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Inspection on 18/09/06 for Winterton House

Also see our care home review for Winterton House for more information

This inspection was carried out on 18th September 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is a relaxed atmosphere in the home and residents appeared unhurried and are given sufficient time and individual support in their everyday lives. During the inspection staff were seen to be providing good personal care and all residents appeared well groomed. The meals in the home are well-presented and individual preferences and dietary needs are well catered for. Those residents spoken to, who were able to express a view, said that they were happy in the home, staff were friendly and they were well looked after.

What has improved since the last inspection?

Nighttime staffing levels have been reviewed and have now been increased to two waking night staff. This is now appropriate and adequate to meet the needs of all residents living in the home.The majority of care staff have now completed a three-day accredited training programme in dementia care. The deputy manager and two senior carers have also completed an NVQ level 3 qualification `Certificate in Community Mental Health`. A significant improvement was noted in the management and organisation of records in the home that are required by regulation.

What the care home could do better:

Regular monitoring of residents weights must be undertaken to ensure that appropriate and timely action can be taken to address nutritional issues. All complaints made whether verbal or written must be recorded and include details of investigation, any action taken and the outcome for the complainant. The refurbishment programme for the home must be progressed to ensure that all parts of the home are well maintained, as it will greatly improve the environment for all current residents and any prospective residents. The proprietor/ manager must ensure that all staff receive regular update training at the required intervals for essential areas such as manual handling, first aid and food hygiene.

CARE HOMES FOR OLDER PEOPLE Winterton House 5 Epping New Road Buckhurst Hill Essex IG9 5JB Lead Inspector Ms Gwen Lording Key Unannounced Inspection 18th September 2006 10:00 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 Winterton House DS0000025935.V312241.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. Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Winterton House Address 5 Epping New Road Buckhurst Hill Essex IG9 5JB 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) 020 8504 1183 020 8559 0818 Ms Jaya Ramjibhai Hira Ms Jaya Ramjibhai Hira Care Home 9 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (9) of places Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Both categories to be used flexibly between the 9 beds. Date of last inspection 24th January 2006 Brief Description of the Service: Winterton House is a care home registered to provide personal care and accommodation for nine older people, some of who may have dementia. All bedrooms are single without en suite, but there are sufficient separate toilets and bathrooms. Three bedrooms are situated on the ground floor and the remainder on the first floor. As the home does not have a passenger lift any residents who are accommodated in an upstairs bedroom must be mobile and able to climb the stairs. The large detached house is situated in its own grounds with a large secluded garden. The home has its own transport (mini bus) and designated driver to take residents out. The proprietor is also the registered manager. She holds registered nursing qualifications in both general and mental health nursing. On the day of the inspection the fees for the home were £525.00 per week. A copy of the Statement of Purpose and Service User Guide is made available to both the resident and the family. A copy of the most recent inspection report is available on request. Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 10am and took place over five hours. The proprietor who is also the registered manager was available throughout the visit to aid the inspection process. This was a key inspection visit in the inspection programme for 2006/2007. Discussion took place with the proprietor/ registered manager, the deputy manager, two members of care staff and the domestic. Care staff were asked about the care that residents receive, and were also observed carrying out their duties. The inspector also spoke to several residents in the lounge and dining room and one resident who was in his room. Where possible residents were asked to give their views on the service and their experience of living in the home. All parts of the home were visited and a number of staff, care and home records were looked at. The inspector would like to thank the staff and residents for their input and assistance during the inspection. What the service does well: What has improved since the last inspection? Nighttime staffing levels have been reviewed and have now been increased to two waking night staff. This is now appropriate and adequate to meet the needs of all residents living in the home. Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 6 The majority of care staff have now completed a three-day accredited training programme in dementia care. The deputy manager and two senior carers have also completed an NVQ level 3 qualification ‘Certificate in Community Mental Health’. A significant improvement was noted in the management and organisation of records in the home that are required by regulation. 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. Winterton House DS0000025935.V312241.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 Winterton House DS0000025935.V312241.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): Standards 1, 3 & 5 Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to this service. Assessments are being undertaken for all residents prior to them moving into the home. Care plans are drawn up from the information in this assessment, ensuring that the needs of the residents are identified, understood and met. EVIDENCE: Prospective residents and their relatives/ representatives are provided with information about the home and there is always the opportunity to visit the home prior to making any decision to move in. Pre-admission assessments are undertaken for all residents prior to them moving into the home. Care plans are drawn up from the information in these assessments. Where appropriate, information provided by the placing authority were also on file. The records showed that residents, where capable and their relatives are also involved in the assessment process. Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 9 The Care Homes Regulations 2001 have been amended with effect from the 1st September 2006 for new residents, and for existing residents with effect from the 1st October 2006, so that more comprehensive information is to be included in the service users’ guide. Details of information to be included are contained within the amended regulations. Therefore, the service users’ guide must be reviewed and amended by the stated timescales. The home does not offer intermediate care. Winterton House DS0000025935.V312241.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): Standards 7, 8, 9, 10 & 11 Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to this service. Residents’ health, personal care and social care needs are set out in individual care plans and provide staff with the information they need to satisfactorily identify and meet residents’ needs. There are clear medication policies and procedures for staff to follow. However, there are some inconsistencies in the recording of medication, which may result in unsafe practices. EVIDENCE: A total of four residents were case tracked and their care plans and related documentation examined. All residents had care plans, which were generally detailed and covered health and personal care needs. There was evidence that care plans were being reviewed on a monthly basis and updated to reflect changing need. As part of case tracking the documentation/ health records relating to wound management; the management of a resident with insulin dependant diabetes; and the most recently admitted resident, were examined. Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 11 The records for these residents were detailed and being adequately maintained. Risk assessments are routinely undertaken on admission for all residents, but not all risk assessments were being regularly reviewed. A record of residents’ weight is maintained, which includes weight loss or gain. However, not all residents are weighed on a regular basis. The manager stated that they use a pair of bathroom scales to weigh residents’ and some do not feel confident to stand on these or are unable to do so. Regular monitoring of weight is important so that appropriate action can be taken to address nutritional issues where necessary and in a timely manner. The registered person must ensure that appropriate weighing equipment is provided for the use of all residents to enable the monitoring of residents’ weights to be undertaken regularly. Records indicated that residents are seen by other health professionals such as district nurse, diabetic nurse, optician, dentist and members of the Community Mental Health Team. There was no evidence of ‘End of Life’ care plans and the importance of developing these was discussed with the manager. However, from conversations with staff and the inspector’s knowledge of the home it was apparent that staff dealt with a person’s dying and death in a sensitive manner, both for the individual and the relatives. There are policies and procedures for the handling and recording of medicines. An audit was undertaken of the management of medicines and a random sample of Medication Administration Record (MAR) charts were examined. The following issues were discussed with the manager: • Hand written entries on MAR charts must be signed and dated by the person making the entry. The entry must also include the source of the information. e.g. GP. It was noted that the medicine cupboard contained medicines that were no longer required or out of date. These must be returned to the pharmacy and the manager introduce an effective system for monitoring the storage of medicines retained in the home. • Staff were observed to treat residents with respect and the arrangements for their personal care ensure that their right to privacy is upheld. Winterton House DS0000025935.V312241.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): Standards 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to this service. There is a varied programme of activities available, which suit individual needs, preferences and capacities. Visiting times are flexible and people are made to feel welcome in the home so that residents are able to maintain contact with their family and friends as they wish. EVIDENCE: The home does not employ and activity organiser and care staff takes responsibility for organising activities with residents. There is a programme of general activities, some of which are individual and others are small group activities such as exercise sessions, quizzes, newspaper discussions and music singing along sessions. Residents can choose whether to participate or not. There is a changing library including large print books and a collection of video’s and music. One resident chooses to stay in his room for most of the day reading, watching television or completing crosswords. He has also recently enjoyed an outing to a local theatre to see a production of “Dad’s Army”, which he “thoroughly enjoyed”. Other activities outside the home have Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 13 included picnics in the park and a visit to the Broxbourne Centre. The home has several residents with a diagnosis of dementia and staff support them to be involved in activities that focus on the individual’s needs, level of functioning and have some relevance to the individual’s likes, preferences and interests, past and present. One resident likes to read magazines and cuts out recipes and articles of interest to her, as she did when she was at home. The staff have provided her with a box file in which to keep these and she clearly enjoys looking through these. Another resident was dusting the furniture, again this is an activity she regularly undertook at home and continues to gain satisfaction from continuing this whilst in the care home. Relatives are encouraged to visit the home and there are no restrictions on when relatives/ friends can visit. Visiting can be undertaken in the lounge, dining room or in the privacy of the resident’s room. One resident had celebrated a birthday the previous day and staff had arranged a ‘birthday tea’, which he was able to share with his family and friends. From discussion with staff and residents it was evident that this is arranged for all residents wishing to celebrate with fellow residents, relatives/ friends. From observation and talking with several residents it was evident that the routines of daily living are flexible to suit the differing needs and preferences of all residents. The serving of the lunchtime meal was observed and provided residents with a varied, appealing and nutritious meal. A good choice of meal options were available at each meal and included soup, omelette, salad, sandwiches; hot dishes such as fish and steak; quiche and vegetables. There is a daily menu and a record is maintained of what individual residents choose to eat. Staff were observed to offer assistance where necessary and this was done discreetly and individually. Generally residents were assisted to the dining room for lunch, but one resident chose to eat his lunch in his room. Dining tables were laid with cloths, cutlery and glasses and the setting was very congenial. Winterton House DS0000025935.V312241.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): Standards 16 & 18 Quality in this outcome area is adequate. This judgement has been made using all available evidence including a visit to this service. All complaints made whether verbal or written must be recorded to ensure that any trends are identified and that residents and their relatives feel confident that their complaints are listened to and will be acted upon. Staff working in the home have received training in Adult Protection/ Abuse Awareness to ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a written complaints policy and procedure and the records inspected showed that the last complaint recorded was February 2003. In discussion with the proprietor/ registered manager and inspection of the complaint record maintained, it was evident that only formal written, or serious complaints are being logged. The inspector discussed with her as to what constituted a “complaint” to be logged. This must include verbal complaints via telephone or face to face, and expressions of concern or dissatisfaction with any element of the service. Those residents spoken to were aware of how to complain and to whom. At the last inspection a requirement was made for the complaints policy/ procedure to be produced in an alternative format so that it is more appropriate for people living with dementia. The proprietor/ manager Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 15 has produced the complaint procedure in a part pictorial format that is more appropriate, easily accessible and understood by people in the home living with dementia. This requirement has now been met. All staff working in the home have received training in Adult Protection/ Abuse Awareness. Those staff spoke to during the inspection were aware of the action to be taken if there were concerns about the welfare and safety of residents. Winterton House DS0000025935.V312241.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): Standards 19, 20, 22 & 26. Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to this service. The overall atmosphere in the home is welcoming with access to indoor and outdoor communal facilities. However, the refurbishment programme for the home must be progressed to ensure that all parts of the home are well maintained and provide people living in the home with comfortable surroundings. EVIDENCE: The building was toured by the inspector accompanied by the proprietor/ manager at the start of the inspection, and all areas were visited again, unaccompanied, later during the day. There were no offensive odours in the home and generally the home was clean and tidy. It is acknowledged that the proprietor/ manager has made some significant improvements, including decoration of all communal areas; re-carpeting of the hall and stairs and refurbishment of the kitchen. There is signage on all toilet/ bathroom doors Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 17 and painting of the doorframes in a different colour to aid orientation for those people living with dementia. There is an ongoing programme of refurbishment and re-decoration for the home and this must be progressed, as it will greatly improve the environment for all current residents and any prospective residents. Several of the bedroom windows require replacement as the wooden frames are rotting badly in some places. The proprietor/ manager stated that two bedrooms have been measured for replacement window frames and the work is scheduled to take place over the next few weeks. She plans for all damaged windows to be replaced over the next six months. The washing machine/ dryer is sited in a small utility room. This was found to be clean, with soiled articles, clothing and foul linen being stored appropriately, pending washing. The London Fire and Emergency Planning Authority (LFEPA) Undertook an inspection of the premises on 24/03/06. The LFEPA recommended that door guards be fitted to the bedrooms on the ground floor. This work has been completed accordingly. Winterton House DS0000025935.V312241.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): Standards 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to this service. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the residents. The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. EVIDENCE: The home has a small but relatively stable workforce. The staff team are very committed and staff understand and fully support the main aims and values of the home. At the previous inspection a requirement was made for night staffing levels to be reviewed. The night staffing levels have now been increased to two waking night staff; this is now appropriate to meet the needs of all residents living in the home. This requirement is therefore met. Where possible residents were asked to give their views on the service and the care they were receiving. One resident commented: “The carers are very nice. I wouldn’t want to be anywhere else”. Other comments included: “Staff are kind and friendly, they know what I like”; and “ A friendly place – a real home. I can relax and do what I want, when I want”. Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 19 Whilst some staff had done training in essential areas such as manual handling, first aid and food hygiene; other staff required update training in these areas. The proprietor/ manager must ensure that all staff receive mandatory training in essential areas such as manual handling and food hygiene at the required intervals. At the last inspection a requirement was made for staff to receive accredited training in dementia care. The majority of care staff have now completed a three-day training programme with is accredited and certificated. The deputy manager and two senior carers have also completed a level 3 qualification ‘Certificate in Community Mental Health’. The pre- inspection questionnaire completed by the proprietor/ registered manager stated that 60 of care staff are qualified to NVQ level 2 or above. Two new staff have been appointed since the last inspection and their personnel files were examined. These were found to be in good order with necessary references; criminal records disclosures and application forms duly completed. The duty rota must record both the first name and surname of all staff working in the home. Winterton House DS0000025935.V312241.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): Standards 31, 32, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The proprietor/ registered manager of the home is a well-qualified and experienced person. The home’s record keeping has improved and the resident’s benefit as the home is run in their best interests. EVIDENCE: The proprietor is also the registered manager. She is a registered nurse with qualifications in both general and mental health nursing and is currently undertaking the Registered Manager’s Award. She demonstrates a good understanding of the needs of older people and the care needs of people living with dementia. Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 21 A wide range of records were looked at, including fire safety, recording of water temperatures, Portable Appliance Testing (PAT) and accident/incident reports. A significant improvement was noted in the management and organisation of these records since the last inspection and all records examined were found to be up to date and accurate. Currently the manager does not act as an appointed agent for any resident, nor does she have any responsibility for any resident’s financial affairs or the management of their personal allowances. Resident’s financial affairs are managed by their relatives/ representatives. Winterton House DS0000025935.V312241.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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 3 X 2 X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 23 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 OP8 Regulation 12 Requirement Regular monitoring of residents weight must be undertaken to ensure that appropriate action can be taken to address nutritional issues where necessary, and in a timely manner. All hand written entries on Medication Administration records (MAR) charts must be signed and dated by the person making the entry and include the source of the information. (Timescale of 24/01/06 not met) Prescribed medicines that are no longer required must be returned to the pharmacy. ‘End of Life’ care plans must be developed for all residents. All complaints made whether verbal or written must be recorded and include details of investigation, any action taken and the outcome for the complainant. The refurbishment programme must be progressed to ensure that all parts of the home are DS0000025935.V312241.R01.S.doc Timescale for action 31/10/06 2 OP9 13 18/09/06 3 4 5 OP9 OP11 OP16 13 15 22 31/10/06 30/11/06 31/10/06 6 OP19 16 & 23 Winterton House Version 5.2 Page 24 well maintained. A programme of renewal of the fabric and decoration of the premises must be produced, with timescales, and a copy sent to the Commission. The registered person must ensure that appropriate weighing equipment is provided for the use of all residents to enable the monitoring of residents’ weights to be undertaken regularly. The duty rota must record the full name i.e. first name and surname of all staff working in the home. The registered person must ensure that all staff receive update training at the required intervals in mandatory areas such as manual handling, first aid and food hygiene. 30/11/06 7 OP22 23 30/11/06 8 OP27 17 Schedule 4 18 18/09/06 9 OP30 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. Refer to Standard Good Practice Recommendations Winterton House DS0000025935.V312241.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Winterton House DS0000025935.V312241.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!