Inspection on 05/12/07 for Stanbeck

This inspection was carried out on 5th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 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

Stanbeck 23/05/07

Stanbeck 23/05/06

Stanbeck 17/01/06

Stanbeck 09/08/05

Stanbeck 14/01/05

Stanbeck 27/05/04

Stanbeck 12/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Stanbeck Stainburn Road Workington Cumbria CA14 4EA Lead Inspector Nancy Saich Unannounced Inspection 8:00 5 December 2007 th 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 Stanbeck DS0000022615.V352493.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. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanbeck Address Stainburn Road Workington Cumbria CA14 4EA 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) 01900 603611 Mrs Audrey Robinson Mrs Audrey Robinson Care Home 13 Category(ies) of Learning disability over 65 years of age (2), Old registration, with number age, not falling within any other category (13) of places Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home: Code PC To people of either gender, whose primary needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Learning disability - Code LD(E) (maximum number of places: 2) The maximum number of people who can be accommodated is 13 2. Date of last inspection 23rd May 2007 Brief Description of the Service: Stanbeck is a modern purpose built home in a residential area of Workington. It is situated approximately half a mile from the centre of town and is on a bus route. Parking is at the front of the property. The home has a large garden and a patio area. Accommodation is on two floors with a passenger lift. Bedrooms are single occupancy with ensuite toilet facilities. There is a dining room on the first floor that leads out to the patio. The lounge is on the ground floor with access to the garden. The home is primarily for older people but also cares for specific people in other categories as detailed above. The home is owned and managed by Mrs Audrey Robinson and her two daughters help her in this. Together they make up the management team. Mrs Robinson also runs a bed and breakfast business on the same site. Information about the home can be obtained from the provider. The home does not have a website or an e-mail address. The home charges £368 per week. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second Key inspection of the home for this year. This involved the lead inspector sending out postal surveys to residents, their relatives, staff and to other people involved in the home. We had a good response to the surveys and we include some quotes from these in the main part of the report. Two inspectors –Nancy Saich and Liz Kelley - went out unannounced to the home. The visit started at eight in the morning and lasted until mid afternoon. We looked at most of the national minimum standards that we consider to be vital for the home to meet. In the last twelve months we had visited the home to do shorter inspections. The pharmacy inspector went out to check on medication and two inspectors visited early in the morning to check on care at night. Neither of these reports is available on the Internet but can be obtained from the Penrith office on request. On the 5th of December 2007 we spoke to the management team, to residents and staff and to some relatives who were visiting. We also walked around the home and observed how residents were cared for. We also shared a meal with them. We read a selection of records about the care and services provided by the home that backed up what we saw and what was said to us. What the service does well: The home provides residents with home-cooked food served in pleasant surroundings. The staff team allow residents to get up and go to bed as they choose and to decide where they will spend their time. Residents said that they were happy in the home and they liked the staff. We spoke to a number of staff and thought that they had the right kind of approach to the residents and were keen to listen and learn how to protect them from harm. The home is good at getting staff through their National Vocational Qualifications in care. Staff said that they were supervised and supported by the management team and could turn to them for help at any time. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: We judged that the staff team need to keep up the improvements they have made to the way they deliver care and that they need to keep on strengthening the written care plans. We advised them to make sure they can check on peoples’ weight and to write their nutritional needs into the plans. We want the home to continue to work on how people are treated so that they get respectful and dignified care and are encouraged to be independent. The home needs to provide a wider range of choices and options for activities and daily living. Some areas of the home are being improved on but other areas look shabby and we judged that some of the décor, lighting and furniture could be improved to make the home more suitable for the residents. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 7 We judged that staffing levels are at the minimum and we want the registered provider to employ some domestic staff who can free up care staff to spend more time with residents supporting their care and giving them more activities and outings. We judged that staff have still not had the right kind of training to meet residents needs. We judged that the management arrangements are not as clear as they might be and that the registered person needs to complete a audit of quality in the home and make plans for how the home will be managed in the future. We need the provider to help at least one person to be more independent in managing his or her own money. We also need the home to make sure staff records (in this case supervision records) are in the home and are kept up to date. The registered provider must review the arrangements for managing health and safety in the home and we recommend that this is included in her plans for upgrading and improving the house. 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. Stanbeck DS0000022615.V352493.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 Stanbeck DS0000022615.V352493.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): 1,3,4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is now more careful about only taking new people they know they can care for. EVIDENCE: The home gave us an updated document called the ‘Statement of Purpose’ that now gives a better description of the care and services they can give to new residents. This shows that they will not take any more people in the future who have learning disabilities. There had been no new residents admitted to the home but we saw a new form that helps the management to understand the needs of prospective new admissions. We also spoke to the individual staff members who go out to visit new people and we judged that they now understand the need to make sure new residents fit into the categories they are registered for. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This home has improved the basic health and personal care given to people and are trying to build on this to give people more appropriate support. EVIDENCE: We read all of the plans kept that help staff to understand the needs of people in the home. We judged that a number of the plans had improved. One plan in particular showed that the staff had worked with specialists to ensure that the complex needs of the person were being met in a suitable way. We also saw some new action plans that allow any problem or issue to be dealt with promptly and effectively. Staff thought these allowed them to focus on any care issues and see them through to a conclusion. This means that support is given quickly and correctly. We did judge that a number of care plans could be strengthened in content and in some of the details. In one of the surveys a professional said Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 11 • “I believe the staff endeavour to deal with some people who are a little out of their experience…” This means that both training and care planning need to be high on managements’ agenda so that they always get it right for residents. We want the staff to make sure they date things properly and where appropriate get the residents themselves more involved in what they want in their plans. It may be that some people want to write their own ‘pen pictures’ that will help staff understand their needs and to help them plan for the future. We did, however think the plans were becoming more centred on the person’s needs. We checked care plans and daily notes that showed the staff had improved on how they responded to the health needs of the residents. We saw that staff called the GP back when they felt that medication wasn’t working properly. One survey said it took a long time to see a G.P but when we checked the daily notes we had no concerns about this. We did feel that they ought buy some special scales for people who cant stand on their own so that they can monitor their weight. We would also like to see more detail on nutritional plans for residents who may be over or underweight. We checked on the medicines kept in the home and found they were being managed correctly and that the staff ask G.Ps to review the tablets people are on. We were pleased to see that the cupboard is now securely fixed to a wall and kept in a locked room. We did feel that staff need updates to their training and this is dealt with later in this report. There were two minor issues that we spoke to management about. These were about how ‘as required’ medicine is recorded and about purchasing a controlled drug register. We have not made a recommendation about these as they are easily resolved and the management team agreed to do this. We spoke to residents who were happy with the way the staff treated them and we had some positive comments from surveys. These are some of things people said or wrote: • • • “The home deals with ….people in a supportive and friendly way” “Staff always ready to listen…” “The staff are very good here…very busy and hardworking…” We felt during this visit and during the random inspection report that staff did act in a respectful way. We talked to the staff on duty and judged that they had the right attitude to the residents. We also heard that the management team were spending time with staff talking to them about things like privacy, dignity and respect. We want management to continue to do this through supervision, training and development. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This home is trying very hard to give people the social, cultural and recreational activities that will give them a fuller life. EVIDENCE: The last two visits have started at 6.30 and 8.00 a.m. We found that residents can get up as they choose and we also heard that a number of residents like to sit up quite late together to watch TV and socialise. We learnt that in the last couple of months the home has organised a party for residents and has started to take them out to a social club for older people. We also saw that the staff were trying to encourage residents to talk about the kind of activities and entertainments they might want in the future. A number of activities were arranged for Christmas. The home has its own transport and one or two outings had been arranged. We would like to see more outings being offered. We judged that although a reasonable start had been made there is more work to be done. The staff group surveys said that the two areas that they wanted to see improve were: Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 13 • “More choice and more activities for residents…”. There have been problems in the past with residents not being encouraged to exercise as much choice and control as possible. We saw that staff were trying to offer more options for residents. We felt that there was the beginnings of change in this area but that more could be done both for the group as a whole and for individuals. We also judged that the home needs to consider whether staff have the time to meet residents needs in this area and we talk about this later in the report. We saw residents having breakfast and we had some lunch with them. This home doesn’t offer two choices but residents said they could have something different when they wanted. We thought the food provided was of a good standard. We saw that residents were very relaxed in their dining room and were given some opportunities to serve themselves. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home needs to make sure that everyone knows the right steps to take to protect vulnerable people. EVIDENCE: We received a complaint about the care given at night and we looked into this complaint ourselves. We found this to be unfounded and we judged that the care at night was satisfactory. We have had no other complaints and the management team said they had no formal complaints. Residents said they could talk to staff or management individually and at the fortnightly meetings that have started. However a lot of the surveys showed that people might want more guidance on how to make formal complaints. There had been no reports of anything abusive happening in the home. Residents said that nothing untoward was happening in the home. We checked care plans and daily records and did not see anything that worried us. We spoke to staff and asked them how they would manage any allegations of abuse. They were aware of what they would do but we felt that they needed some refresher training in this matter. One of the providers’ daughters has completed a training course on this but she now needs to ‘cascade’ this to the rest of the staff team so that everyone understands how to safeguard vulnerable adults. A requirement about this is made under ‘Staffing’. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 15 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): 19,24,26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. This house needs more investment so that all areas are upgraded, safe and comfortable as currently some things are not up to standard. EVIDENCE: We judged this by walking around the property and following up on some concerns we had in the past. We had asked the provider for a plan showing how the building and its contents would be maintained and upgraded. We did receive a brief outline of their plans and on the day of the visit the bathrooms in the home were in the process of being upgraded. The dining room floor had been replaced, as had the dinging room chairs. We were told that the provider had decorated some bedrooms and bought some new beds. We did, however find two metal edged old beds were still being used. These need to be replaced for safety and comfort of residents. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 16 We also noted that most of the bedrooms have old, outdated bedroom suites and that some rooms had bedroom chairs that needed replacing. We want at least three bedrooms to be completely refurbished with up to date and appropriate furniture. The downstairs sitting room has a lounge suite and some chairs that we questioned the provider about as we queried whether these were fire retardant. Some of the carpets have stretched and the seams were being held together with tape. We also thought that some of the décor and floor coverings had very ‘busy’ patterns and this is not always suitable for people who may have some dementia or problems with their vision. Some areas are not well lit and this too can be a problem for residents. We found a broken window in an ensuite toilet and one or two other routine maintenance things that the provider must deal with. Some areas could have been tidier and the artificial flowers around the home were dusty and tired looking. We judged that all of this needs to be included in the homes’ quality monitoring exercise and future planning .We also judged that the home could do with being updated and refreshed in all areas. As one survey said: • “The whole building could do with being brighter both in terms of illumination and decoration…”. We want the provider to make an investment in improving elements of the entire home and by dealing with the things we have highlighted as requirements. The home had improved some of the matters of hygiene and cross infection that were highlighted in the last key inspection. We will continue to monitor this. We were pleased to see that there is a cleaning schedule in place for every bedroom and this seems to have improved levels of cleanliness. However as one person said: • “The home would be better if they had one person who did the cleaning and the carers were able to get on with caring for the residents…” Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 17 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): 27,28,30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The provider needs to make an investment in the way the home is staffed and how those staff are trained to make sure all of the residents’ needs are fully met. EVIDENCE: We did not check on recruitment as we were told there had been no new recruitments since our last key inspection in May 2007. We looked at staff rosters and saw that there are now two care staff on shift by day. Sometimes one of these people is one of the provider’s daughters; at other times they and the provider can fulfil their own roles. The home does not employ cleaners, a kitchen domestic or an activities organiser. We noted that during this visit (and others we have made) this small team of two carers clean all areas of the home, give out meals, do the laundry, give out medicines and deliver care as well as dealing with all other tasks of the day. We noted that the one person on at night prepares some of the midday meal. Mrs Robinson does the cooking but we also know that care staff have food preparation and serving to do. Mrs Robinson and her daughters fulfil the management tasks, do ‘hands on’ care and also try to arrange outings and entertainments for residents. We questioned whether these arrangements were giving the best quality to Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 18 residents. We judged that outcomes for residents in terms of activities, outings, nutritional care, care planning and more time with staff would improve if the home were to employ housekeeping staff. We would like the registered person to employ domestic staff in sufficient numbers so that carers do not do food preparation or all the cleaning in the home. We spoke to staff and sent them surveys. We learnt that they continue to do NVQ qualifications and the home does well with this. We also saw the staff training plan that confirmed that some training was being arranged. We were pleased to see that an outside trainer is going to talk to staff about ‘end of life’ care and that two people are going to a training course on mental health needs of older people. We did however note that much of the training continues to be done ‘in house’ and that most of the training is still at early stages of planning. One person told us they thought: • “Staff would really benefit from having formal training from an outside trainer. The ‘in-house’ is good but we can all learn more … we haven’t done much training recently” We feel that one person can do not all training effectively and we now want them to arrange some training in specific areas that also includes independent trainers. Management told us that staff did not attend training and we reminded them that it was their responsibility to ensure all staff are properly trained. We feel that staff need a greater awareness of how dementia and depression can alter peoples lives and we also want them to have specialised training that will help them to support people who may have needs related to behavioural issues stemming from this. They have admitted people with learning disabilities and they need to keep on training their staff accordingly. We want staff who give out medicines to have updates to their training or to complete an accredited course in the safe handling of medicines. We also need the provider to make sure that all staff are aware of how to protect and report any issues of adult abuse. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager needs to make sure all the management systems work to the benefit of the residents and they need to pay attention to how they achieve the best quality for residents. EVIDENCE: Mrs Robinson continues to manage this home with the support of her two daughters. We judged that at times there is lack of clarity about who manages the home. Some surveys do show that people think there is a registered manager as well as Mrs Robinson. We recommend that the management team make sure everyone is clear about who is responsible for the way the home will run in the future. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 20 We saw several things happeneing in the home that made us decide that quality is being looked at. We saw surveys that had been returned, we saw cleaning worksheets that staff follow and quality checks on how personal care is delivered. We judged that a little more work needs to be done in checking on how routine repair and maintenance is done. We want to see a copy of their quality audit and their plans for the way they will carry this through in the future. We did see an interim business plan and are prepared for the provider to complete the quality audit and send the report to us when they have completed all the work. We checked on residents’ money and found that the accounting paperwork had improved. We still want to see the resident who has money looked after being helped to be more independent. We also asked for supervision notes for staff as they said they do get supervision. These notes could not be found so we couldn’t really assess how well staff were being monitored, supported and developed. We need the management team to do this work with staff as a routine and the notes to be brief but to the point so we and more importantly the individual staff members could see where they needed to improve or consolidate their practice. We did feel concerned that these important records could not be found but accepted that staff were supervised. Environmental health officers had visited the home and asked that they do certain things to ensure good health and safety standards. We learnt that they had complied with their requirements. We judged that the registered person needs to make sure that all aspects of health and safety, infection control and food hygiene are always up to date. We questioned several issues on the day – fire retardancy of furniture, lighting levels and suitability of floor coverings. We want the registered provider to look at all aspects of health and safety and include this in the requirement and recommendation we made under ‘environment’. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 21 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 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X X X 1 X 2 STAFFING Standard No Score 27 2 28 3 29 X 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 2 X 2 Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 23 (2) Requirement The registered provider must attend to all the maintenance and repair matters that were seen on the day and also provide a fully budgeted plan for how they will update the home. The registered person must replace all metal edged beds and old mattresses and also provide new bedroom furniture (as detailed in the national minimum standard) in at least three bedrooms. The registered person must provide sufficient ancillary hours on a daily basis to allow carers to deliver good levels of social, personal and recreational care to residents. It is required that all staff have training from an accredited trainer in the following areas: i.Understanding and working with mental health needs. ii.Understanding and working with people with learning disabilities. iii.Managing challenging DS0000022615.V352493.R01.S.doc Timescale for action 01/03/08 2. OP24 16 (2) (c) 01/03/08 3. OP27 18 (1) (a) 01/03/08 4. OP30 18 (1) (c) 01/04/08 Stanbeck Version 5.2 Page 23 behaviour. iv.End of life training. v.Safeguarding vulnerable adults. vi. Safe handling of medicines. 4. OP36 17 (2) Staff supervision notes must be kept in the home at all times and must include full details of any supervision given 01/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. Refer to Standard OP4 OP7 OP8 OP10 OP16 OP18 OP26 OP31 OP33 Good Practice Recommendations The management team need to continue to work on their admissions procedures to make sure they only admit people they know they can care for properly. The registered provider should continue to strengthen the care plans and make sure that they involve the residents themselves in the planning stages. The registered person should make sure they can monitor peoples weight and have more detailed nutritional plans in place. The management team should continue to help and support staff to give residents the kind of respectful care that maximises their privacy and dignity. The registered person should ensure that residents and their families are reminded about how they can make a complaint. The management team should make sure that staff are aware of their responsibilities under safeguarding vulnerable people. The registered person should ensure that there are enough resources to provide residents with a clean and hygienic home. The registered person should review the way the home is managed and that everyone is clear about where responsibility lies. The registered person should complete a full audit of quality assessment and the outcomes are made available DS0000022615.V352493.R01.S.doc Version 5.2 Page 24 Stanbeck 10. 11. OP35 OP38 for residents, relatives, and other professionals and for the inspector. The registered person should encourage people to manage their own spending money. The registered person should ensure that all physical improvements to the home meet current good practice in health and safety. Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Stanbeck DS0000022615.V352493.R01.S.doc Version 5.2 Page 26 - 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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