Inspection on 18/07/05 for Snydale Care Home

This inspection was carried out on 18th July 2005.

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 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

Snydale Care Home 28/11/06

Snydale Care Home 03/07/06

Snydale Care Home 07/02/06

Snydale Care Home 11/10/04

Snydale Care Home 30/07/04

Snydale Care Home 10/02/04

Similar services:

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

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 SNYDALE CARE HOME New Road Old Snydale Pontefract WF7 6HD Lead Inspector Mavis Pickard Announced 18 July 2005 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 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. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Snydale Care Home Address New Road Old Snydale Pontefract WF7 6HD 01924 895517 01924 894808 TRACYHOLROYD@AOL.COM Mr S Holroyd Mrs T Holroyd Mr A Westerman Diane Rose Care home with Nursing 52 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of Physical Disability - over 65 years - 52 registration, with number Older People - 52 of places SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 11/10/04 Brief Description of the Service: Snydale Nursing Home is registered as a care home that provides care, including nursing, for up to fifty-two older people. It is located in the small village of Old Snydale which is between Normanton and Featherstone. The accommodation is set out on two floors. The main sitting room and dining facilities are located on the ground floor. There is level access at the main entrance and hydraulic passenger lifts allows easy access to the first floor accommodation. The home provides well furnished and comfortable accommodation. Snydale Nursing Home is situated off the main road and is accessed via a long drive that leads up to the care home. There are off-street parking facilities for visitors and a large garden at the back of the home provides a pleasant environment for service users to sit out in good weather. A local bus service passes right by the front entrance at the bottom of the drive every hour. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There is a newly registered manager at the home who has been acting manager for about a year who said that the home was not fully staffed on the day of this announced visit due to staff holidays and staff vacancies. The manager said that she is presently in the process of recruiting new staff. The findings of a complaint investigated by the Commission are reported in the complaints section of this report. [Standards 16-18]. The full inspection report is available by request from any CSCI office. Inspectors would like to thank the residents, the manager and staff for their hospitality during this visit. What the service does well: What has improved since the last inspection? What they could do better: The home could be generally more clean and fresh. There are some maintenance issues. Evidence that all residents are given choice about leisure activities could be available. Residents could be more involved in menu planning. Records relating to the care needed and provided to residents could be more detailed and clearer in its presentation. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 6 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. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 8 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 standard(s) 2 Albeit that residents are provided with a contract/terms and conditions of residence, these are not amended when any change in circumstance occurs. EVIDENCE: The terms and conditions of residence notes that, for a number of reasons, the home reserves the right to move residents to another room during their residency. The manager said that should a resident move within the care home for any reason, they are not presently provided with a new contract of residence giving detail of the changes, ie. size and location of room, facilities provided, the view from the room’s windows etc nor are they provided with a letter showing that the change to a different room has taken place. Residents should only be obliged to move from their room of choice by their request or with their permission because of a care need. Residents’ contracts and/or terms and conditions of residence should reflect present circumstances. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 9 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 standard(s) 7,8,10 Not all details of residents’ health, personal and social care are set out in a care plan. Service users feel that they are treated with respect. Residents’ privacy is not always respected. EVIDENCE: Inspectors examined the care files of 6 residents and found that in every respect not all areas of health, social and personal care are set out in detail in an individual care plan which highlights the need, the action to be taken to meet that need, and the outcome. Additionally, where reviews of care had taken place and changes noted, the changes were not signed and dated and did not lead to the formation of a new care plan. Inspectors found that, in general, care documentation presented as confused and difficult to follow. Residents spoken to and observed were not all having their care needs met, these concerns which included such basic care as assistance with eating and SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 10 drinking, having knowledge of the meals available and being able to choose, and having access to the call bell. People spoken to during the visit said that they felt that staff were kind to them and treated them with respect. However, inspectors were concerned to note during their tour of the home that all bedrooms where the residents were not present had the doors fully open and that the residents’ personal and intimate items were on display to other residents or visitors to the home. Inspectors felt, and the manager said that she agreed, this showed a lack of respect and that residents’ privacy was not, in this instance, being upheld. Medication procedures were not inspected at this visit, however Inspectors were concerned to note that prescribed creams present in residents’ bedrooms were not always in the room of the person indicated on the pharmacy label. The manager who said that she was unaware that this practice is taking place and confirmed that the creams could only have been made available to care staff by the trained nurse on duty. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 11 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 standard(s) 12,13,14,15 Residents spoken with said that the home does not provide the activities and leisure pursuits that they would like. Residents do maintain contact with friends and relatives. Residents said that the menus provided are repetitive. A choice of the food provided by each menu is not made available to all. EVIDENCE: Residents spoken with said that, in general, they are satisfied with the services the home provides but that the activities notice board means nothing as what it advertises is not usually available. Male residents said that what is on offer to them is poor and that their interests are not catered for. Several residents spoken to said that when activities are provided they are disrupted if care issues need attending to. The home does not employ an activities co-ordinator. People spoken to say that they meals are, in general, OK but that the choice is limited and repetitive. The home displayed the main meal choices for the day of inspection, which looked varied and well balanced. It was observed that a resident who had chosen to eat in their room asked about the food provided for their lunch and was told that the menu said Turkey, Salad or a jacket SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 12 potato. Eventually the resident chose a salad with a jacket potato. What they received was a tuna and prawn salad with no jacket potato. The menu displayed gave residents who could read it a far broader choice of items, however this particular resident had been denied the full choice. Inspectors observed residents having a cup of tea and a biscuit mid afternoon. People were being provided with tea, when asked if they were offered a choice of drink the manager said that ‘they all have tea’. At least one resident’s care plan said that they liked coffee. No one was offered anything other than tea. Choice of biscuits, although available, was not offered to residents. Inspectors noted that residents who were not able to take their drink independently were not assisted, the cup being put down with no effort by staff to assist. With reference to residents having control over their lives, please refer to standards 2 and 23 [Choice of bedroom.] SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 13 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 standard(s) 18 Staff at the home have not received adult protection training. The registered person does not work within locally agreed adult protection guidelines. EVIDENCE: Although the manager says that she has undertaken a comprehensive course on the protection of vulnerable adults, she said that staff working at the home have not yet received such training. Evidence found in the home’s complaint records show complaints received and investigated by the manager included issues that should have been referred on under locally agreed Multi-agency Adult Protection Guidelines. These issues are such that they should have also been notified to the Commission under Regulation 37 (1)(e and g) of the Care Homes Regulations 2001. They have not been so referred. The manager said that she did not have a copy of the local adult protection guidelines to hand although she said that the home does have a copy of this document. A complaint received from a late resident’s family since the previous inspection has been investigated. The following is a summary of the concerns and the findings. Letter from complainant set out concerns about the care provided to the complainant’s late father during his residence at Snydale Care Home. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 14 Concerns include issues relating to: 1. Health and Personal Care 2. Hydration 3. Record Keeping 4. Continence Management and Pressure Care 5. Acts of neglect and/or Omission. 1.Health and Personal Care 2.Hydration 3.Record Keeping 4.Continence Management and Pressure Care Upheld Upheld Upheld Partially Upheld 5.Acts of Neglect and/or Omission. Upheld Requirements and recommendations made in respect to these issues are that: Requirements arising from additional inspection (if any) Timescale for action 1.That a record of referral to health care professionals must be With maintained and updated. immediate effect from 11/4/05 and ongoing. 2.All assessed need relating to the care and support of With residents must be systematically recorded and reviewed within immediate individual care plans. effect from 11/4/05 and ongoing 3.Individual daily records must demonstrate how care is being delivered in accordance with the care plan. With immediate effect from 11/4/05 and ongoing With immediate effect from 11/4/05 and ongoing Page 15 4.The registered person must ensure that specialist equipment is always available as required and that a system of replacement of such equipment is operated. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Recommendations made at additional inspection (if any) 1.Effective communication between the home and the resident or their representative should be maintained and recorded, in respect of the resident’s changing need. Inspectors were concerned to note that the findings of this inspection show that not all the requirements are being actioned appropriately. Please refer to Standards 7-11 of this report. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 16 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 standard(s) 19,20,23,25,26 Not all residents have independent access to the garden area. Not all areas of the environment are safe or well maintained. Residents who may be required to move from their original room of choice are not provided with a new and/or amended contract. Not all areas of the home presented as being clean. EVIDENCE: The home has a pleasant well-maintained garden to the rear, however it is not safe for all residents to access independently as its perimeters are not secured. Inspectors looked closely at the premises. It was found that hot water being delivered to at least three baths in the home was ‘very hot’ registering temperatures in excess of 50ºC in 2 cases and of 59ºC in the third case. This is a cause for concern and the manager was required to take immediate action to reduce the risk to residents from scalding. It was noted during the tour of the home that a fire escape route via a first floor stairway is fitted with a ‘child gate’. This device might hinder people attempting to vacate the first floor in the case of a fire. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 17 The manager stated that a recent fire safety officer visit did not highlight this as a cause for concern, however Inspectors were concerned and have requested that the manager take further professional advice. Residents said that they liked their rooms. However, the manager said that residents’ contracts provided at the point of admission state which bedroom the resident is to occupy but that, should the resident request or be asked to move to another room, they are not provided with an amended contract and that the reason for any such changes are not recorded in individual case notes. Residents should only be obliged to move from their room of choice by their request or with their permission because of a care need. Residents’ contracts and/or terms and conditions of residence should reflect present circumstances. Concerns were raised with the manager about the general maintenance and cleanliness of the home. A new call bell system has been installed which is a positive step, however the old system remains in place. Inspectors were concerned that this could result in a resident or visitor who needed assistance using the ‘wrong’ bell. General maintenance issues noted by Inspectors included holes in the plaster of the wall on the first floor, several doors in bedrooms where a lock had been removed and the hole not ‘made good’. Window restrictors were not maintained effectively. It was found that not all residents bedding was clean, stained duvet covers and pillowslips were noted on several beds. Used tissues were found on the bed of a resident presently in hospital, the commode in this room was smelly and stained with faeces. A bedroom that had a printed notice on the bed ‘this room prepared for new client’ had a stained pillow case, a urine bottle in the en-suite and a wheelchair stored in the room. Very few residents’ bedrooms had a supply of liquid soap and disposable towels for staff use. Many bedrooms and/or en-suite areas had no disposal bin. A recommendation of the previous report asked that foot operated disposal bins be provided in toilet areas. Where bins had been provided, they were either open top or swing bins, which may have infection control implications. Inspectors noted that supplies of fabric towels had been placed in communal bathing and toilet areas. This practice is not recommended as it could spread infection. The home has a well-equipped laundry with a sink the manager said is used for soaking stained clothing. There is a supply of liquid soap and paper towels but SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 18 no dedicated hand washing facility nor a foot operated disposal bin. Inspectors noted that the plinths on which washers and dryers sit is in a very poor state of repair. The manager said that personal laundry and soiled bedding is collected by staff and placed in plastic laundry bins. Many such bins did not have lids; several such bins were being stored outside the laundry area and had not been emptied or cleaned. Inspectors noted, in a ground floor toilet area, residents’ soiled clothing, staff tabards and kitchen cloths had been placed in the same bin. This practice is unacceptable. Requirements and recommendations have been made in respect to these issues. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 There are not, at all times, sufficient staff available to residents. Residents feel safe at the home. EVIDENCE: Residents spoken to said that staff at the home are kind and that they do try to make sure people are comfortable and safe but that they are always too busy to stop and chat. The manager said that the home is short staffed because of holidays and staff vacancies. The home should have, at all times, sufficient staff on duty to meet the needs of people accommodated. This includes social and emotional needs. Residents spoken to said ‘they are usually short staffed’. One resident told Inspectors that when staff visit him in his room, where he spends all of his time, they often open their conversation with ‘ I can’t stay long’ which he understands as ‘I have no time to spend time with you’. That is disappointing. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Residents’ personal finances are safeguarded. The manager presented as not being wholly familiar with the premises. Issues found in the home may indicate a lack of effective staff supervision. There are health and safety issues. EVIDENCE: The home has a newly registered manager who satisfied CSCI officers at interview that she is of good character, is trained and qualified to hold the post and is a ‘fit person’ to be in charge. During this visit, Inspectors became aware that the manager was not wholly familiar with the premises or with the running of the home. Several times Inspectors asked about policies, procedures and environmental issues and SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 21 32,35,36,38 were concerned to note that the manager could not give a comprehensive answer. When asked about the system for ensuring that residents’ personal money is available to them and is safe, the manager was unsure of the home’s procedures. The administrator told Inspectors that residents’ personal finances are not handled by the home and that she had arranged for bank accounts to be opened for individuals. Issues raised in respect to care plans, recording, cleanliness and meeting residents’ social and emotional needs indicated to Inspectors that there may be a lack of appropriate staff supervision. There were some serious health and safety issues raised by this inspection. Two issues which require immediate responses are noted in Standards 1926[the environment], further concerns regarding issues of safety were noted and the manager was made aware. These included dirty ceiling fans in bathrooms and the smoking room, infection control issues such as the lack of disposable towels and liquid soap for staff, the lack of foot operated disposal bins and a bottle of a chemical sterilising fluid being stored in an unlocked area of a resident’s bedroom. There are ground floor rooms where window restrictors are either nonoperational or not fitted. This, along with the boiler room area which is fitted with a flimsy wooden ventilation grill, gives cause for concern that the home, which has been broken into previously, is not as secure at it might be. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 1 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 x 15 1 COMPLAINTS AND PROTECTION 2 1 3 3 3 x x 1 STAFFING Standard No Score 27 1 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 1 x x x 1 x x 3 2 x 1 SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 23 Are there any outstanding requirements from the last inspection? 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 7 Regulation 15(1) Requirement Individual care plans must set out in detail all areas of need, the action to be taken to meet that need and the outcome.Care plans must be signed and dated. Care plans must carried out in consultation with the resident/their representative,be kept under review which must be signed and dated and any revision be notified to the resident/their representative. The registered person must make sure that residents assessd care needs are fully met. Prescribed medicines in the custody of the home are handled in according to the requirements of the Medicines Act 1968 and that nursing staff abide by the NMC standards for the administrations of medicines. Staff working at the home must be instructed that arrangements for personal care ensure residents privacy and dignity is respected at all times. The registered person must in consultation with residents provide for them a range of suitable activities. Timescale for action 18/07/05 2. 7 15(2a-d) 18/07/05 3. 4. 8 9 12(1a) 13(2) 17(1a) Sch3(i) 18/07/05 18/07/05 5. 10 18(1c) 18/07/05 6. 12 16(2n) 18/07/05 SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 24 7. 15 12(2&3) 8. 16 37(1e&g) 9. 10. 18 26 13(6) 16(2j)13( 3,4a&c).. 11. 27 18(1a) 12. 32 10(1) 13. 38 13(4a) The registered person must ensure that people accommodated are assisted to make appropriate choices from the menus provided. The registered person must ensure that complaints and/or allegations of abuse are taken seriously, acted upon approprietly and referred to the Commission without delay. Staff undertake training with respect to the Protection of Adults 16(2j)13(3,4a&c)23(2d) All areas of the home must be kept clean and systems must be in place to control the spead of infection. At all times the home employs sufficient suitably qualified and experienced staff to meet the assessed needs of people accommodated. The regsitered manager must ensure that they are wholley familiar with the premises and with the general day to day running of the home. the registered person must ensure that hot water delivered to outlets accessible to service users is maintained at a safe temperature about which is presently considered at about 43˚C 18/07/05 18/07/05 30/12/05 18/07/05 18/07/05 18/07/05 18/07/05 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 2 Good Practice Recommendations If any changes in the terms and conditions of residence/contract occure, including a resident moving v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 25 SNYDALE CARE HOME 2. 3. 4. 5. 6. 12 20 19 36 38 room,the changes should be confirmed in writing to the resident and/or their representative. The registered person should consider employing an activities coordinator. Garden areas of the home should be made secure,to allow that all residents can access them independantly in safety. The old call bell system now not in use, should be removed. Staff shold be approprietly supervised A record should be mainatained in respect to the temperature of hot water to bathing facilities at the time a resident is bathed. SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 Page 26 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 SNYDALE CARE HOME v229053 j51j01_s6217_snydale care home_v229053_180705.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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