Inspection on 30/08/07 for The Check House

This inspection was carried out on 30th August 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Check House 15/07/09

The Check House 25/07/08

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Check House Beer Road Seaton Devon EX12 2PR Lead Inspector Michelle Oliver Unannounced Inspection 30th August 2007 09.30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Check House DS0000069119.V343128.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 Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Check House Address Beer Road Seaton Devon EX12 2PR 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) 01297 21858 01297 625496 The Check House Limited Mrs Chaslyn Jean Bryant Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49) of places The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May admit a maximum of 4 people who require nursing care between the ages of 45 - 64 years The maximum number of persons accommodated at the home at any one time shall not exceed 49 3rd July 2006 Date of last inspection Brief Description of the Service: The Check House is owned by The Check House Ltd. The Company has recently changed ownership and the Managing Director is Mr Robin Cannon. The Check House is a nursing home providing hotel style accommodation, care and nursing for up to 49 older people. The home does not offer intermediate care, and there are smoking restrictions. The house is a detached Grade II listed property in Seaton, East Devon with outstanding views of the sea across a sweeping garden with terraces. Residents accommodation consists of 43 single rooms and 3 double rooms over three floors. The home is managed by a full time nurse manager. The home has its own minibus. The home’s statement of purpose and service user guide, which includes details about the philosophy of the home and details about living at the home, is available to all residents and visitors, on request. A copy of the most recent inspection report is available for all to read in the entrance hall of the home. Information received from the home indicates that the current fees are £650£720, basic, weekly. Services not included in this fee include hairdressing, chiropody, newspapers, masseur and optician. There is no charge for the use of the minibus. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place as part of the normal programme of inspection. The site visit began at 9.30 am and finished at 5.45pm. During that time we spoke in depth with three people who live here. The care, services and accommodation offered to these people were looked at as a way of judging the overall quality of care and accommodation provided by this service. Records relating to assessments, care plans, medication, fire safety, residents monies and staff recruitment were inspected. In addition the inspector spoke with approximately eleven other residents and with five members of staff, the deputy manager, the administrator and two visitors. Prior to this inspection questionnaires (asking for comments) were sent to people living at the home, their relatives and staff. Their comments are included in this report. In addition, the manager completed a questionnaire giving details about the management of the home and about training. What the service does well: People living at The Check House Nursing Home describe it as a happy place to live. People are assessed by a registered nurse, before they make a decision to live at the home, to ensure that the home and staff who work there can meet their needs. Staff ensure that specialist services are used when necessary. This includes chiropodists, opticians, specialist doctors and physiotherapy. People are treated with respect and as an individuals and has his or her right to privacy ensured. Staff work hard to ensure that people are encouraged and supported to continue to make choices in their daily lives. For example people choose when they get up and go to bed, where they spend their time, what they eat and what they wear. The home offers a varied social programme and yet respects the wishes of those who prefer their own company. Those people who are unable to join in with the arranged activities due to frailty, are supported by staff and volunteers who might for example read to a them or spend time chatting with them. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 6 Visitors are made very welcome and are encouraged to visit or just to pop in when they can. Visitors are offered refreshments and can have meals at the home if they wish. Meals served at the home are described by people as ‘very good’ and ‘nice’. All meals are cooked on the premises and the cook tries to use as much fresh food as possible. Hot and cold drinks are easily available. The home has a positive attitude towards complaints, seeing this as part of the quality assurance processes. CSCI have not received any complaints and the home has received three that they have dealt with. Staff are trained in ‘Safeguarding adults’ and demonstrate a good understanding of what abuse is. Residents say they feel safe and secure. Monies kept on behalf of residents are kept safely and securely and the system for managing these monies is easily auditable. The home is clean and hygienic throughout. Staff are familiar with and put into practice procedures which help to prevent the spread of infection. The grounds are very well maintained and enjoyed by people living at the home. Staff are well trained and approximately 70 have a National Vocational Qualification (NVQ) in Care at level 2 or above. All staff receive mandatory training on a regular basis. They are recruited using robust procedures to help protect residents. There is always a Registered Nurse on duty. In addition there are nine carers on duty in the morning, six in the afternoon and evening and two at night. People say that their needs are met. The manager is a Registered Nurse who has consistently demonstrated her competence and has continued to develop professionally and to improve standard of care in line with best practice. Staff and people living at the home have great respect for her. Quality assurance procedures are in place to ensure the home is run in the best interests of the people who live here. What has improved since the last inspection? No requirements were made at the last inspection. The home has increased activity at the home by 48hrs. This means that more time is available to spend with people and to encourage and support them to take part in activities and to increase outings and contact into the community for people living at the home. A more structured way of dealing with complaints has been developed. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 7 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. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 8 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 Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 9 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): 3 & 6. Quality in this outcome area is good. Systems are in place to ensure peoples’ needs are assessed well before they move into the home, promoting the success of their admission. The rights of prospective residents would be more fully protected if they received confirmation that the home can meet the needs identified. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The majority of people spoken with were happy with their choice of home. Comments from people included, “It’s lovely here, everyone is so kind”. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 10 Information about the home, including the Service User Guide, which includes details about the philosophy of the home and details about living at the home, is offered to people who come to look around. A copy of the most recent inspection report is available for all to read in the entrance hall of the home. It is considered essential that an assessment of health and social care needs is undertaken before a person is admitted to a care home to ensure that their individual health and social care needs can be met by the home. We looked at care needs assessments for three people, undertaken by the home’s manager before they were admitted. All were comprehensive, with enough information to enable staff to develop plans of how they would meet the needs identified. Prior to admission, the home confirms details such as fees and admission date, but does not confirm in writing whether or not people’s identified health and social care needs can be met at the home. Doing so would promote peoples’ rights. The home does not admit residents for intermediate care. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is adequate. Although health needs are generally well met people are placed at risk by unclear care planning, People are not involved in the planning of their health, social and welfare needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a care planning system in place. Care plans are kept in the managers’ office and are readily accessible to all staff. Daily records that include details of doctors’ and health care professional visits The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 12 are kept in the nurse’s office. Details recorded in these plans are not always included in the care plans. This means that information in care plans is not always consistent or up to date and staff may not have relevant information to meet peoples’ needs. For example details recorded in a care plan relating to catheter care did not include details of recent changes, treatment or involvement of a doctor. We looked at three people’s care plans and all showed that appropriate assessments are undertaken by registered nurses in relation to the risk of people developing pressure sores and in relation to how much nutritional support the person might need. These assessments are followed up with plans of action and are regularly reviewed. We saw good detailed records of successful treatment plans and care of two people who had pressure sores when they moved to the home. Staff say they are given clear instructions about peoples’ needs and plans of care to ensure that people living at the home are treated as individuals. Care plans show that people living here have access to professional health care such as chiropodists, opticians and specialists. However, some issues do need attention. For example in one care plan there are instructions for staff to record fluid intake and output for a person who is unable to swallow. This had not been done effectively or consistently. No record is kept of the nutritional supplement which is given daily. This means that an accurate record is not maintained, putting this person at risk of not receiving enough fluids or nutrition. Another care plan did not include details that the person needed to use a “wheelchair for long distances” although this information had been recorded during an assessment of their needs before admission. Although the care plans seen contained plans on how to manage incontinence, they did not provide instructions for staff on how continence might be achieved or maintained. Some people have been assessed as being at risk of falling when in bed and bed rails are being used to prevent this. However, the use of bed rails does have risks e.g. a person may try to climb over the rails or may be at risk of injuring themselves if moving around when in bed. An assessment of these risks had not been undertaken to ensure that people are not at risk of harm or injury and nor had consent for their use been obtained from the person or their representative. When asked to comment on changing one thing in the home a member of staff commented “ better communication through better recording and documentation [ all is in place but not always used efficiently”]. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 13 People are not currently involved in the initial drawing up of or reviews of their individual plans of care. The manager has confirmed, since the inspection, that they are encouraged to do so. Several people spoken to were unaware of having a plan of how their care should be delivered at the home. People living at the home, or their representatives, must be consulted as to how they wish their health and welfare needs to be met and kept informed when plans are reviewed. A relative was unaware of plans of care and although they thought their relatives’ medication had recently been reviewed had not been consulted about this change. Staff ensure that people are treated with dignity and have their privacy protected in other ways. For example staff were observed being discreet in offering to provide personal care or assistance, all personal care was carried out in private and people wear their own clothes which are very well cared for. Staff demonstrate a good knowledge and understanding of the importance of the safe handling, storage and recording of medications and carry this out to a good standard. Recordings in relation to the temperature of the fridge where medications are stored show that this temperature is sometimes above that recommended for storing medication. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. People who live here benefit from the availability of a varied social programme, from easy contact with their friends and family, from an ethos where making decisions and choices are seen as important and from a varied and wholesome diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides people with a full activity schedule (except Sunday) and has plans to improve further by including activities on Sundays into their programme. During the last 12 months the home has increased activity support by 48hours, has promoted one staff member to activities manager and has increased outings and contact into the community. A weekly printed programme is given to all people living at the home informing them of all the activities and entertainment that they can take part in if they choose. Activities such as board games, outings, reading, skittles, gentle exercise and musical sessions are enjoyed at the home. During this inspection The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 15 several people were taken to a musical recital in Axminster On their return all said that they had had a most enjoyable time. Staff work hard to provide those people who are not able to join in with pastimes that suit and some people prefer their own company and choose not to join in with the activities; staff discreetly check with these people to make sure they have not changed their mind. One member of staff, when asked if they could improve the way the care home works commented “could include clients with dementia more in activities programmes” Some people talked of the friends they had made since coming to live here and some of how much they enjoy sitting in the beautiful gardens. People say that visitors may come at any time. One visitor said that she comes and goes as she pleases and is always made welcome. Some visitors choose and are helped to have a meal with their relative or friend, either in the dining room or in private. People are given the choice of being served their meals either in their rooms, the lounge, the conservatory or in the comfortable dining room where they are served by “waiting” staff. Lunch served during this inspection was well presented and nutritious. Staff supported people, needing assistance with eating, sensitively and discreetly. Comments made by residents included “food is always good”, “can’t fault it” and “ like being at the Ritz”. All meals are cooked on the premises and use mainly fresh ingredients. Hot and cold drinks are available throughout the day. A choice of meals is always available at lunch and the evening meal. People say they make choices in their daily lives. These include the times they get up and go to bed, what they wear and where they eat their meals. One member of staff talked of how easy it is to make decisions on behalf of people and that the staff group successfully work together not to do this or to remind each other not to do this. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. People who live here have their complaints heard as part of the quality improvement processes. People living at the home are protected from abuse by staff who have received the necessary training and are aware of the procedures to take This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission has received two complaints about this service since the last inspection. One of these complaints was also made to the manager who investigated the issues and responded to the complainant. Issues raised by another person related to poor communication and these issues were looked at during this inspection. The home itself has received four complaints. All were dealt with within the time period stated within the home’s complaints policy. During discussions, people said that they felt comfortable speaking with staff about any ‘grumbles’ and would report any complaints to the manager but had not had cause to. One visitor said they had never had cause to make a The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 17 complaint but was confident that it would be dealt with if they did. People were very complimentary about the home and did not have any complaints. One person said “great home” and another said, “I am happy living here”. There was nothing to suggest that people are anything other than well cared for at the home. People spoken to say they feel safe and secure, staff are generally kind very helpful, respectful and that nothing was ever too much trouble for them. Staff have undertaken Adult Protection training since the last inspection and were able to discuss different forms of abuse. They all said that they would not hesitate to report any suspicion of poor practice. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 &26 Quality in this outcome area is good. People who live here can be assured of a homely, clean and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Check House is well maintained and provides comfortable accommodation including 3 lounge areas, a conservatory and a dining room. Peoples’ rooms were homely and most had been personalised with their own belongings and some small items of furniture; all were well decorated and fresh. The gardens are well tended and several people and visitors spoke of the great pleasure the gardens give them. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 19 The home is very well furnished and maintained to a high standard; a maintenance man works at the home and ensures necessary repairs are carried out. The inspector had a full tour of the building unaccompanied and all the areas were extremely clean and fresh. Hand washing facilities are provided in all rooms and bathrooms to ensure good hygiene practice at the home. The laundry facilities were well organised. A person is employed to take care of peoples’ laundry and the cleanliness of the room. Everybody was well dressed at the time of this visit and several said that their clothes are well looked after. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. People living at this home benefit from good recruitment practices and a staff group who are well trained and employed in sufficient numbers to keep them safe and meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is generally on duty from 8am-5pm and aims to have the following number of staff on duty: Nine care staff,a care officer and a Registered Nurse on duty in the morning, six care staff a care officer and a Registered Nurse in the afternoon and evening and three carers and a Registered Nurse throughout the night. The cook, kitchen assistants, administrator, three activities co-ordinators and a maintenance person provide additional support. Staff also say that there is a strong emphasis in this home on training. Approximately 70 of staff have a National recognised qualification (NVQ) in Care at level 2 and 30 are working towards gaining this qualification. This will protect people by ensuring that they are cared for by competent staff. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 21 All staff have job descriptions and when spoken to were clear about their role and what is expected of them. People living at the home said that staff knew what they were doing and that they felt safe being cared for by them. The home operates a generally good recruitment procedure that clearly highlights the processes to be followed. A checklist is completed when a new member of staff is employed. This checklist serves as a confirmation that the necessary information has been obtained before employing a member of staff, including a police check, two written references and ensuring that staff receive comprehensive induction training. One file looked at contained all the information required but two included only one reference for each person. Ensuring the recruitment procedure is consistent and that all required information is obtained for all employees will protects people, as only those who have undergone this robust procedure will be employed to work at the home. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38. Quality in this outcome area is good. People who live here live in a home run by a competent manager. The manager ensures that peoples’ safety, health and welfare is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at the home and staff benefit from the experience and competence of the current manager who is a registered nurse and has been involved in the care of the elderly for 35 years and in a managerial position for the last 13 years. The manager has completed managerial training and holds a The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 23 Registered Manager’s award and was registered as manager of the home by the Commission in 2006 Records are securely stored and would be made available to people living at the home, or their representative, with their consent. Records are kept in lockable filing cabinets, and those seen were up to date. Records required by regulation for the protection of people living at the home are maintained. People feedback about such things as the quality of their life at the home, staffing, meals, cleanliness and activities is sought monthly. The feedback is audited by the administrator, discussed with the manager and actions would be taken relating to negative responses. Currently, results are not audited or made available for people enquiring about the home, health care professionals or the Commission. The owners do not handle financial affairs for people living at the home, when necessary their account is invoiced. Mandatory training is given a high priority and includes fire training, food hygiene, infection control and moving and handling. Records confirm that fire alarms and emergency lighting tests have been carried out regularly. An assessment of identified hazards and associated risks relating to the environment, including fire hazards, has been undertaken. Information received before this inspection indicated that all equipment is well maintained regularly, all of which contributes towards ensuring that The Check House is a safe place for people to live. The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 24 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 2 8 2 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 3 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 Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2. Standard OP3 OP7 Regulation 14 [1][d] 15[a], [c,][d] Requirement You must confirm in writing that the home can meet individuals’ needs, before their admission, thus promoting their rights. People must be aware that their care plans are available to them if they wish. People living at the home, or their representatives, must be consulted when care plans are compiled. They must be consulted when plans are reviewed or kept informed of any changes to their care to ensure that they consent to changes and that their rights are protected. 3 OP7 15[1] [2][a,b,c &,d] 01/10/07 Care plans must include details of how individual health and social care needs will be met. This information should be sufficient to provide staff with information as to how people’s needs will be met in an individual manner. This is to ensure that people The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 26 Timescale for action 01/10/07 01/10/07 needs are identified and met in a person centred way and to protect individuals rights. 4. OP8 13[4][1] When it is considered appropriate for bed rails to be used assessments must be undertaken to ensure that people are kept safe. References obtained for employees must be kept at the home. [This relates to two recruitment files containing only one reference for each person] This is to ensure that people living at the home are protected by having staff that have been thoroughly checked before they are employed by the home. 01/10/07 5. OP29 Schedule 4 [6][c] 01/10/07 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 OP33 Good Practice Recommendations Outcomes of quality assurance surveys should be made available to those living at the home, any other interested parties and the Commission. Care plans should include all relevant up to date information relating to individual health and social care needs. 2. OP7 The Check House DS0000069119.V343128.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Check House DS0000069119.V343128.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. 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!