Inspection on 04/08/08 for Stafford House

This inspection was carried out on 4th August 2008.

CSCI found this care home to be providing an Adequate 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

Stafford House 27/09/07

Stafford House 17/08/06

Stafford House 14/12/05

Stafford House 29/08/05

Stafford House 03/12/04

Stafford House 17/05/04

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 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Stafford House 7 North Promenade Cleveleys Lancashire FY5 1DB Lead Inspector Christopher Bond Unannounced Inspection 4th August 2008 10:00 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 Stafford House DS0000009702.V369548.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. Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stafford House Address 7 North Promenade Cleveleys Lancashire FY5 1DB 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) 01253 853073 Mr Gary James Meller Mrs Jill Margueretta Meller Manager post vacant Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered numbers to include one (1) person between 60 and 65 years of age 27th September 2007 Date of last inspection Brief Description of the Service: Stafford House is a care home in the Cleveleys area, north of Blackpool. It is situated on the promenade, close to the town centre. There are a number of facilities and resources close at hand, including shops, social clubs, pubs, Churches and leisure facilities. Most of these facilities are in walking distance. The upper rooms of the home overlook the sea and the promenade. There is a bus station near by, and busses leave from there to most parts of the Fylde Coast. A tram service operates from central Cleveleys, which serves Blackpool and Fleetwood. There are four double and four single rooms and a passenger lift to all floors. None of the rooms are en-suite. Parking facilities are limited close to the home due to its town centre position. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (04/08/08) the information given to the Commission showed that the fees for care at the home are from £329.00 to £372.00 per week, with added expenses for hairdressing and chiropody. Stafford House DS0000009702.V369548.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 1 star. This means the people who use this service experience adequate quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 4 hours on the 4th August 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were also examined. We spoke at length to the Owner/ Manager and one of the care staff during the inspection. Five service users were also spoken to as part of the inspection process. There were no visitors to the service whilst we were there. The Commission for Social Care Inspection also sent out surveys to residents to gather their views about the service they receive. Unfortunately none of these were returned to the commission. We also sent out surveys to the care staff of this home to tell us about their experiences of working at Stafford House. We have used the results from this survey within the body of the report. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well: This service provides a pleasant and homely atmosphere for the residents who live there. The home is situated on the promenade at Cleveleys, near Blackpool, and has benefited from extensive regeneration to the sea wall and surrounding area. The care staff were respectful and polite whilst we were there. Three people told us that the care was usually very good and that they were looked after Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 6 properly. One resident told us that the care staff were “lovely” and that she was pleased with the standard of care that she received. Catering arrangements are good and it was clear that the residents looked forward to meal times. The residents told us that the food and catering arrangements were good and that the food was tasty. A menu was available for the residents and alternatives were served if someone didn’t like the meal on offer. One resident told us that the food was “really nice”. The dining room was pleasantly laid out and the tables were set nicely. The manager of the home has worked hard to ensure that arrangements for the administration of medication are carried out properly. We identified several issues regarding this in our last inspection and many changes had been made, including the purchase of a new, secure medication trolley. What has improved since the last inspection? What they could do better: We found that a carer had been employed at the home without proper checks being carried out as to her suitability. The manager needs to ensure that this does not happen again. It would have been good to see a planned and recorded programme of stimulating daily activities and the manager should consider ways of ensuring that the residents are consulted about what they would like to do bearing in mind their personal interests. There was evidence of reviews taking place regarding each care plan: this helped to ensure that the information that was held on each care plan was current and that people were receiving continuous care. There should, however, be more information in relation to each review; review statements were brief and gave little information regarding the progress of each resident. Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 7 We found that a controlled drug had not been recorded properly after it had been given to a resident. This was an isolated incident but the recording and administration of controlled medication is of great importance because of its strength and content. The manager needs to ensure that the fabric and decoration of the home continues to improve to help make sure that people live in pleasant surroundings. A lock needs to be fitted to the bathroom door on the ground floor to ensure privacy and dignity. The Service User Guide for this home had a copy of the complaints procedure within it. There was a copy of this procedure in the hallway but this was covered up with other notices and was hard to read. The procedure must be displayed in a prominent area of the home where people are able to read it properly. There were staff lockers in the dining room of the home. These should be removed and put somewhere more appropriate. Similarly there were staff information files on a shelf in the dining area. There should be a clear divide between the ‘home’ area where people live and follow their daily routines, and the ‘office’ environment, where staff related items and documents are kept. Removing these would provide more space and make the dining area a better place for people to spend time. 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. Stafford House DS0000009702.V369548.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 Stafford House DS0000009702.V369548.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): Standards 1, 3 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have the information they need to make an informed decision as to whether or not the home can meet their needs. People’s needs are assessed to ensure that the home can meet their specific requirements. EVIDENCE: The manager/ owner of the home ensured that all of the people who were thinking of going to live at Stafford House had clear and concise information about the purpose and role of the home. The Service User Guide was given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them. There were good pre-admission assessments held on the residents’ personal files: these were completed before people came to live at the home to ensure that individual needs could be met appropriately by the care staff. Residents Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 10 also confirmed that they had the opportunity to look round the home prior to making a decision about whether the home was right for them. The home does not supply intermediate care and this standard has not been assessed. Stafford House DS0000009702.V369548.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): Standards 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously and outcomes for residents were good. Health records and reviews were brief meaning that the information on each person’s condition and progress was limited. EVIDENCE: The care plans held information to show that the health needs of the residents were being attended to properly. There were entries to show that the district nurse had been involved in the care of the residents and that other health agencies had been involved in providing health care. There was evidence of reviews taking place regarding each care plan: this helped to ensure that the information that was held on each care plan was current and that people were receiving continuous care. There should, however, be more information in relation to each review; review statements were brief and gave little Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 12 information regarding the progress of each resident. Daily records were also very brief and there were several entries such as ‘Good day, no problems’, which gave very little information about the well being of each resident. There should be more information written down about peoples lives and the activities and care that they have experienced on a daily basis. We saw that people were well dressed and looked well cared for. A hairdresser visited the home on a weekly basis, an event that people looked forward to. The carer who was on duty during the inspection was polite and respectful when speaking to the residents. One resident described the carers as “lovely”. And all of the residents that we spoke to were pleased with the standard of care that the service gave. There were records to show when those resident who were on prescribed mediation were given this. There were no unexplained gaps and medication was stored and administered correctly. We looked at the medication information for most of the residents and found this to be good, with plenty of information available for the carers who were responsible for giving out the medication. There had also been training in medication awareness for care staff. This was in the form of a distance-learning package. The Commission for Social Care Inspection Pharmacist had visited the home since the last inspection and the manager had followed the advice given and storage had improved. We did find, however, that the records that were available regarding controlled medication had not been completed correctly. It is important that this kind of medication, which is controlled because of its content or strength, is closely monitored and accurately recorded. Stafford house had recently made an application to the Commission for Social Care Inspection to care for older people who had dementia. This application, however, was refused after consideration was given regarding the environment of the home and its suitability for those with cognitive disorders. Stafford House DS0000009702.V369548.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): Standards 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Catering arrangement for this home were good, meaning that the residents looked forward to mealtimes. Activities for the residents must be more structured and planned to offer a good choice of stimulating pastimes. EVIDENCE: The manager of the home confirmed that there regular activities for the residents to enjoy such as video’s, jigsaws and games. We did not see a list of activities that were available, or a daily programme for the residents to see and decide whether or not they would like to be involved. When we spoke to the residents they were unsure of what activities were available. There was some good information written down in the care plans regarding peoples lives before they came to the home and what things they enjoyed doing. It would have been good to see a planned programme of stimulating daily activities and the manager should consider ways of ensuring that the residents are consulted about what they would like to do bearing in mind their personal interests. Some of the residents told us that they had visitors on a regular basis and that they were offered privacy. A few of the residents went out with their families on a regular basis. There were no visitors to the home whilst we were there Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 14 and we were unable to ask relatives about their views of the service. We sent out surveys for the residents to complete to tell us about their views if the service. Unfortunately none were returned to us. Lunch was being prepared whilst we were at the home and this looked nutritious and appetising. The residents that we spoke to said that the food was good and that they looked forward to mealtimes. One resident told us that the food was “really nice”. The dining room was pleasantly laid out and the tables were set nicely. It would be better if the care staff lockers were placed somewhere other than the dining area, in an area where they did not affect the space offered to the residents. Similarly there were information files in the dining area, which must be kept in a more appropriate area. We did not find recent evidence that there were regular, recorded residents meetings where people were encouraged to voice their views or helped to develop the service. Similarly the home did not have a quality assurance system whereby the performance of the home is commented on by its customers and external stakeholders and changes made to reflect this. Stafford House DS0000009702.V369548.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): Standards 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although people were aware of their rights regarding voicing their concerns, instructions on how to do this were not clear and readily available. Good training helped to make this a safer home for people to live in but poor recruitment checks compromised this. EVIDENCE: The Service User Guide for this home had a copy of the complaints procedure within it. There was a copy of this procedure in the hallway but this was covered up with other notices and was hard to read. The procedure must be displayed in a prominent area of the home where people are able to read it properly. The carer that we spoke to was aware of what to do if the residents wished to voice their concerns about the service and two of the residents said that they would speak to the manager if they had any concerns about the service that they were receiving. The service had a complaints log situated in the hallway of the home and there were no concerns or complaints recorded at the time of our visit. We sent out surveys to the care staff of Stafford House as part of the inspection process. For surveys were returned to us and all said that they knew Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 16 what to do if a resident, relative, advocate or friend had concerns about the home. There had been recent training for the care staff regarding safeguarding issues and the carer that we spoke to was able to tell us what actions she would take if she suspected that things were not right for the residents. Training records were available within the care staff files to confirm that this had taken place. The manager was aware of her responsibilities regarding safeguarding procedures. One of the new care staff, however, had commenced work without checks being carried out via the Protection of Vulnerable Adult register. This could affect the safety of the residents who live at Stafford House and future appointments must not be made without these checks being carried out. The manager was able to apply for a Protection of Vulnerable Adult check whilst we were there, Stafford House DS0000009702.V369548.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): Standards 19, 20, 23, 24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements need to be made to the interior and exterior of the home to ensure that the residents live in a nice, well maintained environment. EVIDENCE: We looked round the home during this visit. Most of the residents had single bedrooms. There were some shared bedrooms but these were not being used as such during the inspection because the home was not full. All of the rooms that we saw were fairly well furnished and held lots of personal possessions such as photographs, pictures and ornaments, that helped to personalise each room and help to ensure that people retained their individuality. Some of the furniture throughout the building was becoming well worn and was in need of replacement. Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 18 We found that the ground floor bathroom did not have a lock fitted to it and this affected the dignity and privacy of the residents who used this. There had been some damage sustained to the roof of the building before our last inspection and this had now been repaired. There was, however, still water damage in two of the bedrooms, which needed to be repaired to ensure that people lived in nice surroundings. There had been some redecoration, particularly to the bathroom areas, since our last inspection but work still needs to be done on the home to make sure that it is a pleasant place to live. One of the bedrooms was in particular need of redecoration. The manager said that they had experienced difficulty in getting permission from the resident who used the room in order to redecorate and make the room fresher and a nicer place to live. It is important that the manager perseveres with this process. There was a small paved area at the front of the home with a small bench where the residents could sit out when the weather was good. It would be nice for this area to be improved to make it a nicer area to sit. There was a yard area to the rear of the house but there were no seating areas and residents did not use this area. There had been improvements made to the sea wall opposite the home and there were nice seating areas for the general public that some of the residents who were able to used this facility. There were good views of the promenade and the sea -shore from the front bedrooms of the home. The exterior of the building needed some attention as the rendering had become dull and in need of attention. The home was not full at the time of the inspection and the manager needs to be sure that the lounge area is able to accommodate all residents that the home is registered to care for. There were a limited number of seats available in the lounge for the residents to use. The home was generally clean and fresh smelling throughout and there was a ‘homely’ feel to this service. Stafford House DS0000009702.V369548.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, 28, 29 And 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff had been trained to help ensure that the service that they provide is good. Recruitment checks for one carer had not been completed which compromised the safety of the residents. EVIDENCE: We looked at the records of three of the care staff that were employed at the home. We found that one of the newer care staff had been employed without the proper checks completed prior to being employed. It is vitally important that these checks are carried out to ensure that the residents are protected from unsuitable staff. Generally, however, we found that the information available regarding the care staff was good and that the files containing this information were in good order. Training had taken place for the care staff in a number of areas to help improve their knowledge, skills and abilities. Over 50 of the care staff now had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). Induction records were available within the staff files but the ones that were viewed had not been signed or dated. It is important that these records are completed properly in order to verify the induction process. Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 20 At the time of the inspection there were enough care staff on duty to help ensure that the assessed needs of the residents were being attended to properly. We sent out surveys to the care staff of Stafford House as part of the inspection process. Four surveys were returned to us, and all were very complimentary regarding the training that the service had provided for them since our last inspection of the home. All felt that they were treated well as an employee and that they were given a sufficient induction to the service prior to starting work. Stafford House DS0000009702.V369548.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): Standards 31, 32, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was managed well and safety aspects had been addressed properly. EVIDENCE: The manager/owner of the home is a trained nurse and has a number of years experience in caring for the elderly. Both the registered providers live on the premises and are available for advice, help and support on a 24 -hour basis. Both were part of the care team and one of the providers did the cooking for the home. Because of requirements made after the last key inspection of this home the manager had ensured that a number of training events had taken place for the care staff to help ensure that their skills were improved and updated. This Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 22 training has included health and safety awareness, medication awareness, safeguarding adults awareness, first aid and food hygiene. Training had also been provided in moving and handling: the manager needs to be certain that a distance learning package in this area of care can adequately prepare the carers for the safe and professional movement of residents around the home. Records were available to show that the home was properly insured and that recognised trades people had checked the gas appliances, lift, fire equipment and electrical appliances to show that they were safe. The service had a current certificate of insurance displayed within the hallway of the home. There were records available within the care staff files to show that recorded supervision had taken place and that the carers had been adequately supported in their role. Stafford House DS0000009702.V369548.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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 2 X X 3 2 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X X 3 Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 17 (1) (a) Requirement Controlled medication records must be completed and signed for when the residents’ medication is administered to help ensure that the resident remains safe. All new staff that work at Stafford House must have the required employment checks carried out prior to employment commencing. This is to make sure that unsuitable staff are not employed. Repairs must be undertaken as soon as possible to make good the water damage caused by a leaking roof. Timescale for action 30/09/08 2 OP29 19 (4) (C) 15/09/08 3 OP19 23 (2) (d) (5). 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000009702.V369548.R01.S.doc Version 5.2 Page 25 Stafford House 1. Standard OP7 2. 3. OP7 OP12 4. 5. 6. 7. OP19 OP19 OP19 OP16 8. OP19 Adequate and informative outcome statements should be entered when care plans are reviewed. Plans should be reviewed on a regular basis to ensure that the information held is current and informative. Daily records for all residents should be clear and informative. A planned programme of activities should be available on a daily basis to ensure that the residents receive sufficient stimulation and are able to follow their interests and hobbies. The fabric and furniture of the home should continue to be updated and improved to ensure that the residents live in nice surroundings. A lock should be fitted to the ground floor bathroom to ensure that the residents have sufficient privacy when using this. The manager should ensure that there are sufficient easy chairs available in the lounge area should the home increase in capacity. A clear and concise complaints procedure should be displayed in a prominent position in the home where all residents, relatives, advocates and friends are able to see this. Staff lockers and other staff based files and literature should be removed from the dining room and relocated to somewhere more appropriate. Such items detract from the homely feel of the service. Stafford House DS0000009702.V369548.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Stafford House DS0000009702.V369548.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. 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. 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