Inspection on 15/05/07 for Warneford House Care Centre

This inspection was carried out on 15th May 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

Warneford House Care Centre 27/07/09

Warneford House Care Centre 28/04/09

Warneford House Care Centre 30/04/08

Warneford House Care Centre 14/10/05

Warneford House Care Centre 12/05/05

Warneford House Care Centre 25/10/04

Warneford House Care Centre 18/05/04

Warneford House Care Centre 11/03/04

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

CARE HOMES FOR OLDER PEOPLE Warneford House Care Centre Warneford House Tenter Balk Lane Woodlands Doncaster South Yorkshire DN6 7EE Lead Inspector David White Key Unannounced Inspection 15th May 2007 09:00 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 Warneford House Care Centre DS0000015876.V329258.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. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warneford House Care Centre Address Warneford House Tenter Balk Lane Woodlands Doncaster South Yorkshire DN6 7EE 01302 337111 01302 337113 warneford.house@ashbourne.co.uk 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) Ashbourne Homes Limited Eilis Parkinson Care Home 40 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (25) of places Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A condition of registration is that the home can provide care for 1 named person to reside at the home at present under 65 years of age. That 4-named residents occupy bedrooms in the part of the home that offers care to people in the Dementia Unit. Once these bedrooms become vacant they are occupied by people who need the right category of care. 14th October 2005 Date of last inspection Brief Description of the Service: Warneford house is situated in a residential area of Adwick-Le-Street and is within a short distance of shops, library and churches. The home comprises of two units that are called the Warneford suite and the Adwick suite. The Warneford suite provides personal and nursing care for up to 25 elderly people, whist the Adwick suite provides personal and nursing care for up to 15 people with dementia. The home is a single storey building with easy access to the patio and garden, which is well maintained. The fees at the time of the site visit ranged from £375 to £420 per week and do not include costs for hairdressing, chiropody, toiletries and personal transport. A statement of purpose is displayed in the home providing information about the care and services on offer at the home and the most recent inspection report is available for people to look at. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the manager on a pre-inspection questionnaire. Comment cards returned from 2 people living in the home, 7 relatives, 4 staff and a health professional. This report follows an unannounced site visit undertaken on the 15th May 2007. This visit was carried out by one Regulation Inspector and took 7 hours with 4 hours preparation time. Time was spent talking to four people living in the home; three care staff, the cook, the manager and her deputy and an operations manager for the company. Records relating to residents, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity in the home. This helped in gaining an insight into what life is like for people living in the home. The manager and her deputy were available throughout the inspection and the findings were discussed with them at the end of the site visit. What the service does well: People living in the home are encouraged as much as possible to make their own choices and this gives them control over their lives. People living in the home have confidence that any concerns they may have would be dealt with properly and this makes them feel safe. The home is clean and well maintained so that residents can enjoy living in a pleasant environment. The atmosphere in the home is relaxed and welcoming and this enables people to feel comfortable and safe. The staff team works hard and is committed to providing good standards of care so that residents can feel confident that their needs will be met. A resident made comments that “the staff can’t do enough for you”. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 6 The management run the home in the best interests of the people living at the home and continually look at ways of trying to improve the care and services on offer at the home for the people living there. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Warneford House Care Centre DS0000015876.V329258.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 Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper pre-admission procedures are in place so that people who are considering moving into the home can feel confident that their needs will be met. EVIDENCE: Since the previous inspection visit the home has successfully applied to vary the categories of people they are able to admit into the home. The home now comprises of two different units called the Warneford and Adwick suite. The Adwick suite accommodates up to fifteen people with dementia, whilst in the Warneford suite nursing and personal cares are provided for up to twenty-five people. The manager has updated the home’s statement of purpose so that people have up to date information about the changes to the home. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 9 Pre-admission assessments are completed for all new admissions to the home. This information is then used to draw up an initial care plan for each person living in the home. All people who are thinking about a move to the home are visited prior to admission where this is possible and information about the person’s care needs is collected from a number of different sources to support decision-making as to whether the home is able to meet the person’ needs. People who may be moving into the home are invited to visit the home with their families and/or representatives and are given written information about what care and services are on offer at the home. The care records of a recently admitted person show that proper pre-admission procedures are followed. The home does not provide intermediate care. Warneford House Care Centre DS0000015876.V329258.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The health and personal care needs of people living in the home are generally well met although improvements are needed to some aspects of the medication practices in order to promote their health needs. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 11 EVIDENCE: Care plans are based on information that has been obtained from preadmission assessment information. The care plans provide good guidance to staff about how each person’s needs are to be met and staff said that the quality of information in the care plans has improved since the introduction of new care planning documentation. A range of risk assessments is carried out to promote people’s independence and mobility and these include any dietary requirements for each person. Care plans and risk assessments are regularly reviewed so that any changing needs can be addressed. Regular night checks are still being carried out on all people living in the home although there is no information in anyone’s care records to say why this is being done. This was discussed with the manager and her deputy who will be addressing this matter. Personal support is offered in a respectful and sensitive manner and this could be observed at the time of the site visit. People living in the home are encouraged to be independent where possible and said that staff listen to their preferences about how they are to be supported in meeting their needs. A comment card received from one describes the staff as “kind and respectful” and another said that they “could not wish to receive better care”. A relative made comments that staff are “patient and encouraging”. Each person has a GP (General Practitioner) and access to other health care services and they receive support from the staff team in attending any appointments. The care records include information about the reasons for any appointments and outcomes from these to enable staff to meet each person’s health needs. A health professional made comments that the home communicated well with them in making sure that the health needs of people living at the home are met. The home has aids, adaptations and equipment to support people with their daily living. The care plans show what type of equipment is required for each person and this is reviewed on a regular basis. One person made comments that their wheelchair is uncomfortable on occasions. The manager was aware of this and an assessment has recently been carried out to address this problem and as a result of this a new wheelchair is being provided for the person. The aids and equipment are serviced on a regular basis and a new hoist has been recently acquired. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 12 The home has systems in place for the receipt, administration, recording and disposal of all medications. Medication is securely stored and proper procedures are followed for the receipt and disposal of medications. It was noted in the medication record of one person that she was prescribed analgesia on an “as required basis” for pain relief. This medication had run out and staff had not ordered replacements and so the person could not be given the prescribed tablets on the morning of the site visit. However, because the person was in pain and the medication was available in effervescent tablet form this was given as an alternative despite not being prescribed and this practice could put people at risk. In some cases medication that is to be used to alleviate pain is prescribed as one or two tablets to be administered on an “as required basis”. However, when administered it is not always recorded as to which dosage has been given and this needs to be done to promote the safety of people living in the home and to monitor how much of the medication is being used in order to address health needs. These issues were discussed with the manager and her deputy who gave assurances that the issues of concern would be dealt with. The manager has, since the previous inspection visit, put a system in place to audit the medication systems and procedures, however further action needs to be taken to address shortfalls in this area. Warneford House Care Centre DS0000015876.V329258.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living in the home are satisfied with their lifestyle and enjoy the food on offer at the home. EVIDENCE: People living at the home made comments that they are encouraged to be independent and to make their own choices so that they have control over their lives where this is possible. One said, “this is a marvellous place to live, I am my own boss and do as I want”. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 14 The home has an activities organiser who organises a weekly structured programme of activities. People living in the Warneford suite said that they found the activities to be enjoyable especially the trips out and are looking forward to a planned day outing to Bridlington. Another said that a guitarist was visiting the home that evening. Weekly communion services are available for those people who wish to attend. People living in the home have visits to the local library, garden centres and occasionally to the pub. One person has always enjoyed gardening and loves attending to the gardens of the home and the greenhouse. The Adwick suite accommodates people with dementia and in this part of the home the activities are less structured. It is planned that the activities organiser will attend some training to give him a better understanding of the needs of people with dementia so that activities can be more suitable in meeting their needs. People living at the home receive support in maintaining relationships with family and friends and relatives made comments that they are encouraged to have involvement with the home. Visiting arrangements are flexible and people can see family and friends whenever they want and this could be seen at the time of the site visit. Relatives are always made to feel welcome and are kept informed about important matters affecting their relatives. People living at the home made generally positive comments about the quality of the food at the home. There are usually two options on each menu although it was noted that these tended to be meat dishes and that there are few nonmeat alternatives. The home provides specialist diets for those people with specific needs and the cook has written information about the people who require this and a list of each person’s food likes and dislikes and this helps in making sure that people living in the home receive meals that they enjoy. People living at the home could be seen enjoying a mealtime that was unhurried and relaxed and those who need assistance with their eating receive sensitive support with this from the staff team. The manager and her deputy are involved in a project to analyse the nutritional values of the food provided by the home and to make improvements where needed. Warneford House Care Centre DS0000015876.V329258.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home feel confident that their concerns are listened to and that action will be taken to address any problems. EVIDENCE: The home has not received any complaints since the previous inspection visit. The home has a complaints procedure detailing how any concerns would be dealt with. People living at the home said that they know who they would need to speak to if they wish to raise concerns and staff said they would be able to recognise when people with communication difficulties were having concerns by observing their behaviour. There is information on display in the home about how to make a complaint and this information is also given to each person and their relatives when they are admitted into the home. The home has adult protection policies and procedures in place. Staff have attended some abuse awareness training and are clear of their roles and responsibilities in identifying and reporting abuse. Warneford House Care Centre DS0000015876.V329258.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 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home live in a clean, comfortable and safe environment. EVIDENCE: Since the previous inspection visit a lot of refurbishment work has been carried out so that there are now two separate parts to the home called the Warneford and Adwick suite. All accommodation is on the ground floor and there is ramped access to the home to enable people with mobility problems to have easy access to and from the home. There are gardens in the grounds of the home that enable people living in the home to sit outside if they wish. The garden area in the Adwick suite, which accommodates people with dementia, is enclosed so that people can move around this part of the home safely. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 17 Toilets and bathrooms are located near to bedroom areas and are clearly signed to help people with confusion to find where they need to be. Bedrooms are personalised and well maintained and people living at the home said that they like the location of the home. The bedrooms are lockable and some people have their own keys. It was noted that some bedroom doors were closed and the keys were hanging on hooks by doors. The manager explained that this system is used when people living at the home either do not want their own key or cannot safely look after it and enables staff to have easier access to the bedrooms. However, this practice could encourage theft and does not protect the interests of the people living in the home. This was discussed with the manager who dealt with the matter immediately and a new system is being put in place for the safe storage of each person’s bedroom keys to reduce any security risks. The bathrooms and toilets are fitted with the appropriate aids and adaptations and call bell systems are available in private and communal areas to enable people living in the home to access staff at any time and people said that these are responded to promptly. The home is clean and well maintained. People living at the home and relatives both made comments about the “excellent” standards of cleanliness and maintenance in the home. At the time of the site visit there was an odour in one of the bathrooms but this problem was immediately rectified. In the Warneford suite of the home in the corridors there are some stained carpets that need attention. The home has an infection control policy and they seek professional advice where necessary to reduce any risks from infection. A fire risk assessment of the premises has been carried out and this is satisfactory. Systems are in place for the monitoring of hot water temperatures and any problems are referred to the maintenance worker. There have been some problems with fluctuating water temperatures and some new mixer valves have been ordered to address this matter. A random check of the hot water temperatures was found to be within safe limits. The kitchen is clean and the necessary checks are made to promote good food safety practices. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home receive good standards of care from a committed and well trained staff team, however improvements are needed to staffing levels and recruitment practices to make sure that all peoples’ needs are met and they are not put at any risk of unnecessary harm. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 19 EVIDENCE: The staff team is very committed to providing care that meets the needs of the people living at the home. In the Warneford suite there is usually one nurse on duty throughout the day with four carers in a morning and three carers in an afternoon. On the Adwick suite there is one nurse on duty at all times through the day and two carers. Whilst these staffing levels are adequate in meeting each person’s basic needs, they do not allow staff to be able to spend any time with people on an individual basis or to carry out more regular activities with them. In some cases people need the support of two staff to attend to their needs and this can mean that on occasions there is only one other member of staff to attend to other persons’ needs at this time. Whilst this affects both parts of the home it is of particular concern in the Adwick suite where due to their complex needs, people are more at risk from falling and other accidents that could affect their safety. Whilst it could be observed that staff carried out their duties in a caring manner they did appear to be under pressure from their workload. Relatives made comments that staff work “incredibly hard” and that staffing levels could be improved. People living at the home spoke highly of the staff team but also said there are “not enough staff at times”. All new staff receive an induction to the home and receive a range of guidance and instruction about different aspects of the home. Staff made comments that they receive a range of training to support them in meeting each person’s needs. The nursing staff said that they receive training to update their specific skills and knowledge and the home has a rolling NVQ (National Vocational Qualification) programme for the staff team so that they can develop their skills and knowledge. A diabetic nurse is due to do a teaching session at the home and it was noted that the cook is attending this to help her in the planning of meals for people with diabetes. The recruitment policy states that all new staff will have the necessary checks carried out prior to starting work at the home. However records inspected show that in one case a member of staff had been employed before a Criminal Record Bureau (CRB) check had been received and in another instance only one written reference had been obtained for another member of staff before they started working at the home. The staff records for this person show that the home was aware of this and had requested the name of another referee, however, this had not been followed up properly. These practices place people living at the home at risk of potential harm and are being addressed by the management of the home. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is well run in the best interests of the people living there and overall their health and safety is protected. EVIDENCE: The manager is experienced in running the home, however she is due to leave the company shortly. She will be replaced as the manager of the home by the current deputy manager who will be applying to register with the Commission as the manager of the home when she takes over the management duties. The deputy manager is a qualified nurse and is undertaking management courses to develop her management skills. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 21 People living at the home, relatives and staff all spoke well about how the home is managed. A member of staff made comments that the manager is “approachable and easy to talk to” and a health professional feels that there have been improvements in how the home has been managed since the current manager took over. The home has a quality assurance system to seek the views of people living there, relatives and others so that improvements can be made to the care and services on offer. A questionnaire is sent out to people living at the home and relatives on an annual basis and comments from these are acted on. Meetings are regularly held for staff, people living in the home and relatives and these are recorded. Each month a senior person from the company carries out an unannounced visit to the home to monitor the home’s performance and makes a report of their findings which includes any actions that are to be taken from the findings. Overall health and safety practices help to maintain a safe environment. Fire safety is well maintained through fire safety checks and regular staff training. A number of health and safety certificates were seen and are up to date. Staff receive a range of health and safety training so that people living at the home are not put at risk from poor practices. There is a system in place for monitoring hot water temperatures and these are recorded. The maintenance book shows that mixer valves are needed for some taps where hot water temperatures can fluctuate to prevent any risks to residents from scalding. This request was made in January 2007 and as yet the work has not been completed. The deputy manager did say that measures are in place to reduce any risks to residents until the mixer valves have been fitted, however, this issue needs addressing to safeguard residents safety. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 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 X 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 2 Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (2) • Requirement Medication must only be given in the format that it is prescribed to reduce any risks to peoples’ health and safety. The dosage of analgesia that is administered to people on a p.r.n (when needed) basis must be clearly recorded to show how much of the medication is being given so that there is no risk from medication errors and any changing health needs can be addressed. Timescale for action 15/05/07 • 2. OP27 18 (1) (a) Better systems and arrangements must be put in place in making sure that there are adequate supplies of p.r.n medications available at all times. A review must be undertaken of the day staffing levels in both the Warneford and Adwick suite to make sure that there are sufficient numbers of staff at all DS0000015876.V329258.R01.S.doc • 15/07/07 Warneford House Care Centre Version 5.2 Page 24 3. OP29 19 (b) (1) times to meet everyone’s needs. • For each new member of staff employed at the home the registered provider must carry out as a minimum requirement a POVA (Protection of Vulnerable Adults) first check prior to staff starting work at the home. • 15/05/07 4. OP38 13 (4) (a) and (c) As part of the recruitment procedures two written references must be obtained on behalf of all prospective employees before they are employed. Action must be taken to 15/06/07 complete the fitting of mixer valves to the areas identified to prevent any risks to people living in the home from possible scalding. 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. 3. 4. Refer to Standard OP7 OP12 OP15 OP19 Good Practice Recommendations Checks on residents that are carried out during the night must only be made if there is an identified need for this so that residents’ sleep is not unnecessarily disturbed. The activity programme for people with dementia should be improved so that it is more suitable and specific to individual’s needs. The selection of meals on offer needs to be considered with regard to including more non-meat options so that people living in the home have more choice. Action needs to be taken to address the problems with the stained carpets in the corridors in the Warneford suite. Warneford House Care Centre DS0000015876.V329258.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Warneford House Care Centre DS0000015876.V329258.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. 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