Inspection on 28/11/07 for Summerdale Care Home

This inspection was carried out on 28th November 2007.

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

Summerdale Care Home 09/02/09

Summerdale Care Home 21/04/08

Summerdale Care Home 20/10/06

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

Tudor Lodge

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

CARE HOMES FOR OLDER PEOPLE Summerdale Care Home 73 Butchers Road London E16 1PH Lead Inspector Jon Fry Unannounced Inspection 10:20 28 November & 6 December 2007 th 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 Summerdale Care Home DS0000068286.V355322.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. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerdale Care Home Address 73 Butchers Road London E16 1PH 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) 020 7540 2200 020 7540 2201 Four Seasons (No 11) Limited Mrs Rosalind Mbaki Care Home 72 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (0), Old age, not of places falling within any other category (0) Summerdale Care Home DS0000068286.V355322.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 with nursing - Code N 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 Dementia - Code DE 2. Mental disorder, excuding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 72 20th October 2006 Date of last inspection Brief Description of the Service: Summerdale Court is a nursing home that provides care for up to 72 older people. The service is divided into three units. Oak unit provides care for frail older people (36 rooms), Beech unit is for older people with enduring mental health problems (21 rooms), and Ash unit provides care for people who have dementia (15 rooms). Summerdale Court is owned and operated by the Four Seasons Health Care group. The premises are purpose built and all bedrooms have en-suite facilities. The units are self-contained, but catering, laundry and parking facilities are shared. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector who spent eleven hours in the home over two separate visits. This inspection focussed on Oak and Ash units. The inspector talked individually with six people living at the home. Four relatives or friends of individuals were also spoken with during the inspection. A number of records were examined and discussions took place with the manager and four staff members. Completed surveys were received from three people living at the service and four relatives or friends of individuals. The home completed an Annual Quality Assurance Assessment (AQAA) to tell us about the service provided, how it makes sure of good outcomes for the people using it and any future developments being planned. What the service does well: What has improved since the last inspection? The environment is being improved. New furniture and flooring has been provided in many communal areas. Practice around medication is continuing to improve. Issues raised at the October 2006 inspection have been addressed. A new activities co-ordinator is in post and a shop facility has been provided for the people who live there. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 6 What they could do better: 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. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 7 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 Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 8 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 and 3. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is available to individuals about the home. Assessments are completed before people move in to make sure that their individual needs can be met. EVIDENCE: A user guide is available which contains good information about the service. This is available in large print if requested. We recommend that other formats are looked at for the guide such as audiotape or pictures to make sure that it can be used by as many people as possible. Three out of the four relatives or friends who sent in surveys said that they ‘sometimes’ get enough information about the home. One person said ‘usually’. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 9 There is an admissions procedure and that assessments are completed prior to anybody moving in. Once an individual comes to live at the home, a care plan is written based on these assessments. We looked at the care files for two people and both of these contained an up to date assessment. Some good information about the person had been recorded including their past history and interests. There may be scope to look at the assessment format in use to see if more background information could be captured on admission. A questionnaire could be given to relatives or friends if the person is unable to volunteer this information. Summerdale Care Home DS0000068286.V355322.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 and 10. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are adequate but these could be developed to be more individualised and person centred. Arrangements for the handling, storage and administration of medication are generally good but could be improved further. EVIDENCE: Two of the three people who live at the home responded ‘always’ in surveys when asked if they received the care and support they needed. One person did not answer this question. All four relatives or friends who sent in surveys said that the home ‘usually’ met the needs of the individual. Comments included “support and care is provided in accordance with their care plan which I have been party to in the past” and “could pay more attention to individual needs”. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 11 We looked at the care plans for two people. Each plan sets out how their needs are to be met and we saw that this document is reviewed regularly. The plans could be improved to contain more individual information and to include more about social and emotional needs. Care plans seen for areas such as personal hygiene included some good information but also had very generalised phrases such as ‘all staff to maintain a trusting relationship with (the person)’ and ‘all staff to allow (the person) to be independent in meeting personal hygiene needs’. Other statements such as ‘ensure (the person) has a shower weekly or as required’ and ‘one staff to carry out personal care needs’ again are too generalised and need to be more specific. Staff should review these and make sure that specific person centred information is recorded. For example, when exactly (day/time) does the person like a shower, which bathroom do they like to use, what toiletries do they prefer and who do they like to help them? What exactly does the staff member do to help them? Daily notes kept by staff should also be discussed. We saw that some of these contain very repetitive and general statements such as ‘safety ensured’, ‘medication given’ and ‘assisted with hygiene needs’. Notes kept by staff need to contain good quality information which can then be used to evaluate and review the care being provided. It is strongly recommended that life story books be developed with people living there and these could then be shared with others in the home. The activities co-ordinator was already looking at developing these and this may help staff to relate to people as individuals. Staff may wish to develop their own life story books as part of this process also. We saw that health needs of individuals are being met. Records of appointments with the GP and other healthcare professionals are kept well. Relatives or friends of individuals who sent in surveys felt that this was something the home was good at. We looked at medication records in two units. These were generally kept well but a small number of issues were highlighted. Five instances were found where quantities of medication did not tally with the records kept. The manager looked into these and was able to identify reasons for some of these issues. Good auditing procedures have been introduced to make sure that people are receiving their medication safely and these may need to be extended to prevent any further issues. Training is provided to staff around medication administration. Summerdale Care Home DS0000068286.V355322.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 and 15. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements need to be made to make sure that mealtimes are a positive occasion for everybody involved. An adequate range of activities is currently provided but this area could be improved upon. EVIDENCE: Most people spoken with said that they enjoyed the food offered with comments including “ good”, “the food is nice”, “it’s pretty good” and “it’s alright”. Comments in surveys included “the menu always looks nice but it never is what it’s supposed to be”. There were issues with the menus on the first day we visited with each dining room having a different menu displayed. Staff were also unclear about what the meal being served was. The manager told us that new menus were being introduced and there had been problems in communicating the start date for this. The mealtime we observed in the unit for people with dementia was not very positive for anybody involved. This had improved slightly on the second Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 13 day we visited but it was still too clinical in approach. This was discussed with the manager and we have recommended that mealtimes are reviewed throughout the home to make sure they are a positive social occasion for all involved - an opportunity for people to talk and interact. It is recommended that there is a co-ordinator for each mealtime and ideas such as protected mealtimes, staff eating meals with the people who live there and trying other ways of serving meals be tried. The menus should also be displayed in large print and photographic formats to be more user friendly. Comments about activities from people who live there included “alright”, “not much going on” and “I’m bored stiff”. Relatives or friends of people who sent in surveys commented “a lack of stimulation”, “more integration and interaction with the local community” and “activities = practically nil”. An activities co-ordinator alternates between units providing activities such as bingo, skittles, board games and 1-1 time. There is a shop open each morning to people who live there and this provides a nice therapeutic activity for some people. The activities co-ordinator is clearly enthusiastic and has some good ideas about how to develop the programme for the people living there. The organisation needs to provide training to support this and also consider how more hours could be devoted to this important area of care. We have recommended that the service look at having another full-time activities coordinator or allocating care staff each day to support the provision. The organisation should make sure that the home has its own transport to use. This will support more trips out for individuals and allow more spontaneity as the weather allows. We saw a number of visitors during our visits to the home. Individuals spoken to said that they were made to feel welcome by care staff. Summerdale Care Home DS0000068286.V355322.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 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are protected from abuse. Concerns about the care provided are listened to and acted upon. EVIDENCE: Records are kept of any concerns or complaints received and we saw that these were well maintained. The complaints policy and procedure is displayed and is part of the guide for the people living there. Two of the three people who completed surveys said that they did not know how to make a complaint. The service could consider ways of making the procedure more accessible to the people living there – i.e. displaying in large print / photographic format. All four relatives or friends who completed surveys said they knew how to make a complaint. Care staff receive training that teaches them how to recognise and report abuse. There is an organisational procedure for staff to follow in the event of any allegations being made. Summerdale Care Home DS0000068286.V355322.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, 21, 24 and 26. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home enjoy a comfortable and safe living environment. The home is generally kept clean and well maintained but would benefit from being made more homely in some areas. EVIDENCE: The people we spoke to were happy with their bedrooms and the home environment in general. We saw that the home generally provides a pleasant, comfortable and well maintained place for people to live. New furniture and flooring has been provided in many communal areas over the past year. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 16 Bedrooms seen were generally personalised to the individual with many containing people’s own furniture and pictures. We think that improvements could be made to the environment to make it more homely and user friendly for the people living there. The bathrooms in particular are very clinical and lack any warmth. One new ‘wet room’ on the ground floor had recently been renovated and was much brighter in appearance. Other ideas to consider include improving the lounges to be more homely and putting better signage on doors. The home has already started to look at this with photographs on doors and sofa style seating in one lounge. The use of memory boxes, rummage boxes and other interactive objects such as dressing tables, hat stands and typewriters should be considered also. Corridors could also be improved to include more pictures and objects for people to look at and use whilst walking from place to place. Summerdale Care Home DS0000068286.V355322.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, 29 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are generally enough staff on duty to meet the needs of people using the service. People living at the home are protected well by the recruitment procedures. There is a staff training and development programme in place. EVIDENCE: “The staff are good”, “very helpful”, “alright” and “ok” were comments from people living at the home. Comments from relatives or friends of individuals included “several staff have an affinity with older people and are exceptionally caring, patient and understanding” and “they look after them well”. Staff we spoke to felt there were generally enough staff on duty but they would welcome more opportunities to spend quality time with individuals. “More time to sit down and really chat” was a comment from one person. Three out of four surveys received from relatives or friend of individuals contained similar comments saying that they thought the home was good at attending to people’s physical health and personal hygiene needs. Areas for improvement included “more integration and interaction with the local community” and “not enough personal contact”. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 18 We saw that staff were very caring and spoke to individuals in a polite and respectful manner. There is scope to look at the role of carers and make sure that social and emotional care is seen as an important part of their job. It is recommended that the staff teams on each unit look at the routines in place and see how they could move away from task based care to a more person led approach. This may require further training and support from the organisation to facilitate a culture change at the home. Staff are offered training in a number of topics such as manual handling, customer care, fire safety, infection control, dementia awareness and Protection of Vulnerable Adults. Falls prevention training was going on in the home on one of the days we visited. We think that the activities co-ordinator should be provided with specialist training to help them in their job role and the home should look at further in-depth training for staff around person centred care and dementia care. This may help to keep staff thinking about how they can individualise the care provided and focus on occupation, engagement and the wellbeing of each person. We looked at the recruitment records for four members of staff. These were very well maintained and contained all the necessary checks including Criminal Records Bureau (CRB) checks. Summerdale Care Home DS0000068286.V355322.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): 31, 33, 35, 36 and 38. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is improving. Arrangements to make sure that the health and welfare of people using the service is protected need improvement. EVIDENCE: The manager is very experienced and has worked at the home for many years. We saw think that the service is improving under her leadership and this needs to continue particularly in the areas highlighted such as mealtimes, activities and the environment. A Quality assurance system is in place and surveys had been sent to people using the service and their representatives in 2007. A ‘residents committee’ Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 20 has been set up and resident and relative meetings are held quarterly. It is recommended that the service keeps looking at ways that people living there can be involved in the daily life of the home. Improved mealtimes or other social occasions such as coffee mornings or tea parties could be opportunities for people to give their opinions on how the service is run. Staff receive individual supervision with their line manager and these meetings are happening regularly. Staff members spoken to were happy with the way the home is run and were positive about the service being provided to the people living there. Health and safety is generally well managed and good records are kept of important checks around Gas, electrical and Fire safety. We did find three instances where the hot water temperatures in three bathrooms were very high. This needs to be looked at to make sure the people living there are safe and weekly records should also be kept of the temperatures for all bath and shower outlets. Food needs to be stored safely particularly in the pantry areas of each unit. We saw some instances of items not being stored or labelled correctly. Some areas of the pantries were also not very clean and need some intensive cleaning. Summerdale Care Home DS0000068286.V355322.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 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 2 13 2 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Summerdale Care Home DS0000068286.V355322.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 OP9 Regulation 13 (2) Requirement In order to fully protect the health and welfare of people living at the home, medication must be given as prescribed with full and accurate records kept at all times. Quantities of medication must be accurately recorded on receipt and regularly audited. 2. OP15 12 (4) (5) 01/03/08 Mealtimes need to be reviewed to make sure that they are a positive occasion for the people living there. This is with regard to ensuring there are always adequate numbers of staff available to assist individuals and looking at the way people receive this assistance. Menus displayed must reflect the food being served. Any changes in menus must be communicated effectively to individuals. 3. OP38 13 (4) In order to ensure the safety and 01/01/08 welfare of people who use the service, hot water temperatures of all baths and showers need to DS0000068286.V355322.R01.S.doc Version 5.2 Page 23 Timescale for action 01/02/08 Summerdale Care Home be monitored weekly with records kept. Outlets with hot water temperatures of above 44ºC must be fully risk assessed and appropriate action taken. Pantry / dining areas in each unit 01/04/08 must be kept clean and hygienic. Food stored in refrigerators must be properly labelled with preparation / opening dates indicated. This will help to ensure the health and safety of the people who live there. 4. OP38 13 (4) 16 (2) (h) 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 OP1 OP3 Good Practice Recommendations The user guide to the home should be made available in a variety of formats such as audiotape or pictures. The service should review the assessment format to make sure that it captures good quality person centred information. A questionnaire could be developed for relatives or friends of individuals to be used where appropriate. The home should look at ways to make the care plans more person centred and better reflect the individual’s life and preferences. The plan in place should direct the care to be person orientated and less task based. Care plans need to give specific information about how the person likes the care and support to be delivered. Better background information about the person and their life should be recorded. Daily notes need to be reviewed to make sure that good DS0000068286.V355322.R01.S.doc Version 5.2 Page 24 3. OP7 4. OP7 Summerdale Care Home 5. OP12 6. OP12 quality useful information is being recorded. Life story books should be developed with the individual and their family or friends. These books should be used to help communication and engagement. Staff may wish to develop their own life story books to share. The organisation should seriously consider employing an additional activities co-ordinator for the home. Care staff could also be assigned to support activities each day. It is strongly recommended that the home has its own minibus or similar vehicle available. The service should look at the mealtime experience for the people living there and ideas to enrich this further. This could be through protected mealtimes, different ways of serving meals (buffets, tea parties, finger foods) and staff eating alongside the people who live there. The home could have a staff member co-ordinating each mealtime. Menus need to be resented in large print or picture formats. The use of bibs should be reviewed. Napkins should be used at mealtimes. 7. OP15 8. OP19 The home should continue to improve the environment for the people living there. The use of improved signage, memory boxes, rummage boxes and other interactive objects should be considered. Corridors could be made more interesting with pictures and objects provided. Bathrooms should be made more homely and less clinical in appearance. The staff teams in each unit should look at the daily routines in place and how they could be changed to keep moving away from task based care. It is recommended that all staff working at the home receive mandatory training in dementia care of at least three days in length. The organisation should look at how this training could support culture change within the home. Ongoing training around person centred care and care planning should be provided. 9. 10. 11. OP21 OP27 OP30 Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 25 12. OP33 Dementia Care Mapping should take place within the home to look more closely at the care being provided. The service should look at creative ways of involving people in the running of the home. Events such as coffee mornings and tea parties could be used to consult people more informally. Summerdale Care Home DS0000068286.V355322.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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. 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