Inspection on 07/11/07 for The Magna Care Centre

This inspection was carried out on 7th November 2007.

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 Magna Care Centre 06/03/08

The Magna Care Centre 28/02/07

The Magna Care Centre 20/10/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Magna Care Centre (The) Arrowsmith Road Canford Magna Wimborne Dorset BH21 3BQ Lead Inspector Amanda Porter Key Unannounced Inspection 7th November 2007 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Magna Care Centre (The) DS0000067493.V354519.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. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magna Care Centre (The) Address Arrowsmith Road Canford Magna Wimborne Dorset BH21 3BQ 01202 601831 01202 691503 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) www.concensusupport.com Caring Homes Healthcare Group Ltd Vacant Care Home 69 Category(ies) of Old age, not falling within any other category registration, with number (69) of places Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 69 persons over the age of 65 may be accommodated as follows: In Segovia, 24 older persons who may require nursing care. In Granada, 24 older persons who do not require nursing care. In Canford, 21 older persons who do not require nursing care. One named person (as known to CSCI) who is under the age of 65 may be accommodated in Segovia unit. 28th February 2007 2. Date of last inspection Brief Description of the Service: The Magna Care Centre is located in a rural setting approximately two miles from the local shops and amenities of Broadstone. It is a care home offering both nursing and residential care to Older people and provides long and short-term care as well as respite care. The home has 69 registered beds and can provide nursing care to a maximum of 24 people. The home is divided into 3 units; two provide residential care and are staffed with trained care staff and the third provides nursing care and has a qualified nurse on duty at all times. The majority of rooms are on the ground floor, there are twelve rooms on the first floor and these can be accessed by a through floor passenger lift. All rooms are for single occupancy and most have en-suite facilities. The home has two dining rooms, three lounges and a large conservatory as well as specially adapted bathrooms and a hairdressing salon. It sits within beautiful, well-maintained gardens, which have ample parking and a quiet courtyard and summerhouse. The home is run on a day-to-day basis by Mr Terry Bailey, who is not registered with the Commission for Social Care Inspection. Weekly fees range from, approximately £650 to £800 at the time of inspection. Additional charges are made for hairdressing and chiropody. See the following website for further guidance on fees and contracts www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 7th November 2007 over a period of approximately eight hours. The purpose of the inspection was to review the recommendations made at the last inspection; assess all of the key standards and follow up on concerns raised by an anonymous caller to the Commission for Social Care Inspection that the home was short staffed. Prior to the inspection the home was subject to a multi agency Safeguarding Adults investigation and as a result concerns were raised with regard to nutrition of residents and also the shortfall in staffing levels. These areas of concern were again reviewed during the inspection. A Senior Service Improvement Officer from the contracts and Service Improvement Team from local authority at Poole accompanied the inspector. The manager, Mr Terry Bailey, was on hand throughout to aid the inspection process. Staff and residents were very welcoming and helpful throughout the inspection. Information gathered for this report came from several sources including: • Reports made to the Commission for Social Care Inspection by the home. • The annual quality assurance assessment completed by the home. • Review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. • Discussion with residents and staff. • A tour of the premises. The Commission for Social Care Inspection sent the home a variety of surveys to be distributed to residents, visitors, health care professionals, GPs and care managers so that opinions on the care and facilities at the Magna Care Centre could be sought and included in the report but none were returned. During the course of the inspection a number of residents and members of staff were spoken with and asked their views on the service provided at the home. Comments received through discussion included: “Staff are very pleasant and sweet.” “The nurses are always very helpful.” “There are not enough staff to help me get dressed in the morning.” “Terry is very supportive of the staff.” Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: As a result of this inspection twelve requirements and nine recommendations of good practice have been made. All residents must have their health and social care needs assessed fully prior to admission so that the home can be sure that they can meet needs fully. The records available demonstrate some health related assessments that have been undertaken are incomplete and therefore the appropriate information has not been gained or included in the care plans. An effective method of nutritional screening needs to be put in place and followed through to ensure each resident’s dietary requirements are met appropriately. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 7 Care plans need to be drawn up and reviewed with the involvement of the resident and/or their chosen representative so that their views can be included. Care plans must give a clear and accurate picture to staff reading them as to how the needs of the resident are to be met. A clear audit trail of medicines in the home should be maintained so that it is clear what stock is held. The home needs to ensure that residents’ social care needs are assessed so that a programme of activities can be provided for all those living at the Magna Care Centre and this must include those residents who are unable or unwilling to join in group activities. Arrangements for protecting residents from abuse are not satisfactory, placing them at possible risk of harm. Sound care practices must be followed by staff so that residents are well cared for and protected. Satisfactory levels of care staff must be maintained to meet the needs of residents living in the home. The programme of training staff members in the specialist needs of people entering and living in the home, including meeting the needs of service users who are suffering from dementia or who have palliative care needs must continue, to ensure that residents’ needs are fully met. The Registered Provider must submit an application to the Commission for Social Care Inspection to register a manager. The quality assurance system at the home must be robust enough to identify any shortfalls in the care and facilities available to residents. Infection control procedures must protect residents from the risk of cross infection. Since the inspection the Commission for Social Care Inspection has received written confirmation that most of the areas of concern that have been identified are being thoroughly addressed and improvements made to the standard of care delivered to residents. 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. Magna Care Centre (The) DS0000067493.V354519.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 Magna Care Centre (The) DS0000067493.V354519.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&4 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home is unable to guarantee that the needs of all new residents can be met because some assessments are not sufficiently thorough and staff lack training in certain areas. EVIDENCE: The files for five residents were reviewed and most had some sort of preadmission assessment. However the value of the assessments was variable. Some were not signed or dated therefore it was difficult to determine when the assessment had taken place, by whom or whether the resident or their chosen representative were involved in the process and their views taken in to consideration. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 10 One pre-admission assessment seen gave little information about dietary needs but subsequent information stated that the resident had specific requirements. The assessment also gave no medical history, which was relevant to the resident’s condition. Another assessment for a resident with a diagnosis of dementia contained insufficient detail about mental health needs. One file did not contain a pre-admission assessment but later correspondence showed that the resident had palliative care needs. It did not appear that these were assessed by the home. The home caters for several residents with varying degrees of dementia and some others with palliative care needs. However through discussion with staff and through reviewing training records it was evident that staff were not sufficiently trained to meet the needs of these client groups. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The variable practice regarding the planning and delivery of care means that some residents cannot be sure that their health and personal care needs will be fully met. EVIDENCE: In the five care files reviewed documentation was found to be of a poor standard generally and staff were not provided with sufficient information to effectively meet the needs of the residents. Shortfalls included: • Some nutritional assessments were left incomplete. In one file other documentation stated that the resident had specific nutritional needs but no care plan was written as a result. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 12 • One resident was seen with a supply of “Ensure”, a nutritional supplement, stored in their bedroom. No information was included in the care records to indicate how much the resident should be consuming. No fluid or food records were kept for this resident so that staff could monitor the resident’s nutritional intake. Microbiology reports for one resident indicated the presence of infection but no plan of care was written to inform staff how to care for the resident. One file indicated the resident had a diagnosis of dementia but there was no mental health assessment or subsequent care plan. Generally social needs were not assessed or appropriate care plans written as a result. The care file for a resident with palliative care needs did not contain assessments of need or corresponding care plans. • • • • Through observation of care practices and speaking with residents it was apparent that they were generally happy with the care they received and staff treated them with respect and were supportive and kind. However the shortage of staff meant that some residents had to wait before they received the help they needed. Comments included: “Staff are very pleasant and sweet.” “Nurses are always very helpful.” “Twice last week I did not have any help to get me washed and dressed until lunchtime.” “There are not enough staff to help me to get up and get dressed in the morning.” The medications policies and procedures were reviewed on the nursing unit. The home has a well-written and informative medicines policy and procedure including reference to self-administration and associated risk assessment and arrangements for ordering, administration and disposal. Medicines were stored securely. However there was no clear audit trail to identify how much medication was held by the home. Where instructions for medications were handwritten on the medication administration records they were not countersigned. Examination of records indicated that medicines are properly administered in accordance with the prescriber’s instructions. Although the home had admitted a resident for palliative care, as previously mentioned, staff had not received appropriate training to meets these particular needs. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A limited range of activities within the home and community mean that some residents do not have a range of opportunities to participate in stimulating and motivating activities. Due to the lack of sufficient staff on duty mealtimes are not always an enjoyable, social occasion for all of the residents. EVIDENCE: Designated staff are employed at the Magna Care Centre to organise activities for the residents. Activities included: • Crosswords and puzzles • Floor games like carpet bowls, netball and skittles • Arts and crafts An outside entertainer is engaged to perform occasionally. The hairdresser comes to the home twice a week. Local clergy provided Holy Communion once a month at the home. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 14 There was no formal activities programme available to residents so that they could make plans in advance and they were usually asked on the day what they would like to do. On the day of inspection quizzes took place both morning and afternoon. There did not appear to be any provision to provide one to one sessions for those residents unable or unwilling to join in with group activities. Residents and staff confirmed this. Comments from residents included: “I join in the activities sometimes and enjoy them.” “I like to join in the activities but the quiz was too long this afternoon. A game of cards might be a change.” “I do get bored sometimes.” Residents said that they could receive their visitors in private and that they were always made very welcome. There is a four-week rotational menu, which offers a good deal of choice to residents. Various comments were received about the food provided, which included: “I like the food and I can eat in my room if I want to.” “I would like food to be more tasty and not so dry.” “Food could be better in the evenings – nearly always cold food or salad.” Nutritional assessments for some residents showed that they needed nutritional supplements to boost their calorie intake. The kitchen did not provide this but prescribed supplements were sought from the GP. The main dining room in the home was situated in the Granada Unit. During the lunch time period two staff were on duty in this area. One was administering medications, which left only one member of staff to serve meals, attend those residents in the dining room and answer any call bells that rang. It appeared at that time that residents ringing bells had to wait before the member of staff was able to attend. Residents and staff that were spoken with confirmed this. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents are not sufficiently safeguarded due to lack of staff awareness and training. EVIDENCE: There were appropriate policies and procedures in place for examining complaints. This information is contained within the home’s service user guide. People using the service said that they know who to complaint to and felt comfortable that they could raise concerns. The home has an adult protection policy and procedure in place. However, prior to the inspection some concerns were raised and referred to the local authority for investigation under the Safeguarding Adults procedure. The subsequent investigation highlighted two main areas of concern. Firstly that the home did not carry out thorough nutritional assessments or implement plans of care around nutrition for individual residents, which meant that residents were at risk of becoming malnourished. Secondly, that there were staff shortages, which meant that residents had to wait before staff were able to meet their needs. Magna Care Centre (The) DS0000067493.V354519.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 good. This judgement has been made using available evidence including a visit to this service. The standard of the environment at the Magna Care Centre is good providing residents with a very attractive, homely and safe place to live. EVIDENCE: The home has a programme of routine maintenance and the home provides a comfortable environment in which to live. The grounds were well maintained, attractive and easily accessible to residents. The manager stated that a programme of refurbishment was in progress and this would include upgrading the dining area. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 17 There is a call bell system available throughout the home. However one call bell extension had been removed for repair but it was not replaced and the resident had been without a bell for a number of days. All areas of the home were clean and there were no unpleasant odours. One designated member of staff managed the laundry. Adequate supplies of clean linen were seen to be available. Magna Care Centre (The) DS0000067493.V354519.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 poor. This judgement has been made using available evidence including a visit to this service. Current staffing levels and lack of adequate training fails to support the meeting of residents’ needs and ensure that people living in the home are in safe hands at all times. EVIDENCE: On the day of inspection the manager confirmed that the following care staff numbers were on duty: • • • Sergovia, with 24 residents, one registered nurse with 4 health care assistants in the morning and 3 in the afternoon. Granada, with 24 residents, 2 healthcare assistants throughout the day. Canford, with 21 residents, 2 care assistants throughout the day. During the course of the morning of inspection one resident was observed calling for staff to assist them to get up and dressed but the resident was told that they had to wait because staff were attending to another resident. Both residents and staff in all the units confirmed that there were delays in care being given due to staff shortages. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 19 The home has an ongoing training programme, which includes NVQ level 2 in care. The home confirmed that at the time of inspection nearly 50 of care staff held this award with several more working towards achieving this. Five staff recruitment files were reviewed and they contained: • Completed application forms • Two written references • Enhanced CRB and POVA first checks • Terms and conditions of employments • Documentary evidence of any relevant qualifications • Proof of identity, including a photograph. Training files demonstrated that staff were receiving induction training and this was confirmed with staff spoken with during the inspection. Recent training included: • Fire safety • Moving and handling • First aid • Food hygiene awareness • Stroke management. As previously mentioned, the home has a number of residents with dementia. The training records reviewed showed that staff had not received training in this area. Other training needed included nutrition for the elderly and palliative care. These shortfalls in training meant that staff were ill equipped to meet the needs of some residents. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Magna Care Centre (The) DS0000067493.V354519.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, 35, 37 & 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Some shortfalls in the management at the Magna Care Centre have meant the home has not always been run in the best interests of the residents living there and poor care practices have not been identified or dealt with in a timely manner. EVIDENCE: Mr Bailey is the manager of the service and has many years experience. He has not yet submitted an application to register with the Commission for Social Care Inspection. Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 21 As a result of the adult protection investigation, this inspection and the number and nature of the requirements made it is apparent that there has been a lack of sound management systems in place at the Magna Care Centre. The home has a quality assurance system in place including questionnaires sent to residents and visitors to the home, staff meetings and a system of internal audits. However if a robust system of auditing care documentation had been used it would have highlighted the shortfalls already described in this report and action could have been taken earlier. Residents confirmed that they either deal with their own finances or have appointed a responsible representative to do so. This is frequently another family member. The manager confirmed that the home does not hold any money on behalf of residents. The manager stated that all the care and nursing staff received formal supervision on a regular basis. Through discussion with staff they confirmed that they were well supported by the management team. They were unaware that formal supervision records were kept and therefore were unaware how to access them so that they could review the record and any learning needs that may need to be addressed. These records were not kept in the home at the time of inspection. Records showed that all staff had received recent training in fire safety and manual handling. Although staff also received training in infection control a number of manual handling slings were seen to be stored together and staff said that they were only laundered if they were soiled and this may result in some cross infection. Should a resident need the use of a sling this should be for their sole use to minimise the risk of cross infection. Substances hazardous to health were seen to be stored securely. Records showed that equipment had been serviced regularly. Magna Care Centre (The) DS0000067493.V354519.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 1 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 10 3 11 1 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 2 1 Magna Care Centre (The) DS0000067493.V354519.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 OP3 Regulation 14 Requirement Timescale for action 07/02/08 2. OP4 12(1) The registered person must not provide accommodation to a resident at the care home unless, so far as it shall have been practicable to do so – (a) needs of the resident have been assessed by a suitably qualified or suitably trained person; (b) the registered person has obtained a copy of the assessment; (c) there has been appropriate consultation regarding the assessment with the resident or a representative of the resident. (The assessment must cover all aspects of the health, personal and social needs of the resident.) The registered person must 07/02/08 ensure that the care home is conducted so as(a) to promote and make proper provision for the health and welfare of residents; (b) to make proper DS0000067493.V354519.R01.S.doc Version 5.2 Magna Care Centre (The) Page 24 3. OP7 15(1) 4. OP8 12(1)(a) 5. OP11 12(1)(b) 6. OP12 16(2)(n) provision for the care and, where appropriate, treatment, education and supervision of residents. (This must include ensuring that staff are suitably trained to meet the needs of residents with dementia and palliative care needs.) The registered person must, after consultation with the service user, or a representative of his, prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met. (This must include all aspects of physical, psychological and social welfare and give accurate information to staff as to how needs are to be met.) The Registered Person must ensure that the home promotes and makes proper provision for the health and welfare of residents. (There must be full nutritional screening, care needs identified and the appropriate care given to the resident). The Registered Person must ensure that the home makes proper provision for the care of residents. (There must be a thorough assessment of palliative care needs, a clear plan of care written and made available to staff to follow.) The Registered Person must consult residents about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of residents, activities in relation to recreation, fitness and training. DS0000067493.V354519.R01.S.doc 07/02/08 07/02/08 07/02/08 07/02/08 Magna Care Centre (The) Version 5.2 Page 25 7. OP15 16(2)(i) 8. OP27 18(1)(a) 9. OP30 18(1)(c) (i) 10. OP31 8(1)(a) & 9 (This must include offering a range of activities to those unable or unwilling to join group activities and providing a programme of activities for all residents). The Registered Person must provide, adequate quantities, suitable, wholesome and nutritious food, which is varied and properly prepared and available at such time as may reasonably be required by residents. (Registered nurses and care staff must be aware of the nutritional requirements for residents and ensure that appropriate nutritional support is given). The registered person must ensure that at all time suitably competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. The Registered Person must ensure that the persons employed by the Registered Person to work at the care home receive training appropriate to the work they are to perform including structured induction training. (Staff must have training in: • Dementia care • Palliative care • Nutrition in the elderly. The Registered person must appoint an individual to manage the care home where there is no registered manager in respect of the care home. (1)The Registered Manager must not manage the care home unless he is fit to do so. (2)(a) he is of integrity and good character; DS0000067493.V354519.R01.S.doc 07/02/08 07/01/08 07/02/08 07/02/08 Magna Care Centre (The) Version 5.2 Page 26 (b) having regard to the size of the care home, the statement of purpose, and the number and needs of the service users— (i) he has the qualifications, skills and experience necessary for managing the care home; and (ii) he is physically and mentally fit to manage the care home; and (c) full and satisfactory information is available in relation to him in respect of the following matters— (i) the matters specified in paragraphs 1 to 5 and 7 of Schedule 2; The Registered Person must maintain a system for evaluating the quality of the services provided at the care home. The registered persons must make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. (Handling slings must be for sole use for individual residents). 10. OP33 24(1) 07/02/08 11. OP38 13(3) 07/02/08 Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 27 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. Refer to Standard OP3 OP7 Good Practice Recommendations Assessments should be clearly signed and dated. It is recommended that the care plan is drawn up with the involvement of the service user and recorded in a style, which is accessible to them. The service user and/or their representative should sign the plan. There should be a clear audit trail for all medications coming into and leaving the home. Where instructions for medication are handwritten on the medication administration record by a member of staff they should be countersigned. All staff working within the home, including all ancillary workers, should be provided with comprehensive training in adult abuse awareness to ensure they are fully aware of their responsibilities to be3 certain that people who use the service are fully protected. Call bells should be available to residents at all times. The internal auditing system should include a robust method of reviewing care documentation. Supervision records should be made available to staff and they should know how to access them. Staff supervision records should be kept in the home at all times. 3. 4. 5. OP9 OP9 OP18 6. 7. 8. 9. OP19 OP33 OP36 OP37 Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Magna Care Centre (The) DS0000067493.V354519.R01.S.doc Version 5.2 Page 29 - 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!