Inspection on 02/02/07 for Uplands

This inspection was carried out on 2nd February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Uplands 22/01/09

Uplands 21/11/05

Uplands 04/07/05

Uplands 02/12/04

Similar services:

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Claremont House

Oak Ridge

Sun Court Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Uplands 27-31 Cobham Road Westcliff On Sea Essex SS0 8EG Lead Inspector Carolyn Delaney Unannounced Inspection 2nd February 2007 11:00 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 Uplands DS0000059860.V329516.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. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Uplands Address 27-31 Cobham Road Westcliff On Sea Essex SS0 8EG 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) 01702 352752 0208863 0955 Uplands (UK) Limited Jacqueline Mary Lepley Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27), Physical disability (12) of places Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Nursing and personal care to be provided for up to twenty-seven older people. A maximum of twelve persons who have a Physical Disability and who are over the age of thirty-five years and under the age of sixty-five may be accommodated at the home. 21st November 2005. Date of last inspection Brief Description of the Service: Uplands provides accommodation for up to twenty-seven people who require nursing care. The property is situated in a quiet residential area of Westcliff within close proximity of the local town and sea front. The accommodation provided includes thirteen single bedrooms and seven shared bedrooms on two floors, which are accessed by a passenger shaft lift. The majority of bedrooms have ensuite facilities. Service users have access to two lounge areas; a large atrium on the ground floor and a small well maintained garden area. At the time of this inspection there were plans for the refurbishment of the premises. The range of fees charged for a place at the home is £550.21 - £625.00 per week. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced Key Inspection carried out between 11.00 and 18.30 on 2nd February 2007. Records including assessments, care plans, daily care notes and risk assessment documents in respect of three people living at the home were examined. The relatives of thirteen residents at the home were contacted by post so as to offer them the opportunity to make comments about the services provided by the home. Nine responded. In addition five general practitioners who have patients living at the home were contacted. Two responded. Three residents and three relatives who were visiting the home on the day of the inspection were spoken with. Seven members of staff including the homes manager were spoken with and a number of records including duty rota’s and staff recruitment files were examined. A tour of the premises was carried out and the serving of lunch and supper were observed. Each of the Key Standards as identified in the intended outcomes sections of this report have been inspected during this Key Inspection. Other standards, which have not been assessed at this time, may be assessed at the next inspection visit. Where other standards have not been inspected on this occasion they will have been inspected at the previous inspections. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk Below is a brief overview of the findings of the inspection, which are covered more fully throughout the main body of the report. What the service does well: Uplands is a well managed home. Three residents who were spoken with during the inspection said that they were ‘very happy living at the home’. One resident’s relative who was spoken with during the inspection said that staff were very caring and that it ‘was home from home’. One relative who completed a survey said that care and staff were ‘excellent’. Another relative said that in the time that their mother has been in the home Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 6 that they have been ‘very pleased with the home’ and that their mother has been ‘very happy there’. Another relative said that residents were ‘looked after very well’. All of the information, which is recorded, about residents care is very detailed and is reviewed on a regular basis so that all staff are aware of each person needs and how residents are to be cared for. There have been very few complaints made about the home since the last inspection and of those who complained two indicated that these were very minor complaints and that they had been dealt with very well. The home is clean and free from unpleasant odours. Staff are well trained and supervised so as to ensure that they have the skills and knowledge to provide a good level of care for the people living at the home. What has improved since the last inspection? What they could do better: More could be done so as to provide more activities for people living at the home. While there are some activities provided such as games and quizzes on Tuesdays and exercises on Thursdays and some of the more able residents participate in activities outside of the home there was little evidence of activities offered to less able people so as to keep them occupied. The home is due to have some refurbishment work done so as to improve the accommodation provided for residents. All staff who are recruited to work at the home must be recruited consistently with all of the checks such as references and checking previous employment history so as to best protect the people living at the home. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 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 summary of this inspection report can be made available in other formats on request. Uplands DS0000059860.V329516.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 Uplands DS0000059860.V329516.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): 1, 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may wish to move into Uplands are provided with information so as to make the decision that the home will be suited to their needs. People are only offered a place at the home following a detailed assessment of the persons needs in order that the home can determine that taking into account the needs of the people already living at the home and the resources available that these needs can be met. EVIDENCE: At the time of the inspection while there was a service users guide available this had not been distributed to residents. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 10 There were contracts in respect of the accommodation and care offered by the home and a contract of terms and conditions in place for those people whose care files were assessed. The pre-admission records for two people who had been recently admitted to the home were assessed. These documents were well written and clearly identified the nursing and general care needs for each person. Assessments were carried out by the homes manager prior to a decision being made to offer the person a place at the home. The manager has consistently demonstrated consistently that people are only admitted to the home following a decision being made that the home will be able to meet the person’s needs. On the day of the inspection, the husband of one of the residents who had recently moved into the home was spoken with. He confirmed that he had been provided with the opportunity to visit the home, speak with staff and other residents and their relatives and to read the most recent inspection report before making the decision that the home was the best place for his wife to live. He said that the home was ‘homely’ and that staff were like ‘a second family’ The home provides some temporary accommodation on a ‘step down’ basis for people discharged from hospital who need some rehabilitation before moving back to their own homes. The home employs a physiotherapist to assist these residents improve their mobility. The level of physiotherapy input and the results should be incorporated into residents plan of care. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Uplands receive a good standard of care and treatment, which is suited to their individual needs. Each person has detailed care plans and risks to their health, safety and welfare are assessed and action taken so as to minimise these risks. Staff receive training in respect of the safe administration of medicines and residents receive medicines at appropriate times in accordance with their care plan. The home provides care in a sensitive manner to those people who are nearing the end of their lives. EVIDENCE: Eight of the nine residents relatives who completed comment cards said that they were kept informed of important matters affecting residents and that if the resident was not able to make decisions that relatives were consulted Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 12 about the care provided. The remaining relative, who when asked if they were kept informed of important matters and consulted about care if the resident was unable to make decisions, said ‘not really’. Care plans and assessment documents were reviewed for three people living at the home. Care plans were very detailed and concise and residents nursing and care needs were clearly identified as was the plan of care and treatment. Where any risk to the health, welfare or safety of a resident was identified there was a clear plan in place so as to minimise the risks while encouraging the resident to be as independent as their condition will permit. In particular the risk to residents of developing pressure area damage due to reduced or lack of mobility are very well managed and risks are minimised. Where people have been admitted to the home from hospital with pressure sores these were treated in an appropriate manner and a number of these had healed or significantly improved. It was positive to note that there were detailed records maintained in respect of the care and treatment that residents receive on a daily basis including detailed records made by night staff. Two general practitioners who completed surveys said that the home works in partnership with them. One said that staff at the home demonstrate a clear understanding of the care needs of patients and the other answered ‘not always’. All nursing staff who work at the home have undertaken training in respect of the safe administration of medicines. During the day of the inspection nursing staff were observed to administer medication to residents at appropriate times. Care plans contained information about the medicines prescribed as part of the care and treatment for each resident. Both general practitioners who completed surveys said that resident’s medicines were appropriately managed in the home. Medication Administration Records (MAR) were not assessed during this inspection visit. However there have been no issues identified at the home at previous inspections. Six residents were observed on the day of the inspection and each looked well cared for. Resident’s hair nails and teeth were clean and residents were wearing clean and appropriate clothing. Staff were observed to interact with residents in a respectful manner. Two residents relatives who were visiting the home said that staff were very kind and caring. There are records and care plans in place for providing care to people who are nearing the end of life. Of the three people whose care notes were assessed wishes in respect of end of life and dying were only recorded for one. The manager said that of the other two one was spending time at the home to provide respite for his main carer and that it had not been deemed appropriate Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 13 by staff to discuss these issues. For the person who did have a plan of care in place the details in respect of the care the person was to receive, the wishes of the family (as the resident was unable to make decisions in respect of their care) were very clearly recorded. The homes manager is working towards implementing the Liverpool pathway for preferred place of care and providing tailored and individual care for people who are reaching the end of their lives. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home does not provide opportunities for all residents to participate in activities, which meet their needs and capabilities. Residents are supported in maintaining relationships with friends and families and relatives may meet with residents in private if they so wish. Residents are provided with a good range of meals which are varied and which resident say they enjoy. Resident’s nutritional needs are assessed and monitored as part of the individual’s plan of care. EVIDENCE: The home provides some activities for residents. There are quizzes and games provided on Tuesday mornings, exercises provided on Thursdays and a number of residents participate in activities outside of the home. However there is no formal planned programme of activities so as to ensure that residents living at the home are provided with opportunities for occupation according to their needs and capabilities. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 15 Each of the nine residents relatives who completed survey forms said that they could visit the resident in private and that they were welcomed to the home. One of the nine commented that sometimes that staff seemed ‘a bit impersonal’ and that while they were welcomed they were never offered a cup of tea with residents. However other relatives who were spoken with said that they were offered drinks and snacks when they visited residents at the home. Two residents relatives who were spoken with during the inspection said that staff at the home treated them ‘like family’. The home has a varied menu, which is reviewed on a regular basis. Since the last inspection a new cook has been employed at the home. Residents now enjoy a variety of home cooked meals and snacks. Three residents who were spoken with on the day of the inspection said that they enjoyed the meals and each said that if they did not like what was on the menu that there would be other meals offered. The meal which was served on the day of the inspection (fish and chips) was well presented and residents were provided with goodsized portions. Residents who were spoken with said that they enjoyed lunch. There are detailed assessments in place in respect of the nutritional needs of the people who live at the home and any specialist needs are identified. Resident’s weights are monitored on a regular basis so as to ensure that any weight loss is identified and action can be taken so as to address this. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a detailed and consistent procedure for dealing with complaints. Complaints are dealt with promptly and any areas of concern are reported to the Commission. Any allegations of improper conduct of staff are dealt with appropriately and all staff are provided with training and information in respect of the protection of vulnerable people. EVIDENCE: The home has a detailed policy and procedure for dealing with complaints. Of the nine residents relatives who completed a survey seven said that they were aware of the home complaint procedure. Six of the nine relatives said that they have had cause to make complaint. Of those who said that they had made complaints two said that these were ‘small complaints’. Both indicated that these complaints had been dealt with satisfactorily. One said that the issue had been ‘rectified immediately’. Both general practitioners who completed surveys said that they had not received complaints about the home. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 17 Records indicted that there had been three complaints made since July 2006. Two of these were in respect of staff conduct. Both had been referred to Southend Borough Council Social Services under PoVA (Protection of Vulnerable Adults). Both had been dealt with promptly and appropriate action. All staff working at the home have undertaken training in respect of protecting people who may be vulnerable from abuse, harm or neglect. The local Primary Care Trust provided this training. In addition staff are provided with information in respect of protecting people from abuse and ‘Whistle blowing’. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 18 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): 20 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is in need of some refurbishment for which plans have been developed and works are due to commence in the near future The home is maintained clean and free from unpleasant odours. EVIDENCE: The home old and in need of some refurbishment so as to provide suitable dining, communal and personal space for residents. The dining area is very small and not easily accessible for residents who have reduced mobility. There are plans in place for the refurbishment of the home. The start of this work has been delayed however it is hoped that the work will commence within the next few weeks. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 19 The home was clean and free from unpleasant odours on the day of the inspection as it has been at all previous inspections. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are employed to work at the home in sufficient numbers so as to meet the needs of the people who live there. Staff undertake training in respect of their roles and the needs of the people who live at the home. Staff have not been recruited according to a consistent and robust procedure so as to protect the welfare of people living at the home. EVIDENCE: On the day of the inspection there were fifteen people living at the home. A number of bedrooms are not in use in the run up to the planned refurbishment of the home. It is very positive to note that the staffing levels at the home have not been reduced in light of the decreased occupancy levels. Of the nine residents relatives who completed surveys seven said that they felt that there were always sufficient numbers of staff working at the home. Of the two who did not feel that there were always enough staff working at the home one commented that ‘ I don’t really see the staff around’. Both general practitioners who completed surveys said that there was always senior staff available to confer with when they visit the home. Each of the Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 21 three relatives who were visiting the home on the day of the inspection said that in their opinion there were enough staff working at the home. Two residents who were spoken with said that staff were ‘very good’ and that they did not have to wait for staff to help them. It was noted during the inspection that the atmosphere in the home was very calm and relaxed and staff spent time chatting and interacting with residents. There is a training programme in place for all staff working at the home. All staff undertake regular mandatory training including safe moving & handling. Control of Substances Hazardous to Health (COSHH), health & safety, PoVA and fire safety training. All nursing staff have received training in respect of the needs of people who are terminally ill and who require palliative care. In addition some staff have received training for the safe use of bedrails and blood glucose monitoring. The records maintained in respect of staff training need to be kept up to date so as to evidence the range of training undertaken by each member of staff. Uplands has a detailed procedure for the selection and recruitment of staff. The recruitment files for three members of staff who had been recruited to work at the home since the last inspection were assessed. Previous employment history for one member of staff had not been fully explored and references for each of the three had not been obtained in a consistent and robust manner. For example only one telephone reference had been obtained for one member of staff and previous employers had not been contacted for references for the other two. There was evidence that staff had been interviewed so as to assess their suitability to work at the home. There was no evidence that staff had undertaken a period of induction when they were recruited to work at the home. Staff recruitment files assessed on this occasion did not evidence that staff were recruited in a consistent and robust manner in accordance with the homes policies and procedures. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 22 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, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Uplands is a well managed home where the interests and views of the people who live there and their relatives are taken into consideration. The home is managed so as to ensure the safety of those people who live, work and visit the premises. EVIDENCE: Each of the nine residents relatives and two general practitioners who completed surveys said that they were satisfied with the overall care provided by the home. Both residents and relatives who were spoken with during the inspection visit said that they were happy with home. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 23 The registered manager has been employed at the home for two years and in this time has improved and maintained the standard of care provided for the people who live there. The homes registered manager carries out regular audits in the home so as to assess the effectiveness of the policies and procedures. There are audits carried out on a frequent basis in respect of care delivery including care planning, risk assessment medication food etc. There are regular visits made to the home by the responsible individual in accordance with Regulation 26 of the Care Homes Regulations. The findings of these visits are provided to the Commission. Residents living at the home may have their monies held by the home for safekeeping. Residents have access to their monies at any reasonable time. Records maintained in respect of monies received on behalf of residents and of any transactions such as purchases or payments for hairdressing or chiropody etc were assessed on the day of the inspection. All records were well maintained and there was evidence that records were regularly audited so as to minimise the risk of errors or mishandling of monies. The home has a procedure for supervising staff who work there. Staff supervision is planned and recorded. Some staff supervision is provided through group meetings where the ethos of the home and expectations of staff are discussed. In addition staff are provided with individual supervision sessions where more specific issues can be discussed. Senior staff provide clinical supervision so as to assess care and nursing practices. Records as required by regulation were generally kept up to date and accurate. However some records in respect of staff training and recruitment were not maintained in a satisfactory manner. The home employs a maintenance person who carries out checks and maintenance in respect of the safe working of fire safety, gas, electrical and mechanical systems and equipment used at the home. Records, which are maintained for the checks carried out, were assessed. These were well maintained and kept up to date. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 4 2 3 Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 25 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 OP1 Regulation 5 Requirement The registered person must ensure that all persons living at the home are provided with a service users guide, which includes all of the information as described in Care Homes Regulation 5. The registered persons must ensure that meaningful activities are provided which meet the needs and wishes of residents living at the home. This is a repeat requirement and the previously set timescale for action of 31/12/05 has not been met. The registered persons must ensure that the personal and communal accommodation provided by the home is suited to the needs of residents. The registered persons must ensure that staff are recruited to work at the home according to a consistently robust procedure with all of the checks carried out as required by regulation for the DS0000059860.V329516.R01.S.doc Timescale for action 10/03/07 2. OP12 16(2) (m) 31/03/07 3. OP19 OP20 23 01/02/08 4. OP29 19 31/03/07 Uplands Version 5.2 Page 26 protection of those who use the service. 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 OP6 OP7 OP30 OP37 Good Practice Recommendations The input and outcome of physiotherapy should be included within the individual’s plan of care. The records maintained in respect of staff training need to be kept up to date so as to evidence the range of training undertaken by each member of staff. Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Uplands DS0000059860.V329516.R01.S.doc Version 5.2 Page 28 - 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. 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