Inspection on 09/08/07 for Southview

This inspection was carried out on 9th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Southview 26/02/10

Southview 09/07/09

Southview 08/08/08

Southview 11/09/06

Southview 13/03/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Southview Woodside Lipson Plymouth Devon PL4 8QE Lead Inspector Jane Gurnell Unannounced Inspection 9th August 2007 09:00 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 Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southview Address Woodside Lipson Plymouth Devon PL4 8QE 01752 667853 01752 667853 southview@yahoo.co.uk 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) Ashley Residential Care Ltd Vacant Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (19) of places Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The categories of registration are OP and DE(E). The home may accommodate a maximum of 19 older people (over the age of 65) who may also have dementia. 11th September 2006 Date of last inspection Brief Description of the Service: Southview is a care home providing accommodation and personal care for 18 older people, aged over 65, who may also have dementia. Nursing care is not provided in this home. It is privately owned by Ashley Residential Care Ltd. The Responsible Individual is Mrs Anna Chapman. The present owners took over the running of the home on 7th March 2006. The home is a single storey detached property situated in the residential area of Lipson, Plymouth. It is close to local amenities and transport links. Southview offers 17 single bedrooms and one double bedroom: eight of the single bedrooms have en-suite toilet facilities. There are two bathrooms and four toilets for communal use. The home has a large lounge room and dining room. Accommodation is centred around an attractive courtyard and garden and all areas are accessible to the service users. There is on street parking available outside the home. The current weekly fees for the home range from £313 to £345 dependant upon individuals’ care needs. Information relating to the services provided at Southview can be obtained directly from the home. Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 8th August 2007 from 9:00am to 4:00pm. The manager of the home was present throughout the inspection and one of the Registered Providers visited the home later in the day. A tour of the premises took place and all 17 people living in the home were spoken with during the visit, as well as three relatives. The care records relating to 3 people were examined in detail as well as the personnel files for 2 members of staff and documents relating to the running of the home. The staff on duty were observed and spoken with in the course of their daily duties. The District Nurse was contacted following the inspection with regard to the how well health care needs are met. Prior to the inspection, the Commission had sent surveys to each person living in the home as well as the staff to allow them to comment directly and anonymously about the quality of the services provided at Southview. Five staff surveys and 8 resident surveys were returned: the results of these were generally satisfactory and will be discussed specifically in the relevant outcome groups. One relative had contacted the Commission prior to the inspection to discuss concerns over her mother’s care: this is discussed under the outcome group for Complaints and Protection. The manager had completed a self-assessment form (Annual Quality Assurance Assessment) prior to the inspection and this allows the providers to say what they feel the home does well, what has improved over the past 12months and what their future plans are. The information in this assessment is used as part of the inspection process. What the service does well: All those living at Southview were spoken to regarding their views about the home; people said the home was “very good” and “very nice”. One person said “I have been living here for 3 months and feel at ease and quite comfortable”. People said how much they enjoyed the activities provided by the home, although not everyone joined in the daily Bingo session, all enjoyed the singers that had visited the previous day and were looking forward to the forthcoming slideshow. Personal interests were encouraged and people were able to keep pets in the home, subject to management agreement. Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 6 The manager had a positive approach to training and 11 of the 15 staff either had a National Vocational Qualification or were in training. What has improved since the last inspection? What they could do better: Several people, including 3 relatives, said that whilst the majority of staff were very good, there were a few staff who lacked “attention to detail”. The Registered Providers have been asked to address work performance issues through the meetings with those living in the home and staff supervisions sessions with staff. Although staffing levels had been increased in the mornings immediately following this inspection, these should be kept under review to ensure peoples’ needs can be met at all times of the day. A meal should be provided at suppertime and there should be no more than 12 hours between the last meal offered and breakfast, ensuring people don’t go hungry. A record of meals taken by each person should be recorded. Communication with relatives should occur more promptly rather than waiting to inform them of significant events when they visit the home. Infection control practices should be reviewed; staff should wear protective clothing, such as aprons and gloves, when assisting people with their personal care and hand cleaning gels/soaps must be provided in the toilet and bathroom. The Registered Providers should consider maintaining a record of complaints that is more easily audited, enabling them to complete the self assessment completely. As the home is owned by a company, the manager must be registered with the Commission. Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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 Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving to Southview are provided with sufficient information to make a decision about the home’s suitability. Pre-admission assessments ensure peoples’ needs are known prior to their admission. EVIDENCE: Two newly admitted people were spoken to and both confirmed they had been made welcome to the home and felt well supported. One person remembered being given a Service User Guide that detailed the services provided at the home and had visited prior to making a decision to move in. Service User Guides were evident in those bedrooms looked at during the visit. Both people had a pre-admission assessment detailing their care needs ensuring the home was aware of these prior to their admission. The manager described her plans to improve this assessment further to ensure peoples’ religious and cultural needs are explored prior to their admission to ensure these are well understood and can be met. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is some inconsistency with the quality of the support provided to those living in the home and this has lead to needs not being fully met. Medication practices are safe. EVIDENCE: All those living at Southview were spoken to regarding their views about the home. People were generally happy, saying the home was “very good” and “very nice”. One person said “I have been living here for 3 months and feel at ease and quite comfortable”. Several people said that whilst the majority of staff were very good, there were a few staff who lacked “attention to detail”. People had to ask some staff for assistance where other staff seemed more aware of their needs. It was observed that one gentleman had not been shaved that morning and one lady had very crusted eyes that staff had made no attempt to clean. Three visiting relatives further supported this saying, on occasion, they had drawn the staffs’ attention to their relatives’ personal care needs and one relative felt her Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 11 mother was becoming isolated in her room as staff did not encourage her to sit with the others in the lounge, as she had done when she first moved in to the home. This was discussed with the manager who gave assurances that this would be dealt with immediately. The care plans for 3 people with more complex care needs were examined in detail. As these plans were lengthy, a summary of each person’s care needs was provided to alert staff to specific areas of care. Further explanation was required in one person’s care plan with regard to managing her diabetes, otherwise these plans were detailed in their description of peoples’ care needs. Assessments had been documented relating to poor nutrition, skin care, restricted mobility and the risk of falls to identify those at risk of deteriorating health. There was evidence that these plans had been reviewed each month to ensure they provided a current description of peoples’ cares needs. Medication was stored safely and records maintained neatly and accurately. Eight surveys from people living in the home were returned to the Commission and all confirmed they “always” or “usually” received the medical support they required. The District Nurse visited the home to provide support and guidance to staff with regard to peoples’ health care needs. She confirmed that staff contact the nurses appropriately should they have concerns over a person’s health care. She did comment that not all staff wore aprons or gloves when dealing with peoples’ personal care, and this does increase the risk of cross infection. Those people with terminal illnesses may remain in the home as long as the care staff and the District Nurse can continue to meet their needs. Although the majority of standards in this outcome group have been met, the overall judgement is adequate due to the impact inconsistencies in support have upon those living at the home. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The routines in the home were relaxed. People can exercise choice over their lifestyle. Although the main meal at lunchtime was liked and enjoyed, the meals in the evening did not meet peoples’ expectations and some people were at risk of going hungry in the evenings. EVIDENCE: People said how much they enjoyed the activities provided by the home, although not everyone joined in the daily Bingo session, all enjoyed the singers that had visited the previous day and were looking forward to the forthcoming slideshow. Personal interests were encouraged and people were able to keep pets in the home, subject to management agreement. The lunchtime meals were described as “very good” and comments were made that the meals had improved since the previous inspection: on the day of the visit people were enjoying a casserole meal with fresh vegetables and a choice of desserts. The teatime meal was cheese and biscuits or pate and biscuits in the afternoon of the visit. People said some staff did not offer biscuits or cakes with the mid morning or afternoon drinks and they weren’t offered anything to eat at suppertime later in the evening, just a milky drink. Several people said Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 13 they were hungry in the evenings and two relatives said they brought biscuits and cakes in as their mothers had said they were hungry in the evenings. A tin of biscuits was in the lounge room but people with dementia or restricted mobility were unable to help themselves to these. The self-assessment completed by the manager prior to the inspection stated that snacks are available upon request. It should be noted that people with dementia may not always recognise their hunger nor be aware of their nutritional needs, and others may not ask for something to eat as they do not wish to cause more work for staff. The National Minimum Standards for Care Homes for Older People states that people should be offered 3 full meals a day, at least one of which must be cooked, and that a snack meal should be offered in the evening; the interval between this and breakfast being no more than 12hours. The cook said the menu had been changed and the issues noted above would be addressed through this. The manager said that this would be rectified immediately and from that evening suppers would be offered to everyone. Three visitors said they were made welcome and were kept informed by the owners and care staff, but sometimes not until they visited rather then being phoned about issues; this was further supported by the relative who had contacted the Commission prior to the inspection. One relative said she did not know her mother had fallen until she visited 2 days later. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have confidence in the manager to deal with any issues of concern. A more proactive approach to involve relatives in the care of those living in the home would improve relatives’ perception of the willingness to deal with issues of concerns or complaints. EVIDENCE: People living in the home said they had a good relationship with the new manager who had been appointed since the previous inspection and felt they could discuss with her any issues of concern. All 8 surveys returned by people living in the home said they knew how, and to whom, to make a complaint. Relatives however, did not share this same confidence and all 4 said they had brought up issues on more than one occasion and felt there was little improvement. Improving communication between the staff and relatives would enable these concerns to be addressed more proactively. The Service User Guide, seen in each bedroom, contained a copy of the home’s complaints procedure as well as the name and contact details of the Commission. A copy was also displayed upon the notice board. A complaints book was available in the dining room to allow those living in the home as well as visitors to make comments, anonymously if wished, about any issues of concern: the entries in the book had related to the food and the action taken by the manager to resolve these had been noted. Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 15 A register of complaints was not maintained and the manager said that any issues raised and the action taken were entered in the care notes of the person concerned. The manager may wish to record a more easily audited system to enable them to complete the self assessment accurately: this section of the self assessment had not been completed. Staff had received training in relation to the protection of vulnerable adults as well as promoting their rights and were aware of their responsibilities should they suspect someone is at risk from abuse. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Southview provides a pleasant, well-maintained home that is comfortable and which provides sufficient facilities to meet the needs of those people current living there. EVIDENCE: Investment in the environment continues and further improvements and redecoration have taken place since the previous inspection. The communal rooms were light and airy and attractively decorated. The home was found to be clean and tidy, and those spoken to said that the home was always clean, although one relative said that her mother’s room isn’t always dusted. Everyone spoken to, both those living in the home and staff, said how beneficial the new shower room was as it was very easy to use by people with restricted mobility. One of the toilets did not have a handwash basin and there was no hand cleaner available, neither was there any soap in the bathroom; Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 17 people must be able to wash their hands immediately after using the toilet rather than wait until they returned to their rooms to reduce the risk of cross infection. The manager gave assurances that this would be rectified immediately. All bedrooms were looked at and were pleasantly furnished; it was evident that people had been able to bring personal items with them. Four bedrooms had doors opening onto the decked patio area making these very pleasant rooms in the warm sunny weather. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. At the time of the inspection, people were not being supported in a consistent manner and staffing levels were not sufficient in the mornings. The changes that have taken place immediately following this inspection will enable staff to meet peoples’ needs more readily. The manager had a positive approach to training and supported staff to develop their skills. EVIDENCE: As noted in the outcome group relating to Health and Personal Care people said the staff were “very nice” and “very good” but some staff were not as diligent as others and “attention to detail” was lacking. At the time of the inspection, there were 17 people living in the home and 2 staff on duty throughout the day, with the manager available during the morning until mid afternoon. A cook and cleaner were also on duty each morning. From discussion with staff and those living in the home as well as information provided in the self assessment, it was evident there were a number of people, 14 identified in the self assessment, who required assistance with their personal care and that mornings could be very busy. Five of the 8 surveys returned by people in the home responded “usually” or “sometimes” to the question “are staff available when you need them?” The afternoon staff prepared the evening meal and therefore only one person was available at this time to assist people. Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 19 Immediately following this inspection, the manager contacted the Commission to confirm staffing levels had been increased to 3 staff each morning to ensure peoples’ needs were met promptly and to their satisfaction. Evening staffing levels should be kept under review. Five surveys were returned by staff. All 5 reported confidence in the management of the home and that they felt supported to undertake their role, this was further supported by those staff spoken to at the inspection. The personnel files for 2 members of staff were looked at. Both contained the necessary pre-employment checks including 2 written references and a Criminal Record Bureau check ensuring as far as possible only suitable staff are employed. Staff received regular supervision from the manager or one of the senior members of staff to discuss their work performance and their training and development needs. The manager gave assurances that the issues raised by those living in the home regarding inconsistency in the quality of the support being provided would be addressed though these supervision sessions. A training programme indicated that staff had received training in issues relating to the care needs of older people including continence and catheter care, diabetes, dementia as well as the statutory training in first aid, food hygiene, fire safety and moving and handling ensuring staff are able to manage emergency situations. Eleven of the 15 care staff either have or are working towards a National Vocational Qualification, for which they must demonstrate their knowledge and skills in supporting older people. The award is given by an external training provider independent from the home. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has a good relationship with those living in the home is striving to improve the quality of the services provided. EVIDENCE: The new manager appointed since the previous inspection has many years experience in managing care homes for older people. Those people living in the home said she was very approachable and they had confidence in her. As the home is owned by a company, the manager must be registered with the Commission; both the manager and the Registered Provider confirmed that this was their intension. Formal consultation with those living in the home took place in June of this year. Surveys were provided which allowed people to respond anonymously if Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 21 wished and with the assistance of their relatives. Areas consulted on included personal care, cleanliness of the home, meals, staffing, choice, privacy, the management of the home and whether people were happy living in the home. The results were positive with only mixed responses about the quality of the food: hence the change in the menu. Residents meetings are held monthly and a copy of the minutes is made available for the “Residents File” in the dining room. One of the people living in the home has the responsibility to ensure each person has access to these and to ask for any items for the agenda for the following meeting. The manager said that people would be formally consulted over the self assessment form to enable them to contribute in readiness for the next inspection. Staff meetings were held every 2 months to discuss management issues and to keep staff informed of future developments and the manager gave assurances that the issues raised by people during this inspection would de discussed and action identified to rectify this. People are encouraged to maintain responsibility for their own finances but the home does provide safekeeping should that be needed. Individual records are maintained and receipts obtained for all expenditure. The money held for 2 people was checked and founds to be accurate. Records relating to the servicing and testing of the fire alarm system were well maintained and up to date ensuring this was maintained an a safe working order. Southview DS0000064360.V340664.R01.S.doc Version 5.2 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 3 3 3 Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP8 Regulation 12(1)(b) (3) 15 (2)(h) Requirement The care needs of the people living at the home must be met in a consistent manner and to their satisfaction. Meals and snacks must be provided and offered throughout the day. Meals must be varied, nutritious, wholesome and in adequate quantities that people do not go hungry. People must be able to clean their hands after using the toilet and before leaving the bathroom/toilet area. As the care home is owned by a company, a manager must be registered with the Commission for Social Care Inspection. Timescale for action 09/08/07 2. OP15 09/08/07 3. OP21 13(3) 09/08/07 4. OP31 8(1)(b) 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Southview Refer to Good Practice Recommendations DS0000064360.V340664.R01.S.doc Version 5.2 Page 24 1 2 3. 4. 5. Standard OP13 OP15 OP16 OP27 OP38 Relatives should, unless the person living in the home requests otherwise, be informed of significant events promptly rather then waiting for them to visit the home. A record the meals taken by each person must be maintained to enable an assessment to be made of their nutritional intake should that be necessary. The Registered Providers should consider maintaining a record of complaints that is more easily audited. Staffing levels should be remain under review to ensure peoples’ needs can be met consistently and to their satisfaction at all times of the day. Staff should wear personal protective clothing, such as aprons and gloves, when assisting people with their personal care needs to reduce the risk of cross infection particularly as care staff prepare the evening meal. Southview DS0000064360.V340664.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 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 © 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 - 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. 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