Inspection on 02/03/06 for Silverlea Residential Home

This inspection was carried out on 2nd March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Silverlea Residential Home 21/01/08

Silverlea Residential Home 18/07/07

Silverlea Residential Home 20/02/07

Silverlea Residential Home 15/06/06

Silverlea Residential Home 09/06/05

Silverlea Residential Home 09/11/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Silverlea Residential Home 3 First Avenue Bradford Moor Bradford West Yorkshire BD3 7JG Lead Inspector Steve Marsh Unannounced Inspection 10:00 2 March 2006 nd 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 Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 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. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Silverlea Residential Home Address 3 First Avenue Bradford Moor Bradford West Yorkshire BD3 7JG 01274 661700 01274 660611 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) Mr Kevin Casey Care Home 35 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (3) Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 2005 Brief Description of the Service: Silverlea Care Home is a large detached adapted property, located in the Bradford Moor area, overlooking the park and about one mile from the city centre. The home is registered to care for thirty-five residents in both single and double bedrooms, situated on all four floors of the building. The front door of the home is reached by a number of steps and therefore access is difficult for service users and/or visitors with mobility problems. There is however level access to the rear of the property, and a passenger lift available to all floors. Internally some areas of the home still require extensive refurbishment, although to meet present legislation the fire alarm systems has recently been replaced and the home has been completely rewired. Externally there is a patio area to the front of the property, which the service users are able to use during the summer months, and new outdoor furniture has recently been purchased. The home is on a main bus route from the city centre and there is street parking to the front of the property. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection visit for the year ending 31st March 2006, and was carried out by a Regulation Manager and Inspector over approximately seven hours. Three additional visits have been made to the home since June 2005. Mrs Linda Mumbley has recently been appointed manager and is presently reviewing the policies and procedures in place. Prior to Mrs Mumbley’s appointment the home had been without a manager for several months and this is reflected in the high number of requirements made on this inspection. The methods used during this inspection included the examination of records, observation of work practices, discussions with residents, staff and management and a tour of the premises. As part of the inspection process the Inspectors also investigated two complaints recently received by the Commission. Following discussions with the manager one complaint was found to be fully substantiated and the second complaint was found to be partially substantiated. Concerns were raised regarding the night staffing arrangements at the home and an immediate requirement notice was issued requiring the home to maintain sufficient staffing levels on wakeful night duty. There are ongoing adult protection investigations at the home, which have yet to reached a satisfactory conclusion. Comment cards were left for the residents and/or relatives to enable them to share their views of the service with the Commission. Feedback was given to the manager at the end of the inspection. Requirements and recommendations made during this visit can be found at the end of the report. What the service does well: Both the registered provider and manager are at the home on a daily basis and are therefore available to see residents, relatives and healthcare professional if concerns are raised. The daily routines of the home appear flexible and residents are encouraged to make decisions and choices about their daily lives. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The home is in need of extensive refurbishment, both to improve the resident’s quality of life and ensure their health and safety. Staff need to monitor the resident’s healthcare more closely and ensure that all reports are accurate and completed to a good standard. Staff must be more vigilant when completing the Medication Administration Record sheet and ensure that all prescribed dietary supplements are entered on the sheet and signed for. Staff must ensure that relatives are kept informed of any significant changes in the resident’s healthcare needs and ensure that care plans are reviewed in line with the National Minimum Standards. All complaints received must be investigated in line with the home’s complaints procedure and recorded appropriately. The staff recruitment and selection procedure must be thorough if the residents are to be protected from any form of abuse. Staffing levels must be sufficient both to meet the needs of the residents and ensure the home is kept clean and free from offensive odours. It has become clear during the course of the complaint and adult protection investigations that there are some staff training issues, which must be addressed. The home should review the present system in place for the safekeeping of resident’s money and ensure that all financial transaction sheets are up to date. The manager must prioritise her workload to ensure that the residents are cared for appropriately and the staff are following good practice guidelines. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 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. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 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 Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not reviewed on this inspection visit. EVIDENCE: These standards were not reviewed on this inspection visit. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 and 9 Some care plans are not being reviewed monthly and therefore do not show the current needs of the resident. The resident’s healthcare is being compromised by poor care practices and record keeping. Senior staff are not keeping relatives aware of the residents changing needs resulting in a breakdown in communication and complaints being made. EVIDENCE: Care plans are in place for all residents and cover all aspects of their health and general welfare. The manager confirmed that care plans are usually reviewed on a monthly basis or sooner if the resident’s needs change significantly. However, three of the eight care plans looked at had not been reviewed for at least three months. Residents’ care needs had changed in this time, yet there was no up-to-date care plan to tell staff how to meet these needs. Following a recent complaint received by the Commission the case file of one particular resident was reviewed as part of the investigation. It was clearly Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 11 apparent that although the resident had lost a significant amount of weight the nutritional screening sheet was blank and no nutritional care plan was in place. The resident had been seen by a general practitioner and prescribed a diet supplement, however this had not been recorded on the resident’s Medication Administration Record (MAR) sheet. A diet and fluid chart had been started to monitor the resident’s intake but the record was poorly completed and there was no evidence to suggest that drinks were being offered during the night. The resident had also suffered a chest infection and although the general practitioner had prescribed antibiotics the home had failed to inform her relatives of either the chest infection or weight loss, which represents poor practice. The complaint was upheld and requirements were made to ensure this does not occur again. On reviewing the medication system a number of discrepancies were noted on one MAR sheet whereby the staff had not signed for medication appropriately. In addition, locks require fitting to the cupboard used for storing prescribed creams/ointments and the fridge used for storage of medication. The manager confirmed that all new admissions to the home are encouraged to manage their own medication if they have the capability, and lockable facilities are provided in the bedrooms for this purpose. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 14 Residents are encouraged and supported by the staff to make informed decisions and choices about their daily lives for as long as it is practical for them to do so. The level of activities/outings arranged for the residents should be improved by the appointment of an activities co-ordinator. EVIDENCE: The daily routines of the home appear flexible and the manager confirmed that the residents are encouraged to make as many decisions as possible in relation to their daily lives. The home has recently employed a part time activities co-ordinator to provide the residents with more social and leisure activities. At present the level of organised activities/outings is limited and therefore this is a positive step towards providing a more stimulating environment for the residents. Residents are encouraged to handle their own financial affairs if they have the capacity and are made aware of external agencies that will act in their best interest if necessary. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 13 The manager confirmed that the residents are made aware that they can have access to their personal records held by the home in line with the Data Protection Act 1998. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents and relatives appear to have lost confidence in the home’s complaint procedure resulting in the Commission being asked to investigate two recent complaints. To safeguard the residents the manager must be made fully aware of the adult protection investigations presently being carried out at the home. EVIDENCE: There is a complaints procedure, which is on display within the home and in the service user guide. Two complaints have recently been received by the Commission (one anonymous) and were discussed with the manager as part of the inspection process. One complaint was found to be fully substantiated and the second complaint was partly substantiated. The manager confirmed that she was aware of one complaint and was dealing with it in line with the homes complaint procedure. However, no entry had been made in the complaints register and no other records relating to the complaint investigation were available in the home. While it is acknowledged that the manager has only been in post a short period of time it is essential that she addresses the matters raised in the complaints in accordance with the home’s complaints procedure. Adult protection policies and procedures are in place and the manager confirmed that staff receive appropriate training. At present there are on-going adult protection investigations at the home, which have not yet reached a satisfactory conclusion. Although the manager was aware of the adult protection investigations, it was apparent that she had not been informed of all the facts and therefore this matter must be addressed. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 and 26 The home requires extensive refurbishment, both to improve the residents’ quality of life and ensure that their health and safety is not compromised. EVIDENCE: Internally the home is in need of extensive refurbishment and the proprietor is required to supply the Commission with a detailed refurbishment plan, which must include timescales. Outstanding work highlighted by the Fire Safety Officer must also be included in the refurbishment plan. All the communal areas used by the residents are situated on the ground floor of the home and consist of four lounges, one of which is a designated smoking lounge and a dining room. The dining room would benefit from decorating and the floor covering now requires replacing as it is worn and may become a health and safety hazard. The dining tables and coffee tables in the lounge areas also require replacing as highlighted in the last inspection report. Bedrooms are situated on all four floors of the home and consist of both double and single rooms. Many of the bedrooms require refurbishing and old furniture Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 16 replacing. Appropriate locks also require fitting to some bedroom doors to ensure the residents right to privacy. A number of seals have gone in the double glazed units in the bedroom windows and therefore the units require replacing. The standard of bedding and pillows in some rooms was found to be poor with thin/worn sheets and lumpy pillows on beds. The carpet on the main staircase is threadbare in places and requires replacing as part of the refurbishment programme. Emergency call alarms are located in all bedrooms, however the alarms only sound on the ground floor and not on every floor of the building. The present intercom system also allows staff to speak to residents in their room, but could also compromise their right to privacy. Changes must therefore be made to the system as part of the refurbishment programme. Bathrooms and toilet are located throughout the building and again some rooms would benefit from refurbishing. It was noted that work had already started to enlarge one toilet area on the ground floor, however the residents were still using the facility even though the door had been removed. The manager was advised that the toilet should be taken out of use until the work is completed. Consideration should also be given to relocating the wash hand basin from outside to inside the new toilet area. The manager confirmed that the home had recently experienced some problems with the hot water systems resulting in poor water pressure and the lack of hot water to the bedrooms on the top floor. The system is now working although a new part still requires fitting to ensure the problems do not occur again. The home was re-wired in 2005, however the proprietor has still not provided the Commission with a copy of the test certificate and therefore this matter must be addressed. The laundry facilities are located on the lower ground floor of the home away from the areas used by the residents. The laundry room still requires decorating and a new impermeable floor covering as part of the refurbishment programme. On the day of the visit the wash hand basin in the laundry room was dirty and no soap was available. The home does not have a sluicing facility and as this matter has been highlighted in the last three inspection reports the proprietor must now address this matter with some urgency. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The staff recruitment and selection procedure must be more thorough if the residents are to be protected from abuse. The present staffing levels are insufficient to meet the needs of the residents and ensure the home is kept clean. EVIDENCE: The care staff rota showed that on day duty the home is presently working on minimum staffing levels, with little cover for staff sickness or annual leave. Concerns were also raised about the night staffing arrangements as the rota showed that on at least three nights only two staff were on duty instead of three. Although the manager confirmed that cover would be found an immediate requirement notice was served. At present the home has vacancies for weekend cleaning staff, which has resulted in two complaints being made about the standard of cleanliness and hygiene over this period. The manager confirmed that interviews had been held and it was anticipated that the vacancies would be filled in the near future. Two staff employment files were reviewed and in one instance it was noted that no written references had been received prior to the member of staff starting employment. The manager was also reminded that all documentation required to be kept at the home under Schedule Four of the Care Home Regulation 2001 must be held in the staff files. The employment file for a third Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 18 member of staff was requested, however the manager confirmed that the proprietor had carried out the recruitment process and she did not have access to the file. The manager was informed that the employment details for all members of staff must be held within the home and made available for inspection on request. The manager confirmed that all new staff receive induction training and additional training both to meet the needs of the residents and for personal development is encouraged. There is also an expectation that all members of the care staff team achieve a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. At present less than 50 of the staff team have achieved the qualification. However, given the concerns raised during both the complaint and adult protection investigations it is clearly evident that there are some staff training issues at the home, which must be addressed by the manager with some urgency. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 The manager has only been in post for a short period of time and is still reviewing the policies and procedures in place. However, to safeguard the residents health and safety, and effectively manage the home she must prioritise her workload. EVIDENCE: Mrs Linda Mumbley is now the manager of Silverlea Care Home although no application has yet been received by the Commission for her to become the registered manager. Mrs Mumbley has many years experience in the caring profession and managed another care home for five years prior to taking up post at Silverlea. Mrs Mumbley has still to achieve a National Vocational Qualification at level four in management and care. Although she has only been in post a short period of time the staff and residents said that the manager was caring and approachable. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 20 However, the manager must prioritise her workload to ensure that the residents are cared for appropriately and the staff are following good practice guidelines. As yet the manager has not had the opportunity to review the quality assurance monitoring systems in place, although it is her intention to involve the residents, relatives and other healthcare professionals in this process. The manager confirmed that regular staff meetings will also be held and formal one-to-one supervision will recommence in the near future in line with the National Minimum Standards. The manager confirmed that residents and/or relatives are encouraged to manage their own financial affairs if at all possible although the home will hold money in safekeeping if requested to do so. Only senior staff deal with the residents’ finances and transaction sheets are available indicating income, expenditure and a balance. Some concerns were raised about the system in place for holding residents’ money and that the transaction sheets were not up to date. Policies and procedures are in place to ensure the health and safety of the residents, visitors and staff and are reviewed on a regular basis to ensure that they meet with present legislation. On reviewing the accident book it was noted that of the three accidents to residents recorded in February none of the forms completed indicated that relatives had been informed of the occurrence. In addition, no reference numbers had been put on the forms, as the system requires. Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 21 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 1 1 2 2 2 X 2 2 1 STAFFING Standard No Score 27 1 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 2 2 X 2 Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? YES 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. 2. Standard OP7 OP8 Regulation 15 12 Requirement The manager must ensure that care plans are reviewed at least monthly. The manager must ensure that nutritional screening is undertaken on admission and subsequently on a periodic basis. The manager must ensure that relatives are kept fully informed of any significant changes in the resident’s general health. Prescribed dietary supplements must be entered on the MAR sheet. The manager must ensure staff sign or code the Medication Administration Record (MAR) sheet appropriately. Door locks must be fitted to the cupboard holding prescribed cream/ointments and the fridge used for storing medication. The manager must ensure that all complaints are recorded and investigated in line with the home’s complaint procedure. The registered provider must DS0000061674.V266693.R01.S.doc Timescale for action 30/04/06 02/03/06 3a. OP9 13(2) 02/03/06 3b. OP9 13(2) 30/04/06 4. OP16 22 30/04/06 5. OP18 13(2) 30/04/06 Page 23 Silverlea Residential Home Version 5.0 6. OP19 23 23(4) 7. OP20 23 8. 9. OP21 OP22 23(2) 23(2)(c) 10. OP24 23 11. OP25 16(2) 23 ensure that the manager is made fully aware of the ongoing adult protection investigations at the home. The registered provider must supply the Commission with a programme of refurbishment work. All work highlighted by the Fire Safety Officer must be included in the refurbishment programme. The dining room tables and coffee tables must be revarnished or replaced. Requirement outstanding from the last two inspection reports – timescales 31/03/05 and 31/12/05 not met. The floor covering in the dining room requires replacing. Ground floor toilet -- A door must be fitted prior to this facility being used by residents. The emergency call system requires servicing and a copy of the test certificate forwarded to the Commission. (Outstanding from last inspection report – timescale 31/08/05 not met) Alterations to the present system are also required to respect the residents right to privacy. Appropriate locks require fitting to all bedroom doors. Double glazed window units must be replaced as required. (Outstanding from the last inspection report – timescales 31/03/05 & 31/12/05 not met. New bedding/pillows must be purchased as required. All portable electrical appliances must be tested annually. (Outstanding from the last inspection report – timescale DS0000061674.V266693.R01.S.doc 31/05/06 31/05/06 30/04/06 31/05/06 31/05/06 31/05/06 Silverlea Residential Home Version 5.0 Page 24 12. OP26 23(2)(k) 13. OP27 18 14. OP28 18 15. OP29 19 16. OP30 18 17a. OP31 9 17b. OP31 9 31/08/05 not met. A copy of the electrical wiring certificate must be forwarded to the Commission. The laundry area requires refurbishing and a new impermeable floor covering. A sluicing facility must be provided at the home. (Outstanding from last inspection report – timescales 31/08/05 & 31/12/05 not met) The wash hand basin in the laundry area must be cleaned and soap made available to staff. The manager must ensure that sufficient care staff are employed on day and night duty to meet the needs of the residents. The manager must ensure that sufficient cleaning staff are employed to keep the home clean and free from offensive odours. The manager must ensure that at least 50 of the care staff team achieve a NVQ at level two or above. The manager must ensure that the employment files for all members of staff are available for inspection. At least two written references must be obtained for all new members of staff prior to them commencing employment. The manager must ensure that the staff team receive the training and support they require both to meet the needs of the residents and carry out their role effectively. The manager must achieve a National Qualification at level four in management and care (Or equivalent) The manager must prioritise her DS0000061674.V266693.R01.S.doc 31/05/06 02/03/06 31/12/06 30/04/06 31/05/06 31/12/06 02/03/06 Page 25 Silverlea Residential Home Version 5.0 18 OP33 24 19. OP35 17(2) 20. OP36 18(2) 21. OP38 17(1) workload to ensure that the residents are cared for appropriately and staff are following good practice guidelines. The manager must ensure that effective quality assurance monitoring systems are implemented at the home. The manager must ensure that financial transactions sheets are up to date. The manager must review the present system in use for handling resident’s finances. The manager must ensure that formal care staff supervision is carried out in line with the National Minimum Standards. The manager must ensure that all accidents forms are completed appropriately. 31/07/06 30/04/06 30/04/06 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards 16.and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 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 Silverlea Residential Home DS0000061674.V266693.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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