Inspection on 21/12/06 for West Villa Ltd

This inspection was carried out on 21st December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 Villa Ltd 04/06/07

West Villa Ltd 26/01/06

West Villa Ltd 27/06/05

West Villa Ltd 16/11/04

West Villa Ltd 26/08/04

West Villa Ltd 24/03/04

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Hawkhills

Beeches The - North Yorkshire County Council

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

CARE HOMES FOR OLDER PEOPLE West Villa Ltd 73 Batley Road Wakefield West Yorks WF2 0AB Lead Inspector Gillian Walsh Key Unannounced Inspection 21st December 2006 09:45 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 Villa Ltd DS0000006226.V314440.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 Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Villa Ltd Address 73 Batley Road Wakefield West Yorks WF2 0AB 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) 01924 377328 01924 291795 Mr Jones Mrs Jones Mrs Judith Jones Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (32), Old age, not falling within any other category (32) West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To provide care for one named person under 65 years with physical disabilities (PD) Two named persons under 65 years One named person under 65 years with a mental disorder. Date of last inspection 26th January 2006 Brief Description of the Service: West Villa is registered to provide personal care and accommodation for up to 32 older people who may also have mental health problems. The home is set back in its own grounds in Alverthorpe on the outskirts of Wakefield. It is on a main bus route and close to local amenities. There is a large walled garden with well-established trees and shrubs. There are three large lounges and a large dining room and conservatory which overlooks the garden. All rooms are single occupancy, 22 having an en suite facility. There are communal toilets and bathrooms within close proximity to communal areas. The manager informed the Commission for Social Care inspection in December 2006 that the current scale of charges at the home is £359 - £370 per week. Information about the home is made available through the home’s Statement of Purpose and Service User, Guide both of which are available, on request, from the home. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection, two inspectors from the Commission for Social Care inspection (CSCI) undertook an unannounced visit to the home. The visit started at 9.45am and finished at 2.45pm on 21 December 2006. The inspectors’ time was spent speaking with residents and staff, reviewing documentation and taking a tour of the home. Alongside this, the service provider was asked to complete a pre-inspection questionnaire which was returned prior to the site visit. Questionnaires were sent to residents, their relatives, visiting professionals and GPs. 10 residents’ questionnaires were sent out with 4 received back. None of these included any specific comments but indicated overall satisfaction. Of the 9 relatives’ questionnaires sent out, 3 were returned. Again no comments were made but indicated satisfaction. Of the 5 General Practitioner questionnaires sent, 2 were returned, no comments were made but both indicated satisfaction with the service. Of the 3 social worker questionnaires sent, 1 was returned, again no comments were made but no problems were raised. In writing this report, information and evidence was not only obtained by way of visiting the home but also from notifications and information obtained by CSCI and from the last CSCI inspection report. In gathering evidence, CSCI undertook case tracking, reviewed documentation, sought feedback from residents and their families, staff, the home’s manager and other relevant stakeholders, and undertook relevant observations and discussions appropriate to needs of the service users, taking into account their needs and communication abilities. The inspectors would like to thank residents and their relatives and staff for their time and assistance during this inspection. What the service does well: West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 6 All of the residents spoken with, who were able to comment, said that they were happy at the home and that they felt looked after by the staff. Staff are kind in their approach to residents and offer people choices within their lifestyles. Activities, outings and entertainment are available to residents and their families. 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. West Villa Ltd DS0000006226.V314440.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 Villa Ltd DS0000006226.V314440.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): 3. Standard 6 is not applicable, as the home does not provide intermediate care. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. All prospective residents have their needs assessed and are given confirmation that these needs can be met, prior to being offered a place at the home. EVIDENCE: The four care plan files seen during the inspection visit all contained copies of assessments completed prior to the resident being offered a place at the home. Assessments completed by social workers or other involved professionals are also obtained and included in the care plan file. The senior care assistant on duty during the inspection visit said that prospective residents are always assessed prior to admission, either by the manager or one of the two senior staff to ensure that the home is appropriate to their needs. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is Poor. This judgement has been made using available evidence including a visit to this service. Care plans do not set out all residents’ health, personal and social care needs in sufficient detail to ensure staff can give appropriate assistance in meeting these needs. This has resulted in residents’ health care needs not always being fully met. Residents are not protected by some of the home’s procedures for dealing with medicines. Residents’ rights to privacy are not upheld by systems operated in the home. EVIDENCE: Positively, since the last inspection, the style of care planning has been developed and care plans are now easier to read and the documentation of care plan reviews is clearer and more accessible. Despite these improvements, West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 10 some of the care plans seen lacked specific detail. One example of this was where one resident was having problems sleeping; little had been included in the care plan about what actions staff could take to promote a healthy sleep pattern. Concern was expressed to the manager about the lack of development of a care plan for a resident who had been diagnosed with having a highly contagious infection. It was also brought to the manager’s attention that, although the Doctor had seen this person and had prescribed treatment, no record had been made at all about this. Later, during the inspection, the resident informed the manager that they had not yet been given the treatment prescribed by the Doctor the previous day to alleviate their painful and infectious condition. Whilst evidence is available to show that staff do call for the Doctor or other healthcare professional appropriately, in this instance, the person’s healthcare needs were not being fully met as staff at the home had not administered the prescribed treatment. Requirements relating to these issues have been made. One care plan viewed contained details of the use of bed rails when in bed, no risk assessment or valid reason was documented for their use. The inspector discussed with the manager that the use of bed rails should be appropriately risk assessed, the reasons for their use should be clearly documented, as should the agreement for their use. Residents’ representatives’ wishes should not be the only reason for the use of this equipment. As part of this inspection visit, systems for the storage and administration of medication were checked. The majority of medications are supplied to the home in blistered monitored dosage packs and all of these checked were correct. However, anomalies were found with all four of the boxed medications in use at the time of the inspection. Stock balances for two different doses of Warfarin were incorrect and the stock balance for Co-Codamol was also incorrect. In addition, there were gaps on MAR (Medication Administration Record) sheets for the administration of the Warfarin. It was also confirmed that the prescribed treatment for the resident as detailed above had not been given. This was partly due to the MAR sheet containing the prescription for treatment not being available in the correct place. Neither the manager nor senior staff could offer any explanation for these anomalies. Requirements under the Care Standards Act were made during the visit that a safe system for administration of medication must be put in place immediately. During the visit, it was noticed that a diary containing very personal and private details of residents had been left open in the dining room. This diary is used by staff as a message book to each other but gave details of medical examinations of residents, toileting needs of residents and when residents had been incontinent. Also with the diary were copies of residents’ continence aids assessments and orders and a specimen bottle with the specimen request attached to it. All of these items were available for any person in the home to access and gave no regard for residents’ right to confidentiality. All of these were removed from the area immediately following discussion with staff. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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 appear happy with the lifestyle they experience in the home and arrangements are in place to help people maintain contact with their friends and relatives and the local community. Residents’ personal choices and preferences are regarded by staff. Meals are nutritious and appealing and choices are offered. EVIDENCE: One of the senior care staff said that she has a number of hours each week dedicated to doing leisure activities with residents. A weekly programme of activities is available on the notice board next to one of the lounges. In addition to this, outside agencies visit the home to supply entertainment to residents. Religious services are also held in the home on a regular basis. During the visit, a number of residents were watching a television programme which they said they enjoyed, and another was seen to be enjoying doing some artwork. One person said that they preferred to spend their time in their West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 12 own room but would join in activities as they wished. Staff said that there were regular trips out for residents to local amenities such as garden centres and a number of festive parties and entertainments had been planned for over the Christmas period. In addition to this, one of the senior staff has started to produce a monthly newsletter about the home for residents and relatives which gives information about forthcoming events in the home. The manager said that relatives are welcome to visit whenever they wish and one resident spoke of their relative’s visits to the home. No relatives were available to speak to during the inspection visit. Care plans gave some detail of residents’ choices and preferences and staff were observed to offer choice to residents during the inspection visit. One resident said that they chose how to spend their day, either alone in their room or going out with staff. Meals are served either in the dining area or, if preferred, in residents’ own rooms or the lounge. A choice of meals is available and the lunchtime meal during the inspection visit was nutritious and nicely presented. All of the residents spoken with who were able to say, said that the meals were good. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Residents and relatives can be confident that that their complaints will be listened to. However, staff would benefit from some training in handling complaints. Systems are in place to protect residents from abuse. EVIDENCE: Since the last inspection the Commission has received two complaints about the home. One of the complaints was referred under Wakefield Metropolitan District Council’s Adult Protection procedures and dealt with through strategy meetings. The other was referred to the home and dealt with through their own complaints procedures. Several minor concerns and complaints have been recorded in the home’s complaints book and documentation is available to show that these concerns have been listened to and appropriate actions taken. Some discussion has taken place with the manager about how staff should respond more positively when relatives need to raise issues of concern as this has been an issue brought to the attention of the Commission on more than one occasion. All three of the questionnaires received back from relatives indicated that they are aware of the home’s complaints procedure. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 14 Of the four staff files sampled, only one contained certificated evidence of them having undertaken protection of vulnerable adults training. However, two of those staff files contained copies of NVQ awards for which a unit on adult protection abuse is undertaken in order to achieve the award. At the time of the inspection the home had no outstanding adult protection alerts. The manager confirmed that each member of staff within the home have had enhanced criminal records checks undertaken prior to commencing work. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 15 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 Poor. This judgement has been made using available evidence including a visit to this service. Current standards of hygiene and maintenance could put residents at risk of injury and infection. EVIDENCE: Generally lounge and dining areas were clean and tidy. Some of the chairs in the conservatory were looking worn and stained and some high level dusting and repainting of the walls is needed in this room. Two of the bathrooms seen were being used inappropriately to store old furniture and other items and paper towels were not available in all bathroom/toilets. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 16 Beds in four of the bedrooms seen had urine stained sheets still on them and faecal matter and bloodstains were seen on bedding in other rooms. Despite this being pointed out to the senior carer in the morning of the visit, the same stained sheets were seen to have been left on the beds when two of these rooms were revisited by the inspector and the home’s manager in the afternoon. Not all of the bedrooms had been cleaned to a high standard; one room had faecal smearing on the windowsill and other areas such as skirting boards and walls were dirty. In two bedrooms, the handles on bedside cabinets had broken and the sharp edges of plastic left could present a danger to residents and staff in the rooms. In several bedrooms, wet face cloths and sponges had been left for re-use. Staff explained that the face cloths were for washing hands and faces and the sponges were used for washing “bottoms”. Immediate requirements were made with regard to above issues as these practices are a health and safety hazard which could lead to the spread of infection within the home. The manager’s attention was also drawn to old electrical light fittings on corridors. These fittings are no longer in use but are still in place and are gathering a lot of dust. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 17 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 Poor. This judgement has been made using available evidence including a visit to this service. Service users are not always in safe hands due to the fact that, although adequate training is in place, competencies vary greatly between staff. This could place service users at risk. Service users are protected by the home’s recruitment policy and practices. EVIDENCE: All of the service users spoken to commented on the staff’s patience and understanding and were very complimentary of all members of the care and management teams. On the day of the inspection staff were very busy and, on one occasion, the inspector had to go looking for care staff to assist a resident sitting in the lounge to access the toilet. One relative indicated in a questionnaire returned to the Commission that they did not think there are always enough staff on duty. A copy of the home’s recruitment policy was viewed and found to contain methods for ensuring equal opportunities during the recruitment process. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 18 The home stores all recruitment information securely. A discussion took place with the registered owner/manager surrounding pre employment checks. Of the four staff files sampled, all but one contained the required information. The registered manager confirmed that an enhanced criminal records check had been applied for this member of staff and that they wouldn’t be working unsupervised until its return. Information received prior to the visit indicated that the home has a positive approach to supporting and encouraging care staff to achieve an NVQ level 2 in Care. Throughout the visit, staff were observed approaching residents in a respectful manner. Of those staff files sampled, all contained evidence that regular supervision is undertaken. Details of identified training needs and personal development requirements are also formally discussed and recorded on a regular basis. A wide variety of training courses are accessed on a regular basis. Records evidenced identified that all members of staff had undertaken moving and handling training in 2006. However, during the inspection, the inspectors witnessed staff undertaking inappropriate and dangerous moving and handling techniques which placed both service users and staff at great risk of injury. A discussion took place with both the registered manager and the provider of the moving and handling training. From the information gathered during the inspection, it was concluded that staff do receive appropriate and detailed training. However, no procedures are in place to ensure that staff do not return to using inappropriate and unsafe techniques. It was also determined that moving and handling risk assessments currently in place do not provide sufficient information for staff to ensure consistency and safety. The registered owner/manager confirmed that she will be working very closely with the moving and handling trainer in the New Year to ensure that staff adhere to good practice guidelines and legislation and that risk assessments are detailed and provide clear guidelines for staff to follow. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is Poor. This judgement is particularly affected by issues which may affect the safety of residents. This judgement has been made using available evidence including a visit to this service. The manager of the home demonstrates that good management processes are followed. It is important, however, that she maintains high levels of staff supervision to ensure that standards are met. Quality assurance systems are in place and residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are not always protected. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 20 EVIDENCE: The registered manager, who also owns the home, is a qualified nurse and has also gained the registered managers award. Quality monitoring processes are in place and the report from the most recent audit was seen. This report included responses to questionnaires from residents and their relatives, most of which were positive. However, the report did not include an action plan of what management intended to do where the responses were not positive. Small amounts of money for some residents are held, at their request, in the home’s safe. Documentation for this, and balances, were checked during the inspection visit and were found to be satisfactory. The manager confirmed in documentation sent to the Commission prior to the visit that processes were in place and up to date for the maintenance and servicing of systems relating to health and safety such as hoist and lift servicing, gas, electricity and water systems and systems for fire safety. Moving and handling risk assessments seen during the inspection do not provide staff with clear detailed guidelines in which to follow. This places residents at risk. Staff files viewed, and discussions with the registered manager and moving and handling trainer, confirmed that all staff had participated in recent moving and handling training. Despite this, staff on duty during the inspection were observed using inappropriate equipment and performing unsafe manoeuvres. No consistency in the moving and handling of residents or staff’s understanding of the need for appropriate handling was apparent. On both occasions where staff were observed transferring a resident from their chair to wheelchair, equipment was not used correctly and the resident cried out but no comfort or reassurance was offered or given by the staff performing the manoeuvre. The inspectors’ concerns were discussed at length with the registered manager during the inspection visit. The registered manager confirmed that she would be working closely with the moving and handling trainer to develop new, more detailed, risk assessments and would ensure that staff are appropriately trained and supervised on a regular basis to ensure the safety and well being of residents during transfers. This, together with the problems identified as a potential risk to infection control within the home, has led to a number of requirements being made. West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 1 X X X X X X 1 STAFFING Standard No Score 27 2 28 1 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 1 West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement Care plans must be developed to give detail of how residents’ health and welfare needs are to be met. This includes any shortterm need for which treatment has been prescribed. The registered person must make arrangements for residents to receive timely treatment from any other health care professional. The registered person shall make arrangements for the recording, handling and safe administration of medicines in the care home. The registered person shall make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of residents. All parts of the home to which residents have access must be, as far as practicable, free from hazards to their safety. The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. DS0000006226.V314440.R01.S.doc Timescale for action 31/01/07 2 OP8 13(1)(b) 21/12/06 3 OP9 13(2) 21/12/06 4 OP10 12(4)(a) 31/01/07 5 OP19 13(4)(a) 31/01/07 6 OP26 13(3) 21/12/06 West Villa Ltd Version 5.2 Page 23 7 OP38 12 (1)(a)(b)) 13(5) The registered person shall make 21/12/06 suitable arrangements to provide a safe system for moving and handling service users. 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. Refer to Standard OP7 OP16 OP18 OP19 Good Practice Recommendations Care plans should include specific detail of how residents’ needs should be met. Staff would benefit from some training in handling complaints particularly from residents’ relatives. All staff would benefit from training in protection of vulnerable adults, particularly local procedures. • Worn and stained chairs should be replaced. • Areas identified as in need of cleaning and redecoration should be attended to without delay. • Bathrooms should be cleared of clutter. • Broken furniture should be removed from bedrooms. The home’s manager needs to ensure that staff are observed in their working practices to ensure that good practice is maintained. Results of quality monitoring should include action plans detailing how improvements are to be made. Staff should be supervised on a regular basis when undertaking moving and handling techniques to ensure their competency and service users’ safety. 5. 6. 7. OP31 OP33 OP38 West Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Villa Ltd DS0000006226.V314440.R01.S.doc Version 5.2 Page 25 - 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. 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