Inspection on 19/02/08 for St Peters Court

This inspection was carried out on 19th February 2008.

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

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

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE St Peters Court 98 Church Bank Wallsend Tyne And Wear NE28 7LH Lead Inspector Janine Smith Key Unannounced Inspection 09:50 19th February 2008 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 St Peters Court DS0000070990.V354525.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. St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Peters Court Address 98 Church Bank Wallsend Tyne And Wear NE28 7LH 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) 0191 2635100 0191 2635105 Southern Cross BC OpCo Ltd Mr Neil Stewart Care Home 40 Category(ies) of Dementia (40), Old age, not falling within any registration, with number other category (40) of places St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 40 2. Dementia - Code DE, maximum number of places 40 The maximum number of service users who can be accommodated is: 40 27th, 28th February 200 and 6th March 2007 Date of last inspection Brief Description of the Service: St Peters Court provides a home for up to 41 older people who require residential care due to frailty caused by old age or dementia type conditions. Nursing care is not provided. The fees charged are £361 per week for service users funded through the local authority and £404 per week for privately funded service users. The home is situated on a main road on the outskirts of Wallsend town. There are public transport networks and community facilities in Wallsend and neighbouring town centres. The building is large with a ground and upper floor. All but one of the bedrooms are single and have an en-suite toilet. There are several lounges and dining areas available and a patio and garden. The building has four bathrooms, some of which are equipped for people with disabilities. The home has hoisting equipment. Information about the service, including the latest inspection report, is readily available. St Peters Court DS0000070990.V354525.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 2 star. This means that the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 27th February 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 19th February 2008 and further visits were made on 20th and 28th February 2008. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service (including their care records) & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. Mrs JM Smith carried out the inspection on behalf of the Commission, therefore the term ‘we’ is used in the report to describe what the inspector did where relevant. In November 2007, the ownership of the home was transferred to a new company, Southern Cross BC OptCo Limited. St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Medication records are kept accurately and up to date which helps to protect residents. Thermometers were available in bathrooms so staff can check that bath water is a safe temperature. Applicants for jobs in the home are thoroughly vetted before they are employed. Most of the care staff team have now achieved a National Vocational Qualification at Level 2. Some staff have received updated training in how to safely move and transfer people with mobility difficulties. St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 7 The garden has been improved. A new television has been placed in the main lounge and a karaoke machine is used to provide entertainment. Meetings for residents and their families to give their opinions are taking place more often and a newsletter is now produced monthly. 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. The summary of this inspection report can be made available in other formats on request. St Peters Court DS0000070990.V354525.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 St Peters Court DS0000070990.V354525.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): 2, 3, 4 and 5. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into this home are given time and good information to help them decide if the home will meet their needs. EVIDENCE: The home’s Statement of Purpose and a Guide for Service Users was openly displayed in the foyer. Copies of the guide are also put in bedrooms. Care records of three service users admitted within the past year showed that information had been gathered about each service user’s needs and then used to draw up a care plan. Two visitors said that they chose this home for their relative, because they had been able to drop in at any time to have a look round and been impressed with St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 10 what they had seen. They both said that the happy atmosphere in the home and the information they were given helped them to decide that the home would meet their relatives’ needs. One said that the manager had visited their mother in hospital and at home to discuss her needs and what she needed help with. One confirmed their relative had received a contract and plenty of information about the home. Contracts were also seen on some of the care files looked at. St Peters Court DS0000070990.V354525.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): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Assessments of health and mobility were being completed regularly, but as at the last inspection, not all staff fully understand or complete some of these properly. Care plans were generally ok but some lacked care plans in specific areas, such as a service user did not have a care plan for heart disease and dementia conditions she suffered from. The care plans did not show whether residents had any cultural or spiritual needs. St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 12 The manager said that he was aware that some improvements were necessary but as a new system of assessment and care planning was being introduced very soon by the new company, he felt it would be better for staff to spend time on the new system, rather than the existing. One resident had read and understood his care plans but this was not readily apparent on the plans seen for other residents. A senior carer was able to describe the needs of the residents who were discussed with her. Care staff monitor the skin condition of service users and seek professional advice about this when necessary. Pressure relieving equipment is provided through the Community Nursing Services for those service users at risk. Residents had been weighed regularly apart from a gap of two months, when the weighing scales were broken. Residents spoken to confirmed that they have regular check-ups from opticians, dentists, and chiropodists. They also said that doctors were always sent for, if they were unwell. Several said that staff were very good and treated them well. One said that the care staff understood his health problems and knew what to do if he wasn’t well. A visitor said their relative had been very poorly in hospital before coming to live at St Peter’s Court but that her health care had been looked after very well by the staff of the home. A relative who completed a survey said, ‘When my mother returned to the home (after a stay in hospital) the staff responded brilliantly to the differing needs she required.’ Service users spoken to said that they were happy for the home to manage medication on their behalf and that they got their medication when they needed it. Care records showed that carers contact GPs for advice if they have concerns about the effects of any medications. A random sample of medication records and the system for storage, handling and administration of medication was looked at and found to be in order. A senior carer said she was continuing to follow the policies and procedures of the previous company who ran the home, as she was not aware of the policy and procedures required by the new owner of the home. This could lead to confusion. A container of liquid oxygen is used to refill a service user’s portable cylinder. A senior carer was not sure how to dispense the oxygen from this container, as she had not been on duty when training was provided. Senior staff spoken to said that they had received accredited training in other aspects of medication handling and evidence of this was seen on their staff records. St Peters Court DS0000070990.V354525.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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make choices about their lifestyle, and enjoy variety and choice in social activities and food. Residents also enjoy and gain benefit from the friendships they have made in the home. EVIDENCE: Discussion with the Activities Organiser confirmed that she carries out two activities on weekdays and care staff provide additional activities in the evenings. The home has a bus allocated to them on one day a month, when two outings are organised. Two residents were heard talking about the craft activity planned for the afternoon and went off to go to it together. There are plans to improve the garden and one resident said he had heard a greenhouse was to be built, which he was looking forward to. He said there were plenty of people to talk to in the home and he had made friends with some and enjoyed playing St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 14 dominoes with some. He said staff spent time talking with him and staff said that they make time to chat to residents. A relative also said that staff spent time with residents and she thought they showed good communication skills. She had also seen social activities taking place regularly. Another relative who completed a survey, said ‘My mother prefers to spend most of her time in her room and staff frequently go in to check that she is well and provide the friendship and stimulation she requires’. Residents said their relatives and friends were welcomed in the home and there were no restrictions on when they could visit. One said staff often made her family a cup of tea. One resident said she liked to keep as independent as possible and made her own bed every day. She also enjoyed helping the staff wash the dishes. One resident said that she thought that staff liked residents to be in bed by 10 pm. Staff described how they gave people choices about when they wanted to go to bed or get up in the morning. Service users’ bedrooms are personalised with their belongings. Residents said they liked the food and said they always got a choice at mealtimes. One also said that they had been informed about possible changes to the menu following the change of ownership, and had given their views about this. Dining tables were laid with serviettes, condiments, cups and saucers, and a small vase of fresh flowers. One resident said that the flowers were provided fresh each Monday. Residents were offered hot drinks through the day and provided with jugs of juice where they were sitting. Tea/coffee making facilities were available in the lounges. Staff were observed serving lunch to residents and helping those who needed assistance. A resident who refused lunch was prompted about this again later and told her meal would be kept for her until she was ready. A relative said residents could have their meals in their rooms if they wanted peace and quiet. On the first day of inspection, residents were offered a choice at lunchtime of lamb or chicken pie with vegetables. Some residents were seen enjoying their meal but some were heard commenting that the meat was tough. The kitchen assistant, who cooked the meal, said the meat had been tough and fatty, despite long slow cooking and thought this was due to the quality of meat supplied. St Peters Court DS0000070990.V354525.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel safe and comfortable about expressing their views and there is an effective complaints procedure. They are protected from abuse. EVIDENCE: The complaints procedure was displayed and easy to understand. The complaints log book showed that one complaint had been investigated since the last inspection. There was a very warm, friendly atmosphere in the home. There were also lots of visitors to the home and it was evident residents and visitors had a good rapport with the staff and manager. When talking about the manager, a service user said, ‘The thing about Neil is he listens to you’. Another resident said she felt very safe living in the home. Two relatives said they found the manager very approachable and friendly and would readily tell him if they had any concerns. St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 16 Staff are currently being given updated training about the protection of vulnerable older people. Staff spoken to were aware of what they must do if they have any concerns that a resident may be abused. The manager is trying to get a place on a North Tyneside Council adult protection course for managers. Staff have not had recent training about understanding the causes of physical or verbal aggression and how to respond appropriately to this but could describe common sense approaches. The manager is currently trying to arrange some training for staff. St Peters Court DS0000070990.V354525.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): 19-26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment. EVIDENCE: A tour of the premises was made and a number of the bedrooms were seen. Service users have single bedrooms, which have an en-suite toilet. Bedrooms were personalised and clean. Accommodation is provided over two floors. There is a passenger lift, which is maintained and was in working order. There are lounge and dining areas on both the ground and first floor and other sitting places. There is an outdoor garden area and a separate small car St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 18 parking area. There are plans to improve the garden and residents were looking forward to this. There are an adequate number of bathing facilities, some of which are equipped with lifting equipment. A shower has recently been fitted. The temperature of hot water delivered to a bath was tested and was safe. There is an under floor heating system, which means that radiators are not required. Thermostats are provided in each bedroom so that residents can control the temperature in their room. The home was very warm. Lighting was appropriate throughout the building. Privacy locks were in place on bathroom and toilet doors. There are signs of wear and tear in the building but the manager stated that broken items were to be replaced. A relative said they had complained about the draughts through ill fitting windows in the first floor dining area and that the manager had tried to address this but it was still a problem when it was cold and windy outside. The home was clean and smelled pleasant throughout. Staff had protective clothing available to them and described the procedures they follow to ensure good standards of hygiene. St Peters Court DS0000070990.V354525.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): 27-30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Most staff have had good basic training but not all staff have had specialist training to help them meet the needs of people with dementia. EVIDENCE: Examination of the rotas and discussion with manager and staff showed that the numbers of care staff on duty were appropriate for the numbers of service users living in the home. 7.30 am to 2.00 pm 6 2.00 pm to 8 pm 5 8 pm to 8 am 3 The above includes one senior carer on each shift, but does not include the manager, activities organiser or ancillary staff. Some of the staff spoken to thought there should be two senior carers on each shift, as there can be too many demands on the senior. For instance, if a resident has a fall when the senior carer is busy administering medication. Otherwise, the staff felt that the home was appropriately staffed and that they had sufficient time to meet St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 20 residents’ needs. The manager stated that there are more often than not two senior carers on the early and late shifts. A carer said she was concerned residents may be at risk on the first floor when care staff are absent during the handover meeting between shifts. The manager said the floor should not be left unsupervised and he had given new instructions to the staff team about this. The staff were seen to be caring and attentive to service users throughout this inspection and to have a good relationship with them. Residents said the staff were very caring and treated them well. Relatives said that the staff always kept them well informed and provided good care to their relative living in the home. A relative who completed a survey said, ‘The staff have created a caring and friendly environment in which all my mother’s needs are meet. She feels happy and secure in the home…’. Another relative commented, ‘I am very happy and confident in the care provided by St. Peters Court but am concerned that the home is losing some exceptionally committed and caring staff due to absolute minimum wage and in some instances the lack of a clear career path.’ Most of the care staff have completed an NVQ Level 2 and the manager expects that all will have this by April 2008. A couple of staff are completing an NVQ3. Evidence of NVQ training was seen on two of the staff records viewed and a carer confirmed that they had received this training and were going to do an NVQ Level 3. A requirement was made to the previous owners following the last inspection that care staff must be given training about how to care for people with dementia and how to manage challenging behaviours. This has not yet been done. However, the manager and staff confirmed that a distance learning course about dementia was being booked for 20 of the care staff. The manager was also trying to arrange for a member of the local authority Challenging Behaviour Team to carry out a half-day training session on handling challenging behaviour. The manager expects all of this training to be completed by the end of June 2008. The records of three recently recruited staff were looked at. Appropriate vetting checks had been carried out for all, and each had had induction training. St Peters Court DS0000070990.V354525.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): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and there are effective quality assurance systems. EVIDENCE: The manager, Neil Stewart, took up his post at St. Peters Court in March 2007 and was registered by the Commission recently. He is suitably qualified and experienced to do his job. St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 22 He has been successful in his aim of creating an open friendly environment in the home. Staff felt the home was managed well and he is popular with residents. A resident said he liked the manager a lot and sees a lot of him and that he was a ‘good bloke’. There is a effective quality assurance system in place, with regular audits of systems in the home being carried out. Surveys of residents, relatives and visiting professionals are carried out six monthly. A resident said that meetings were held where they could give their views and suggestions. Two relatives were also aware of the meetings held and one said that any issues raised were always acted on. Personal allowances for some residents are handled by the manager. Records were kept of monies held on behalf of residents, which showed the dates money was deposited or withdrawn/spent and what it was used for. There were no receipts for hairdressing costs. Three staff records were looked at which showed that staff received training in fire safety, food hygiene and moving and handling skills. One did not have evidence of fire safety, first aid and infection control training. Another did not have evidence of infection control training. A senior carer said she had had training in all these areas. The manager said that infection control training is going to be provided for staff, but he wants staff to complete their pova, dementia and challenging behaviour first, so no date has yet been set for this. Routine fire safety checks were being carried out regularly in the home and the fire alarm was tested during the inspection. Maintenance/safety checks on fire systems, the lift, electrical wiring and appliances have been carried out. The window opening restrictors had recently been changed. Two residents were unhappy that the opening width was too narrow to allow enough fresh air to cool their bedrooms down. This was raised with the manager who will seek advice as to whether the restrictors can be adjusted, whilst still affording protection to residents from falls through windows. St Peters Court DS0000070990.V354525.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 X 3 3 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 1st inspection of the home under this ownership. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Care plans must set out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal, cultural and spiritual needs of the resident are met. This reassures residents that all of their needs can be met and ensures that the staff know what they must do. Staff who carry out assessments must be trained and fully understand what they are required to do. This helps ensure that the assessments are completed correctly so that the outcome they give is useful and relevant. Staff were still working to the previous company’s procedures. Staff must be made aware of the new company’s policy and procedures so they are working with up to date good practice guidance. This will help to make sure that people’s health and welfare are protected from the risk of medication errors or omissions. DS0000070990.V354525.R01.S.doc Timescale for action 31/07/08 2. OP9 13(2) 30/04/08 St Peters Court Version 5.2 Page 25 3. OP19 23(2)(b) Repair or replace ill fitting window frames in the first floor lounge to reduce draughts. 31/07/08 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 OP9 Good Practice Recommendations Care plans should be signed by the resident to show that they have contributed to and agreed with the plan of care. Ensure that any senior carer, who missed the training about how to use the container of liquid oxygen, receives this training so that they know what to do if they are called on to use this when they are on duty and responsible for administering medication. Some residents are unhappy about the window opening restrictors in their bedrooms, which are in place to prevent accidental or deliberate falls from windows. It may be helpful to review the risk assessments in place and seek advice from the local Environmental Health Department as to whether the restrictors can be adjusted to allow more air into the bedrooms of these residents, whilst protecting them and other residents who may be vulnerable to falls through the windows. 3. OP38 St Peters Court DS0000070990.V354525.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 St Peters Court DS0000070990.V354525.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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