Inspection on 20/11/07 for Sutton Oaks Care Centre

This inspection was carried out on 20th 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

Sutton Oaks Care Centre 28/10/08

Sutton Oaks Care Centre 20/05/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sutton Oaks Care Centre Sutton Oaks London Road Oak Grove Macclesfield Cheshire SK11 0JG Lead Inspector June Shimmin Unannounced Inspection 20 November 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 Sutton Oaks Care Centre DS0000069629.V347594.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. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sutton Oaks Care Centre Address Sutton Oaks London Road Oak Grove Macclesfield Cheshire SK11 0JG 01260 253 374 01260 253 319 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) Canterbury Leased Homes Limited Linda Dawes Care Home 55 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (55), of places Physical disability (10) Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 The registered person may provide the following category of service only: Care home with nursing: Code N, to people 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 (maximum number of places: 55). Physical disability: Code PD (maximum number of places: 10). Dementia over 65 years of age: Code DE(E) (maximum number of places: 10). The maximum number of people who can be accommodated is: 55. Date of last inspection 24 May 2006 Brief Description of the Service: Sutton Oaks was built in 1875 as a private house for a local mill owner and member of parliament. The original house is a listed stone building that has been used at various times in its history as a convalescent home for war victims and a local authority residential home. The previous owners converted it into a care home providing nursing care in 1992. It is now run by Canterbury Care Homes Limited, which took over as the new owner in June 2007. Sutton Oaks is approximately three miles from Macclesfield town centre and is on a local bus route. It is a three-storey building, with an extension to the older building, surrounded by gardens and woodlands. The home provides a number of communal living areas, including lounges and dining rooms, over three floors. There are 27 single bedrooms and 13 shared rooms. All but three of these have en suite facilities. Access for people who use wheelchairs is generally good. There are two passenger lifts, four internal staircases and an external fire escape. The home is registered to care for people who require nursing care or who have dementia. It is staffed with registered nurses at all times. They are supported by a number of ancillary staff. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 5 Room prices range from £402.37 to £610 per week, depending on the size of the room and whether it is a single or double and the type of en-suite facilities. Sutton Oaks can provide respite care if beds are available. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 20 November 2007 and lasted seven and a quarter hours. A random inspection has been carried out since the last main inspection to follow up progress towards meeting requirements from previous inspections. This was done before the home was taken over by Canterbury Care. Since the change of ownership a focussed inspection has been carried out at the home to look at the quality of care people with dementia experience when living in care homes, focussing on ‘dignity’ as an important part of people’s quality of life. This is called a thematic inspection. Because people with dementia are not always able to tell us about their experiences, we used a formal way to observe people in the thematic inspection to help us understand. We call this the Short Observational Framework for Inspection (SOFI). This involved us observing 5 people who live in the home for 2 hours and recording their experiences at regular intervals. This included their state of well being, and how they interacted with staff members, other people who use services, and the environment. The visits were just one part of the inspection. Other information received about the home was also looked at. Before this visit the home manager had completed a questionnaire to provide up to date information about Sutton Oaks. CSCI questionnaires were also given and sent to people who live in the home, their families, and health and social care professionals such as social workers and doctors, to find out their views. During the visit, various records and the premises were looked at. A number of people who live at the home and their relatives were spoken with and they gave their views about Sutton Oaks. What the service does well: Staff are well regarded and provide good standards of care. A relative commented, “staff always friendly and helpful and treat residents with respect” and another, “the care and understanding she has and still is receiving is excellent.” People’s needs are assessed before they move in to make sure those needs can be met at the home. Care staff seek prompt advice and information from a number of health care professionals so that people receive good, timely care. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 7 Medication is well managed so that people receive their medication in a safe manner. The standard of catering is good with a varied and nutritious content so people receive a healthy, varied diet. Complaints are well managed so that people know their concerns will be listened to and acted upon. The home is kept clean, tidy and free from infection so that people live in pleasant surroundings. The number of care staff who have achieved NVQ 2 in care is above the level specified in the standards for care homes so that staff are qualified for the role they perform. The registered manager is well qualified and takes steps to monitor the quality of care to make sure the home is run in the best interests of the people who live there. What has improved since the last inspection? What they could do better: Recruitment procedures should be more thorough so that people living in the home are protected and all necessary security checks have been carried out. Staff should know more about the life history of people living in the home so that they can understand their past and relate to them in a more person centred way as individuals. Risk assessments should be provided for all identified risks and kept under review so that care staff can show that all risks are being well managed. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 8 A wider range of activities should be available at the home so that people do not become bored and isolated. A relative commented, “improve entertainment and activities.” All staff should undertake training in adult protection so that they know what to do in the case of suspected abuse. Further improvements need to be made to the home, as much of the bedroom furniture is shabby and chipped. Regular fire safety training should be carried out so staff know what to do in the event of a fire. Staff should undertake moving and handling training so that people in the home are being moved safely. 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. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is information available about the home so people can decide if the home is suitable for them. An assessment of people’s needs is carried out before they move into the home to make sure their needs can be met there. EVIDENCE: Since the last main inspection Sutton Oaks has been taken over by new owners. They have provided a new information guide, (Service User Guide) about the home so that people can decide if their needs can be met there. Since the last inspection the second floor of the home has reopened so that more people can be accommodated at the home. Care can be provided at the home for up to ten people with dementia on a specialist unit on the first floor. Information given to people about the home referred to people being “treated with respect and sensitivity to their individual needs and abilities.” Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 11 The assessments of two people who had recently moved into Sutton Oaks were seen. These contained enough information for staff to be able to draw up a care plan identifying the person’s care needs and any risks relating to their care. There was little documented about the social needs of one person so that care staff would know very little about significant events in that person’s life and what was important to them. The family of the second person had provided a very detailed life history so that staff had access to information about the person. This was particularly important as the person was born in a European country and often reverted to their first language. Care staff were aware of this issue and were trying to improve methods of communication. Intermediate care is not provided at Sutton Oaks. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health care needs of people are identified and met so that people are well cared for. Medication is well managed ensuring that people receive their medication safely. EVIDENCE: The care plans of the two people who had recently moved into the home were seen as well as a third care plan for someone with dementia accommodated on the ground floor. Care plans were pre printed and then amended to make them personal to each person. The content and quality of care plans varied between adequate and good. Risks assessments were in place for most identified risks but some had not always been kept under review. One care plan had not been individualised to the person. The person accommodated on the ground floor did not have a risk assessment for challenging behaviour and a nurse had not received training in this subject so that the person’s needs were difficult to meet. This person had also fallen a number of times during Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 13 the previous months; although the risk assessment had identified the person as being at medium risk this had not been kept under review and there was no care plan for this need. Two care plans had been reviewed every month so that changing needs were recorded. Sutton Oaks policies referred to the right of the person to be given privacy and dignity; these principles were being followed by care staff. Care plans showed that where necessary advice and treatment was sought from a range of health care professionals including doctors, specialist nurses and professions allied to health such as opticians. Medication for people living on the ground floor was checked and found to be well managed. Several nurses have undergone training through the local PCT to keep them updated about administration of medicine. Several medications were prescribed to be taken as needed but there were no instructions about maximum doses that could safely be administered within a 24 hour period. Sutton Oaks Care Centre DS0000069629.V347594.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 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A lack of activities means that people are at risk of boredom and social isolation. The quality of catering is good so that people are well nourished. EVIDENCE: There was little reference in care plans to the people’s social needs and there was no link between stimulation and managing behaviour and preventing boredom and isolation. The manager said that two people are employed to arrange activities four days a week but that one was off sick so this would account to some degree for the lack of activities for people living in the home. One activity coordinator was leading a Christmas decoration session in the afternoon, which was enjoyed by up to six people. However, this staff member was only available for up to twelve hours a week on two different days so that on other days there was nothing provided. A church service is held once a fortnight. People are able to exercise choice in a number of ways - meals, mealtimes, whether to join in activities and how they personalise their room. However, it was noted that two people with dementia may be unable to spend time in their Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 15 room during the day as these rooms are on the second floor where there are no staff on duty during the day and only accessible by lift. The registered manager said that night staff carry out night checks for the two people on the second floor but that no one is based on that unit overnight. The standard of catering was good, with people being offered choice at both the lunch and evening meals. The cook came round during the afternoon activity session to ask people what they wanted for the following day’s lunch. The main meal of the day is served at lunch and a lighter meal in the afternoon. Night staff give people supper after 7pm. Sutton Oaks Care Centre DS0000069629.V347594.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sutton Oaks has appropriate policies and procedures in place to ensure that complaints are handled well and action taken to protect people from abuse. EVIDENCE: The home has received a number of complaints since it was taken over by Canterbury Care. These were all recorded, with information about the investigation carried out by the registered manager and any necessary actions taken as a result. The complaints procedure from the previous owners was displayed in the entrance to the home. The registered manager said that people were made aware of the complaints procedure via the Service User Guide. Only one person told us that they were unaware of the complaints procedure. The policy for the protection of vulnerable adults has just been revised. Some of the content of the policy is unclear so that staff may be unaware of their responsibilities. Important contact telephone numbers were not recorded so that people might not know whom to contact. The registered manager said that only two staff have done recent training in adult protection but that a number of training sessions had been organised for the early new year. Training was also being planned for whistleblowing so that staff will know what to do if they suspect a colleague of carrying out abuse. Sutton Oaks Care Centre DS0000069629.V347594.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 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are being carried out at the home so that people live in more comfortable, brighter and safe surroundings. EVIDENCE: A number of improvements have been carried out to the environment since the change of ownership. Three quarters of the external paintwork of the home has been repainted with the remainder to go ahead when the weather improves. The dining room on the ground floor has been redecorated as well as the front reception and front lounge. A new hot water cylinder has been provided, doubling the capacity for the home. Various other improvements are being carried out. Future improvements will include new armchairs and dining room furniture to replace the existing shabby and worn furniture and new carpets for the corridors. The manager said that the existing front door was to Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 18 be changed and the new entrance would be via the former entrance to the home. One area that needed attention was the lack of ventilation on the dementia unit on the first floor, which created a musty atmosphere. A relative commented, “possibly the lounge area could be made a bit more comfortable for visitors, but this is a very minor issue.” Another wrote, “grounds unsuitable, no wheelchair route around the home, gardens dull.” During a tour of the premises it was noted that all areas were clean, tidy and free from unpleasant odours. Satisfactory methods are used in the home to prevent the spread of infection. A range of aids and adaptations is provided so that people with disability can be catered for. A number of rooms were seen and these were personalised with photos and other memorabilia. Much of the bedroom furniture was shabby and chipped but this was inherited from the previous owners. The manager said that double rooms were shared by choice. A comment was received about the difficulty keeping carpets clean, which was also mentioned by the manager in the information provided before the inspection. Several maintenance issues in the kitchen were outstanding from a visit by the environmental health officer in June 2006 and which had also not been put right by the previous owners. Sutton Oaks Care Centre DS0000069629.V347594.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained but some issues with recruitment mean that people may not be protected from possible harm. EVIDENCE: The recruitment records of two new staff were seen. The records for both staff indicated that they had started work before the receipt of an initial security check (POVA first) from the CRB. The manager said that one of these people was just sitting in the office until the return of an initial security check from the Criminal Records Bureau. All other documentation was available other than a health declaration. An orientation checklist indicated that the new nurse was receiving information about people in the home and its policies and procedures. The full, enhanced disclosure had still not been received for either staff member even though one person had started work in July 2007. There was also no application form on file for this person. This person was seen working in an unsupervised capacity during the inspection. Although care staffing levels seemed to be adequate, feedback was given that the number of hours for domestic and catering staff had decreased since the change of ownership. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 20 Staff are well thought of by people living in the home and visitors. They are given support to undertake relevant training and more than 50 have achieved NVQ2 in care or above. Two nurses have a diploma in palliative care. A new staff member has been recruited to provide additional support for staff working on the dementia unit and will be providing training for other staff in this subject. Several staff had commented that they would appreciate more training in this area. Sutton Oaks Care Centre DS0000069629.V347594.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 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sutton Oaks is well managed but training in mandatory subjects needs to be completed to assure the safety of people in the home. The lack of testing of portable electrical appliances also puts people at risk. EVIDENCE: The manager is a registered nurse, holds a diploma in nursing studies and has been the manager of the home since 2001. She has a NVQ level 4 in management as well as certificates in clinical audit, supervisory management and a teaching certificate. She has also partly completed a course in gerontology. She adopts an open door policy so that people living in the home, relatives and staff find her easy to approach. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 22 Various systems are used to find out whether the service provided at the home is good. A representative of Canterbury Care visits the home monthly and writes a report about any issues arising; a copy is made available to the CSCI during inspection. Although there were no reports for June and July, reports were provided for the following three months. A meeting was held for people living in the home and their relatives in September and the manager said that a further meeting was planned for the following week. The manager has started to remain on duty for two evenings every month to talk to any relatives about the care of their family member. There are also systems to ensure that monies held on behalf of people living in the home are well managed and safe. Records for one person were checked and found to be satisfactory. Records relating to fire safety were seen. These showed that fire fighting and detection equipment in the home is checked and tested regularly. However, the fire risk assessment did not indicate whether various risks identified had been addressed. Fire safety training records showed that twelve staff and five new staff have not attended a fire drill in the last year so they may not know what to do in the event of a fire. Five staff have not attended a fire safety training refresher course in the last year. Although a number of staff have not attended a moving and handling session in the last year the manager said that two training days had been organised for the following week. Information provided by the registered manager before the inspection indicated that portable electrical appliances in the home have not been tested since February 2006 putting people at potential risk. Sutton Oaks Care Centre DS0000069629.V347594.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 3 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 2 3 STAFFING Standard No Score 27 3 28 4 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 Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 19(9-11) Schedule 2 (6&7) Requirement Action must be take to make sure that no person starts work at the home until a POVA first has been obtained from the CRB to indicate that the person has not been included on the POVA list. The registered person must ensure that staff work under supervision until a satisfactory enhanced disclosure has been obtained from the CRB. Portable electrical appliances must be checked on an annual basis so that people in the home are protected from possibly faulty equipment. Timescale for action 20/01/08 2 OP29 19 (9-11) Schedule 2 (6&7) 23 (2)(e) 20/01/08 3 OP38 20/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP3 Good Practice Recommendations All staff should be made aware of each person’s life history DS0000069629.V347594.R01.S.doc Version 5.2 Page 25 Sutton Oaks Care Centre 2 3 4 5 OP7 OP7 OP12 OP14 6 7 8 9 10 OP18 OP25 OP38 OP38 OP38 when they move into the home so that they are able to provide person centred care. Risk assessments should be kept under review so that appropriate actions are being taken to manage those risks. Risk assessments should be provided for the prevention of falls and challenging behaviour where these have been identified as needs. The social care needs of people should be documented together with actions to be taken to meet those needs to prevent boredom and social isolation. The choices of people accommodated on the second floor should be recorded on the care plan in relation to where they prefer to spend the day and where necessary provision made for people to return to their room with supervision if they wish. All staff should undertake training in adult protection so that they know what to do if they suspect abuse has taken place. Action should be taken to ensure that ventilation on the dementia unit is adequate. The fire risk assessment should be updated so that people know that any identified risks have been put reduced. A record that all staff have completed a fire drill should be kept so that people in the home are protected in the event of an outbreak of fire. Confirmation should be sent to CSCI when all staff have completed a refresher course in moving and handling so that people are being moved safely. Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Sutton Oaks Care Centre DS0000069629.V347594.R01.S.doc Version 5.2 Page 27 - 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. 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