Inspection on 10/03/08 for Stainton Way Care Home

This inspection was carried out on 10th March 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

Stainton Way Care Home 15/03/10

Stainton Way Care Home 02/11/09

Stainton Way Care Home 19/02/09

Stainton Way Care Home 26/02/07

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Stainton Way Care Home Stainton Way Hemlington Middlesbrough TS8 9LX Lead Inspector Allan Helmrich 10 th and Key Unannounced Inspection 11th March 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 Stainton Way Care Home DS0000068538.V357054.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. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stainton Way Care Home Address Stainton Way Hemlington Middlesbrough TS8 9LX 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) 01642 599157 01642 596481 North East Care Homes Ltd Miss Karen Baker Care Home 67 Category(ies) of Dementia (18), Old age, not falling within any registration, with number other category (49) of places Stainton Way Care Home DS0000068538.V357054.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: 49 Dementia - Code DE, maximum number of places: 18, over the age of 55 years The maximum number of service users who can be accommodated is: 67 26th February 2007 2. Date of last inspection Brief Description of the Service: Stainton Way is a purpose built home in the village of Stainton on the outskirts of Middlesbrough. The home offers single room accommodation with en-suite toilet facilities for 67 older people, 18 of whom may have a dementia. The home is operated as three specific units with one unit on the first floor staffed specifically for people with a dementia. Each unit offers a range of communal areas for dining and socialising. Information about the home and current inspection reports are available in the home. The home’s fees range from £370 to £385 a week. Stainton Way Care Home DS0000068538.V357054.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. How the inspection was carried out: The Visit: The inspection was unannounced and was undertaken over two days. On the first day I was accompanied by an Expert by Experience and a report from this person is included. During the visit I: • • • • • • • Talked with people who use the service and their visitors, Talked with the management team and other staff on duty, Looked at information about the people who use the service and how well their needs are met, Looked at other records which must be kept, including medication, Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, Looked around the building to assess if it was clean, safe and comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: What has improved since the last inspection? Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 6 Staff training is improving with the introduction of a training manager. The home continues to be well maintained. What they could do better: The home must demonstrate and promote systems to monitor and improve the care provided. The registered provider must visit the home each month and produce a report of their findings to the manager. A formal quality monitoring system should be set up to identify any areas for improvement and from this action plans should be developed. The manager should ensure that all staff receive formal 1-1 sessions regularly. If there are limits to the degree of care provided in the home, this should be made clear in the Service User Guide and to any new referrals. Continue to review and improve the care planning by taking a more person centred approach. Ensure staff dispensing medicines follow current pharmacy guidance. Improve the recording of monies held in the home. The views of the Expert by Experience The Home is very light, airy, clean, odour free and looked to be well maintained. Rooms were of a reasonable size and with en-suite facilities in every room. All rooms had the name of the resident on their door. I spoke with ten residents, three relatives and a friend of a resident. One lady was in the early stages of dementia. She told me of her past working life which she said she had thoroughly enjoyed. She said “I know I could manage at home if only my relative would let me and give me a bit of a hand” she said she was sick of “just wandering around with nothing to do, but wander” She appeared very lucid for a time but then fell into confusion. I spoke with several residents who spoke very highly of a number of the care assistants. I observed some very caring attitudes and support which was given with a smile and a caring tone in the voice. One man told me that he had been to another Home but that this was “a better home” A relative said that because “Mum is resident in here, I can go home and sleep at night, knowing she is Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 7 safe”. One concern that I did pick up from some residents - was that there was not enough Staff on duty to give the residents the opportunity to discuss everyday concerns/problems -because they were “such busy girls, with so much to do, that you can’t bother them”. One relative felt that she gave as much time as she was able, to help support staff in the care of her mother by feeding her on a regular basis. Because of her mum’s very advanced age she realised that moving mum would be very detrimental to her life span. Another resident told me that she preferred to stay in her own room and read, rather than mix because she was rather “a private person,” I asked if the mobile library visited so that she could exchange books on a regular basis. She said she didn’t because her daughter brought in several books at a time, so she had plenty of reading material. A number of residents were looking forward to the better weather so that they could go into the garden. Two residents said that their laundry gets lost from time to time, but they usually get it back. Residents told me that they enjoyed their food. Breakfast consisted of cereals and toast or if they wished they could have a cooked breakfast, one man said he had enjoyed “bacon butty” but now because of being a diabetic he was much more restricted. Lunchtime there was a choice of two different main course meals, with plenty of vegetables, and usually a nice pudding to follow – but there was always ice cream if preferred. I spoke with the Chef who had been in post since the Home was opened a little over a year age. The chef told me he really enjoyed his job and showed me menus for the following two weeks. There was a different menu every day, with no repeats. The menus looked very appetising and healthy. Meals were served in several different dining rooms all of which were well set and very clean. The Home employs an activity worker but today there was no evidence of any activities going on. I asked residents what kind of activities they enjoyed. A couple said they enjoyed Bingo – others said that they enjoyed singing – two ladies said that they had been members of a choir and still enjoyed listening to music and particularly singing – they had both been sopranos, but said they did not have the voice for it now. One lady said she would like to do flower arrangements again, another said she would love to do tapestry work again but did not know if she still would have the ability to do it. A couple of residents said that they would like to be taken out of the Home on a visit – “somewhere” or “anywhere.” Another resident felt it would be very nice if the W.I. could visit and give a talk - she felt that they have some very interesting people who talk about all kinds of things she gave an example of travelling and local history. There is a smoking room within the home for any resident who wishes to smoke. • • • The residents confirmed that they were able to go to bed and get up when they wished. They could have a bath or shower when they asked They could follow their respective religions – one priest comes to the Home on a weekly basis, another comes once a month. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 8 • • • • • • • They felt that they were respected – Staff knocked on doors before entering and called them by their preferred names Their privacy and dignity was respected Some had private telephones but other knew they could always ask to use the phone in the Home. One gentleman said because he had the use of his phone he “did not feel cut off from the world.” Residents felt that their private possessions were safe Relatives, friends felt that they were always welcome to visit their relatives or friends within the Home Rights and fulfilment for the most part was observed. They felt safe and Staff did attend as quickly as they could if they used the bell call. It was a pleasure to visit the Home and meet up with so many interesting residents, relatives and their friends who gave of their time so very courteously and willingly. 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. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 9 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 Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. People who use the service experience good quality outcomes in this area. A good range of information is available to people enquiring about the home. An assessment of need is made before accepting a referral however this could be improved to limit the possibility of accepting someone into the home who’s needs cannot be met. Intermediate care to rehabilitate people to return home is not provided at this home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 11 Residents and their visitors spoken to were content with the information available about the home. The home’s brochure and a copy of the Service User Guide were in the entrance lobby together with a folder of photographs of social events. One resident said that staff had made her welcome when she moved in and had introduced her to other residents. The management team talked about the care they could provide in this home and still maintain a good quality lifestyle for all. Although re-assessments are rarely requested, it is not clear that all prospective residents are provided with the information as to when they may have to move on the more suitable accommodation. Two files of recently admitted residents were reviewed. The pre-admission information obtained was of a reasonable standard to enable staff in the home to provide appropriate care but some useful information was omitted. Photographs of the residents were not in place and medication usage had not been obtained. Also although some health assessments had been carried out there was no follow up information to staff regarding how any issues are addressed. The home does not provide a rehabilitation service but respite is provided in vacant bedrooms. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People who use the service experience good quality outcomes in this area. Care plans have been developed to provide information to staff regarding the care needs of each resident. The standard of this information is being reviewed and improved. Residents are well cared for and support is obtained from professional services when required. A medication system is in place that should be reviewed to ensure staff meet current pharmacy guidelines and ensure residents are safe. Staff are sensitive to the needs and preferences of the residents. We have made this judgment using a range of evidence, including a visit to this service. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 13 EVIDENCE: Six case records belonging to residents were reviewed. Generally the information was sufficient to enable care staff to provide appropriate care. The residents’ records were split between different files and it was difficult for me to collect all the information together to assess each residents needs. The manager is looking at the current standard paperwork with a view to improving the layout and quality of information. However information is available relating to each residents health and personal care needs. Risk assessments have been produced and problem areas have been identified. To ensure each residents health is monitored a collaborative record sheet should be introduced into the care plan. Staff regularly review each care plan and some included details of family involvement. The manager understands the principles of person centred care and is to develop each residents care package specifically to meet their needs. Questionnaires returned from two healthcare professionals contained positive comments regarding the care provided by the staff team. The medication system was reviewed and found to be of a reasonable standard. Staff receive training related to medicines in care homes and an up to date reference book was available to them. The home has policies and procedures relating to medication but these did not contain a protocol for homely medications or for handling alerts sent by the Medical Devices Agency. Medical Administration Charts record all medicines in the home, these are preprinted with some handwritten entries that were not countersigned to ensure accuracy. Staff spoken to showed a good awareness of the need to promote privacy and dignity and many residents confirmed that staff show them respect and attend sensitively to their needs. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 14 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, 15. People who use the service experience good quality outcomes in this area. The home is developing community links and staff are employed specifically to promote activities for residents. Residents are supported to choose what to do and where to go. Relatives and friends are encouraged to visit the home and a newsletter informs of current and past events. A range of wholesome meals are provided. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Although little activity was observed during the inspection, all six residents who responded to a questionnaire stated that activities that they take part in are arranged and a member of staff stated that she had recently taken a resident shopping to purchase new clothes. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 15 One resident said the days can be quite long and that staff are sometimes too busy to talk. Others stated that bingo and other activities do take place and others new of activities but preferred their own company and spent much of the day in their rooms. Regular church services take place in the home and nearby homeowners involve residents in a garden fete each year. A regular newsletter is produced giving details of entertainment past and to come. There are also details of any issues identified in the questionnaires given out by the home. Visitors spoken to all said they are made welcome in the home. The kitchen was inspected and was found to be well equipped. The cook had a range of home baking prepared. The lunchtime meal was a calm affair with sufficient staff on duty to attend to each resident’s needs. There are areas in each unit within the home to eat and several residents choose to take their meal in their own rooms. Everyone spoken to had enjoyed their meal. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. People who use the service experience good quality outcomes in this area. Complaints are taken seriously and appropriately resolved. Residents are protected from abuse by a trained staff team. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home has a complaints procedure that is given to each new resident and their supporters. The manager has recorded several complaints since the last inspection of the home. Each was investigated and where appropriate a written response was provided to the complainant. Residents and visitors spoken to stated they would have no hesitation in approaching the manager or staff if they had a complaint. The notice board contained several cards and letters of compliment to the staff team for their care and support. The majority of staff have been trained in matters relating to the protection of vulnerable people. Each unit has a copy of ‘No Secrets’ a publication detailing how to care for vulnerable people and those staff questioned were aware of the issues that affect residents in the home. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 17 All of the residents who commented stated they feel safe in the home and that staff respect them. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 18 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. People who use the service experience good quality outcomes in this area. Residents live in a well maintained safe environment. Systems are in place to ensure residents live in a clean home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home is clean and well maintained and no odours were detected throughout the home. Several of the residents bedrooms contained personal items of furniture and memorabilia brought from home. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 19 The home is suitable for older people, having level access and a passenger lift between floors. The laundry contains suitable equipment to ensure infection control is promoted. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 20 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, 30. People who use the service experience good quality outcomes in this area. Sufficient experienced staff are employed to ensure residents needs are met. A training programme is now in place to train staff to ensure staff development is improved. Recruitment checks are made to ensure vulnerable people are safe. Safe post recruitment process should be improved. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: During the period of the inspection, sufficient staff were on duty to meet the needs of the residents. The manager stated there are no staff vacancies. In addition to the management team there were 8 carers, 3 domestics, a laundry assistant, chef and assistant in the kitchen and a handyman. In addition to the staff team 2 trainee carers, supported by a local college, work in the home. These staff do not provide personal care The dementia unit is staffed by 2 carers and although this appeared to be sufficient to meet residents needs, the manager is advised to review this Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 21 staffing level regularly to ensure each residents needs can be addressed at all times. The majority of the staff team either have or are working towards a National Vocational Qualification in care. This is a good basis for providing appropriate care in the home. The home has employed a training manager to review and improve the training provided to staff. She is currently developing a database of training and from this will develop a programme to ensure all staff are adequately trained. An initial induction sheet is being developed for new starters and a Skills for Care induction is in place for new staff without a care background. Staff files relating to two recent recruits were reviewed. These contained references from previous employers and information from the Criminal Records Bureau. The files did not include comprehensive inductions and neither person had received 1-1 supervision from management to ensure they are comfortable with the work they do. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 22 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. People who use the service experience adequate quality outcomes in this area. The management team is changing and being strengthened to improve the standards of care provided. There is no formal system for monitoring and improving care standards in the home. The system used to monitor residents’ monies is not sufficient to audit the accounts. The home is safe for residents and systems are in place to monitor this. We have made this judgment using a range of evidence, including a visit to this service. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 23 EVIDENCE: The current registered manager is stepping down and a person who was previously a team leader in the home is now providing this role. To ensure continuity these staff are currently working together until all the management duties are handed over. In addition a training manager has been appointed to review training in all group homes and the part time administrator was previously a registered manager. Staff spoken to stated that management provide clear direction and generally residents and their visitors were happy with the change. A company system of monitoring the care provided in the home is not in place. Regulatory visits are not done, however to compensate the manager in the home produces her own. It is a requirement that the registered provider visits the home each month and by agreement interviews residents, their visitors and staff and provides a record of this visit with any recommendations to the manager. Management and staff stated the proprietor is a regular visitor to the home. Questionnaires are distributed to visitors to the home and these are analysed and details of any issues and how they are to be addressed are included in a newsletter produced in the home. But, there is no system to monitor the quality of care provided and a development plan for the service has not been produced. Residents, visitors and professional people returned questionnaires distributed prior to the inspection. Generally the comments were positive regarding staff and the care provided. Residents and their families are encouraged to control their own finances. However should anyone prefer to leave some money in the office there is a system for recording this. This system however cannot be effectively audited and the manager was requested to review this. The home is safe for residents and systems are in place to ensure good standards of hygiene and maintenance are maintained. Accidents in the home are recorded and followed up by management to ensure the wellbeing of residents. Fire checks are recorded and instruction to staff in the event of a fire is done. Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 24 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 2 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X X 3 Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 25 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 OP3 Regulation 4(1)(c) Requirement The manager must ensure that in accordance with Schedule 1 item 6. The range of needs that the care home is intended to meet is described in The Statement of Purpose. The manager must comply with current pharmacy guidelines. Provide a protocol for Homely medicines and dealing with Medical Agency alerts. Ensure all hand written entries on medical administration records are signed by the transcribers and countersigned to check accuracy. The manager must continue to review staff training, ensure appropriate inductions for new staff are conducted and that all staff receive regular 1-1 supervision. A system of formally reviewing the quality of care provided must be introduced. This system should include achievable goals with any timescales for implementation. The responsible individual must DS0000068538.V357054.R01.S.doc Timescale for action 31/05/08 2. OP9 13(2) 30/04/08 3. OP30 18 31/05/08 4. OP33 24 31/08/08 5. OP33 26 30/04/08 Page 26 Stainton Way Care Home Version 5.2 visit the home monthly, unannounced and prepare a written report on the conduct of the care home. 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 OP3 OP7 Good Practice Recommendations Ensure that those elements identified in NMS 3.3 are included in the information obtained during the pre admission assessment. Produce a collaborative care sheet to identify healthcare attendance. Continue working towards more person centred care planning. Ensure that a system is in place for residents finances that allows a full audit to be conducted. 3. OP35 Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Fourth Floor 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 Stainton Way Care Home DS0000068538.V357054.R01.S.doc Version 5.2 Page 28 - 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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