Inspection on 12/09/06 for WCS - Woodside

This inspection was carried out on 12th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

WCS - Woodside 30/06/09

WCS - Woodside 07/07/07

WCS - Woodside 01/03/06

WCS - Woodside 11/07/05

WCS - Woodside 02/03/05

WCS - Woodside 18/06/04

WCS - Woodside 03/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE WCS - Woodside Spinney Hill Warwick Warwickshire CV34 5SP Lead Inspector Martin Brown Key Unannounced Inspection 12th September 2006 09:15a 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 WCS - Woodside DS0000004271.V310740.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. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service WCS - Woodside Address Spinney Hill Warwick Warwickshire CV34 5SP 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) 01926 492508 01926 498848 Warwickshire Care Services Limited Mrs Patricia Bernadette Ashwell Care Home 38 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (30) of places WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st March 2006 Brief Description of the Service: Woodside care home is managed by Warwickshire Care Services Ltd who has managed the home since it transferred, along with a number of other homes providing care, from Warwickshire County Council in 1992. Warwickshire Care Services Ltd is a voluntary sector organisation. Woodside is registered as a care home providing personal care to 38 older people; this includes a registration for the care of 8 older people with dementia. The dementia unit is situated on the ground floor. The first and second floors can accommodate 15 and 15 service users respectively. All rooms are single; there are no en suite rooms. The home can offer one respite place and regularly looks after up to four additional residents for day care above its 38 place registration. Each floor has a lounge and dining area, which have been fitted with kitchenettes. On each floor there is also one bathroom, and a shower room is provided upon both the first and second floors. All bedrooms are single rooms; none have en-suite facilities. A passenger lift to each floor, and ramps leading to outside areas, ensure easy access to all areas of the home. The home is situated on the outskirts of Warwick, within a housing estate. Close by is a small parade of shops, including a post office, newsagent and general store. There is also a local pub. Both Warwick and Leamington Spas main shopping centres are within a 5-10 minute bus journey. The bus stop is directly outside the home. Woodside is a non-smoking home. Service users, representatives and staff are permitted to smoke outside the building. Woodside has a garden area to the rear and a secure garden leading off the dementia care unit. There is limited parking space for staff and visitors to the rear of the home. The fees are currently £362 per person per week. There are additional charges for hairdressing, newspapers, personal toiletries and clothing. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been made using evidence that has been accumulated by the Commission for Social Care Inspection. This includes information provided by the home, in the form of a comprehensively filled out pre-inspection questionnaire, four survey questionnaires returned from service users and ten comment cards returned by relatives. The inspection visit was unannounced and took place on 11th September 2006, between 9.15am and 4.45pm. A tour of the premises was made, relevant documentation was looked at, and observations of the interactions between residents, staff and their environment were made. The care of a small representative sample of residents was looked at in particular detail. A large proportion of the residents were spoken to over the course of the inspection, as was the home manager, care manager and staff on both the morning and afternoon shifts. Residents, staff, and the managers were welcoming and helpful throughout the inspection. A number of relatives were also present in the later stages of the inspection, and were happy to give their views of the home. What the service does well: What has improved since the last inspection? What they could do better: The call bell system could be improved, so that bells are only heard by those who need to hear them, rather than sounding throughout the building. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 6 Although medication procedures and recording is much improved, there are still shortcomings that need to be addressed. More vigilance is needed in ensuring that doors are locked and shut, where required for health and safety reasons. 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. WCS - Woodside DS0000004271.V310740.R02.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 WCS - Woodside DS0000004271.V310740.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents can be confident that their assessed needs will be met. EVIDENCE: A sample of care plans were seen. These included details of initial assessments outlining care needs. The manager advised that the home assesses potential resident to ensure that the service can meet their needs, and gave examples of where the home did not accept people because they could not be confident they could successfully meet their needs. Information concerning the home in the form of Statements of Purpose and individual Service User Guides are available, although relatives advised that they found that a personal visit to the home was the best way to find out about it. Relatives spoken to on this matter were all pleased that this particular home had been chosen. An appropriate care plan and assessment was seen regarding the sole ‘respite’ resident, who said in discussion that she was satisfied with the home as a respite alternative to being at home. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 9 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): 7,8,9,10 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents enjoy the attentions of a staff team who are aware of their needs and who meet them in a way that upholds their dignity, respect, and privacy. There is still some room for improvement in the recording of medication administration. EVIDENCE: The home has a comprehensive care plan system in place for each person. These cover all aspects of care, and are reviewed monthly, and informed by daily records. Care plans include details of life histories, particularly useful where people are no longer readily able to articulate their needs and interests. Residents and relatives were full of praise for the staff and the care and support they provided. One resident commented that “staff were very good – not over-friendly, just sensible and always there to help when you needed it.” Staff were observed offering care and support as needed, adjusting their level of help and comforting according to the level of need, and always explaining to someone exactly what they were doing and what was happening. The manager explained that more pro-active support was offered where needed, such as in the dementia unit. This was observed, particularly in the afternoon, where WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 10 residents were encouraged in a ‘sing-along’ session, with one lady being helped to re-discover her skills on the piano. Records and discussion with staff and a resident showed how the home was working to meet health needs and involve outside support, in this instance, district nurses, as needed. A number of residents preferred to spend much of the time in their rooms, using the call bells to summon assistance when necessary. Staff were seen to respond to these promptly. Medication administration and recording has improved following concerns at the previous two inspections. However, there were still shortcomings. While all standard Medication Administration Records (MAR) sheets seen were satisfactory, a controlled drug record showed a medication not signed for in three times in the past five months. One of these had been identified in a management audit. Stock control and recording in the standard MAR sheets showed that the medication had been administered. The care manager acknowledged that procedure had not been followed, and printed reminders, to be followed by verbal reminders at the next staff meeting, were immediately put in place. Some other medication matters were highlighted. There was a lack of clarity regarding the administration and recording of one medication that had a variable dosage. The manager agreed to address this with the pharmacy. Some ‘as needed’ medications were recorded as ‘refused’, when ‘not required’ may be a more correct description. The manager advised that she is to revise the protocol for ‘as required’ medications. When asked, staff were unclear of the exact purpose of some medications, and agreed that a very brief guide, alongside individual MAR sheets, outlining the purpose of each current medication, and any possible risks, would be useful. Some medications in the cupboards have instructions that they should be stored below 25C. Staff were not sure that this could be guaranteed in hot weather and agreed that temperatures should be recorded and any necessary action taken. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 11 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): 12,13,14,15 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents benefit from a variety of activities, and from the support of family contact, are able to enjoy food of their liking, and are supported and encouraged in exercising choice and control in their lives. EVIDENCE: Residents were complimentary concerning activities. Several were looking forward to a trip planned later in the week to the Black Country Museum. Others enjoyed more home-based activities, and two volunteered that they had enjoyed a recent ‘champagne and strawberry’ reception. Forthcoming events are announced and featured on notices in the home. There are specific workers classified as day workers, whose main role is to promote and provide activities, on a group and individual scale, although sometimes staff sickness or shortfalls require them to work primarily in a care role. Family contact was much in evidence. Relatives comment cards were positive, and all relatives spoken to during the inspection were appreciative of the care and support provided in the home. One person in particular was keen to tell of her relative’s improvement since being at Woodside, and how well it compared to a previous service. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 12 The manager explained how some relatives had expressed an interest in learning about some of the frailties, notably dementia, that their loved ones suffered from, and this had resulted most recently in one relative taking part in a dementia training course. Staff were seen to be asking people what they wished to do, and to give them choices and options. When two people on the upper floor who were wheelchair users asked to go out in the garden after dinner, it was pleasing to note they were soon out there, enjoying the sunshine. Residents were very complimentary about the food offered by the home. A meal was taken with residents on one floor. Mealtime was relaxed and unhurried; and help was available for those who needed assistance. The meal was well-presented and nutritious, alternatives were available and offered, enabling people to make a real, immediate choice. Menus showed a variety of food being offered throughout set periods. ‘Snacks’ are available, with bowls of biscuits, crisps, and chocolates being much in evidence. Staff advised that this was valued by residents with dementia who no longer necessarily wished to follow set eating patterns. There was no fresh fruit in evidence. Staff advised that there normally is fruit available, and agreed that it would be beneficial to ensure that residents always had a fruit option available, and were encouraged to try this. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 13 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): 16,17,18 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents and relatives can be confident that those living in the home are safeguarded from abuse and that complaints and concerns will be given due regard. EVIDENCE: Staff showed a good awareness of abuse and what to do if it is witnessed or reported. Observed practice showed a positive, respectful approach to all service users. Appropriate policies and procedures in respect of abuse and allegations of abuse continue to be in place. There continue to be no allegations or suspicions of abuse of any form. The home ‘looks after’ some personal monies of residents where requested. A sample of these were looked at and seen to be correctly and appropriately maintained. Comments, complaints, and compliments forms were much in evidence. Complaints and concerns were noted and responded to by the service. Comment cards showed a generally high level of satisfaction, and comments by residents and relatives during the inspection were all highly complimentary of the home. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 14 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): 19,20,26 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Service users benefit from a clean, hygienic and generally well-maintained environment that seeks to minimise the institutional nature of it being a large three storey home. Redecoration and refurbishment inside and out will help maintain satisfactory standards. EVIDENCE: The manager advised that funds to redecorate rooms are available, but that the main obstacle is not wishing to disturb residents in residence. The décor of those bedrooms looked at appeared acceptable. Some communal areas had torn paper, and skirting boards and doors in communal areas had marks, dents and scratches. Some outside fencing and handrails had flaked paint. The garden is accessible and well-used by residents, although the principal access remains via the dementia unit. The paved access from the dementia unit is made difficult and potentially dangerous at present because of the overgrowth of plants, especially firethorn. Otherwise, the garden is well-maintained. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 15 On the day of the inspection, the carpet in one communal area of the dementia unit was being thoroughly cleaned, resulting in residents and furniture being rather cramped in the other room. With staff support and activities, any adverse effects were minimised to the extent of not being noticeable. Some carpets in the home were showing signs of wear and a need for replacement. The most noticeable was that on the ground floor corridor, which is primarily used by staff. The manager advised that carpets were due for replacement. A call bell system operates on all three floors. If someone rings for attention, it rings on all three floors until someone responds. Staff and management agreed that it may be better to have it sound only on the relevant floor, initially at least, transferring to other floors only if the call was not responded to. At present, there is frequent noise from bells ringing, as well as frequent staff activity to check a call that is likely to be on another floor. Those residents spoken to said they were happy with their rooms, which suited their needs, and were personalised according to their wishes. There are no ensuite rooms; toilets and bathrooms are a short distance away from rooms, and were clean and, in some instances, made particularly attractive by the addition of pictures and ornaments. Rooms are of varying sizes; some are quite small and would not meet size standards for new rooms. The manager advised that there were plans to upgrade some beds, with the introduction of larger ‘hospital ‘ beds in some cases. She agreed that this may not be feasible in some smaller rooms, without reducing personal space to unacceptable levels. There is no ‘loop’ system for residents with impaired hearing in the main communal areas. Clinical waste bins are now locked. All the waste bins are unsightly in their present setting, in a row by a fence in the car park. The manager agreed that it would be beneficial to have them screened from view. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 16 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): 27,28,29,30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Staff are well-motivated and supported and able to provide a service much appreciated by residents and relatives alike. EVIDENCE: The service continues to be staffed to meet minimum requirements of two staff per floor. There are ‘day’ staff, there to primarily provide activities, but they are sometimes called to provide care to cover absence. A number of ‘bank’ staff are also used to ensure minimum levels are maintained. Agency staff are not used. All staff spoken to were familiar with the residents and their needs. Staff tend to work on specific floors, but accept that they may have to ‘cover’ on other floors at times. Residents and relatives spoke highly of staff, without exception. There were some residents who felt that there could usefully be more staff on duty at times, but equally, many who were able to articulate their feelings on this felt that numbers were sufficient. Staff were seen to be attentive to call bells. One or two residents were seen to be on their own at times in lounges, but staff were also seen to be passing at regular intervals to be able to check, sometimes verbally, sometimes by sight, that people were ‘OK’. When asked, staff said they were always ‘busy’ but that this was part of the job, and did not see more staff as something they needed. A sample of staff files, including the most recent recruit, showed that recruitment and induction practices were satisfactory. The manager advised WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 17 that residents are involved in the recruitment process, with a panel of residents able to ask questions of prospective employees. She advised that one resident, an ex-matron, is able to ask particularly searching questions. Staff training continues to be on-going. The manager was leading some staff in an infection control session on the morning of the inspection. Staff commented favourably on the quantity and quality of training. One staff was particularly enthused by recent ‘person-centred’ care training, which she felt had made a real difference to the quality of care, by encouraging staff to more actively involve residents in activities relating to their care and welfare, rather than them passively accepting help. She felt that this was greatly helping individual residents maintain skills, independence and a sense of self-worth. The manager advised that the home is on course to have over 50 of staff trained to National Vocational Qualification level 2 or above, with eleven staff now with level 2, six taking it, and six with level three. A training matrix showed training being accomplished in core areas, with relevant specialist areas such as dementia care being focussed on. Most staff spoken to stated that they had had training in dementia care, but would like more. Staff were able to explain their responsibilities under the key worker schemes, and how this slotted in with care plans and residents’ overall well-being. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 18 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): 31,33,35,38 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents can be confident that the home is run effectively and in their best interests. The home needs to ensure that all aspects of health and safety are adhered to at all times. EVIDENCE: The home manager was able to provide detailed information regarding rotas, staff responsibilities, training, supervision, quality assurance, and residents care planning and assessments. Staff were clear about their roles and responsibilities, and feedback from residents and relatives showed general satisfaction with the way the home was being run. One relative was keen to emphasise that the home is “run for the residents.” There are regular resident and relative meetings, and relatives have been supportive of events and activities at the home. The manager advised that relatives have expressed, at WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 19 meetings, a wish to learn more about such as dementia, and are able to be included in some training. Monthly visits by the provider, as required by Regulation 26 of the Care Standards Act, now take place. These have been forwarded to the Commission for Social Care Inspection. However, the manager did not receive copies of the reports, relying instead on notes she made at the time of the visit. The pre-inspection questionnaire, completed by the manager prior to the inspection, gave dates and details of satisfactory safety and equipment checks within the home. The fire officer had had a satisfactory visit in the previous month. Two day-to-day issues of concern were noted during the inspection. The COSHH cupboard was found at one point to be unlocked, with the keys in it. It was locked, with the keys out, when checked again later. The fridge door in the kitchen was found to be open, resulting in the temperature having gone above the required maximum. There are windows restraints, on all windows. These allow windows only to be opened two or three inches. Staff agreed that if the restraints were adjusted, the windows could be safely a few more inches, allowing a greater flow of air, whilst still keeping people safe. The challenges presented by the recent hot weather were discussed with staff. Ideally they would like air conditioning, but wondered if more could be done to prepare for further hot spells in the future. In July, they said, they had had paddling pools for residents to dip their feet in, in the garden during the hottest weather. WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 20 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The registered person must ensure that all administration of controlled drugs is recorded. The registered person must ensure that medications are stored within appropriate temperature ranges. More clarity is required where medication has a variable dose. Excess plant growth must be trimmed back to ensure paths to the garden are accessible. The registered person or a representative of the registered provider must provide a copy of the monthly visit to the home to the registered manager. The registered person must ensure that doors on cupboards storing COSHH materials are locked, and that fridge doors are closed, at all times when not in use. Timescale for action 20/10/06 2. OP9 13(2) 20/10/06 3. 4. 6. OP9 OP19 OP33 13(2) 23 26(2)(b) 20/10/06 20/10/06 20/10/06 7. OP38 13(4) 20/10/06 WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 22 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. Refer to Standard OP9 OP9 OP15 OP19 OP20 Good Practice Recommendations It is recommended that more consideration is given to how the administration of PRN medications is recorded. It is recommended that individual medication records are accompanied by a brief guide to each medication. It is recommended that fresh fruit is always available. It is recommended that clinical waste bins are made less obtrusive, by screening or any other method. The service should consider a separate access to the garden so that other residents do not need to go through the dementia unit. The service should consider the need for a loop system in the TV lounges for residents with hearing difficulties. The service should consider alternative forms of contact to alert staff to incoming phone calls i.e. pocket bleepers or a quieter bell system and generally seek to reduce the sensory overload caused by intrusive noise level. It is recommended that the window restraints are adjusted to allow windows to be opened a little wider during hot weather, whilst still being within safe limits. It is recommended that the home looks at strategies for ensuring residents well-being in the event of another prolonged hot spell next year. 6. 7. OP22 *RCN 8. 9. OP38 OP38 WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Woodside DS0000004271.V310740.R02.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!