Inspection on 23/05/05 for The Highgrove

This inspection was carried out on 23rd May 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Highgrove 07/10/09

The Highgrove 08/08/07

The Highgrove 31/05/06

The Highgrove 12/09/05

The Highgrove 22/11/04

The Highgrove 01/06/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Highgrove 88-90 St Annes Road Blackpool Lancashire FY4 2AT Lead Inspector Chris Bond Unannounced 16 May 2005 & 23rd May 2005 th 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 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 and Care Homes for Adults 18 – 65*. 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 Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Highgrove Address 88-90 St Annes Road Blackpool Lancashire FY4 2AT 01253 344555 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Anand Seedheeyan Care Home 30 Category(ies) of DE Dementia (25) registration, with number MD Mental Disorder (5) of places The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate 25 service users in the Dementia (DE) category and accommodate 5 service users in the category of Mental Disorder (MD) Date of last inspection 16-03-05 Brief Description of the Service: The Highgrove Care Home is situated on St. Annes Road, opposite Palatine School in Blackpool. It is registered for 30 people, and at the time of the inspection there were 30 people in residence. The Highgrove is registered to care for people who have Dementia and Mental Illness. The home is close to a variety of shops and amenities, and bus services run from close by to Blackpool town centre and other areas of the town. There are some double rooms, but the majority of service users are accommodated in single bedrooms. The home has a private garden to the front of the house; the rear of the house is paved. A lift is available that services both floors. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.30am and took place over 4 hours. An additional inspection was also made the following week, 23 May 2005 and formed part of the judgements made for the overall inspection. The Inspector spoke to 5 residents, 3 staff members, the manager and the homes owner. Staff and care records were also examined. A full tour of the premises was undertaken with the manager. What the service does well: What has improved since the last inspection? Every resident now has a contract to tell them what services the home must supply to them. The last person to come and live at the home had been assessed properly before moving in so that a care plan could be developed. The care plans now concentrated on the needs of residents rather than the problems that they presented. Some redecoration had taken place since the last inspection and the hallway was being decorated whilst the inspectors were there. Care staff were being checked before being employed and residents were safer because of this. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 6 What they could do better: The most serious concern from this inspection were the practices with regards to the handling, administration and recording of medication as serious malpractice was discovered during the inspection which could put residents at risk. An official letter was left with the home stating this must be put right immediately and the situation was monitored again the week after. Concerns still existed therefore legal action was taken with a Statutory Requirement Notice being issued. Residents, or their families, were not given any form of information about the home either before or after their admittance and some residents did not get the chance to look round the home so they could decide if the home was right for them. Legal advice will be taken on this matter, as this is not the first time this has been brought to the homeowner’s attention. The complaints procedure was not routinely given to residents who should receive this so that they know what to do if they are unhappy with the service they are receiving. Records confirmed that training had not been given high priority and this must be put right to ensure that they have the skills to give residents the care they need. The practice of buying second hand furniture and beds seriously affects the quality of the service that is being provided. This practice is degrading for the vulnerable residents who live in the home and if the furniture is not suitable it may not meet individual healthcare needs. There was still much old and tired furniture in residents’ bedrooms and this needs to be replaced with good quality furniture, which will suit peoples needs better. Some of the residents shared bedrooms. Screening was poor in these rooms and did not promote privacy and dignity when personal care was being delivered. There was little evidence to show that these residents had chosen to share a room, or whom they chose to share with. There was very little evidence to show that planned activities took place on a regular basis. There were no appropriate or fulfilling activities evident for those service users who had dementia or had mental health issues. On the whole this home did not display the attributes of a service that specialised in the care of people with Dementia and Mental Health issues. Residents need to be consulted more about the service that they are given. The systems for resident consultation are poor with little evidence that residents views are sought or acted upon. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 7 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 Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5 Prospective residents and their relatives do not have the information to decide whether the home is right for them before they move in. People are now assessed before they come to live at the home so a decision can be made as to whether the home can care properly for the people admitted. EVIDENCE: One resident had come to the home since the last inspection but neither he, nor his family, had been given a Service User Guide before admission to the home. This had been raised with the homeowner before and at a meeting to discuss outstanding requirements it had been agreed with the registered proprietor that this information would be produced and distributed by the end of April 2005. This was not done and it is clear that this person or his family had not been given information about the home so they could decide if the The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 10 home was right for him. It is hard to see how the resident, or his family, could have known if the home could meet his needs correctly. The homeowner had completed a pre-admission assessment for this gentleman. This would ensure that the home knew of his needs and could make a decision whether they could definitely attend to his needs and plan the care that they would offer. The gentleman had been given a contract to tell him and his family the terms of his residence. All of the other residents had been given contracts since the last inspection. The manager also said that this resident had not had the chance to visit the home before he was admitted so he could see what room he was going to live in. He would not have had the chance to see for himself what services the home offered or whether he would like to live there or not. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, and 10. Residents are at serious risk from poor medication procedures. Care planning had improved providing care staff with the information they need to meet residents’ care needs. Personal support for those in shared rooms is not offered in such a way as to promote residents’ privacy and dignity. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 12 EVIDENCE: Everybody who lived at the home had a plan of care. There had been improvements in the way the information in these plans was presented. The emphasis was now on peoples needs rather than the ‘problems’ they presented. The gentleman who had recently come to live at the home had a plan of care and the inspector looked at five other care plans. Three of the care staff that were spoken to said that they found the plans easier to work with and gave them a better idea of the way that care should be provided. The pharmacy inspector employed by the Commission for Social Care Inspection scrutinised the home’s medication practices. Several serious discrepancies and examples of bad practice were found. Medication records were confusing and incorrectly dated. There was evidence that there was a repeated failure to administer medication correctly. Non-administration was not recorded correctly. One resident had been given ten times the prescribed dose of her medication. An immediate requirement notice was issued to the home indicating that medication procedures must improve including the receipt of medication into the home, record keeping, administration and disposal. A foloow up inspection to the home indicated this had not been met therefore a legal notice for complianace was issued to the home. Care plans showed that some of the health care needs of the residents were being addressed appropriately. Doctor’s visits were recorded in the care plans, along with other visits by health care professionals. Discussion with the staff members on duty confirmed they were fully aware of the healthcare needs of residents and these are monitored and kept under review. One resident said, ”the girls are lovely and nothing is too much trouble for them.” Three of the care staff that were spoken to during the inspection said that they were aware of the need for ensuring that residents were treated with respect and dignity. Screening between the beds was poor in double rooms and it was clear that not enough privacy was being offered to people when personal care was taking place. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Activities are generally poor and are not organised with the residents interests and needs at heart. The systems for resident consultation are poor with little evidence that residents views are sought or acted upon. EVIDENCE: Care staff were seen sitting with residents and talking to them. There was, however, very little evidence to show that planned activities took place on a regular basis. There were no appropriate or fulfilling activities evident for those service users who had dementia. No advice and support had been sought from specialised agencies. Generally there was little evidence that this was a home that specialised in the care of people with dementia and mental health issues. Most of the residents were seen either asleep, watching television, or smoking. There were sufficient care staff on duty but no planned activity was seen. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 14 There were no visitors to the home during the inspection but three residents said that they had regular visits from relatives. There was very little evidence to show that service users were consulted as to what went on in the home. Two residents who were spoken to said that there were no residents meetings and two of the staff that were spoken to confirmed this. Residents were seen choosing what they would like for breakfast and it was evident that people were given a choice about when they got up. Many people commented that the food was good and the menu showed that what was served was nutritious and wholesome. The manager commented that more fresh fruit and vegetables were being purchased and stocks of these were seen in the kitchen area. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Arrangements for protecting residents are not satisfactory, placing them at possible risk of harm or abuse. Residents do not have sufficient information on how to complain about the service. EVIDENCE: A complaint procedure was now on display in the home. Because the home had not yet produced a Service User Guide for each individual resident the inspector felt that information about how to complain was still limited. None of the service users who were spoken to were aware of how to complain. Three of the care staff were aware of the correct procedure. The home had a copy of the correct procedure to follow in the event of suspected abuse. Care staff were, however, not aware of the correct procedure. No external training regarding the recognition and forms of abuse had taken place since the home was last inspected. This lack of understanding could potentially jeopardise any adult protection investigations. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24 and 26 The overall quality of furnishings is poor and although this does not pose a risk to service users it does not create a pleasing and pleasant environment to live in. The condition of some resident’s beds is very poor and residents are placed at risk because of this. Recent decoration improvements have enhanced the appearance of the home but there is still much work to do to make the home a more attractive and homely place to live. EVIDENCE: A tour of the home was undertaken. There had been some improvement to the home’s environment since the last announced inspection and the hallway was being decorated whilst the inspection was taking place. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 17 The bedrooms were fairly clean but there was a strong smell of urine in two rooms. Much of the furniture was old and tired. The manager said that much of the furniture was second hand. Most of the vanity units around the sinks had been damaged by water and needed replacing. A lot of the beds were old and some had stains on the bed base. These need to be replaced with new beds as soon as possible. The beds in some of the rooms looked lumpy and uncomfortable. The inspector read the minutes of the last staff meeting and a staff member had noted that there were insects on the bed when they were being made. Action was being taken to rectify this but the practice of purchasing second hand beds by the registered provider for residents needs to stop. Four of the residents that were spoken to said that they liked their rooms and many of the rooms did look brighter since being redecorated. There were lots of personal possessions in the bedrooms and an effort had been made to make them look homely. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 and 30 Residents are being protected by better recruitment practices and checks. Staff records do not have all the right information to ensure that the residents are fully protected. Care staff do not have the skills to ensure that the residents live in a safe environment. EVIDENCE: Criminal Records Bureau and POVA checks were now being completed and care staff were not being employed without these checks taking place. Work still needs to be done to ensure that all of the care staff files have the right information on staff to ensure that the residents of the home are fully protected. This work should be ongoing and evidence of training courses attended should be put in each file. Training for the care staff was still erratic with too much reliance on training the manager to pass information to care staff. External training must take place in subjects such as Abuse recognition The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 19 and Medication Awareness. Care staff that were spoken to confirm that little external training had recently taken place. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 33 The home does not regularly review aspects of its performance through self – review and consultation. The views of residents, relatives and visiting professionals were not sought, listened to and acted upon to improve the quality of the service. The registered provider does not have a clear development plan and vision for the home, which makes the future for its residents unclear. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 21 EVIDENCE: The manager of the home was in the process of applying for registration with the Commission for Social Care Inspection. The home would benefit from having a registered manager in charge. No quality assurance system was being used at the time of the inspection. This would involve seeking the views of residents, relatives, friends and visiting professionals to measure success in meeting the aims and objectives of the home. The registered provider had not introduced a business/ financial plan to show how he intends the service to develop in the forthcoming year. This would include how much he intends to spend on improvements to the home. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 1 2 3 3 3 4 1 5 1 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 1 x x x x 1 x 1 Score Standard No 7 8 9 10 11 Score 3 3 1 1 x Standard No 27 28 29 30 x x 3 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 1 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 1 x 1 MANAGEMENT AND ADMINISTRATION Standard No Score 31 1 32 x 33 1 34 x 35 x 36 x 37 x 38 x The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 5 (1) (2) Requirement A Service User Guide must be produced and given to all service users within the home. (Timescale of 30/04/05 not met). The complaints procedure must be held within the Service User Guide and must be openly available to service users and their relatives. (Timescale of 30/04/05 not met) The manager must ensure all medicines are accurately recorded on receipt. (Timescale of 24-05-05 not met) The manager must ensure an accurate record is made of all medicines administered to residents. (Timescale of 24-05-05 not met) The manager must ensure an accurate record is made of all medicines returned to pharmacy or disposed of. (Timescale of 24-05-05 not met) The manager must ensure all staff that administer medicines are competent to do so. (Timescale of 24-05-05 not met) Timescale for action 16-05-05 2. 16 22 5(1)(e) 16-05-05 3. 9 13(2) 28-06-05 4. 9 13(2) 28-06-05 5. 9 13(2) 28-06-05 6. 9 18(1)(a) 28-06-05 The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 24 7. 8. 9. 33 34 19 10. 24 11. 26 12. 29 13. 30 14. 31 15. 38 The home must have a system used to measure quality assurance. 25(2)(3) The Registered Person must produce a financial/business plan. 13(6) The Registered Person must ensure that training is available to help ensure that service users are not put at harm or risk. (Timescale of 30-04-05 not met). 16 (2) Furniture in service users’ c23(1)(a) bedrooms must be of good quality and suitable for its intended use. (Timescale of 30-04-05 not met) 13(3)16(2 The premises must be kept )(j)23(2)( clean, hygienic and free from d) offensive odour. (Timescale of 30-04-05 not met) 17(2)Sche All care staff personnel files must dule 4 (6) contain the information required in Schedule 2 of the Care Home Regulations and be available in the home for inspection at all times. (Timescale of 30-04-05 not met) 18(1) Care Staff must receive adequate training in order that they can perform their duties successfully. A staff training and development programme must be developed. (Timescale of 30/04/05 not met). 8 The registered person must ensure that a manager is employed at the care home at all times and registered with the Commission. 13(5)18(1 The health, safety and welfare of )(c) all service users and staff must be ensured. Instruction must take place in moving and handling, fire safety, first aid, food hygiene and infection 24(1)(2)( 3) F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc 30-07-05 30-07-05 30-07-05 30-07-05 30-07-05 30-07-05 30-07-05 30-06-05 30-07-05 The Highgrove Version 1.30 Page 25 16. 12 14 (1) (a) control. (Timescale of 01/01/05 not met). The manager of the home must provide all service users with activities based on current good practice in the field of Dementia and Mental Health. 30-07-05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Refer to Standard 5 23 OP24 OP10 OP17 OP20 OP21 OP21 OP22 OP24 OP24 OP26 OP26 Good Practice Recommendations The home should have an emergency admittance policy. Service users should be seen to make a positive choice regarding sharing a room. All bedrooms should have sufficient bedside lighting. Appropriate screening should be available in double rooms to ensure maximum privacy and dignity during the delivery of personal care. Information regarding the advocacy should be readily available within the home for both service users and staff. Lighting in communal areas should be sufficiently bright. Bathroom and toilet areas should be well maintained, bright, clean, and in full working order. Bathroom floors should have a non-slip surface. An assessment of the building should be completed by an Occupational Therapist to ensure that appropriate disability equipment is available for all service users. All bedrooms should have two double electrical sockets. Carpets throughout the building should be of reasonable quality. A wash hand basin should be provided in the laundry area for care staff to wash their hands after handling soiled washing. The Registered Person should ensure that regular, recorded staff supervision takes place. The Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 Highgrove F57 F09 S9764 The Highgrove V228911 160505 Stage 4.doc Version 1.30 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. 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