Inspection on 08/08/05 for St Peters Home

This inspection was carried out on 8th August 2005.

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

St Peters Home 19/06/07

St Peters Home 13/02/07

St Peters Home 04/07/06

St Peters Home 02/02/06

St Peters Home 30/01/05

St Peters Home 20/07/04

St Peters Home 16/02/04

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

CARE HOMES FOR OLDER PEOPLE St Peters Home Limited 26 St Peters Road Margate Kent CT9 1TH Lead Inspector Sandra Crosby and Brenda Pears Announced 08/08/2005 at 9:30hrs 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 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 Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Peters Home Limited Address 26 St Peters Road, Margate, Kent CT9 1TH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01843 291363 St Peters Care Home Limited Mrs Diana Tompkins Care Home 30 Category(ies) of Dementia over 65 years registration, with number of places St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03/07/05 Brief Description of the Service: St Peter’s Home occupies two semi-detached premises. There are 24 single bedrooms and 3 double bedrooms, of which 19 have en-suite facilities. Accommodation is available on three floors and there is a shaft lift. All rooms have call bells. The Home is close to local facilities and is located in a residential area close to Margate town centre with all its amenities. There is a large garden to the rear that is maintained for service users use. The aim of St Peters Home is to retain and promote independence for service users and there are specific objectives to underpin this aim. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was announced and carried out by two Inspectors over two days on Monday from 09.30 – 15.00 and on Thursday from 09.30 – 15.45. During the inspection the Inspectors spoke with Service Users, observed practice over one dinner time period, and spoke with the Registered Person, Registered Manager, Deputy Manager, Senior Carer, two members of care staff, and the cook. Records were seen and an accompanied tour of some areas of the premises was made. The home had prepared well for the inspection visit, and the atmosphere of the home was welcoming, calm and relaxed. The home was clean and orderly at the time of the inspection visit. The Registered Manager handed six Relatives Comment Cards to the Inspectors on the first day of the inspection visit, and these indicated that relatives were satisfied with the services provided at the home. The Pre-inspection Questionnaire and Assessment and Inspection Record completed by the home prior to inspection and the information in the comment cards and information provided by Service Users and staff at the time of the inspection, has been used in this report. What the service does well: Medication records and storage of medication was seen to comply with the required standards at this inspection visit. A thorough recruitment system was seen to be in place at the home, however Management were requested to ensure that all paperwork was fully completed for example contracts of employment. The extended premises of the home have been completed to a good standard. Cleanliness throughout the home was good at the time of this inspection. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Small additions and amendments to be made to the Statement of Purpose and Service User Guide to clearly show that for example the home has shower facilities only and no baths, no ironing is carried out as part of the laundry service provided, and that multi-purpose cloths are used for those Service Users whose relatives do not provide flannels. Management stated that these cloths are used as they consider them to be more hygienic alternative. However, flannels can be colour coded, purchased cheaply and these would ensure the dignity of those being supported in the home. It was found when sampling Service User Plans that cross referencing could be improved, and that further work needs to be undertaken in relation to providing regular comprehensive reviews. The home needs to implement an up to date staff-training matrix, and to update staff training needs for example First Aid training needs to be undertaken. Management at the home needs to ensure that staff are instructed in the correct use of the red alginate bags, in order to maintain good practice in relation to infection control. Ensure that all areas as appropriate have an adequate supply of paper towels and gloves Management were advised to seek advice from the homes clinical waste contractor in relation to appropriate clinical waste bins to be used at the home. Food to be provided at a suitable temperature, as on the second day of the inspection visit the hot sweet of fruit crumble and custard was found to be barely warm. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 7 Observations by the Inspectors over the dinner time period on the second day of the inspection visit suggest that staffing levels over the dinnertime period could be increased to provide the personal assistance with eating that a number of Service Users need at this time. To provide and support Service Users with appropriate equipment for example a suitable cushion to support a Service User who was seen to be leaning to one side in order to meet health care needs of Service Users. It was seen in one of the double bedrooms that the privacy curtains, did not provide adequate privacy for one of the Service Users, and Management agreed to address this issue. Utilise all communal areas of the home, and provide a self-closure fitting to the door of the new lounge area to encourage Service Users to make use of this additional well presented communal area. The Registered Person agreed to provide this. The conservatory area of the home was very hot on the days of the inspection visit, and Management were advised to consider some form of blinds that would reduce the temperature in this area, and again make it a more useable communal area. All of the above issues were discussed with the Management of the home. 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. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,6 The homes Statement of Purpose and Service User Guide following some additions and amendments agreed with the Registered Manager will provide Service Users and prospective Service Users with the information they need to make a decision about moving into the home. Service Users move into the home knowing that their needs have been assessed, and the home endeavours to meet their needs. Standard 6 was judged as not application at this inspection visit. EVIDENCE: Discussion took place in relation to the recently submitted Statement of Purpose and Service User Guide, and Management agreed to check through the documents to ensure that these were accurate, and to add any information as appropriate in relation to the practices undertaken at the home. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 10 Care Management provide completed assessment paperwork for Social Services Service Users, and the home would carry out a pre-assessment for any privately funded Service Users prior to admission to the home. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 The care planning system meets the requirements of the national minimum standards and regulations, however it was found that reviews were not being recorded in a way that would clearly indicate changes in needs, and this could be detrimental to the well being of Service Users. The health needs of Service Users in the main are met, but again not always appropriately recorded. The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure Service Users medication needs are met. Staff endeavour to treat Service Users with respect, and aim to promote privacy and dignity. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 12 EVIDENCE: A selection of Service User Plans were examined, and showed that all the components as required by the Standards and Regulation were in place. Discussion took place in relation to the reviews just being a date and initials with no written evidence to say if there had been any changes to the Service Users needs. Cross-referencing within the documentation system could also be improved as it was seen that written information suggested that an area of the body had started to break down, and this was not recorded on the body map within the care plan. Management agreed to address these issues. Since the last inspection visit the home has now implemented individual weight records, and on the second day of the inspection visit, the Deputy Manager told the Inspectors that she had re-formatted the bathing record to include a record in relation to skin integrity. It was observed that a Service User whilst sitting at the Dining Table was leaning to one side, and when discussed with a staff member action was taken to provide a wheelchair seat cushion (plastic covered) to provide support for the Service User and to stop her arm pressing against metal. It was later discussed with Management as to the appropriateness of using the wheelchair seat cushion, bearing in mind it was a very hot day. The Deputy Manager agreed for an alternative to be provided. The medication records were seen, and indicated that they were appropriately recorded and up to date. The storage of medication was also seen during the accompanied tour of some areas of the home. The medication room was tidy and contained medications suitable for the needs of the current group of Service Users. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 As the home is registered for Dementia Category, it is difficult to judge if the lifestyle the Service Users experience in the home matches their expectations and preferences. The home endeavours to provide suitable services to meet Service Users needs. Service Users are able to maintain contact with family and friends. Service Users do not usually go outside of the home and grounds unless taken out by family. Service Users due to their mental state of health are unable to exercise many choices and little control over their lives, and staff practices need to promote and encourage choices wherever possible. Conversation and interaction, particularly during mealtimes, was minimal in the home. If more verbal contact was generally undertaken, this would encourage and promote choices even if this is through observation. The menus in the home have been changed and improved and now offer more choice and variety. No judgement was made in relation to Standard 15 at this inspection visit, as the new menus seen need to be tried and tested, and this standard will be assessed again at the next inspection visit. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 14 EVIDENCE: The routines for daily living at the home are such that it has previously been seen that all Service Users are up and dressed before breakfast, and Management have previously stated that this is due to the Service User category and that Service Users may be in bed by 6.00pm. Once Service Users are up and dressed before breakfast, it was observed that the majority of Service Users spend their day in the main Lounge/dining area of the home. Management said that efforts are being made to encourage Service Users to use the other communal areas of the home. Multi Purpose cloths were seen in the laundry area for use when providing personal care and it was discussed with Management that staff need to ensure that they dispose of stained cloths and that these do not go back into circulation. From the selection of towels the Inspectors saw in the cupboard in the laundry area it is advised that these be checked with a view to putting some new towels into use. The Inspectors were told that the care staff that are on duty at the time undertake activities, and the activities record book was seen. An outside entertainer comes in once a month the Inspectors were told. The new lounge in the extended wing of the home is used for activities together with the front dining room. On the second day of the inspection visit the Inspectors observed the mid-day meal. This was a sausage casserole, vegetables and potatoe. Several of the more able Service Users in the front Dining Room, had a salad, and one Service User had a Resource Drink. The portions seen in the main dining Room were larger than had been observed at previous inspections, and on the whole the Services Users ate the main meal and the sweet that was a fruit crumble and custard. It was seen that there were various fruit squash drinks on the tables and Service Users were asked if they wanted anymore, and one Service User was seen to drink three tumblers of squash. Observations passed on to Management included the size of the sausage pieces seen (in the Main Dining Room) they were large and the Service Users who were able to feed themselves, were unable to cut them up as they were using only a spoon to eat with. The fruit crumble and custard was seen and one of the outside of the bowls on a tray of four was touched and indicated that the food was barely warm. When this information was passed on to staff, they did then return some of the sweets to the kitchen to go into the St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 15 microwave. Management told the Inspectors when asked that tea and coffee to drink is not offered after the main meal, but that tea and coffee is available mid afternoon, before teatime that is at 4.30pm. Staff also stated that alternative sweets offered are yoghurts or ice cream, but these were not offered in the dining room when the inspectors were present. All service users were seen to be having the hot dessert. Those service users who did not attempt to feed themselves were not asked if they wanted the dessert or if they would prefer an alternative, but were encouraged to eat or were assisted by staff. Staff practices were observed during the mid-day meal, and they assisted Service Users to eat their meals. One carer left and came back with some green paper towels to wipe a Service Users hands. When discussed Management said that at the end of the meal wet wipes are used, but these were not seen to be to hand. There were varying degrees of interaction observed, but overall the main dining room was very quite. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected at this inspection visit. EVIDENCE: St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 The standard of the environment within the home is good providing Service Users with on the whole an attractive and homely place to live. The garden area is well maintained. The home was clean and pleasant at the time of the inspection visit. EVIDENCE: It was seen that Service Users remain mainly in the large Lounge/dining area during the day. One Service User only was seen in the conservatory area on the second day of the inspection visit. It was a very hot day and it was suggested in order to utilise this area, window/roof dressing for example blinds could be installed to reduce the temperature in this area and thereby make better use of this communal space. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 18 It was also seen that the new lounge area in the extension wing was being used mainly for activities. It was suggested that a self-closure fitment needed to be provided for the door of the lounge, as if this room door was open it would hopefully encourage more use by Service Users. Currently when the door is closed it looks just looks the same as all the bedroom doors on the new extension. It was found in one bedroom that the bedroom light was not working, and it was also suggested that the low energy bulbs used need to be of a sufficient wattage to provide adequate lighting. The bedrooms do not have a bedside light, as this has been risk assessed as a hazard for the whole of the Service User group. A headboard seen in one of the recently decorated bedrooms needs to be replaced and the Registered Person agreed to address this issue. The privacy curtains in one of the double bedrooms need to be adjusted to ensure privacy for both residents. The kitchen area seen on the second day of the inspection visit was extremely hot even with the fans that were seen in use. The Registered Person said that plans were underway to redesign this area of the home. The Inspectors requested that the fans in this area be kept clean. The laundry area again very hot and the possibility of a covering for the roof area extension was discussed with the Registered Person. The red alginate bags were seen again being used incorrectly and this issue was discussed with Management. A new Otex system was seen in operation and the Registered Person said he thought the system was effective and improvements had been seen in the laundry. There were no paper towels or disposal gloves seen in the Sluice room. Discussion took place in relation to the clinical waste bins seen in use at the home, Management were advised to contact the homes clinical Waste Contractor. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 It is judged that consideration needs to be given to staffing levels especially during the meal time periods in relation to the number of Service Users who require assistance with eating their meals. Action is also to be taken in light of current changes at the home, and this standard will be further assessed at future inspections to ensure that the homes staffing levels meet the needs of the Service Users. The home has a thorough recruitment procedure in place to ensure that Service Users are supported and protected. Care needs to be taken to ensure that all documentation is completed. Staff training is ongoing at the home. EVIDENCE: The staff rota was seen and currently with 21 Service Users at the time of the inspection visit there was one senior carer and three carers on duty, together with the Cook and one domestic cleaner. The carers are also required to cover laundry duties and provided occupational therapy activities. In addition to this on the first day of the inspection visit, the Registered Person, the Registered Manager and the Deputy Manager were in the home, and on the second day of the inspection visit the Registered Person and Deputy Manager were in the home. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 20 It was discussed with Management that during the observation of the main meal on the second day of the inspection visit, it was indicated that extra staff assistance at this time would have been beneficial. Management said that usually the Registered Manager and another family member was there and provided assistance. It remains a concern that staff undertake laundry duties and any activities provided and makes it debatable as to whether the staffing levels at the home meet the required minimum standards, although Management confirms that the Residential Staffing Forum hours are met. When considering the assistance that is required during the day, the support needed to provide a good quality of life and the stimulation that service users obviously need to develop or maintain skills, it is questionable that staffing levels are not always is adequate. Agency staff are used on a regular basis, and the home has a contract with a local agency. One agency member of staff was spoken with who confirmed that they regularly worked at the home. The home also employs persons from overseas, and one of these persons working at the home as a carer chatted with the Inspectors, and told them about her time working at the home. Staff files were viewed and showed that all necessary documentation was in place indicating that a thorough recruitment process is completed. The Management were asked to ensure that all documentation was fully completed, and this they agreed to do. Staff have attained NVQ Level 2 training or the equivalent the Inspectors were told, in order to meet the required standard. It was seen that the staff training records needed to be updated, and the Deputy Manager agreed to implement a staff-training matrix that would show a clear picture of the training completed and the date, together with proposed further training to be undertaken St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 No judgement was made in relation to this standard at this inspection visit as Management confirmed that currently they do not handle personal allowance monies for any of the current Service Users. EVIDENCE: The Deputy Manager confirmed that the home does not hold any personal allowance monies for the current group of Service Users. She did say that recently a new system had been set up whereby if Service Users relatives wished they could pay the monthly sum of £7.50 to cover all toiletries as needed. Currently some relatives bring in toiletries for their family member, and some relatives have signed and agreed to pay this monthly amount. Although Standard 38 was not fully inspected at this inspection visit, discussion took place in relation to the need to provide a self-closure fitment to the door of the new lounge area in the extension, and the Registered Person agreed to do this. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 22 It was stated that staff have undertaken Fire Training, Moving and Handling and a Customer Service course, however it was agreed to make no judgement at this inspection visit except that First Aid Training required updating, in order for the staff-training matrix to be implemented when an informed judgement could be made at future inspection visits. St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 x COMPLAINTS AND PROTECTION 3 3 3 2 3 2 3 2 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x x St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 24 YES Are there any outstanding requirements from the last inspection? 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 1 Regulation 4&5 Requirement The Statement of Purpose and Service User Guide to be reviewed and additions and amendments to be made Comprehensive regular reviews to be undertaken - Crossreferencing within the Service User plan to be improved To promote and make proper provision for the health and welfare of Service Users Correct use of red alginate bags - to provide paper towels and dispoal gloves in all appropriate areas - to provide suitable clinical waste container Staff to update First Aid Training Timescale for action 31/12/05, 30/01/05, 31/10/04 11/08/05, 03/07/05, 30/01/05, 21/07/04 11/08/05, 03/07/05, 30/01/05 11/08/05, 03/07/05, 2. 7 15 3. 4. 8 26 12(1)(a) 12(1)(a) 13(4)(c) 5. 38 18(1) 11/08/05 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. Refer to Standard 15 Good Practice Recommendations To ensure that food is served at an appropriate temperature - Ensure food pieces are of a suitable size for those Service Users who use a spoon and would be unable to cut up their food HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 25 St Peters Home Limited 2. 3. 4. 5. 6. 7. 8. 19 20 22 24 25 26 38 To consider blinds or similar to reduce the temperature in the conservator area, to enabe full utilisation of communal space Review current dining chairs, it may be found more appropriate for dining chairs with arms for suport to be provided To ensure appropriate support cushions are used as necessary Privacy curtains to be adjusted to ensure privacy for both Service Users - Headboard to be replaced as discussed To provide adequate lighting Provide window/roof covering in the Laundry area to reduce temperature Self-closure fitment to be fitted to the door of the new lounge area in the extension St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU* National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Peters Home Limited HO5 H56 S23548 St Peters V234943 080805 Stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!