Inspection on 22/08/06 for Sunnymeade

This inspection was carried out on 22nd August 2006.

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

The inspector 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 15/05/07

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 22nd August 2006 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.V305462.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.V305462.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.V305462.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. 20.02.06 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. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The previous inspection took place on 20 February 2006. Two Inspectors carried out this unannounced key inspection which took place over 8.5 hours (17 inspection hours) on 22 August 2006. Mrs Nicola Passant, Registered Manager was available throughout the inspection. There were forty three residents living in the home. During the inspection, sixteen residents, two relatives and six members of staff were spoken with. The Inspectors viewed the home. Staff were friendly and were observed being kind and caring toward residents. Records viewed included care plans; risk assessments; medication; health and safety records; staff recruitment & training. The Inspectors 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 eight requirements and eight recommendations. What the service does well: What has improved since the last inspection? Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 6 The home has commenced a programme of refurbishment. New kitchen units are being fitted in all units of the home. The home’s gardens have been improved and provide attractive areas for residents to sit. The home has increased its staffing levels in the afternoon. Recruitment files now contain all of the required documentation. 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. Sunnymeade DS0000016081.V305462.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 Sunnymeade DS0000016081.V305462.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 The quality in this outcome area is good. The home ensures that the needs of prospective residents can be met appropriately. EVIDENCE: Resident’s care plans contained pre-admission assessments. These included a care assessment detailing health care needs. When prospective residents are referred through Social Services, a copy of the care plan is obtained. The manager ensures that prospective resident’s needs can be met appropriately. The home has not introduced intermediate care since the last inspection. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 9 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. The quality in this outcome area is adequate. Care plans contain some good detail. Service users would benefit if care plans were regularly reviewed, updated and actioned to ensure that their changing needs and current objectives are being met appropriately. Medications are stored securely. Medication records not being fully completed may have the potential to place service users at risk of harm. Staff respect resident’s privacy and dignity. EVIDENCE: The Inspectors viewed five care plans. These contained some good detail and identified resident’s preferences. However, one resident had experienced two falls. The home had not reviewed or updated the care plan and falls risk assessment. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 10 One resident had experienced significant weight loss within the last month. The staff had stated that they were concerned that the resident was not eating or drinking. The resident was observed in the lounge adjoining the dining area at lunchtime. The staff provided little encouragement for the resident to eat. The care plan did not contain a strategy with clear guidance for staff to follow to increase the resident’s dietary intake or information on when to seek advice. The home must ensure that a plan relating to the management of nutrition is introduced to ensure that the resident’s needs are being met appropriately. Three care plans identified issues that required further investigation and action. However, there was no evidence that this had happened. Care plans must be reviewed, updated and actioned to ensure that the resident’s current needs are being met appropriately and that the potential risk to the resident is reduced. Residents have access to a range of professionals including GP, District Nurse, CPN, Social Worker, Optician and Chiropodist. Medication is stored securely. One resident had a risk assessment in place for self application of cream. Creams viewed were dated on opening. For some residents requiring assistance with administration of creams, there were some gaps in recording. The home must ensure that the administration of creams is recorded. One resident requires pain relief ‘as required’. The reason for administration was not recorded. The home should record the reason for administering ‘as required’ medication to ensure that the resident has a consistent delivery of care. Staff were observed knocking on bedroom doors. Residents spoken with confirmed that staff respect their privacy and dignity. Some residents have chosen to have a private telephone line in their bedroom. In one bathroom, bars of soap were placed in a jug and shared toiletries were on a shelf. The home should ensure that these are removed as they do not promote resident’s dignity and compromise control of infection arrangements. The inspectors observed staff being kind and caring towards residents. Staff spoken with demonstrated a good awareness of how to meet resident’s needs. Residents comments included ‘staff couldn’t be kinder or more friendly’ and ‘the staff are very good’. The Inspector spoke with a relative who confirmed that their relative was “well looked after.. staff are kind..know what the resident needs and how to talk to them”. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 11 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, 15. The quality in this outcome area is good. However, on the day of inspection the outcome for some of the residents was poor. The home has an activities programme for residents. Some residents benefit from activities more than others. Visitors to the home are made to feel welcome. Some residents are encouraged to make choices. Residents are happy with the food at the home. EVIDENCE: The home has an activities co-ordinator. She was not on duty on the day of the inspection. The programme includes activities such as quizzes, manicures, card games, crossword puzzles, board games, jigsaw puzzles, group chats, ball games and flexercise. The home had also organised a gardening competition which involved staff and residents. Residents were observed chatting; reading; watching television; and listening to music. The inspector observed some of the residents enjoying taking part in daily living tasks. One member of staff was encouraging residents to help out Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 12 with washing up and laying the tables for lunch. This is good practice as residents are actively involved in the daily running of the home. The inspector observed that some service users with dementia received little stimulation during the inspection. The home should consider providing opportunities for stimulation through leisure and recreational activities to suit the service user’s needs, preferences and capacities. On the day of the inspection, some of the residents went on an outing to Hornsbury Mill. The residents spoken with confirmed that they had enjoyed the visit and a cream tea. Several residents commented that they had enjoyed the recent outing to Seaton. Details of church services are provided on the notice board in reception. One resident confirmed that their priest visits them at the home. Residents spoken with confirmed that their visitors are made to feel welcome at the home. One relative spoken with confirmed that their relative was well looked after. Residents confirmed that they can spend their time as they want to and that they are given choices. Resident’s rooms are personalised with their own possessions. Residents can access their personal records on request in accordance with the Data Protection Act 1998. The home has a six week menu. The day’s menu is displayed on a board in each unit and in the reception area. Residents spoken with confirmed that the food is good, home cooked and plentiful. Residents confirmed that they are offered a choice. The dining room was pleasant. The tables were attractively laid with tablecloths. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 13 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, 18. The quality in this outcome area is good. The home has a complaints procedure that is available to residents and staff. Residents are protected from the risk of harm. EVIDENCE: The home has a complaints procedure. This is displayed on the home’s notice board. The home had not received any complaints since the last inspection. Residents confirmed that they knew who to speak to if they had any concerns. Four staff files viewed contained POVA first checks and completed CRB disclosure checks. The home has policies relating to whistleblowing and abuse. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 14 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, 25, 26. The quality in this outcome area is adequate. The home is working towards improving its facilities. Improvements have been made since the last inspection. Further investment is needed to ensure the home is comfortable and safe for those who live there. Some areas of the home are cleaner than others. EVIDENCE: The Inspectors viewed the home. The home is currently installing new units in each of the kitchenettes. A number of bedrooms and communal areas viewed are in need of redecoration and refurbishment. The manager advised that there are plans for further redecoration and refurbishment within the home. The provider is required to submit a programme of renewal and redecoration of the premises to the Commission for Social Care Inspection. The environment in the units designated for dementia care have a lack of orientation cues. The heavily patterned carpet and patterned wall coverings Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 15 can contribute to disorientation and do not reflect best practice guidance in dementia care environments. The home was advised to review the decoration when refurbishing the environment. Some bedrooms had a tape which could be placed across the door to act as a barrier, to prevent residents passing through the door. These were not in use at the time of the inspection. The home should consider removing these tapes as they could be viewed as a form of restraint and a blanket policy is not in keeping with person centred approaches to care. In one bathroom, some tiles were missing. These tiles must be replaced as the area can harbour bacteria. Continence aids were being stored in some of the bathrooms. These should be removed as they detract from the homely environment. The gardens are well maintained and attractive seating areas are provided for residents. Staff and residents spoken with confirmed that they have been actively involved in improvements made to the gardens. The home held a gardening competition and each unit within the home took part. The hot water temperatures in resident’s en-suites and communal toilets was in excess of 43 degrees Celsius. The home has placed warning signs next to some of the sinks. However, in order to protect vulnerable residents from the risk of scalding, thermostatic valves should be fitted or individual risk assessments completed where residents can manage hotter water independently. The Inspectors observed that some areas of the home were clean. However, some areas required further cleaning to meet the required standard. One of the Inspectors reviewed areas within the home throughout the day. These areas were not attended by the domestic staff. Most areas of the home smelt fresh. However, there was a malodour in one of the units which must be addressed. Aprons and gloves were available for staff and staff were observed wearing these. Liquid soap, alcohol gel and hand towels were provided. A bottle of alcohol gel was available in the entrance area for visitors to the home. The laundry was tidy. Individual baskets are provided for resident’s laundry. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 16 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, 29, 30. The quality in this outcome area is adequate. Staff are not always available to immediately help residents which could place residents at risk of harm. Staff recruitment procedures are robust and protect residents. The home has a comprehensive staff training programme. EVIDENCE: During the inspection, one care assistant was allocated to each unit within the home. One Senior member of staff was on duty to supervise the home. The home has increased its staffing levels in the afternoon since the last inspection. One Inspector observed the care assistant on the unit providing care for residents with dementia. When the care assistant leaves the unit to collect meals from the kitchen in another part of the home and to take a break, residents are left alone without direct supervision or easy access to help. It is unlikely that the residents would be able to ring the call bell if they required assistance. When the unit is unmanned, residents are placed at risk. Further to discussions with the manager, the home must review its allocation of staff cover within the home’s units. The home must undertake a risk assessment in relation to the unit being unmanned at various points throughout the day. The Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 17 home is required to submit the completed risk assessment to the Commission for Social Care Inspection. The home must ensure that the staff on duty at any one time have the skills mix to meet all of the residents’ needs and communication needs. New staff had been recruited since the last inspection. Four staff files were viewed. These contained all of the required documentation listed in Schedule 2 of the Care Homes Regulations 2001. One member of staff had been recruited from overseas. The references were in a foreign language. Somerset Care submitted the references translated into English to the CSCI, the day after the inspection. The home must ensure that references for overseas staff are translated into English prior to the member of staff commencing employment. The home has a comprehensive induction programme. Each new member of staff has an individual induction file. The inspector viewed the home’s staff training programme. Training includes fire safety; health & safety; manual handling and health & hygiene. Planned training included dementia awareness. 80 of the care staff working at the home hold an NVQ at level 2 or above which exceeds the required standard. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 18 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, 33, 35, 38 The quality in this outcome area is adequate. The home’s has quality assurance systems in place. Resident’s money is safeguarded. The home does not fully protect the health, safety and welfare of residents. EVIDENCE: Mrs Passant is the Registered Manager. She has worked at Sunnymeade for 15 years. Mrs Passant has completed an NVQ 4 in Management. The home is developing its quality assurance systems. A survey of service users and relatives was undertaken on 19 June 2006. Survey results are analysed and action plans are created, as required. The home confirmed that overall comments were positive. Comments relating to possible improvements Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 19 included areas such as increasing staffing levels; decoration; meals; and cleanliness. The home holds regular meetings for residents and families. The home has a suggestion box available for comments in the reception area. The home holds small amounts of cash for some residents. The monies are stored securely. Financial transaction records are maintained for each of these residents. The records for two residents were viewed. Some of the records are double signed by one member of staff and the resident. This is good practice. If the resident is unable to sign the record, the home should obtain two staff signatures to protect residents. The home’s health and safety records were viewed. The home tests its fire alarm system weekly and emergency lights monthly. The system was serviced on 12.09.05. Fire extinguishers were serviced in August 2006. A fire door on the corridor that leads to the kitchen was held back with a door wedge. This was removed by the manager during the inspection. One of the bedroom doors was wedged open because the resident likes to have their door open. The home should fit an automatic self closing mechanism on the door to reduce the risk in the event of a fire. Portable appliance testing was carried out on 17.02.06. The five year electrical hard wiring certificate was issued on 17.12.03. The gas safety certificate was issued on 16.05.06. The home’s hoists were serviced on 25.04.06. The bath hoists were serviced on 07.08.06. The home’s legionella check was carried out on 03.03.06. Cleaning chemicals were stored securely in locked cupboards and COSHH risk assessments were viewed. Latex gloves for staff use were easily accessible to residents in corridors and bathrooms on the unit that provides care for people specifically with dementia care needs. The gloves must be removed to protect residents from the risk of harm. Food in the main kitchen fridges was covered and dated. However, food and drinks in the small fridges on the units were not dated. The home should ensure that all food is dated on opening to reduce the risk of harm to residents. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 20 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 ENVIRONMENT CHOICE OF HOME Standard No Score 1 2 3 4 5 6 Standard No 19 20 21 22 23 24 25 26 Score X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X 2 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 21 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. 2. Standard OP7 OP8 Regulation 15(2)(b) (c) 14(2)(a) (b) 17(1)(a) 13(2) 23(2)(b) Requirement Care plans must be reviewed, updated and actioned to reflect the changing needs of residents. The home must ensure that the service will meet the needs of residents by introducing a plan relating to the management of nutrition, where needed. The home must ensure that the administration of creams is recorded. • The tiles in one bathroom must be replaced as the area can harbour bacteria. • Maintenance and on-going improvements are required to ensure that décor and fittings are well maintained and suitable for use. The provider is required to submit a programme of renewal and redecoration of the premises to the Commission for Social Care Inspection. The home must be kept clean, hygienic and free from offensive DS0000016081.V305462.R01.S.doc Timescale for action 22/10/06 22/09/06 3. 4. OP9 OP19 22/09/06 22/10/06 5. OP26 13(3) 22/09/06 Sunnymeade Version 5.2 Page 22 6. OP27 18 (1) 13(4)(c) odours. The home must ensure that at all 22/10/06 times suitably qualified, competent and experienced persons are working at the Home in such numbers as are appropriate for the health and welfare of residents. Dependency levels and Home layout should be taken into account. (The timescale for this requirement has been extended). • The home must undertake a risk assessment in relation to the unit being unmanned at various points throughout the day. The home is required to submit the completed risk assessment to the Commission for Social Care Inspection. The home must ensure that the staff on duty at any one time have the skills mix to meet all of the residents’ needs and communication needs. 7. OP29 19 8. OP38 13(4) The home must ensure that 23/08/06 references for overseas staff are translated into English prior to the member of staff commencing work. Latex gloves stored in bathrooms 23/08/06 and corridors must be removed to protect service users from the risk of harm. Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP7 Good Practice Recommendations It is recommended that residents and/or representatives are included in the care planning as they wish and that this is recorded and that care plans reflect short term needs and action plans clearly to ensure that staff are able to meet residents’ needs fully. This is carried over from the previous inspection. The home should record the reason for administering ‘as required’ medication. The home should remove bars of soap and shared toiletries from one bathroom as they do not promote resident’s dignity and compromise infection control measures. The home should consider providing additional opportunities for stimulation through leisure and recreational activities to suit the service user’s needs, preferences and capacities. • The home should consider removing the tape barriers on bedroom doors as they could be viewed as a form of restraint. • The home should consider removing continence aids from the bathrooms as they detract from the homely environment. Thermostatic valves should be fitted to en-suites and communal toilets to protect vulnerable residents from the risk of scalding or individual risk assessments completed where residents can manage hotter water independently. Financial transaction records should be double signed by the resident and staff member, where possible or two members of staff to safeguard service user’s monies. • If residents wish to have their bedroom door open, the home should fit an automatic self closing mechanism on the door to reduce the risk in the event of a fire. • The home should ensure that all food is dated on opening to reduce the risk to residents. 2. 3. OP9 OP10 4. OP12 5. OP19 6. OP25 7. 8. OP35 OP38 Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Sunnymeade DS0000016081.V305462.R01.S.doc Version 5.2 Page 25 - 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!