Inspection on 30/10/06 for Whipton Barton House

This inspection was carried out on 30th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Whipton Barton House 30/10/08

Whipton Barton House 28/10/05

Whipton Barton House 27/04/05

Whipton Barton House 14/12/04

Whipton Barton House 15/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Whipton Barton House Vaughan Road Whipton Exeter Devon EX1 3JN Lead Inspector Rachel Doyle Key Unannounced Inspection 09:30 30th October 2006 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 Whipton Barton House DS0000039159.V305369.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. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whipton Barton House Address Vaughan Road Whipton Exeter Devon EX1 3JN 01392 467584 01392 469417 sthomas@devon.gov.uk http/www.devon.gov.uk/adoption.htm Devon County Council 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) Elaine Elizabeth Brown Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th October 2005 Brief Description of the Service: Whipton Barton House is a care home managed and operated by Devon County Council. It provides residential care for up to 33 elderly and/or frail service users. The rooms are in four self-contained wings designed to give a more homely, small community atmosphere. It also offers respite care for up to three service users. The building has two-storeys with a shaft lift and a wide staircase to access the first floor from the foyer. It is situated at the junction of Pinhoe Road and Vaughan Road in Whipton, Exeter close to local amenities. There is a small car park at the front and parking in the road. A new nonsmoking policy has recently been introduced for any new residents. The average cost of care is £306 per week at the time of inspection. Additional costs, not covered in the fees, include hairdressing and personal items such as toiletries, newspapers and magazines and private chiropody and taxis. Current information about the service, including CSCI reports, which are accessible at the Home, is given to prospective residents/their representatives. The Service Users’ Guide and Statement of Purpose are available and a copy given to all residents on admission. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 30th October 2006 from 9.3015.00. There were 33 residents living at the Home with no vacancies at the time of the inspection. One resident on a respite stay was going home later that day and 2 residents were in hospital. During the inspection the inspector case-tracked 3 residents, which helps us to understand the experiences of people using the service. A number of other residents were met and spoken with during the course of the day and two relatives. The inspectors also spent a considerable time observing the care and attention given to residents by staff and took lunch with residents in the upstairs dining room. Staff were spoken with during the inspection, including care staff, ancillary staff and the acting manager. Prior to the inspection a pre-inspection questionnaire was sent to the acting manager. This provides additional useful information prior to the inspection to aid with inspection planning. The inspector also sent satisfaction surveys in order to obtain their views of the service provided, to relatives, health care professionals, residents and staff. Responses were received from 13 relatives, 2 GPs, 2 health care professionals and 5 staff and 21 residents. The inspectors toured the premises freely, including all shared areas and the majority of residents’ accommodation. A sample number of records were inspected which included care plans, medication records/procedures, staff recruitment files, service and maintenance certificates and fire safety records. The inspector appreciated the time taken by the acting manager to assist with this inspection and found all staff very helpful on the day. At the time of the inspection most of the residents were in the 3 lounges watching television. Some residents were relaxing in their rooms and one had been out for a walk to the shops. Later most residents had lunch in the dining rooms whilst others chose to take lunch in their rooms. What the service does well: The Home is well managed and has a good staff team who provide a high standard of care to residents. Staff demonstrated a clear understanding of residents needs and rights as individuals. The Home has a committed and enthusiastic staff team in sufficient numbers and skill mix, who are keen to learn and develop in order to meet service users’ needs. There is good, clear management system. Residents spoken with liked the staff and felt well cared for. There was a happy atmosphere with residents being treated respectfully as individuals by staff. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 6 Staff offer gentle reassurance and assistance as required and promote privacy, dignity and independence. The assessment and admission procedure is good. Residents’ health and personal care needs are well met. There is a good complaints policy and the Home welcome anyone to come to the manager or staff at any time to raise any concerns, which will be listened to and acted upon. Although the décor is dated and the premises are looking tired, the Home is generally decorated to a good standard and kept clean and the interior and garden are generally well maintained. There is a homely feel and the communal areas are well used. The Home has systems, which encourage open communication between staff, residents and relatives. Meals are varied, well balanced and nicely presented offering choice and variety and staff offer sensitive assistance. All residents said that they were happy with the food. Residents can choose their own portions sizes. It is commendable that there are no requirements made following this inspection. The Home continues to provide a good quality service and works closely with CSCI to achieve high standards. What has improved since the last inspection? What they could do better: Improvements could be made in relation to ensuring that there are adequate stocks of certain medication to avoid communal usage. There is a lack of regular activities offered at the Home, which include all residents in a formalised way. The complaints procedure should be more prominent around the Home to ensure that all residents and relatives are aware of how to make a complaint. Storage of Control of Substances Hazardous to Health (COSHH) substances should be made more secure. Fridges, which are used to store food used for residents, should have the temperature checked and recorded regularly. Whipton Barton House DS0000039159.V305369.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. Whipton Barton House DS0000039159.V305369.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 Whipton Barton House DS0000039159.V305369.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments accurately reflect residents’ needs assuring that these can be met before they move into the Home. EVIDENCE: Three care files were looked at and these contained clear assessments using information from relevant health care professionals such as GP and hospital discharge summaries. The acting manager goes out to visit prospective residents to assess them, if able, and uses a good assessment tool to get the information with which to make a decision about offering someone a vacancy. The Home also takes into account the needs of current residents to ensure that a new resident will settle in well so that other residents’ needs continue to be met. The acting manager said that they also try to get as much information as possible from families so that the Home can give more person-centred care. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 10 The Home does not offer intermediate care although they are considering a day-care service in the future. The Home offers places to 3 residents for shortterm respite at any one time. One long stay resident said that they particularly enjoyed meeting new people through this system. Whipton Barton House DS0000039159.V305369.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. The medication at this home is well managed promoting good health Personal support is offered in such a way as to promote, privacy, dignity and independence as able EVIDENCE: Three care plans were looked at as part of the case tracking process. All three care plans gave a very clear individualised picture of the resident as they then presented in person. The plans had been discussed with each resident and the key worker. The files include clear reasons for admission and their normal preferred daily routines ‘how I like to spend my day’. There are also good assessment tools in place such as equipment use, Manual Handling and risk of falls. Records included health professional visits with prompt referrals, monthly Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 12 reviews. Details were often personalised such as ‘ Resident has dementia but may appear more skilled than they are’, ‘has trouble mixing due to hearing and prefers to spend time in their room’ and there are excellent personal histories. Residents spoken to all felt that their health needs were well met. One health professional commented that the staff were friendly, willing to learn and sensible at referring any health issues promptly. They praised staff for being particularly reassuring to an anxious relative. Both GPs who responded were happy with the overall care at the Home. The District Nurse was visiting at the time of the inspection and staff said that they have a good working relationship with the surgeries. There is a key worker system and one resident said that they were happy with the excellent care and were able to go out with their key worker. Staff were good at respecting residents’ dignity and respect, for example knocking at doors and using preferred names and also giving residents good choices throughout the day. The medication system was looked at. Medication Administration Records were correct and hand-written prescriptions were signed by two staff for safety. Staff were seen to ensure that residents had taken their medication before they signed that it had been administered. Medication sampled was in date and staff said that they date on opening any medication such as eye drops and creams. The Home have introduced a formalised system for recording the use of controlled drugs to ensure residents’ safety. Notes indicated that there are not always enough stocks of regularly used medication (such as ‘as required’ Co-Codamol) kept and staff had used the same medication from one residents’ stock for a different resident. There is a pay phone in the foyer and phone points in all residents’ rooms if they wish to use them. Whipton Barton House DS0000039159.V305369.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some social activities are well managed at the Home but staff do not always offer appropriate and regular stimulation and variety to include all residents living at the Home. Residents are given choice in all aspects of their life at the Home and they are valued as individuals and have good links with family, friends and the immediate local community. The meals in this Home are good, offering both choice and variety and catering for special dietary needs in a sensitive manner. EVIDENCE: The Home does try to offer some activities and there is an activity book. There is not a designated activities organiser and carers are responsible in general for providing meaningful stimulation. Although there is generally a lively atmosphere at the Home with carers chatting to residents, there is no formal activity programme and records did not show that regular and appropriate activities/engagement was offered to all residents. For example there may be Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 14 one event such as ball games with 11 residents out of the 33 taking part in a week, sometimes only 2 residents were recorded as being offered any activity opportunities in a week. Two resident comment cards included ‘it would be nice if there was more entertainment as they hadn’t settled well due to nothing to do’, ‘you’ve got to make your own fun’ and ‘very few activities’. All 8 residents spoken to in depth praised the Home but agreed that there was little to do other than television although one resident had really enjoyed the exercises and liked the company in general. The acting manager also felt that carers were not always recording activities but agreed that more could be done. There were no events occurring during the inspection other than one resident playing cards with a carer. The Home does organise some external entertainment such as monthly exercise sessions, church services in-house, skittles and a hairdresser comes twice a week. The Home were currently organising a Christmas trip to a pantomime. Some residents are able to go out for walks independently and visit the local shops. Family and friends are able to visit as they wish and residents were seen to pop out to the local shops freely. Residents were offered choice and encouraged to maintain their independence throughout the inspection such as ‘where would you like to sit? coffee or tea? Does your nightie go under your pillow? etc. Residents had nothing but praise about how they were treated by staff. Visitors are able to visit as residents wish. The acting manager was attending a resident’s funeral that day with the resident’s key worker and they felt that it was important to support the family as well as staff. The inspector took lunch in the upstairs dining room with residents. Lots of choice was offered at lunchtime with alternatives such as chicken rather than the pork chop if residents wished and sensitive assistance was seen to be given on an individual basis. Carers also reassured residents that they did not have to hurry and there was a congenial atmosphere. Meals are served fresh from a hot trolley with vegetable dishes on the table for residents to help themselves. One resident was very particular about having a very hot meal and this was specially prepared. Residents were able to choose where they wanted to eat. Tables were nicely presented with condiments and drinks. Whipton Barton House DS0000039159.V305369.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 inspected at least once during a 12 month period. 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. The Home has a robust complaints procedure and the residents feel that they can raise any issue, which will be listened to and acted upon. Residents are well protected from abuse by informed staff and robust procedures. EVIDENCE: All residents spoken to felt that they were listened to and had nothing to complain about. The inspector saw staff spending quality time listening during the inspection. There is a comprehensive complaints procedure and the acting manager said that they run an open door policy. Complaints are recorded and acted upon thoroughly, including smaller ‘concerns’, which are well documented. The complaints procedure is available in the Service Users’ Guide in the respite lounge but should be made more visible on other notice boards. Relatives commented that they felt well informed in general and made welcome at the Home. Staff also felt that they got good feedback from relatives. The majority of staff have attended Protection of Vulnerable Adults training and staff were aware of these procedures and reporting. Staff were particularly aware of the interactions between residents and monitored relationships and residents welfare. The Home has the Alerters’ Guide and the No Secrets training video. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 16 Whipton Barton House DS0000039159.V305369.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is clean and well maintained although further refurbishment will make the home a more pleasant place to live. EVIDENCE: Some bedrooms have been decorated recently. Nine new beds have been installed with new bedding, curtains and towels. Although there are various environmental issues that need addressing at the Home every effort has been made to make the surroundings safe and comfortable, although the skirting board in the large respite lounge needs attention as it is rotting. The window frames are old but are clean and have nets and curtains and no drafts were felt. Residents did not comment that they were unhappy with the décor when asked. The Home has various pieces of equipment to meet residents’ needs such as grab rails, frames, raised toilet seats and assisted bathrooms. Some residents with high risk of falls have pendant call bells to increase their safety. The Home was very clean and free from offensive odours. All manual handling Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 18 and other equipment was very clean as was furniture. The laundry system is well organised and residents’ belongings are obviously well cared for including delicates. Whipton Barton House DS0000039159.V305369.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from having sufficient numbers of skilled, experienced and friendly staff who have a good understanding of their needs. The procedures for the recruitment of staff are not always robust and therefore may place residents at risk. EVIDENCE: The staff rota was looked at and staff confirmed that there were sufficient numbers of staff on duty. There were 4 carers (1 agency), the acting manager, cook and domestic on duty during the inspection. The manager uses regular agency staff to fill shifts and continues to actively recruit. There are vacancies for evening care work. All staff spoken to were very positive about the management and working at the Home. Two staff commented that the Home needed a laundry assistant and staff have had to take on this role but on the day of the inspection the new laundry assistant started employment. One resident said that they were wonderful staff, ever helpful and that they felt like they were ‘not in Devon but in heaven’. The majority of relatives and resident comment cards included added positive comments relating to satisfaction with the staff at the Home. All residents spoken to praised the staff and the atmosphere was relaxed and jovial. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 20 Three staff personnel files were looked at. These all contained the correct documentation including new staff inductions. Two Criminal Records Bureau (CRB) disclosures were received a few days after the staff member started employment but the acting manager assured the inspector that they would have been shadowed by a staff member during this time as they would have been on their induction. These two staff did not however have a Protection of Vulnerable Adults (POVA First) check before starting work, which is unacceptable. There is a new corporate CRB system, which means that the Human Resources department deal with recruitment and the manager of the Home is sent an email confirming a satisfactory CRB with the number so the inspector was unable to physically inspect CRBs. The manager said that if there were any issues then they would be informed of the details. The Home works hard to encourage staff, including ancillary, to complete NVQ qualifications and 16 staff have achieved National Vocational Qualifications (NVQ). Staff were keen to learn. There is a core of long-term staff and newer staff also knew the residents’ needs well. The Home encourages pupils from a local school doing work experience and a carer was supporting a pupil playing cards with a resident during the inspection. Mandatory training was up to date with more sessions planned. Staff have undergone a wide range of training such as Food Hygiene, Dementia Care, Medication, Managing Performance and Health and Safety. Whipton Barton House DS0000039159.V305369.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is clear leadership and guidance to staff to ensure that residents receive consistent care in a safe environment. EVIDENCE: The Home has one full time manager and 3 full time assistant manager. Currently the Registered Manager for the Home is being seconded to another Home run by the provider. The assistant manager is now acting up as manager during this time. There is a good communicative management style with the acting manager offering staff an open door policy. Staff all felt good about working at the Home and felt that any issues were dealt with fairly. Teamwork was apparent and there were excellent communication channels between staff and Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 22 management, who were also well supported. Staff commented about the good teamwork in the comment cards. All current residents have advocate support from their families. The Home does an annual corporate quality assurance survey and one has recently being done. The Home are very good at facilitating residents to reply anonymously or with the help of their relatives. They will be collating the results and acting upon any comments. There is also a suggestion box in the foyer. Three residents’ monies were looked at and were correct, with itemised receipts. There is a suspended residents’ bank account, which also generates interest separately. Substances and chemicals that could be dangerous for residents were stored correctly, however the key to access some cupboards is too easily accessible to residents and should be made more secure. One fridge being used to store residents’ food did not have daily temperature recordings taken to ensure safety. Fire equipment was checked recently and fire doors are kept shut. Windows have restrictors and all radiators are covered. Manual handling assessments were clear and accessible. Some residents with high risk of falls have pendant call bells, which means they can easilty attract attention for help if they fall. The Home has a comprehensive range of policies and procedures covering health and safety, which are included in the training programme. Seven staff have completed the four-day First Aid training. There were plenty of gloves and aprons around the Home and covered radiators and window restrictors. The accident book was completed correctly and staff make sure they follow up when residents are falling on a regular basis. This had happened recently and the resident now had a pendant call bell, and also had a review with the multi disciplinary team. Whipton Barton House DS0000039159.V305369.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 X X 3 X X N/A 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 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whipton Barton House DS0000039159.V305369.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. 1. Standard OP29 Regulation 19 Requirement You must ensure that all staff have the documents specified in Schedule 2 prior to starting employment. This refers to staff whose CRB checks are taking time and they are being supervised, having at least POVA First checks on commencement of employment. Timescale for action 30/11/06 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. Refer to Standard OP9 Good Practice Recommendations It is recommended that staff ensure that enough stocks of regularly used medication (such as ‘as required’ CoCodamol) are kept to avoid staff using the same medication from one residents’ stock for a different resident. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 25 2. OP12 3. 4. 5. OP16 OP19 OP38 6. OP38 It is recommended that regular and appropriate activities/engagement are offered to all residents and that this is recorded to ensure that all residents are given the opportunity to participate in leisure stimulation, which suits their preferences and abilities. It is recommended that the complaints’ procedure is clearly displayed on the Home’s notice boards. It is recommended that the skirting board is maintained in the large respite lounge as it is rotting. It is recommended that all keys which are used to access Substances Hazardous to Health such as cleaning materials are stored securely where they cannot be reached by residents. It is recommended that any fridges which are used to store residents’ food have the temperature levels checked regularly and recorded. Whipton Barton House DS0000039159.V305369.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Whipton Barton House DS0000039159.V305369.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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