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Inspection on 30/08/07 for The Squirrels Care Centre

Also see our care home review for The Squirrels Care Centre for more information

This inspection was carried out on 30th August 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Provides a choice of meals that are appetising and plentiful and comments received from people at the home were favourable. Some areas of the home are spacious, well furnished and decorated. Staff have been provided with training on the protection of vulnerable adults from abuse. Visitors are made welcome and good relationships with staff are being established.

What has improved since the last inspection?

Comprehensive and up to date assessments for people placed by a local authority are received prior to an admission. An additional member of staff at night has been provided owing to the layout of the building. A greater effort had been made to ensure that care plans for people recently admitted to the home were adequately detailed, with good instructions for staff and they were being reviewed. Complaints received are being recorded but it was still not clear from the information as to the outcome. Staff have been provided with training on the protection of vulnerable adults from abuse.

What the care home could do better:

Several areas of the building needed to be refurbished to ensure that all people at the home are able to live in a clean, homely and comfortable environment. The home needed to develop the current range of activities to ensure that everyone living at The Squirrels has an opportunity to have fulfilling experiences and to be involved. The home needed to ensure that more staff are provided with an opportunity to obtain a training qualification. Care plans needed to continue to be developed for all the people living at The Squirrels to ensure all their needs and wishes and the actions required from staff to support the person are clearly detailed. The quality assurance and monitoring system needed to be developed to ensure that the views of people living in the home are known. Evidence must be available at the care home to show that the health and safety of people living at the home is safeguarded.

CARE HOMES FOR OLDER PEOPLE The Squirrels Care Centre Warley Road Great Warley Brentwood Essex CM13 3HX Lead Inspector Alan Thompson Unannounced Inspection 10:20 30 August & 27 September 2007 th th 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 Squirrels Care Centre DS0000018113.V349880.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 Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Squirrels Care Centre Address Warley Road Great Warley Brentwood Essex CM13 3HX 01277 224308 01277 261353 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Care Home 58 Category(ies) of Old age, not falling within any other category registration, with number (58) of places The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Personal care to be provided to no more than 58 people over 65 years. The total number of people for whom personal care is to be provided shall not exceed 58. 4th July 2006 Date of last inspection Brief Description of the Service: Ashbourne (Eton) Ltd., which is part of Southern Cross Ltd., owns the Squirrels Care Centre. The home provides personal care and accommodation for up to fifty-eight older people. The home is a large listed building and is situated in extensive grounds in a rural location some distance from shops and public transport. The home provides transport to both staff and visitors. There are car-parking facilities at the front of the property. The home provides single and double bedrooms and all rooms have en-suite WC facilities. There are two lounges and a large separate dining room Passenger lifts provide access to all upper floors. As at 30th August 2007, the deputy manager advised that the fees for accommodation range from £421.54 to £669 per week. Extras to the fees include hairdressing, chiropody, personal toiletries, magazines and newspapers. Information about the services provided at the home is located within the homes main reception area. Inspection reports are available from the home and from the CSCI website www.csci.org.uk The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection looking at the core standards for the care of older people and was carried out by two inspectors, Alan Thompson and Brian Bailey. This report is based on a range of information that has been accumulated from our inspection records, two site visits to the home that took place on 30th August at 10.20am and 27th September 2007 at 9.30am, a tour of the property, discussions with the area manager at Southern Cross, the deputy manager, staff, people that live at the home, relatives, records kept at the home, questionnaires and the home’s annual quality assurance assessment, which was sent to us in July 2007. The home is registered to provide accommodation and care to 58 people, although at the time of the site visits there were only 34 people in residence. This was due to the second floor accommodation having been taken out of use temporarily to allow for the installation of additional fire safety measures following advice from fire officers. Questionnaires were returned to us from people living at the home, relatives and staff. These were generally positive although a few people did have some reservations about some aspects of the service provided. There was a change of management in 2007 but since that time, much has been achieved to address the issues raised at the last inspection. Although there are still some matters outstanding, the main issue is that little attention has been paid to the poor standard of some parts of the building. This has resulted in us requiring the home to provide an improvement plan that clearly identifies how and when they plan to improve the premises. What the service does well: Provides a choice of meals that are appetising and plentiful and comments received from people at the home were favourable. Some areas of the home are spacious, well furnished and decorated. Staff have been provided with training on the protection of vulnerable adults from abuse. Visitors are made welcome and good relationships with staff are being established. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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 Squirrels Care Centre DS0000018113.V349880.R01.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 Squirrels Care Centre DS0000018113.V349880.R01.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, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into The Squirrels can be confident that the admission processes ensure that the home can meet their needs. EVIDENCE: The home’s statement of purpose and service user guide had been reviewed and amended since the last inspection and further minor changes were about to be made to reflect the appointment of a new manager. There was no evidence as to when these documents were made available to people. It was evident from the three care files examined that the deputy manager assesses prospective individuals before they come to live in the home, and a record of a pre-admission assessment showed that appropriate issues were considered and in adequate detail. In addition to the pre admission assessment and where applicable, assessments from individual’s placing authorities were available. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 9 Discussions with people living at the home during these visits confirmed they felt they had received enough information about the home to enable them to decide if it was the right place. Two relatives spoken with confirmed they had visited to look at the facilities and felt that the home meets the needs of individuals and gives them the support the relatives expected. The home does not provide an intermediate care service. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to have a plan of care to help meet their needs, to be treated with respect and that their medication will be administered safely, but some people may require staff to provide more support to help maintain their appearance. EVIDENCE: The care records of three people recently admitted to the home were checked. The comprehensive system for recording each individual’s care needs, preferences, dislikes, assessed risks, medication, the degree of support required and how this was to be provided as guidance for staff were well documented. Care records showed that people are enabled to access health care professionals at regular intervals and as required. In general, people at the home looked well cared for although it was evident that the appearance of some people required closer attention. One person was noted to have very dirty fingernails and a few people didn’t appear to have had their hair combed. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 11 The home’s medication administration records were well maintained with no omissions of signatures. The records for controlled medications were also satisfactory and an audit carried out indicated that all medications have been given as prescribed. Records showed that senior staff responsible for the administration of medication had been trained and assessed. People at the home that returned survey forms to us felt that they are treated well although a comment was made that whilst senior staff are polite and show respect, some younger staff are less respectful. One person spoken with said that they required two members of staff to assist with their personal needs. The person considered the staff to be very patient and they always understood the need to preserve the person’s right to privacy and to be treated with dignity. Another comment made was “I would have a job to find a better home, I feel safe here”. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to be encouraged to maintain contact with family and friends and to be provided with good food, but they could not be certain they would be supported to participate in meaningful activities. EVIDENCE: On the days of the inspection visits, professional entertainment was held on one day and a quiz on the other day. There was a good response to both events from people at the home. An events programme was available on the notice board, which showed that each week there were sessions designed for large groups as well as sessions described as one to one. The home employs an activities coordinator on a part-time basis. The person was observed to speak with individuals and to assist at the mealtime. From discussions with staff and people living at the home, there are concerns about the people that do not attend any activities sessions. Two people spoken with said it was sad to see people sitting in their chairs all day without anything to do. Staff spoken with were of the opinion that the one to one sessions were not very satisfactory in terms of the frequency with which individuals were engaged and the short time the sessions lasted. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 13 The people living at the home were happy to talk with the inspector about their experiences of living at The Squirrels. One person spoken with described how they were able to enjoy their independence by being able to access the lounges and dining room with the use of an electric wheelchair and going out in a taxi to use the facilities in the local community. The home has one main dining room that has excellent views of the garden. This is a large room and is able to accommodate everyone at the home. The atmosphere was sociable and pleasant and staff were available to provide assistance sensitively where necessary. One person commented on a survey that it is not always possible to choose a meal, as the menu is not always available. The menu was available on the days of the site visits. The people living at the home were largely complementary regarding the meals at the home. They enjoyed the choice and the offer of a cooked breakfast. One person was overheard to ask for an alternative as the meal was being served. A member of staff responded positively and took the meal away and brought the alternative without any hesitation. One person spoken with described the cook as being very good; they liked the food and being able to make choices. From observation, people that required their food to be liquidised, the food was presented in a more appetising way. Staff spoken with confirmed they had received training on food hygiene. As described in this report under the Environment section, the dining room carpet is badly stained and does not therefore present as a sufficiently clean place to eat a meal. There are some choices that are not available to everyone at the home. These are detailed elsewhere in this report but includes free access to the gardens and from the annexe to the communal areas within the home. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at The Squirrels have access to a clear complaint procedure that ensures that they are listened to although they could not be sure the home would keep an accurate record of their complaint. The home operates a system of practices and procedures to ensure the protection of the people who live there. EVIDENCE: The service has a complaints procedure that contains appropriate information to ensure the people living at The Squirrels know what to do if they need to make a complaint, including timescales for a response. All the questionnaires from relatives and people spoken with during the visits stated that they knew who to speak to if they were not happy, and knew how to make a complaint. The complaint log showed the home had received three complaints in 2007 but no information about what conclusions had been reached, other than the deputy manager providing information from memory. The service has a policy and procedure for dealing with the Protection of Vulnerable Adults (POVA). The home’s training log shows that all but the most recently appointed staff (two) have received training on POVA. A POVA alert was raised and investigated in May 2007 following an allegation of physical abuse and investigations are continuing. The registered provider will need to bring this to a conclusion as quickly as possible. A second incident occurred in July 2007 when it was discovered at an audit that a sum of money was missing The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 15 from the home. This is also still the subject of an external investigation although in the meantime, the owners have reimbursed all people that suffered a loss. The Squirrels Care Centre DS0000018113.V349880.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, 21, 25 & 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People at the home cannot be confident they will be provided with a comfortable, homely or safe environment with easy access to all areas. EVIDENCE: This is a large building that has been adapted for the use of older people. Accommodation for people is on three floors, a ground floor, which is primarily for sitting and dining areas and the first and second floors for bedrooms. The second floor had been taken out of use since fire officers determined it was unsafe for people. Work is progressing to remedy the defects and for approval to be granted by fire officers for the area to be used again. The main building has an annexe of bedrooms known as the stable block. Although these rooms are situated in a quiet location, the area is remote from the main building and for some older people too far to access independently. Several of the bedrooms in this area were very plain, dull and in need of redecoration, wallpaper was torn and lampshades were old. In one room a The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 17 notice of instruction for staff was stuck on a wardrobe. The ceiling of the adjacent corridors had poorly fitted ceiling tiles, broken light fittings, and bedroom 4 had a damaged radiator cover. The adjacent toilet door was badly damaged and the radiator cover was also broken. Wallpaper in the corridor was worn and torn in places. The laundry room was well organised but it was noted the door was left unlocked when unoccupied, which is a potential hazard for people living at the home with access to cleaning fluids. The laundry room door is a fire door but a window pain was missing, which would mean the door would be ineffective in the event of a fire. At the time of the second visit to the home, this issue had been resolved. Independent access to the grounds for people at the home is restricted. There is a step at the end of a ramp at the front entrance and the patio area at the side of the house has a ramp without a handrail and a step down to the garden. Both these access areas a potential hazard to people at the home, visitors and staff. The drive at the main entrance was scruffy in appearance with dead flowers, weeds and cigarettes littering the ground. The uneven surface in the car park was probably the cause of an accident to a staff member in 2007 but no work to improve the area has been carried out. The area outside of the kitchen, which is used by staff as a smoking area was littered with cigarettes ends. The area manager said that a receptacle for cigarettes ends would be purchased and an area designated for use by people that wish to smoke. There were insufficient small tables beside armchairs provided in the lounges for people to place drinks or personal possessions. People were observed to lean over to place cups on the floor, which for some would be a hazardous manoeuvre. The kitchen floor covering was of a poor standard. Odour control was acceptable but the standard of cleanliness was not good in the main dining room where the carpet was badly stained. This is a repeat of was what found at the inspection of the home on 2nd November 2006. The carpets in both lounges are also stained. One of the waste bins for clinical waste disposal in use in a bathroom adjacent to the lounge was not pedal operated, and was therefore a potential hazard. The Squirrels Care Centre DS0000018113.V349880.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in The Squirrels benefit from being supported by a competent staff team. The recruitment procedure in the home is good and provides the safeguards to ensure that appropriate staff are employed. People living in the home are cared for by staff who are provided with a programme of training. EVIDENCE: The home’s Annual Quality Assurance Assessment completed by the previous manager was submitted to us in July 2007. This document states that only 12 of care staff have attained a NVQ 2 or above qualification, which does not meet the recommended ratio of 50 of the care staff team. Three staff members are currently working towards this qualification. The registered provider will have to consider what action is required to improve this imbalance. The staff training and development programme provided in the home was available for inspection on the day. The home provides a thorough and comprehensive induction programme for staff, which uses the Skills for Care induction standards; all staff are fully inducted within six to eight weeks of their employment. Staff have a range of refresher and specialist training available to them and are obliged to undertake refresher training when identified. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 19 The deputy manager stated that the use of agency staff had decreased since the last inspection. Staffing levels were the same over the two days of inspection visits and these had increased since the last inspection. The roster showed that there is now one senior and three care staff on duty at night. The staff spoken with and staff personnel records of the most recently appointed members of staff confirmed that all pre-recruitment checks are completed prior to employment. The staff files, contained references, application forms, Criminal Reference Bureau disclosure checks, personal identification, photographs and contract of terms and conditions for staff. Staff files are kept in a secure place. Evidence was available to confirm that staff meetings take place and a system of staff supervision had recently commenced. Staff spoken with all considered the home was now better organised and senior staff more approachable and they were confident about the future with appointment of the new manager. The Squirrels Care Centre DS0000018113.V349880.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People at the home can be confident that there are systems in place to safeguard their interests, but they can’t be certain they will be consulted about the service or that all health and safety matters will be addressed promptly. EVIDENCE: As at 28th August 2007, a manager had just been appointed and was in the process of receiving induction training into the service. An application for registration will need to be submitted to us by the manager. The deputy manager has managed the home since the previous registered manager resigned early July 2007. A sum of money belonging to people at the home was discovered missing in July 2007. This is still being investigated although people have been reimbursed for the losses incurred. Money held on behalf of people for The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 21 safekeeping has now been reorganised. The records for two people were checked and were found to be accurate and up to date. Items recorded under expenditure were in accordance with the extras to fees as stated in the home’s statement of purpose. A statement of all accounts was available. The deputy manager stated that a Quality Assurance survey had been carried out in June 2007 to seek the views of relatives and health care professionals but this had not included people that live at the home. A summary of the responses had not been complied at the time of this visit. CSCI issued surveys to gauge what people think of the service. Six surveys were retuned from people that live at the home, five from relatives and one only from a member of staff. Although only a small response, overall, the feedback is positive, people at the home considered they were well cared for and treated well by staff. Two relatives felt that more staff would be beneficial. Information provided by the home shows that some equipment, such as, the electrical appliances, heating and the fire detection system had been serviced or tested as recommended, but no information was available regarding hoists or the passenger lift. The information also states that not all the relevant staff have received training in safe food handling. The Squirrels Care Centre DS0000018113.V349880.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 1 x 2 1 X 2 2 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 The Squirrels Care Centre DS0000018113.V349880.R01.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 OP8 Regulation 12 (3) Requirement Staff must make sure that people are supported sufficiently to ensure all their personal health care needs such as hair and nail care are met as required. All people at the home must be offered opportunities to participate in stimulating activities that they are happy with. The registered person must ensure that the outcome of all complaints are recorded and made available for inspection. This is a repeat requirement The previous timescale of 1/12/06 was not met. A POVA alert raised in May 2007 following an allegation of physical abuse must be brought to a conclusion rather than allow the issue to drift, and the person that made the allegation made aware of the outcome. Timescale for action 01/12/07 2 OP12 16 (n) 01/01/08 3 OP16 22 01/12/07 4 OP19 13(6) 01/12/07 The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 24 5 OP19 OP14 23(2)(o) People living at the home must have safe access to the patio, gardens and car park. Carpets and floor covering in communal areas such as lounges, dining room and corridors and the kitchen must be thoroughly cleaned or replaced to ensure people at the home are provided with clean and pleasant surroundings. 01/03/08 6 OP19 23(2)(b,d) The annexe (Stables) must be refurbished and include work on the ceiling tiles, light fittings, carpets, redecoration, replacement of radiator covers and lamp shades to provide people with an acceptable standard of decoration and fittings. Side tables must be provided beside armchairs to avoid the need for people to have to place items such as cups and personal possessions on the floor. The home’s Quality Assurance system must include consultations on a regular basis with people that live at the home to ensure their views are sought about the services provided. Confirmation of service work on passenger lifts must be available at the home to provide evidence to people that these are safe to use. Basic food hygiene training must be provided to all care staff that handle food to ensure they are fully acquainted with the correct procedures. 01/02/08 7 OP19 16(2)c 01/01/08 8 OP33 24(3)(1) 01/01/08 9 OP38 23(2)© 01/12/07 The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP28 Good Practice Recommendations The manager should prepare a plan as to how the recommended level of 50 of staff working at the care home attain NVQ 2 or equivalent will be achieved. The Squirrels Care Centre DS0000018113.V349880.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Squirrels Care Centre DS0000018113.V349880.R01.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!