CARE HOMES FOR OLDER PEOPLE
Taptonholme 14 Taptonville Crescent Sheffield South Yorkshire S10 5BP Lead Inspector
Sue Turner Key Unannounced Inspection 30th October 2007 08:30 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 Taptonholme DS0000003021.V337359.R02.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. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Taptonholme Address 14 Taptonville Crescent Sheffield South Yorkshire S10 5BP 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) 0114 266 3440 0114 266 3440 info@taptonholme.co.uk Taptonholme Limited Post Vacant Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Taptonholme provides residential and personal care for up to 19 older people. The home is located in the Broomhill area of Sheffield close to local shops and public transport. Taptonholme is a large extended older property with accommodation over four floors. All bedrooms are single and two have ensuite facilities. The home is situated in its own grounds and has a large mature garden with seating areas. There is a small car park. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of monthly fees from 1st April 2007 were £390.00 - £460.00 per week. Additional charges included newspapers, hairdressing and private chiropody. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced key inspection carried out by Sue Turner regulation inspector. Heather Hudson, an expert by experience, accompanied the inspector. An expert by experience visits the home with an inspector to help them get a picture of what it is like to live in the home. She spent time talking to people and making observations of daily life. This site visit took place between the hours of 8.30 am and 3:40 pm. Karen Walker is the manager and was present during the visit. Prior to the visit the registered manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. The Commission for Social Care Inspection (CSCI) received three questionnaires from people using the service, three from relatives and three from professionals. Comments and feedback from these have been included in this report. On the day of the site visit staff were observed interacting with people that live in the home. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to four staff, two relatives and ten people living in the home. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last inspection in September 2006. The progress made has been reported on under the relevant standard in this report. The inspector wishes to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the service does well:
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 6 People living in the home said that the care they were receiving was good. They made comments such as: “Staff are lovely”. “This really feels like home”. “Staff are kind and caring”. “Everything is lovely”. “It’s not like being at home, but I can’t be at home on my own but I’m happy with life”. “They’re all very kind”. Comments received from questionnaires and from talking to relatives were positive and included: “We are very happy with the residence and service provided”. “The home gives mum a quality of life relevant to her disability”. “It is a friendly well run home which mum enjoys being part of”. “We are very happy with the home and cannot think of any way it can improve to support my mum”. Health professionals said: “The staff are always polite and helpful” “The residents well cared for”. The Expert by Experience said: “Overall I have found things very good. People are happy and have no complaints”. “People are well dressed in clean clothes and have received a good standard of personal care. “I came away from Taptonholme with a feeling that it was a caring place, with staff who respected their guests”. Care plans were in place for all. They set out all aspects of personal, social and health care needs and recorded the staff action required to ensure all identified needs were met. People’s health care was monitored and access to health
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 7 specialists was available. People and relatives confirmed that staff were always respectful towards them. People said that they had a choice of food and that the quality of food served was “alright”, “eatable” and “appetising”. There was a complaints procedure and Adult Protection procedure in place, to promote peoples safety. People said they had confidence in the homes manager and staff, who would listen to any concerns and take them seriously. People said that they felt safe living at the home. Training took place, to equip staff with the essential skills needed. Systems were checked and serviced to maintain a safe environment. What has improved since the last inspection?
A new manager had been recruited. People, relatives and professionals said they could see many improvements made in the home recently. All of the requirements made at the previous inspection had been actioned, the provider, manager and staff are commended for this. Individual risk assessments had been put in place. These identified and any risk to a person and looked at ways in which any risk could be reduced or eliminated. Peoples care needs had been assessed and met, this included any continence issues. Care plans had been reviewed. Where possible people had signed their care plans and relatives/representatives had been consulted in this process. Peoples weight was being monitored and recorded. People were being consulted on their choice of food at teatime and were aware that alternatives to sandwiches were available for them. A rolling programme of refurbishment and redecoration was underway. People’s toiletries were not communally stored in bathrooms. They were returned to individuals and kept in their rooms. Continence programmes for people and hygiene control procedures had been revised. The home clean and smelt fresh. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 8 Staff training records detailed all training undertaken including adult protection. Staff supervision was taking place, to support and give guidance to staff on an individual basis. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Taptonholme DS0000003021.V337359.R02.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 Taptonholme DS0000003021.V337359.R02.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): Standards 1 and 3. Standard 6 is not applicable to this home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided sufficient information to inform people about their rights and choices. Pre admission information ensured the home was able to meet peoples health, social and care needs. EVIDENCE: The homes Statement of Purpose and Brochure were available in the entrance hall, for anyone visiting the home. These included useful information about the home and the services offered. In each persons room there was a ‘Residents Handbook’. The handbook had been written in 2003 and included some information that was out of date. The handbook was typed in small print and could not be easily read by people with
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 11 impaired vision. The manager said she was aware that the handbook needed to be updated and changed so that people could easily read the content. Prior to admission taking place, professionals and staff from the home assessed people. This either took place at Taptonholme or at peoples own homes if they preferred. This confirmed that the service was appropriate for the person and provided staff with information to formulate an individual plan of care. One person said: “I chose Taptonholme primarily because of its convenient location offering transport to former haunts. I was welcomed and given a beautiful room”. Taptonholme DS0000003021.V337359.R02.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): Standards 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s care needs were documented in the care plans and a range of health care professionals visited the home, which meant that individual needs could be met. Medication procedures protected people’s health and welfare. People and their relatives were complimentary about the way staff promoted their privacy and dignity. EVIDENCE: Three plans of care were checked. These contained specific information on all aspects of personal, social and health care needs. The plans included information on the staff action required to ensure assessed needs were met. Staff were aware of the contents of care plans and were knowledgeable about peoples individual needs. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 13 The care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said that GP’s, dentist, opticians and chiropodists visited the home as requested. People and/ or their relatives said they were involved in drawing up and reviewing the care plans. Staff were updating risk assessments and care plans on a monthly basis. When asked if they received the care and medical support they needed, the three peoples questionnaires returned said “always”. Relatives said: “ The level of care for my mother is very good”. “The staff are very friendly and they keep my mother very clean”. “Mum is unable to move without her wheelchair so yes they do support everything she wishes to do”. “Mum has 24 hour care and myself and the rest of the family are happy that she is in good hands”. Medicines were securely stored in locked trolleys within locked cupboards. People spoken to said that staff administered their medication at appropriate times. Managers and senior staff administered medications. A monitored dosage system was in place. Staff said they had completed an in-depth training programme, over a three-month period. This gained them the competencies needed to administer medications. They had also had a half-day training course delivered by the pharmacist. There was evidence that managers were auditing medication administration procedures. Medication administration records (MAR) sheets were checked and were fully completed. Controlled drugs (CD) were kept in a clinical room and within a double locking cabinet. Two staff signatures were recorded in the CD register. Three professionals were asked if the service respected people’s privacy and dignity. Two answered “always” and the third said “usually”. Staff spoken to were aware of the need to treat people with dignity and respect and were observed interacting in a friendly and pleasant way. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 14 The expert by experience said: “I observed staff being polite to people, at all times”. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 15 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): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had a choice of lifestyle within the home and were able to maintain contact with family and friends ensuring that they continued to be involved in community life. A limited range of activities was on offer, further activities would promote choice and maintain peoples interests. Meals served at the home offered choice and ensured people received a healthy balanced diet. EVIDENCE: People said they were able to get up and go to bed when they chose, and were seen to walk freely around the home, if able. Relatives spoken to said they were able to visit at any time and were made to feel very welcome. The inspector saw that everyone coming to the home was made to feel comfortable whilst visiting their loved one. One person seen preferred to spend most of their time in their room and staff respected their decision.
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 16 People said that they enjoyed the activities available. They said there were plans to make Christmas cards and go on a shopping trip to Meadowhall. A poster advertised a ‘Bonfire Party’ and people talked about attending church. Some people said, although better, there still wasn’t enough to do. Carers at the home had the responsibility of carrying out activities, which although they enjoyed, added to their tasks. Staff rotas were difficult to cover due to sickness, resulting in activities being the first thing that would be disregarded. The inspector discussed with the manager the need for an activities worker, to enhance people’s social life and reduce the burden on carers. People said: “I have interests to occupy my time when there is no specific activity. I choose from activities provided, there are occasions when there are trips outside the home in which I participate”. “There’s not much to do in the daytime”. “I would like to go on more trips, but I don’t want to go to Meadowhall”. One Relative said: “The home has activity both inside and outside, which is necessary”. One professional said: “From my recent review of a person at the home, I felt the service treated people as individuals and offered suitable social activities and outings”. The expert by experience said: “When speaking in general people on the whole were all aware of the events being arranged for them. The inspector sat with people at breakfast. People were asked their preferences of food and drinks and were served in a friendly manner. The expert by experience joined people for lunch. Tables were set nicely with cloths, condiments, matching crockery and fresh flowers. During the morning people had chosen from three options and were given their preference. Staff were seen supporting people in a polite and discreet way. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 17 The expert by experience said: “There was help available for those who could not feed themselves; this was done in a sympathetic and unobtrusive way. I noticed the carer did ask if they had finished with their plates, and thanked them as he/she took them away”. The menus were varied, and there were plentiful supplies of fruit and vegetables included. People said: “Booking standards vary, but the chef always serves appetising meals”. “The food is eatable, I do like it, especially the homemade egg custard”. “The food is alright, but it doesn’t interest me like it used to”. The expert by experience said: “I had quiche and chips, this was basic, I was also offered baked beans or tinned tomatoes as a vegetable”. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 18 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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints procedures were in place and people and their relatives felt confident that any concerns they voiced will be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure that people were protected. EVIDENCE: People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. This contained details of who to speak to at the home and who to contact outside of the home to make a complaint should they wish to do so. People said that they felt very comfortable in going to any member of the staff or management team, knowing that any concerns they may have would be addressed without delay. The home kept a record of complaints, which detailed the action taken and outcomes. The home had received two complaints since the last inspection; each had been investigated by the manager and any appropriate action taken as necessary. We had not received any complaints about the home.
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 19 Staff spoken to were clear how to respond and record any complaints received. When asked if they knew how to make a complaint or speak to someone if they were unhappy, people that returned surveys said: “Always”. “Yes, but this question is rarely applicable”. “Yes and if I forget my son and daughter in law know what to do”. One relative said: “The home are very supportive of mum and are quick to let us know if there are any problems”. An adult protection procedure was in place. Staff had undertaken formal training on adult protection, which had equipped them with the skills needed to respond appropriately to any allegations. People spoken to said that they felt safe living at the home. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 20 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): Standards 19, 24 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The rolling programme of refurbishment and decoration had greatly improved many areas of the home. So that everyone is able to live in a comfortable and safe environment the programme of refurbishment needs to be ongoing. EVIDENCE: A rolling programme of refurbishment and redecoration was underway. The dining room had been decorated and had new furniture, which was homely and comfortable. The refurbishment of bathrooms and toilets had started on the ground floor and the lounge was to be decorated. New carpets had been fitted in areas of the home including the smoking lounge.
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 21 People’s bedrooms differed greatly in how they were decorated and furnished. Some rooms were of a very high standard and others were very basic. Some rooms seen had people’s personal belongings in, others looked quite bare and uninviting. One person said: “Lovely new carpets give a good impression and add to comfort”. The home was clean, tidy and fresh smelling. When asked is the home fresh and clean one person said: “Excellent, exceptional”. One relative said: “The home provides a clean, comfortable and relaxed place to live”. The expert by experience said: “It was nice to see fresh flowers around the home”. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 22 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): Standards 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff were provided to meet the needs of people. Recruitment procedures promoted the protection of people and staff had completed training, including induction. EVIDENCE: Staff rotas showed that there was sufficient staff employed to meet the needs of people. Staff said that there were usually enough staff, except sometimes at holiday times and if there was staff sickness. Regular bank staff and staff working extra hours were used to cover at these times. Staff said this helped to ensure that people’s needs were met in a consistent way. Staff said they worked well together as a team and enjoyed working at the home. Staff were able to talk about the various training courses that they had attended, which included all of the mandatory training, for example, Moving and Handling, Food Hygiene, Adult Protection, First Aid and Fire. Other specialised topics for example diabetes and report writing had been delivered by the Sheffield Partnerships for Older Peoples Projects (POPP’s) team.
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 23 One person living in the home was being treated for epilepsy. This was causing some difficulties. The inspector believes that staff should undertake training in epilepsy so that the person’s needs are fully met. The manager agreed and said that she would arrange this as soon as possible. Three domestic assistants were employed at the home. For cleaning purposes, it was necessary for them to move furniture, some of which was bulky and weighty. The inspector believes that offering them training in moving and handling ‘loads’ would be valuable and necessary. Twelve care staff had achieved NVQ Level 2 or above in care. A number of care staff had also commenced the training. This clearly met the required minimum of 50 of the staff team trained to NVQ Level 2 in Care. Staff interviewed said that when they started work they received induction training in the first two months of their employment. Three staff files checked identified that the member of staff had received induction training when they commenced work. Three records of employment were checked. These included all of the required information including interview assessment, verification of identity, references, certificates of training, health checks and evidence of CRB and POVA check. Application forms fully recorded previous employment. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 24 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): Standards 31, 33, 35, 36 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager’s approach benefited people and staff. The quality assurance system needed further development to ensure that the home was run in the best interests of everyone. People’s monies were safely handled, which ensured that finances were accurate and safeguarded. People’s health and safety had been put at risk, in some areas. EVIDENCE: The registered manager is experienced in the care of older people and has achieved the Registered Managers Award (RMA).
Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 25 Everyone spoken to and information from questionnaires confirmed that people, staff and relatives were all happy to approach the manager at any time for advice, guidance or to look at any issues. They all said that they were confident that she would respond to them appropriately and swiftly. Relatives said: “Since the new manager started things seem to be getting done quickly”. “The manager has made many improvements and if you need anything she will sort it out”. The provider visited the home each month, spent time speaking to people and staff and then reported his findings. Other quality assurance systems had started to be put in place, but needed further development. One professional said: “ There have been several occasions when I have requested information to be sent to me but had to chase this up more than once”. The home handles money on behalf of some people. This was checked for three people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Formal staff supervision, to develop, inform and support staff took place at regular intervals and staff said that they found this useful and beneficial. Equipment at the home was serviced and maintained. Fire records evidenced that fire alarm checks took place each week. Staff said that they had received fire training. Staff had recently been involved in a number of fire drills. The manager said that their response to the drills had not always been satisfactory and therefore more drills were planned. The manager and inspector agreed that further fire training, provided by the fire service would be helpful. The manager said she would arrange this as soon as possible. During the site visit, a cupboard that contained substances that could be hazardous was seen unlocked. When the inspector asked for the cupboard to be locked the lock was not secure and the substances could be easily accessed. The manager arranged for the cupboard to be fitted with a new lock the following day. Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 27 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 OP19 OP24 Regulation 23 Requirement Redecoration and refurbishment of bedrooms must be completed as part of an ongoing programme. The smoking room must be redecorated and any damaged chairs must be replaced. Timescale for action 01/10/08 2. OP19 23 01/03/08 3. OP38 23 Following the completion of the 01/12/07 Fire Risk Assessment, appropriate action must be taken about any risks identified. A suitable lock must be fitted to the cupboard where hazardous substances are stored. 31/10/07 4. OP38 13 Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP1 OP12 Good Practice Recommendations The ‘Residents Handbook’ should be reviewed and updated. The design of the handbook should be revised to make it easier for people to read. A further programme of activities should be developed to include a wider and more frequent range of activities. People should be consulted on their preferences, and activities provided should be recorded and monitored. An activities worker should be recruited so that the programme of outings and activities is enhanced. Staff should be provided with training in caring for people with epilepsy. Domestic staff should be provided with training in moving and handling ‘loads’. A quality assurance system should be further developed to ensure that the views of people, relatives and professionals are sought, and that results of these consultations are published. The manager should access further fire training so that staff are confident and aware of their responsibilities when carrying out fire drills and in the event of a fire. 3. 4. 5. 6. OP12 OP30 OP30 OP33 7. OP38 Taptonholme DS0000003021.V337359.R02.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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
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