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Inspection on 14/12/05 for Solent Cliffs Nursing & Residential Care Home

Also see our care home review for Solent Cliffs Nursing & Residential Care Home for more information

This inspection was carried out on 14th December 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents and relatives commented on the quality of care provided. Comments made about staff included they are `friendly, professional and caring`, `they make it a home rather than a building in which elderly folk are housed and supervised` and `staff are kind, courteous and considerate`. Residents thought staff responded as quickly as they could to calls for assistance.

What has improved since the last inspection?

A new care plan format is being introduced that will enable staff to develop a plan that identifies an individual resident`s needs, wishes and aspirations in all aspects of their care and daily living. The closure of the annex means that previous issues relating to the deployment of staff have been resolved. Staff are now always working near to residents whether they are in their rooms or in the communal areas and can easily answer calls for assistance.

What the care home could do better:

The current registered manager is expected to spend the majority of his working time actually assisting with care work. This means he has very limited time to complete the day-to-day management of the home. This was evident from the number of requirements following this report, relating to the day-today management of the home. This issue was discussed and it was agreed the allocation of management hours must be reviewed to ensure sufficient time is given to the registered manager to carry out the management role. The environment could be improved to make sure the lounges and the dining room are only used by residents. At present the home has no rooms available for staff training, supervision or meetings and residents have to share their space with staff. Residents may only reach bedrooms located on the first floor of the annex by using the stairs or stair lift. This may present a problem if their mobility deteriorates and means they may have to move to another room. The providers are aware of the current limitations and are proposing to invest in the home to alter current provision. This will include rooms for staff use and new bedrooms on the ground floor that are accessible to any resident. The health and safety of residents was not being maintained. Currently equipment is stored in communal rooms such as bathrooms so that residents cannot safely get to the toilet. This is until the building work is complete. The short-term solution for storing equipment should be reviewed and risk assessed. Cleaning products that should be kept locked away, were found throughout the home, in places where residents could have access to them. Cleaning equipment, such as vacuum cleaners were left unattended in corridors. The cleaning routines and procedures for the home should be reviewed to ensure residents are not put at risk. The recording systems in the home were not used effectively. Records were found in care plans, the complaints log and staff induction records that had notalways been fully completed. Areas of concern were not consistently followed up. Where risks had been identified, it was not always clear what these risks were, or what action had been taken to reduce the risks.

CARE HOMES FOR OLDER PEOPLE Solent Cliffs Nursing & Residential Care Home 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS Lead Inspector Mrs Pat Trim and Amanda Brady Unannounced Inspection 14th December 2005 9:30 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 Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Solent Cliffs Nursing & Residential Care Home Address 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS (01329) 662047 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) Solent Cliffs Nursing Home Limited Mr Gordon Robert Mott Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (5), Physical disability (6), Physical disability of places over 65 years of age (30), Terminally ill (6), Terminally ill over 65 years of age (30) Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No service user is to be admitted under 55 years of age No more than 5 beds may be used at any one time for service users who are only in need of personal care. Only 6 service users between 55 - 64 years of age may be admitted at any one time 1st June 2005 Date of last inspection Brief Description of the Service: Solent Cliffs is a care home that offers nursing care to residents over the age of 55 years, residents who are terminally ill or residents who have a physical disability. The home is owned by Solent Cliffs Limited and the registered manager is Mr. Gordon Mott. The building comprises the main house and an annex, which are joined by a ground floor corridor. Bedrooms are located on two floors in each building and comprise twenty-five single and five shared rooms. There is a shaft lift in the main house and a stair lift in the annex so that residents may access the first floor. Communal space in the main house consists of a large lounge and conservatory. The annex has a large lounge and conservatory/dining room. The annex has been temporarily closed as the use of this area is to be changed. New bedrooms are to be built in another area of the home to provide more suitable accommodation. Whilst this work is completed the provider is limiting admissions to 25 residents. There are gardens to the front and side of the property with seating provided for residents use. There is a car park to the side of the property. The home is located in a quiet residential area, close to the sea, local amenities, shops and public transport. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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 statutory inspection for the service for 2005/2006 and was unannounced. Both reports should be read for an overview of how the service is meeting the standards. The inspection was completed in five hours by two inspectors. The purpose of the inspection was to review compliance with requirements made at the last inspection and to assess any key standards not previously assessed. Information for this inspection report was obtained from speaking with two residents and four care staff. The inspectors also carried out a partial tour of the premises and spent time looking at a random selection of documents. Information was also obtained from the pre-inspection questionnaire and comment cards received from residents and relatives. Time was spent discussing future plans for the service. The provider is going to redevelop the home to meet previous requirements and to replace the bedrooms currently located in the annex. The annex has been closed and the number of residents who may be accommodated will be temporarily reduced to 25 until the building work is complete. It was agreed the provider would write to the Commission for Social Care Inspection with information about the proposed building work. The current certificate was reviewed. It was thought it did not accurately reflect the service that is provided and it was agreed an amended one would sent to the home by the commission. The management of the home agreed to amend the statement of purpose to reflect the changes to the certificate. Time was also spent discussing the resignation of the registered manager. It was agreed that the provider should write to the commission about the interim management arrangements for the service until a new registered manager has been appointed. What the service does well: Residents and relatives commented on the quality of care provided. Comments made about staff included they are ‘friendly, professional and caring’, ‘they make it a home rather than a building in which elderly folk are housed and supervised’ and ‘staff are kind, courteous and considerate’. Residents thought staff responded as quickly as they could to calls for assistance. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The current registered manager is expected to spend the majority of his working time actually assisting with care work. This means he has very limited time to complete the day-to-day management of the home. This was evident from the number of requirements following this report, relating to the day-today management of the home. This issue was discussed and it was agreed the allocation of management hours must be reviewed to ensure sufficient time is given to the registered manager to carry out the management role. The environment could be improved to make sure the lounges and the dining room are only used by residents. At present the home has no rooms available for staff training, supervision or meetings and residents have to share their space with staff. Residents may only reach bedrooms located on the first floor of the annex by using the stairs or stair lift. This may present a problem if their mobility deteriorates and means they may have to move to another room. The providers are aware of the current limitations and are proposing to invest in the home to alter current provision. This will include rooms for staff use and new bedrooms on the ground floor that are accessible to any resident. The health and safety of residents was not being maintained. Currently equipment is stored in communal rooms such as bathrooms so that residents cannot safely get to the toilet. This is until the building work is complete. The short-term solution for storing equipment should be reviewed and risk assessed. Cleaning products that should be kept locked away, were found throughout the home, in places where residents could have access to them. Cleaning equipment, such as vacuum cleaners were left unattended in corridors. The cleaning routines and procedures for the home should be reviewed to ensure residents are not put at risk. The recording systems in the home were not used effectively. Records were found in care plans, the complaints log and staff induction records that had not Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 7 always been fully completed. Areas of concern were not consistently followed up. Where risks had been identified, it was not always clear what these risks were, or what action had been taken to reduce the risks. 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. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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 Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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): Key standards were assessed on the last inspection. EVIDENCE: Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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 and 9 Care plans do not provide sufficient information about residents’ needs or how they can be met, so residents may not be confident they will receive the care and support they need to maintain their personal, social and emotional heath. A consistent approach to assisting residents with oral medication was not being followed and this could compromise residents’ welfare. EVIDENCE: Standard 7 was assessed on the last inspection, when it was found that care plans did not address the needs and wishes of residents in respect of their social and emotional needs. The registered manager said that a new format had been obtained and was shortly to be introduced. The new format did provide a generic template that could be used to ensure all aspects of a resident’s needs were identified. The current care plans for two residents were seen. The recording in these was incomplete or inappropriate. One file had not been completed in respect of personal care and it could not be established whether the resident had had a wash in the last three days or had her hair washed in the last month. Another Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 11 file identified the resident’s communication needs were that he wore spectacles and the action staff needed to take was that he enjoyed family visits. Where risks were identified, such as a resident admitted with a high risk of falls, no risk assessment identified how support could be given to minimise this risk. A nutritional assessment identified a resident at risk, but it was not clear what this risk was. The action plan stated the resident should be encouraged to drink but there was no evidence of this being carried out or monitored. Standard 9 was also assessed on the last inspection. At that inspection a member of staff was observed putting medication directly into a resident’s mouth. The registered manager had explained that the resident involved was not physically able to do this for himself. A requirement was made that a protocol should be put in place to provide consistency. The registered manager said he had not yet done this. From information obtained from staff it was clear that some staff did not know the correct procedure for giving oral medication. All said it should be given on a spoon, but it was also said that it could be given by holding the tablet in one’s clean fingers. The requirement to provide a written protocol is repeated in this inspection report. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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): The key standards were assessed on the last inspection. EVIDENCE: Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 The inconsistent approach to recording and responding to complaints means that residents cannot be confident their concerns will be addressed and that they will be informed of the outcome of any investigations. The current policy and training in place does not provide staff with sufficient knowledge of adult protection issues and residents are not sufficiently protected from the risk of abuse. EVIDENCE: Standard 16 was also assessed on the last inspection. The pre inspection questionnaire identified the home had received two complaints this year. One had been logged in the complaints book and copies of the complaint and the registered manager’s response were seen. No response from the complainant indicated he was satisfied with the action taken. The record showed the second complaint had been passed to the registered manager and the management of the home. No action was recorded in the complaints log and there was no written response to the complainant. The registered manager stated that he had dealt with the complaint, discussed it with the staff involved and liaised with the complainant. None of these actions had been recorded. The current in house adult protection procedure did not refer to Hampshire’s adult protection policy and had not been reviewed since 2002. Some of the information needed amending. Staff said they had receiving training in working with adult protection by watching two in house videos. Afterwards Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 14 they were expected to complete a questionnaire. Two of these were seen in staff files. They had not been marked and it was noted the question about what other agency should be involved in adult protection issues was not completed. Staff were asked about adult protection training. They said they had seen the video and had some understanding of their responsibility to report abusive practice but not all were sure who they could go to if they needed to involve someone other than the management of the home. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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): 20 and 26 The provision of suitable space for staff activities such as training will ensure that residents are able to use the communal areas to meet their own needs and not those of the home. The infection control practices in the home must be reviewed if residents are to be kept safe from the risk of infection. EVIDENCE: Requirements have been previously made for the provision of space for staff to have training, store their belongings and have their breaks. As discussed in the summary section of this report, the provider is taking steps to provide these areas. The timescales for these requirements have been adjusted to give time for the building work to be completed. During a tour of the premises it was noted that continence aids were being stored next to a toilet. There is a possible risk of contamination from waste Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 16 material as the toilet is being flushed and the pads should be removed from these areas. The home has two sluices, one on each floor. Neither of these had liquid soap available so that staff could wash their hands. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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): 28 and 30 There are no arrangements currently in place to enable staff to develop their skills through vocational training programmes, so residents cannot be confident their needs will be met by well-trained staff. The staff induction programme is not being effectively monitored, so residents cannot be confident new staff receive the training they require to be able to meet residents’ needs. EVIDENCE: The registered manager said the home currently employed 16 care staff. Of these, 2 staff wanted to do an NVQ2 in care, 4 staff were doing an adaptation course to register as qualified nurses in this country. One bank staff had an NVQ 3. The person responsible for assessing staff doing their NVQ 2 had left and the registered manager, who also has a qualification as an assessor is also leaving. It was not known what arrangements would be made to develop a training programme so that staff could apply to complete this qualification. The induction training records for three staff were seen. These were incomplete, even though they had all worked at the home for more than nine months. The induction records had all been completed over one, two or three days and did not evidence an induction programme that is completed over several weeks. Questionnaires, filled out by staff, to monitor their understanding of training videos in relation to fire and adult protection were undated, unmarked and incomplete. There was no evidence that gaps in their Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 18 knowledge identified by these questionnaires had been explored during supervision sessions. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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, 33, 35 and 38 The registered manager is given insufficient time to carry out the day to day management role and this means residents cannot be confident the home is well run. Information obtained using quality audit tools must be assessed and feedback given to residents if the home is to demonstrate their views are actively sought and acted on. Systems are in place that ensure any money held by the home on behalf of residents is kept secure and monitored so that residents are not at risk of financial abuse. The current arrangements for the storage of equipment and cleaning products are inadequate and put residents at risk of harm. EVIDENCE: Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 20 The registered manager said that his hours were divided between managing the home and providing care. Only one full day per week was given to his management role, although he was expected to use a few hours at the end of each care day as well. The deputy manager was also allocated some time to assist the registered manager with the day-to-day running of the home. There were a number of requirements following this inspection that indicated the registered manager was finding it difficult to manage the home with the hours he was given. Records relating to residents and care staff were incomplete; previous requirements had not been met. Several times during the inspection the registered manager said he had not had time to do something or acknowledged recording should have been more thorough. The current registered manager had handed in his notice. The management of the home had been asked to inform the commission of the interim arrangements and the need to allocate sufficient management hours to whoever was appointed as the new registered manager was discussed. The registered manager said the home had until recently held regular joint resident and relative meetings, and minutes were available to see on the notice board. However, the people who usually attended these meetings no longer lived in or visited the home and the registered manager said he was unsure if the meetings would continue. Mr. Mott was able to show copies of a survey carried out to ask whether residents were satisfied with the food provided. These contained a wide range of comments. There was no date recorded for this survey, but Mr. Mott said he thought it had been carried out in April/May of this year. He said nothing had been done with the information and no feedback had been given to residents about their comments. One quality audit form relating to the service was also found in this file. Mr. Mott said these were not sent out anymore. The home had a policy and procedure for handling residents’ money. Individual records were kept which recorded what money was put in, spent or given to residents. These records could be signed by the resident and were audited by the registered or deputy manager. Receipts were kept of any expenditure. The health and safety of residents was being compromised by the storage arrangements in the home. During the inspection it was noted that equipment was still being stored in some of the communal bathrooms, making difficult for residents to get to the toilet. One upstairs bathroom had a hoist and three portable shower chairs stored in it. Staff said they had to put them in empty bedrooms when they needed to use the bathroom. One hoist was being stored Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 21 in the dressings cupboard so the door could not be shut. The door was marked ‘keep locked’. The sluices contained cleaning products in unlabelled spray bottles. There was also a bottle of bleach in one of them. These rooms had open doors to them so residents could go in at any time. Throughout the inspection, equipment such as vacuum cleaners and boxes of cleaning products were left unattended in corridors. Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 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 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 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 X 2 X X X X X 2 STAFFING Standard No Score 27 X 28 2 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 23 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. Standard OP7 Regulation 15 Requirement Timescale for action 01/02/06 2. OP9 13 Care plans must provide detailed information about residents’ personal, social and emotional needs and clear guidance on how they can be met and monitored. (Previous timescale of 01/08/05 not met). 01/02/06 Clear guidance must be given when medication has to be put directly into a residents mouth. This must include the residents permission, G.P. confirmation that it is necessary and that there is no alternative and a procedure for all staff to follow. (Previous timescale of 01/08/05 not met) A record must be kept of any complaints received, responses made and action taken to resolve the complaint. The in house adult protection procedure must refer to the Hampshire Adult Protection procedure. Also more training must be given DS0000011496.V272189.R01.S.doc 3 OP16 22 01/02/06 4. OP18 13 01/04/06 5. OP18 13 01/04/06 Page 24 Solent Cliffs Nursing & Residential Care Home Version 5.0 6. OP20 23 7. OP20 23 8. OP26 13 9. OP28 18 10. OP30 18 11. OP31 10(1) 12. OP33 24 to staff so they are aware of the Hampshire adult protection procedure and where it fits with the in house policy and procedure. Suitable storage space must be provided for staff to change their clothes and to store their personal belongings whilst on duty. (Previous timescale of 1/12/05 not met). Provide sufficient communal space for residents. The practice of using the communal lounge/diner for meetings and training must stop and an alternative environment be provided. (previous timescale of 1/12/05 not met). Continence aids must be stored so that there is no risk of contamination. Staff must be able to wash their hands with liquid soap in the sluice rooms. A training programme must be introduced that enables 50 of staff to obtain their NVQ 2 qualification. The induction programme must be developed to comply with the Skills For Care guidance and accurate records must be kept of the induction of each new care staff. The registered manager must be given sufficient hours of dedicated management time to enable him/her to effectively manage the home. Systems must be developed that enable the information obtained through quality audit questionnaires has been evaluated and used to improve the service. Residents must get feedback on the outcomes of such surveys. DS0000011496.V272189.R01.S.doc 01/07/06 01/07/06 01/02/06 01/03/06 01/03/06 01/02/06 01/03/06 Solent Cliffs Nursing & Residential Care Home Version 5.0 Page 25 12. OP38 13 The storage of equipment in communal areas must be reviewed and risk assessments completed to ensure residents are kept safe at all times until more appropriate storage space can be provided. Also cleaning products must be clearly labelled and stored in accordance with COSSH guidance. The current procedure for cleaning the home must be reviewed to ensure residents are kept safe from injury by cleaning products and equipment. 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Solent Cliffs Nursing & Residential Care Home DS0000011496.V272189.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!