Inspection on 11/07/06 for Sweyne Court

This inspection was carried out on 11th July 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 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

Sweyne Court 03/07/07

Sweyne Court 01/03/06

Sweyne Court 11/10/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Sweyne Court Hockley Road Rayleigh Essex SS6 8EB Lead Inspector Mrs Sharon Lacey Key Unannounced Inspection 11th July 2006 09:00 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 Sweyne Court DS0000062901.V304958.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. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sweyne Court Address Hockley Road Rayleigh Essex SS6 8EB 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) 01268 774530 christine.skeets@excelcareholdings.com Sweyne Healthcare Ltd Christine Anne Skeet Care Home 43 Category(ies) of Dementia - over 65 years of age (43), Old age, registration, with number not falling within any other category (43) of places Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service users `bedrooms with an area of less than 10 sq.m. will be used only following a written assessment. The assessment should include consideration of whether the facilities in the room are suitable for, and acceptable to the service user, taking into account their mobility needs. The service user plan should reflect the assessment of findings. 1st March 2006 Date of last inspection Brief Description of the Service: Sweyne Court is a two storey building set in a cul de sac. It is close to Rayleigh High Street and is convenient for buses and train transport. The home is registered for 43 older people with dementia. The accommodation consists of single and double bedrooms, but some are under the National Minimum Standards and would not be suitable for wheelchair use or those needing moving and handling equipment. The downstairs of the home has recently been refurbished, with building works to change some of the bedrooms into ensuite rooms and to also increase the bedroom numbers. There is a large lounge diner down stairs and also a small quiet lounge. Upstairs has two small lounge diners and three smaller lounges. There is a secure garden at the centre of the home, which is easily accessible to the downstairs residents and has seating available during the summer months. The home has adequate parking for visitors and staff, and there are facilities on both floors for visitors to see residents in private. Sweyne Court also has a Day Centre as part of its premises, but this is run entirely separately. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, Unannounced Inspection, which took place over eight hours. A tour of the home was completed and also an inspection of relevant records and documentation took place. Areas looked at included information given to residents before being admitted to Sweyne Court; information gained when residents first come into the home; how information is given to staff on the care required; the facilities and environment of the home; and any complaints that may have been received since the last inspection. Also staffing and management of the home were inspected. During the tour of the home five residents and five relatives/friends were spoken to about their life and experiences at Sweyne Court. Some of the other residents approached were unable to express their thoughts and feelings, but it was noted that all were clean, tidy and well presented and smiled when physical contact was made. Five staff members were spoken with during the Inspection and this feedback has been included as part of the report. Questionnaires were also sent out to relatives, GP’s, District Nurses, Community Psychiatric Nurses and Social Services regarding to their experiences of the home. At the end of the day the Inspection was discussed with the Manager and advice and guidance was given regarding the findings. What the service does well: What has improved since the last inspection? The downstairs refurbishment of the home is now complete. The home are now ensuring they are gaining information on resident’s wishes regarding death and dying. The privacy and dignity of service users at meal times has now been addressed in the downstairs lounge. Staff are more aware of the importance of this time and it was relaxed. Staff are now receiving appropriate supervision. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sweyne Court DS0000062901.V304958.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 Sweyne Court DS0000062901.V304958.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): 1, 2, 3, 4 and 5. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Assessment form provides sufficient information on the care required. Present and prospective residents are given sufficient written information about the home to help them choose. Residents receive written Contract/Terms and Conditions. EVIDENCE: The home’s has a Statement of Purpose and Service User Guide, which contain details of the home and also the services provided. An up to date copy of these documents were obtained as they had been reviewed since the last inspection. Home Visits are completed for all new or prospective residents and a copy of the Service Users Guide is then provided. The home has a clear admission process and no one is admitted into the home without a home visit to ensure the home is able to meet their needs. Anyone being admitted to the home is invited to visit with their relatives or friends, but Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 9 this has not been routinely evidenced. One resident on a respite stay confirmed the Manager had visited her before her stay. Of the three files inspected all contained a fully completed assessment form (tick box) and also an assessment of need from Social Services. The home has a Contract/Terms and Conditions and all three files inspected contained a fully completed, signed and dated form. The Manager stated that she felt that staff had the experience and knowledge to provide the care required for the present residents. Most staff had received some form of dementia training. The home had sufficient equipment appropriate to the care it provides. Sweyne Court does not provide intermediate care. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. If fully completed the care plans provide sufficient information regarding the care required. It is clear that referrals are made to appropriate professionals to ensure that the resident’s health care needs are being met. Death and dying wishes are now being routinely recorded. EVIDENCE: Excelcare have a comprehensive care plan, which when fully completed covers all the required information. Three residents files were inspected; all contained a care plan, but the detail varied in each. There is a space to record when residents and relatives have been involved in their plan of care, but not all had been completed. The three files did not contain clear evidence of monthly reviews. Files inspected contained clear evidence to indicate that Residents are supported and have access to a variety of healthcare resources (optician, dentist, GP, District Nurse, Community Psychiatric Nurses etc). Residents spoken to confirmed that they had visits from GP’s, Optician and dentist and Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 11 ‘received the care they needed’. A CPN stated ‘the care staff have always presented in a friendly and courteous manner and seek advice when needs arise’. A GP added ‘the home works in partnership and communicates well’. The home has specialist equipment to help in the prevention pressure sores. The home has policies and procedures for death and dying and they try to ensure Residents are able to stay at the home in familiar surroundings for as long as possible. It was noted that files inspected now contained details of the Residents wishes in relation to death and dying. The privacy and dignity of residents is covered as part of the home’s induction process. Sweyne Court has a lot of dependent residents and many require the assistance of two staff members for personal care, toileting and hoisting. Staff were observed hoisting residents and assisting with toileting and the residents privacy and dignity was upheld. Residents spoken to stated ‘they are nice people’, ‘the staff are brilliant and have become my friends’ and ‘I cannot praise the staff enough’. Screening is provided in double rooms to ensure privacy is not compromised. During this inspection the meal times appeared more relaxed and organised. Tables were neatly laid with napkins and drinks were also provided. The residents downstairs had finished their breakfast at the start of the inspection at 9:30am; but those upstairs had not yet started, which seemed quite late. Excelcare has a policy on the Administration of Medicines, but this was not viewed during this inspection. A staff member was observed distributing medication to residents appropriately. Medication records were also observed and it was noted that one residents medication notes had not been signed for two consecutive nights, although medication had been clearly given. Also, those residents on PRN medication did not have any guidance or protocols on when this medication was to be given; although the staff member observed did confirm with the residents whether they were in any pain. Also the photos of residents appeared to be falling out of the medication folder and the recording sheets were difficult to turn due to the lack of space. Medication training had been organised for the 12th July 2006. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 13, 14 and 15. Quality of this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home tries to offer residents a flexible routine and promote independence and choice, but due to the layout and staffing of the home this is not always possible. Visiting arrangements are open and relaxed. Some activities are now being organised, but these need to be more in line with the dependency levels of the present residents. EVIDENCE: The home has a two-week activity programme, which includes seated exercises, sing a longs, bingo and quizzes. The Home’s Activity Co-ordinator has recently left and the Manager is in the process of recruiting another person. Some activities had been recorded on resident’s files, but there were large gaps between dates. On the day of the Inspection two residents had gone out for the day with relatives. Residents confirmed that some activities had taken place, but one relative expressed their concerns regarding the lack of stimulation in the upstairs lounges. Most residents on the day of the inspection were asleep in their chairs and the television was on as back ground noise. Upstairs had less stimulation and the residents have a much higher dependency. They are Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 13 presently seated in two small lounge/diners so there is no change venue/scenery during the day as they even eat in the same room. They are also unable to gain access to the garden unless taken by staff. The windows in the upstairs lounges are small so there is not much visual stimulation and on the day of the inspection it was very hot and uncomfortable. The television was on in the background, but not many residents appeared to be watching this. Daily activities need to be organised which are relevant to the dependency needs of the residents in both the upstairs and downstairs lounges. Routines within the home were fairly flexible. Independence of the residents would mainly depend on the staffing levels available within the home. The home has an open visiting policy, although they would prefer that visitors avoid meal times to ensure the dignity and privacy of other residents is adhered to. There is space around the home for visitors to see residents in private and during the inspection it was noted that many residents had visitors. One resident had arranged to have lunch with their relatives in an upstairs lounge. Four weeks menus were viewed. Most residents were complimentary regarding the food. The food seen during the day looked nice and well presented. Hot and cold drinks were served during the day. A quick menu had been introduced since the last Inspection and residents had a choice of a number of dishes available if they did not want the main course. Menu boards were also around the home – although some had not been updated with the correct menu. Some changes had also occurred with the staffing of the kitchen and servery; care staff now load and unload the dishwashers as kitchen staff finished at 3.00pm and care staff expressed their concerns regarding being taken away from their ‘care duties’. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides good information on making complaints and how to contact the CSCI. Residents rights are protected and advocacy services available if needed. EVIDENCE: There is clear written guidance in the Home’s Service Users Guide and Statement of Purpose on how relatives and residents can make complaints and feedback from the questionnaires confirmed that residents knew who to speak to if they were unhappy or wished to make a complaint. On viewing the homes complaint folder, a number of complaints had been received since the last inspection, but these had been fully recorded, investigated and a satisfactory outcome reached. The CSCI had also received one complaint, but a meeting had been organised with the Manager and relatives and appropriate action taken. Most residents have family members who are willing to help when needed. The Manager ensures that all resident’s rights are protected and an advocacy service can be arranged for any residents who may need assistance. There was clear evidence were the Manager had arranged for an advocacy service for two residents who rights and choices were not being upheld. The home does assist with residents ‘personal allowances’ and three were checked and found in order and well documented. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 15 The Home does have policies and procedures in place to ensure the protection of service users, but these were not fully inspected. At least half the staff have attended recent Protection of Vulnerable People training and guidance on verbal and physical aggression is in the staff handbook. The Home has had no POVA incidents since the last inspection. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made to the building, which provides better accommodation and environment to the residents downstairs; upstairs is yet to be refurbished. EVIDENCE: The downstairs refurbishment has now been completed. Ensuite bedrooms are now available and the lounge/diner has also been decorated. There is a separate lounge available. Tiled floors are now throughout the hallways and diner, which assists with the odour control of the home. The upstairs refurbishment has not yet started, but there have been changes to the lounge and dining areas and smaller areas are available. Planning permission has been put in to extend the home and once completed the upstairs will also be refurbished. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 17 The home was very clean and tidy and it was noted that one room had a ‘cleaning programme’. Carpets in some places are very old, but the floor tiles in the main areas have improved the homes odour control. Some residents and relatives spoken to expressed concerns regarding the heat in the home. Some fans were available, but it was very hot and uncomfortable. One resident stated that her bedroom was next to the boiler room and at night she was too hot to sleep. Ice creams and cold drinks are organised on a regular basis, but the home needs more long term solutions to the heat problem. Toilets and bathrooms were inspected and all were clean and tidy. All had paper towels, liquid soap and alcohol sanitizer. The home has a secure garden, which is accessible to the downstairs residents and has seating available. It was noted that the garden lacked any interesting visual stimulation of features or colour. The home also has ‘security pads’ at the front door to ensure residents do not go outside without staff being aware. Sweyne Court offers accommodation to residents with a variety of walking abilities. There are grab rails around the corridors of the home and wide doorframes for wheelchairs. The Manager confirmed that there was sufficient equipment for the present residents. There is a call bell system in every room, but this was not tested during the Inspection. Sweyne Court has its own laundry facilities and this was well organised. Most residents stated they were happy with the service and all those residents seen during the Inspection were noted to be clean and well presented. Some relatives choose to do their own laundry. It was noted that on the day of the Inspection that the laundry room door had been left open and this was brought to the Managers attention. Downstairs bedrooms are nicely decorated and well set out. Upstairs bedroom are clean and tidy and some contained evidence of personal possessions. One resident stated ‘my newly decorated room is lovely’. The bedrooms also had residents names on to assist with orientation. The home was ‘odour free’ during this inspection. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 18 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 and 30. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient permanent staff to meet the residents needs. The home has no NVQ 2 trained staff, bur other training is regularly organised EVIDENCE: During the inspection there were 4 staff plus one shift leader upstairs and 2 plus one shift leader downstairs. The Manager is supernumery to staffing numbers. Staff are now allocated to either upstairs or downstairs and they work the whole of their shift within this area. Staff spoken to during the Inspection stated that they did not feel there were enough staff upstairs as the dependency levels were very high and they were also in two lounges. The home does not at present have any NVQ 2 staff. Excelcare are in the process or organising training to rectify this. Evidence of other training that had been organised included catheter care, oral hygiene, infection control, moving and handling and fire safety. Evidence was available of training completed. Excelcare have a recruitment process, which on discussion with the Manager meets with requirements and protects residents. A new staff members file was inspected and this contained al the required information. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 19 Excelcare have a set Induction for new staff, which the Acting Manager stated met with the Skill for Care requirements, but written evidence was not sought on this inspection. Staff receive a staff handbook with relevant guidance. Excelcare have a Regional Trainer who organises training for the home. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37 and 38. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Manager is very experienced and has a good understanding of the residents needs. Excelcare have comprehensive policies and procedures. There are clear lines of accountability. The Company and Manger are very proactive if situations occur. EVIDENCE: Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 21 The Manager has experience in managing a residential care home for older people. She also has extensive knowledge of caring for those residents with dementia and has completed her NVQ4 and Registered Managers award. There are clear lines of accountability within the home. A GP stated ‘it is a well run home in all aspects’. Policies and procedures used by Excelcare cover the health and safety and welfare of staff and residents. The Manager is aware of her responsibilities regarding safeguarding both staff and residents. Policies and procedures were in place to ensure safe working practices. Excelcare do not routinely assist with resident’s finances, most present residents have assistance from family. Some bedrooms have lockable storage for residents to keep personal possessions and valuables. The personal allowance of three residents was checked and all were correct. Staff and resident files are kept secure and Excelcare are registered with the Data Protection Act. The Manager confirmed that residents could have access to their files and this is also stated in the Service Users Guide. Excelcare do have a Quality Assurance system and questionnaires are sent to staff and service users annually to gain their views. Once these have been returned they are collated and a report written. CSCI have received the Quality Assurance report for 2005. The home also have their own Q/A system and questionnaires can be found around the home called ‘penny for your thoughts’. The Manager has arranged ‘Relative Meetings’ and a ‘surgery’ to gain views and thoughts. The Regional Operational Manager makes regular visits and a copy of their report is submitted to the CSCI with any action clearly marked. Also the Manager ensures the CSCI are advised of any incidents/accidents within the home. The home has a supervision policy and there was clear evidence that staff had been seen regularly. The Home’s insurance policy was seen and is in order. Certificates for the boiler, electrical, water temperatures, lift were seen and all were in date. Risk Assessments for the home had been completed. Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 3 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 4 18 3 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 1 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(2)(b) Requirement The registered person shall keep the service user’s plan under review. This is in connection to ensuring resident care plans are regularly reviewed and any changes recorded and implemented. 2. OP9 13(2) The registered person shall make 31/07/06 arrangements for the recording, handling, safeguarding, safe administration and disposal of medicines received into the home. This is in connection to ensuring that staff are reminded to sign for any medication given as there were blank spaces on the medication sheets, but the medication was not present. 3. OP10 23 (1) (a) (2)(a) The registered person shall not use premises for the purpose of a care home unless the premises are suitable for the purpose of achieving the aims and objectives set out in the Statement of Purpose. DS0000062901.V304958.R01.S.doc Timescale for action 31/07/06 31/08/06 Sweyne Court Version 5.2 Page 24 Also the registered person shall having regard to the number and needs of the service users ensure that the physical design and layout of the premises to be used as the care home meet the needs of the service user. This is in connection to the residents who presently use the upstairs lounges. The issue appears to be with the environment, but also with the care. The environment does not help stimulate those with dementia, breakfast appears to be happening late and staff are very ‘care orientated’ rather than holistic. 4. OP12 16 (2)(n) The registered person shall having regard to the size of the care home and number and needs of the service users consult service users about their social interests, and make arrangements to enable them to engage in local, social and community activities. This is in connection to arranging suitable activities for both residents upstairs and downstairs. 5. OP19 23 (2) (o) The registered person shall 31/08/06 having regard to the number and needs of service users that the external grounds are suitable, safe for use and provided for service users and maintained. This is in connection to ensuring the residents upstairs gain access to the garden and also making it more ‘user friendly’ and ‘stimulation’. 30/09/06 Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 25 6. OP25 23 (2)(p) The registered person shall 31/07/06 having regard to the number and needs of service users ensure that ventilation, heating and lighting suitable for service users is provided in all parts of the care home which are used by service users. This is in connection to trying to find a solution to the high temperatures within some areas of the home. 7. OP28 18 (1) (c)(i) The registered person shall having regard to the size of the care home, the statement of purpose and the number and needs of the service users ensure that person employed to work at the care home receive training appropriate to the work they are to perform. This is in connection to ensuring the home are proactive in assisting staff to apply and gain their NVQ”2s. 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 Refer to Standard OP5 OP7 OP9 Good Practice Recommendations Recommend that trial visits to the home are recorded. Please ensure that residents are involved in their plan of care and where possible sign to state they agree with it. It is recommended that PRN sheets are introduced with guidance to staff on when medication may be required. DS0000062901.V304958.R01.S.doc Version 5.2 Page 26 Sweyne Court 4. 5. OP9 OP9 Recommend new photos are added to the medication folder as some are falling out. Recommend a larger file is used for the storing of medication records as it was difficult for staff to turn the pages in the present on and some pages had come away. Ensure activities are clearly recorded. Please ensure the laundry room is locked to ensure residents are safe. 6. 7. OP12 OP26 Sweyne Court DS0000062901.V304958.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Sweyne Court DS0000062901.V304958.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. 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