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Inspection on 28/11/07 for West Eaton House Nursing & Residential Home

Also see our care home review for West Eaton House Nursing & Residential Home for more information

This inspection was carried out on 28th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is considerable confidence in Mr. Beedie`s management of the home. He provides a clear sense of leadership that makes residents feel safe and gives staff the guidance and support they need to do their work well. The staff are very attentive to the residents and they welcome visitors into the home. There is a cheerful atmosphere. The residents` accommodation is clean and comfortable. The company is prepared to spend money improving the quality of the accommodation and making things as safe as possible for the residents e.g. a full length door sensor has been fitted to the passenger lift so residents can get in and out without the risk of the doors closing on them.

What has improved since the last inspection?

The literature that describes the service now contains more detailed information about the fees and additional charges. The staff have received more training. There are more care staff who have a national vocational qualification in care and there have been training sessions e.g. adult protection, infection control, Mental Capacity Act and health and safety. The accommodation has been made safer e.g. more secure storage of cleaning chemicals, heating pipes covered.

What the care home could do better:

The information literature displayed at the home should be replaced with the version that Mr. Beedie has recently updated. There are one or two ways that the recruitment, care planning and medication records could be improved. The practice of using the nursing office for medical consultations should be reviewed because it might not afford residents sufficient privacy or dignity. The records of staff training suggest that some staff are not receiving regular enough training to help them work safely and knowledgeably with the residents. The service would benefit from the early return of Mr. Beedie because there are indications that some residents, staff and professional visitors are noticing a lack of clear leadership when he`s not around.

CARE HOMES FOR OLDER PEOPLE West Eaton House Nursing & Residential Home Worcester Road Leominster Herefordshire HR6 8QJ Lead Inspector Wendy Barrett Key Unannounced Inspection 28th November 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 West Eaton House Nursing & Residential Home DS0000027693.V352152.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. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Eaton House Nursing & Residential Home Address Worcester Road Leominster Herefordshire HR6 8QJ 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) 01568 610395 01568 614407 graeme@frontsouth.co.uk Heritage Manor Limited Graeme Millar Beedie Care Home 33 Category(ies) of Dementia - over 65 years of age (33), Old age, registration, with number not falling within any other category (33), of places Physical disability over 65 years of age (33) West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2007 Brief Description of the Service: West Eaton House is situated in a rural setting close to the town of Leominster. The two-storey building is suitable for its purpose and is in attractive grounds. The providers, Heritage Manor Limited, also own homes in other areas of the country. The home has thirty-three beds and provides care for older people who either require nursing care or personal care. Residents who have additional physical disabilities or dementia can also be accommodated. None of the single rooms are twelve square meters so an assessment of equipment and space requirements for those residents with physical disabilities is essential prior to admission. A file of information literature is displayed in the main entrance to the home. This includes details of fees e.g. additional charges, nurse care contributions but it wasn’t clear whether this was up to date information because the document wasn’t dated. The rest of the information was dated 2003 and is, therefore, in need of review to make sure it is brought up to date. When the home was inspected in February 2007 the fees ranged from £386.50 to £640.00 per week. Additional charges are made for personal items such as hairdressing, newspapers and private chiropody. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written with reference to various sources of information about the service. Mr. Beedie submitted a quality assurance assessment report at the request of the Commission, survey forms were sent out to a sample of residents, relatives, visiting professionals and staff and there was an unannounced inspection visit to the home. Records about the service history and held by the Commission were also looked at. What the service does well: What has improved since the last inspection? The literature that describes the service now contains more detailed information about the fees and additional charges. The staff have received more training. There are more care staff who have a national vocational qualification in care and there have been training sessions e.g. adult protection, infection control, Mental Capacity Act and health and safety. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 6 The accommodation has been made safer e.g. more secure storage of cleaning chemicals, heating pipes covered. 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. West Eaton House Nursing & Residential Home DS0000027693.V352152.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 West Eaton House Nursing & Residential Home DS0000027693.V352152.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 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have information about the service although the literature displayed at the home is not the most up to date version. Admissions are carefully planned so that the prospective resident and the staff at the home have the information they need to decide whether the home will suit the individual. EVIDENCE: Although Mr. Beedie confirms that the home’s Statement of Purpose has recently been updated, most of the information literature displayed in the main entrance of the home was dated 2003. There was an additional sheet of paper that detailed extra charges and nurse care contributions but this had no date on it to show how recently the information was compiled. A complaints procedure was updated in April 2007. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 9 The way that admissions are arranged was satisfactory at the last inspection and was not reviewed on this occasion. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, relatives and health care professionals are happy with the care provided and the staff treat the residents with considerable respect and warmth. The staff keep good records of the way they are managing the care and medication of each resident although there are a few ways these could be improved. EVIDENCE: Most residents and their relatives are very happy with the way staff are providing the care-‘kind and caring and very, very patient’. A G.P. commented that ‘patients and families seem very happy with care provided’. The practice of using the nursing office as a consulting room was criticised in one survey response. It would be worth reviewing as it may compromise residents’ privacy and dignity. Staff were observed working with residents in the communal areas. There was West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 11 considerable respect but warmth in the approach, and the response of residents indicated that this was the way they were used to being treated. Where wheelchairs were being used the staff made sure residents were using footrests and safety straps appropriately. Good manual handling practices were also observed through the inspection visit. Various staff spent a little time throughout the day sitting with a particularly anxious resident, and reassuring her. The attitude was patient, non judgemental and commendable. A few comments referred to difficulties arising from the reduced presence of Graeme Beedie at the moment e.g. a lack of clarity about who is in charge in his absence, and a need for some staff to receive more guidance in their approach to the residents. Hopefully, this situation will soon be resolved. Mr. Beedie is already increasing his time spent at West Eaton House. Each resident has a written plan of care. Generally, the records show clearly how the staff plan, monitor and review the care of each resident e.g. one resident had shown considerable improvement in his condition since arriving at the home. He was admitted as a nursing patient but now only requires personal care. The records showed how the resident’s condition had improved significantly with the care offered by the staff. All the care plans are being reviewed regularly so that they always take account of any changes in residents’ conditions. There is also reference to consultation with families where appropriate e.g. there was a written instruction confirming family wishes regarding resuscitation, admission to hospital and funeral arrangements. There were a few shortfalls seen in the sample of care records e.g. a bathing record only had one entry between 30th October 2007 and 27th November 2007. The one entry referred to the resident’s refusal to take a bath, but there should have been more than one attempt by staff between the given dates. It is very important that all refusals are recorded so that it is clear that staff are actually trying to provide the care. A nutritional assessment was not signed or dated by the staff who completed it so its value was significantly reduced. A sample of medication records was inspected and one or two stock checks were done. The staff undertake regular random stock checks of medication – the last check had been completed in September and records of this were available. Most of the records were being properly completed e.g. handwritten entries were being checked for accuracy by a second staff member, discontinued medication was clearly marked on the administration record. There were small discrepancies in the stock totals that were sampled e.g. one or two more tablets in stock than there should have been according to the records. The practice of dating containers of new supplies when brought into use was not being consistently applied. There should also be a practice of identifying on the administration record the first dose out of new stock because medication is sometimes prescribed more than once a day so simply having the date identified on the container may not be accurate enough to maintain an accurate audit trail. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 12 West Eaton House Nursing & Residential Home DS0000027693.V352152.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose how they prefer to spend their days and the positive attitude of staff towards them makes for a homely, warm atmosphere. There is some staff time dedicated specifically to social care. The time allocated needs to be increased to be fully effective and, once this has been done, there should be a more structured approach to social care planningincluding records in each resident’s care plan. Meals served are well presented and nutritious using fresh vegetables where possible to provide a well balanced diet. EVIDENCE: A relative describes the home as ‘very friendly and caring and the atmosphere is always happy whenever I visit’. This view reflects the general impression at the time of the inspection visit. Staff seemed to spend a lot of time with the residents in the lounges, chatting and listening and laughing. Visitors were also warmly welcomed into the home. Some residents prefer to spend their West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 14 days in the privacy of their own room and this preference is respected. One such resident described how staff pop in to have a chat and check that she is all right through the day. There is a member of staff who is employed to offer social care. She works part time and also does other things like escorting residents to appointments, shopping and collecting prescriptions. These other tasks don’t leave her much time although what she does with residents in the home is very valuable e.g. comforting sad residents, helping residents write letters to their families. Mr. Beedie recognises the time allocated for this work is insufficient and hopes to increase staff time for social care over the next year. He also acknowledges that this aspect of care should be structured into each resident’s overall plan of care. Residents are happy with their meals. Fresh produce is used whenever possible and there is a choice of dishes offered. Graham Beedie and a Senior staff member have completed a training course on the use of a nutritional assessment tool called MUST. This tool helps the staff identify any resident who may be at risk of becoming malnourished, so it is a very useful part of the care system. West Eaton House Nursing & Residential Home DS0000027693.V352152.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an accessible and up to date complaints procedure at the home and all residents have a copy of it. Relatives are confident that concerns will be dealt with effectively and the residents have support from staff in expressing their views so they will be heard. Most staff have attended training in relation to adult protection and they all have written guidance Together these areas assist in safeguarding residents. EVIDENCE: The home has received one complaint since the last inspection. Records at the home confirm that this was dealt with quickly and effectively. The Commission hasn’t received any complaints about the service since the last inspection, and there haven’t been any allegations of abusive practice. Residents all receive written guidance so that they know how to raise concerns at the home and most survey responses indicated that relatives and residents were familiar with this. A relative had telephoned Mr. Beedie a few days before the inspection visit because she didn’t think the home was warm enough when she visited. She was pleased to find that her concern had received prompt attention and the building was much warmer as a result of this. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 16 The social carer considers it is part of her role to listen to the concerns of residents and to help them tell an appropriate staff member so things can be put right. This is very helpful because residents don’t always know who to talk to, and some staff may not know how to respond. One resident did comment that ‘some staff listen, some don’t’ so it is reassuring to know that a competent carer has time allocated for listening and supporting. Most staff have received training to help them recognise and report abusive practice. There are plans to repeat this training so that the more recently appointed staff can attend a session in the near future. All staff have written guidance on adult protection and whistle blowing procedures. They have also received training in the Mental Capacity Act since the last inspection. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from comfortable, well maintained accommodation and the owner continues to invest in making sure it remains of good quality. The staff understand how to work hygienically and they have the equipment they need to achieve this end. EVIDENCE: The residents’ accommodation was very clean, tidy and warm when the unannounced inspection visit took place. The lounges and dining room are comfortably furnished. A number of toilets, bathrooms and sluice rooms were checked. They were all clean, and had ample supplies of hand washing materials, toilet rolls etc, where needed. Waste bins had already been emptied at 10am and fresh bin liners put in place. Some exposed heating pipes in a toilet had been boxed in to avoid any risk of residents burning themselves, and West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 18 additional locked storage had been provided for staff to keep cleaning chemicals safe and secure. These observations confirm that Mr. Beedie and the company have addressed outstanding work that had been identified at a previous inspection. Mr. Beedie has also confirmed since the current inspection visit that full length sensors have been fitted to the passenger lift so that residents won’t be at any risk of the lift doors closing on them as they get in or out of it. There are plans in place to continue improving the quality of the residents’ accommodation e.g. building a new garden path next year. Essential services are regularly serviced or tested by outside contractors, and the staff use a maintenance book to report any minor faults or necessary repairs. Staff have written procedures on infection control measures. This has recently been reviewed to be sure it reflects current good practice guidance. Some staff received training in infection control in August 2007 and Mr. Beedie intends to arrange for more staff to attend a similar session in the near future. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are enough staff to meet the residents needs. New staff are carefully checked to be sure they will be suitable to work with vulnerable people, although a little more information should be obtained from potential staff when they apply for a job at the home. There are more care staff with a relevant qualification now but the ongoing training programme is not robust enough to be sure all staff are receiving health and safety and professional practice instruction at regular enough intervals to keep them up to date. EVIDENCE: There were enough staff at work at the time of the inspection visit. Residents looked well cared for and there was no sense of them being rushed. The nurse on duty felt that this was usual and Graeme regularly asked her if staffing levels were adequate to meet the residents’ changing needs. Just over half the care staff have now obtained a National Vocational Qualification in care and there are more staff due to start work on it in the new year. There are plans to offer foreign staff support in improving their English language skills. This is welcomed although residents and staff were actually observed comfortably communicating. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 20 When new staff are selected the home makes careful checks to be sure the applicant will be suitable to work with vulnerable adults e.g. criminal records bureau checks. There does need to be additional attention to making sure applicants provide a full employment history (explaining any gaps) and there should also be written verification of the reason why the applicant has left any previous caring posts. A training matrix records the ongoing training undertaken by each member of staff. Assuming the matrix is being kept up to date, there continue to be shortfalls e.g. quite a lot of staff haven’t received manual handling instruction for over a year-sometimes over two years or not at all. There were few entries to confirm receipt of training in relevant professional practices e.g. Parkinson’s awareness. Some areas were more satisfactory e.g. fire safety training. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33 and 38 Quality in this outcome area is adequate . This judgement has been made using available evidence including a visit to this service. The staff and residents have considerable confidence in Mr. Beedie. Some of them feel there has been a lack of leadership since he has been seconded for part of each week to work in another service. It is, therefore, important to find an early resolution to this situation. There is a system of monitoring the quality of the service so that residents are kept safe and well cared for. However, there is a continuing absence of written reports of monthly visits to the service by the company representative available for inspection at the home. EVIDENCE: West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 22 Mr. Beedie’s time at West Eaton House has been reduced over recent months because he has been helping to manage another service in the area. This arrangement was agreed with the Commission as an interim measure. It has meant that he hasn’t been able to start work on a Registered manager’s Award although he already has considerable relevant qualification and experience. Residents, staff and relatives have a lot of confidence in Mr. Beedie and some comments illustrate how they have missed his leadership e.g. a visiting professional sometimes feels confused about who is in charge when she visits the service. A resident said ‘I’ve got so much respect for Graeme, and so has my family’. There was a feedback comment about a little tension between some staff when Graeme is not around to take the lead. There are examples of ongoing management oversight of the service despite Mr. Beedie’s reduced presence e.g. there has been a recent consultation exercise to get the views of relatives about the service, health and safety checks are being completed and regular fire drills are being arranged. Fitting an internal sprinkler system to the tumble drier has reduced the fire risk in the laundry. There has also been work completed to comply with requirements arising from the last inspection. Mr. Beedie confirmed that he did have reports of the Provider’s representative’s monthly visits to West Eaton House but these were not available at the home for inspection. These reports demonstrate how the company who own the service is checking to make sure everything is running well at the home and a related requirement for the availability of these reports was made at the last inspection. Given that Mr. Beedie’s presence has been reduced at West Eaton House recently it is even more important to feel confident that the owner company is visiting the service regularly. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 x x x x 2 West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 Refer to Standard OP1 OP7 OP9 OP10 OP7 OP29 Good Practice Recommendations Information literature displayed in the main entrance to the home should be replaced with the most up to date version. The provision of social care should be structured into individual care planning records so that its effectiveness can be monitored more easily. If staff indicated the first dose administered from new stock on the administration record sheet this would strengthen the audit trail. The practice of using the nursing office for medical consultations should be reviewed with regard to resident privacy and dignity. The provision of social care should be structured into individual care planning records so that its effectiveness can be monitored more easily. Recruitment procedures should be extended to reflect current regulatory requirements to ensure all applicants DS0000027693.V352152.R01.S.doc Version 5.2 Page 25 West Eaton House Nursing & Residential Home 7 8 OP30 OP32 9 OP33 provide a full employment history and there is written verification of the reason why an applicant left previous caring positions. The current staff training and development programme should be reviewed to ensure all staff are receiving training appropriate to the work they perform. There are indications that Mr. Beedie’s reduced involvement at the home is affecting the sense of clear leadership. It would, therefore, be advisable to arrange for his return to full time work at West Eaton House as soon as possible so that the quality of the service is not adversely affected. Reports of monthly visits by the company representative should be stored at West Eaton House so they are available when the Commission inspects the service. West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Office The Coach House John Comyn Drive Perdiswell Park Droitiwch Road Worcester WR3 7NW 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 West Eaton House Nursing & Residential Home DS0000027693.V352152.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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