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Inspection on 05/11/08 for South Collingham Hall Care Home

Also see our care home review for South Collingham Hall Care Home for more information

This inspection was carried out on 5th November 2008.

CSCI found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 18 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Visitors are welcome to the home so people can stay in contact with family and friends. There is a wholsome and varied menu, which provides a choice of main meal. The home is spacious and suitable for people with mobility problems. The majority of staff have either completed or are working towards National Vocational Qualification level 2.

What has improved since the last inspection?

Privacy screens are avaiable to people in shared rooms.

What the care home could do better:

There must be an assessment for all people admitted to the home. Care plans must be kept up to date and reflect the wishes of the person. All staff must be familiar with people`s care plans. Records held concerning the healthcare people have received must be kept up to date. When assisting people to move this must be done in a safe manner with suitable and properly maintained equipment. Medication must be supervised at all times when not locked away. People should have their privacy and dignity promoted at all times. More frequent and varied activities must be provided. A record must be made of any complaint made through the homes complaints procedure. Staff must be aware of the procedures to follow to ensure people are safeguarded from abuse. Safe practices in infection control must be followed. Suitable arrangements must be in place for washing and ironing people`s laundry. There must be sufficient and suitably trained and experienced staff on duty at all times. The required recruitment checks must be carried out on all staff, including obtaining a Criminal Records Bureau check. Staff must be provided with the training they require to carry out their duties.There must be an effective quality monitoring system in place that seeks the views of people living in the home. The Annual Quality Assurance Assessment must be completed and returned. Records of finances held on behalf of people living in the home must be available at all times.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: South Collingham Hall Care Home Newark Road Collingham Newark Nottinghamshire NG23 7LE     The quality rating for this care home is:   zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephen Benson     Date: 0 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 31 Information about the care home Name of care home: Address: South Collingham Hall Care Home Newark Road Collingham Newark Nottinghamshire NG23 7LE 01636892308 01159818790 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Gloria Brown Type of registration: Number of places registered: Broadoak Group of Care Homes care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated are 33. The registerd provider may provide the following category of service only:- Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home South Collingham Hall is a converted and extended 1930?s country house situated on the outskirts of the village of Collingham near Newark. It is registered to provide personal care for up to thirty-nine people of both sexes over 65 years of age. They can also care for people with a diagnosis of dementia. The village of Collingham has a variety of shops, doctors surgery with pharmacy and optician?s service, library, Care Homes for Older People Page 4 of 31 Over 65 0 33 33 0 Brief description of the care home community hall, churches and pubs. The market town of Newark, six miles away, has a full variety of facilities and amenities available. A regular bus service passes the home, with a bus stop at the end of the home?s drive. The home is over two floors and has an annexe, which has recently been refurbished. A passenger lift and wide staircase give access to the upper floor. It has one room used for double occupancy and twentythree single rooms. Of the single rooms, nine are en-suite, five with shower or bath facilities and four with toilet and washbasin. Communally, there are five bathrooms, one with a specialist bath, and five toilets. Only two of the bathrooms and two of the toilets are in regular use. There are no toilets specifically for disabled use or that fit a wheelchair in without difficulty. The home is surrounded by six acres of extensive gardens with views over the countryside. Residents can sit out in fine weather. There are approximately thirty car parking spaces for visitors and staff. The home?s philosophy of care is that they are firmly committed to giving the residents equal opportunities in the delivery of services. Regardless of their mental or physical infirmities or disabilities, they will receive professional and sensitive care, which will be of a high standard, meeting the full range of their individual needs and personal preferences. The current weekly fees for the service range from £279 - £348 depending upon service users needs. Costs incurred for hairdressing Care Homes for Older People Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: zero star poor service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2008. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The Annual Quality Assurance Assessment had not been returned as Care Homes for Older People Page 6 of 31 required. We sent survey forms entitled Have your say about... to a sample of 10 people and 2 of these were returned. The main method of inspection used is called case tracking which involves looking at the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: There must be an assessment for all people admitted to the home. Care plans must be kept up to date and reflect the wishes of the person. All staff must be familiar with peoples care plans. Records held concerning the healthcare people have received must be kept up to date. When assisting people to move this must be done in a safe manner with suitable and properly maintained equipment. Medication must be supervised at all times when not locked away. People should have their privacy and dignity promoted at all times. More frequent and varied activities must be provided. A record must be made of any complaint made through the homes complaints procedure. Staff must be aware of the procedures to follow to ensure people are safeguarded from abuse. Safe practices in infection control must be followed. Suitable arrangements must be in place for washing and ironing peoples laundry. There must be sufficient and suitably trained and experienced staff on duty at all times. The required recruitment checks must be carried out on all staff, including obtaining a Criminal Records Bureau check. Staff must be provided with the training they require to carry out their duties. Care Homes for Older People Page 8 of 31 There must be an effective quality monitoring system in place that seeks the views of people living in the home. The Annual Quality Assurance Assessment must be completed and returned. Records of finances held on behalf of people living in the home must be available at all times. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Current practice does not ensure that new people moving to the home have an assessment, which is up to date, carried out to establish if their needs can be met. Evidence: Files for two people recently admitted to the home were seen. One of these had an assessment carried out by the Local Authority, although this was dated February 2008, which was eight months before the person was admitted. The second did not have an assessment in it and the manager said this was because the person was admitted in an emergency and they had gone straight to preparing a care plan. A request was made to see the file of a third person admitted in the last week, but this was not available, although the manager said an assessment had been obtained from the Local Authority. The manager said she will go out to visit any potential new person coming to the Care Homes for Older People Page 11 of 31 Evidence: home, but does not write an assessment, relying on the one produced by the Local Authority. Staff said that the manager goes out to see any prospective new person and tells them about the person. One person said, I knew what it was like here as I have been here before. Care Homes for Older People Page 12 of 31 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans do not describe how peoples needs are to be met and improvements are needed in how peoples health and personal care needs are attended to. Evidence: A sample of four care files were looked at and these contained some clear information about peoples needs and how these should be met, however the files had not been updated for some months resulting in some of the information being out of date. Updates seen were for May and June 2008. The manager said she had worked on the care plans with one of the contracts officers and this had worked well in improving them, however she had fallen behind in updating them due to other work pressures. There was a night check from and one included the comment under special requests, drink of tea when I cannot sleep. One person said, They (staff) dont as a rule ask me what I want, they take it for granted you are getting what you want. Care Homes for Older People Page 13 of 31 Evidence: Comments from staff ranged from saying they would be lost without the care plans as they are very useful, to they had not seen them and cannot read other peoples writing. There was a section on the care plan to record any medical appointments in and a sample of these seen showed people access a variety of medical appointments, however these were not all up to date and the manager confirmed that one person had accessed health care services more recently than 2006 as the record showed. Some people require the use of wheelchairs to move around the home. There were some people sat in wheelchairs that did not have footplates on. Staff were seen helping transfer one person to a different wheelchair that had footplates fitted, but the brake was not working. The manager said the people who used to come and maintain the wheelchairs had stopped doing so and as a result they had not been seen to for some time. There was a bath book to record when people had a bath or shower, however this showed that some people went for periods of several weeks without having one. The manager said she did not believe this to be so and thought it was that staff were not recording when people were having a bath or shower. Staff were seen hoisting several people during the day and this was done well with staff talking with the person explaining what they were doing. The hoist used did seem to be quite old and staff said a newer one would be a lot more comfortable for people. One person was seen being assisted to move from the dining room table by a member of staff and had to negotiate a number of hazards including not being able to stand properly facing their walking frame and having to move around wheelchairs. One person was heard saying her glasses had broken the previous day and these were taken to be fixed during the morning. Another person said he had a hospital appointment that afternoon and an ambulance came to collect him during the afternoon. Part of the morning medication round was observed. Staff were seen taking medication to people and watching them take it. Medicine Administration Records were completed correctly after the medication had been taken, however when taking the medication the drugs trolley was left open and was seen on 3 of occasions not to be in sight of any member of staff. Where it has been necessary to handwrite Medicine Administration Records this was signed and checked by two staff. The manager said that staff know not to leave the trolley unsupervised. One person said, Staff give me my medication every day. Care Homes for Older People Page 14 of 31 Evidence: staff were able to describe good practices in promoting peoples privacy and dignity and preventing any embarrassment when providing personal care. One person was seen walking into the hallway inappropriately dressed and staff responded promptly to this. Staff were also seen covering people whilst being hoisted. There were however several people seen eating breakfast in their night clothes and two of these also ate their lunch in them. Some people were having their hair done in the corridor and the manager said they have not got any space to do it in private. There were piles of laundry seen on the landing where there was an ironing board and iron. The manager said that this was where the ironing was done as there was not another suitable space and the laundry is outside. Care Homes for Older People Page 15 of 31 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. More could be done to meet peoples social needs. People enjoy a healthy and varied diet. Evidence: There is a sheet in the care files to record any activities people take part in, however those seen had not been completed recently. The manager said that there is a monthly exercise class and occasional outside entertainer comes in. One of the care staff is a qualified hairdresser and does peoples hair when not on duty. The manager said she would like to provide more activities for people to take part in. There were no activities seen taking place during the visit but staff said they sometimes have a sing song in the afternoons. There was a plasma television in one of the lounges which was showing a modern music channel. When asked about this the manager and staff thought this was not what people would have wanted to watch. Comments made by people living in the home included, I like to watch television, I like the sport, We have played games but not done so lately and They do try to find things for us to do. Care Homes for Older People Page 16 of 31 Evidence: The manager said a local minister regularly visits the home and holds a monthly church service. One person said she goes to a sowing club each week and was seen going out for a trip to the local town with a supporter. Staff said that relatives are welcome to visit and can take people out if they wish. One person said, One of my daughters comes to see me every day. Staff spoke of giving people choices over the things they do, including what they wear and what they watch on television. Comments made from people living in the home included, I feel in charge of what I do and I choose what I want to do. The home operates a two week menu which provides a choice of meal. The main meal is had at lunchtime and dishes include liver and onions, steak and kidney, shepherds pie and bacon, egg and beans. There is a roast dinner on Sundays and a fish dish on Fridays. A lighter meal is had at tea time with thinks like something on toast, pork pie and salad and a ploughmans. The cook said that she was just making a stew for today as there was a larger tea with hot dogs and burgers to celebrate firework night later. People asked if they had enjoyed their meal said they had apart from one person who said she had thought the lurch today was disappointing but that she is normally very happy with the food. everyone asked said they had enough to eat and that they can request an alternative if they want to. Care Homes for Older People Page 17 of 31 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff do not know the procedures to follow to safeguard people from abuse. Evidence: There was one complaint sent to us concerning this home in the last 12 months concerning making some information available, which we referred to the provider to investigate. This had not been recorded in the homes complaints book. One staff was able to describe how they would deal with any complaint made, yet another could not. A person living in the home said, I would have a word with the matron if I was not happy. There was a copy of the Nottingham and Nottinghamshire safeguarding procedures in the office. The manager said that she has not yet shared these with staff. Staff spoken with had not seen the procedures and said they had not had training on safeguarding. Care Homes for Older People Page 18 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are at risk of infection due to unsafe practices. Evidence: Staff said they put any repairs they come across in the communication book and they are then attended to. The manager said that new windows have been fitted and they are waiting for someone to come out and replace some strip lights in the hallway that are flickering. Staff were seen wearing protective clothing, however, although both blue and white aprons were available, some staff were seen changing the colour they used according to the task, but others did not. One member of staff was seen not wearing any when assisting in the dining room. There was a full red laundry bag seen in the courtyard outside the laundry and a yellow bag of waste put on top of the wast bin as the bin was too full.The manager asked staff to deal with these so they did not pose a risk to people living in the home. The laundry is in an outside building and the manager said is not suitable to do the ironing in, as a result this is done on the landing. Care Homes for Older People Page 19 of 31 Evidence: There has not been any recent training provided on infection control. Care Homes for Older People Page 20 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are not being cared for by sufficient and suitably trained staff. Evidence: There are four care staff on duty during the day and two care staff at night. During the morning shift the senior was giving out medication and staff appeared to be having difficulty fitting in all their duties, resulting in some people not being dressed before lunch. The majority of tasks were being carried out by two care staff with the third not making a great deal of contribution. The manager said she thought this might be due to how work was being organised and allocated. The manager said that all staff, except two overseas nurses on placement, have either completed or are working towards National Vocational Qualification level 2. A member of staff said that she has completed National Vocational Qualification level 2 and was currently working towards level 3. A sample of staff files were seen which did not have Criminal Records Bureau checks in. The manager said that these have been obtained but she understood that she was not required to keep them. There are two staff employed from overseas through an agency and they did not have Criminal Records Bureau checks. The manager showed Care Homes for Older People Page 21 of 31 Evidence: the paperwork provided by the agency which included a police check carried out in their country of origin, and said she thought this was all they needed to have. The staff training records were seen and these showed that the majority of training was either out of date or nearing the time where refresher courses are required. One member of staff was asked what training they had done, whether they had been given an induction and if they knew what to do in the event of a fire. The member of staff did not seem to understand the questions and did not provide answers to them. Another member of staff said they had not had any training on dementia but had done moving and handling and fire safety. Care Homes for Older People Page 22 of 31 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management systems within the home do not show that the home is run in the best interests of people living there. Evidence: The manager has been in post since 1999 and has got a National Vocational Qualification level 4. Staff said they found the manager approachable and thought the home was well run. The manager has not returned the Annual Quality Assurance Assessment which was due to be returned in July 2008. The manager said there was not a quality assurance system in place and was unable to show records of peoples finances as she had not bought the safe key with her. A number of concerns about safe working practices have been highlighted in this Care Homes for Older People Page 23 of 31 Evidence: report. The manager showed a fire risk assessment she had been required to carry out by the fire safety officer. Care Homes for Older People Page 24 of 31 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 12 12(1,b) Offer service users a structured activity programme to maintain life skills and appropriate stimulation. 26/01/2008 2 16 22(8) Ensure that all complaints 08/12/2007 received and investigated by head office are recorded within the homes complaints register to ensure that these are available for inspection. To address deficits in staff training to ensure that all staff have the required knowledge and skill to fully meet service users needs. Continue the refurbishment programme to ensure that service users live in a wellmaintained environment. 26/02/2008 3 18 18(1,c,i) 4 19 23 (2,b,d) 26/02/2008 5 27 16(2,e) 18(1,a) A calculation of the staffing 08/01/2008 complements based upon the needs and dependency levels of service users including ancillary staff is required to demonstrate sufficient staff are available to met service users needs. Care Homes for Older People Page 25 of 31 6 33 24(1,a,b) Develop and implement a 26/01/2008 quality assurance system to inform the business plan for the following year to ensure that service users views and opinions are fully valued and considered and the service is run in the best interests of service users. Care Homes for Older People Page 26 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 3 14 There must be an assessment for all people admitted to the home. This will ensure that their needs can be met within the home. 01/01/2009 2 7 15 All staff must be familiar with peoples care plans To ensure they are aware of how their needs are to be met. 01/02/2009 3 7 15 Care plans must be kept up to date and reflect the wishes of the person To ensure that people receive the care they require in the manner they prefer. 01/02/2009 4 8 12 When assisting people to 01/12/2008 move this must be done in a safe manner with suitable and properly maintained equipment This will ensure people are moving in a safe manner Care Homes for Older People Page 27 of 31 5 8 16 Records held concerning the healthcare people received must be kept up to date. This will ensure that people are receiving the healthcare they require. 01/12/2008 6 9 13 Medication must be 17/11/2008 supervised at all times when not locked away. This will ensure that no one can get hold of medication that they are not meant to be taking. 7 10 12 People should have their privacy and dignity promoted at all times. This will ensure that people do not feel embarrassed at how they are treated. 01/12/2008 8 12 16 More frequent and varied activities must be provided. To ensure that people are able to spend their time doing things they enjoy. 01/01/2009 9 16 22 A record must be made of 01/01/2009 any complaint made through the homes complaints procedure This will ensure that any complaints people may have are properly dealt with. 10 18 12 Staff must be aware of the procedures to follow to ensure people are safeguarded from abuse. 01/01/2009 Care Homes for Older People Page 28 of 31 This will ensure that people know how to safeguard people living in the home. 11 26 13 Safe practices in infection control must be followed. This will prevent infection spreading around the home making people ill. 12 26 16 Suitable arrangements must be in place for washing and ironing peoples laundry. This will ensure that peoples clothes are properly cared for. 13 27 18 There must be sufficient and 01/12/2008 suitably trained and experienced staff on duty at all times. To ensure that people are able to have their needs met in a suitable and timely manner 14 29 19 The required recruitment 19/11/2008 checks must be carried out on all staff, including obtaining a Criminal Records Bureau check This will ensure that people living in the home are protected by the recruitment process 15 30 30 Staff must be provided with the training they require to carry out their duties This will ensure that people are ared for by suitably trained staff. 01/02/2009 01/01/2009 01/12/2008 Care Homes for Older People Page 29 of 31 16 33 24 The Annual Quality Assurance Assessment must be completed and returned To show the views of people living in the home and what has improved and what the future plans for improvement are. 01/12/2008 17 33 24 There must be an effective 01/12/2008 quality monitoring system in place that seeks the views of people living in the home This will enable people living in the home have a say on how the home is run. 18 35 17 Records of finances held on behalf of people living in the home must be available at all times This will ensure people can access their money at all times. 01/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 8 Provide a new hoist to enable people to be transferred in a more comfortable and smoother manner. Care Homes for Older People Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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