CARE HOMES FOR OLDER PEOPLE
Fearnes (The) 26 Knyveton Road Bournemouth Dorset BH1 3QR Lead Inspector
Rosie Brown Unannounced Inspection 12:00 22 February 2006
nd 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 Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 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. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Fearnes (The) Address 26 Knyveton Road Bournemouth Dorset BH1 3QR 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) 01202 296906 01202 310065 Care South Mrs Margaret Houston Tomlin Care Home 40 Category(ies) of Dementia - over 65 years of age (30), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (40) Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 40 in the category OP including up to 30 in the category DE (E) and up to 10 in the category MD (E) Two named service users (as known to the CSCI) in the category LD may be accommodated. Two named service users (as known to the CSCI) in the category LD (E) may be accommodated. 6th October 2005 Date of last inspection Brief Description of the Service: The local County Council built The Fearnes as a residential care home over 20 years ago. It is now part of Care South (formerly known as The Dorset Trust). The home is located in a residential area of Bournemouth close to the central shopping area and the travel interchange. The Fearnes is registered to provide care and accommodation for 40 older people and this includes 30 residents with dementia. The home is divided into four separate houses - Oak Way, Beech Way, Willow Way and Lilac Way. The three houses with residents who experience dementia have magnetic keypads fitted to the entrance to minimise the risk of wandering. Each unit has 10 bedrooms, a lounge, and a dining room and kitchen area. Assisted bathing and shower facilities are available and separate toilets are located close to residents’ bedrooms. The accommodation is available over two levels - ground floor and lower ground floor. Accommodation is provided in single bedrooms with vanity unit style washbasins fitted for use in each room. The home is decorated in a homely way and is comfortably furnished. The Fearnes is gradually being extensively refurbished and developed, current improvements include upgrading the laundry, relocating the home’s hairdressing room and improving the assisted bathing facilities in some bathrooms. The spacious and inviting entrance hallway has additional seating and a piano and provides a useful central focus to the home. The home has a passenger lift to enable easy and level access to both floors. The home has front and rear gardens with raised flower borders, mature shrubs and garden seating. A driveway to the front of the home provides off road parking. Margaret Tomlin is the registered manager and Mr Roger Fulcher is the registered individual (RI) on behalf of Care South. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 22nd February 2006 and was undertaken by inspector Rosie Brown: it was the second of two statutory unannounced inspections planned to take place this year. The inspection commenced at approximately 12 noon and was concluded by 5pm. There were 38 residents living in the home and approximately two thirds of them experience some mental confusion. Sixteen members of staff were on duty to assist the manager and care for residents and included; the deputy manager, a senior care manager, a care team manager, seven care assistants, the administrator, a laundry assistant, three domestics and the activities organiser. The inspector assessed 11 of the National Minimum Standards and reviewed progress made with the requirements and recommendations set out in the previous inspection report. The inspector has requested that Standard 9, which concerns the home’s medication arrangements, be assessed on a separate occasion by the CSCI pharmacy inspector. The communal areas and the majority of bedrooms were viewed: residents’ care records, staff training records, some of the home’s policies and procedures and the home’s maintenance records were also examined. The inspector used observation skills to assess interactions between staff and residents and spoke with the registered manager, deputy manager and six members of staff including the recently appointed activities organiser. Prior to this inspection, comment cards supplied by the Commission were returned. These included seven from relatives/visitors, one from a care professional and one from a GP. The views expressed within them were generally positive and have been used to inform this inspection report. One card from a relative, ‘ the staff are excellent, very warm and friendly’ and ‘the food is excellent’. Because residents experience dementia, it was difficult during a short inspection to confirm their views of life in the home although the inspector spoke with four residents during the visit and all residents seen appeared happy and well. It is recommended that this report be read in conjunction with the previous report so that a more complete ‘picture’ of the home can be gained. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection?
A simplified residents’ guide that describes the facilities and care provide by the home has been produced and supplied to residents. Care plans and associated risk-assessments are now being reviewed each month: residents or their representative are signing care records and there is evidence of the involvement, eg letters containing information agreed at care reviews are sent to relatives. The manager is ensuring that all untoward incidents and accidents that affect the well being of residents are reported to the Commission and other relevant authorities. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 7 Records confirmed that the manager has trained senior staff with the information gained during local training associated with ‘POVA’ (the protection of vulnerable adults) and ‘No Secrets’ procedures. The improvements to the homes’ laundry are being implemented. The ground floor laundry is being made much larger so that all laundry can be cleaned in the home: at the moment sheets and other linen are sent out for laundering. The recommendations set out in the quality assurance report dated August 2004 have been addressed and include the development of a social care /activities programme. The manager has also drawn up an action plan to remedy the issues raised during an independent quality assurance audit undertaken in October 2005. The plan includes the further development of the activities programme and resident’s specific individual needs, eg the continuation of previous hobbies and interests. An activities organiser has been employed to work 20 hours a week in the home. An external consultant has undertaken a comprehensive fire risk-assessment of the homes’ premises and the majority of recommendations made have been implemented, eg the doors to residents’ bedrooms are being fitted with swing free closures. What they could do better:
The risk-assessment for one resident who routinely goes out alone must include more detail about the agreed arrangements and although a photograph is held on file it is recommended that a physical description sheet is drawn up. The risk-assessment for a resident who is taken out by staff must also include the actions to be taken by staff in the event of absconding. In addition, the form used to record dietary needs should include more detail, eg diabetic needs or soft food or ‘build up’ diets. Each resident’s individual social care provision should be developed as planned. The recommendation that the homes’ adult protection policy and staff recruitment procedures should be updated to reflect the POVA guidance issues by the Department of Health is repeated in this report. The hot food trolley kept in a ground floor dining room should be protected as planned: the manager confirmed that a special heat proof cover is being made, in the meantime a general risk-assessment is in place and staff are always present in this area to supervise residents. A risk-assessment must be drawn up regarding the unprotected central heating radiators in the corridor and dining room of ‘lilac unit’: safety actions should be taken where identified. A plan of the homes’ layout should be posted in a place that is easily accessible to the fire service as recommended by the recently documented fire safety risk-assessment.
Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 8 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. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 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 Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The home’s statement of purpose is presented in an attractive format and clearly describes the services and facilities available at The Fearnes. Prospective residents’ representatives can therefore make an informed choice about the home. Standard 3 was assessed as met during the previous inspection. EVIDENCE: The home’s statement of purpose and guide is reviewed on an annual basis. A copy of this information is readily available in the entrance of the home along with a copy of the home’s most recent inspection report and the report of the quality assurance audit. The manager provided the inspector with a copy of a simplified resident guide during the inspection and a copy has been supplied to residents in the home. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8 Each resident has a care plan that identifies the care being provided to meet identified needs. Residents’ health care needs are carefully monitored and responded to appropriately with support from community services. Standard 10 was assessed as met during the previous inspection. EVIDENCE: The care plans for four residents were examined. The manager explained that in the future residents’ care plans and daily records will be placed in a lockable cabinet in each unit: this should make them easier for staff to access and update. The care plans seen provide information and guidance for a staff to follow to ensure that residents’ identified care needs are met. Care plans and care related risk-assessments are now being reviewed each month. Records show that a wide variety of care needs are attended to by staff and these include, personal care, physical health and personal safety, mental health, daily living activities, elimination, mobility, food and drink, relationships, leisure activities,
Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 12 personal values and religion, sleeping arrangements and other individual considerations including care when dying and upon death. Risk assessments are in place for the actions to be taken by staff to prevent falls, absconding, burns and scalds, social withdrawal, harm from challenging behaviour, fire entrapment, contact with hazardous substances, general disorientation due to dementia and pressure areas developing. Moving and handling assessments identify the safety equipment used for physically frail residents. The risk-assessment for one resident who regularly goes out alone must provide more detail of the agreement in place: a physical description sheet should be developed. The risk-assessment for another resident must include the actions to be taken by staff when they take the person out for a walk and how they manage absconding. It is recommended that the sheet used to record dietary needs should be improved to include more specific detail, eg diabetic needs, soft foods or intolerances. Care records evidence that residents’ health care needs are kept under review and that other professionals are contacted for advice and guidance or when specialist equipment is necessary, hospital style bed. Comment cards received from the local community nursing service and a GP who visits the home confirmed that they are satisfied with the overall care provided to residents, their advice is incorporated into care planning and that staff demonstrate a clear understanding of residents needs. The pharmacy inspector will review standard 9 during an additional inspection visit. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 13 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 and 14 The home is developing a social care programme that includes residents’ individual preferences, promotes their individual interests and encourages choice. Standards 13 and 15 were assessed as met during the previous inspection. EVIDENCE: The home successfully employed an activities organiser who commenced working in the home in January 2006. The manager is aware that social care provision is an aspect of care in the home that needs further development. An activities programme has been drawn up and for the following week includes, bingo, music & movement therapy, a sing-a long, gardening club, arts & crafts sessions and individual afternoon strolls. A social activities newsletter has been posted in each unit, introduces the activities organiser and explains the activities being offered. A weekly bus trip has been set up to take place very other Tuesday, visits from outside entertainers are being arranged to include singing and videos of old films. The activities organised said they are intending to keep a record of the activities provided and note the residents that participate. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were assessed as met during the previous inspection. EVIDENCE: There have been no complaints since the previous inspection and no adult protection issues. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 15 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 Residents live in an attractive and comfortable environment and the individual units are homely. While a refurbishment and improvement programme is taking place, individual risk assessments concerning each resident’s safety are in place. A standard 26 was assessed as met during the previous inspection. EVIDENCE: The home is pleasantly decorated and comfortably furnished throughout and a homely and is set in mature gardens. There is a large communal central hall, which leads to all four units. Each unit has a separate lounge/dining room and kitchen area and furnishing create a homely environment. The homes’ main kitchen is located in one of the lower ground units. The previous report identifies that a hot food trolley is left to heat up in the lounge/ dining room. The home was required to risk assess this situation and to take
Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 16 safety precautions. The manager said that a decision has been made to provide a protective cover and is due to be put in place shortly. A conservatory lounge is also available in this unit, providing an attractive place to sit and relax with a view of and access to the sheltered back garden. Each communal room and bedroom has a call system fitted and staff have pagers that identify the source of a call. Some radiators in the home are not guarded and this remains a safety concern: a general risk-assessment should be undertaken with regard to unguarded radiators in the dining room (one is situated next to a dining table) and in the corridor of ‘lilac unit’. The manager said that there are plans to upgrade one ground floor unit assisted ‘Parker bathroom’, this unit also has a conventional bathroom and a wheelchair accessible shower room. The other ground floor unit has a conventional bathroom (which is used to store large laundry bags) this room is due to be changed into a new hairdressing room. One lower ground floor unit bathroom has been upgraded to a high standard to provide an assisted bath and the other has a wheelchair accessible shower facility. The manager explained future improvements, these include making the lower ground laundry room larger (this is why the hairdressing room is being relocated) and the installation of a new sluice machine in the ground floor sluice. The floors to the three dementia unit corridors are due to be recovered with laminated flooring, this is mainly because they will be easier to keep clean and free from odour. No odours were noted during the inspection, the home was very clean and it was evident that staff work hard to maintain a good standard of cleanliness in such a large home. A selection of residents bedrooms were seen, all rooms are single and have washbasins: most rooms are personalised with residents’ possessions and some have specialist equipment as required for their care. The home has a small front garden area with raised flower boarders, a car parking area and drive. Security fencing has been installed since the previous inspection so that resident who use the back garden are safe. There is a large back garden, which has mature trees and shrubs, flower boarders and lawns: garden seats are available. Residents’ enjoy watching squirrels and wild birds and other wildlife that enter the gardens. The ground floor units have roof gardens; during the summer months these areas are attractively decorated with potted plants. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 17 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): 28 and 30 The home uses the Care South staff-training programme that includes an introduction to social care and NVQ training opportunities to ensure that staff are properly trained to care for residents. Standards 27 and 29 were assessed as met during the previous inspection. EVIDENCE: The home employs 37 care staff and the training records showed that 2 staff are trained to NVQ level 2 while a further three are trained to NVQ level 3: five additional staff have commenced NVQ 2 training in January 2006. Therefore this home does not yet meet the target of 50 trained care staff: the percentage being 27 . The new manager keeps staff an induction, supervision and training file for each member of staff. One care assistant’s file was examined and certificates that indicated training in, health & safety, basic first aid, safe handling of medicines, effective communication, the aging process, dementia awareness, catheter & stoma care, disability awareness, manual handling, basic food hygiene, abuse awareness and the commencement of NVQ level 3 training. The manager is keen to develop staff training in the home and in particular in subjects relevant to residents’ needs. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 18 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, 37 and 38 The new registered manager is qualified and experienced in residential care and is effectively managing the home so that residents receive consistent care. The views of residents and others are obtained to help ensure the home is run in their best interests. The home uses standard Care South paperwork and policies and procedures to safeguard residents’ best interests. Arrangements are in place to protect the health, safety and welfare of residents and staff. Standard 35 was assessed as met during the previous inspection. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 19 EVIDENCE: Following the previous inspection the newly appointed manager was successfully interviewed by and registered with the Commission. M’s Tomlin has many years of residential management experience, particularly in specialist elderly care, as well as the appropriate qualifications. In the past she has been the registered manager for other Care South homes. Care South commissioned a second independent quality assurance audit and this took place during October 2005. The audit involved seeking the views of residents, family, staff, visitors and other healthcare professionals and related to the standard of care provided by the home. The manager showed the inspector a copy of the audit report and highlighted the high number of satisfied responses and the praise for the warmth and friendliness of staff. The report identifies five areas for improvement these include; the need to develop the social and therapeutic activities available, the efforts made to enable residents to keep up with their hobbies and interests, the choices about hoe residents spend their days, the need to ensure the availability of staff when residents call for assistance and the need to ensure that the garden remains tidy and safe throughout the year to maximise the use of this facility. The manager has drawn up an action plan to address these issues and has actively progressed the development of social care provision. Care South has produced a comprehensive set of policies and procedures to provide staff guidance and to include the records required by the Regulations. For example the home regularly reports untoward accidents and incidents and the RI provides monthly reports on the conduct of the home. The previous report recommends that the adult protection policy and staff recruitment procedures should be updated to reflect the POVA guidance issues by the Department of Health and this is repeated in this report. The homes’ maintenance record file was examined. This contained certificated evidence of the servicing of equipment used in the home, eg the passenger lift, bath and mobile hoists and the call system. Fire records demonstrated that regular in-house tests and checks of the fire precautionary system and equipment are undertaken. A regular certificated servicing programme of the fire safety system is set up with an independent company. Most recently this company have undertaken a comprehensive fire risk-assessment this has resulted in the home having swing free closures fitted to all bedroom doors: the manager reported that the electrical wiring is in place and the fitting of the closures is due to commence shortly. The manager said that the only outstanding recommendation was to make sure a plan of the layout of the home is easily accessible to the Fire Service.
Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 20 Records noted that fire safety training had been supplied to staff during January/February 2006. The home has a generator and the manager reported that this was extremely during a recent extended power: this meant resident were consistently cared for and services maintained. Care South produce an annual review of the company including information about achievements and future plans and a copy of this business review is available in the home. Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 21 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 22 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. Standard Regulation Requirement The risk-assessment for one resident who routinely goes out alone must include more detail about the agreed arrangements. The risk-assessment for a resident who is taken out by staff must also include the actions to be taken by staff in the event of absconding. The improvements to the laundry and storage arrangements for linen must be undertaken as planned. (Previous timescale of 31/1/06 not met in full). A risk-assessment must be drawn up regarding the unprotected central heating radiators in the corridor and dining room of ‘lilac unit’: safety actions should be taken where identified. Timescale for action 1. OP7 13(4)(c) 14 & 15 31/03/06 2. OP19 23 31/03/06 3. OP19 13(4)(c) 31/03/06 Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP7 Good Practice Recommendations A physical description sheet is drawn up for residents who go out alone. In addition, the form used to record dietary needs should include more detail, eg diabetic needs or soft food or ‘build up’ diets. The social care provision in the home should be developed to include resident’s individual needs, interests and hobbies, as planned. The adult protection policy and staff recruitment procedures should be updated to reflect the POVA guidance issues by the Department of Health. The hot food trolley kept in a lower ground floor dining room should be protected as planned. The manager should continue to address and improve the outstanding issues highlighted in the quality assurance report dated October 2005. A plan of the homes’ layout should be posted in a place that is easily accessible to the fire safety service as recommended in the recently documented fire riskassessment. 1. 2. 3. 4. 5. OP12 OP18 OP19 OP33 6. OP38 Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Fearnes (The) DS0000003905.V284610.R01.S.doc Version 5.1 Page 25 - 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!
