Inspection on 08/11/06 for Whitfield Care Home

This inspection was carried out on 8th 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 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

Whitfield Care Home 22/04/08

Whitfield Care Home 24/04/07

Whitfield Care Home 28/06/06

Whitfield Care Home 06/02/06

Whitfield Care Home 11/08/05

Whitfield Care Home 08/03/05

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

CARE HOMES FOR OLDER PEOPLE Whitfield Care Home Whitfield Care Home 107 Sandwich Road Whitfield Dover Kent CT16 3JP Lead Inspector Joseph Harris Unannounced Inspection 8th November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whitfield Care Home DS0000063744.V312267.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. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitfield Care Home Address Whitfield Care Home 107 Sandwich Road Whitfield Dover Kent CT16 3JP 01304 820236 01304 825861 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Kanagaratnam Rajaseelan Mr Kanagaratnam Rajamenon Post Vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Resident under the age of 65 yrs is restricted to one whose date of birth is 16/01/1943. Service users with DE are restricted to six (6) whose DOB`s are 15/12/1930; 16/08/1929; 20/11/1917; 06/01/1920; 28/07/1923; 14/11/1920. 28th June 2006 Date of last inspection Brief Description of the Service: The Whitfield Care Home is a large detached residence, which is registered to provide care for 30 older people. It is located in the village of Whitfield and is set back from the main road that runs through the village. At the front of the home there are parking facilities for several cars, and at the rear there is a small lawned area for residents use. Local shops and a post office are nearby, and there are also several public houses and take-away food premises. There is a regular bus service to the village. The town and port of Dover is within easy driving distance, with Deal, Sandwich, Canterbury, and Ramsgate just a little further afield. The current fees for the service at the time of the visit range from £303.25 to £390.00. Information on the Home services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second key inspection culminated in a site visit on the 8th November 2006. During the course of the inspection there was the opportunity to spend time with the newly appointed manager of the service and a clinical consultant working on behalf of the organisation. The inspector also took time to talk to service users and staff throughout the course of the day. A tour of the premises was undertaken and a range of records and documentation was viewed relating to service users, staff, health and safety and the running of the service. As a result of this inspection process 4 requirements and 4 recommendations have been made. What the service does well: What has improved since the last inspection? There have been a number of significant improvements since the last inspection process. A manager has been appointed and is working to develop the home in conjunction with a clinical consultant employed by the organisation. The system for care planning has been reviewed and improved and, whilst this is an on-going process, the updated plans provide a good basis for the delivery of care and support with improved needs assessment, clear plans of care and risk assessments. Some improvements have been made to the physical environment and an action plan has been developed setting out works to be completed and timescales for completion. Work has been carried out in the kitchen and medication areas. A programme of redecoration has commenced and the home has commissioned an occupational therapy assessment to highlight other issues for improvement. The home has begun to improve the training programme for staff with mandatory courses being provided and additional training needs addressed. A Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 6 number of staff are also working towards their National Vocational Qualifications. A greater emphasis has been placed on activities within the home, which was commented on by both staff and residents, stating that there is a more relaxed and enjoyable atmosphere in the home. Some documents and records have been audited and updated including staff recruitment files and health and safety documents, including fire safety information. The majority of requirements and recommendations made at the previous inspection have been addressed or positive steps being made to address them. 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. Whitfield Care Home DS0000063744.V312267.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 Whitfield Care Home DS0000063744.V312267.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): 3 and 6. Service users have their needs assessed prior to moving into the home. Service users receiving intermediate or respite care are helped to retain their independence in order that they can return home. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has improved the assessment of service users moving into the service as part of a thorough review of care planning processes. A number of service user files were examined all of which contained updated assessment information. The manager acknowledged that this process of updating is ongoing and it is understood that assessments need to be completed in a thorough and consistent manner. The home is now using a model of care, which covers a wide range of holistic needs and is used to inform the development of individual care plans. This assessment tool is completed for all new service users admitted to the home in conjunction with care manager care plans and joint assessments where available. The manager stated that she aims to visit prospective service users in their current accommodation prior to visiting the home to begin the assessment process. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 9 The home does offer a respite service when vacancies arise. There are no dedicated short-term care facilities and respite clients are encouraged to integrate within the home for the period of their stay. At the time of the site visit there were no respite clients in the home. However, it was reported by senior staff that an assessment of needs is developed prior to admission into the home and a plan of care focussing on the maintaining of independence is developed. Examples were available where service users have been admitted for a longer period of time have been enabled to return home. Whitfield Care Home DS0000063744.V312267.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. A service user plan is developed and a system of review and improvement is in progress. Health care needs are met. Medication issues are suitably addressed and storage facilities improved. Service users stated that they feel they are treated with respect. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has significantly improved the quality and consistency of service user plans, although it is acknowledged that this process is on-going. Refer to recommendation 1. The home manager has worked well with senior staff to develop a clearer, more accessible and informative system for individual service user plans. It was stated that approximately 50 of the service user plans have been updated and a target date of the 1st December 2006 had been agreed to complete the remainder of the plans. The updated plans satisfactorily address care and support needs based on assessment information providing clear guidance for staff to be able to meet those needs. Risk assessments relating to the perceived risks for each individual have also been Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 11 adequately assessed. All plans are subject to monthly review and are updated in accordance with any changing needs. There was evidence of the healthcare needs of service users being met within the records in the service user plans. Residents confirmed that they receive regular visits from a chiropodist and other healthcare professionals. Adequate records are maintained of visits and consultations with health and social care professionals including district nurses and GPs. Any outcomes or actions arising from these visits are clearly documented. Plans of care satisfactorily address health needs including regular monitoring of pressure area care, dietary needs and other records. The home responds to changing needs appropriately and service user plans are updated to reflect any such changes. The home has clear medication policies and procedures in place covering all aspects. The home has improved storage facilities, which now meet relevant guidance. Medication records were well maintained and up to date. Records of receipt and disposal were also up to date. None of the service users at the current time are self-medicating. Appropriate records are kept in respect of any controlled drugs in use. Staff administering medication have completed medication training and have their competency in this respect assessed. Service users spoken to confirmed that the staff in the home are caring and respectful of their individual needs and wishes. One service user stated that, “the staff are wonderful and always helpful.” Another person said that “I’m very well looked after, the carers are very good”. Staff were observed to be sensitive to the needs of individuals providing personal care in private and relating to service users in a relaxed and caring manner. Consultations with healthcare professionals take place in private. Staff were seen to knock and await an answer before entering rooms. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 12 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 and 15. Service users have increased opportunities to participate in structured activities. Visitors are welcomed into the home. Service users are able to exercise choice and control over their lives. A balanced and nutritious diet with available choices is offered. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has made improvements with regard to the level of activities available in the home. At the time of the visit staff were organising a game of bingo for those who wished to take part. It was acknowledged by the manager that there is still work to do in developing a structured programme of activities for the service users, but steps have been made to address this. The organisation is in the process of employing an activities co-ordinator, however it is planned that this individual will only work 20 hours per week between 3 homes and it is advised that increased input should be considered. Refer to recommendation 2. Staff stated that they have more available time to interact with service users at some times of the day. Outside entertainers such as a musician are visiting the home on a more regular basis. Service users have opportunities for worship in the home with visiting clergy and communion. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 13 Service users are able to maintain contact with families and friends. The home welcomes visitors at any reasonable times. Residents reported that their visitors are made to feel welcome and that they can meet in private should they wish to do so. The home provides information regarding advocacy services (CROP) which was on view within the home and in service user files. Residents are encouraged to bring in any personal possessions they wish into the home and this was evident in a number of bedrooms viewed. There is an access to records policy. No service users continue to manage their own finances, which is done through appointees independent of the home. The home provides a healthy and balanced diet for service users with choice available. A number of residents commented on the good quality of the food and the cook demonstrated a good awareness of service users dietary needs. Menu records demonstrated that a varied diet is provided and mealtimes were observed to be relaxed and unhurried with service users receiving discreet assistance where required. The home has improved food storage facilities following issues raised at the previous inspection. There was a good range of fresh fruit and vegetables available and adequate stocks of dry goods and frozen foods. The cook has gained her intermediate food hygiene certificates and benefits from the support of a kitchen assistant. The home monitors the dietary and nutritional needs of service users adequately referring any noted issues to healthcare professionals or a dietician as required. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 14 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. There is a complaints process in place, which has been subject to a recent review. Policies and procedures are in place regarding protection from abuse. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place that service users and their relatives are given a copy of on admission. The procedure is also clearly displayed within the home. A review of the process has taken place since the last inspection. There have been no complaints since the previous visit. The home has policies and procedures in place relating to the protection of vulnerable adults against forms of abuse. The vast majority of staff have also attended courses surrounding adult protection and POVA. The manager is also a trained trainer in adult protection and abuse awareness and demonstrated a sound knowledge and understanding of these issues. On going training is being provided to ensure that all staff complete these courses. There have been no adult protection alerts since the last inspection. Whitfield Care Home DS0000063744.V312267.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24 and 26. The home is undergoing improvements, which need to continue. The home has been assessed by an independent occupational therapist regarding specialist equipment in relation to individual service user’s needs and recommendations are being addressed. The majority of service user’s rooms are suitable for their needs although some rooms require further improvements. There are remain some issues that require attention with regard to cleanliness and hygiene. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home providers have submitted a detailed action plan addressing many of the environmental concerns within the home and there is evidence that improvements have been made and remain on-going. On entering the service there remains an unpleasant odour emanating from the lounge. It was reported that there are plans to fit a new carpet in this room and attempts at deep cleaning the existing carpet have not resolved the issue. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 16 The fitting of a new carpet in the main lounge will cause some disruption and has to planned in order that this can be minimised. The home commissioned an independent occupational therapist to assess the premises in September 2006 and a number of recommendations were made including the provision of grab rails in corridors and the relocation of some wash basins. It was reported that these issues have been included in the action plan and are being addressed. During the tour of the premises it was noted that bedrooms in the ground floor extension require attention. Rooms 23-27 would all benefit from redecoration and refurbishment. It was noted that this area of the home is not linked to the main central heating system and portable radiators are in use, which could cause some health and safety issues. This was discussed with the manager and is to be addressed through the environmental action plan. Additionally this area of the home also has mainly strip lighting, which is unsuitable and does not provide a homely environment. On the first floor of the building rooms 14 and 15 do not have any door handles or locks, which should also be rectified. Security issues have been addressed in the home including a linked security pad system, but some issues remain outstanding following a recent break-in including replacement windows with restricted opening and locks in some areas. It is advised that an independent assessment of security measures is obtained to minimise potential risks in this area. Some work has been completed to update the kitchens and further work is planned. A recent environmental health inspection provided largely positive feedback in this area. Infection control measures are in place and suitable laundry facilities are provided. However, it was noted that there are no adequate sluice facilities in the home, which needs to be addressed. An updated environmental action plan needs to be submitted to the Commission for Social Care Inspection detailing works completed, reflecting the issues noted from this inspection process and recommendations from independent advisors and regulators. Refer to requirement 1. Whitfield Care Home DS0000063744.V312267.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Staffing levels do not meet the department of health minimum guidance. The home is working towards achieving NVQ targets. The service is actively addressing the training needs of staff, although some shortfalls remain. Improvements have been made in recruitment procedures. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current staffing levels in the home are below the guidance provided by the department of health. The manager and clinical consultant have reassessed the dependency levels of the current service user group. Using the care staffing tool there should be a minimum total of 627 staff hours per week and equivalent full-time care staff team of 16. At the time of the visit there was a staff team consisting of 6 full-time staff and 10 part-time staff and a shortfall of approximately 90 care hours per week. The staff rotas were examined which demonstrated that 4 staff are on duty throughout the morning, 3 staff in the afternoon/evening and 2 waking night staff. The manager is on duty from 9-5 and there is a range of ancillary staff including a cook, a kitchen assistant and domestic staff. At night an extra member of staff should be provided. The home is arranged over two floors and should two staff be required to attend to one service user there would be no other staff available. Refer to requirement 2. The home is working towards NVQ targets. 6 staff members have achieved an NVQ level 2 or above and 5 other staff are currently working towards their Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 18 awards. Refer to recommendation 3. In discussion with staff members on duty it was evident that there were good principles of care and an understanding of service user’s needs. Staff were also observed to treat service users with dignity and respect. Significant steps are being taken to address the training and development needs of staff and there was evidence available that training courses covering mandatory topics have been provided or are planned for the near future. Additional training courses covering topics such as adult protection, dementia care, bereavement and medication have also been arranged and provided. Refer to recommendation 4. The manager has conducted an audit of staff personnel files and highlighted shortfalls in documentation and information required. Staff files have been reorganised and a checklist introduced to ensure all relevant information is gathered and checks completed. A number of files were examined demonstrating that relevant documents were in place and where shortfalls have been noted these are being addressed. Whitfield Care Home DS0000063744.V312267.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The home has appointed an experienced and well-qualified manager. Quality assurance processes have been reviewed and are being implemented. Service user’s financial interests are safeguarded. The home needs to address health and safety issues, although some improvements have been made in this area. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The organisation has recently appointed a manager with many years of experience in the care sector. She is a registered nurse and has worked and managed care homes for older people in the past. She has achieved the necessary qualifications in management of care allied to her nursing qualifications. In discussion it was evident that she possesses good principles of care and has demonstrated good leadership skills in the relatively short time Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 20 she has been in post. It is required that she is put forward for registration with the Commission for Social Care Inspection. Refer to requirement 3. The organisation is in the process of developing improved quality assurance systems. A key aspect of this is the introduction of service user, relative and professional satisfaction surveys, which will be collated into an annual report with any issues or actions required resulting from these planned for. A clinical consultant has been employed to drive quality monitoring and improvement with significant results in the short-term. Monthly monitoring systems have been introduced and audits of records and documentation carried out. Records in relation to service user finances were well kept and up to date. Service users who are unable to continue to manage their own finances receive support in this respect from appointees independent of the home and organisation. Secure facilities are in place to store any money or possessions held for safekeeping. The home has addressed a number of issues in respect of health and safety including updating fire safety logs and developing a new fire safety risk assessment. Tests for legionella have been completed and a report regarding asbestos. An environmental health officer recently visited the home and, with exception of some minor recommendations, provided a positive report. An occupational therapy assessment has also been undertaken. There remains an outstanding issue with regard to an up to date electrical wiring certificate, which needs to be completed as a matter of priority although it was noted that quotes have been obtained for this work to be completed and a maintenance service is due for the passenger lift. Refer to requirement 4. It is advised that the home organises a thorough, independent health and safety assessment of the premises. Whitfield Care Home DS0000063744.V312267.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 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 X X 3 X 2 X 2 STAFFING Standard No Score 27 1 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 1 Whitfield Care Home DS0000063744.V312267.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 OP19 OP24 OP26 Regulation 16(2), 23(2), 24(4)(5) Requirement To address all environmental issues and provide the Commission for Social Care Inspection with an updated improvement plan in this respect. To ensure staffing levels comply with department of health guidance and are sufficient to meet the needs of the service users. (Previous timescale not met.) The registered manager to apply for registration with the Commission for Social Care Inspection. To ensure that a current NICIEC electrical installation certificate is obtained and all other service and maintenance checks are completed. (Previous timescale not met.) Timescale for action 01/01/07 2. OP27 18(1) 01/01/07 3. OP31 9 01/01/07 4. OP38 13, 16 01/12/06 Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 23 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 OP12 OP28 OP30 Good Practice Recommendations To continue to update individual service user plans. To continue to develop a structured programme of activities and review the role of the proposed activity coordinator. To continue to work towards 50 of staff achieving NVQ level 2 or above. To continue to provide all required mandatory training ensuring all staff have up to date instruction. Whitfield Care Home DS0000063744.V312267.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Whitfield Care Home DS0000063744.V312267.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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