Inspection on 16/08/07 for The Red House Nursing Home

This inspection was carried out on 16th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Red House Nursing Home 25/02/09

The Red House Nursing Home 07/08/08

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

CARE HOMES FOR OLDER PEOPLE The Red House Nursing Home Main Street Maids Moreton Buckinghamshire MK18 1LQ Lead Inspector Christine Sidwell Unannounced Inspection 16th August 2007 09:30 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 The Red House Nursing Home DS0000069434.V349023.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 Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Red House Nursing Home Address Main Street Maids Moreton Buckinghamshire MK18 1LQ 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) 01280 816916 01280 924344 redhousenursing@hotmail.co.uk Mr Paramjit Sohanpaul Julie Roche Care Home 32 Category(ies) of Dementia - over 65 years of age (0) registration, with number of places The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service Brief Description of the Service: The Red House is a large detached house in a quiet lane in the small village of Maids Moreton, close to the market town of Buckingham. The home is on three floors with shared and single accommodation. There is a lounge, dining room and conservatory on the ground floor. The home has pleasant gardens, with seating for residents and families. There are public transport links with the local town. There are qualified nurses on duty at all time, supported by a team of care staff. Residents register with the local general practice. The fees at the time of this report range from £480.00 to £750.00 per week. Additional costs include hairdressing, chiropody and personal items. The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted over the course of three days and included a one day unannounced visit to the home. The key standards for older people’s services were covered. Information received about the home since the last inspection was taken into account in the planning of the visit. Prior to the visit the manager completed an annual quality assurance self-assessment. Information from this was taken into account in the planning of the inspection. Questionnaires were sent to residents, their families and healthcare professionals. One resident, five family members and three social or healthcare professionals returned the questionnaires. Residents and families were also spoken to on the day of the unannounced visit. Discussions took place with the manager, nursing, care and ancillary staff. Care practice was observed. A tour of the premises and examination of some of the required records was also undertaken. The homes approach to equality and diversity was considered throughout. What the service does well: The care needs of potential residents are identified with them, prior to their move to the home, to ensure that they can be met. Families said that they had enough information prior to their relative moving and that staff were very supportive in helping new residents settle in. Residents’ personal, healthcare and medication needs are met in a manner, which protects their autonomy and dignity. The care plans are detailed and updated regularly. Medication management is satisfactory. Residents have access to local Primary Care Trust healthcare services and are referred to the local hospital if necessary. Care staff are understanding and supportive to people who have dementia and the atmosphere is relaxed and accommodating to individual needs. Families and friends made positive comments about the care in the questionnaires, saying ‘ I am very pleased with the care s/he is receiving’, ‘they seem to understand her well’, ‘my relative is unable to communicate but the carers talk to her when they are in the room and she seems to know their voices’. There is a range of activities available to residents who are encouraged and supported to follow their own interests and to remain in contact with their families and friends. Regular outings are arranged for those who are able to participate. Residents are supported to use local community facilities and to have lunch out. The standard of food is good and there is a choice of main meal. The complaints policies and procedures work well and residents and their families feel that any concerns that they have are addressed promptly. There The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 6 are safeguarding policies and procedures in place to protect residents. The Commission for Social Care Inspection is aware of one complaint, which was dealt with promptly, and has not been notified of any safeguarding allegations made to the local authority. Residents live in a homely environment, which is being redecorated and refurbished. There are attractive gardens although they are not safe for residents to go in on their own. The home is clean and tidy. There is a stable staff team who are caring and supportive towards residents. Recruitment procedures are thorough and protect residents from unsuitable staff. The staffing levels and training undertaken by staff are very good. Most staff are undertaking National Vocational Qualifications in Care and a number of staff have undertaken dementia care courses to give them the knowledge and skills they need to support people with dementia. The home is well managed by a stable experienced management team. There is a quality assurance programme in place and the management team are responsive to the wishes of residents and their families. Equipment and services are maintained regularly and safety checks are made to minimise risk to residents. A fire risk assessment has been undertaken and the recommendations implemented. What has improved since the last inspection? What they could do better: Two people should sign the medication administration chart when medication is transcribed to ensure that the transcription is accurate and to protect residents from potential medication errors. The presentation of meals should be reviewed. Further guidance on meeting resident’s nutritional needs and the presentation of meals is available from a variety of source, including the Commission for Social Care Inspection on www.csci.org and the Alzheimers Society on www.alzheimers.org.uk. The security of the home and gardens must be reviewed to ensure that residents have as much freedom as possible whilst minimising the risk that The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 7 they may come to harm or become lost. Consideration should be given, in conjunction with the fire officer, to the security of the first floor fire escapes and the garden should be made secure for residents who wish to go out on their own. Infection control procedures should be strengthened. There should be liquid soap and paper hand towels in residents’ rooms, for use by staff, to reduce the risk of cross infection. Residents should not share hoist slings. All staff files should have an up to date photograph of the staff member. 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 Red House Nursing Home DS0000069434.V349023.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 Red House Nursing Home DS0000069434.V349023.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The care needs of potential residents are identified with them, prior to their move to the home, to ensure that they can be met. EVIDENCE: The files of three residents were examined. All had evidence that the manager or senior nurse had visited them prior to their move to the home and their needs had been assessed. The documentation used to guide the assessment of potential residents has been improved and more detail is sought to help residents and the home assess whether the staff and facilities in the home can meet residents’ needs. There is reference to potential residents’ religious and cultural needs in the assessment. The families spoken to said that they had received enough information about the home before they moved. The families who returned the questionnaires said that they had been given enough information about the home before they moved. One family member said that the staff had worked hard to make her relative’s move as easy and comfortable as possible and that her relative had settled in well. The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 10 The home does not offer intermediate care. The Red House Nursing Home DS0000069434.V349023.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 and 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Residents’ personal, healthcare and medication needs are met in a manner which protects their autonomy and dignity. Care staff are understanding and supportive to people who have dementia. EVIDENCE: The care of three residents was looked at in detail and general care practices were observed. The care plans were detailed and had been updated regularly. There was evidence that the assessments made by other professionals are incorporated into the care plans. Residents had been supported to meet their personal care needs. All were well dressed with matching clothes and socks or stockings as appropriate. Gentlemen had been helped to shave and a number of ladies had had manicures. All residents were wearing their own clothes. The care plans and records showed that residents’ healthcare needs were being met. Residents’ nutritional needs are assessed. They are weighed regularly and none were seen to be losing weight. Their risk of falling is assessed and residents are observed, when walking about. Carers were seen The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 12 to respond quickly if someone who was unsteady wanted to get up and move around the room and supported them to do so and sit back safely. A number of residents who were at risk of falling were wearing hip protectors. Resident’s risk of developing pressure damage is assessed and the appropriate pressure relieving mattresses are available. There was evidence in the files that residents see the optician and chiropodist regularly and have access to services offered by the local Primary Care Trust (PCT) and secondary care services offered by the local hospitals. Te residents whose care was looked at in detail had also had regular reviews with their care manager, which stated that families were happy that healthcare needs were being met. The general practitioner who returned the questionnaire said that his advice was carried out and felt that the home was ‘an excellent home’. There are medication policies in place. Storage facilities are satisfactory. Records are kept of medication entering and leaving the home. The medication administration records were accurately completed. There was one instance of medication being handwritten onto the medication administration chart following prescription, which was not signed. It is recommended that two people sign the chart when medication is transcribed from a prescription to ensure that the transcription is accurate. Controlled drugs were stored satisfactorily and all entries to the controlled register were signed. A contract is held for the safe disposal of unused medication. The registered nurse spoken to said that medication was not administered covertly. If a resident refused medication this would be recorded. If the medication was essential and the resident lacked the capacity to make to the decision, the doctor and family would be informed and a way forward agreed. One family member said that her relative sometimes would not take her medication and the home ‘takes a lot of trouble explaining to her and encouraging her to take it’. The atmosphere in the home was very relaxed and carers were observed to be caring and patient with residents. They could anticipate their needs and were supportive and encouraging towards them. Families and friends made positive comments about the care in the questionnaires, saying ‘ I am very pleased with the care he is receiving’, ‘they seem to understand her well’, ‘my relative is unable to communicate but the carers talk to her when they are in the room and she seems to know their voices’. The Red House Nursing Home DS0000069434.V349023.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 and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. There is a range of activities available to residents who are encouraged and supported to follow their own interests and to remain in contact with their families and friends. They are supported to use local community facilities. The standard of food is good although more attention could be placed on presentation and choice for residents. EVIDENCE: An activities coordinator has been appointed and subject to satisfactory checks will be starting soon. The carers however are very supportive of residents’ need for meaningful activity and diversion. Groups regularly go out for lunch and to visit the local pub. Singers visit the home and an outing to Leighton Buzzard is planned for some residents to an ‘Old Time Music Hall’. The home has recently purchased an adapted vehicle for residents to travel in. One gentleman was observed doing a crossword and the television was switched on for specific programmes, which one resident liked to watch. The families who returned the questionnaires said that they were made very welcome at any time and felt that residents’ diverse needs were met. One commented that ‘they have given my relative DVD’s relevant to his background to watch’. The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 14 The standard of food is good. The menu is varied and residents have a choice of main meal. The care staff ask residents what they would like to eat in the morning. The laminated menus should be updated to show the choice available. A cooked supper is available. All three courses of the supper, which was served on the day of the unannounced visit, were served together on trays in the lounge. This should be reviewed as some residents were clearly not sure what to eat first. Snacks and drinks are available during the day if residents are hungry and in the evening to ensure that residents do not have a long period without food. Pureed foods are presented attractively. The care staff were observed to be patiently assisting those who could not eat independently. The dining room is dark and gloomy in the evenings and the manager said that there were plans to redecorate and refurbish the dining room in the near future. The Red House Nursing Home DS0000069434.V349023.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 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The complaints policies and procedures work well and residents and their families feel that any concerns that they have are addressed promptly. There are safeguarding policies and procedures in place to protect residents. EVIDENCE: There are complaints policies and procedures in place. All the families who returned the questionnaires said that they were aware of them. One family member said that she had not had occasion to make a formal complaint but that if ever she had any concerns, she spoke to the manager who dealt with it immediately. The home has information about the Department of Health’s Protection of Vulnerable Adult policies and procedures. Most staff have had training in this important area. The staff spoken to said that they would not hesitate to raise any concerns with the manager. The Commission for Social Care Inspection has been notified of one complaint, which was made to the local authority by someone who was looking for a home for a relative. This was dealt with appropriately and within the timescales stated in the home’s complaints policy. The Commission for Social Care Inspection has not been notified of any safeguarding allegations made to the local authority, which is the lead agency in these matters. The Red House Nursing Home DS0000069434.V349023.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 and 26 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Residents live in a homely environment, which is being upgraded. Security should be reviewed to ensure that residents are safe and infection control procedures should be strengthened to reduce the risk of cross infection. EVIDENCE: The home is on three floors. There has been an ongoing programme of redecoration in the home since it has been bought by new owners. Some rooms have been redecorated and carpets and flooring replaced in some areas. A new sluice disinfector, dishwasher and cooker have been bought. There are plans to build an extension, which will provide additional rooms and better storage space. The annual quality assurance assessment also stated that there are plans to redecorate the dining room and purchase new furniture. The corridor decoration is bland and there are no identifiers on the doors, which might help residents, identify the toilets and bathrooms. The proprietors and manager should take advice when redecorating on the way in which the decoration of the home may support residents with dementia. The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 17 There is a keypad security lock, with a fire safety glass box, on the top floor fire escape doors but not the second floor. One lady was able to wander along the second floor corridor and could have fallen had she opened the fire escape door. This must be addressed as a matter urgency. The gate leading to the gardens and the home was ajar when the inspector arrived at the home. There is a keypad security system between the lounges and hallway, which leads to the garden. The security of the home and gardens should be reviewed to ensure that residents have as much freedom as possible whilst minimising the risk that they may come to harm or become lost. There are infection control policies and procedures in place and the home has a copy of the Department of Health’s latest guidance on infection control. There were no offensive odours in the home. The laundry is well managed although small. There is a ‘red’ bag system in place for soiled linen. Residents’ rooms do not have liquid soap and hand towels for staff use and residents share hoist slings. Both these findings should be addressed to reduce the risk of cross infection and to comply with the latest guidance from the Department of Health. The Red House Nursing Home DS0000069434.V349023.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 and 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Staffing levels are good and staff are encouraged to gain qualifications in care. Recruitment procedures are thorough and protect residents from unsuitable carers. EVIDENCE: There is a stable staff team. The staff spoken to enjoyed working at the home and felt valued for the efforts that they put in. The families spoken to and those who returned the questionnaires said that the care staff were very kind. The staffing levels are good with a ratio of one member of nursing or care staff to four residents. The care team are also supported by full time housekeeping laundry and catering teams. One resident said in the questionnaires that ‘I have very good care here, they have plenty of staff’. There are waking night staff. The manager said that they very rarely use agency staff and use regular bank staff, who are known to the residents, if additional staff are needed. Nine of the nineteen care staff hold the National Vocational Qualifications in Care at level 3 and four at level 2. The home meets the standard that fifty percent of care staff hold this qualification. Carers have also undertaken a distance learning qualification in Dementia Care, which they said that they had enjoyed and found helpful. They were also able to describe changes that they had made, following the training, to improve the care of residents. The carers spoken to said that they have had the basic mandatory training in safe working practices although the training matrix to demonstrate this requires updating. The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 19 The recruitment files of four recently recruited staff members were examined. All had the required documents and had evidence that appropriate checks had been undertaken before the staff member commenced work. There was evidence that the person’s identity had been checked, two references had been obtained and criminal records bureau disclosures sought. The training records showed that they had undertaken an induction programme. Individual staff training records were held in staff personnel files. Not all staff files held an up to date photograph of the staff member, which should be addressed. The Red House Nursing Home DS0000069434.V349023.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 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home is well managed by a stable experienced management team. There is a quality assurance programme in place and the management team are responsive to the wishes of residents and their families. EVIDENCE: There is an experienced manager and deputy manager in post. Both are registered nurses and have gained their Registered Managers Award. The manager has updated her training since the last inspection by undertaking a health and safety course and updated first aid training. There are clear lines of accountability in the home. There is a quality assurance programme in place. The manager undertakes a range of regular audits including a care plan and medication administration audit. Family’s meetings are held regularly and are well attended. These are The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 21 recorded and action is taken in response to suggestions. A quality assurance questionnaire has been sent out on an annual basis. There is information about the Alzheimers Society and details of advocacy support available to relatives. Copies of previous reports are available in the front entrance hall. The requirements of previous inspections have been addressed by the new owners. The home does not manage residents’ money on their behalf. Small amounts of personal allowance may be kept in the home. Records are kept and receipts are given for any expenditure incurred on behalf of residents. There are health and safety policies and procedures in place. Staff have had training in safe working practices. A fire risk assessment has been undertaken. Fire safety equipment is checked regularly and the staff spoken to were aware of the action to be taken in the event of a fire. Electrical equipment had been tested. Water temperatures are checked regularly. Some staff have had first aid training. The maintenance records showed that the servicing of equipment and services was up to date, with the exception of the lift service, which is due. One lift has been taken out of service. The remaining lift should be serviced in line with the maintenance schedule. The Red House Nursing Home DS0000069434.V349023.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Red House Nursing Home DS0000069434.V349023.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 OP19 Regulation 23(1)a Requirement The security of the home and gardens must be reviewed to ensure that residents have as much freedom as possible whilst minimising the risk that they may come to harm or become lost. Timescale for action 31/10/07 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 Refer to Standard OP9 OP15 Good Practice Recommendations Two people should sign the medication administration chart when medication is transcribed to ensure that the transcription is accurate. The presentation of meals should be reviewed. Further guidance on meeting resident’s nutritional needs and the presentation of meals is available from a variety of source, including the Commission for Social Care Inspection on www.csci.org and the Alzheimers Society on www.alzheimers.org.uk. Resident’s rooms should have liquid soap and paper hand towels for use by staff to reduce the risk of cross infection. DS0000069434.V349023.R01.S.doc Version 5.2 Page 24 3 OP26 The Red House Nursing Home 4 5 OP26 OP29 Residents should not share hoist slings. All staff files should have an up to date photograph of the staff member. The Red House Nursing Home DS0000069434.V349023.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Red House Nursing Home DS0000069434.V349023.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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