Inspection on 06/11/06 for The Leys

This inspection was carried out on 6th November 2006.

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 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 Leys 26/06/09

The Leys 16/07/08

The Leys 06/02/08

The Leys 28/09/07

The Leys 31/01/06

The Leys 15/02/05

The Leys 12/08/04

The Leys 26/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Leys 63 Booth Rise Boothville Northampton Northants NN3 6HP Lead Inspector Keith Charlton Unannounced Inspection 6th November 2006 10:00 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 Leys DS0000012843.V318035.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 Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Leys Address 63 Booth Rise Boothville Northampton Northants NN3 6HP 01604 642030 01604 670028 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) Mrs Sheila Samuels Mrs Carolyn Melva Shiers Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18), Physical disability over 65 years of age (2) of places The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. The home limits its services to the following Service User Categories No person falling within the category OP can be admitted where there are 18 persons of category OP already in the home. No person falling in the category PD (E) can be admitted where there are 2 persons of category PD (E) already in the home Total number of Service Users in the home must not exceed 18 To enable the home to admit persons who are in the category old age (OP) To limit the number of persons to be admitted under the category OP To limit the number of persons to be admitted under the category PD (E) To limit the number of persons accommodated in the home Date of last inspection 31/1/06 Brief Description of the Service: The Leys is situated on the outskirts of Northampton, with good road access. The home offers single and shared room accommodation to 18 service users. The home has a large lounge and dining room, and a conservatory area. Two single bedrooms are situated on the first floor, accessed by stairs or a stair lift. The home has a large garden, which is accessible to residents. The weekly fees are up to £400pw - this information was provided prior to the inspection. There are additional costs for individual expenditure such as hairdressing and private chiropody. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service user and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting three service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was off duty though the inspector was able to have telephone discussions with her regarding a number of issues. Planning for the Inspection included following up the notifications of significant events sent to the Commission for Social Care Inspection and the last Inspection Report. There has been one complaint received by the Commission for Social Care Inspection regarding the service since the last inspection, which was passed to the Registered Provider to investigate. The issues were regarding low staffing levels, limited food choices, limited activities and laundry arrangements. The Inspection took place between 10.20 and 15.25 and included a selected tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with nine residents, two members of staff, one relative and the Registered Manager by telephone. Seven Comment Cards were received from service users. Generally they were positive though a number of service users indicated low staffing levels, food not always to their liking, insufficient activities, lack of medical support and facilities not always fresh and clean. There were eight Comment Cards received from relatives. These were again mainly positive though one questioned the lack of staff levels. Four Comment Cards were received from GPs, who expressed satisfaction with the service. There were fifteen residents accommodated at the time of this inspection. What the service does well: The home is a small, personal and friendly residence. Residents reported that visitors are welcome and some said that they thought the food provided to them was generally good. Residents said staff and management were friendly and caring towards them, and staff were observed to be friendly towards residents. The visitor spoken with said the standard of care provided to her sister was very good and that staff always welcomed her when she visited. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 6 A resident’s Comment Card, completed by a relative, stated: ‘’Staff work hard to provide a caring and stimulating home for the residents’’. The main meal indicated the provision of two vegetables plus potatoes, thereby offering healthy food choices. Care plans are specific to individual residents, covering emotional, physical and health needs and demonstrate the involvement of medical professionals in providing care for the residents. There is a programme of activities, which involves in-house activities, visiting entertainers and outings. The care staff are responsible for ensuring that activities take place, with some staff taking on the added responsibility for the planning of outings etc. The décor and furnishings throughout the home is maintained to a generally good standard as residents rooms are pleasantly decorated and personalised to individual tastes. What has improved since the last inspection? What they could do better: A review of staffing practices is needed to ensure that staffing levels always meet the needs of residents, that staff receive full training on all essential care issues, that they receive on going supervision to ensure they receive support The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 7 to provide a consistent service, and have a full understanding of essential procedures, e.g. the Vulnerable Adults procedure and fire procedure. Residents dignity needs to be always maintained by knocking on doors before entering, and medication needs to be suitably and safely managed to protect the safety and welfare of service users. Facilities are in need of some improvement and heating levels need to be maintained. The Registered Manager, with the care work she does, may not have time to carry out Management duties. This needs to be reviewed to ensure essential Management tasks are carried out, as care staffing levels should not include the Manager. It would probably assist office administration if a new office was created, as the current one is very small. Health and Safety systems need to be tightened to ensure residents are protected from hot water temperatures and unguarded radiators and that fire doors are kept closed. 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 Leys DS0000012843.V318035.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 Leys DS0000012843.V318035.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. This judgement has been made using available evidence including a visit to this service. Residents can make a fully informed choice as to whether the home will meet their needs and expectations. EVIDENCE: Residents said that they could visit the home prior to their admission to give them a good idea of what services the home has. There was evidence of the assessment undertaken by the Registered Manager available on the residents files examined. The home does not offer intermediate treatment facilities. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans describe identified care needs to ensure continuity of care. Residents dignity is not always maintained and medication needs to be suitably and safely managed to protect the safety and welfare of service users EVIDENCE: No residents asked knew they had a Care Plan – this needs to be followed up though some Care Plans seen by the inspector had a signature of a resident/ representative agreeing to its contents. Residents needs are detailed in their Care Plans and all residents case tracked had a plan of care in place. There is a key worker system of care recording though this was behind schedule. There appeared to be reviews of care in care plans tracked but this was not on a monthly basis to ensure stated needs are The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 11 correct, as per the National Minimum Standard. Risk assessments also form part of Plans to reduce the risk of harm from identified risks. It is also recommended that residents personal histories are compiled so that they can be seen as individuals with a valued history. Residents said that if there was a medical problem then staff would call a GP to see them though one Comment Cards from a service user questioned this. Accident records were viewed though the GP was not always appropriately called if there had been potentially serious injuries, e.g. a head injury. There is the involvement of the district nurse and other professionals in providing care for the residents. Residents all said that staff and manager were friendly and respected their dignity. The inspector also observed that staff were friendly and respectful and carried out tasks at residents pace. There were two occasions where staff did not knock on doors before entering. This needs to be followed up by the Registered Manager. The medication system was inspected and was found to have a number of gaps in recording therefore casting doubt on whether medication was appropriately administered. One resident said that staff left medication in the room but did not always stay to check it had been taken. This needs to be followed up. The Registered Manager confirmed that staff issue who issue medication have undertaken medication training. This was recorded in some staff training records. Medication is securely kept. The home has a stand aid to assist with residents who require extra support to stand and staff were seen to be operating this appropriately. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity to lead a good lifestyle and can exercise choice. EVIDENCE: Residents said that there were a number of activities such as bingo, quizzes, cooking, visiting entertainers and outings. The care staff are responsible for ensuring that activities take place, with some staff taking on the added responsibility for the planning of outings etc. Residents said that they liked spending time talking to staff but this was not always possible as staff were very busy. As for outings they said they liked going to the garden centre but would like more outings. The Registered Manager needs to follow this up. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 13 It is recommended that memory boxes are introduced, especially for residents with memory disabilities, containing valued items, so as to provide valuable reminiscence material in one to one sessions with staff. Residents said that there were no rules that they knew of, e.g. no one reported that there were set going to bed and rising times, and thought the atmosphere of the home was friendly and relaxed. Some residents said that they could maintain control of their personal finances. Inspection of residents accommodation demonstrated that they were able to bring in to the home their personal possessions. Residents spoken with said that they could spend time alone in their bedrooms if they wished and this was observed by the inspector, and said that the staff were very respectful, friendly and helpful. Personal choices were not identified in individual care plans. It is recommended that this is included during assessment of potential residents. Both service users and relatives stated that visitors are always welcomed to the home and no one reported any restrictions. The visitor spoken to was very impressed with the standard of care delivered by staff. There were mixed views regarding the food. Some residents said it was good, others said that it was not very tasty and that there was too much bulk buying and not enough fresh food. Menus were inspected and found to have two set choices for dinner, though there is a not a choice of cooked breakfast. The food was tasted and was found to be generally adequate with two vegetables served with potato. However it was lacking in taste. The Registered Manager has carried out a food survey. This needs to be acted upon to ensure food is always tasty. Staff were observed to be providing extra assistance as necessary to residents over the mealtime. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident in the system of managing complaints though all staff need to have a good level of understanding regarding the prevention of abuse. EVIDENCE: Residents said that they thought that if there was a problem then they were confident that the Manager or staff would sort it out. Policies and procedures for Protecting Adults have are in place for Vulnerable Adults though staff members spoken with were not aware of the full procedure regarding which Agencies to contact if the in house arrangement failed. The Registered Manager needs to follow this up, e.g. by way of a short procedure would be set up to remind staff of which Agencies to contact. The homes records were inspected and the complaints were well recorded in the file, with positive follow up action as necessary. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 15 The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. Facilities present as homely though some upgrading is needed. Odour control is of a generally satisfactory standard though needs improvement. Some equipment is needed to ensure the protection of the Health and Safety of residents. EVIDENCE: Residents generally said that they liked the facilities of the home and they could organise their bedrooms in the way they wanted. Rooms had been personalised to accommodate personal possessions. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 17 During a selective tour of the home it was observed that all areas were generally well decorated and furnished, and tidy. The Registered Manager needs to action redecoration where paintwork has been damaged and to ensure that facilities are always clean as there was a dirty toilet floor, stained carpets in some rooms and odours in some bedrooms. Some carpets looked old and worn and needing replacement. Staff said that there was a carpet cleaner but this was not in the home at present. This equipment needs to be always available. The Registered Provider needs to seriously consider employing a domestic worker as at present care staff carry out cleaning tasks amongst their other duties. It was noted by the inspector that the heating was not switched on in all parts of the building and a radiator in the conservatory did not work. Staff said that a part for the radiator was on order. One resident complained of being chilly. The registered manager needs to ensure that heating is constantly on during cold weather conditions, which is a requirement of the Care Homes Regulations 2001. Radiator covers have been fitted to some parts of the building, to minimise any risk of burning to at risk residents, though this has not been carried out to all communal areas even though some residents have been assessed as needing them in their bedrooms. A review of the Risk Assessment is needed with fitting more radiator covers as needed. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 18 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 adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels need to be reviewed to ensure that residents needs are always met and staff training needs to be bolstered to meet residents needs. EVIDENCE: There were a number of adverse comments made regarding staffing numbers. The rota inspected by the inspector, and agreed by the Registered Manager, indicated there is only two care staff on duty after 1.00pm, one of the two being the Registered Manager on two afternoon occasions. As the home currently accommodates fifteen residents, with the majority needing assistance with physical care, it would be expected that three care staff be on duty at all daytime/evening periods. In addition there is no designated domestic worker. There is two waking night staff in addition. The Registered Manager acknowledged this situation and said that she would review staffing arrangements. She may wish to consider if there is a need for two waking night staff, which would free up resources for the pm shifts. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 19 Staff files were inspected and new files contained Protection of Vulnerable Adults checks and written references. The Registered Manager is aware that statutory checks need to be in place prior to employment commencing, as detailed in Schedule 2 of the Care Homes Regulations 2001. Staff files contained evidence of training though not all staff had received training on essential care practices – food hygiene, health and safety, fire, first aid, infection control, mental heath issues, training on residents health conditions – stroke, parkinsons disease etc. The Registered Manager needs to ensure that all staff are suitably trained. She is recommended to compile a Training Matrix so that this would indicate at a glance what training needed to be organised for individual staff members. Staff said they are encouraged to undertake National Vocational Qualification training if resources allow. The Pre Inspection Questionnaire that the Registered Manager provided prior to the inspection indicated 50 of staff with National Vocational Qualification level 2, which is the National Minimum Standard. The Registered Manager also needs to obtain details of the induction programme to meet the National Training Organisation (Skills for Care) Standards as there was no evidence to hand that new staff had carried out such induction training. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 20 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): 31,33,36,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Systems are not fully in place to protect the health and safety of service users. EVIDENCE: Residents and staff said that they thought the Registered Manager was approachable and thoughtful as to the running of the home. There were a number of comments received regarding the Registered Provider in that staff do not feel appreciated for the good job they do and it is very difficult to have necessary resources to provide for a quality service. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 21 The Registered Provider needs to reflect on these comments and ensure that the Requirements of Regulation 5 of the Care Homes Regulations 2001 are carried out – to ensure that good personal relationships are maintained with staff and residents. There was no evidence to hand that staff were appropriately supervised. The Registered Manager needs to set up formal supervisions to ensure staff are supported and their work monitored. A Quality Assurance system was seen to be in place for 2006 with an analysis though no Action Plan to meet all issues. This needs to be carried out and the results included in the Statement of Purpose. There is a Health and Safety folder with Risk Assessments for safe working practices, though more detailed Risk Assessments are needed for whether radiator covers are needed. Risk assessments covering environmental hazards, equipment in use and the control of substances hazardous to health (coshh) were in place. Fire Precautions: There were a number of fire doors wedged open. This needs to be followed up and monitored to preserve fire safety. Staff members were asked the fire procedure but were not fully aware of the whole procedure. Neither had received yearly fire training. All system testing was on required schedules for emergency lighting and fire alarms are tested each week. The Registered Manager needs to ensure fire drills are carried out on a three monthly basis, as there was a four month gap between the last two fire drills. A fire risk assessment was in place. The hot water temperature was checked in a bathroom and found to be 60c, which was scalding hot, when the National Minimum Standard is 43c. The Registered Manager was asked to either reduce this to a safe level or ensure that access to this hot water was eliminated on 6/11/06, which she said would be carried out. An Immediate Requirements Notice was issued to direct this to be rectified. The registered manager holds regular staff meetings, which were documented. This assists in achieving consistent care practice. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X X X X 1 1 STAFFING Standard No Score 27 1 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 X 1 The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8 Regulation 12 Requirement Medical support must be sought if residents sustain potentially serious injuries. A review of the home’s facilities is needed to ensure they are properly maintained. Staffing levels need to be reviewed to ensure that residents needs are met at all times. Timescale for action 06/11/06 2 OP19 23 06/11/06 3 OP27 18 06/12/06 4 OP38 13 The Registered Provider must 06/11/06 ensure that Health and Safety systems protect residents, and that there is regular servicing of essential equipment for residents needs. The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 24 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 OP9 Good Practice Recommendations A review of the processes relating to administration of medication is needed, to ensure that residents’ wellbeing is safeguarded. The premises need to be kept fully clean and odour free. The Registered Provider needs to review the care shifts the manager is asked to do to allow her to carry out her Management duties. The Registered Providers should review staff training by way of a Training Matrix to ensure that all staff receive suitable training and that new staff are trained to the level of the National Training Organisation, Skills for Care, standards. The Registered Provider needs to ensure that the dignity of residents is preserved at all times. The food supply needs to be wholesome to residents at all times. The Registered Providers should provide regular formal supervision to staff. 2. 3. OP26 OP27 4. OP30 5. 6. 7. OP10 OP15 OP36 The Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Leys DS0000012843.V318035.R01.S.doc Version 5.2 Page 26 - 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. 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