Inspection on 22/11/06 for West View

This inspection was carried out on 22nd November 2006.

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

West View 05/01/06

West View 22/08/05

West View 08/09/04

West View 07/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE West View 72 Broad Park Road Bere Alston Yelverton Devon PL20 7DU Lead Inspector Anita Sutcliffe Unannounced Inspection 08:30 22 November 2006 nd 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 View DS0000043014.V315922.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 View DS0000043014.V315922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West View Address 72 Broad Park Road Bere Alston Yelverton Devon PL20 7DU 01822 840674 01822 840684 west.view@tiscali.co.uk www.westview.me.uk Peninsula Care Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Trevor David Atkinson Care Home 28 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (5) West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 10 adults aged over 65 years with dementia (DE(E)). Service users to include up to 10 adults aged over 65 years with a physical disability (PD(E)). Service users to include up to 5 adults aged over 65 years with a sensory impairment (SI(E)). Service users to include up to 28 adults of old age (OP) Total number of service users not to exceed a maximum of 28. Date of last inspection 5th January 2006 Brief Description of the Service: West View is a privately owned care home that provides care and accommodation for older people who may also have a physical disability, dementia or a visual or hearing impairment. Any nursing need is met through the district nursing service. The home is situated in the village of Bere Alston, six miles from the town of Tavistock. Accommodation is available on three floors with access between floors being provided by stairs and stair lifts. A small percentage of the accommodation is reached only via shallow steps. Rooms are well presented and the registered provider has an on going programme to upgrade the accommodation and fit en suite facilities wherever possible. There is a good choice of communal space, which includes a conservatory and outdoor patio for use in fine weather. There is a garden and greenhouse at the rear. Car parking is available in front of the home. The current scale of charges is between £365 and £440 An additional charge is made for personal items, chiropody, massage therapy, manicure and a percentage of the cost of outings. The last inspection report is available on request by potential service users, but is always sent to existing service users and family. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information toward this key inspection of the home was collected since April 2006. Prior to the inspection visit the home provided the Commission with current information about its service. Information was also received from general practitioners who visit the home. Service users (residents) and staff were given the opportunity to have their say through anonymous surveys. Many chose to do so. The one inspection visit was unannounced. The care of two service users (residents) was examined in detail. The majority of residents were met, the home toured; care and staff records were examined. An activities session was observed, lunch sampled, and discussion held with the deputy manager, care staff, the activities coordinator and the administrator. The provider was unable to be present but was spoken with on the telephone. What the service does well: One resident said: “The staff are excellent”. Another said: “We’re very well looked after. An excellent home – well run with a warm and friendly atmosphere”. Staff said: “All of the staff enjoy working here and all have big hearts”. “They always make sure the resident is happy and being looked after well”, and “All the Su’s are treated as individuals. It’s like one big happy family. The Service users come first and nothing is too much trouble” West View has established a stable group of staff who are encouraged to receive training. The ethos of the home is excellent, with the emphasis on quality of life for residents. Residents are at the centre of planning; there are monthly meetings at which they make their wishes known. There is also a monthly newsletter informing residents and their family of events. A G.P. who attends the home said: “I have been very impressed by the professional and caring way West View is run. The senior carer is very skilled and the whole team function well as a unit, treating residents with kindness and maintaining dignity whilst delivering care.” Residents have an excellent programme of activities and events, with frequent outings chosen by themselves. The home environment is comfortable and pleasant; good use has been made of the space so as to provide variety and choice. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 6 The provider/manager demonstrates a commitment to continuing improvement and a high quality service. Residents are very involved in the home, staff are supported and encouraged. What has improved since the last inspection? What they could do better: Staff policy and practice on the handling of medication would benefit from review. Although medication is diligently handled improvements would further reduce risk. Areas identified as needing review relate to: • • • • The number of medicine keys in use and kept by staff. Leaving the medicines trolley unlocked but unsupervised for a brief period of time. The need for a formalised risk assessment of self handling of medicines by residents, rather than the risk being considered within general care planning. Clarity in recording whether a medicine has been administered to a resident, or left for them to take at a later period. The home’s policy on hand washing needs to be reviewed in line with updated information on how to reduce the risk of infection in care homes. Presently there is bar soap and a towel for staff use in some bedrooms; liquid soap and paper towels are recommended. Where a resident has their food liquidised it should be served separately. This provides variety of taste and looks more attractive. There must be a policy on how the home will meet its obligations under the Disability Discrimination Act 2005. The act has implications on all residents, staff and visitors to the home. The policy on actions to be taken if concerns of abuse are raised needs to be clearer. Risks identified through the homes risk assessments should be reduced or removed at the first opportunity. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 7 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 View DS0000043014.V315922.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 4 (Standard 6 does not apply to West View). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment and admission arrangements ensure that residents’ needs are properly understood, recorded and delivered. Residents needs are met by the way the home is run. EVIDENCE: Each resident who responded to a survey confirmed that they received enough information about the home prior to admission. The care of a recently admitted resident was examined in detail. This confirmed that the home’s assessment of their needs was satisfactory. They spoke of how the moved had been handled and how pleased they were that they had chosen West View as their home. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 10 The home has a comprehensive policy on how an admission is to be handled, which recognises the difficult emotional time for the person and how they can be best helped during the period of change. The home has a challenge in that it is registered to provide accommodation and personal care to people with dementia, physical disability and sensory impairment. The needs to be met are therefore quite diverse. Staff have received training in dementia and the deputy understood the importance of a suitably adapted environment. She said that changes to the home would take this into account. There are two residents with sensory impairment. It was demonstrated how their particular needs are met. The home is fairly well suited to residents with physical disability with the exception of a couple of bedrooms where access is via some shallow steps. It is believed that the home used to have a hearing loop available for those hard of hearing. Considering the home’s registration this is in line with expectation. At present the home does not have a policy on disability discrimination, but there is awareness of the Mental Capacity Act 2005 staff having referred to it so as to manage a recent challenging issue. It is necessary for both this legislation to be taken into account; both are of importance and relevance to the residents and public. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and care needs are understood and well met through the knowledge and expertise of the staff. Residents are treated with respect and with full regard for their privacy and dignity. Medication practice at the home is diligently undertaken in the best interest of residents, but additional safety measures are recommended. EVIDENCE: Five of the seven residents surveyed said they always receive the care and support they need. Five of the seven said they always receive the medical support they need. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 12 Three general practitioners who visit residents at the home completed surveys, each expressing their satisfaction with the care provided. One added: “I have been very impressed by the professional and caring way West View is run. The senior nurse is very skilled and the whole team function well as a unit, treating residents with kindness and maintaining dignity whilst delivering care.” The method the home uses for planning the individual care for residents is clear and user friendly. Whilst containing some excellent detail, this might be expanded in some areas. This was discussed with the deputy manager. It was clear from records that the home always ensures that healthcare professionals are contacted appropriately. The deputy manager demonstrates a strong understanding of how to ensure the health of residents is fully promoted. A member of staff felt the thing the home did best was: “ Learning to stand back and allow people the dignity of doing things for themselves by promoting independence”. Residents confirmed that their dignity and privacy are fully met. This is also demonstrated through many aspects of the home, including resident meetings and the home environment. The home’s policy is that only senior staff are permitted to administer medication, and these will have received training and supervision. Current medicines are kept securely; records orderly. There was an annual assessment of medicines by the community pharmacist on 7th November with a satisfactory outcome. However, the regulation inspector, during her visit to the home, found that some practice would benefit from review: The medicines trolley was seen open but unattended for a short time. This might pose a risk to confused residents. There are several sets of medicines keys. Staff have them take them home when not in use. The number of keys in use should be limited and they should be passed from the staff member in charge to the next as necessary. The risk of inappropriate access to the medicines would then be reduced. Residents who wish to administer their own medication are supported to do so, which is good practice. Risk from this is considered within routine monthly care planning. There is not a specific risk assessment of the resident’s ability to handle their medication; this would improve safety more. Where tablets had been left with a resident to take when they wished, the record already stated they had been taken. This could lead to a mistake due to misunderstanding. This was discussed with the manager who confirmed changes would be made so that future records would show a clear distinction between these two possibilities. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 13 West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to have a fulfilled life, maintain contacts outside the home, continue with their interests and hobbies and try new things. Residents have a lot of influence over their daily lives at West View. Residents receive a nutritious varied diet, which meets health care requirements. EVIDENCE: The seven residents who completed surveys said that staff listen and act on what they say. The monthly resident meetings give the opportunity for residents to make their wishes known. These have included: ‘More Guinness in the beef pie’ and ‘I would like a trip to Roadford Lake’. Resident choice and voice are very high on the home’s agenda. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 15 Three residents said there are always enough activities arranged at the home that they can take part in. Two said they are limited as to what they are able to do, one adding: “I have had some lovely outings”. The inspector saw evidence of many social events both inside and outside the home, which is exceptionally good at providing quality outings in the home’s bus. There is a dedicated activities worker at the home. She ensures that the less able residents are not isolated through illness, spending one to one time with them. A relative said: “Activities are very well arranged and often, but mother is incapable of joining in, but West View is actually brilliant at organising activities”. On the day of the inspection visit there was a seated exercise session (as per activity calendar), followed by singing. One resident took himself off to Tavistock, others read or chatted throughout the day. Relationships are very well maintained at the home with family invited to many events, and kept informed through the Newsletter and accessibility of staff and manager. Residents are supported to practice their faith and there is a regular Christian service held. Three residents said they always like the food at the home and four said they usually do. Comments include: “West View food is usually good, varied and flexible”, “Meals are very good” and “The food is excellent”. The lunch sampled by the inspector was tasty and well presented. The meat was very tender. One resident was observed being assisted with a liquidised meal. This was not served with separate individual portions, which would have provided more variety and the enjoyment from differing tastes. Residents are not offered a daily choice of meal, but they have a lot of influence over the menu; an alternative meal is always available if requested. Residents said they were happy with this arrangement as it was. The home caters for special dietary needs and ensures a healthy diet is received. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the way complaints to the home are managed. Residents are protected from abuse. EVIDENCE: Six residents said they know how to make a complaint. Comments also include: “The staff at West View will always listen to mother and relay any concerns to the appropriate person. Communication is not a problem at all”. The Commission have not received any complaints about the home. Complaints made to the home itself are fully recorded, investigated and appropriate action taken. The complaints procedure is included in the Resident’s Guide, provided to all on admission. It is also displayed in the hallway of the home. Currently this copy needs the Commission’s contact details updated. Six staff surveyed say they are aware of how to protect residents from abuse. On discussion it was confused as to what training staff have received, but on questioning they understood the types of abuse, who to contact if they had concerns and where the home’s abuse and whistle-blowing policies are kept. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 17 The deputy manager said all staff would be updated on this training in the near future. The home’s policy on how to alert a concern of abuse was not clear. Neither did discussion with the deputy manager add enough clarity. She said that their policy and procedure would therefore be reviewed in line with guidelines. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 18 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, 22 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is pleasant, comfortable, well maintained and meets current residents needs. The availability of equipment to promote independence is good. The home is very clean and fresh, hygienic practice understood, but the facilities for staff hand hygiene could be further improved. EVIDENCE: The home is well maintained and the facilities offered continue to be improved. Rooms are personalised and very comfortable, some being like mini apartments. One resident said she was very pleased with her room. There is a good amount of equipment to aid independence and protect both resident West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 19 and staff. All residents have the opportunity to lock their door should they wish; some do so. The communal areas provide comfortable seating in warm and attractive surroundings. Much effort has gone into ensuring the home feels noninstitutional. There is space for social or private leisure time. Bathrooms are very attractive and well equipped. Each part of the home has been assessed for risk to resident safety. Radiators, which are presently unguarded, are being so. This reduces the risk from contact burns. The patio, which a resident confirmed is regularly used in the warm weather, has a surface that might cause trips and falls to unsteady residents. It is expected that this should be made safe by next summer. Six of the seven residents surveys said the home is always fresh and clean, one said it usually is. One person commented that the home is “extremely clean”. On the day of the inspection visit the home was fresh and very clean. The laundry is small, but the standard of laundry equipment is high. Staff were observed using protective clothing and the deputy manager has a very good understanding of infection control. Some bedrooms contain a liquid soap dispenser for staff use. Staff understand the importance of hand hygiene and how to prevent the transfer of infection. The concern was expressed that placing liquid soap dispensers and paper towels in bedrooms, for staff use, gives an institutional feel to the home. The registered manager said that hygiene arrangements always allow for staff to safety wash and dry their hands before and following personal care. However, it was confirmed that sometimes bar soap and towels are used. The Infection Control Guidelines for Care Homes June 2006 recommends the use of liquid soap and disposable paper towels. As most current residents require help with washing, and half require assistance to use the toilet, the home should ensure each bedroom has these facilities. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and cared for by knowledgeable, skilled and experienced staff in sufficient numbers to meet current residents’ needs. Recruitment is undertaken diligently and with residents’ best interests in mind. EVIDENCE: The seven residents who completed surveys said that staff are available when they need them. Six staff surveyed say they are never asked to care for people outside the area of expertise and they have enough time to provide the care required. The staff rota shows that the deployment of staff is well thought out and in the residents’ best interest. Residents, staff and health care professionals indicate that staff are knowledgeable, skilled, competent in their work, and provided in adequate numbers. A service user wrote: “Excellent staff”. Staff feel that the training they receive is good one saying it is what the home does best. Many undertake the National Vocational Qualification (NVQ) in care award, which is an indicator of their level of competence. The deputy manager is a registered nurse plus qualified to provide some training; this includes how to assist and move residents safely. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 21 The recruitment of three recently appointed staff was examined. The approach to recruitment was found to be well organised and diligently undertaken. Where staff were employed from abroad the provider had taken steps to ensure the recruitment was robust, having used an employment agency which specialises in over seas recruitment. However, where ‘open’ references had been received it would have been good practice to telephone the referee to further ensure the validity of the reference. The responsibility of safe recruitment lies only with the manager of the home. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, run in the best interest of residents, and their health and safety are attended to. The atmosphere and ethos of the home benefits residents, their family and staff alike. EVIDENCE: A relative said: “West View is happy and caring and efficient, well run and always open to suggestion”. A resident said: “I’m very well looked after. Excellent home. Well run with warm friendly atmosphere”. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 23 A staff member commented: “A very well organised home, good team work, comfortable atmosphere and everybody seems happy and not scared to ask for guidance”. The manager is committed to providing a high standard of care, and a good lifestyle, to residents. This is achieved through continual investment in the fabric of the home, good training, support and supervision for staff and an open and honest approach to listening to what residents, staff and relatives have to say. Although some hazards have been identified through this inspection, historically the manager/provider would follow these up in a timely way, in consultation with residents and in accordance with safe practice and legislation. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 2 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 4 4 X 3 4 X 3 West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP9 OP9 OP9 Good Practice Recommendations The medicine trolley should not be left open and unattended at any time. There should not be multiple keys for the medicine cupboard or trolley. Records should clearly state whether medication has been left with the service user to take when they are ready, or whether they have been taken in the presence of the person signing the medicines administration record. The service user’s appropriateness to self-administer their medicines should be subject to a risk assessment (specific to that task). The home should have in place a policy outlining how it will comply with the Disability Discrimination Act 2005. Liquidised food should be served in separate portions unless the service user prefers not. DS0000043014.V315922.R01.S.doc Version 5.2 Page 26 4 5 6 OP9 OP4 OP15 West View 7 OP26 The home’s policy on hand hygiene should be in line with the Infection Control Guidelines for Care Homes, June 2006. West View DS0000043014.V315922.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 View DS0000043014.V315922.R01.S.doc Version 5.2 Page 28 - 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!