Inspection on 14/11/06 for Whiteley Bank House

This inspection was carried out on 14th November 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Whiteley Bank House 06/07/07

Whiteley Bank House 12/01/06

Whiteley Bank House 20/09/05

Whiteley Bank House 24/02/05

Whiteley Bank House 09/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Whiteley Bank House Whiteley Bank Newchurch Isle Of Wight PO38 3AF Lead Inspector Annie Kentfield Unannounced Inspection 14th November 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whiteley Bank House DS0000012556.V311628.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. Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whiteley Bank House Address Whiteley Bank Newchurch Isle Of Wight PO38 3AF 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) 01983 867541 01983 863378 Mrs Daphne Zosha Hayles Mrs Daphne Zosha Hayles Care Home 12 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (12), of places Physical disability over 65 years of age (2) Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 Brief Description of the Service: Whiteley Bank House is a home providing care for up to twelve older people. The home is privately owned and managed by Mrs Daphne Hayles. It is situated in the village of Whiteley Bank between Godshill and Shanklin. All amenities are available in Shanklin, approximately one mile away. The home is a two storey detached former coach house set in substantial grounds. There is off road parking to the front and level access into the building. The home has a mixture of single and double bedrooms, one with en-suite facilities. There is a passenger lift to access the upstairs. The current scale of charges is £50.73 £60.00 per day with additional charges for chiropody (£7.50) and hairdressing and newspapers (prices vary). Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In order to provide an overall judgement for this service information was gathered from a number of sources, including an unannounced visit to the home. Written comments were received from two relatives and two residents. Other residents and visitors were spoken to during the unannounced visit as well as members of staff, the manager, and deputy manager. The visit also included a tour of the building and inspection of some of the home’s records. All of the comments received about the home were very complimentary and one person said “a very lovely and caring home”. The manager provided some information in advance of the inspection visit in the form of a ‘pre-inspection questionnaire’. What the service does well: What has improved since the last inspection? What they could do better: Some action has been taken to meet the requirements from the last inspection and care plans have improved, some records of medication have improved, a sluicing sink has been installed, and staff supervision records have been reviewed and updated. However, further improvement must be made to the Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 6 pre-admission assessment and care plans to ensure that they contain enough detail about the care to be provided. The registered manager must introduce systems for monitoring and checking that all staff are following the home’s policies and procedures for the safe administration of all medicines. The registered manager must develop a quality assurance system that allows residents, relatives and others involved in the home to feedback their views and comments about the service provided. 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. Whiteley Bank House DS0000012556.V311628.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 Whiteley Bank House DS0000012556.V311628.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents and their representatives have sufficient information about the home to make an informed choice about moving into the home. All prospective residents have their care needs assessed being moving into the home. The home does not provide intermediate care. EVIDENCE: Residents and visitors said they had sufficient information about the home and had also visited the home beforehand. Some people knew the home before moving in because they had been receiving day care or care at home from D Care (a domiciliary care agency under the same ownership as the home). The manager is very clear that new residents are only admitted if she is confident that the home can provide the level of care needed, and that the Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 9 needs of the existing residents are not compromised. An assessment for a new resident was looked at and information about health and emotional care needs had been recorded. The manager also requests a summary of care needs from the relevant care manager if a resident is referred through the Local Authority. The manager needs to update the assessment form to ensure that the social, religious and cultural needs of prospective residents are recorded during the assessment process and are part of the individual care plan. The manager said (and this was confirmed from discussion with staff) that she is always prepared to be flexible with staffing arrangements to ensure that care needs or changes in care are met by sufficient staffing hours. There is an ongoing programme of staff training, much of this in-house or distance learning training covering general areas of safe working practice. Some of the staff have achieved an NVQ level 2 in care and some of the staff are working towards NVQ level 3 and 4. Dementia awareness training is covered during the induction programme and there is a training video with questions and answers. Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The individual plans of care have improved since the last inspection but still need more detailed information about how care needs will be met. Resident’s health care needs are fully met. Residents are treated with respect and their privacy and dignity is maintained Care staff are not following the home’s policies and procedures for properly recording medication and there are no systems in place for monitoring this. EVIDENCE: Care plans do contain a good overall summary of individual care needs. However, although work has been carried out since the last inspection; the care plans are still very brief and lack specific information as to how individual care needs must be met. One resident who was very new to the home did not have a basic and initial care plan although an assessment of care need had been completed. Care plans should also record how social, religious and Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 11 cultural needs can be met. There was evidence of the care plans now being reviewed monthly, but no evidence of how changes in care needs are recorded. Care staff have a good knowledge of the individual residents and all care provided daily is recorded and the manager and staff were able to provide a comprehensive verbal update of all the care and health needs of the residents. Discussion with residents and staff indicated that residents are involved in agreeing their plan of care but the record of this is variable, some were signed and some not. There was evidence provided verbally, of good practice in the way that risks are assessed and managed for the prevention of falls, for example, but the records do not provide sufficient evidence of this or of the level of care being provided. The manager believes in leading by example and feels strongly that a caring attitude and skills and experience are more important than keeping records, however, without written evidence and clear guidance for care staff on the care to be provided, there is the risk that some health and care needs will be missed or residents’ preferences and choices overlooked. Residents and visitors stated that they felt healthcare needs were being met by the home and residents have access to their GP or other health specialists as they needed. Residents were very happy that care is provided with respect for their privacy and dignity and it was noted that screens are provided in the shared rooms. Residents said that care staff always respond promptly when they ask for help or use the alarm call system. The manager and staff demonstrated their awareness of residents’ communication needs and staff were observed to be skilled with assisting residents who use various aids for better hearing. One resident was being assisted in a wheelchair and it was noted that footplates were not being used. Staff explained that these had been left upstairs and were usually used and it is recommended that they be used at all times to ensure the comfort and dignity of the residents. Individual care plans now record details of PRN medication or medicine that is dispensed as and when required. Medication is securely stored and staff have a good knowledge of the medicines prescribed and take prompt action to contact the prescribing GP if they have any concerns. Care staff have access to a current British National Formulary that provides up to date information about all drugs, their effects and side effects. Controlled drugs are separately stored and records were in order and the amounts recorded were correct, however, the records in the controlled drugs register did not match up with the corresponding medication administration record sheet. There were errors and gaps noted in the medication record sheets on a number of occasions and there is no system in place for monitoring this. There are systems and records for the return of all unused medication and these records were correct and up to date. The manager also needs to ensure that staff properly record on the medication record sheets when prescribed creams and lotions are dispensed and used. Care staff only administer medication once they have received training and been deemed competent. Training is usually provided in-house although some staff have done BTEC training with the Isle of Wight College or through distance learning. In discussion with the manager and some of the care staff it was stated that the manager has from time to time reminded staff Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 12 of their responsibility to accurately record medication administered to residents but clearly this has not been effective and these reminders have not been recorded in staff supervision records. Whiteley Bank House DS0000012556.V311628.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 - 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are helped to exercise choice and control over their lives. Residents are provided with a wholesome, appealing and balanced diet. Residents maintain contact with family and friends as they wish. However, the home must demonstrate that they are fully assessing and meeting the social, cultural, religious and recreational preferences of the residents. EVIDENCE: The inspector met a number of residents and visitors during the inspection visit and it was clear that family and friends visit frequently and are made welcome. Some of the residents prefer to spend time in their room and one resident said they like to listen to the radio, knit or watch television. There are some organised activities on offer; gentle exercise or a slide show. Some residents spoken to expressed a preference for their own company and choice of activity but said that other activities had been offered such as musical entertainment, but they were not keen on this. One resident commented that they would take part in activities if they were “fit enough”. The sitting room is pleasantly decorated and comfortably furnished and there is a television and a music player, and these are put on by request. There is also a dining room that is attractively and comfortably furnished with a range of games and books Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 14 available for the residents. Birthdays and special events are celebrated and the manager had just purchased a Christmas tree that will go on display. Care staff said they spend as much time as possible with the residents in social interaction. Some of the residents have particular needs due to their levels of cognitive impairment, sensory loss or physical disability and the activities offered need to take these into account, as well as individual preferences and choices of activity. This information must be recorded in the assessment and care plans with evidence of the use of current good practice and guidance. Residents said the food is good and there is a choice every day of a freshly prepared lunch, often made with homegrown vegetables. Residents are encouraged to take their meals in the dining room, or meals can be served in rooms if residents prefer. The dining room tables are attractively laid out and residents are able to help themselves to condiments, sauces and gravy etc. One of the residents said that they had enjoyed homegrown strawberries in the summer and all of the cakes; puddings, jam etc are homemade. At teatime, staff were seen asking each resident what they would like and any number of cold or hot evening snacks were available for residents. There is a wide choice of menu for breakfast. Whiteley Bank House DS0000012556.V311628.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints will be listened to and taken seriously. Residents are protected from abuse. EVIDENCE: The home has a written complaints procedure and written comment cards from residents and relatives confirmed that they were aware of this. Relatives and residents spoken to say that the manager is always very approachable and they were confident that if they had any concerns then these would be listened to and dealt with. The manager has policies and procedures in place to protect residents and their financial interests and if she had any concerns would ask for assessment and support from either the local authority care management team or an independent advocacy organisation. The manager and staff demonstrated their awareness of the need to protect vulnerable residents from the risk of abuse or harm and would know what to do if they had any concerns. The programme of in-house staff training covers adult protection awareness. Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides safe, well-maintained, clean and pleasant accommodation that is suitable for the needs of the residents. EVIDENCE: The home is an older property with lots of character and is decorated and furnished to a good standard with attractive and comfortable furniture and is warmly heated and homely. Residents are able to furnish their rooms with items of personal furniture and possessions. The manager has purchased equipment for the prevention of pressure sores including beds, mattresses, cushions, etc. and there is storage for any specialist equipment that is needed for the safety of the residents. Footstools are provided for those residents who need to elevate their legs. The home has housekeeping staff and in discussion it was evident that there is a routine of regular cleaning for all areas of the home. There are plans to Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 17 refurbish the upstairs bathroom on 2007. A new sluicing sink has been installed in a downstairs bathroom; however, staff must ensure that hazardous cleaning materials are safely stored in this area that is also used by residents in the home. Staff confirmed that there are infection control procedures in the home and hand washing facilities and necessary equipment such as gloves and aprons are always available. Most of the bedrooms are single occupancy and where rooms are shared, there are screens available to ensure privacy. Two of the bedrooms have had good quality non-slip, washable flooring installed. One bedroom must be accessed via two steps. The manager was clear that should the room’s occupant be unable to safely manage these steps then they would be offered an alternative room. Radiators in bedrooms are covered and individually controllable and fireguards are provided in the lounge and dining rooms. One bedroom has had an additional wall mounted electric heater installed and the manger must ensure that this is assessed for risk to the resident in this room as it is hot to touch and not covered. Emergency lighting is provided both inside and outside of the home and new automatic door closures have been fitted throughout the building. There are extensive grounds and an accessible area for residents to sit in the garden that is attractively laid out with raised flowerbeds and mature shrubs and trees. Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate numbers of suitably trained staff are provided in the home. However the home’s recruitment procedures do not ensure the protection of the residents. EVIDENCE: Residents, staff and the duty rotas confirmed that there are two care staff and a cleaner on duty during the morning, two care staff during the afternoon and evening and one waking staff member on duty at night. The manager/owner is available on call when not present in the home and was clearly very aware of individual residents’ needs and had a good rapport with them. A cook is also on duty 7 days per week and on some days also prepares the evening meal. The manager is clear that should additional staff be required then this would be arranged. In discussion with two members of staff it was evident that staff enjoy working in the home and the turnover of staff is very low. Staff were confident that they have lots of training opportunities and the training is suitable for the care they are asked to provide and the needs of the residents. The home does not have any dedicated staff facilities but as the home owner/manager lives nearby, there are facilities for staff training sessions and staff meetings in the nearby house. There are occasional staff meetings and this is something that Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 19 staff would like to happen more often as a chance to get together as a team to discuss relevant issues related to care. Three members of staff are currently enrolled to achieve the NVQ level 2 in care and some of the staff already have NVQ 2 and 3 and when training is completed, more than 50 of the care staff will have the minimum qualification of NVQ level 2 in care. Most of the training provided is in-house using videos with some distance learning courses using workbooks and work assignments. Generally, recruitment procedures are thorough and records show that new staff complete an application form and two written references are taken up. However, two new staff had not been checked on the POVA list (Protection of Vulnerable Adults) before starting work in the home and although a criminal record check was applied for, this was not received until some time after the new staff started working in the home. The manager must ensure that all required checks are satisfactory before employment commences to ensure the safety and protection of the residents. In addition, new staff that have a satisfactory POVA check must be supervised until a satisfactory CRB check is received. Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 36, 37 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The owner/manager has proved herself a competent manager but does not intend to gain the recommended minimum qualifications in care or management. The home is run in the best interests of the residents and their financial interests are safeguarded, however, there is no regular survey or audit of how well the service is meeting residents’ needs. Care staff are appropriately supervised. Improvement is needed to the home’s record keeping in the areas of care planning and medication. Improvement is needed to records of risks to residents and how these are managed. EVIDENCE: The owner/manger has proved herself a competent manager of the home with many years of experience in providing care to older people and has owned the home since 1984. The manager does not intend to gain the NVQ level 4 in Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 21 care or the Registered Manager Award and hopes to appoint a member of staff who would consider achieving these qualifications with a view to becoming the registered manager. The manager maintains a ‘hands on’ approach with all aspects of care in the home and throughout the inspection it was evident that she has a good knowledge of individual residents. Comments confirm that she is approachable and available for residents, visitors and staff. The manager is always on call when not in the home. There was an up to date certificate of insurance on display in the home but some of the other information on display was out of date and referred to out of date legislation prior to the current Care Standards Act 2000 and the Care Homes Regulations 2001 and needs to be removed or updated. The current certificate of registration was out of date and a new one has been sent to the manager and needs to be displayed. The manager has a stated and clear commitment to providing care in the best interests of the residents and observation of practice in the home supports this. Although the manager has produced a questionnaire for residents and visitors to complete, there has not been pro-active commitment to ensuring a process of gaining feedback from residents, relatives, or visiting professionals about the service provided and very few questionnaires have been given out or returned. The manager has a good awareness of the need to protect the financial interests of the residents and there are appropriate policies and procedures in place to ensure this. Since the last inspection, staff supervision records have been reviewed and updated and there are appropriate systems in place for formal supervision. During the unannounced inspection a variety of records were viewed including pre-admission assessments, care plans, risk assessments, daily records, menus, medication records, staff files and training records. Generally, records are being kept up to date and stored securely but as previously identified in this report, there is a need to provide greater detail in pre-admission assessments and care plans. Medication records contained some errors and omissions and the medication policy and procedures are not being followed or being regularly monitored. The health, safety and welfare of the residents are protected by appropriate policies and procedures in infection control, fire safety equipment and staff training. Service contracts are maintained for the lift and other safety equipment. The use of the electric wall heater in one bedroom and the storage of hazardous cleaning materials in the sluicing area must be included in the home’s health and safety risk assessment and management procedures, there were no other identified risks to residents. Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 3 2 2 Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1 and 2) Requirement Care plans must contain more detail as to how identified needs will be met, and be signed by the resident or their representative. (This was also a requirement from the previous inspection) The registered manager must ensure that care staff follow the home’s policy and procedures for the safe administration of all medicines prescribed for residents. Hazardous cleaning materials must be safely stored in the sluicing area. New staff must not be employed in the home until a satisfactory POVA check is confirmed. The registered manager must put into place an effective quality assurance or quality monitoring scheme. Timescale for action 31/12/06 2. OP9 13 (2) 31/12/06 3. 4. 5. OP26 OP38 OP29 OP33 12(1) 19 and Schedule 2 24 31/12/06 30/11/06 31/03/07 Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP10 OP31 Good Practice Recommendations Footplates should be used on wheelchairs at all times to ensure the comfort and dignity of residents. It is recommended that a plan and timescale be drawn up of when the home will meet the minimum management qualifications of NVQ level 4 in care and the NVQ level 4 in management or Registered Manager Award. The pre-admission assessment should include details of prospective residents’ religious, cultural and social needs. Social and recreational activities should be varied and take into account the abilities and preferences of all of the residents in the home. The registered manager must ensure that all records are kept up to date, particularly assessments, care plans, medication records, and risk assessments. 3. 4. 5. OP3 OP12 OP37 Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Whiteley Bank House DS0000012556.V311628.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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