Inspection on 20/06/06 for The Chanters Care Home

This inspection was carried out on 20th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

The Chanters Care Home 10/09/08

The Chanters Care Home 22/08/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE The Chanters Care Home Tyldesley Old Road Atherton Manchester M46 9AF Lead Inspector Judith Stanley Unannounced Inspection 20th June 2006 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 The Chanters Care Home DS0000065685.V295917.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. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chanters Care Home Address Tyldesley Old Road Atherton Manchester M46 9AF 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) 01942 884500 01942 896599 Ashbourne (Eton) Limited T/A Southern Cross Healthcare. Care Home 40 Category(ies) of Dementia - over 65 years of age (5), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (40) The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered for a maximum of 40 service users to include:up to 40 service users in the category of OP (Older People) up to 5 service users in the category of DE(E) (Dementia over 65 years of age) up to 1 male service user in the category of LD(E) (Learning Disability over 65 years of age) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. Date of last inspection New registration. Brief Description of the Service: The Chanters Care Home is situated in Atherton, close to the town centre, with access to shops and other local amenities, including public transport. The Chanters is a two-storey, purpose-built property that offers personal care and support for 40 male and female residents over the age of 65 years. The home offers all single rooms with en suite facilities. Bathrooms, toilets, communal lounges and dining rooms are available on both floors. The home has safe, enclosed gardens to the rear and car parking is available at the front of the home. The current scale of fees at The Chanters ranges from £285.00 to £400.00 per week. Additional charges are made for hairdressing, holidays, toiletries, daily papers and magazines and some trips out. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over 8 hours on one day, and was unannounced. The acting manager was available to assist with the inspection. Part of the time was spent in the office looking at residents’ records (care plans), staff files, staff training records, menus and other documents the home needs to keep to run its business. The rest of the time was spent talking to residents, relatives and staff, as well as a tour of the premises What the service does well: What has improved since the last inspection? What they could do better: A statement of purpose is to be produced, relating to the aims and objectives and the services and facilities provided at The Chanters. A service user guide should be produced and available to current service users and offered to prospective residents, to help them make an informed choice about where to live. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 6 The menus are currently under review. It may be beneficial if breakfast was served on a flexible basis to allow residents to get up and dine when they are ready instead of all having to wait until a set time. The breakfast menu needs to offer more choice, including a cooked breakfast as and when required. Some of the bathroom and toilet floors are heavily marked with black stains, these look unsightly and require attention to remove them. Carpet on the corridors and in the dining rooms on both floors are stained and in need of replacing, as is the lounge carpets. Paintwork on both floors requires attention as it is chipped and scratched. The “ex wheelchair” storage cupboard now being used for the staff office on the ground floor is not suitable for staff to work in. There is no ventilation and no natural light. Also the door opens out in to the corridor and has no viewing window, staff could endanger residents walking by. The acting manager is to ensure that all existing staff at the home have completed a Criminal Records Bureau Check to ensure the protection of residents living at the home. The payphone in the foyer needs to be relocated; residents wishing to make or receive calls need to be able to do so in private, this is not possible in its present location. 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 Chanters Care Home DS0000065685.V295917.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 The Chanters Care Home DS0000065685.V295917.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 and 3. Standard 6 does not apply at this home. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The statement of purpose and the service user guide does not provide up to date information to assist prospective residents to make an informed decision about admission to the home. The home has a satisfactory pre admission assessment procedure to ensure that the home can meet the assessed needs of residents. EVIDENCE: The home has recently been taken over by another company and the statement to purpose and the service user guide needs amending and updating to include relevant details. The service user guide should be readily available to current and prospective residents and their families in a format that is suitable for intended residents. The details in both documents should be relevant to The Chanters and not just corporate documents. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 9 Three care plans were looked at and all contained pre admission assessments. The paperwork is in the process of being changed on to a new format therefore assessments differ. Assessments are carried out at the most convenient place for the prospective resident either at their own home or at hospital. Assessments were seen to cover personal care and physical wellbeing, diet and weight, sight, hearing and communication, mobility and dexterity, falls, continence, medication, social interests and social contacts. The assessments provided a clear picture of each person’s individual needs and capabilities. The Chanters Care Home DS0000065685.V295917.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Three care plans were looked at, were detailed, up to date and reflected the care needed. The systems for the administration of medication are good with clear arrangements being in place to ensure resident’s medication needs are met. Personal support is offered in such a way as to promote residents’ privacy, dignity and independence. EVIDENCE: The format of the care plan is in the process of being transferred using the new paperwork. Three care plans were made available for inspection and on examination all aspects of resident’s health, personal and social care needs are planned for. Care plans had been updated monthly as required or more frequently if The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 11 needed. There was evidence to show that the care plans had been agreed and signed by the resident or their representative. There was clear evidence of access to community services such as residents GP, Chiropody, Eye Testing and District Nurse support, advice and ongoing treatment and access to aids and adaptations that maintain the quality of life for residents. Appropriate risk assessments, which seek to protect resident’s health and safety, were also recorded in respect of resident’s risk of falls, pressure sores, mobility, and nutrition (including weight monitoring) and other relevant areas. An area that could be developed is more information about residents past work and life experiences. This background information will give staff an insight in to the residents they are providing care for and generate topics for conservation. The arrangements for resident’s medicines were secure and appropriately documented. Three residents MAR sheets (drug sheets) were looked and the drugs checked against them and no errors were noted. The controlled drugs were checked on the ground floor and again all were appropriately recorded and checked against the stocks, no errors were noted. Staff have a good awareness of how to protect residents dignity and privacy. Staff were seen knocking on bathroom, bedroom and toilets doors and waiting for a response before entering. They were seen to deal with individual residents in a supportive manner, for exampled doing things with them and not for them when appropriate. One resident stated,“ nothing is to much trouble, they are lovely staff and are very caring”. Residents at the home must be able to make and receive telephone calls in private. This is not possible with the location of the payphone, which is situated in the homes foyer. The Chanters Care Home DS0000065685.V295917.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): 12,13,14 and 15 Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The home provides a wide range of activities that takes account of individual expectations and preferences, and provides good opportunities for social inclusion. Residents maintain good links with family and friends and the local community, as they choose. Residents are able to exercise as much personal freedom and choice as possible within a risk assessed framework and within the confines of the residents expressed interests and capabilities. The meals in this home are good offering choice and variety, and catering for special dietary needs. EVIDENCE: The home provides a range of activities. For the month of June 17 areas of activity had been planned, these included: games mornings, worship gathering, pet therapy, bingo, quizzes, visiting library, film show and arts and The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 13 crafts. Residents spoken with, in the main were happy with what went on in the home. One resident said, “nothing happens at night time and occasionally it may be nice to have an entertainer visit”. Other residents spoken with said they did not take part in the activities, but that was their choice. The home is planning to hold a Summer Fayre and is having a meeting with residents to discuss the forthcoming event. It was noted from the activity sheet offered to the Inspector that no outdoor trips or shopping excursions had been planned, this needs to be reviewed. Visitors were seen arriving at the home and one visitor spoken with was very happy with the care her relative received, she said, “the staff were very nice and they worked hard”. Reference was made to the cleanliness of the home and the fact that there were no unpleasant smells. There are no restrictions on visiting times and residents can entertain their visitors in the lounge area or in the privacy of their own rooms. Residents spoken with confirmed they got up when they wanted to and went to bed when they were ready and that they made decisions about what clothes to wear that day. On inspection of resident’s bedrooms, they were found to be warm and comfortable, clean and tidy and most residents had personalised their rooms with possessions brought from home. The menus at the home are currently under review. The present menus being served offer a well-balanced and nutritious diet, however the new menus are intended to offer more choices and residents suggestions. On the day of the inspection, the Inspector was at the home from 08.30, and most residents were up and waiting for breakfast. It may be beneficial if breakfast was served on a more flexible basis to allow residents to dine when they are ready and not have to wait until 09.00. The choice of the breakfast menu is basic, currently residents get a cooked breakfast on Saturdays, this is not acceptable residents must be offered a range of breakfast dishes throughout the week, for example bacon and tomatoes, beans on toast, scrambled, poached or boiled eggs, as well as a range of cereals, toast and preserves and a choice of tea or coffee. , Residents may also like to be offered grapefruit, prunes or fruit juice as an extra cold addition to the meal. Lunch is the main meal of the day. The Inspector sampled the main choice, which was gammon, boiled potatoes, garden peas and diced carrot and swede served with parsley sauce, followed by pineapple sponge and custard. The meal was nicely cooked, tasty and was presented in an appealing manner on large dinner plates. Two residents spoken with after their lunch said that the food was always good, one resident said, “ I thoroughly enjoyed that today, the gammon was lovely, nice and soft”. It was noted that all residents had the main meal, the cook said choices were always available however, these were not written on the menu board. A cooked tea was being prepared; this consisted of oxtail soup, cottage pie, followed by jam or lemon tarts. Again alternatives are available but not written on the menu board. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 14 Drinks and snacks were available throughout the day. Suppers are served before residents retire for the night. It was noted that most residents dine in the dining rooms, however some preferred to eat in the privacy of their own rooms. The dining rooms are bright and the tables were nicely set with matching crockery and suitable cutlery. The carpets in both dining rooms are heavily stained and are in need of replacing, they are unsightly and spoil the overall setting. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality is this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. Residents and their supporters can be assured that their complaints and concerns will be listened to and appropriate action taken. The home has an adult protection policy, however not all staff have completed training in this area which could potentially place residents at risk. EVIDENCE: There has been one complaint reported to the home. This was with regard to a family member asking the home to administer medication that had not been prescribed by the GP. It is the homes policy that all medication must be prescribed and the acting manager adhered to this procedure. The acting manager has dealt with this and the investigation and the outcomes have been suitably recorded. The complainant has been contacted by a representative of the company and the acting manager and the complaint amicable resolved. There have been no complaints made to CSCI. Two residents were asked if they knew how to make a complaint, one said, “ I would speak to the manager if I wasn’t happy with what went on here.” Staff spoken with were clear about their obligation in protecting residents from abuse in any of its forms and knew what to do if they had any concerns. However not all staff have received training in this area. The acting manager is The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 16 required to include Protection of Vulnerable Adults training in to the training programme and ensure that all staff has up to date knowledge in this area. Up to date policies and procedures are available at the home and some staff have received training in this area. All staff must receive training in the Protection of Vulnerable Adults. The Chanters Care Home DS0000065685.V295917.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. In the main, the standard of the environment was adequate. Some areas of the home require attention to provide residents with a more comfortable homely and pleasant place to live. Infection control procedures are good, making this a clean environment for residents. EVIDENCE: It was noted during the inspection that parts of the home were being decorated. There was no work in progress during the Inspectors visit. Attention is required to the paintwork, which is chipped and scratched in places. The carpets on the corridors and in the dining rooms need to be replaced as these are stained and past cleaning. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 18 It was noted that some of the bathrooms and toilet floors have black stains on them, these look unsightly and need to be removed. Residents spoken with said their rooms were very nice and were kept clean and tidy. The Inspector looked at several bedrooms during a tour of the premises. The Inspector noted that on the ground floor some residents enjoyed sitting in the corridor chatting with other residents. The Inspector spent time talking with the four residents, two were sitting on chairs; one sitting on a small table and one was standing. The two chairs available were obviously not enough. If this area is a meeting point for residents, some thought is required on how to make it more comfortable. The relocation of the nurses’ office on the ground floor is not practical. Staff working in the office cannot see what is happening on the floor and there is risk of injury to residents and staff as the door swings outwards and could hit someone passing by. The garden area to the rear of the home now a ramp, which allows residents to access the garden area more easily instead of going down steps. The laundry was inspected; all the equipment was in working order. Residents clothes were seen to be nicely washed and ironed and were promptly returned to residents rooms. Domestic staff work hard in keeping the home clean and tidy and residents and relatives spoken with were complementary about the cleanliness of the home and that there was never any unpleasant odour detected. The Chanters Care Home DS0000065685.V295917.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area was good. This judgement was made using available evidence including a visit to the service. Staffing levels at the home and the skill mix are appropriate to the assessed needs of the residents. Most staff are properly trained to deliver the care that residents need. In the main, the standard of recruitment practices were good ensuring the safety and protection of residents living at the home. EVIDENCE: On the day of the inspection there was an adequate number of staff on duty. Staff rotas were available for inspection. Staff turnover at the home is low; this helps provide reliable and consistent care for the residents by staff they know and are familiar with. Residents spoken with described staff as “wonderful” and “very kind and caring”. Staff training is ongoing with 65 of staff having completed NVQ level 2. Of the staff files checked, training had been completed in Drug Awareness, Moving and Handling, Food Hygiene and Fire Safety. Further training is planned and the acting manager must incorporate in to the training, Protection of Vulnerable Adults for all staff and First Aid to ensure that a trained First Aider is on each shift. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 20 Two staff files were looked at. Both files contained Criminal Records Bureau checks, a written application, and references (one file only had one reference, this was on a file completed before the acting manager came to the home) and other forms of identification. It was brought to the attention of the Inspector that at least two long - standing members of staff had not had their CRB checks returned. The acting manager has inherited this problem but is taking prompt action in rectifying the matter. Throughout the inspection it was evident that staff had the necessary skills and were competent to do their jobs. Some staff spoken with would like to enrol on to NVQ level 3 but are aware that funding is an issue. The Chanters Care Home DS0000065685.V295917.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is being well managed resulting in consistent and reliable service for the people using it. Quality assurance systems are in place to ensure the home is run in the best interests of the residents. The home has a satisfactory accounting system in place to safeguard resident’s finances. Procedures and practices within the home promote and safeguard the health, safety and welfare of people living and working at the home. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 22 EVIDENCE: The acting manager has the necessary skills and knowledge to manage the home, and has a good understanding of the areas in which the home still needed to improve. The acting manager is working toward the Registered Managers Award and is anticipating to have completed this by September 2006. Systems are in place for auditing and monitoring the quality of the service. This is done through residents and staff meetings, through manager’s monthly audits and service user satisfaction questionnaires. A company member of staff visits the home at least once a month and completes a written report as required. Copies of the report were available for inspection. The Inspector has requested that a copy also be forwarded to the CSCI. The home holds personal allowances for the residents. These were seen to be stored securely and in individual wallets. Three residents finances were checked against the balance sheets, which are held both on computer and in hard copy and no discrepancies were noted. Information obtained prior to the inspection indicated that the handyman and external companies are responsible for the regular servicing of the lift, hoist, gas and electrics and fire appliances. The acting manager was able to produce a file with certificates, however this is another inherited problem that there was no organisation in the filing of this information, therefore up to date certificates were not seen. The acting manager assured the Inspector that this would be rectified and old certificates archived. Accidents, injuries and illness were suitably reported and recorded and the CSCI informed as required. During the course of the inspection safe working practices were observed within the home. The Chanters Care Home DS0000065685.V295917.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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 The Chanters Care Home DS0000065685.V295917.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 OP1 Regulation Sch 1 Reg. 4 16 Requirement The statement of purpose and the service user guide both require amending to reflect current changes. The homes payphone must be relocated to allow residents to make and receive calls in private. The acting manager must ensure that a varied selection of food is available at breakfast times. The timings of breakfast must be reviewed to ensure that residents who are up early have choice to dine when they choose. Alternatives to the main meals served must be on the written menus and residents made aware of the alternatives. All staff must receive up to date training in Protection of Vulnerable Adults. Redecoration of the home is to continue. Attention to the paintwork is required. New carpets are required in The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 25 Timescale for action 28/07/06 2. OP10 28/07/06 3. OP15 16 28/07/06 4. 5. OP18 OP19 13 23 28/07/06 27/07/06 dining rooms on both floors and in the corridors. Attention is required to some bathrooms and toilet floors, as these are heavily stained. The relocation of the nurses office must be given consideration as the door swings out and could injury both residents and staff. All staff must have a satisfactory police check. Staff should must receive training in First Aid to ensure that at least one first aider is available on each shift. 6. 7 OP29 OP30 Sch 2. Reg 7 13 27/07/06 27/07/06 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. Refer to Standard OP19 Good Practice Recommendations Consideration should be given in providing a comfortable seating area for those residents that like to sit on the corridor. The Chanters Care Home DS0000065685.V295917.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 The Chanters Care Home DS0000065685.V295917.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!