Inspection on 16/04/07 for Wayside Residential Care Home

This inspection was carried out on 16th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Wayside Residential Care Home 29/02/08

Wayside Residential Care Home 30/08/07

Wayside Residential Care Home 14/12/06

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 Wayside Residential Care Home 8 Whittucks Road Hanham South Glos BS15 3PD Lead Inspector Odette Coveney Key Unannounced Inspection 16th April 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wayside Residential Care Home DS0000066092.V334961.R02.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. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wayside Residential Care Home Address 8 Whittucks Road Hanham South Glos BS15 3PD 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 967 3314 0117 961 2338 Mr Navindramuth Atma Seegum Mrs Simla Devi Seegum Mr Navindranuth Seegum Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 2006 Brief Description of the Service: Wayside, Residential Care Home is a detached house; it is well established in the area and has been a care home for many years. The home is registered to provide accommodation and personal care for 8 persons aged over 65 years in the OP category. The home also provides a service for those who have a dementia and those who have sensory and physical impairments associated with aging. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a site visit as part of a key unannounced inspection, this took place over one day; the registered provider/manager was present during this visit. Due to their differing levels of confusion many of the residents are unable to express their views verbally about the Home. Because of this time was spent sitting with residents and observing staff and residents together. As part of this inspection a number of documents were looked at including care plans, training, staffing arrangements and medication administering. There was also an opportunity to discuss with residents and staff their experience of living and working in the home. Two visitors to the home were also spoken with. The Home was operating within the required conditions of registration set down by the Commission for Social Care Inspection. The conditions of registration detail the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. Due to a number of requirements not being met at the last inspection that was undertaken on 14th December 2006 a management review meeting has been arranged with Mr Seegum to take place on 18th May 2007 in order that an improvement plan for the service can be discussed and agreed. What the service does well: What has improved since the last inspection? Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 6 The home has improved some areas within the home in order to eliminate unpleasant odours and to maintain areas within the house; information about this is included within the main body of the report. In order to verify the identity and in order to protect residents the home has ensured that there are photographs in place of all of those living at the home. In order that all residents can be fully aware of their rights, it was recommended at the last inspection that their next of kin be forwarded a copy of their terms and conditions of the placement this had been done. In order that staff have additional information the home has ensured that information has been obtained about the possible side effects of medication. What they could do better: Concerns were identified at the previous inspection that was undertaken in December 2006 in respect of medication administration, storage and auditing of medication; this is an area that has not improved and the requirements made at the last inspection remain, with further issues being identified at this inspection. In order to ensure the safety and protection of residents the inspector has requested that a pharmacy inspector for the Commission visit the home to look at practices within the home. In order to demonstrate that the needs of residents are being met and monitored appropriately it is required that care plans must be reviewed on a monthly basis. In order to ensure that individual’s property is appropriately accounted for it is required that all residents must have an inventory of their property and valuables in place. It was noted at the previous inspection that there were a number of areas that require attention in respect of the environment at the home, some of these have been addressed however additional requirements and recommendations were made as a result of this visit and full information about this can be read within the main body of this report. It was required at the last inspection that in order to demonstrate that the home has fully assessed the potential risks in the event of a fire the home must expand upon the fire risk assessment that is in place; Mr Seegum confirmed that this has not been completed, the requirement remains and will be discussed with Mr Seegum at a management review meeting to be held on 18th May 2007. In order to ensure that all individuals living and working at the home are protected in the event of a fire it is required that attention is given to the self closure on the fire door leading into the lounge. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 7 In order to fully demonstrate that activities and social events are available and offered to residents it is recommended that the home maintains a better record of social activities to residents. 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. Wayside Residential Care Home DS0000066092.V334961.R02.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 Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s practice makes sure that an assessment is undertaken for all admissions to the home so that an informed decision can be made about the ability of the home to meet identified health and social care needs of residents. EVIDENCE: The home’s statement of purpose and service users guide were both viewed at the last inspection that was undertaken on 14th December 2006 and these documents contained all of the required information in order that individuals can make an informed choice about the services and facilities provided at Wayside. A number of pre-admission assessments were seen showing the assessed needs of potential residents about their personal care, mobility, health and social circumstances. Where the local authority supports individuals a copy of their assessment and care plan are obtained by the home. The inspector saw Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 10 that the most recently admitted individual to the home had been well supported by the staff and that the home completed clear monitoring of the service provided to the individual in order to demonstrate and ensure that the home was fully able to meet all of their needs. The individual told the inspector they had settled well into the home, they had made friends and they were happy. A visiting relative to the home said they had looked around a number of homes before choosing Wayside, they felt the home had a ‘welcoming and warm atmosphere’. The registered provider Mr Seegum confirmed that there was one vacancy at the time of the inspection visit, however this was allocated, that the individual’s family had visited the home and Mr Seegum was visiting the individual the next day in order to meet with them and undertake a full assessment of their needs in order to assure all concern that these can be met at Wayside. At the last inspection it was seen that all residents had in place a contract which outlines the terms and conditions of their placement, a recommendation was made at the last inspection that copies of the term and conditions of the placement are forwarded to next of kin if they are dealing with residents financial affairs, the inspector saw that this had been completed. There are no residents staying at the Home specifically for intermediate care needs. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Care planning documentation at the home contains clear, detailed information to enable residents personal and healthcare needs to be well met, these must be reviewed on a regular basis. End of life for residents is handled sensitively. Concerns remain over medication practices within the home. EVIDENCE: A number of care plans were looked at and they were all found to be of a consistent standard. Care documents were well detailed with sections on health, mobility, mental state, and personal care identifying the task and the support that resident’s needed. There was additional personal information in the form of giving personal history, occupation, and interests. However is was noted that a number of care plans had not been reviewed on a consistent monthly basis, it is required that this is undertaken in order to ensure that the home is monitoring individuals needs and meeting them accordingly. A relative spoken with during the inspection said that their relative was well cared for at the home and they are always kept informed of the healthcare Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 12 needs of their relative and that the home has always been prompt to deal with any healthcare issues as they arise. Residents are registered with local GP surgeries and are further supported with their health needs by the community psychiatric nurse who reviews residents’ mental health care needs in the Home on a regular basis; this person was visiting a resident on the day of the inspection. The home also involves the community nurse where residents may need support of a nursing nature. Staff were observed being polite and respectful to residents, they were asked questions in a clear, calm manner and were offered choices. A number of issues of concern were noted and identified at the last inspection in respect of medication administration, storage and accountability of medication held on behalf of residents at the home. It is required that controlled medication must be stored safely in accordance with The Royal Pharmaceutical Guidelines, it is also required that stock held medication must be clearly accounted for and medication administration records must correspond with medication given to residents. It was found at this inspection that a resident was being given a controlled medication from a bottle with a ‘spoilt’ label and staff had handwritten instructions on the bottle, this is dangerous and the home must ensure that a correct printed label is obtained from the pharmacist. In order to further remove the element for error it is recommended that photographs of residents be attached to medication record administration sheets. Due to these concerns a pharmacy inspector from the Commission will be requested to visit the home in order to undertake a full review of this area. There was clear recording of the individual’s wishes on their death though next of kin was recorded for all of the files viewed. Wayside Residential Care Home DS0000066092.V334961.R02.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for meeting the social and recreational needs of residents are good and there are opportunities for residents to maintain links with family, friends and the local community. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. EVIDENCE: On the day of the inspection one of the residents was out to a local social club, another resident went out into the local community with their relative, the hairdresser also came to the home on the day of the inspection visit. Residents spoken with said they were happy with activities and social events which are provided at the home, however records of what individuals had been offered were not being consistently recorded and therefore it is recommended that the home maintain a better record of social activities available to residents in order to demonstrate what had been made available. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 14 Staff were seen to be working hard to support residents to meet their needs. Residents were also observed rising at different times during the morning of the inspection Mr Seegum said that residents would be supported to vote, if they wish, when the time comes and are supported to visit polling stations or undertake a postal vote if they wish. Staff were observed being respectful to residents and it was evident that good relationships between residents and staff had been established. It was reported that the Home has a relaxed policy related to residents seeing their friends or family at the Home. This was confirmed by a visitor to the home who said that they are always made welcome by staff at the home that they and their family visit regularly and at differing times. This person also said their relative enjoyed a birthday party organised by the home in which all of their relatives attended, entertainment and food were provided. Wayside Residential Care Home DS0000066092.V334961.R02.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, 18. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home has clear procedures in place and this enables individuals to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. The home makes sure that as far as possible residents are protected from harm by having a policy and procedure about the Protection of Vulnerable Adults and providing training to all staff in this area. EVIDENCE: The home has in place procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of individuals. The manager and staff have received protection of vulnerable adults training and those spoken with demonstrated a clear understanding of their role and responsibility in this area. A review of resident’s files found that there were some residents who had no record of their property or valuables and therefore a requirement was made that the home ensure that all residents have an inventory in place. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 16 No complaints were raised with the inspector during this visit to the home; no issues had been raised to the Commission prior to the inspection. It was noted at this inspection that not all residents had a inventory in place, it is required that this is in place for all individuals in order to ensure that all residents property and valuables are clearly audited and accounted for and therefore residents would be better protected. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 26. Quality in this outcome area is Poor. This judgement has been made using available evidence including a visit to this service. Some improvements have been made to the environment since the last inspection, however additional improvements are required in order to improve the home for residents. EVIDENCE: Wayside is located within a residential area of Hanham; the home is within close distance of local shops, bus routes and a pub. There is a pleasant lounge/dining area. A requirement was made at the last inspection that confirmation be forwarded to the Commission of the completion of the ceiling repair in the lounge area, this was received following the inspection and the appropriate repair was undertaken, it was noted however that this ceiling has new water stains. Mr Seegum confirmed that there were still problems with the roof and once work was completed the ceiling would be repainted, this will be reviewed at the next inspection. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 18 A requirement was made at the last inspection that the source of odour in two residents rooms is found and eliminated, a full tour of all individuals rooms was undertaken during this visit and there were no unpleasant odours in these rooms, it is further noted that the home had replaced the flooring in three individual’s rooms and this may have impacted on this. However it was noted that one resident’s room had splash marks on their wall, which appeared to be urine, this must be cleaned. Also another bedroom had an odour of urine and this must be dealt with. Mr Seegum said that three rooms had been redecorated since the last inspection and flooring had been replaced in these areas and this is good practice. A review of residents rooms found that one individual’s carpet was stained and required cleaning, if stains are not able to be removed this carpet should be replaced. A requirement was made at the last inspection that bathroom tiles in a toilet that had fallen off were to be replaced, further discussion with Mr Seegum at this inspection confirmed that he plans to knock down this dividing wall and make a bigger bathroom for residents, this will be better for residents and therefore will be reviewed at the next inspection. There is sufficient toilet and bathing areas for residents, these are located on both the ground and the first floor. It was found that one toilet required cleaning and the toilet seat was in need of replacement, the registered provider must ensure that attention is given to these matters. It was noted at the last inspection that one particular bedroom identified during the inspection should be redecorated. This had not been done. The relative of the individual whose room it was confirmed that Mr Seegum had said the room was next to be decorated; this was again confirmed by Mr Seegum, the requirement remains and will be reviewed as part of the home’s improvement plan. Due to water damage it was noted at the last inspection that a bedroom ceiling needed to be repainted, this had been done and the requirement had been met. Lighting within the home is domestic in style and of a good standard, emergency lighting is provided throughout the home, the inspector saw that this is checked on a monthly basis. At both this, and the previous inspection the ‘domestic’ type kitchen for the home was found to be clean and suited for its intended purpose, however a requirement was made at the last inspection that the fan in the kitchen was to be cleaned, Mr Seegum said that some attempt had been made to clean this, although this was not apparent and the requirement remains. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 19 A recommendation was made at the last inspection that a mattress should be removed from the bathroom area, this had been done. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing arrangements in the home are satisfactory so that the needs of residents can be met in an efficient way, however the home must ensure the safety of residents by ensuring that full recruitment documents are in place. EVIDENCE: There were sufficient numbers of staff on duty at the time of the inspection. Staff spoken with appear to be well motivated and demonstrated a good understanding of the needs and wishes of individuals who live at the home. Staff said that the new manager listens to them and encourages new ideas. Each individual has a key worker to support them with the manager being involved with the overall monitoring of individual care. It was clear that staff have developed relationships with individuals and have worked together with them and others in order to identify the needs of a resident and then support the person in achieving their goals. There was information in individual care plans that provided information to guide staff to the appropriate level of support that individuals require. The recruitment and selection documents for the most recently appointed staff member were reviewed as part of the inspection process; this included a completed application form, a protection of vulnerable adults check, Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 21 verification of individual’s identity and a criminal records bureau check, however this person had no references in place, the home is required to ensure these documents are in place to protect residents and to ensure that staff have the qualities and skills to fulfil their role. There are staff at the home that are currently undertaking a National Vocational Qualification in Care at level two. The inspector saw that staff are booked to undertake protection of vulnerable adults training in June 2007. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37, 38. Quality in this outcome area is Poor. This judgement has been made using available evidence including a visit to this service. The manager ensures an open and inclusive atmosphere is present in the home, which is run in the best interest of those living at the home. Health and safety of those living and working at the home is generally well managed, however concerns were noted in respect of fire safety at the home. EVIDENCE: The responsible individuals for Wayside are Mr. Navindranuth Atma Seegum and his wife Mrs. Seegum. Mr. Seegum has appropriate qualifications and experience and has undertaken training within this care field. Systems of fire safety including staff instruction and recording of checks were reviewed as part of the inspection process. A requirement was made at the last Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 23 inspection that the home should expand upon the current fire risk assessment in place, this had not been completed and the requirement remains and will be reviewed when discussing, with Mr Seegum, the improvement plan for the home. Other concerns noted at this inspection included that not all staff have received sufficient fire instruction and a self closure on a fire door was not operating correctly. A requirement was made at the last inspection that there must be photographs of all residents in place at the home; these were in place in resident’s care files. Polices and procedures in place at the home were reviewed at this inspection. These reflected the structure of the home and the care needs of clients as outlined within the National Minimum Standards. Those in place included: equal opportunities, training, health and safety, complaints and processes for admissions into the home. Evidence was seen to show that portable electrical appliances were checked for safety in November 2006, a gas safety check was completed in September 2006, the stair lift for resident’s use was checked by a contractor in October 2006. Manual handling risk assessments for residents were in place at the home and were sufficiently detailed. Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 3 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 2 3 2 X 3 2 X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 X 2 X 3 1 Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard OP24 OP25 OP38 Regulation 23(2) b 16 (2) j 23 (4) a Requirement Bedroom, identified during the inspection, to be redecorated. (Outstanding since 14/12/06) The fan in the kitchen to be cleaned (outstanding since 14/12/06) The home should expand upon the current. Fire risk assessment in place. (Outstanding since 14/12/06) Controlled medication must be stored in accordance with the Royal Pharmaceutical guidelines. Medication administration records must correspond with medication given. Stock held medication must be clearly accounted for. Staff must receive sufficient fire instruction. Care plans must be reviewed at lease on a monthly basis, or sooner if needs change. Labels must be clear on administered medication. DS0000066092.V334961.R02.S.doc Timescale for action 16/07/07 16/05/07 16/05/07 4. OP9 13(2) 16/05/07 5. OP9 13(2) 16/05/07 6. 7. 8. 9. OP9 OP38 OP7 OP9 13(2) 23(4) d 15 (2) 13(2) 16/05/07 16/05/07 16/05/07 16/04/07 Wayside Residential Care Home Version 5.2 Page 26 10. 11. 12. 13. 14. 15. OP38 OP26 OP24 OP29 OP26 OP37 23(4) c 13(3) 16.2(c) 19 (1) 13 (3) 17(2) Attention must be given to the self-closure on the lounge fire door. Splash marks on wall must be cleaned. Carpet must be cleaned/replaced. All staff must have two references in place. Identified toilet must be cleaned. Inventories must be in place for all individuals. 16/04/07 16/04/07 16/05/07 16/04/07 16/04/07 16/05/07 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. Refer to Standard OP9 Good Practice Recommendations Clear strategies should be in place to ensure that medication prescribed to be given ‘as and when required’ is given in the best interests of the individual. Identified toilet seat to be replaced. Records of activities to be better maintained. Photographs to be in place with medication records. 2. 3. 4. OP21 OP12 OP9 Wayside Residential Care Home DS0000066092.V334961.R02.S.doc Version 5.2 Page 27 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. 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