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Inspection on 04/05/06 for South Park Residential Home

Also see our care home review for South Park Residential Home for more information

This inspection was carried out on 4th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Feedback from residents regarding the home was very positive. Residents were particularly complimentary about the food provided and the approach of the staff. Food was described as "wonderful". Staff adapt the menu to meet the needs and wishes of individual residents and the menu is changed if residents decide on the day that they would prefer something else. Three residents spoken to felt their appetite had greatly improved since moving into the home and all three felt they had put on weight which they felt they needed. Comments received about the staff and their approach to people included, "they are marvellous here", "nothing is too much trouble, they can`t do enough for you" and "they are very kind". The staff group have a very good understanding of the needs and strengths of each resident in the home. The inspector observed good interactions between staff and residents. Visitors commented that they were always made to feel welcome by staff in the home.

What has improved since the last inspection?

Since the last inspection of the home improvements have been made to the environment. The flooring to the ground floor corridor and dining area has been replaced. This has improved these areas for residents. Efforts have been made to provide additional shading to the laundry area. Staff have been provided with training on the protection of vulnerable adults which assists in ensuring the safety of residents. The health and safety checks in the home have been improved.

What the care home could do better:

It is of concern that a number of requirements made in previous inspection reports remain outstanding particularly those concerned with staff training and the checks carried out prior to staff commencing work in the home. Continued failure to address these issues within the given timescales may result in the CSCI carrying out enforcement action against the registered persons. Action must be taken to make sure that staff are provided with the appropriate training to meet the needs of the resident group and to keep them up to date with current practice. The registered persons must make sure that the appropriate checks are carried out on staff before they commence work. These checks assist in ensuring the safety of residents. Evidence that these checks have been carried out must be available for inspection. Improvements in the environment need to be continued. The flooring to the lounge and the stairs remains in poor condition and needs to be replaced. The Service User Guide must be updated to ensure that residents have the full information required. Further work should be carried out to make the information available on individual care plans more easily accessible. Staff must ensure that all documents are signed and dated. Further work needs to be done on the quality assurance and monitoring. One area residents and visitors felt could be improved in the home was in the activities available. Particularly in relation to residents having more opportunities to go out either to places of interest in a group or individually with staff to the local shops etc.

CARE HOMES FOR OLDER PEOPLE South Park Residential Home 193 South Park Road Wimbledon London SW19 8RY Lead Inspector Liz O`Reilly Unannounced Inspection 10:00 4th & 18th May 2006 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 South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 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. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service South Park Residential Home Address 193 South Park Road Wimbledon London SW19 8RY 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) 0208 296 9602 020 8944 1915 lanoireuk@aol.com South Park Residential Home Ltd Ms Rose Hughes Care Home 11 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (11) of places South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st October 2005 Brief Description of the Service: South Park Residential Home provides accommodation and care for eleven older people. The home is privately owned and is located in a residential area of Wimbledon, close to shops, churches of different denominations and good public transport links. Accommodation is provided over two floors serviced by a lift. Current fees range from £399 to £480.34 per week. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one regulation inspector and consisted of two fieldwork visits to the home, questionnaires sent to residents, family members, other health care professionals, discussion with residents, care staff, visitors to the home and the registered manager. Visits to the home were carried out on 4th and 18th May 2006. Seven completed questionnaires were returned to the inspector. Information gathered from all of the above sources has been used to assess the quality of this home. What the service does well: What has improved since the last inspection? Since the last inspection of the home improvements have been made to the environment. The flooring to the ground floor corridor and dining area has been replaced. This has improved these areas for residents. Efforts have been made to provide additional shading to the laundry area. Staff have been provided with training on the protection of vulnerable adults which assists in ensuring the safety of residents. The health and safety checks in the home have been improved. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 6 What they could do better: 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. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 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 the following standard(s): 1, 3 & 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to the service. Prospective residents are provided with written information on the home through the Statement of Purpose and Service User Guide. The registered persons must supply the CSCI with copies of the updated Service User Guide. The needs of prospective residents are assessed before they move into the home. This makes sure that staff are aware of and can meet these needs. This home does not provide intermediate care. EVIDENCE: A Statement of Purpose and Service User Guide set out the aims and objectives and the service residents can expect from the home. Copies of the Service User Guide are provided to each resident. At the time of the last inspection a requirement was made for the Service User Guide to be updated to include reference to the CSCI and provide information to residents on where a copy of the last inspection report could be obtained. This requirement remains outstanding. The Registered Person must provide a copy of the updated Service User Guide to all residents and to the CSCI South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 9 Before any resident is admitted assessments of their individual needs are carried out. This ensures that the home is able to meet their needs and that staff are supplied with information on the person before they arrive. Staff from the home will visit prospective residents before they are admitted. Prospective residents and or their family or friends are encouraged to visit the home before they make any decision about moving in. A review of the placement is carried out after six weeks to ensure that residents are satisfied with the care provided and that the home is able to meet the needs of the individual. This home does not provide intermediate care. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including visits to the service. Each resident is provided with their own care plan which sets out their individual needs and wishes. The health care needs of residents are met. Medication is appropriately managed which assists in protecting the health and welfare of residents. Residents reported that staff respect their privacy at all times. EVIDENCE: Staff are working well to improve individual care plans. Good information was seen to be available on the individual needs and wishes of residents. The information addressed the physical, social and emotional needs of each person along with information for staff on how these needs should be met. Discussion took place with staff and the registered manager on organising care plans so that a standard format can be devised which will make care planning documents easier to work with. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 11 A number of documents were seen which had not been signed and dated. To ensure that the information used is up to date and accurate all documents must be signed by staff, the resident and or their representatives if appropriate and all documents must be dated. Care has been taken to include individual residents wishes regarding actions to be taken in the event of their death. This ensures that staff are aware of individual wishes and can carry these out. Some personal details are available to staff and these include a brief outline of residents former occupation, family background and significant events. It is recommended that this section be expanded to allow residents to share with staff if they wish a more detailed history. This will provide residents with an opportunity to give staff their own view on their history and provide staff with an opportunity for a deeper understanding of each individual. Care staff provide good daily records when required and a monthly update on each resident. Overall the health care needs of residents are met. Local GPs, district nurses and community psychiatric nurses visit the home as required. Arrangements are made for residents to receive regular optical, dental and chiropody services. Staff must ensure that the records show regular checks on the weight of each resident with information on what action has been taken should there be any marked weight loss or gain. Medication was found to be well managed which assists in ensuring the health and welfare of residents. Where residents wish to administer their own medication risk assessments are carried out and monitored. Staff keep a record of all medication received into the home and returned to the pharmacy. The record of medication administered was well maintained, up to date and accurate. Residents informed the inspector that staff took care to make sure their privacy was maintained. Staff were observed to offer assistance and advice in a discreet and sensitive manner. Residents felt their own rooms offered privacy whenever they needed it and said that staff always knocked on bedroom and bathroom doors before entering. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including visits to the service. Residents and visitors confirmed that staff encourage and support residents to keep contact with friends and family. Residents were very positive on the food provided in the home. Residents also felt they were free to make their own decisions on their day to day activity. Further work should focus on the activities available particularly outside the home. This was the one area which residents and visitors felt could be improved. EVIDENCE: Staff have developed an activities programme which takes into account the personal preferences of residents. During visits to the home residents and staff were seen to be engaged in activities. Residents were observed to be given the choice on what activities they would like to do. Residents also made their own decisions about joining in or not. At the time of the second visit to the home residents informed the inspector that they had enjoyed a trip out for a pub lunch the day before. All the residents spoken to had enjoyed the outing and felt that “getting out” was a good thing. This was the only area which residents and visitors felt there could be some improvement. It was felt that more trips out as a group or individually would improve the service. Residents felt that more trips “just to South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 13 look round the local shops” or “to the park” would be a “good thing”. The registered persons should look into how this could be achieved. Residents confirmed that they can have visitors at any time and visitors confirmed that they were made to feel welcome by staff. Residents informed the inspector that they were free to get up, go to bed and take part in activities or not according to their own wishes. They felt the were consulted on the food provided on a day to day basis. The further development of the quality monitoring and assurance systems will offer opportunities for residents to influence the overall service provided. All residents spoken to were complimentary about the food provided. Choices are available at every meal time and staff will adjust the menu if residents feel this is not what they want on the day. To ensure that all residents are receiving a balanced diet staff keep a record of food provided including where any resident chooses something different from the main menu. The home can cater for special diets. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including visits to the service. The home has a complaints procedure in place which is made available to residents and visitors to the home. All staff have received training in the protection of vulnerable adults which assists in ensuring the safety of residents. EVIDENCE: The home has a complaints procedure in place with clear timescales for responding to any concerns raised. This ensures that complaints are dealt with in a prompt manner. Systems are in place for recording any complaint along with information on outcomes. The manager confirmed that no complaints have been received recently. The CSCI have not received any complaints about this service since the last inspection of the home. Residents and visitors to the home expressed confidence in the staff and manager to deal with any problems or concerns they may have. The manager reported that since the last inspection of the home staff have received training on the protection of vulnerable adults. The home has its own policies and procedures for the reporting of any suspicion or allegation of abuse. Staff also have available to them copies of the local authority procedure for the reporting of these issues. The registered manager needs to South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 15 ensure that an up to date copy of the local authority policy and procedure is available in the home. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 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 the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to the service. Progress has been made in working towards meeting previous requirements about replacing flooring in the home. This work needs to be continued. Residents are provided with a clean and hygienic environment. EVIDENCE: Flooring has been replaced in the ground floor corridor and the residents dining area. This has improved the environment for residents and enables staff to keep these areas clean and tidy. The carpeting in the lounge area, the stairs and the first floor hallway has yet to be replaced. The carpeting in these areas remains in a poor condition and the registered person must supply to the Commission a clear timescale for completion of this work. Residents were satisfied with their individual bedrooms and were seen to have been encouraged to personalise their rooms with the addition of their own furnishings and belongings. The registered person needs to produce a rolling South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 17 programme for the redecoration of the home to ensure that the décor and furnishings remain in a satisfactory condition. The home has a separate laundry area and shading has been provided in this area. Staff reported a new washing machine had recently been supplied. One resident made very positive comments on the way in which staff attended to their personal laundry. Cleanliness in the home is of a good standard all areas seen were clean and tidy and free from offensive odours. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome are is poor. This judgement has been made using available evidence including visits to the service. The numbers of staff employed in the home meets the present needs of the resident group. Feedback from residents on the approach of staff was very good. Evidence that staff have been provided with appropriate training was not available and the registered person must improve the levels of training provided to ensure that staff have the skills and knowledge to meet the needs of the residents. Evidence that the appropriate checks have been carried out on staff prior to commencing work in the home was not available. Action must be taken to ensure the safety of residents by carrying out these checks. EVIDENCE: Residents were very complimentary about the staff group and the manner in which they carried out their work. Staff were viewed as “very caring”, “lovely” and “patient. Two care staff are available at all times during the day. The manager is also available when on duty. At night one member of staff is awake throughout the night with a second member of staff asleep on the premises who can be called upon to provide assistance if needed. These staffing levels were seen to be adequate to meet the needs of the residents in the home at the time of this inspection. Three of the staff team have completed level two NVQ in care. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 19 It is of concern that the records for individual staff did not include full evidence that the appropriate checks had been carried out before they commenced work at the home. The following issues were identified:• • • • • • Two instances where the employment record was incomplete. Two instance where a new Criminal Records Bureau check had not been carried out. Two instances where no references were available. One instance where references were addressed “to whom it may concern” this is not acceptable. None of the files examined contained a record of induction. One instance where there was no record of training. In order to safeguard residents the registered persons must ensure that:• • • References are sought for all staff employed before they commence work in the home. Criminal Record Bureau checks are carried out on all staff before they commence work in the home. Records of training and induction are in place for all staff. It is also of concern that staff training records did not provide evidence that staff are provided with at least three paid days training each year. Staff took part in training on caring for people with dementia last year and training on the protection of vulnerable adults. Training on moving and handling has not been updated for approximately three years. The registered persons must ensure that all care staff are provided with up to date training on this issue. Food hygiene training was last provided approximately two years ago. All staff must be provided with training on food hygiene and checks must be made with the Environmental Health Department that the training provided two years ago is adequate. The registered persons must also provide sufficient first aid training to staff to ensure that a qualified first aider is available on each shift. The registered persons must ensure that all new staff to the home are provided with appropriate induction training. The registered persons can receive information on induction via the Skills for Care web site. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 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 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 & 38 Quality in this outcome are is adequate. This judgement has been made using available evidence including visits to the service. The registered manager has completed appropriate training for her role. Further work needs to be carried out on the quality assurance and monitoring systems to ensure that the view of residents are reflected in the annual appraisal of the care provided and development of the home. Further work needs to be done on the record of money held to ensure that residents are kept informed on their finances. Staff carry out checks on the home and equipment to assist in ensuring the health and safety of residents and visitors to the home. EVIDENCE: The registered manager informed the inspector that she had completed NVQ level four training and was awaiting her certificate. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 21 The quality assurance system still requires further work. The inspector was informed by the registered manager that questionnaires had been developed to seek the views of residents, relatives and other stakeholders but these had not been used as part of the annual review of the care provided in the home. The registered persons must carry out an annual review of the care provided taking into account the views of residents, relatives and other professionals involved in the home. The views of residents must be published and made available to the residents in the home and any prospective resident. An annual development plan needs to be produced taking into account these views. This requirement has been outstanding for a significant amount of time. Facilities are available for residents to deposit small amounts of money in the home for safekeeping. The records relating to money held in the home were found to be accurate and up to date. At the time of the last inspection of the home a requirement was made for accurate records to be available for bank accounts opened by the home on behalf of any resident. The inspector was informed that money was being held in an account outside the home for one resident. The statement for this account was not up to date and was not easily understandable. The registered person must ensure that residents are provided with regular, up to date, easily understandable, statements for any money held on their behalf outside the home. Staff carry out and record regular checks on the environment and equipment to ensure the health and safety of residents and visitors. Records of hot water temperatures and fridge and freezers were up to date. Staff check the fire alarm system on a weekly basis and fire drills are carried out regularly. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X X 3 South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 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 OP1 Regulation 5 (1) Requirement The Registered Persons must ensure that the Service Users Guide references the CSCI and specifies where a copy of the last inspection report can be accessed. (Previous timescale of 01.06.05 and 01.12.05 not met) Consistent formats must be put in place for care planning. Individual documentation must be signed & dated by staff and where appropriate residents or their representatives. (Previous timescale of 01.07.05 and 01.02.06 not fully met) The Registered Persons must ensure that staff maintain a regular record of individual residents weight. A record of actions taken should there be any marked changes in a residents weight must be maintained. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 24 Timescale for action 25/07/06 2. OP7 12 (1)15 (1) 25/07/06 3. OP8 12 (1) 25/08/06 4. OP19 23 (2) (b) (c) (d) The Registered Persons must ensure that the carpet in the stairwell and first floor hallway is replaced. (Previous timescale of 01.06.05 and 01.02.06 met) 25/09/06 5. OP19 23 The Registered Persons must produce a rolling programme for the redecoration of the home to ensure that the décor and furnishings remain in a satisfactory condition. A copy of the programme must be supplied to the CSCI. 25/09/06 6. OP19 23 (2) (b) (c) (d) The Registered Persons must ensure that the carpet in the communal lounge area is replaced. (Previous timescale of 01.02.06 not fully met) The Registered Persons must ensure that a POVA check is completed for all new care staff prior to the commencement of their employment. 25/09/06 7. OP29 7, 9, 19 01/07/06 8. OP29 7, 9, 17, 19 (Previous timescale of 01.05.05 and 01.11.05 not fully met) The Registered Persons must 01/07/06 ensure that recruitment information for all individual staff members is obtained as required by Schedules Two and Four - The Care homes Regulations 2001. (Previous timescale of 01.12.05 not met) The Registered Persons must ensure that all care staff receive Health and Safety, First Aid, and Food Hygiene training. DS0000027229.V292989.R01.S.doc 9. OP30 18 (1) 25/08/06 South Park Residential Home Version 5.1 Page 25 Full records of training must be maintained at the home. This includes content of any in-house training facilitated. Three days paid training annually must be evidenced for each staff member (pro-rata for part-time staff). (Previous timescale of 01.07.05 and 01.12.05 not fully met) The Registered Persons must ensure that sufficient first aid training is provided so that a qualified first aider is available on each shift. Details of how the above training will be provided must be supplied to the CSCI. 10. OP30 18(1) The Registered Persons must ensure that all staff are provided with up to date moving and handling training. Details of how the above training will be provided must be supplied to the CSCI. The Registered Persons must ensure that staff induction training is to national standards (Skills for Care). (Previous timescale of 01.07.05 and 01.01.06 not fully met) Details of how the above training will be provided must be supplied to the CSCI. The Registered Persons must provide to the CSCI a planned programme for the introduction and continuation of the training required. DS0000027229.V292989.R01.S.doc 25/08/06 11. OP30 18 (1) 25/08/06 12 OP30 18(1) 25/08/06 South Park Residential Home Version 5.1 Page 26 13. OP33 24 (1) (2) The Registered Persons must ensure that a quality assurance system is put in place for the home. This must include annual questionnaires supplied to residents, relatives / representatives and other stakeholders. Views obtained must inform the annual development plan in place and should be included within the Service Users Guide. (Previous timescale of 01.07.05 and 01.02.06 not fully met) 01/07/06 14. OP35 16 (2)17 (2) The Registered Persons must ensure that accurate records are available for bank accounts opened by the home on behalf of service users. (Previous timescale of 01.12.05 not met) 25/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP7 OP12 Good Practice Recommendations It is recommended that residents be offered the opportunity to share more details of their history with the staff group via care documentation. The Registered Persons should review the activities on offer to ensure that residents are offered more opportunities to spend time outside the home. South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 South Park Residential Home DS0000027229.V292989.R01.S.doc Version 5.1 Page 28 - 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!