Inspection on 04/05/05 for The Spinney

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 Spinney 21/05/08

The Spinney 06/06/07

The Spinney 30/06/06

The Spinney 24/11/05

The Spinney 13/12/04

The Spinney 18/05/04

The Spinney 12/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Spinney 16 College Road Upholland Wigan Lancashire WN8 OPY Lead Inspector Anne Taylor Unannounced 04 May 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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 Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Spinney Address 16 College Road Upholland Wigan Lancashire WN8 0PY 01695 632771 01695 625599 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bondcare (Spinney) Ltd N/A Care Home 35 Category(ies) of OP - Old Age (35) registration, with number PD - Physical Disability (3) of places The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 35 service users to include: 1. Up to 35 service users in the category of OP (Old Age not falling within any other category.) 2. Up to 3 service users in the category of PD (Physcial Disability). 3. The sservice should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. Date of last inspection 13TH December 2004 Brief Description of the Service: The Spinney is a thirty-five bedded care home that provides nursing and personal care to men and women over the age of sixty-five. A trained nurse is on duty at all times. At the time of inspection twenty-seven people were living a home. Nineteen were receiving nursing care and eight receiving personal care. Accommodation is over three floors, which can be accessed by a lift. Thirty-one rooms are single, six of which have en-suite facilities. Two double rooms are available for people who wish to share. There are lounges on the ground and first floor. The main lounge on the ground floor is large and spacious. The smaller lounge is used less often but provides a quiet area for residents and visitors. Garden space is limited due the the development of land at the front of the house and the remaining garden is not currently accessible to residents. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over one day in May 2005. Following a change of ownership and changes of manager the Spinney experienced a period of instability and there has been a decline in standards. A lot of work is needed before a significant number of the National Minimum Standards can be considered met. The inspection involved discussion with the people who lived and worked at the home, examination of records, policies and procedures and a tour of the premises. As part of the inspection process the inspector used “case tracking” as a means of assessing some of the National Minimum Standards. This process allows the inspector to focus on a small group of people living at the home. All records relating to these people are inspected along with the rooms they occupy in the home. They are invited to discuss their experience of the home with the inspector, however this is not to the exclusion of other people living at the home. The Commission for Social Care Inspection received four complaints in the last twelve months. The home took action to resolve the areas of concern. A number of requirements and recommendations remain outstanding from the last inspection. Additional requirements have been made at this inspection, particularly in relation to the standard of care given to residents, staffing issues, health and safety matters and record keeping. What the service does well: The Spinney provided a homely environment for the people that live there and visitors made to feel welcome. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: A registered manager needs to be in place to provide leadership and direction for staff. And also to establish effective management systems so the home can operate in the best interests of the people who live there. More attention should be given to identifying individual needs and ensuring the home can meet those needs and the expectations of residents. One resident said, it’s OK here but sometimes I need help that just isn’t there”. Good record keeping should be in place to help the care process and promote the welfare of residents. Residents need to have a more flexible lifestyle, and be able to make choices that staff will support so that they can have more control over their lives. Training for staff at all levels is needed to ensure that they have the skills required to do their jobs properly, protect residents and appreciate the importance of maintaining the privacy and dignity of the people they care for. The management of complaints should be improved so that residents know how to complain and can be reassured that will be listened to and any concerns acted upon. More importance should be given to health and safety matters so that people living and working in the home can do so safely. There had been no improvements to the environmental standards and some bedrooms are still in need of redecoration and refurbishment. Access to the toilets off the main lounge should be improved and a review of the number of bath and shower facilities available for use undertaken. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 3 The pre admission processes were not thorough enough to ensure that people living at the home could make a fully informed decision about coming to live there or whether the home could meet their needs and expectations. EVIDENCE: The statement of purpose was complex, lengthy and not in a format suitable for prospective residents. It was difficult to determine the facilities and services offered. Residents spoken to did not know what a statement of purpose or service user guide was but confirmed that they or a relative had visited the home prior to coming to live there. They said, “my daughter visited”, “ my wife did and I have been here before” and “my son-in-law did whilst I was in hospital”. Pre admission assessments varied in content and did not always give a clear picture of identified needs. A trained nurse had assessed two people who had recently come to live at the home. The format used was comprehensive and needs were clearly identified. Two residents had different pre admission assessments that were difficult to follow and needs were not clearly identified. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 10 One resident was told before coming to live at the home that they could go to bed anytime but found that this was not possible, as staff were often busy. The resident was very disappointed about this and said “ I would not have come if I had known this beforehand. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 & 10 An effective system to establish and monitor care provision was not in place and the home was not able to show that health, personal and social needs were consistently met. Staff were insensitive to the needs of residents so that residents’ rights to privacy and dignity were not always upheld. EVIDENCE: Records showed that there was no consistency in the standard of care planning and the files were disorganised. Care plans lacked detailed instructions for staff to follow and had not been reviewed regularly. The risk assessment process was poor, which meant that risks to residents were not clearly identified or appropriately managed. When asked about care plans the residents spoken to did not know what a care plan was. They said that they had not been involved in the drawing up and review of care plans and risk assessments. When asked if they were happy with the care provided residents said, “I couldn’t say I was happy but I’m treated OK”, “It’s just OK” and “Not always because they (the staff) keep me waiting”. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 12 Bad practice and a lack of consideration for the needs of the residents were observed during the course of the inspection. Residents were left in wheel chairs during meal times. After lunch residents in wheelchairs were taken from the dining table and then left for a prolonged period of time before being assisted into a lounge chair. Staff were seen chatting with each other whilst residents were waiting for help. One resident remained in a reclining chair most of the morning without any member of staff attending to them. Staff did not change the resident’s position offer a drink or even engage in conversation. All staff including trained nurses and the acting manager did not notice that the resident’s upper thighs, underwear and incontinence pads were exposed because clothing had ridden up to the tops of her legs. The inspector had to point this out to the acting manager and ask that she ensure prompt action be taken to maintain the resident’s dignity. When asked if staff respected their privacy and dignity residents said, “I suppose so, I get ignored sometimes, I ask if I can go to the toilet and they (the staff) walk straight past me”. “ Staff knock before entering my room, they treat me with respect but that cuts both ways, I am Ok with them”. Staff spoken to were able to give examples of how they would respect the privacy and dignity of the people they cared for. However, they needed much prompting and this was not reflected in their actions observed during the inspection. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 13 Daily routines were sometimes inflexible so that residents were not able to make choices and exercise control over their daily lives. Opportunities for social and recreational activities were very limited and residents did not have their social interests and needs met. EVIDENCE: Social activities were severely limited. There was no activities organiser and a programme of activities had not been developed. Residents spoken to say that they did not have anything to do other than watch television, wait for visitors or read. There was no information available to residents about any activities in or out of the home. No activities took place during the day of inspection. The hairdresser was present for the whole day and one member of staff was seen cleaning and painting nails for female residents. Hairdressing and nail care was done in the main lounge in front of other residents and any visitors. Residents were not asked if they had any objections to this. When asked whether they had a choice about daily routines in the home residents said, “ no, it’s when they can fit me in, but I choose to go to bed early”, “that’s a problem, I can’t go to bed when I want” and “I like to get up The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 14 at 7am but this only happens once a week when a particular nurse is on night duty”. When asked about the food served at meal times residents said, “there is no choice” and “sometimes there is a choice, usually at tea time”. The Spinney had a flexible visiting policy and visitors were welcome at any reasonable time. Visitors were present during the inspection. Staff said that residents could see visitors in their own room if they wished but during the inspection residents saw their visitors in the main lounge, which offered little or no privacy. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Complaint and adult protection processes were not given enough attention to ensure that residents were protected from abuse. EVIDENCE: The complaints procedure was on display in the reception area and detailed in the service user guide. When asked if they knew whom to complain to residents said, “I don’t know where I would go” and, “I don’t know”. Staff spoken to were unaware of the content of the complaints procedure, although one said she thought it was on display in the reception area. The acting manager was unable to find a complaints log. She had dealt with one complaint since she became acting manager of the Spinney. Records regarding this complaint did not include details of the original complaint or the investigation undertaken. An adult abuse policy was in place and included a whistle bowing policy. A copy of the “no secrets in Lancashire” document was in the policy manual. The procedure should include contact details for relevant authorities such as social services, CSCI and the Police. Staff spoken to were very unclear about the correct procedure to follow if they suspected an abusive incident had taken place. Some had received training as The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 16 part of their NVQ training but most staff needed specific training in relation to the protection of vulnerable adults. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 24 & 25 People that lived at the Spinney did not do so in safe and well-maintained environment. EVIDENCE: The recent development of flats on what used to be the lawn at the front of the home meant that residents did not have access to outside areas. A formal plan of redecoration and refurbishment was not in place and parts of the home were looking shabby and items of furniture missing or worn. Residents’ bedrooms contained personal items and possessions. However, some bedrooms did not have a bedside table, a table to sit at or any form of seating. Access to the downstairs toilets off the main lounge was difficult because of heavy doors and no heating. Two bathrooms were being used to store items of equipment. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 18 Pipe work and radiators were not all guarded. The protective bumpers on bed rails in one bedroom were stained and dirty. Bin lids were missing from a number of domestic waste bins through out the home. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 19 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 Determination of staffing levels was unclear and staff were not trained to a level that ensured the needs of residents were fully understood or met. EVIDENCE: Staffing rotas were kept that showed the number and skill mix of staff on duty. The acting manager was unable to explain how staffing levels were determined. Staffing levels must be reviewed to ensure the number and skill mix of staff on duty is sufficient to meet the needs of residents. A staffing proposal based on dependency levels of residents and that reflects the change in categories of people accommodated at the home must be submitted to the Commission by the 13th May 2005. There were no training records available and a training and development programme had not been developed. Staff spoken to said that they had not received any training specific to the care of the elderly. One had completed National Vocational Training at level two. Mandatory training in relation to health and safety such as fire safety and moving and handling needed up dating for all staff. When asked about staff one resident said, “there is just not enough of them”. During the course of the inspection staff demonstrated a general lack of motivation and interest. Residents were left to wait to go to the toilet, or to be helped to move from table to chair whilst staff stood chatting with each other or the hairdresser. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 20 The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 21 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,36 & 38 The lack of cohesive management systems and processes meant that the home was not run in the best interests of the people living there. EVIDENCE: The home was without a registered manager. An acting manager had been at the home for three weeks. Discussion with the acting manager showed that a significant number of problems had already been identified that were adversely affecting the standard of care provided. A quality assurance system had not been developed and residents were not consulted about any aspects of running the home or the quality of service delivered. When asked if they thought the home was good or bad residents said, “somewhere in the middle”, “good” and “very much in between”. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 22 Staff spoken to had not received any formal supervision. Certificates to confirm that equipment and systems used by the home were not all up to date. The acting manager could not find any training records. Discussion with staff showed that mandatory training for staff in relation to safe working practices, including fire safety and moving and handling was not up to date. The acting manager was aware of this and was in the process of arranging training via the company’s training manager. The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 23 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 x 10 1 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 2 28 x 29 x 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 1 x 1 1 x 1 x x x x 2 The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 24 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 Schedule 1 Requirement An up to date statement of purpose must be produced and made available to current and prospective residents. The format must be suitable to the needs and capactities of residents. (Timescale of 31st March 2005) not met. A full preadmission assessment must be undertaken prior to any resident coming to live at the home. Residents or a representative must be involved in the assessement. Residents must receive written confirmation that the home is able to meet their assessed needs. (Timescale of 31st March 2005 not met). A written plan of care that clearly identifies needs and how the home will meet those needs must be in place for all residents. Care plans must be reviewed regularly. (Timescale of 15th January not met). Care plans must include a risk assessment for residents at risk Timescale for action 31st July 2005 2. 3 14(1) (c)(d) 31st July 2005 3. 7 15(1) 30th June 2005 4. 7 13(4) (c) 30th June 2005 Page 25 The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 5. 8 13(4) (c) 12(1) (b) 24(1) (a) (b) 12(4) (a) 16(2) (n) 6. 8 7. 8. 9. 8 10 12 10. 12 12(3) 11. 19 23(2)(0) 12. 21 23(1)(a) 23(2)(a) 13. 25 13(3)(4) 14. 26 16(2)(j) of falling (Timescale of 15th January 2005 not met). Risk assessments relating to the provision of health care must be in place. (Timescale of 31st March 2004 not met). The home must be conducted in a manner that makes proper provision for the care, treatment and supervision of residents. A system for reviewing and improving the quality of care provided must be established. The home must be conducted in a manner that respects the privacy and dignity of residents. Residents must be consulted about activities. A range of suitable activities in relation to recreation and fitness must be provided. In order to make proper provision for the health and welfare of residents the home must ascertain and take into account residents wishes and feelings. External grounds that are suitable for and safe for use by residents must be provided and maintained. Work needed to provide suitable toilet and bathing facilities must be carried out. (Timescale of 30th April 2005 not met). Pipe work and radiators throughout the home must be guarded or have guaranteed low surface temperatures. (Timescale of 31st January 2005 not met). A satisfactory standard of hygiene must be maintained at the home, protective bumpers identified at inspection must be cleaned. Domestic waste bins should have lids. 30th June 2005 30th June 2005 31st July 2005 30th June 2005 31st July 31st July 2005 31st August 2005 31st August 2005 31st August 2005 10th June 2005 The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 26 15. 16. 16 27 17(2) Schedule 4 18(1)(a) A record must be kept of all complaints made to the home. Dependency levels of residents must be reviewed and a staffing proposal submitted to the Commission by 13th May 2005 A training needs analysis must be undertaken and a training and development programme put in place. A system to reviw the quality of service provided that includes consultation with residents and their representatives must be established. Arrangements must be in place to ensure that staff are appropriately supervised. Service and repair work of all systems and equipment used at the home must be up to date. Certificates to confirm that systems and equipment used by the home are adequately maintained must be submitted to the Commission. All staff must receive up to date training in fire safety, first aid, abuse and moving and handling. 31st July 2005 13th May 2005 31st August 2005 17. 30 18(1) 18. 19. 33 24(1)(3) 31st August 2005 20. 21. 36 38 18(2) 23(2) (c) 31st August 2005 13th May 2005 22. 38 23(4)(d) 13(5)(6) 31st August 2005 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 38 12 Good Practice Recommendations Trained staff should adhere to the guidelines for records and record keeping issued by the Nursing and Midwifery Council. The home should consider employing a designated F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 27 The Spinney 3. 4. 12 16 activities organiser. Information about activities should be available to residents in a suitable format. Complaint records should include, details of the complaint, the investigation, outcome and any action taken. Residents should have a copy of the comlaint procedure. The homes adult abuse procedure should include contact details for relevant authorities. Residents bedrooms should contain all the items listed in standard 24.2 of the National Minimum Standards unless a risk assessment suggests otherwise. Bedrooms should be fitted with appropriate locks and offered a key unless a risk assessment suggests otherwise. Residents should have a lockable storage facility and be provided with a key. A programme of routine maintenance and renewal of the fabric and decoration of the premises should be produced and implemented with records kept. The fire risk assessment should be reviewed. Risk management strategies identifed in the risk assessment for the control of legionella should be implemented and records kept. 5. 6. 18 24 7. 8. 9. 19 38 38 The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 Page 28 Commission for Social Care Inspection Levens House Ackhurst Business Park Foxhole Road Chorley PR7 1NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Spinney F57 F08 S39828 The Spinney V223374 040505 Stage 4.doc Version 1.30 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. 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