place people at risk from legionella. It is recommended that the manager apply for registration with CSCI, as required by the Care Standards Act 2000. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. People have had their needs assessed before they move in but are not given up to date information about Silverdale so may not be able to make an informed decision about whether the home is suitable for them. EVIDENCE: Silverdale has a service user guide but this has not been reviewed recently. This home has changed ownership and the information for people intending to move in to should be current. They should be given information about the accommodation, support, treatment and principles of service in a suitable format (such as Braille or large print). In this way they will have the information they need to make a decision as to whether Silverdale will make a suitable home for them. The manager said that work is in progress to review and update the service user guide. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 10 People who move into Silverdale have had their needs assessed by social workers and/or staff who work in the home. In this way staff are able to make sure that the services and facilities in the home can meet each person’s needs before they move in. The manager confirmed that people who may want to move in are invited to visit Silverdale before they decide to move in, to meet residents and staff. When people first move in, it is for a trial period of twenty-eight days so they can make sure the home is suitable for them. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Records show that care plans have been reviewed but the reviews do not always reflect changes to the person’s condition so care plans could be out of date and people may not get the support they need. EVIDENCE: Every person who lives in Silverdale has a care plan based on their individual assessment outcomes. Each care plan is written to guide staff as to how the person’s needs are to be met. We looked at a sample of two care plans in detail. In one care plan in the review section, there were recordings stating “No change” to the care plan, which was contrary to the medical notes that indicated that the person’s condition had changed and more support would be needed. For example, one person had returned to the home from hospital with increased mobility needs. The care plan had not been amended to show the Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 12 extra support needed with the person’s moving and handling. There was no record in the care plan about the moving equipment that had been provided from the hospital to support the person. Professional advice needs to be sought about this person’s needs in relation to moving and handling so that the techniques being used are the safest for this person. A moving and handling plan also needs to be put into place to provide guidance to staff on the correct and safe way to meet this person’s needs. Reviews should be updated at least monthly or more frequently as needed, and should fully reflect any change in the person’s condition to make sure that all staff know how to meet the person’s needs appropriately. People who live in Silverdale told us the care they receive is good. One person said, “They are there when you need them”. Another comment was, “I have no complaints, I get everything I need”. All people who live in Silverdale are registered with local doctors to ensure they have access to health care treatment. There were good records in place of referrals to GPs, district nurses and for hospital appointments. There are also arrangements in place for people to receive treatment from healthcare professionals such as chiropodists and dentists. There are procedures for managing medicines in the home and lockable storage for medications. People who live in the home sign a consent form to allow staff to take over management of their medication where that is appropriate. Medication is ordered every twenty-eight days and comes in blister packs. The pharmacy supplies a printout of the medication administration sheet (MAR) where staff sign for each drug as it is given. There were gaps in recording additional medication that is prescribed for people. Staff should sign the MAR sheet when they record the additional medication, dose and time and have a colleague check and sign the entries and the name the person the drug is prescribed for. In this way errors will be avoided and people’s welfare will be protected. Records about a person’s Warfarin doses were not clear. There was a recording of, “Stay the same” on 11/7/08, which had not been signed. If the dose is to be changed, or remain unchanged, a clear record should be written as to the circumstances, and this should be signed and dated. Alendronic acid was prescribed for one person, to be taken once a week. The medication administration record showed this had been given only once in the current month; two doses had been missed, although the drug was in stock. This was discussed with the manager and she has arranged for the records to be amended to give a weekly prompt for staff on the day the drug is to be given. The manager said that updated training in medication management is to be arranged with the pharmacist who supplies to the home. The training schedule shows that three staff had medication training on 8 May 2008. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 13 There is a procedure for confidentiality in Silverdale, and storage facilities for keeping people’s records and care plans safe and private. People who were spoken with looked relaxed and appeared well cared for. They are able to spend time where and how they choose. People said: “I am fine”; “The staff are good and helpful I cannot ask for more from them”. CSCI questionnaires completed by people who live in the home stated: “Happy with the staff, they’re helpful”; “Staff are smashing”; “Care is good.” Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a relaxed atmosphere in Silverdale and people’s cultural diversity is supported but not many activities are provided so the social needs of people who live in the home may not be met. EVIDENCE: Residents said they spend time as they choose and things are relaxed in Silverdale. However there are few activities or outings for them. Some people prefer to remain in their bedrooms during the day. Others like sitting in the lounges, which are situated on the ground and first floors. There were televisions in the lounges and reading materials for residents. One person said she would like to go out more often in her wheelchair and she has spent time sitting in the garden in fine weather. Other residents said the afternoons are “quiet.” It is recommended that there should be continuing consultation with residents about what things they like to do and what outings they would enjoy, and arrangements made accordingly. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 15 The information we received before we visited the home tells us there are weekly visits from religious ministers for prayer and communion. People are given the opportunity to attend local churches if that is what they want. Residents’ beliefs and important contacts are recorded in their care plans to make sure their diverse needs are met. People who live in the home told us their visitors are made welcome and there are no unreasonable restrictions on visiting times in Silverdale. There is a dining room on the ground floor and dining tables in the lounges on the ground floor and first floor so people who live in the home have a choice of where to spend their time during the day. The records of menus we saw show that people are offered a cooked breakfast every day. The main meal is served around midday and the menu shows that a nutritious and varied diet, with alternatives, is offered to people. The main meal being served to people on the day of our visit was cottage pie with vegetables, followed by apple pie and cream. People said the meals are very good. One person wrote on a questionnaire, “Food good and good portions”. Another person wrote, “Would prefer smaller meals.” It is clear that Silverdale caters for a range of tastes and dietary needs. People’s weights are monitored and the care plan of a person who had been referred to the dietician was seen. It is recommended that this person’s diet and fluids are recorded and the records include foods this person has refused. In this way, the person’s tolerance to food will be recorded and action may be taken to ensure they are properly nourished and their fluid intake is maintained. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There are satisfactory procedures for the home so people who live there are protected through the safeguarding training and procedures and they know their complaints will be listened to and acted upon. EVIDENCE: The information that was sent to us from the home before the inspection identified that a complaint book is available in the entrance hall. Alternatively the manager is always available to speak with residents and staff who feel they have a concern that needs addressing. One concern was raised to CSCI about Silverdale since the last visit. The home manager had taken appropriate action to resolve the problem raised. There are procedures for safeguarding and “whistle-blowing” in Silverdale. The training schedule shows us that five staff received training on safeguarding adults from abuse in May 2008. There have been no safeguarding referrals about this home since the last visit. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Although an improvement work has been carried out, further work needs to be done to upgrade some parts of the home to make sure that Silverdale is comfortable, hygienic and suitable for the people who live there. EVIDENCE: Since our last visit a lot of work has been carried out in the grounds of the home. First impressions of the home have been greatly improved by introducing colourful displays of flowers in tubs and hanging baskets. The lawns and flowerbeds are well tended and the paved areas have been weeded. This means that people who live in Silverdale have a pleasant outside space to enjoy in fine weather. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 18 The manager said that work has been carried out in the kitchen and new electric boards and sockets have been fitted. The information we were sent before our visit tells us that estimates are being prepared to upgrade the kitchen. Although some of the fittings need replacing, the kitchen was clean and well organised at the time of our visit. Communal areas, although comfortable, are also need to be refurbished. The information we were sent before our visit identifies that there is a plan to redecorate and generally upgrade the building in consultation with people who live in the home. The manager said that new carpets are to be fitted in the communal areas when decoration is completed. Bedrooms are highly personalised and comfortable. In questionnaires returned to us, people wrote, “Bedroom kept nice”, “Lounge very comfortable”, “Would like the lounge to be a little brighter.” Others said the home is clean and tidy. The home has a passenger lift and provides assisted baths and grab rails for people who are frail. There is a ramp at the front of the building for wheelchair access. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who live in the home are protected through the recruitment procedures for new staff but as some staff have not received up to date mandatory training, they may not be aware of the safest way to provide care. EVIDENCE: The information we were sent from the manager of the home before our visit tells us there is a low turnover of staff in Silverdale. The staff rosters show there are three members of care staff and ancillary staff on duty each day and two members of waking night staff. The roster for the day of the visit was a true representation of the staff on duty. The manager confirmed that there are no staff vacancies and that over fifty percent of staff have National Vocational Qualifications, with three more staff due to start the course. The training records show that all staff have received food hygiene training in 2008. However some mandatory training updates need to be carried out, including fire safety and moving & handling. A recommendation is made that appraisals be carried out for staff and arrangements made for them to receive the training they need. We reviewed a sample of staff files (including that of the most recent appointment). The files showed that a rigorous recruitment procedure is Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 20 followed in Silverdale. The file for the most recently employed person showed that criminal records bureau and protection of vulnerable adults list checks were obtained before they took up their posts. Two satisfactory references had been obtained from the person’s most recent employers. Job candidates had filled in application forms giving employment histories and had been interviewed. There was evidence of photographic identification on each file. In this way residents will be protected, as these procedures are to ensure that only those who are suitable to work in the home will be appointed. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Although there have been improvements to the service recently, some support systems for staff have lapsed which has resulted in shortfalls in training and care management. EVIDENCE: The manager of Silverdale is Susan Butterworth. She has NVQ Level 3 in care and is not yet registered with CSCI as the manager of the home. She has worked in Silverdale for a number of years and has experience in providing care and supervision of staff. She told us she receives good support from senior management in the organisation which recently taken over the running of Silverdale and she said has found this to be helpful in her new role. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 22 There is a quality assurance system in operation to ensure that Silverdale is run in consultation with the people who live there. This is based on obtaining people’s opinions on the service and taking action to make any improvements they may suggest. The last survey was carried out in August 2007 and responses from residents were positive about to the service, environment and staff. One person wrote, “I couldn’t fault the work here. It is excellent”. Another person stated, “Happy with the staff. They are helpful”. The information we received from the home informs us that for residents’ personal allowances are held securely in the home. Personal allowances are used for such items as hairdressing, newspapers, confectionary and toiletries. Records are maintained of each transaction or purchase and receipts are kept so an accurate record of expenditure is kept and all money is accounted for. Personal allowance records for one person were checked and the records balanced with the amount of money in safekeeping for this person. The manager confirmed that the home has no involvement with people’s personal finances or savings. People who cannot manage their own finances pass this to their families or can use independent advocates if needed. Staff who were spoken with said they had not received formal supervision recently and a recommendation that this should be implemented is repeated from our last visit. Having regular and formal contact with the manager will give staff the opportunity to receive guidance on care practice, principles of care and allow them to discuss their performance, job roles and any problems they may have. A series of checks is carried out on equipment and the environment by staff or qualified engineers to make sure that these remain safe. Up to date safety certificates were seen to confirm this. The chlorination certificate was not available during the visit and we have asked for a copy to be sent to us to show that the water system in the home is safe. There are systems for recording of accidents to residents and staff. In this way accidents may be monitored and risk factors identified and as far as possible, eliminated. There are systems for the control of infection. The kitchen is well organised and storage of food was satisfactory. Food stored in the fridge and freezers had been labelled and dated; raw and prepared foods were kept separate to avoid cross contamination. The laundry was well equipped and well organised with systems in place to separate soiled and clean items. There were good supplies of clean bedding and towels and people told us their laundry is returned to them without too much delay. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 2 Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 13(5) Requirement Suitable arrangements must be made to make sure there is suitable guidance for staff and a safe system for moving and handling of people who live in the home. Timescale for action 21/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The service user guide for the home should be updated to include information about the new owners so that people have all the information they need to decide if the home is suitable for them. Reviews of care plans should be recorded and should identify any change in the person’s condition so their care plan can be updated to make sure that they receive appropriate care. Advice should be sought from appropriate healthcare professionals to provide guidance for staff about how to move a person safely with the equipment provided so the DS0000070503.V369638.R01.S.doc Version 5.2 Page 25 2 OP7 3 OP7 Silverdale Care Home 4 OP9 5 OP9 6 OP12 7 OP15 8 OP19 9 OP31 10 OP36 11 OP30 12 OP38 person and the staff are not at risk. Instructions on administration of additional medications should be checked and signed by two members of staff when they are written on to the medication administration sheets to make sure that errors are avoided. To avoid error, changes to prescribed drugs on the MAR sheet should give the circumstances as to why the changes have been made, and be signed and dated, specifically with regards to Warfarin. Residents should be consulted about what activities and outings they would like and arrangements should be made for these to happen so that residents have the lifestyle they prefer. It is recommended that a person’s diet and fluids are recorded and the records include foods this person has refused. In this way, the person’s tolerance to food will be recorded and action may be taken to ensure she is properly nourished and her fluid intake is monitored and maintained. The decoration and replacement programme for the home should continue, with priority given to the most urgent work, to make sure that the building is in good condition and is a safe and suitable home for the residents. The manager should apply to be registered with the Commission for Social Care Inspection (CSCI) as the manager of Silverdale in order to comply with the Care Standards Act 2000. Staff working at the home should receive formal, recorded supervision from their line manager at least six times a year to ensure that they are well supported and have continuing guidance in best practice. Arrangements should be made for staff to be appraised and for them to receive regularly updated mandatory training so they can provide safe support for the people who live in the home. A copy of the up to date chlorination certificate for the home should be sent to CSCI to show that the water system is safe and people are protected from the risk of legionella. Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Region Unit 1, Level 3 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Silverdale Care Home DS0000070503.V369638.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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