Inspection on 15/05/07 for Sunnymeade

This inspection was carried out on 15th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sunnymeade 21/05/08

Sunnymeade 22/08/06

Sunnymeade 20/02/06

Sunnymeade 25/10/05

Sunnymeade 24/02/05

Sunnymeade 29/07/04

Sunnymeade 10/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Sunnymeade Helliers Close Chard Somerset TA20 1LJ Lead Inspector Alison Philpott Unannounced Inspection 15th May 2007 09:30 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 Sunnymeade DS0000016081.V336894.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. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnymeade Address Helliers Close Chard Somerset TA20 1LJ 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) 01460 63563 01460 68217 Somerset Care Limited Mrs Nicola Susan Passant Care Home 50 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (50) of places Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service users admitted in the category DE will be accommodated in the units named Kingfisher and Azalea. 24/10/06 Date of last inspection Brief Description of the Service: Sunnymeade is operated by Somerset Care Ltd, a large provider of residential and domiciliary care in Somerset. Sunnymeade is a 50 bedded purpose built care home, situated in a residential area of Chard. It has five units of eight places all on the ground floor. It also has some first floor accommodation, which service users must be able to climb stairs to reach. It is set in mature gardens, which have been provided this year with greater disabled access provision. The service is well established and provides personal care for Older Persons. The Company has plans for a major alteration to one part of the home and bedrooms within that area in order to enhance and improve services. The current fees are £420.00 (plus £15.00 en-suite supplement) per week. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The previous random inspection took place on 24 October 2006. This unannounced key inspection was carried out by two inspectors over seven hours (totalling 14 inspection hours). Mrs Nicola Passant, Registered Manager was available throughout the inspection. There were forty four residents living in the home. During the inspection, seventeen residents, two relatives and four members of staff were spoken with. The Inspectors viewed the home. Records viewed included care plans; risk assessments; medication; health and safety records; staff recruitment & training. The Inspector would like to thank the residents and staff for their involvement and participation in the inspection process. As a result of this inspection the home has four requirements and five recommendations. What the service does well: Residents spoken with are generally very happy with the care and support they receive at the home. Care plans contained some good detail including resident’s individual preferences. They promote independence and suggest opportunities for encouragement. The home has its own activities co-ordinator and a variety of activities that meet resident’s individual preferences and needs. Residents are looking forward to planned events such as the gardening competition and summer fete. Residents enjoy their mealtimes. The food was tasty, plentiful and looked appetising. Residents confirmed that they always have a choice of dishes Staff were observed being kind and caring. They demonstrated a good awareness of resident’s preferences and needs. One relative spoken with commented that that staff are kind and know their relative well. Staff were observed offering choices to residents. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The home should ensure that prospective service user’s needs are assessed accurately to ensure that the home can meet their needs appropriately. The home must ensure that care plans are reviewed, updated and actioned to ensure that the resident’s current needs are being met appropriately. The home must ensure that risk assessments are accurate when they are updated to reflect resident’s changing needs and to minimise the risk to the resident and staff. There were a number of shortfalls relating to the recording of administration of medication. The home must review its procedures to safeguard residents. The home must ensure that one identified radiator is guarded to ensure that residents are not at risk of burns. The home should ensure that the practice of providing urine bottles does not compromise infection control policies. The home should ensure that there is a clear audit trail so that the resident’s monies are safeguarded. The home should ensure that fire exits are kept clear, to minimise the risk of harm to residents and staff in the event of a fire. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 7 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. Sunnymeade DS0000016081.V336894.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 Sunnymeade DS0000016081.V336894.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): 3, 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home undertakes pre-admission assessments for prospective service users. The assessments generally provide enough information so that the home ensures that all needs can be met appropriately. EVIDENCE: The inspectors viewed three pre-admission assessments. One resident had a Single Assessment Process (SAP) form completed by Social Services. The home had also carried out an assessment. This was not fully completed and did not match the information provided in the SAP. The home should ensure that prospective service user’s needs are assessed accurately to ensure that the home can meet their needs appropriately. The other pre-admission assessments identified the prospective service users’ needs. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 10 The information leaflet ‘Welcome to Somerset Care’ has been produced in Braille, DVD format, and large print since the previous inspection. The home has introduced a step down bed for respite purposes since the previous inspection. This standard was not fully assessed as the room was not occupied at the time of the inspection. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Care plans contain some good detail. Residents would benefit if care plans were regularly reviewed, updated and actioned to ensure that their changing needs and current objectives are being met appropriately. The home’s medication procedures do not fully protect residents. Staff respect resident’s privacy and dignity. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 12 EVIDENCE: Six care plans were viewed. These contained some good detail including resident’s individual preferences. They promote independence and suggest opportunities for encouragement. Records indicate that care plans are generally reviewed monthly. However, the review does not appear to influence the care plan. One resident had been admitted to hospital due to an Asthma attack in February 2007. Further to this a review was carried out in March 2007. There was no information in the care plan relating to Asthma or breathing difficulties. It was not clear what medication the resident was using and there was no plan for staff to follow in the event of an attack. One care plan had not been reviewed since 31.03.07. The home must ensure that care plans are reviewed, updated and actioned to ensure that the resident’s current needs are being met appropriately. Risk assessments relating to moving & handling, falls, bathing and use of the minibus were viewed. One resident had fallen six times in March and April 2007. The falls risk assessment was updated after the falls, in April 2007. However, there is no mention that the resident had a fracture to their collarbone or how this may impact on the service user’s risk of falling again. The home must ensure that risk assessments are accurate when they are updated to reflect resident’s changing needs and to minimise the risk to the resident and staff. Residents have access to a range of healthcare professionals including GP, District Nurse, Social Worker, Chiropodist and Optician. Residents spoken with confirmed that the GP is always available, if required. The home’s medication is stored securely. The inspector viewed the Medication Administration Record Sheets (MAR) for each service user. There were no gaps in the MAR Sheets. The home had also recorded variable doses. On one occasion, the home had changed a prescription on the medication administration record sheet. The medication was prescribed ‘as required’ but this was now being given four times a day. The home should request written/fax confirmation of changes to prescriptions from the GP to protect residents. The home had not recorded the reason for administration of several ‘as required’ medicines. The home should record the reason for administering ‘as required’ medication to ensure that the resident has a consistent delivery of care. The home had completed a risk assessment for one resident who self medicates. This was signed by the resident and their GP. When medication is Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 13 given to a resident to self medicate, the amount received and handed over had not been recorded. The home must record the amount received and the amount given to the resident to ensure that there is a clear audit trail of medication stored in the home. One resident had been prescribed a build-up drink. The drink was located within the resident’s living area. Staff were administering the drink. However, no record of the administration was being kept. The home must record the administration of the drink to ensure that the resident receives consistent care. One resident was taking an antibiotic. There was a note on the MAR Sheet stating that they must drink plenty. However, there was no evidence that a fluid intake chart had been used to manage or monitor this. The home must ensure that fluid intake charts are completed daily so that the resident’s intake can be monitored effectively. Staff were observed being kind and caring. They demonstrated an awareness of residents preferences and needs. One relative spoken with commented that that staff are kind and know their relative well. Staff were observed offering choices to residents. Residents spoken with confirmed that staff respect their privacy and dignity. Staff were observed knocking on bedroom doors. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a range of activities available and caters for individual preferences and needs. Visitors are welcome at the home. Residents are happy with the food at the home. EVIDENCE: The home’s activities programme is varied and includes games, quizzes, reminiscence, poetry, and gardening. Residents spoken with confirmed that they enjoy the musical entertainment provided at the home. One resident was getting a team together for the quiz which included people from outside of the home. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 15 The home has planned a summer fete and gardening competition. Residents were looking forward to these events. During the inspection, residents were observed chatting, singing, reading, watching television, listening to the radio. The activities co-ordinator was spending time with residents in the main lounge. The residents were enjoying playing skittles. In another lounge, a member of staff was playing cards with residents. An iron and ironing board was observed in one lounge. This is used by residents as a daily living activity. The home holds a weekly church service for those who wish to attend. Residents spoken with confirmed that their visitors are made to feel welcome at the home. Relatives spoken with at the inspection were happy with the care provided at the home. Throughout the inspection, it was evident that residents make choices in how they spend their time. The inspectors joined the residents for lunch in the main dining room. The tables were laid attractively with tablecloths and flowers. Fruit juices and water were available throughout the meal. The starter was cauliflower soup. There was a choice of main course of shepherds pie, quiche, or jacket potato with a choice of fillings. The main course was served with fresh boiled potatoes and vegetables. A choice of desserts was also available. The food was tasty, plentiful and looked appetising. The residents confirmed that they enjoyed the meal. Staff were friendly and offered residents choices. The atmosphere in the dining room was relaxed and unhurried. Residents confirmed that they always have a choice of dishes and they can have an alternative dish if they prefer. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure that is easily accessible. Residents are protected from the risk of harm. EVIDENCE: The home procedure home had confirmed has a complaints procedure. Since the previous inspection, the has been produced in Braille, DVD format and large print. The not received any complaints since the last inspection. Residents that they knew who to speak to if they had any concerns. The home has policies relating to whistleblowing and abuse. Staff spoken with demonstrated an awareness of the steps to take if they witnessed or discovered abuse. Four staff files were viewed. These all contained evidence of POVA first checks and completed Criminal Record Bureau checks. The members of staff did not commence work until the home had received the POVA first check. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is improving the environment with re-decoration, new furnishings and new floorings. The home is clean and pleasant. EVIDENCE: The inspectors viewed the premises. Each of the units (with the exception of one) has its own dining and kitchen areas. The kitchen areas have been refitted recently. The home also has a main lounge and dining area. These areas are spacious and pleasant. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 18 There have been a number of improvements since the previous inspection. A number of rooms have been re-decorated. In a number of rooms and areas, new furniture and soft furnishings have been purchased and new carpets and flooring have been fitted. The environment is more homely and residents were pleased with the changes. The home has planned further improvements and has a programme of renewal and redecoration of the premises. The gardens were attractive and well maintained. Residents were looking forward to the better weather so they can make use of the outdoor seating areas. One radiator in a bathroom was unguarded and hot. A grab rail was provided above for residents to use. The home must ensure the radiator is guarded to ensure that residents are not at risk of burns. The standard of cleanliness at the home was much improved since the previous inspection. The home has recruited more domestic staff. Aprons and gloves were available for staff. Liquid soap and paper hand towels were provided. Alcohol gel is placed by the front door to the home for visitors. The laundry was tidy. One of the washing machines had broken down recently but the home had taken immediate action and the engineer was on-site at the time of inspection. The inspector observed urine bottles in bathrooms. Staff advised that these are taken to be cleaned after use. However, there did not appear to be a system in place to check that this is done. The home should ensure that the practice of providing urine bottles does not compromise infection control policies. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home appears to have sufficient staff on duty to meet the needs of the residents. Staff recruitment procedures are robust and protect residents. The home has a comprehensive training programme. EVIDENCE: The rotas were viewed. The home has increased the number of care staff on duty since the previous inspection. The manager confirmed that the units providing care for people with dementia are now supervised throughout the day to ensure that risks to residents are minimised. The home also employs an administrator, domestics, cooks, a kitchen domestic and a handyperson. During the inspection, there appeared to be sufficient staff on duty to meet residents needs. Residents spoken with confirmed that staff are available when they require assistance. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 20 Staff spoken with demonstrated a good understanding of how to meet residents’ needs. The inspector viewed four staff recruitment files. These contained all of the required documentation listed in Schedule 2 of the Care Homes Regulations 2001. The home has a comprehensive staff training programme. This includes training in dementia awareness, activities, nutrition, first aid, signs and symptoms, food hygiene, health & safety, fire safety, and moving & handling. The home is currently in the process of storing training records electronically. Therefore, information is currently held in several places. The manager confirmed that all staff have received the required mandatory training. The home has planned training in relation to parkinsons disease for the end of May 2007. There are also plans to provide training in pressure care and continence. 51 of the care staff have completed an NVQ at level 2 or above. The home currently has a number of staff working towards an NVQ. One resident commented that they would like staff that are new to them to be introduced before they start on shift so that they know them. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a range of quality assurance measures in place. Residents’ monies are safeguarded. The system in place for one resident does not provide a clear audit trail. The home generally protects the health, safety and welfare of residents. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 22 EVIDENCE: Mrs Nicola Passant is the registered manager. She has many years experience in the care industry. Mrs Passant has completed an NVQ 4 in Management. Staff spoken with confirmed that they feel well supported and enjoy their work at the home. A staff meeting took place on the day of the inspection. The home’s quality assurance systems include a self audit against the National Minimum Standards. This is followed up with an action plan. The audit is undertaken at intervals at the request of Somerset Care head office. Suggestion forms are provided in the entrance to the home. The manager advised that surveys were due to be sent out to residents and families. The home held a meeting for residents recently. The home also holds regular meetings for families. The home holds cash for some residents. The monies are stored securely. Financial transaction records were viewed for two residents. The record had been double signed by either a member of staff and the resident or two members of staff if the resident was unable to sign. One balance was checked and found to be correct. The other balance was different to the amount on the record. When discussed with the home, it appears that monies had been transferred into a bank account. This was recorded on a separate sheet. The home should ensure that there is a clear audit trail so that the residents monies are safeguarded. The fire alarm system was serviced on 14.12.06. The home tests the alarm system weekly. Emergency lights are tested monthly. A fire door in the corridor leading to the kitchen was not closing properly on the self closure mechanism. The manager advised that the handyman would address this. A fire exit door at the bottom of a flight of stairs was obscured by blinds. The home should ensure that the fire exit is kept clear, to minimise the risk of harm to residents and staff in the event of a fire. The home’s baths lifts were serviced on 27.02.07. Hoists were serviced on 24.04.07. Food in fridges had been dated on opening. Temperature records were viewed. Cleaning chemicals were stored securely in locked cupboards. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 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 2 X X 2 Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation Requirement Timescale for action 15/07/07 2. OP8 15(2)(b)(c The registered person shall keep ) the service user’s plan under review; where appropriate and, unless it is impracticable to carry out such consultation, after consultation with the service user or a representative of his, revise the service user’s plan. • Care plans must be reviewed, updated and actioned to ensure that the resident’s current needs are being met appropriately. The registered person shall 13(4)(c) ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. • The home must ensure that risk assessments are accurate when they are updated to reflect resident’s changing needs and to minimise the risk to the resident and staff. 12(1)(b) The registered person shall 16/05/07 ensure that the care home is conducted so as to make proper provision for the care, and where DS0000016081.V336894.R01.S.doc Version 5.2 Sunnymeade Page 25 3. OP9 4. OP25 appropriate, treatment, education and supervision of service users. • The home must ensure that fluid intake charts are completed daily, where required so that resident’s intake can be monitored effectively. (This timescale has been extended). 13(2) The registered person shall make 22/05/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. • When residents self medicate, the home must record the amount of medication received into the home and the amount given to the resident to ensure that there is a clear audit trail of medication stored in the home. • The home must record the administration of prescribed build up drinks to ensure that the resident receives consistent care. 13(4)(a)(c The registered person shall 15/06/07 ) ensure that all parts of the home to which service users have access are so far as reasonable practicable free from hazards to their safety; unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. • The home must ensure the one identified radiator is guarded to ensure that residents are not at risk of burns. Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP3 OP9 Good Practice Recommendations The home should ensure that prospective service user’s needs are assessed accurately to ensure that the home can meet their needs appropriately. • The home should request written/fax confirmation of changes to prescriptions from the GP to protect residents. • The home should record the reason for administering ‘as required’ medication. The home should ensure that the practice of providing urine bottles does not compromise infection control policies. The home should ensure that there is a clear audit trail so that the residents monies are safeguarded. The home should ensure that the fire exit is kept clear, to minimise the risk of harm to residents and staff in the event of a fire. 3. 4. 5. OP26 OP35 OP38 Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Sunnymeade DS0000016081.V336894.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!