Inspection on 04/02/08 for Weald Hall

This inspection was carried out on 4th February 2008.

CSCI found this care home to be providing an Adequate service.

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

Weald Hall 27/02/07

Weald Hall 27/01/06

Weald Hall 21/09/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Weald Hall Mayfield Lane Wadhurst East Sussex TN5 6HX Lead Inspector Elizabeth Baker Key Unannounced Inspection 4th February 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Weald Hall DS0000064881.V350840.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. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Weald Hall Address Mayfield Lane Wadhurst East Sussex TN5 6HX 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) 01892 782011 01892 785274 www.crosswaystrust.org.uk Crossways Trust Ltd Louise Coppard Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (31) of places Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Dementia - (DE(E)) The maximum number of service users to be accommodated is thirtyone (31) 27th February 2007 2. Date of last inspection Brief Description of the Service: Weald Hall is a large detached house in the Snape valley, a short distance from the market town of Wadhurst, where there are shops, banks, library and post office. Following the registration of a separate but associated building known as the Lodge, it now provides care and support for up to 31 older people. The home is approximately one mile from Wadhurst railway station. There are rail and bus links to Tunbridge Wells. The ethos of Weald Hall is to provide a comfortable and caring environment that promotes independence. Residents are encouraged to manage their own financial and personal affairs. The home has a high standard of decoration and there are spacious grounds. Activities include poetry readings and newspaper debates, arts and crafts, gardening, exercises to music and trips to churches, shops and pubs. At the time of the visit fees ranged from £437 to £800 (the Hall) and £950.00 (the Lodge – dementia care unit) per week, inclusive of newspapers and standard toiletries. Additional charges are payable for hairdressing, chiropody, manicures and guest lunches. A copy of the latest inspection is available on request at the home. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This is the first key unannounced visit to the home for the inspection period 2007/08. Allocated inspector Elizabeth Baker carried out the visit on 4 February 2008. The visit lasted just over seven hours. As well as briefly touring both the Hall and Lodge, the visit consisted of talking with some residents and staff. Six residents and two members of staff were interviewed. Verbal feedback of the visit was provided to the deputy manager throughout and at the end of the visit. Subsequent telephone feedback was provided to the manager on 6 February 2008. At the time of compiling the report, in support of the visit, the Commission received survey forms about the service from three residents, three GPs, two care managers, three relatives and three members of staff. At the Commission’s request the manager completed and returned on time the home’s first Annual Quality Assurance Assessment (AQAA). Some of the information gathered from these sources has been incorporated into the report. At the time of the visit 18 residents requiring personal care and six residents requiring personal and dementia care were residing at the home. What the service does well: Staff encourage and support residents in retaining their independence for as long as safely is possible. Management continues to demonstrate its commitment to staff training, which should support staff in providing the most appropriate care to residents. Management is receptive to advice given and is eager to put matters right where deficiencies are identified. Management is eager to ensure the home is kept in a good decorative state for the benefit of all the residents living at Weald Hall. Additional comments from survey respondents included “the home provides a safe homely environment”; “[the home is] good at personal, individual care, patient and tolerant and I think it performs to a very high standard”; “the manager or deputy are always available to discuss any changes necessary for the care of a resident”; “they treat people as individuals”; “nothing is ever patronising”; “the home is very homely and supportive of the people there” and “Weald Hall is run as closely as possible like a family home. The staff are very supportive of residents and their families and unfailingly cheerful and helpful” and “I enjoy the activities and am amazed at how clean the home is kept”. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Prospective residents and or their advocates are provided with information about the home. The pre admission process generally ensures residents’ needs are met at the home. EVIDENCE: The home has a statement of purpose and brochure. These are used to inform prospective residents and or their advocates of the type of care, services and facilities provided at the home. The information generally follows the Commission’s guidance to providers for the composition of such documents. However details of the home’s actual bedroom accommodation does not comply because the precise bedroom sizes are not recorded. Although the document refers the reader to the National Minimum Standards, this document may not be known to many people and therefore not mean much to them. The manager generally visits prospective residents in their current place of occupation to determine whether the home is suitable to meet their assessed needs. Not all prospective residents are able to visit the home prior to Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 9 admission. Where this is the case, their relatives are usually able to visit the home on their behalf. Prospective residents are encouraged to stay at the home for trial periods. Indeed a resident interviewed said they enjoyed their trial stay so much they decided to stay. The home is not registered for intermediate care. Standard 6 is not applicable. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Residents who use the service experience adequate outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents are at risk because care plans do not provide full details of all personal health care needs. Residents are treated in a respectful manner. EVIDENCE: Care records of five residents were inspected. Some records contained a pre admission assessment; a long-term needs/care plan form, supporting charts and risk assessments and occasionally a short term care plan. For residents residing in the dementia care unit good life histories and biographical details were available and had been compiled with input from relatives. Detailed daily records were also seen on this unit. However details of residents’ health and personal care were not adequately covered in a corresponding care plan. Care records seen in the main house showed some improvement since the last visit. There was good admission information for a recently admitted respite resident. However records seen for other residents still did not provide a coherent picture of all needs, the action to be taken and eventual goals/outcomes of current and longstanding assessed needs. For example for a resident with diabetes there was no detailed plan of how the diabetes is Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 11 managed, whether the resident is diet or tablet controlled or whether they receive insulin. Details of the resident’s blood glucose checks could not be found, although it was said they are taken. There was nothing to indicate whether the resident receives input from a diabetic nurse or attends a diabetic clinic. The resident happened to mention they sometimes feel the cold. This may be associated to the condition, but no body temperature information was recorded. For a resident requiring an antipsychotic medication there was no corresponding care plan, even though it was recorded the medication was not reducing the problem. Where the daily records for another resident indicated redness had been identified on their body, cream was being applied to the red areas and a request for an air pressure mattress had been sought and eventually provided, there was no corresponding skin integrity care plan. Clinical risk assessments are used to monitor some problems. These include pain charts and fluid charts. Since the last visit the home has acquired information to assist in the development of falls risk assessments. This should assist the manager in monitoring trends and taking necessary action where required. The home has sought advice from a pharmacy inspector about finding a better location for storing the drug trolley in the main house. The room in which it is now stored still retains the fitments of its former purpose. The deputy manager said the room would be totally revamped within the next three to six months. Having a dedicated drug room should ensure that medicines and sundry items are securely and appropriately stored as per manufacturers instructions. It was suggested the home acquires a copy of the latest Professional Advice issued by the Commission in respect of the safe management of controlled drugs in care homes. This is available from the Commission’s website. Advice about medicine storage is also included in the Royal Pharmaceutical Society of Great Britain’s publication The Handling of Medicines in Social Care. The drug trolley for the dementia care unit is stored in a locked store cupboard. However it has not been the home’s practice to monitor the temperature of rooms in which drugs are stored. Doing this helps to ensure the efficacy of medicines is not compromised. The home uses a monitored dose system to administer medicines to residents. Residents spoken with indicated they preferred staff giving them their medicines as opposed to doing so themselves. Medication administration record (MAR) charts are completed as evidence of medicines administered. The visit coincided with new charts just starting so information was limited. However it was noted on the dementia care unit that the medicine dose for a resident’s anxiety had been reduced. The prescriber’s instruction had been changed by a handwritten instruction. The person who did this signed the change. However there was no indication on the chart of who actually authorised the change and the date when the change was made. A copy of the faxed instruction from the GP was eventually found and a reference to the change was seen in the daily record. However there was no corresponding care plan for the anxiety problem or about the changes. The MAR chart for a Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 12 resident living at the Hall included two inhaler medicines. One of these is prescribed administer when required (PRN). However there was no corresponding care plan setting out actual details for when this should be administered or indeed the reason for the medication. It was inferred that the resident self-administers this medication when required. However there was no recorded evidence this was the case or that a risk assessment for selfadministration had been carried out. Not all records seen contained information on residents’ spiritual and cultural preferences and wishes in the event of death and dying. This is an important aspect of care and must be addressed. Residents spoken with indicated staff assist them with their personal hygiene needs in a manner protecting their privacy and dignity. Residents were appropriately dressed to the level of detail where this is important to them. Staff were seen interacting with residents in a calm and re-assuring way. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Meals and activities offer both choice and variety. Residents are supported in attaining their lifestyle preferences. EVIDENCE: The home offers a range of activities for residents to take part in if that is their wish. Activities currently include poetry readings and newspaper debates, arts and crafts, gardening and exercises to music. Residents are supported in visiting local churches and pubs. The AQAA records the activities coordinator also spends one to one time with residents who prefer not to part take in group activities. Some residents were seen sitting in their rooms reading, attending to paperwork or listening to the radio. An activities programme is supplied to all residents on a weekly basis. A Holy Communion service takes place at the home on a monthly basis and lay people from various religions visit specific residents so their individual spiritual needs are met. The home has an open visiting policy and visitors are offered refreshments when they call. Celebratory meals are provided and residents are provided with a birthday cake to enjoy with the other residents. Dining facilities are available in both the Hall and Lodge for residents to use if that is their wish. Tables are Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 14 nicely laid and give a restaurant feel to the activity. Residents are provided with early morning hot drinks in their bedrooms at times of their choosing, if that is their wish. Menu choices are always available and residents spoke positively about their meals. The day’s menu was seen recorded on a notice board. A pictorial menu is available for residents who may have difficulty in understanding written versions. To ensure the menu and quality of food is to residents’ satisfaction, monthly meetings are held specifically on this subject. A resident said management and caterers act quickly on any comments and suggestions made. This is good practice. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents can be satisfied their concerns and complaints are listened to and acted upon. EVIDENCE: The AQAA records that a complaints procedure is now displayed in the entrance hall. This should provide easy access to any person wishing to bring a concern or complaint quickly to management’s attention. A copy of the complaints procedure is also included in the Statement of Purpose. A record of complaints is maintained and includes action taken to resolve the issues. The AQAA also records there has been one safeguarding referral and one referral made to the Protection of Vulnerable Adults list. The Commission has not received any complaints about the service. The home has a current copy of the County’s multi agency’s adult protection procedures. Residents spoken with explained what they would do if they were unhappy about something. Staff interviewed described appropriately the action they would take if they had a suspicion of abuse. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24 and 26. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents live in a comfortable, homely and well maintained home. EVIDENCE: Since the last visit a new separate unit has been registered for six people. This is known as the Lodge. The unit has been furnished to an excellent standard. Generally the whole home is maintained to a good standard. The standard of cleaning throughout is extremely high and residents spoken with indicated this was the usual standard. Both the Hall and Lodge were well ventilated and warm. As part of the home’s improvement plan the main kitchen has been refurbished, communal carpets on the first and second floors of the Hall have been replaced. During the visit a bedroom was being recarpeted and re-decorated. This is the normal practice when a room becomes vacant. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 17 The home sits within extensive grounds. Views from most bedrooms and communal rooms are very good and residents spoken with are appreciative of this. Weather permitting some residents like to walk around the grounds or to sit out on the south-facing terrace. Two domestic type baths have just been replaced with assisted baths. This should make getting in and out of baths much easier for some residents. The home has a small sluice room, for the disposal and storage of bodily waste. However it was noted on this visit that there is no separate hand wash sink and staff have to use the slop hopper facilities for hand washing purposes. To minimise infection control risks, this practice should cease. Liquid soap, paper towels, protective gloves are aprons were seen strategically placed throughout the home. This is good practice. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. On the whole residents receive care and support from an enthusiastic, caring and trained workforce. EVIDENCE: As well as care staff, staff are employed for administration, activities, cleaning, laundry and maintenance/gardening. On site catering contractors are used for meal preparation. Staff were seen carrying out their duties in an unhurried manner. Dependency assessments were seen in some of the care records inspected. Despite this a number of residents expressed the view that staffing numbers are low on some occasions. The AQAA indicates that over 50 of care staff are now trained to NVQ level 2 or above. The induction process generally follows the Skills for Care training programme, which should equip newly appointed staff to better understand and meet the health and personal care needs of residents. Staff interviewed said they had received training on subjects including first aid, Mental Capacity Act awareness, adult abuse, infection control, moving and handling and health and safety. The training matrix supplied at the visit records some staff having received training for topics such as dealing with challenging behaviours, confusion and dementia, pressure area care, medicine management, Parkinson’s disease and MS. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 19 Since the last visit the home’s application form now requires new staff to provide a full employment history. Where gaps are highlighted staff are required to provide the missing information or an explanation. However one of the two staff files inspected of newly appointed staff identified two incidences of unexplained gaps. The home’s recruitment and appointment process requires new staff undergo requisite checks as to their suitability before commencing at the home. This includes references and Criminal Record Bureau clearance. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. The home reviews aspects of its performance through a programme of self-review and consultations, which include the views of residents and their advocates. The management of the home is satisfactory overall but records are not well maintained placing some residents potentially at risk. EVIDENCE: The manager has been in post for almost three years and is qualified for the position. The manager has achieved the Registered Managers Award and is currently undertaking an Open University degree in Health and Social Care. The home’s deputy manager has achieved NVQ level 3 and is now undertaking the NVQ level 4 course. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 21 Residents and staff spoke openly about their experiences at the home. Residents and staff meetings take place regularly and this is very much appreciated. The home also endeavours to obtain views and opinions of the service by sending out survey forms. The returned AQAA indicates that policies and procedures are regularly reviewed. This is good practice, as it should ensure staff work in accordance with current guidance and legislation. Residents are encouraged and supported in maintaining their own financial affairs. On occasions where the home purchases items or services on residents’ behalf, appropriate records are maintained. The home generally informs us of incidents affecting the wellbeing of residents as is required by regulation. However a review of the AQAA identified a number of incidents, which had not been reported to us. The manager has now obtained the most current guidance on our website which sets out what is actually required, for future reference. As stated previously within the report, not all records relating to residents are complete and up to date. The AQAA indicates that the maintenance of the home’s equipment has been serviced or tested as recommended by the manufacturer or other regulatory bodies. The provider takes appropriate action to remedy a problem where this is identified. This currently involves changing water tanks in the Hall. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 X 3 3 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 3 3 X 3 3 2 3 Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement All residents must be provided with a care plan, which provides meaningful and precise information of all identified problems and needs; the action to be taken and goal/outcome to be reached, resulting in a comprehensive overview of their health and personal care needs. Timescale 31/07/07 not met. A separate hand washbasin must be available in the sluice room for staff to wash their hands. Full employment histories must be obtained and any gaps investigated. Timescale 31/05/07 not wholly met. All records relating to residents must be up to date and complete. Timescale 31/05/07 not wholly met. Timescale for action 30/06/08 2. 3. OP26 OP29 13(3) 19 31/07/08 31/03/08 4. OP37 17 30/06/08 Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 24 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 OP1 OP9 OP9 OP9 OP11 Good Practice Recommendations The statement of purpose should contain precise details of the actual number and size of bedrooms. Precise administration instructions of administer when required medicines should be included in residents’ care plans for easy auditing purposes. Daily temperatures should be taken and recorded of rooms in which medicines are stored to ensure they are kept in accordance with manufacturer’s instructions. Proper risk assessments should be undertaken for residents wishing to self-medicate medicines. Care records should contain information on residents’ spiritual and cultural needs and wishes in respect of death and dying. Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Weald Hall DS0000064881.V350840.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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