Inspection on 10/07/06 for Warren Park

This inspection was carried out on 10th July 2006.

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

Warren Park 09/07/07

Warren Park 24/02/06

Warren Park 13/10/05

Warren Park 16/03/05

Warren Park 03/11/04

Warren Park 24/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Warren Park 66 Warren Road Blundellsands Liverpool Merseyside L23 6UG Lead Inspector Mrs Margaret Van Schaick Unannounced Inspection 10th July 2006 09:10 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 Warren Park DS0000017261.V295576.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. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warren Park Address 66 Warren Road Blundellsands Liverpool Merseyside L23 6UG 0151 932 0286 0151 932 1380 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) Mr John Lysaght Mrs Alison Anne Gale Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include 30 OP. Maximum no. registered - 30, of which up to a maximum of 29 N (nursing) and up to a maximum of 1 PC (personal care). Date of last inspection 24th February 2006 Brief Description of the Service: Warren Park is a Care Home with nursing which provides care for 30 residents. The Home is a converted building in a residential area. The home has four floors with lift access to three floors and stair access to the administrative area on the top floor. There are 27 single rooms. 7 rooms have en suite facilities and 2 double rooms have en suite facilities. Bedrooms are situated on three floors with 1 lounge area, a dining room and conservatory available for use of service users on the ground floor and a lounge dining area on the 1st floor. There is parking to the front of the building and well established and maintained gardens and grounds surround the home. There are public transport systems within 5 minutes walk. Weekly fees range from £480-£560. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days and lasted 9.30 hours. The home accommodated 27 residents at the time of the unannounced key inspection, which included a site visit. A tour of the home took place, which included many of the residents’ bedrooms, public areas and bathrooms. Care records and other home records including staff and health and safety records were viewed. Discussion took place with seven staff. Several residents were also spoken with. Four of the residents were case tracked (care files are examined and some of their views are obtained). All of the key standards were inspected and previous requirements and recommendations from the last inspection in February 2006 were discussed. Satisfaction forms “Have your say about….” Which gives residents views of how the home is run are included in this report. An additional visit to the home took place following the last inspection this year with regard to a complaint raised. The complaint was upheld. What the service does well: Prospective residents are assessed prior to admission. This ensures that residents’ needs are identified and help develop the plan of care. Residents interviewed confirmed the Manager had carried out the assessment with comments such as “Matron came to see me and offered this room or a downstairs room to stay, I liked this one better as it has it’s own en suite”. Residents are able to choose how to live their lives and can join in activities when they wish to. Families are encouraged to visit the home and made welcome. This ensures that residents admitted to the home are able to settle into their new home with the family and friends support. Residents comments include,“ I have a choice in how I live and spend my time, I get up when I want, it varies, and I like going to bed at 8pm”. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 6 Residents have confidence that any concerns or complaints that they raised would be dealt with promptly. Residents interviewed stated, “I have no complaints at all”. One resident stated, “I did not like the curtains in my room so I asked if I could have new ones and the owner put new ones up, I like them”. The home is decorated and maintained to a high standard with residents living in a very comfortable environment. Residents interviewed were happy with their rooms with comments including, “my room is very nice, it gets cleaned out every morning” and “I like my room, it’s very nice”. All areas of the home viewed were clean and tidy and decorated and furnished to a good standard. The home employs sufficient staff to care for the residents needs. Residents comments with regard to how they were cared for by the staff include “staff are very nice and encourage me to keep my independence” and “staff are gentle when caring for me”. The home is run for the benefit of the residents and their views are listened to, which enables them to settle into the home easily. The safety and welfare of the residents and staff is promoted. What has improved since the last inspection? What they could do better: The amount of detail that is entered with regard to care planned for residents is good but reviews of this care need to be on a more frequent basis to ensure all healthcare changes are identified at an early stage and action is taken to ensure health is not compromised. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 7 Medication records evidence poor practice with regard to administration of medication, which places residents at risk. Staff training is a priority and staff files just need to evidence all training attended so that an up to date record is in evidence for each staff employed. 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. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP3 OP6 Not applicable Quality outcome in this area is good. This judgement has been made using available evidence including a site visit to the home. Prospective residents are assessed prior to admission. This ensures that resident’s needs are identified and help develop the plan of care. Contracts are issued when admitted to the home therefore residents and their relatives are aware of the conditions of the contract and weekly costs. EVIDENCE: Four residents were case tracked. Two residents have contracts in place that are signed. Two newer residents contracts have been set up but have not yet been signed and returned. Assessment documentation is in place for all four residents and all four assessments were examined during the visit. The assessment documentation evidences pre admission assessments were carried out. Prior to admission families complete a social form. This is good practice as it provides an insight into how the residents lived their lives and how friends and families impact on their lives. Areas covered include hobbies, likes and dislikes, preferred hot and cold drinks, preferred mealtimes, preferred retiring and getting up times. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 10 The assessment details in place cover areas including previous medical history, communication, diet and any assistance required, eyesight, orientation, breathing, assistance required for mobility needs, assistance required with personal care and sleep pattern and history of falls. The Manager carries out he pre admission assessment usually either at the residents home or hospital. Residents interviewed confirmed the Manager had carried out the assessment with comments such as “Matron came to see me and offered this room or a downstairs room to stay, I liked this one better as it has it’s own en suite”. Not all of the assessments viewed were dated but as the residents were recently admitted in the last few days, it is assumed they were recent. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP7,8,9,10 Quality outcome in this area is adequate. This judgement has been made using available evidence including a site visit. The amount of detail that is entered with regard to care planned for residents is good but reviews of this care need to be on a more frequent basis to ensure all healthcare changes are identified at an early stage and action is taken to ensure health is not compromised. Medication records evidence poor practice with regard to administration of medication, which places residents at risk. EVIDENCE: Pre admission assessment details are used to commence the care plans and ongoing assessment in the first two to three weeks of stay in the home provides the staff with additional information so that the care planned is individual to the resident. Each care plan gave full and detailed instructions on how to manage the nursing care and support necessary for the resident. Residents who are hoisted have a sling individual to them and hoists used are identified. Wound care documentation viewed was detailed and up to date with regular reviews. Risk assessments are in place. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 12 One resident who has been identified as at risk of injury from the cot sides has no cot bumpers in place. The Manager advises that some are on order for this resident. One resident case tracked had no manual handling documentation in place. Catheter care is documented. Some of the resident’s weights are not recorded and also residents who are nutritionally compromised are not monitored regularly enough. The nutritional assessment tool in use at present is not adequate; as some of the residents’ scores do not reflect the poor condition their nutritional state is in. The Manager advised that the home have attended further training with the local Primary Care Trust with regard to this area and are shortly to implement a new nutritional assessment tool. One of the resident’s waterlow scores (tool for measuring risk at developing pressure sores) does not reflect the high risk of their developing a pressure sore. This is due to the residents changing needs not being reviewed often enough. A list of staff signatures and initials is in place. Photos of residents are in place for easier identification during medicine rounds. Policies and procedures are in place for ordering and receipt of medication. A locked room is in use for storage of all medication including locked cabinets and medication trolleys. The stock control system is satisfactory except for excess movicol sachets therefore this needs to be monitored. A contract is in place for all sharps, clinical waste and waste medication and a suitable locked facility is in use for storage of old medication between collections. Medication returns are documented well. One resident in interviewed commented “I get my medication on time”. Medication (MAR) record sheets were examined and evidenced some serious errors. Prescribed eye drops for one resident were recorded as not available for 3 days. One resident who was prescribed antibiotics 6 hourly had staff signatures missing on 2 occasions. The amount of medication left had not been carried forward to the new record sheet therefore it was difficult to ascertain if the resident had received them or not. There was no audit trail. One resident had medication increased to 3 times a day but a signature was missing for one dose and audited amounts are entered on some dates (encircled) with some amounts showing more as the week went on rather than less as it should be as there were no further additional amounts recorded as coming in to the home. One other resident had a signature missing for their evening medication. One resident who is prescribed insulin has a missing signature on one occasion. Another resident had missing signatures on two dates. The practice of recording medication given to residents is poor. The home has no assessment in place to identify if a resident is safe to administer his or her own medication. Residents were observed to be well groomed and dressed in suitable clothing. The hairdresser visited the home during the inspection and residents using this service were pleased with the attention given. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 13 Residents comments with regard to how they were cared for by the staff include “staff are very nice and encourage me to keep my independence” and “staff are gentle when caring for me”. One of the residents commented, “ I like a bath and I have a female carer, always a female, I wouldn’t like a male”. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP12,13,14,15 Quality outcome in this area is good. This judgement has been made using available evidence including a site visit to the home. Residents are able to choose how to live their lives and can join in activities when they wish to. Families are encouraged to visit the home and made welcome. This ensures that residents admitted to the home are able to settle into their new home with the family and friends support. EVIDENCE: Social interests are identified prior to admission to the home with residents or their families completing the social documentation form. Areas identified include previous employment, hobbies, previous life history, family input, likes and dislikes and religious beliefs. Residents interviewed stated, “ I have been taken out for a walk in the wheelchair by one of the staff and sit out in the garden. Weekly activities are advertised in a monthly magazine format, which is given out to the residents once a month. A resident interviewed commented, “I have had a list of forthcoming events and I attend a few, cake and coffee event, film shows (wide screen) and bingo. We used to go in the mini bus for picnics on the canal and a meal at the Pheasant but it has broken down now”. Management of the home are looking to purchase a suitable replacement vehicle. Residents interviewed confirmed that are able to spend their time as they please with comments including, “I like my own company, I knit, read and watch TV”. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 15 With regard to care provided one resident interviewed stated, “the care was discussed when I first came in” and “ I have a choice in how I live and spend my time, I get up when I want, it varies, and I like going to bed at 8pm”. There are two sitting rooms and a conservatory so residents are able to meet with visitors there if they do not wish to go to the privacy of their bedrooms. Residents interviewed commented, “I have lots of friends who visit frequently and they are always offered tea and made to feel welcome”. During a tour of the home including many of the residents bedrooms it is apparent that residents are able to bring items of their own into the home to personalise their rooms. One resident interviewed stated, “I like my room, it’s nice” and “I have brought my own chair in”. Relatives interviewed commented, “We are always kept informed and staff make us feel very welcome, always”. Residents commented, “ the food is pretty good, I have a lovely breakfast of orange juice, grapefruit segments, cornflakes, bread and butter with marmalade and a pot of tea”. One resident stated, “my daughter is made welcome and is offered refreshments if she wants them”. The menu in use offers no choice at present but residents interviewed confirmed that an alternative would be available if they did not like what was on the menu. Meals are served in the dining room or in residents’ rooms if preferred. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP16,18 Quality outcome in this area is good. This judgement has been made using available evidence including a site visit to the home. Residents have confidence that any concerns or complaints that they raised would be dealt with promptly. EVIDENCE: A complaints procedure is in place. The home tries to encourage all complaints however minor to be logged and are therefore re introducing a ‘niggles’ book. The complaints log was viewed and evidences the complaints recorded and their outcomes to the satisfaction of the complainant and dates are included. Residents interviewed stated, “I have no complaints at all”. One resident stated, “I did not like the curtains in my room so I asked if I could have new ones and the owner put new ones up, I like them”. Residents interviewed were aware they could complain and were confident that any concerns raised would be dealt with. Warren Park DS0000017261.V295576.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP19,26 Quality outcome in this area is good. This judgement has been made using available evidence including a site visit to the home. The home is decorated and maintained to a high standard with residents living in a very comfortable environment. EVIDENCE: The home has a planned maintenance and refurbishment programme. An improvement plan is at present in the process of being set up. Routine minor maintenance is carried out as and when needed by the maintenance person with records kept. The home has recently undergone full external redecoration including paintwork and gutters. The home looks very well maintained. During the inspection visit the home was toured including many of the residents’ bedrooms. Residents interviewed were happy with their rooms with comments including, “my room is very nice, it gets cleaned out every morning” and “I like my room, it’s very nice”. All areas of the home viewed were clean and tidy and decorated and furnished to a good standard. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 18 The dining room and lounges have recently been redecorated with new furniture in the dining room and residents bedrooms. The extensive gardens are well maintained and include many trees, shrubs, flowers and attractively placed seating areas for residents and their visitors use. A gardener is employed each Monday. The last environmental health visit was of a high standard. The kitchen was viewed and was seen to be clean and well organised. Records of hot food temperatures and fridge/freezer temperatures are taken and recorded daily. The cleaning schedule evidences daily, weekly and monthly chores. Foods in the fridges are covered and dated. The laundry was satisfactory but some floor tiles in the washing equipment room are cracked and require replacing. Warren Park DS0000017261.V295576.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP27,28,29,30 Quality outcome in this area is good. This judgement has been made using available evidence including a site visit to the home. The home employs sufficient staff to care for the residents needs. Staff training is a priority and staff files just need to evidence all training attended so that an up to date record is in evidence for each staff employed. EVIDENCE: The staff duty rota is in place and evidences all staff who work at the home including domestic and kitchen staff. Sufficient staff is employed in the home to care for the residents needs. Relatives interviewed stated, “I think this whole place is great, they are always cleaning, renewing and painting. Staff are super with the ladies and with other peoples mums, I’ve never heard any staff shout or be angry with them, they are always tender in their approach and patient”. A resident who was interviewed commented, “night staff are prompt when answering my buzzer and they are lovely”. Four staff files were examined Most of the information is included. One of the staff files did not contain evidence of mandatory training although the staff member concerned confirmed that they had attended up to date training at another place of work. This needs to be evidenced in staff files. The home has a planned training programme that is set up to ensure all staff attends mandatory training throughout the year. Some staff have attended NVQ training and gained certificates. TOPPS (induction) training is planned and attended throughout the year. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 20 The recruitment and selection process for the four staff files examined is satisfactory apart from one staff member who had only one written reference on file. The staff member has been employed for some time now and the Manager is happy with their performance. Warren Park DS0000017261.V295576.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP31,33,35,38 Quality outcome in this area is good. This judgement has been made using available evidence including a site visit to the home. The home is run for the benefit of the residents and their views are listened to, which enables them to settle into the home easily. The safety and welfare of the residents and staff is promoted. EVIDENCE: The registered Manager is a Registered Nurse and has been approved by the Commission to manage the home. The Manager has gained the RMA (Registered Managers Award). The Manager has also attended further training in regard to caring for the older person including medication management, care of the dying, heart failure, diabetes, elderly abuse and all mandatory training. Comments from relatives include “the matron, Alison is super, she knows what’s going on. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 22 From what I can see she seems to be well thought of by her peers and other staff”. Staff interviewed stated, “I like matron, she is approachable and fair”. Feedback is sought from the residents and relatives through twice yearly questionnaires. These responses are generally positive. These were viewed during the visit to the home. Residents interviewed stated, “staff are marvellous” and “the matron is very kind” The home has been awarded an external quality assurance award. Internal quality assurance is also carried out on a six monthly basis and the inspector viewed results. Items audited included staff files, accidents, daily diary, off duty, residents care plans, waterlow scores, nutritional assessments, personal monies records, meals are tasted, equipment, gardens, medication files and staff are interviewed. Residents are also interviewed and a few are interested in starting up a resident’s forum, which management is looking to introduce shortly. When residents were asked if they had met the owner of the home one resident replied, “yes, he changed my curtains for me, he’s very nice”. Staff meetings are held and minutes viewed during this inspection included wages, key worker system, bath list, laundry and transport. Registered Nurse meetings also take place occasionally. Policies and procedures are updated annually or sooner if needed. Written records are in evidence for all financial transactions with regard to residents monies held. These were viewed during the inspection. Accident records have been completed and the home management team audit these to ascertain any pattern or ways the home could intervene to prevent any accidents if able to. This is good practice. The home needs to inform the health and safety executive of any injury that occurs to a resident or staff member, which needs hospital treatment as discussed with the Manager. This is done by completing a RIDDOR (Reporting of Injuries, Disease and Dangerous Occurrences Regulations) form. A copy has to be kept on the residents or staff file. The home has evidence of all safety certificates and servicing checks for equipment used throughout the home. The provider has not carried out the Regulation 26 visit reports. There is no need at present for the provider to send these into the Commission. Once the reports are completed they should be kept by the home for inspection by the inspector at the next key inspection. Warren Park DS0000017261.V295576.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 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Warren Park DS0000017261.V295576.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 OP8 Regulation 12 (1) (a) Requirement Timescale for action 20/08/06 2. OP8 12 (1) (b) 3. OP9 13 (2) 4. OP9 13 (2) The Registered Provider must ensure that all residents health care needs are identified and kept under regular review with regard to manual handling and nutritional status, (including weights), and intervention taken where needed to maintain and promote health and welfare. The Registered Provider must 20/08/06 ensure that residents assessed as needing cot sides have cot bumpers in place to protect the residents from injury. The Registered Provider must 06/08/06 ensure that all nursing staff employed in the home administer medication as prescribed by the GP and enter their signatures/initials on the MAR (medication sheet) provided for each resident immediately following administration. This is an outstanding requirement from the previous inspection The Registered Provider must 20/08/06 ensure that all medication still in stock is carried forward to the new monthly MAR sheet so that DS0000017261.V295576.R01.S.doc Version 5.2 Warren Park Page 25 5. OP9 13 (2) 6. OP9 13 (2) an audit trail can be carried out and this would prevent an overstock of medication. The Registered Provider must 06/08/06 ensure that any resident who administers their own medication have an assessment in place to ensure they are safe to. The Registered Provider must 06/08/06 ensure that all medication is in stock and available for each resident. 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. 5. 6. Refer to Standard OP3 OP9 OP15 OP15 OP30 OP33 Good Practice Recommendations The inspector recommends that all pre admission assessments should be dated when carried out. The inspector strongly recommends the Registered Manager or other senior staff should audit the medications on a regular basis. The inspector strongly recommends the home should put into the practice the new nutritional assessment tool as discussed. The inspector strongly recommends that the residents’ menu should provide an alternative suitable choice for each meal served. The inspector strongly recommends that all up to date staff training should be evidenced in staff files. The inspector strongly recommends that the Registered Provider visits/reports should be carried out and kept on file for inspection. Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 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 Warren Park DS0000017261.V295576.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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