Inspection on 23/01/07 for The Paddocks

This inspection was carried out on 23rd January 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 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 Paddocks 30/07/08

The Paddocks 24/07/07

The Paddocks 20/01/06

The Paddocks 07/06/05

The Paddocks 02/12/04

The Paddocks 15/06/04

The Paddocks 16/06/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Paddocks Springfield Road Wellhead Nr Dunstable Bedfordshire LU6 2JT Lead Inspector Mr Ian Dunthorne Unannounced Inspection 03:00 23 January 2007 rd 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 Paddocks DS0000014943.V326648.R02.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 Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Paddocks Address Springfield Road Wellhead Nr Dunstable Bedfordshire LU6 2JT 01582 601317 01582 673287 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) Mr Kenneth Janes Mrs Lilian Janes Mrs Lilian Janes Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10), of places Physical disability over 65 years of age (10) The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2006 Brief Description of the Service: The Paddocks was registered to provide for ten older persons who may also have physical disabilities and/ or dementia. The registration for physical disabilities was not required because disabilities associated with old age could be met under the category for older people. Mr and Mrs Janes had operated the home since its original registration several years previously. Mrs Janes was the registered manager. The home was located in a small hamlet close enough to the town of Dunstable to take advantage of its amenities but at sufficient distance to retain the peaceful environment of this rural location and the pleasant countryside views from each window. The accommodation, which had been suitably adapted, was distributed over two floors that were accessed by a shaft lift and comprised ten single bedrooms with washbasin and call bell facilities. Adapted toilets and bathrooms were located for convenient access on both floors. Communal sitting areas, three interlinking rooms, lounge, dining room and an all weather conservatory were located on the ground floor as was the kitchen. An office was in the basement as were the proprietors private living quarters. An extension to the building housed the laundry, storage areas, another office and training room facilities. The rear of the property overlooked an attractive garden and extensive other grounds used to grow vegetables and fruits for the home. Information currently published and displayed in the homes ‘Service User Guide’ regarding the home’s range of fees and the manager’s figure provided in the pre-inspection questionnaire in July 2006, both stated that the weekly fee ranged from £425.86 to £450, exact fees were published in individual service users contracts. These fees did not include newspapers, hairdressers, personal telephone, toiletries or private chiropodist; these services would incur an additional charge. The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over five hours during the afternoon and early evening and it was unannounced. Prior to the inspection time was taken to review the information gathered since the last inspection and plan this inspection visit. This report also includes feedback from relatives and visitors obtained from postal comment cards. The inspection included a tour of the communal areas and several bedrooms, inspection of certain records, discussion with staff and the manager, discussion with service users, their relatives and observation of the routines of the home. The method of inspection was to track the lives of several service users. This was done by speaking to them about the service they receive, observing their life in the home, talking to staff and relatives and reviewing their records. What the service does well: What has improved since the last inspection? What they could do better: The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 6 Some of the things that the home could do better include: • • Ensuring that medication is properly and safely looked after and that clear, accurate records are kept. The manager said she felt that some areas of paperwork could improve, leading her to decide to introduce new fire and health & safety documentation, to improve the recording in those areas. Make sure that personal records about service users respect their privacy, by storing them securely. Providing suitable activities, which service users choose, which they will enjoy and benefit from. Asking for the views of service users and others about what they think of the home and any suggested ideas for improvement. Then producing a plan, showing how they will act upon those views and carry the plan out. Making sure service users know how they can access their records if they want to. Ensuring the manager spends enough time in the role of manager, to carry it out fully. • • • • • 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 Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 7 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 Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 8 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): 1, 2, 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provided sufficient information for prospective service users, however it sometimes failed to produce the information in a suitable format or language for all service users. This prevented them from being supported to be involved in making a choice about living there. EVIDENCE: The homes ‘Statement of Purpose’ and ‘Service User Guide’ were in the process of being updated with regard to fees. However the current information was adequate but was not always in a suitable language or format for the service users. A copy of the home’s last inspection report was displayed in the reception area. There was evidence that the service users whose lives were tracked had written contracts with the home, which included the fees and the service users representatives had signed them, indicating their agreement. The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 9 There was evidence that the home had undertaken an assessment of the needs of service users on admission. They had also been provided with a summary assessment from the referring care management service, which they had used to form part of the information that contributed to their own needs assessment. The needs assessments examined of those whose lives were tracked as part of this inspection, demonstrated that not all needs assessments had been signed and dated by both service users or their representatives and the staff member completing the assessment. The home did not admit service users for intermediate care. The Paddocks DS0000014943.V326648.R02.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 poor. This judgement has been made using available evidence including a visit to this service. The home has failed to improve their procedures for administering medication placing service users at risk and of harm. EVIDENCE: A sample of the service user’s plans were reviewed and found to contain satisfactory information to help meet their daily needs. There was evidence that the service user or their representative had been involved in some cases, compiling the service user plan and that they had been reviewed regularly. However the service user or their representative had not been involved in the reviews, or consulted about any changes made to the service user plan. Further development of the care plans were required to ensure that each need identified a clear objective as some did not. The risk assessments supporting the service user plans had been reviewed regularly. However risk assessments for the prevention of falls had not been identified clearly for each service user. The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 11 The health care needs of the service users were generally met by the home satisfactorily. Further development was needed to ensure falls risk assessments were completed adequately and that actions & outcomes were recorded and implemented. Nutritional needs risk assessments had been completed, which incorporated monitoring service users weight. Evidence available supported the fact that service users were enabled by the home to access a variety of health care services, to meet their assessed needs. All respondents to the postal comment cards said they felt well cared for at the home. No service users were self-medicating at the time of this inspection. Samples of medication records, storage and procedures were checked, of those service users whose lives were being tracked as part of this inspection. All staff administering medication had received training. However, several areas of concern were found, including the homes management of controlled drugs which were found not to be stored safely and securely in the appropriate place and medication, which was not a controlled drug, was found stored in the controlled drug cupboard. Several gaps were found on the medication administration records (mar’s), where staff should have signed to indicate whether medication had been administered. There was evidence that ‘as & when required’ (prn) medication had been administered by staff, however no reasons had been given to specify why it was necessary. When ‘F’ which signified ‘other – define’ from the key identified on the mar sheet had been used by staff, to indicate at the time specified on the mar that the medication had not been given, no definition had been given to indicate why the medication had not been administered. Some handwritten entries by staff on the mar sheets were confusing and could cause a medication error. Some health care records were observed to be openly accessible, as they were located in a public area, the homes reception. This did not respect service users privacy and confidentiality and was not in accordance with the Data Protection Act 1998. See also ‘Management & Administration’ section of this report. The care plans failed to identify the wishes of service users in the event of terminal illnesses or following death, with regard to their dignity being maintained. However all respondents to the postal comment cards said they felt their privacy was respected by the home. One service user said “I can get up when I like and go to bed when I like”. The Paddocks DS0000014943.V326648.R02.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 poor. This judgement has been made using available evidence including a visit to this service. The quality and amount of suitable activities provided by the home was unsatisfactory and service users were not provided with suitable and sufficient opportunity to pursue interests or activities, either independently or with support. This prevented service users from exercising their choice. EVIDENCE: The home had recorded evidence of its daily activities, which they supported service users with. However those documented were not always meaningful, suitable or stimulating and did not always suit the service users expectations, preferences or capacities. Some activity records detailed sleeping and watching television as an activity. Two respondents to the postal comment cards said they felt that there were not suitable or sufficient activities. One staff member said that the home had encouraged them to focus on activities for service users, however that many service users did not wish to participate as they found some of the activities suggested children’s games. There was no evidence that any staff had attended any specialist training to support them to deliver suitable activities. The manager said that an activity schedule had The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 13 recently been structured for staff to follow, however there was no evidence to demonstrate that service users had been consulted about their interests when it was completed. During the inspection some service users downstairs were observed being supported by staff to do some activities, however the chosen activities were not always considered meaningful and included ‘colouring in’, and six service users watching a television programme. There was evidence that the home observed some service users religious needs satisfactorily. Evidence suggested that service users were able to maintain regular contact with their relatives and friends without restrictions and were supported to maintain contact if they wished, by the home. Relatives who were spoken to during the inspection also supported the evidence and said they felt welcomed by the home when visiting and knew that they could visit at any time. There was evidence that service users were encouraged to bring personal possessions with them into the home. One service user spoken to said, “I like my room, I brought in everything I wanted, it’s like a home from home”. The manager was not aware of their policy regarding service users access to their personal records and arrangements to facilitate this, see also ‘Management & Administration’ section of this report. All respondents to the postal comment cards said they liked the food at the home. Menus examined generally offered choice and a nutritious and wholesome diet to the service users, with a balanced and varied selection of foods. A menu choice was offered five days out of seven, excluding weekends when a roast dinner was available, although staff said alternative choices are always available. Service users spoken to said they enjoyed the meals at the home. Nutritional needs assessments had been introduced by the home and service users weight was monitored. The Paddocks DS0000014943.V326648.R02.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 adequate. This judgement has been made using available evidence including a visit to this service. The home had satisfactory complaints and adult protection procedures in place, which ensured that complaints were listened to and service users were safeguarded from abuse. However some staff had not received POVA (‘Protection of Vulnerable Adults’) training, which could place service users at possible risk of harm or abuse. EVIDENCE: The home had received no complaints since the last inspection, but had received some concerns, raised by a visiting healthcare professional. A record was kept of all complaints. The home had a satisfactory complaints policy and procedure in place, which enabled them to deal with complaints received. Relatives spoken to were aware of the home’s complaints procedure and felt comfortable and confident to use it and that they would be listened to. All respondents to the postal comment cards said that they knew who to speak to if they weren’t happy with their care. The home had a Protection of Vulnerable Adults (POVA) policy in place, which included whistle blowing and staff spoken to demonstrated they were aware of the procedure. Most staff had attended POVA training, but not all. Since the last inspection there had been one notifiable incident in accordance with the POVA policy and guidance, which was reported to CSCI at the time. The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 15 Evidence examined, supported a process that had been followed to safeguard and protect service users. All respondents to the postal comment cards said they felt safe at the home. The Paddocks DS0000014943.V326648.R02.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, 22, 24, 25, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is satisfactory. However, service users are not all provided with an accessible call system alarm facility, which could place them at risk if they are unable to call for assistance. EVIDENCE: Since the last inspection the manager said that the fire service had declined to visit the building, as this was a requirement from the last inspection as changes had been made to the building. However, the manager said she had sent the building plans regarding the changes to the local fire service as requested. The environmental health department had visited the home during November 2006. The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 17 Call systems were provided in every room, however the system was not accessible to all service users, as there was only a limited supply of extension cords available for the system, for those service users who may require an extension cord to enable the system to be accessible for them. The manager said they had tried to obtain more but that they were no longer in production and therefore not available to purchase. This was recognised by the manager who was seeking alternative solutions to resolve this matter. Several bedrooms were inspected during the inspection and were all found to suit the needs of the service users. The décor was suitable and some redecoration in places was relatively recent. The manager said that each bedroom was decorated before a new service user entered it, however the decoration style and colours remained the same and were chosen by the home and not by the individual service user. Although service users were given the opportunity to personalise their room with various furnishings, which the home had supported them to do. Safe systems were in place to ensure the homes heating and lighting was adequately maintained, which was evidenced by contractual arrangements. Although no emergency contingencies plan arrangements were documented, in the event that the system should fail. Water temperature checks were examined and evidenced that they had been recorded from all outlets and complied with the recommended safe temperatures. The home appeared suitably clean and free from offensive odours. Training records identified some staff that had undertaken infection control training. The Paddocks DS0000014943.V326648.R02.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. The arrangements for staff recruitment were satisfactory. However further development was needed to ensure service users health & welfare was protected, by exploring any employment gaps in prospective new staff members’ employment records. EVIDENCE: The home provided sufficient numbers of staff to meet the needs of the service users. The home did not use agency or bank staff and had twenty-five vacant staff carer hours, which they were actively recruiting for. The homes vacant hours, holidays and staff absences were covered by the home manager & the deputy manager together. This subsequently prevented them from fulfilling their own responsibilities and roles. Evidence demonstrated that during one month recently, the manager covered fourteen care shifts within the home. The percentage of staff qualified at nvq (national vocational qualification) level 2 or 3, fell below the minimum required level of 50 . However the home had recently acquired its nvq accreditation as an assessment centre and more staff within the home had been registered on the programme. Some staff were already working towards achieving the award and there was evidence that the home supported staff to achieve this. The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 19 The homes recruitment procedures were generally satisfactory. However, one staff member’s file that was inspected identified unclear gaps in their employment records, which had not been explored. The training provided was varied and relevant, which helped to enable staff to be competent to do their jobs. Staff members spoken to reported various training which they attended, including some recently. There was evidence that the home provides staff with ‘Skills for Care’ induction & foundation training, although these are not always completed within the ‘National Training Organisations’ (NTO) specified targets. The home failed to provide a structured training & development plan for each individual staff member, however a generic one was in place for the home. The Paddocks DS0000014943.V326648.R02.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, 37, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ views were sought from time to time, but there was limited evidence that their views had much effect in changing how the home was run. EVIDENCE: The manager Lillian Janes was present throughout the inspection. The manager said that she had completed and attained the Registered Managers Award and had achieved a foundation and advanced qualification in Care Management. She was also a qualified NVQ (national vocational qualification) assessor. The manager was not always able to discharge their responsibilities fully as they often chose to cover vacant care shifts within the home, in addition to their manager’s role and responsibilities, see also ‘Staffing’ section of this report. The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 21 The home did not have a fully effective quality assurance system in place. The manager said that surveys were conducted annually for service users. However, the statistics were not translated to anything meaningful and there was no annual development plan from the results. Outcomes for service users were not identified, although the manager said that any items to be addressed were completed. There was no evidence that views of family, friends and of others such as GP’s, nurses, chiropodists had been sought. Some health care records were observed to be openly accessible and therefore not stored securely, as they were located in a public area, the homes reception. This did not respect service users privacy and confidentiality and was not in accordance with the Data Protection Act 1998. See also ‘Health & Personal Care’ section of this report. The manager said she was not aware of their policy regarding service users access to their personal records and arrangements to facilitate this. However a notice was displayed in the homes reception stating that personal information is held by the home and if the service user wishes to see it, they may in accordance with the ‘Data Protection Act’. Staff spoken to said they were receiving regular supervision. This was supported by recorded evidence on staff files. Some aspects of the homes health & safety safe working practices, required some improvements to protect service users from potential risk or harm. See ‘Environment’ section of this report. Various records were examined to support adequate compliance with the following safe working practices, regarding health & safety. The Paddocks DS0000014943.V326648.R02.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 2 3 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X 2 X 2 2 2 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X X 3 2 2 The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 (1) Requirement The service user plan must detail the action and objectives that need to be taken by care staff to ensure that all aspects of the health, social and personal care needs of the service user are met. Appropriate risk assessments must be implemented and reviewed to ensure the welfare and safety of the service users, with particular attention to prevention of falls. Controlled drugs administered by staff must be stored appropriately. When medication is administered to people who use the service it must be recorded and clearly. Reasons why a medication has not been given must be recorded and why a ‘prn’ medication has been given must also be recorded; to ensure people receive the correct levels of medication. Service users right to privacy must be respected by ensuring that their records are secure. DS0000014943.V326648.R02.S.doc Timescale for action 30/04/07 2. OP7 13 (4) (b) & (c) 30/04/07 3. 4. OP9 OP9 12(1)(a)1 3(2) 12(1)(a)1 3(2) 23/01/07 31/01/07 5. OP10 OP37 12 (4) (a) & 17 (1) (b) 28/02/07 The Paddocks Version 5.2 Page 24 6. OP10 12 (4) (a) 7. OP12 8. 9. OP22 OP31 10. OP33 Arrangements must be made to ensure the privacy & dignity of service users following death are respected. 16 (2) (m) People who use the service must & (n) be consulted about the programme of activities arranged and it must have regard to the needs of the service users. 23 (2) (n) People who use the service must be provided with an accessible call system with alarm facility. 10(1) The person managing the home must demonstrate that they are able to discharge their responsibilities fully. 24 (1) (a) An effective quality assurance (b) system must be introduced as specified by this standard. 30/04/07 30/04/07 31/05/07 31/03/07 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard OP1 OP3 OP22 OP24 OP25 Good Practice Recommendations The home should ensure that information about the home including service user contracts & the service user’s guide, are available in formats suitable for each service user. Information obtained by the home should be validated and authenticated by dating and signing the information. The registered person should arrange for the premises to be assessed by a qualified occupational therapist. The people who use the service should be given the opportunity to personalise their bedrooms in a decoration style and colour scheme of their choice. The home should document an emergency contingency plan, indicating measures to be taken in the event that the heating or lighting should fail within the home. People who use the service should be protected by the home by ensuring that staff employment records include a full employment history, together with a satisfactory written explanation of any gaps in employment. DS0000014943.V326648.R02.S.doc Version 5.2 Page 25 OP29 The Paddocks The Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Paddocks DS0000014943.V326648.R02.S.doc Version 5.2 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. 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!