Inspection on 30/04/07 for Warmley House Care Home

This inspection was carried out on 30th April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Warmley House Care Home 28/12/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Warmley House Care Home Tower Road North Warmley South Glos BS30 8XN Lead Inspector Melanie Edwards Key Unannounced Inspection 09:00 30 April and 1st May 2007 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 Warmley House Care Home DS0000068328.V335079.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. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warmley House Care Home Address Tower Road North Warmley South Glos BS30 8XN 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) 0117 9674872 0117 9610581 Lunan House Limited Mrs Janet Molly Goodfellow Care Home 58 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (48) of places Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 18 persons aged 65 years and over requiring personal care only. May accommodate up to 30 persons aged 50 years and over requiring Nursing Care. May accommodate up to 10 persons aged 65 years and over with Dementia (DE) (E) that require personal care only. Date of last inspection Brief Description of the Service: Warmley House nursing home is registered for 58 persons. It can accommodate up to 18 persons requiring personal care only and up to 30 persons requiring nursing care. A small unit within the residential section has recently been registered for up to ten people aged 65 years and over suffering from dementia and requiring personal care. Four beds are contracted for the emergency admission of residential or nursing clients from the community, who require a short period of care. This is arranged by the Hospital at Home team, who provide any nursing care required. The home is divided into two sections – the residential area situated in the Victorian house and a purpose-built nursing wing. Accommodation is offered in single and one double room, many of which have en-suite facilities. Each area has its own lounge and dining room. The home is situated in gardens and woodlands. The fee ranges to stay at the Home are from £380 to £605 a week. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Please note some residents have dementia and it is hard for them to express their views verbally. However fourteen residents living at the Home were consulted to find out their views of the service. A number of visitors including several relatives were consulted. The registered manager, one registered nurse, one care assistant, the activities organiser, and the chef, were also consulted about their roles and responsibilities, their training needs, and how they assist and support people. Staff were observed assisting residents with their needs. A range of records relating to the day-to-day running and management of the Home were inspected. A selection of resident’s care records and care plans were also reviewed. The majority of the environment was seen with the only areas not viewed being a small number of bedrooms. What the service does well: What has improved since the last inspection? Mrs Goodfellow is working very hard to improve overall standards in the Home This is evidenced by the generally good responses from residents about the standard of care, and the service that is being provided. Action has been taken so that the Home is now free from obvious hazards to residents’ safety. The mattress that was stored in a corridor has been removed. Warmley House Care Home DS0000068328.V335079.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. Warmley House Care Home DS0000068328.V335079.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 Warmley House Care Home DS0000068328.V335079.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): 3,6. Quality in this outcome area is adequate. Residents ’ needs are being assessed, and assessment records are reviewed to reflect changing needs. However staff need further training so that they have the necessary knowledge to complete the new style assessments successfully. There are no residents at the Home solely for intermediate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how residents care needs are assessed and how the care they need is being planned, five assessment records were looked at in detail. The company who run the Home has introduced a new style assessment format that they feel is a more effective way of assessing residents needs with their involvement. At present only a few of the staff have been trained in understanding this new way of assessing needs. Staff are booked on training courses to be able to undertake the new way of assessing residents needs. However staff acknowledged that as yet they find the new format ‘confusing’ and hard to understand. It will be beneficial for residents when all staff are further trained. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 9 The assessments include information about each resident’s range of complex care needs, as well as evidence that the person’s health is being assessed. There was a nutritional needs assessment for each resident to show what the person dietary and nutritional needs are. There was also a skin vulnerability assessment completed for residents .The assessments show that the residents’ risk of developing pressure sores has been assessed. Actions that need to be taken to minimise risk had also been recorded. There are risk assessments in place which are to support people to be able to maintain their own safety The benefit of these risk assessments is that they should helps people to maintain some level of independence in their daily lives. The staff were assisting residents with their needs in a friendly and respectful way during the inspection. A number of residents expressed a range of positive views about the care and service they received. Examples of comments made by them about the staff and the Home included, ‘ it’s a good home really ’, `the service is very good, they are really very pleasant they say they are going to do something and they do it ’, `It’s not bad ’, and, ‘ the home is very good ’. These comments demonstrate residents feel mostly satisfied and happy that the Home is meeting their needs. There are no residents at the Home solely for intermediate care. Warmley House Care Home DS0000068328.V335079.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. Quality in this outcome area is adequate. Residents’ care plans demonstrate how needs are met. Residents are treated with respect and their privacy is upheld. However medication is being handled in a way that is only partly safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The procedures for the administration storage and disposal of medication were checked on the residential side, and on the dementia unit, to monitor if there are safe systems in place. Medication is stored in a small clinic next to the dining room, and in a secure moveable trolley on the dementia unit. The medication administration charts of eight residents were read in detail. There was a recent photograph of each resident kept near the chart. The charts were legible and up to date. The charts did have signatures of the dispensing member of staff, as well as the reasons for any omissions had also been recorded. However there were some ` gaps ’ on charts where staff had not signed for medication. This means it is unclear if the residents have been given the medication they need to help maintain their health. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 11 There was evidence recorded on residents drug administration charts that stock checks are carried out. This helps to demonstrate that residents medication stock is stored and disposed of safely. However in the drug cupboard on the residential side there were a number of small pieces of paper with resident’s names written on. From discussion with Mrs Goodfellow it appears one of the staff writes the names of residents on the paper, puts this in a medication dispensing pot and then administers the medications. This is not safe practise as this can lead to an increased risk of medication errors. There were a good range of comments of satisfaction expressed by residents about the care and overall service that the Home provides. Examples of comments made included, ‘ the service is very good ’, ‘ its’ very good they come and see if I’m all right ’, and, ‘ its not bad ’. These comments were reflective of the comments made by and demonstrate they feel satisfied with how their needs are met. Five residents care plans were reviewed to find out how residents care needs are met. The care plans were reasonably informative and showed the Home had consulted with residents and representatives when planning care. However the care plans that were seen for residents with nursing needs generally lacked detail and were not all up to date. This is required to demonstrate the Home is meeting residents nursing needs. As referred to in the last section of the report, and is applicable here, the Home has put in place a new style assessment and care plan format that they feel is a more effective way of meeting residents needs. At present only a few of the staff have been trained in understanding this new way of assessing needs and devising care plans. Staff are booked on training courses to be able to undertake the new way of assessing residents needs and writing care plans. However staff acknowledged that as yet they find the new format ` confusing ’ and hard to understand. It will be of considerable benefit for residents, and ensure their needs are well met, when staff are further trained in this area. On both days of the inspection staff were observed working hard to ensure peoples needs were met. Staff were communicating with residents in a friendly and kind manner. Staff also knocked on bedroom doors before entering them, to help to maintain some privacy for residents. Warmley House Care Home DS0000068328.V335079.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): 12,13,15.Quality in this outcome area is good. Residents are provided with a varied range of social and therapeutic activities, and a varied well-balanced appealing diet. They are also able to keep close contact with family and friends if they so wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents’ benefit well from the skills and enthusiasm of the full time activities coordinator who works five days a week. Residents can take part in a range of social activities as well as exercise classes and regular trips out to the local community. During the inspection the activities organiser ran a gentle ‘exercise group’ with residents on the dementia unit. It was evident how much benefit and enjoyment residents gained from this activity, and from the warm and positive attitude of the activities organiser. Residents who are frailer and stay in their rooms also have regular contact with the activities organiser. She reads to residents, offer hand massages, and she has some `talking’ books. This demonstrates the social needs of frailer residents are not forgotten. Residents were observed being supported by staff to sit in the garden in the afternoon and enjoy the warm weather. This shows residents are supported to enjoy the simple pleasure of sitting outside in warmer weather. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 13 The Home has access to a community minibus, and there are regular trips to the community. There are notices on display for residents to inform them of the weekly planned social and therapeutic activities. Residents were observed leaving the Home to go for a walk or a drive with the support of friends and family. People said that there is a relaxed policy for receiving visitors, who are always made welcome. One relative said that the Home was like, ‘ a second home to them ’. This demonstrates that visitors feel welcome to see their friends and family when they so wish. The menu of meal choices that residents are offered was inspected to see what range of meals the Home offers. The menu was well balanced. A small portion of lunch was sampled. The meal consisted of Cornish pasties, or beef minced pie with potatoes, and cooked vegetables. The meals tasted satisfactorily, and were nutritionally well balanced. People commented positively about meals and said they thought the food they are offered was, `good’ and of a satisfactory standard. Staff will ask residents on a daily basis what their preferred meal choices are for the following day. There are also alternative meal options available if people do not like the two main meal options. Warmley House Care Home DS0000068328.V335079.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): 16,18.Quality in this outcome area is good. Complaints about the service are listened to and acted upon wherever possible. There is training and system in place to help to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a copy of the complaints procedure on display in the reception area, which includes the name of the Commission for Social Care Inspection, for anyone who wishes to contact us. The contact details of the owners are included in the service users guide and with people’ contracts, if people wish to contact the owners directly to make a complaint. Residents said that they see Mrs Goodfellow regularly and she walks around the Home most days. Residents said they would speak to her or to the nurse or carer `in charge ’ if they wished to make a complaint. The complaints record was not looked at, although Mrs Goodfellow said there had been no complaints received since before the last inspection. Staff are provided with training to ensure they are up to date in their understanding of the principle of the protection of vulnerable adults from abuse. The company have their own in house training booklet on the subject of `protection of vulnerable adults’ .The information seen in the booklet was particularly relevant to helping staff in the work they do. There is an up to date policy in place relating to the issue of protection of vulnerable adults from abuse. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 15 Warmley House Care Home DS0000068328.V335079.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): 19,20,21,22,24,25,26. Quality in this outcome area is adequate. Residents live in an environment that is mostly suitable to meet residents’ needs, and is clean and adequately maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Warmley House Care Home consists of a large property that is a listed building in the village of Hanham, near Bristol. The Home is built over three floors, which can be accessed by stairs or lift. The building is over two hundred years old and is about a twenty-minute car ride away from Bristol City Centre. There are local shops a library, a church, pub and Frenchay Hospital is also nearby. The environment was generally clean and tidy throughout. There is a range of specialist equipment and adaptations in place throughout the Home, to assist people who may have reduced mobility. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 17 The majority of bedrooms and all the communal areas were viewed. The majority of bedrooms are for single occupancy, however there are two double rooms. Rooms were generally adequately decorated and maintained. However it is very noticeable that the paintwork in many parts of the Home is becoming ` `tired’ looking and chipped. Residents’ environment would be improved if a programme of redecoration were to be put in place as a matter of priority. All bedrooms have en suite facilities, and there are bathrooms and toilets located within close proximity to rooms. There are suitable adaptations in toilets and bathroom to assist people with reduced mobility there is also lift access to the second floor. There are three dining rooms, three television lounges, and a smaller television free lounge. On the dementia unit there is only one open plan lounge and dining room area. Entrance to the unit is by a keypad system. This is due to the need to keep confused and particularly vulnerable residents safe. Communal living areas were light, spacious and looked welcoming. Residents were observed sitting in communal areas looking relaxed and comfortable in the environment. Warmley House Care Home DS0000068328.V335079.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): 27,29,30.Quality in this outcome area is adequate. Residents’ benefit from sufficient number of staff that are competent in their work. Good action is being taken to ensure all staff are skilled and well trained in the work they do. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff duty record for April 2007 for nursing and care staff was reviewed to find out if residents benefit from a sufficient number of staff to meet their needs. There is a minimum of two registered nurses on duty at all times and nine care assistants in the morning, with eight care assistants and one registered nurse in the afternoon. At night there is one registered nurse and five care assistants on duty, including a senior care assistant. Mrs Goodfellow works nine to five hours and she sometimes works alongside care staff to ensure she stays up to date with matters in the Home. There is also catering, domestic, and laundry staff employed, although the numbers of these staff were not reviewed. At the last key inspection there had been only minimal evidence of staff training. Mrs Goodfellow is addressing training needs for staff and has put in place training plans for the team. On the second day of the inspection a group of staff were attending an all day training day in understanding of dementia. This should help staff to better understand residents’ needs and to improve further the overall standards of care for those residents with dementia. The training records of one registered nurse and two care assistants were reviewed to see if registered nurses are keeping up to date with their clinical Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 19 knowledge and practice. There was evidence that demonstrated registered nurses had attended clinical training sessions, and updating over the last twelve months. Staff have also attended some relevant training in the Home. To find out if the Home operates safe recruitment practises a sample of staff files were inspected. There are two written professional references taken up for all new staff prior to offering work at the Home. In addition, all staff complete a Criminal Records Bureau check before commencing employment. These checks are a further safeguard for vulnerable residents. Warmley House Care Home DS0000068328.V335079.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): 31,33,37,38. Quality in this outcome area is good. The Home is well run, with residents’ and staffs’ views actively taken into account by management. The health and safety systems and procedures in place help protect the health and safety of residents, staff and visitors. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Goodfellow is a first level registered nurse with many years of experience caring for people with a range of nursing needs. She has also been a deputy manager of another care home in Avon providing nursing care. The staff reported that staff meetings are held regularly, and that they are able to make their views known about the running of the Home to Mrs Goodfellow. Several residents commented that they see Janet (Mrs Goodfellow) most days and she will walk round the Home and pop in on them and ask if they are all right. This is a good way for Mrs Goodfellow to make herself available for residents if they need to see her. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 21 The company who run the Home have introduced a new format for monitoring the quality of the care and the overall service. Mrs Goodfellow has led the team in auditing different areas of the service. An action plan has been devised to address any weaknesses in the Home. Mrs Goodfellow and the team have worked hard to review and audit the care .The team are in the process of implementing the actions that were set in the Homes action plan that Mrs Goodfellow wrote. Residents will clearly benefit if the Home acts to improve its standards based on the result of these audits that are to take place every three months. The monthly monitoring visits of the Home that must be carried out by a representative of the owners are being undertaken as required by law. There are detailed and informative records of these visits being sent to the Commission. The records demonstrate that the designated individual responsible for the visits spends time with residents and their representatives and observing staff carrying out their duties. Residents’ rights are protected by records that are satisfactorily maintained, up to date, legible and in order. The care records reviewed were satisfactorily maintained up to date and in order. Individual records and the Home’s records were kept secure in the Home, and are available to staff when needed. Other records are referenced elsewhere in the report. The environment looked safe and satisfactorily maintained throughout. The maintenance man carries out a health and safety audit of the whole environment on a very regular basis. A copy of the document that is used to carry out the audit was checked. It was detailed and aimed to address health and safety areas through the Home. Staff are being provided with regular training in health and safety matters including first aid, food hygiene training and moving and handling practises. This should help protect residents’ health and safety if staff are knowledgeable and well trained in these health and safety principles and practices. The fire logbook records showed fire alarm tests are being carried out. There are also fire drills carried out on a regular basis to help protect the health and safety of residents and staff. To further protect the health and safety of residents, staff, and visitors there is an up to date fire safety risk assessment for the Home setting out how fire risks will be assessed and what actions will be taken to minimise them. The kitchen was tidy and organised when viewed. Up to date checks of kitchen fridges and freezers are maintained, to ensure they are operating within food safety guidance levels. There were also records to demonstrate that `high risk’ foods are temperature probed before serving to ensure the food has reached above minimum required temperature. The Home also won a food safety award, issued by South Gloucestershire Council environmental health Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 22 department. This demonstrates catering staff have a good knowledge of food safety practises and procedures. Staff who are directly involved in personal care were observed serving food to residents and going into the kitchen wearing suitable protective clothing over their uniforms to minimise the risks of cross infection from their uniforms onto food or surfaces in the kitchen. Warmley House Care Home DS0000068328.V335079.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15. (1) Requirement Residents with nursing needs must have care plans that are detailed and demonstrate how to meet their needs. Staff must sign for all medication that they administer, to show it has been given to ensure resident’s health is maintained. Timescale for action 01/06/07 2 OP9 13. (2) 01/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP9 OP19 Good Practice Recommendations When staff administers residents medication they should not do so by writing the residents name on a piece of paper and putting it into to the medication pot. Residents’ environment would be improved if a programme of redecoration were to be put in place as a matter of priority. Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Warmley House Care Home DS0000068328.V335079.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!