Inspection on 25/05/06 for Stanholm Residential Care Home for the Elderly

This inspection was carried out on 25th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Stanholm Residential Care Home... 31/05/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Stanholm Residential Care Home for the Elderly Mill Hill Edenbridge Kent TN8 5DB Lead Inspector Debbie Sullivan Key Unannounced Inspection 25th May 2006 09:15 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 Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stanholm Residential Care Home for the Elderly Address Mill Hill Edenbridge Kent TN8 5DB 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) 01732 863748 Anexas Care Limited Karen Elsie Chuter Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care of one service user is restricted to one person diagnosed with dementia whose date of birth is 20/06/1925. 5th December 2005 Date of last inspection Brief Description of the Service: Stanholm is a care home for 22 older people located in the town of Edenbridge. Accommodation is on three floors and consists of four double rooms, fourteen single rooms, a lounge, dining room and separate quiet lounge. There is a secluded attractive garden. Access to the first and second floors is via a stair lift. Each bedroom has a hand basin a telephone point and call bell. A payphone is available and telephones can be installed in bedrooms. Ramps provide access to the garden and into the home; car parking is at the rear of the building. Local shops are in the town centre within a short walking distance and the railway station and bus stops are also situated within a short distance of the home. Information about the service and weekly fees are available in a brochure that is given to prospective residents and their families, and can be given verbally. At the time of the inspection the fee range was between £309.04 and £530.00 per week. Additional costs are for hairdressing, chiropody, reflexology, occupational therapy, newspapers, toiletries and other personal items. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over six and a half hours. During the day time was spent with the homes’ manager and new providers, with residents and staff, touring the premises, inspecting records and documentation, observing part of an occupational therapy group and a staff meeting and joining residents at lunchtime. Information was also provided on a number of comment cards returned by residents, relatives and visitors and visiting professionals. The home has recently undergone a change of ownership. Throughout the day staff were helpful and welcoming and although it included a death, the inspection and the first full staff meeting with the homes’ new providers, these events did not result in any noticeable change to the usual daily routines of the residents. Comments on comment cards and made during the inspection by some residents included, “ I was shown around and liked it” “I am very happy here, would not want to be anywhere else” “Meals are too big” “They are wonderful here” Comments from relatives and visitors on comment cards included, “Staff are always friendly and helpful” “I like the atmosphere in the home” “TV often on with programmes unsuitable for the elderly, however they do have a quiet sitting room” A comment from a visiting professional was, “This is an exceedingly outstanding home with patience and care, I cannot recommend highly enough” Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 6 Comments made by staff during the inspection included, “I love this job” “It is a family—teamwork” What the service does well: What has improved since the last inspection? Care plans have been improved and expanded upon to include information on social and emotional needs, and in the case of those sharing signed agreement to doing so. The pre admission assessment document has been expanded to include information on social and communication needs. Night staff are receiving medication training so that they can administer medication and improved medication administration procedures are in place. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 7 The home has an Adult Protection policy in place. All bedroom windows are fitted with restrictors and some radiators have covers. The environment in the downstairs bathroom has been improved and some old and unsafe or worn furniture and equipment in bedrooms has been replaced. . Where used bedrails have covers for safety. Some window frames that had flaking paint have been repainted. The home now employs a part time member of staff responsible for maintenance. What they could do better: The revised Statement of Purpose, Service Users’ Guide and individual contracts need to be available on the premises for residents, relatives and inspection. Medication storage and the confidentiality of MAR sheets need to be improved upon. Recorded reviews of residents on a four weekly basis must be undertaken. The use of a shared room for hairdressing must be reviewed, and if the home is not to extend to provide a dedicated area another location found. The dining room space needs to be reviewed. The access to a downstairs toilet and use of the first floor bathroom need to be reviewed, and new flooring fitted in the toilets near the lounge. All radiators need to be covered or fitted with a low temperature surface. The programme of activities needs to be displayed in a more user-friendly format. The number of staff on NVQ training needs to be progressed. Staffing records must be available for inspection. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 8 More robust checking of fridge and freezer temperatures and use of risk assessments, would enhance the health, safety and welfare of residents and staff. 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. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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 Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 The quality in this outcome area is adequate. Prospective service users currently have access to information about the home, although the Service User’s Guide and Statement of Purpose were under revision. Residents do not have current contracts as these are being revised under new ownership. The needs of potential residents are assessed before they are offered a place. EVIDENCE: The homes’ Statement of Purpose, Service User’s Guide and individual contracts were not available for inspection as they were under revision following the new ownership of the home, a brochure is available that is sent to prospective residents and their relatives that includes information on the service, fees and the aims of the home. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 11 A full assessment of need is undertaken by the manager before a prospective resident is offered a place at the home, since the last inspection the assessment document has been expanded to include more information on social and communication needs. Residents spoken with said that they or their relatives had been able to visit the home or received information before making a decision to move in and one resident had chosen the home as they had visited others there and liked it. Those spoken with said that the home was meeting their needs. Stanholm does not offer intermediate care. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 The quality in this outcome area is adequate. Care plans include comprehensive information on health and personal care needs and have been improved upon. Medication and MAR sheet storage needs to be more secure, procedures for medication administration have improved. Residents are treated with respect and dignity by staff and the wishes of those at the end of their lives are respected. EVIDENCE: Four care plans were read in detail. Care plans have been expanded to include information on emotional and social needs and a one page summary of each residents’ daily care needs pulls together the information in the full care plan, this is especially helpful for any new staff, there is also a family history sheet. The manager is continuing to refine care plans; information is sectioned and easily accessible and comprehensive including details on health care needs, Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 13 medication and nutrition, reviews of needs were not always undertaken 4 weekly. The lunchtime medication round was partially observed, medication is stored in a tethered trolley and blister packs are used. Medication administration procedures have improved, night staff now undertake medication training and a sample signature list of those administering medication is kept with MAR sheets. Controlled drugs were not stored securely enough and medication was stored in a fridge used for food, it is a requirement that a dedicated fridge be purchased, the manager immediately identified secure storage for controlled drugs during the inspection. MAR sheets were left in a communal area with the drugs trolley and need to be stored more securely. Residents who wish to self medicate sign a consent form, it is recommended that more detail be recorded regarding homely remedies where they are used. Throughout the inspection residents were treated with dignity by staff, personal care needs were attended to discreetly. Screening is in place in the shared rooms and care plans now contain a signed agreement to sharing. One double room continues to be used as the homes’ hairdressing room once a fortnight, residents in the room had agreed to this. The manager and new providers acknowledge that this practice should cease and proposed development plans for the home may allow for a more suitable hairdressing area. Wishes in the event of terminal illness and death are now recorded on care plans; staff are offered bereavement training and treat those at the end of their lives and their relatives with sensitivity, the understanding given to a bereaved relative was evident during the inspection. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 The quality in this outcome area is good. Residents are able to exercise choice over their daily lives and are supported to maintain social contacts. Meals are well cooked and varied and there is choice available. EVIDENCE: Four residents were case tracked and spoken to individually; others were spoken with throughout the day. All were happy with the service and level of activities offered by the home, and during the day it could be seen that choice is exercised in area of the home to access, to be private or socialise and to take part in group or individual activities. The home offers a TV and quiet lounge; both were well used, with the quiet lounge used by knitters in the afternoon whilst an OT session took place in the other lounge. There is a pleasant garden with a small covered area and garden furniture that residents said they enjoyed in good weather. The occupational therapist takes a session twice a week; the session partially observed was well attended. Residents are verbally informed about activities Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 15 available and a list is displayed on a noticeboard, it is recommended this be in a format more easily accessible for residents. Residents said that visitors are welcome at any time and one resident went out with a relative during the inspection. Daily log sheets record visits and other social events. Residents were joined at lunchtime, those spoken with said they enjoyed the meals, there was choice and variety, daily options and that the cook consults with them over any preferences or changes to the menu. The meal was well presented and the atmosphere in the dining room relaxed. The dining room is not large enough to accommodate all the residents; so two tables are used in the large lounge as well. The manager and new owners are considering extending the premises and plans would include consideration of the dining area. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality in this outcome area is good. Residents and their relatives can feel confident that any complaints will be listened to and taken seriously. The home has an Adult Protection Policy and has improved recruitment procedures. EVIDENCE: The home has a complaints procedure, an Adult Protection policy and a copy of the revised Kent and Medway Adult Protection procedures. Staff spoken with were aware of the complaints policy as were residents, although had not needed to complain. Residents said that in the first instance they would feel confident in taking any concerns to the manager. No new staff have been recruited since the change of ownership and staff records were not available for inspection, although the manager said that any new staff would be CRB checked and references taken up. The training schedule includes sessions on Adult Protection, not all staff have yet been on this training. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 The quality in this outcome area is good. The home provides a well-maintained, clean, comfortable and homely environment for residents to live in. In some areas hazards to health and safety need to be removed or risk assessed. Individual bedrooms meet residents’ needs and are personalised. Equipment is available to aid independence. Choice of toilet and bathrooms is restricted in some areas of the home. EVIDENCE: The premises are well maintained with some improvement is needed to the fabric of the building, such as repainting of some window frames in communal Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 18 areas and bedrooms, and replacement of flooring in the downstairs toilets situated near the lounge. The new owners were present during the inspection and stated an intention to possibly extend and make repairs and renovations to parts of the home that they had identified required improvement; some of these had been identified during the inspection. A maintenance man is now employed part time. One downstairs toilet is difficult for some service users to access due to the siting of a washbasin outside it, and the first floor bathroom is unused as the bath is low. An assisted bath is located on the ground floor and there is a walk in bath on the second floor. Individual bedrooms were all well decorated and personalised to differing degrees, residents can choose to bring furniture and other personal items from home.The home was cleaned to a good standard throughout and shared rooms contained screening for privacy. Some beds were positioned so that there would not be room for staff to access both sides, this is personal choice and it is recommended it be recorded on care plans. The majority of radiators were unguarded, the home has begun to fit guards on some radiators. Some bedroom wardrobes had items stored on top of them, the manager undertook to remove items such as cases, and where residents chose to place other items on wardrobes risk assess for this. One bedroom had a weighing machine stored in it that restricted the space and privacy of the resident; an alternative storage space was identified during the inspection, reassessment of the use of a shared room for hairdressing needs undertaken. A stairlift gives access to the two upper floors; a small landing between floors not accessible on the lift restricts the independence of those less mobile who always need to be assisted by staff. Equipment was in evidence throughout the home for communal or personal use to aid and encourage independence. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 and 30. The quality in this outcome area is adequate. Residents can be sure that an appropriate mix and number of staff meet their needs. The number of staff NVQ trained needs to be improved upon and the programme of update training includes Adult Protection training for all staff. EVIDENCE: Staffing files were not available for inspection; they were located off the premises following the transfer of ownership. No new staff have been recruited since the changeover. The manager stated that any new staff would be subject to a robust recruitment procedure and have a CRB check, even if one had recently been done. Some information on training was available; there is a range of training on offer including mandatory and service specific topics. Training is provided from a number of external providers. Not all staff have yet received Adult Protection training. Work is underway to ensure more staff have an NVQ and two have recently been on courses. Staff spoken with were confident in their roles, liked working at the home and residents spoke highly of them. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 20 On the day of the inspection the staffing levels were appropriate to the needs of service users. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37 and 38. The quality in this outcome area is good. The home is well run in the best interests of residents and staff. Staff are well supported and formalised supervision will enhance this. The health safety and welfare of residents would be further protected by the fitting of all radiators with guards, daily temperature checks on fridges and freezers and removal of items from tops of wardrobes. EVIDENCE: The manager of the home has commenced the Registered Managers’ Award and has a number of years experience in similar services to Stanholm.Staff and residents stated that they felt the service was well run and staff felt well supported. The atmosphere in the home was friendly, welcoming and open and the manager is progressing in the updating of recording processes and other Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 22 procedures. Staff appraisal sessions take place; one to one supervision sessions are not yet held. The manager sometimes works alongside staff as a carer to monitor their practice. During the inspection the new homeowners held the first full scheduled staff meeting since the handover to meet all the staff and answer their questions, this was well attended. Staff and residents spoken with did not feel that there had been any noticeable change to the standard of the service or it’s day-to-day running since the new ownership, this view was echoed on a quality assurance survey recently circulated to residents. A number of policies and procedures were inspected; these have been put in place or revised recently. Safe working practices were observed, although there were gaps in the fridge and freezer temperature recording in days prior to the inspection, some radiators were unguarded and items stored on wardrobes were a risk. The manager stated that regular fire equipment checks take place as do fire practices. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 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 2 1 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 2 2 3 3 2 2 3 STAFFING Standard No Score 27 3 28 2 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 3 2 Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP2 Regulation 5(b)(c) Requirement “The registered person shall produce a written guide to the care home which shall include a standard form of contract for the provision of services and facilities” In that each resident must be supplied with a written contract as to the terms and condition of their stay at the home. “The registered person shall keep the service users’ plan under review” In that each care plan must be reviewed at least every 4 weeks. “The registered person shall make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home.” In that controlled drugs must be stored in a secure dedicated cabinet, medication requiring refrigeration must not be stored in food fridges and MAR sheets` must be kept confidentially when Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 25 Timescale for action 15/07/06 2 OP7 15(2)(b) 15/07/06 3 OP9 13(2) 15/07/06 not in use. 4 OP10 12(4)(a) “ The registered person shall make suitable arrangements to ensure that the home is conducted in a manner which respects the dignity and privacy of service users.” In that the use of a shared bedroom for hairdressing be discontinued. This remains a requirement from two previous inspections. And items or equipment not for personal use are not stored in residents’ bedrooms. 15/07/06 5 OP19 23(2)(a)( b)(g) 15/07/06 “The registered person shall ensure that the premises are kept in a good state of repair internally and externally, and the physical design and layout of the premises meet the needs of service users and there is adequate sitting, recreational and dining space provided” In that window frames with flaking paint in bedrooms and communal areas be repainted or replaced. In that a review of the dining area be undertaken and in any plans for extension of the home a dining room be made available for all service users to eat together. “The registered person shall 15/07/06 having regard to the number and needs of service users ensure DS0000066477.V292925.R01.S.doc Version 5.1 Page 26 6 OP21 23(2)(j) Stanholm Residential Care Home for the Elderly that there are provided in the premises sufficient numbers of lavatories and wash basins.” In that a review of the location and accessibility of the two toilets outside the lounge be undertaken. 13(4)(a)(c “The registered person shall ) ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety and unnecessary risks to health and safety are identified and so far as possible eliminated” In that radiators in bedrooms and communal areas must all be fitted with guards or low temperature surfaces. “The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection.” In that the flooring in the toilets next to the lounge be replaced. “The registered person shall ensure that persons employed to work at the care home receive training appropriate to the work they are to perform.” In that the number of staff on NVQ training or trained must be increased. “The registered person shall ensure that persons working at the care home are appropriately supervised” In that care staff must receive formal supervision at least six times a year as well as appraisal and work observation sessions. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 27 7 OP25 15/07/06 8 OP26 13(3) 15/07/06 9 OP28 18(1)(c) 15/07/06 10 OP36 18(2) 15/07/06 11 OP37 17(2) Schedule 4(6)(a) “The registered person shall ensure that records are at all times available for inspection in the care home” In that staffing records must be available at all times for inspection. 15/07/06 12 OP38 12(1)(a) “The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the care and welfare of service users” In that fridge and freezer temperatures must be checked daily. 15/07/06 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 Refer to Standard OP9 OP12 OP21 Good Practice Recommendations It is strongly recommended that the use of homely remedies always be recorded and they are stored correctly. It is recommended that information on activities be circulated in a more accessible format. It is strongly recommended that the use of the first floor bathroom be reviewed so that residents’ choice is not restricted and residents on that floor are not disadvantaged or their independence compromised. It is recommended that any future refurbishment plans give consideration to accessibility to the second floor by residents with mobility problems. It is strongly recommended that the staff rota contain the full names of all staff on duty. It is recommended that where a resident chooses to have their bed against a wall this be recorded. DS0000066477.V292925.R01.S.doc Version 5.1 Page 28 4 5 6 OP22 OP27 OP23 Stanholm Residential Care Home for the Elderly 7 8 OP30 OP38 It is strongly recommended that all members of staff receive adult protection training. It is recommended that items not be stored on top of wardrobes. Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 29 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stanholm Residential Care Home for the Elderly DS0000066477.V292925.R01.S.doc Version 5.1 Page 30 - 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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