Inspection on 18/06/07 for Victoria Park Care Home

This inspection was carried out on 18th June 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

Victoria Park Care Home 17/07/06

Victoria Park Care Home 06/02/06

Victoria Park Care Home 07/02/05

Victoria Park Care Home 24/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Victoria Park Care Home Manners Road Ilkeston Derbyshire DE7 5HB Lead Inspector Janet Morrow Unannounced Inspection 18th June 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Victoria Park Care Home DS0000058110.V341201.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. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Victoria Park Care Home Address Manners Road Ilkeston Derbyshire DE7 5HB 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) 01159 440774 01159 443148 victoriapark_ilkeston@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited VACANT Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Variation to admit one (named) service user under the age of 65 years in the category PD as named in the notice of proposal letter. One place for named service user under 65 years of age (CB) One named individual (EMT) with dementia - see Notice of Registration. 17th July 2006 Date of last inspection Brief Description of the Service: Victoria Park Care Home overlooks open parkland and is situated close to the town centre of Ilkeston, eight miles from Nottingham and ten miles from Derby. The home is a converted building providing facilities for thirty-nine elderly service users and is registered to admit residents with nursing and personal needs. There is a main day room and lounge area situated on the ground floor. The first floor of the home is served by a passenger lift and there is also staircase access to this floor. There are seventeen single bedrooms (five with en-suite facility) and eleven double bedrooms (none with en-suite facility). Some of these double rooms are being used as single rooms. The written information provided by the home stated that the scale of fees for 2007 was in the range £450 - £470 plus the free nursing contribution per week, and was calculated on whether nursing or residential care was provided. The most recent inspection report is on display in the entrance of the home. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and took place over two days for a total of 7.5 hours. Care records and staff records were examined. A partial tour of the premises took place. Eight of thirty residents currently accommodated, two relatives and three members of staff were spoken with. One relative were contacted by telephone following the inspection visit. Three residents’ surveys sent out by the Commission for Social Care Inspection were received during the inspection visit. The manager was not on duty on the first day of the inspection visit but was available on the second day. Written information supplied by the home informed the inspection process. What the service does well: What has improved since the last inspection? Air conditioning units had been supplied to deal with the high temperatures in the communal areas. However, a longer-term solution to the excessive temperatures in hot weather had not been addressed. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 6 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. Victoria Park Care Home DS0000058110.V341201.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 Victoria Park Care Home DS0000058110.V341201.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): 3 and 4. Standard 6 was not applicable as the home did not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission information available established that the home was able to meet residents’ needs. EVIDENCE: Three residents’ records were examined and all showed that assessment information was received from external professionals and the home also conducted their own assessment and background information prior to admission. Risk assessments for pressure sores, falls, moving and handling arrangements and nutrition were in place on all three files examined. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 9 Visitors and residents interviewed were satisfied with the care received and stated that care needs were met. Both visitors interviewed stated that their relative’s health had improved since being in the home. Victoria Park Care Home DS0000058110.V341201.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 good. This judgement has been made using available evidence including a visit to this service. Health care needs were generally met but further improvements to care planning and medication procedures would enhance the care provided. EVIDENCE: Three care files were examined and all had personalised care plans in place. A relative had signed one file, showing that access to information was made available. There were risk assessments in place on all three files and where a risk had been identified, there was also a care plan that stated how the risk was to be addressed. For example, in one file there was a high nutritional risk and there was a care plan that addressed this by detailing dietary requirements. However, there was some confusion regarding risk of pressure sores. On the Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 11 company’s pre-admission information document, one risk assessment tool was used but another was used as instructed by the company for ongoing use. These two tools gave different interpretations of risk for one resident and had the potential for care needs to be missed. There was also no specific care plan for pressure sore prevention as it was included within the care plan for mobility needs. Although reference was made to use of a pressure-relieving mattress in this care plan, there was little other information available. Care needs regarding pressure sores would be better addressed by use of a specific care plan for this area of need. One resident spoken with stated that they would like a bath more often and one resident’s survey also stated that they would like ‘to go to the bathroom more often’. The manager stated that bathing regimes were a regular routine on a weekly basis but that they could occur more often according to individual preference and staff availability. Access to health facilities such as chiropody, General Practitioner, dental and optical services were recorded in the files examined and those residents and relatives spoken with confirmed that their health needs were addressed. Medication administration record (MAR) charts were examined. These showed that the record was being accurately signed and that the dispensing system corresponded with the MAR chart. Handwritten charts had been signed and dated by two people. However, there was no explanation of what one code (F) actually meant. This was raised as an issue at the previous inspection in July 2006. The medication refrigerator temperatures were recorded on a daily basis and showed that the temperatures were within the safe limits of 2-8 degrees C. However, the temperature of the medication storage room was registering at 29 degrees C at the time of the inspection visit and the nurse in charge stated that this was a regular problem, particularly in hot weather. This must be addressed as a matter of priority to ensure that medicines are safe to use. The nurse in charge stated that there were no controlled medicines in stock but that Temazepam was stored under controlled conditions. The stocks of Temazepam corresponded with the written record and there was secure storage for controlled medicines. The main concern regarding medicine administration was the time it was occurring. Morning medicines were still being administered at 11.15am. This was explained as being due to only one trained nurse being on duty and having to answer telephone calls and administrative tasks as well as undertaking nursing duties. The nurse in charge stated that the lunchtime medicines would be administered at a later time to ensure doses were not given at irregular intervals. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 12 General observation during the visit showed that residents’ privacy and dignity was maintained and relatives interviewed described staff as ‘good’. Warm relationships were observed between staff and residents. All three residents’ surveys received stated that staff listened and acted on what residents said. Two surveys responded that staff were ‘usually’ available when needed and one responded staff were ‘always’ available when needed. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Meals, community contacts and the exercising of choice were well managed, which enhanced residents’ daily lives, but activities needed to be established on a regular basis to ensure individual choices and preferences were addressed and quality of life maintained. EVIDENCE: There had been recent changes in the provision of activities that had led to fewer regular activities and outings being available and a lack of options to cater for individual interests. However, the manager stated that this was in the process of being addressed by having a new activity co-ordinator. It was anticipated that a wider range of options would be made available as a result of this. Some residents had their own hobbies such as reading magazines and newspapers and doing crochet. One residents’ survey stated that there were ‘sometimes’ activities in the home, one stated there ‘usually’ were and another Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 14 stated that they would like to ‘go on the park’ in good weather. Relatives spoken with also stated that there was a lack of occupation and activities for residents. Relatives interviewed stated that they were able to visit at any time and were made to feel welcome. The previous inspection visit had established that information about an external organisation that provided an advocacy service was available. The serving of the lunchtime meal was observed. Residents spoken with stated that they enjoyed the food and although there was no choice on the menu, individual preferences were taken into account and an alternative supplied for those who did not like what was on offer. Menus were examined and showed that the food was wholesome and nutritious. A dessert was sampled and found to be well-cooked and tasty. One resident stated that they would like to have more spicy options available and found the traditional food on offer bland. All three residents’ surveys received stated that they ‘usually’ liked the meals on offer. The dining area was not well used as the majority of residents opted to have meals from their armchair on a portable table. This meant that there was less opportunity for social interaction and meals were not always seen a social occasion. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints were handled objectively and residents were protected by the home’s policies and procedures. EVIDENCE: The home had a clear complaints procedure, which was on display and stated that complaints would be dealt with in twenty-eight days. The written information provided by the home showed that one complaint had been received in the last twelve months. This was still being addressed. There had also been no complaints received at the office of the Commission for Social Care Inspection. Those residents and relatives spoken with stated that they would go to the manager if they had any concerns and were confident of a courteous response. All three residents’ surveys confirmed that they knew how to make a complaint. A copy of the Derby and Derbyshire Local Authority Social Services safeguarding adults procedures was available in the home and there was an information pack on basic awareness in safeguarding adults. The manager confirmed that internal training on safeguarding adults was arranged for June 2007 and that she had also done a course with the Local Authority. Discussion Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 16 with the manager showed that she was aware of her responsibilities in reporting any allegations of abuse. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was well maintained but high temperatures were a problem, which made the accommodation uncomfortable for residents. EVIDENCE: The home was clean, tidy and well maintained and was odour free at the time of the inspection visit. The laundry was viewed and was neat and tidy. It had two washing machines with sluicing facilities and two driers. One drier was not working and staff spoken with stated that one washing machine did not always work properly. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 18 Staff were aware of how to control the spread of infection and confirmed that there was always a plentiful supply of protective equipment such as gloves and aprons. They confirmed that they had received training in infection control and the written information supplied by the home also stated that training had been undertaken in the last twelve months. The issue of excessive temperatures found at the last inspection visit in July 2006 had not been fully resolved. Although air-conditioning units had been purchased as an immediate measure, a long tem solution had not been addressed. The day of the inspection visit was a cool day and doors were open; temperatures on two thermometers in the lounges were registering as 25 degrees and 26 degrees. However, temperatures in the nurses’ station were uncomfortable and fans were in constant use. Staff and residents spoken with stated that temperatures were still uncomfortable when the weather was hot. This needs addressing as matter of priority. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 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 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 adequate. This judgement has been made using available evidence including a visit to this service. Lack of staff at key times and inconsistencies in recruitment procedures meant that residents’ care needs and safety had the potential to be compromised. EVIDENCE: The written information supplied by the home included the staff rota for 16th – 29th April 2007. This showed that there was one nurse on each shift plus the manager during the day and four or five care staff in the mornings and four in the afternoons. This was a decrease from the previous year that stated there were six staff on in the mornings. The rota for the day of the inspection visit was examined and showed that there were four care staff on in the morning and three in the afternoon. The rota also indicated that there were four occasions on the afternoon shift when only three staff were on the rota. Discussion with the manager revealed that numbers had decreased as seven residents were admitted to the home on a residential basis and not requiring nursing care. However, there were approximately half of the residents who needed assistance or supervision with moving and staff spoken with stated that this had an impact when getting residents up in the morning and that Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 20 fewer staff on duty meant there were insufficient at key times such as getting people up in the mornings. Two relatives spoken with also stated that they felt there were staff shortages at times, with one stating that their relative had told them that there was a problem on the night shift. Agency staff were used to obtain cover and there were two agency staff on duty on the second day of the inspection visit. Lack of staff had the potential to adversely impact on the nursing care provided; for example, the late administration of medicines was explained as being due to lack of cover for managerial and administrative duties during the morning shift that meant the nurse in change was being called away to take telephone calls and complete other duties. The staffing situation in the home therefore needs to be reviewed to ensure there is sufficient cover at all times to enable care to be provided at times suitable for residents. The written information supplied by the home stated that seven of fifteen care staff had achieved a National Vocational Qualification at level 2, which meant that the home had achieved the target of having a minimum of 50 of care staff with this qualification. The training information provided by the home stated that mandatory health and safety training had been undertaken as well as courses relevant to the needs of the residents such as care planning and safeguarding adults. Further health and safety courses and care planning courses were planned for 2007. Staff files contained confirmation that continence training had taken place in March 2007 and infection control in January 2007. Staff spoken with also confirmed that relevant training took place. Three staff files were examined and showed that most of the information required by Schedule 2 of the Care Homes Regulations 2001 was in place including Criminal Record Bureau checks, identity information and health information. However, one file contained only one written reference and another had none at all. Both these files were for staff employed in the last six months. Lack of written references was raised as an issue at the last inspection in July 2006. There was a written procedure for obtaining a Protection of Vulnerable Adults (POVA) check but there was none in evidence in the files examined. However, the manager was familiar with the procedure and stated that checks were obtained and no-one commenced employment until a full Criminal Record Bureau (CRB) disclosure was received. This was confirmed by the information in the file that showed that the dates on the CRB checks corresponded with the date of commencement of employment. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 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 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. There was sufficient guidance and direction to staff to ensure that policies and procedures were followed properly but quality assurance procedures need improvement to ensure the service continues to improve and residents’ interests are safeguarded. EVIDENCE: The manager, who was relatively new in post, was experienced in caring for older people, had previous managerial experience in running a home and had started the Registered Managers Award training. She had commenced the process of completing an application to be registered as the manager with the Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection. In discussion, she was able to demonstrate that she was familiar with the conditions associated with old age and had plans on how she wanted to develop the home. Quality assurance processes were in place and the company undertook monthly visits to audit the quality of care provided. However, some audit information supplied to the company by the manager was not always acted on promptly; for example, the temperatures of the medication room and communal areas in general were reported but no remedial action had been undertaken since the last inspection visit. There was also a slow response by the company to implement previous good practice recommendations issued at inspection visits, such as full staff recruitment information being available, and this had the potential to adversely affect the overall management and safety of the service. The manager stated that meetings for relatives had occurred and that feedback had been generally positive. However, she was not aware of any internal surveys being undertaken and there was no written feedback from visiting professionals, residents or relatives available at the time of the inspection visit. This was raised as an issue at the previous inspection visit in July 2006. Three residents’ financial records were examined and two were found to be in order. The records corresponded with the cash held and receipts were available for individual purchases. However, there was cash available for a third resident but no written record of any cash spent. Cash was stored securely. The written information supplied by the home showed that maintenance checks on equipment were up to date. For example, fire equipment had been checked in March 2007, hoists in March 2007 and emergency lighting in January 2007. The information also stated that staff had undertaken training in health and safety areas such as fire safety, infection control, food hygiene and moving and handling in the last twelve months. Those staff interviewed confirmed this. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13 (2) Requirement The arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home must address the following to ensure residents’ safety: • Medication administration record (MAR) charts should clearly define what administration codes mean. • The temperatures in the medication storage room must be at safe levels. Ventilation, heating and lighting suitable for residents must be provided in all parts of the home that are used by residents and excessively high temperatures must be addressed to ensure residents’ comfort and safety. The numbers of staff on duty must be reviewed to ensure there are sufficient staff to meet residents’ health and welfare needs. DS0000058110.V341201.R01.S.doc Timescale for action 01/08/07 2. OP25 23 (2) (p) 01/08/07 3. OP27 18 (1) (a) 01/09/07 Victoria Park Care Home Version 5.2 Page 25 4. OP29 19 (1) (b) (i) Staff recruitment information must include all the information listed in Schedule 2 of the Care Homes Regulations 2001 to ensure legal requirements are met and residents safeguarded. This information must include two written references and a Protection of Vulnerable Adults (POVA) check. 01/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations Residents’ views of the home should be incorporated into the residents’ guide. This is a previous recommendation and was not assessed on this occasion. The terms and conditions of residence should state which room is to be occupied. This is a previous recommendation and was not assessed on this occasion. There should be a specific care plan in place to identify interventions required for prevention of pressure sores. There should be consistent use of risk assessment tools to ensure that risks are addressed consistently and appropriate care plans put in place. A wider range of activities should be arranged that takes into account individual interests. Consideration should be given to providing a wider range of options at meal times that cater for individual tastes. All laundry equipment should be in working order. The views of visiting professionals, relatives and residents should be sought for quality assurance purposes and should include written surveys where possible. This is a previous recommendation and has not yet been implemented. 2. OP2 3. 4. 5. 6. 7. 8. OP7 OP8 OP12 OP15 OP26 OP33 Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 26 9. OP35 All residents’ monies stored should have a record of any transactions. Victoria Park Care Home DS0000058110.V341201.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Victoria Park Care Home DS0000058110.V341201.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. 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