Inspection on 16/06/08 for Speke Care Home

This inspection was carried out on 16th June 2008.

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

Other inspections for this house

Speke Care Home 30/06/09

Speke Care Home 03/07/07

Speke Care Home 25/01/07

Speke Care Home 23/05/06

Speke Care Home 31/10/05

Speke Care Home 01/07/05

Speke Care Home 26/11/04

Speke Care Home 13/05/04

Speke Care Home 29/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Speke Care Home 96-110 Eastern Avenue Liverpool Merseyside L24 2TB Lead Inspector Mrs Trish Thomas Unannounced Inspection 16th June 2008 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Speke Care Home DS0000025180.V363531.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. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Speke Care Home Address 96-110 Eastern Avenue Liverpool Merseyside L24 2TB 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) 0151 425 2137 spekecarehome@aol.com Mr Abid Y Chudary Mrs Chand Khurshid Latif Joan Lorraine Vernon Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (53) of places Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd July 2007 Brief Description of the Service: Speke Care Home is registered with CSCI to provide care and support to fiftythree people within the category of old age. This home was purpose built and is situated in a residential area in Merseyside. Speke Care Home is close to local shops and bus routes to Liverpool. Speke Care Home is a two-storey building with stair and passenger lift access. Bedrooms in one wing of the home have en-suite toilets and wash hand-basins. There are lounges on the ground and first floor, a dining area and access to a secluded garden at the rear with off road parking at the front of the building. Fees for this home are £322.00 per week and chiropody is included in this charge. Hairdressing is charged for as an extra. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that people receive adequate quality outcomes. We (the Commission), carried out an un announced visit to Speke Care Home. The methods we used to assess the home against National Minimum Standards are as follows, we discussed the service with people who live in this home, the staff and the registered manager, Mrs. Joan Vernon. We also made a tour of the premises and spoke with two visitors we met. To assess how the Speke Care Home is managed, we looked at records written in the home in relation to health & safety and staffing. We read residents’ care files and looked at four care plans in detail to make sure that staff have the guidance they need to support people. The Annual Quality Assurance Assessment (AQAA), is a self-assessment questionnaire, which gives us a lot of information for the inspection, about the service, improvements in the past twelve months, future plans and barriers to improvement. The manager filled in the AQAA, arranged for it to be hand delivered to CSCI and we received it before the inspection date. Six surveys on the quality of service had been filled in by residents, and returned to us before the inspection and the comments and opinions stated in these are referred to in this report. What the service does well: All residents of Speke Care Home have had their needs assessed and are given a brochure, before making a decision about moving in. Each person has a care plan, which sets out their health and personal care needs to guide staff as to the way they should be supported. To make sure each person stays as independent as possible, care plans are regularly reviewed so that any change in the person’s condition can be identified and the care plan changed accordingly. A visitor who commented on her mother’s experience of moving in to Speke Care Home, said she had plenty of information about the service, and was very happy with the care provided to her relative. A resident wrote in a survey, which was returned to us, “I decided to come to Speke Care Home as I have lived round here all my life. My local friends can visit me often, like when I was at home.” People’s diverse needs are identified in their assessments and arrangements are made to meet their needs, for example, through visits from religious ministers and through providing a range of activities, which meet people’s social needs and preferences. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 6 There is a consistent management team and staff have received relevant mandatory and care related training to ensure they have the skills to support people. There is a robust recruitment procedure, to make sure that only people who are suitable will work in Speke Care Home and in this way residents will be protected. What has improved since the last inspection? What they could do better: To promote choice of meals and ongoing consultation with people about their food, it is recommended that the menu be placed where residents can see it each day. A recommendation is made that cleaning schedules are to include regular checks of the toilets to ensure the toilets are hygienic and safe for residents. To ensure that residents know what they are getting for their money it is recommended that receipts be retained for all goods purchased by staff on behalf of the residents of Speke Care Home. To ensure that the deep fat fryer is safe and does not cause a fire risk, it is recommended that this be placed on a solid surface away from gas burners. To ensure that people are protected in case of fire, it is recommended that fire doors be kept closed or automatic closers be fitted where they are kept open by preference or for convenience. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 7 A requirement from the last visit has not been met as the manager has not notified CSCI in writing, of the deaths of residents of Speke Care Home, which have occurred since the last visit. This is a requirement under the Care Home Regulations (Reg. 37) and is repeated in this report with extended time limits given. 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. Speke Care Home DS0000025180.V363531.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 Speke Care Home DS0000025180.V363531.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have had their needs assessed and have the information they need before making a decision about moving in. EVIDENCE: Standards 1, 3. Speke Care Home has a brochure/service user guide, which is given to people before they move in. This means they have plenty of information about the home before they make a decision about where to live. We spoke to the daughter of a person who has recently moved in. She told us that staff were very helpful when her mother moved in to Speke Care Home, she was given all the information she needed, and she was very happy with the care provided since. A resident wrote in a survey returned to us, “I decided to come to Speke Care Home as I have lived round here all my life. My local friends can visit me often, like when I was at home.” Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 10 The manager confirmed that people are invited to visit Speke Care home before moving in to meet those already living there and the staff. Once they move in they have a twenty-eight day trial period before a final decision is made. This gives them a chance to experience life in the home before making a decision, and staff can be sure that the service can meet their needs. People have had their needs assessed by social workers before they move into Speke Care Home and staff from the home, carry out an assessment of their personal care and social support needs. Pre-admission assessments for three residents of Speke Care Home were seen, and they gave plenty of information on which to base the person’s care plan. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents of Speke Care Home have a care plan, which guides staff as to how their diverse health and personal care needs will be met. EVIDENCE: Standards .7.8.9.10. For staff guidance, there is a care plan in place for each resident of Speke Care Home, and we looked at four care plans in detail. These had action plans in place to meet the outcomes of assessments for the person, for example for mobility, continence, pressure care, and for personal care. Each care plan had been reviewed at least every month to be sure that any change in the person’s condition would be identified and the care plan amended accordingly. Staff carry out risk assessments to ensure that risks to each person’s health and safety will be identified and measures taken to eliminate them though the way care is given and/or adaptations to the environment. Care plans recognize each person’s diverse support needs and address physical frailty through providing environmental aids (such as hoists and grab rails) for Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 12 residents and relevant training for staff in patient handling. A visitor said that she has never had cause for complaint, the care is good and staff are very helpful. People who live in Speke Care Home looked well cared for and expressed no concerns about the care being given. Staff who were spoken with were aware of the support needs of people who were discussed, and said they have the training and management support they need to fulfil their role. Residents of Speke Care Home are registered with local doctors and referrals to health and paramedical services are recorded in their care plans. The manager informed us that the community matron from the local primary care trust visits the home every week to provide advice to staff and treatment to people who need it. A resident’s care plan gave evidence that the person regularly receives treatment from the district nurse. In six surveys returned to us everybody said they always get the medical support they need. There are written procedures in place in place to guide staff in the management of people’s prescribed medication and records show us that staff have received relevant training. The records and storage of medication managed by staff was satisfactory at the time of the visit and there were risk assessments in place for people who manage their own medication to make sure they are able to do this safely. There is a clear audit trail of medication accepted into the home and a record of any unwanted medication, which has been returned to the pharmacy. Staff who were spoken with during the visit were aware of each person’s right to privacy and confidentiality and of the guidance in place to ensure that these rights are promoted in the home. Twelve people who live in Speke Care Home were spoken with during the visit and they expressed no concerns about privacy. One person said, “I have my own bedroom which is very nice. Staff are there just when you need them. If visitors come they leave us alone. ” Six surveys returned to us by people who live in Speke Care Home expressed no concerns about their life in this home, one person said, “I am satisfied with the care here. There is always someone there to help at all times. I respect what staff do.” Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents of Speke Care Home have the lifestyle they choose and their diverse cultural needs are respected. EVIDENCE: Standards 12,13,14,15. An activities co-ordinator is employed in Speke Care Home to arrange social events for people. The manager said activities are arranged six afternoons a week and outings are arranged regularly. There are links with the local Methodist church and ministers from other local churches visit people on request. We went to the lounge where several people were involved in a card game being supervised by the activities co-ordinator. There were care staff available to give assistance to people needing help and there was a pleasant and friendly atmosphere. Three responses received in surveys were, “I play bingo, do puzzles and go out to the club with the activities lady.” “I don’t get around much. Other people play bingo but I have never been a bingo player. I like listening to music in the afternoon, I like my old favourites such as Daniel O’Donnell.” “Bingo and quizzes are quite good.” Two people spoken with said they prefer not to take part in activities, one person said, “I like to sit outside if it is fine. I’m not one for joining in and staff always respect that. I know I can have company if I choose to have it.” Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 14 We spoke with two visitors who said they are always made welcome and given privacy with the people they visit. The family of another person who has just moved in, were bringing in some personal possessions for his bedroom. We went to the kitchen and spoke with the cook. The menus show that people are offered a varied and nutritious diet and this was supported by the content of food stores, which were well stocked. The kitchen was clean and well organised and catering records had been well maintained. (A recommendation regarding kitchen safety is given under standard 38). We asked people about their meals and they all said the food was good. Six surveys returned to us gave positive feedback on the meals, one person wrote, “If I ask, the cook will make me a separate meal of my choice any time of day.” Residents said that they had not been informed of what was on the menu that day, and there was no evidence of the menu having been placed where residents could see it. To promote choice of meals and ongoing consultation with people about their food, it is recommended that the menu be placed where residents can see it each day. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents of Speke Care Home are protected as staff have the knowledge and skills to follow safeguarding procedures. EVIDENCE: Standards 16 – 18 For residents’ protection, Speke Care Home has procedures for complaints and safeguarding. Complaints about care homes can usually looked into by the manager or the owner of the home. Safeguarding referrals regarding suspected abuse are made to the Local Authority Social Services Department who will decide what action is to be taken at a strategy meeting. The training plan informs us that staff of Speke Care Home, have received training in protection of vulnerable adults, and those who were spoken with confirmed they have received this training. In this way staff will be aware of the indicators of abuse and the procedure to follow in alerting the relevant safeguarding team, if abuse of a resident was to be suspected. There have been no safeguarding referrals about this home since the last visit. In six surveys returned to us, residents said they would know how to make a complaint in Speke Care Home. One person commented, “I would go to see the manager in the office.” Another person wrote, “I have had no need to make any complaints.” Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 16 Since the last inspection, there has been one complaint made to Speke Care Home by a professional visitor, regarding care practice. Mrs. Vernon (manager) carried out an investigation and the outcome was that the complaint was not upheld. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Speke Care Home is comfortable and clean and makes a suitable home for the people who live there. EVIDENCE: Standards 19 and 26. Speke Care Home is purpose built, providing bedrooms on the ground floor and the first floor (reached by passenger lift). There are assisted bathrooms and toilets throughout the building for residents’ convenience, and a spacious lounge/dining area on the ground floor in addition to a first floor lounge. There is a garden at the back of the home and off-street parking at the front. The AQAA confirms to us that the lounges have been decorated, had new lighting fitted and some furniture replaced since the last visit. Work on decorating the corridors was nearing completion at the time of this visit. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 18 In five surveys sent to us, people answered, “Always,” to the question, “Is the home fresh and clean?” One person replied, “Sometimes.” Other written comments are, “The home is kept very tidy at all times.” “Very clean, especially my room.” One person told us that more attention could be paid to checking the toilets where the floor is sometimes wet if people have “accidents” of urine. A recommendation is made that cleaning schedules are to include regular checks of the toilets to ensure toilets are hygienic and safe for residents. The staffing records show us that general domestic staff and kitchen domestic assistants are on rota, in addition to care staff and cooking staff. For the guidance of staff who do cleaning, there are procedures in place for control of substances hazardous to health and infection control (including the in the laundry) and they receive relevant training and are qualified to NVQ level one. They said they are provided with protective gloves, overalls and aprons and plenty of cleaning materials and equipment to make sure the home is kept in a fresh and clean condition. There is a well-equipped laundry on the premises, which includes sluicing facilities. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected through staff training and recruitment procedures in Speke Care Home. EVIDENCE: Standards, 27,28,29,30. There were forty-six people in residence at the time of the visit and on duty was the manager, a senior care, five care assistants and two domestic assistants. Kitchen, activities and maintenance staff are supernumerary to care staffing levels. The staff rota for the day was read, and it gave a true representation of the staff on duty at the time of the visit. The training records show that over fifty percent of staff have an NVQ qualification, and that staff receive courses and updates in mandatory training such as food hygiene and health & safety. The manager informed us that staff have received training in safeguarding, diversity, personal care and challenging behaviour since the last visit. The AQAA informs us that there is an open-door management style in this home and policies and training are regularly updated. The manager and deputy have recently completed training in the Mental Capacity Act to give them awareness of their responsibilities under this legislation. A sample of staff files gave evidence of the recruitment procedures followed in Speke Care Home which include obtaining an application form, interviewing job Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 20 candidates, obtaining previous employers’ references and police clearances before a person is employed. In this way, only staff who are suitable, will be employed in Speke Care Home and people who live there will be protected. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Speke Care Home is generally well managed, however there are shortfalls in fire safety and record keeping EVIDENCE: Standard 31,33,35,38. The manager, Mrs. Joan Vernon, is experienced in her role, and has a management qualification. The AQAA tells us she has an open door management style and staff who commented said they receive plenty of support from the manager and she is approachable. Mrs. Vernon filled in the AQAA and arranged for this to be delivered to CSCI by hand. She also distributed surveys to residents as requested, to ensure that they would be able to have their say about Speke Care Home, as part of this key inspection. In the AQAA, the manager confirms that people who live in Speke Care Home Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 22 are able to state their opinions regularly as part of the quality assurance procedure. There are clear IT systems for billing residents of Speke Care Home for fees, and for managing the personal allowances of eight people. For the remainder, family take care of their day-to-day expenses, or they do this for themselves. In looking at the records, there was no evidence of receipts for goods purchased by staff on behalf of residents. To ensure that people know what they are getting for their money it is recommended that receipts be retained for all goods purchased by staff on behalf of the residents of Speke Care Home. To ensure the building and equipment are safe and suitable for residents of Speke Care Home, a series of health and safety checks are carried out at regular intervals. The records of these checks, including those for fire safety, were in date and were satisfactory at the time of the visit. To ensure staff have the skills to assist staff safely, they have received training in patient handling. Staff are aware of the need to record accidents to people who live in the home, and accident records were read and have been well maintained. There had been six accidents to residents in the month of May 08 in this home, none of these resulted in a person being admitted to hospital. Staff said accidents are monitored and risk assessments carried out to avoid future occurrences. A potential fire risk in the kitchen was identified during a tour of the premises. The electric deep fat fryer was broken and a temporary replacement had been provided, however this had been placed on the top of the cooker near the gas rings, which could cause a risk of fire. As discussed with the manager and the cook during the visit, to ensure that the deep fat fryer is safe, it is recommended that this be placed on a solid surface away from gas burners. On a tour of the premises, it was noted that some fire doors had been wedged open with bedside tables. To ensure that people are protected in case of fire, it is recommended that fire doors be kept closed or automatic closers be fitted where they are kept open by preference or for convenience. A requirement from the last visit has not been met as the manager has not notified CSCI in writing, of the deaths of residents of Speke Care Home, which have occurred since the last inspection. These notifications about serious incidents and occurrences in the care home, are required under Care Home Regulations (Reg.37), and the requirement is repeated in this report with extended time limits given. Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 23 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 24 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 OP38 Regulation 37 Requirement The registered person shall give notice to the Commission without delay of death, infectious diseases, serious injury or illness of a resident, adverse events, thefts/burglary and allegations of misconduct by the registered person or any person who works in the care home. Repeated from the last inspection, extended time limit given. (Ongoing from the date stated). Timescale for action 01/08/08 Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 25 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. 3. Refer to Standard OP15 OP26 OP35 Good Practice Recommendations To promote choice of meals and ongoing consultation with people about their food, it is recommended that the menu be placed where residents can see it each day. Cleaning schedules are to include regular checks of the toilets to ensure that the toilets are hygienic and safe for residents. To ensure that residents know what they are getting for their money it is recommended that receipts be retained for all goods purchased by staff on behalf of the residents of Speke Care Home. To ensure that the deep fat fryer is safe and does not cause a fire risk, it is recommended that this be placed on a solid surface away from gas burners. To ensure that people are protected in case of fire, it is recommended that fire doors be kept closed or automatic closers be fitted where they are kept open by preference or for convenience. 4. OP38 5. OP38 Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection NW Regional Contact Team 3rd Floor Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Speke Care Home DS0000025180.V363531.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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