Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/09/05 for Woodland Park Nursing Home

Also see our care home review for Woodland Park Nursing Home for more information

This inspection was carried out on 13th September 2005.

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.

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

All the residents and relatives asked said the staff team are very friendly and helpful towards them and they are always treated with respect. The staff team appeared to have a genuine rapport with the residents they were caring for. All the residents asked said they knew who to talk to if they had any concerns about their care and felt the staff would deal with this to their satisfaction. There are residents meetings where residents are able to express their views.

What has improved since the last inspection?

Some of the residents rooms have been redecorated since the last inspection. Other rooms were in the process of being decorated during the inspection.

CARE HOMES FOR OLDER PEOPLE Woodland Park Nursing Home Babbacombe Road Torquay Devon TQ1 3SJ Lead Inspector Rachel Proctor Announced 13 September 2005 th 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 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. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodland Park Nursing Home Address Babbacombe Road, Torquay, Devon,TQ1 3SJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 313758 01803 313758 Woodland Healthcare Ltd Phyllis Irene Wilton Care Home with nursing 31 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (31), Physical disability of places over 65 years of age (31) Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Registered for max OP 3 Registered for max PD 31 Registered for max PD(E) 31 service users 65 years and over Date of last inspection 08/12/04 Brief Description of the Service: Woodland Park nursing home is an Edwardian dwelling, established as a nursing home in the Babbacombe area of Torquay. It is located approximately 100 yards from Babbacombe Downs with its excellent views over the bay. There is a small shopping area just a short distance walk away. The original building has been extended is to enable it to accommodate up to 31 service users. There are 19 single and 6 double rooms available, some with en suite facilities. The rooms are spread over three levels each being accessed by centrally located shaft lift. Some rooms have sea views. A stair lift is also present between the ground and mezzanine floor. The home has been further adapted to meet the needs of the physically disabled service users it provides nursing care for. Meals are prepared in a hotel type kitchen located in the centre of the home. There are disabled bathing facilities and each level and mobile hoist that can be moved between rooms. The home has car parking to the front and side of the building and a small walled garden area for service users to sit in, weather permitting. A registered nurse manages the home and registered nurses are in charge of each shift. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The commission for social care inspection has introduced key standards to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that previous reports also be taken into consideration. This announced inspection took place on a Tuesday 13th September 2005, between 9.30am and 4.30pm. The inspection included a tour of the home, speaking to residents and staff and reviewing some documentation. The lunchtime meal was shared with residents. The medication system was inspected, and care and health and safety records examined. Comment cards were received from 2 residents and 2 relatives, whose opinions will be represented in the text. What the service does well: What has improved since the last inspection? What they could do better: The overall cleanliness of the home must improve to ensure the residents live in a pleasant environment which reduces the risk of infection. The carpets in some residents rooms and corridors are stained detracting from an otherwise pleasant environment. The residents plan of care should be completed within five days of their admission and reflect their assessed health and social care needs. It was difficult to evidence that one resident had received the health care they required because the plan of care had not been fully completed. Monitoring of the prescribed treatment creams used by the residents should ensure that the residents receive the treatment creams that are prescribed for them and not other residents. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 6 The homes recruitment policies and procedures must be adhered to. All information required for staff must be provided in order to ensure that the residents are protected from unsuitable staff. Chemicals used for cleaning must be securely stored and clearly labelled to ensure these dont pose a possible risk of ingestion for the residents. 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. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 standard(s) 1,3, The care plans written and the equipment provided at this home have not always been suitable in order to ensure the needs of residents are met. EVIDENCE: The three residents care plans viewed and had copies of their initial assessments. The manager provided the admission record template she uses to record the assessment for prospective new residents. A copy of the social services shared assessment tool was contained in the residents care plans. However one resident who had been admitted for a short period did not have a fully completed admission assessment. The care plan was very poor, giving no detail, no individualised information, no guidance for staff, no evidence of discussion with the resident, and no evidence of planning a review or evaluation; this is in breach of NMC guidance for records and record keeping. The resident had been in the home for six days. This resident had very complex health and social care needs, the care plan did not reflect care needs identified in the information the home had received prior to admission. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 9 The information provided for prospective residents must include the type of equipment that is available to care for them. The inspector found that the majority of the residents rooms had divan style beds which had been raised to allow hoist access. This is not reflected in the information provided in the statement of purpose. The manager was unable to demonstrate that staff had received appropriate training to care for the residents who were terminally ill. The manager provided a list of the training completed by staff, only one member of staff had completed a one-day course for bereavement training in the last 12 months. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 11 All current care plans seen at this announced inspection were well written, however, an archived care plan was inadequately written, the lack of information in this plan of care put the resident at risk. EVIDENCE: Three residents plans of care viewed during the inspection had a plan of care developed from their initial assessment of need. The plans included risk assessments for manual handling, pressure sore prevention, nutrition and risk of falls. The plans had all been reviewed and updated on a monthly basis, or sooner if the residents care needs had changed. A risk assessment, the manager advised, had taken place for use of bed guards but had not been included with the plan of care. The residents asked said the staff were friendly and understood their care needs, the Inspector however, was unable to verify that one resident, whose health had deteriorated, had their care needs met because the plan of care had not been completed. The GP visits and other health professionals visits are recorded within the care plan. The involvement of specialist nurses for care of the dying was recorded in one archived residents file. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 11 Nutritional screening includes a monthly record of the residents weight and their personal likes and dislikes re food. The chef on duty during the inspection had a list of specialist dietary requirements for individual residents. The tour of the home revealed that some residents had prescribed creams in their rooms which were prescribed for other residents. The controlled drug register was checked against stock for one resident as correct. The medication that residents has received was recorded on the medication sheet. These had been signed and completed as expected. Reference material is available for staff regarding medication practices, these include the Nursing and Midwifery Council Code of Conduct for Medication. Four residents spoken to said staff were always respectful and friendly towards them. Staff were observed knocking on resident doors before entry. Two residents comment cards received indicated that they liked living at the home, felt well cared for and the staff treated them well. It was difficult to evidence that a resident who had been admitted over a sixday period for terminal care had received the care they required. The involvement of the community Macmillan nurse team for advice and support was clearly documented in the daily statement of care. However the care plan for this resident had not been completed. The transfer assessment from the community highlighted several care issues. The home manager had not ensured that the plan of care had been developed which addressed these issues on admission. Although the medication sheet indicated that the resident was receiving their medication via the syringe driver a separate monitoring record of this was not available. The training records available for staff did not support that this included the care of the dying patient. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15, The mealtimes appeared to be a pleasant experience for the residents and staff. Although several activities are provided for the residents not all felt that the activities provided were meeting their needs. EVIDENCE: Four of the residents spoken to said they would like more varied activities to be available for them. One resident specifically requested to be enabled to go outside the home on day trips more often. The manager confirmed that trips out to local attractions are facilitated for residents where possible. The pre-inspection questionnaire indicated that two external activities providers visited the home on a regular basis. The information provided about the service they offered was available. One resident told the inspector that they like to go out to the shops and staff had enabled them to do this. Visitors were coming and going during the inspection. The residents said they had regular visitors who they could see in their own rooms or in one of the communal areas. The mealtime observed was unhurried with residents eating their meals at their own pace. The staff assisting the residents to eat their meals were doing so in a friendly supportive manner. The residents comment cards received indicated that they liked, or sometimes liked, the meals provided. The Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 13 inspector observed the staff member offering a resident an alternative lunchtime meal when they said they didnt like what was on offer. The lunchtime meal presented during the inspection was nutritionally balanced and attractively presented. Two residents asked a said the food was always well presented and appetising. The three weekly rotational menus were provided for inspection. However some residents said they were unaware what the meals were on offer the following day unless the staff told them. Hot and cold drinks are available for the residents throughout the inspection. Residents asking for drinks were being given these by staff. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 standard(s) 16 The residents can have confidence that any concerns that they raise will be dealt with by a sensitive staff team who understand them. EVIDENCE: The manager provided a record of complaints which included the summary of the actions taken and whether the complaints were substantiated. Four residents and one visitor said they had confidence that any issues they raise would be addressed by the staff team. The commission has received two complaints relating to the way terminally ill residents are cared for. It was difficult to evidence that one of these residents had received the care they required because the plan of care had not been fully completed. There was evidence that the manager regularly involved the community Macmillan nurse team and the residents GP for advice and support in care of the dying resident. One Macmillan nurse spoken to said the home manager and staff team were good at asking for advice. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 standard(s) 19,26 The stained carpets and chipped paintwork detract from an otherwise pleasant environment for the residents to live in. Lack of attention to detail in ensuring the home is free from dust and carpets clean is disrespectful to the residents and may put them at risk of infection. EVIDENCE: A tour of the home was completed with the registered manager. Several of the residents rooms had stained and worn carpets. One visitor commented that the lounge carpet and chairs were strained and these weren’t very pleasant for the residents or their visitors to look at. They advised they had spoken to the senior manager and had been reassured that the carpets and furnishings were due to be replaced. They said they were satisfied with the response they received. The manager confirmed that carpets were in the process of being replaced. A programme of routine maintenance repairs and renewals of the premises was not provided for inspection. Although a maintenance man was working in Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 16 the home completing repairs and renewals during the inspection. He advised that he was kept busy doing repairs and decorating the home. The home was free from odours during the inspection and residents confirmed that the home is usually fresh smelling. However carpets in some residents rooms, communal lounge and some corridors were stained. Some of the paintwork was chipped on door frames and paintwork on the walls in some rooms had scratches and marks on them. The laundry floor is not easily cleanable. Several areas in the laundry had trapped dust on the floor. Where the floor covering had been joined, overlaying dirt had collected. The rear of the dryers have been used as a storage area two small detachable bed tables were seen covered in dust. The residents rooms had been personalised with items of their choice. However two of the residents rooms displayed ornaments and personal items were on the dressing table that had not been dusted. A layer of dust was seen at the back of two dressing tables. The base of the taps on the sinks in the residents rooms and communal bathrooms had not all been cleaned to remove the stained lime scale deposits. The manager told the inspector that they were in the process of recruiting another cleaner. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30, The residents are cared for by staff team who treat them with respect and value their opinions. However the homes recruitment practices may not protect the residents from unsuitable staff if the policies arent followed and all employment checks completed prior to appointment. EVIDENCE: The manager advised that she was having difficulty recruiting registered nurses. The shift shortfalls are currently filled by registered nurses from an agency. The manager advised that some of the registered nurses employed by the home provide bank cover as they are unable to work full-time. The duty rota was provided for inspection, this showed the number of the staff on duty each shift and the capacity that they worked in. A registered nurse is on duty at all times during the day and night. The manager advised that the staffing numbers are increased at peak periods, this was supported by the duty rota and discussion with staff. Two domestic staff were working in the home on the morning of inspection. The manager confirmed that only one works full-time at present and there was a vacancy for another domestic staff member. Three staff files were reviewed during the inspection. These contained application forms and proof of identity and a photograph of the staff member. Not all the files had two references returned and one didnt have a reference from the last employer. The staff who had completed training courses had copies of the certificates contained in the staff files. The registered nurse file Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 18 had a copy of the Nursing and Midwifery Council registration number and confirmation. One relative spoken to during the inspection and one comment card received indicated that they didnt feel sufficient staff were on duty all the time. Other residents asked during the inspection said that staff answered the call bells in a reasonable time and they understood that sometimes staff were too busy to come straight away. The manager commented that during peak periods mealtimes and mornings - staff sometimes took longer to answer the call bells. The information provided with the pre-inspection questionnaire stated that 5 of the 12 care staff had completed NVQ level 2 or above. The manager confirmed that staff are encouraged to complete the NVQ training. The manager provided a training matrix which indicated the core training that staff had received. Specialist training for clinical issues was also recorded, this included infection control, tissue viability and continence care. Although the home facilitates care for terminally ill residents only one registered nurse and one care assistant had attended the care of the dying course in the last 12 months. Two complaints had been received by the Commission since the last inspection which related to the way the home provided care for terminally ill residents. Some elements of these complaints were substantiated. The manager advised that she would be looking at the training available for the staff and the facilities provided for the residents who were terminally ill. The inspector was shown the records of supervision that staff had received. The manager confirmed that each staff members development needs were discussed and any training needs identified. Two staff members spoken to during the inspection told the inspector that they felt supported to do their work and had been given access to training. The training matrix provided evidence that staff had received core training for manual handling, health and safety and fire instruction. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 38 The manager has fostered an open atmosphere where the residents, their family and friends, and the staff, feel valued. However the residents could be at risk if the chemicals used for cleaning arent appropriately labelled and stored. EVIDENCE: The manager provided records of the monies held to on behalf of individual residents. The amounts held on the record of expenditure was seen for two residents. These were recorded as expected and the amounts tallied with the records kept. Secure facilities were available for the safekeeping of money and valuables on behalf of the residents. The manager confirmed that none of the current residents were able to handle their own financial affairs. A variety of manual handling aids were available for staff to assist the residents. Staff were using hoists to assist the residents during the inspection. Two residents said the staff use the hoists to transfer them in and out of bed. The training matrix supported that staff had received manual handling training. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 20 One residents admission transfer assessment indicated they were a wheelchair user and required hoisting. The manager was unable to confirm that this resident had a bed which was easily accessible using hoists. A tour of the home revealed that the majority of the beds are of divan style which had been raised to allow hoist access. The fire logbook was up-to-date and included records of when staff had received fire instruction. Not all the chemicals used for cleaning were securely stored. COSHH (Control of Substances Hazardous to Health) information was available for staff in the office. The Pre- inspection questionnaire provided dates when the gas boiler was serviced and the central heating checked. A record of the water temperature checks was provided for inspection. A record of maintenance checks for the lift and hoists were not seen at this inspection, the preinspection questionnaire completed by the manager indicated that these had been serviced in March this year. The policy folder is available for staff in the office this included the statement for the arrangements for maintaining safe working practices. The manager confirmed that the environment had been risk assessed. Copies of individual residents risk assessments were available in care plans. Care had been planned so as to reduce the assessed risk in the three plans of care viewed. One residents archived file did not have all the risk assessments completed, this resident was at the home for six days. The manager advised that she monitored the accidents within the home. The accident record books were provided; these had been completed as required in the six entries seen. The manager confirmed that one residents mobility scooter had been relocated following a risk assessment and this was now kept in a separate area to reduce the risks. The manager also confirmed that a visit from the fire officer had identified that the wicker furniture in one area of the home was a potential fire risk. These have been removed and replaced with different furniture following the fire officers visit. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 1 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 1 STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x 2 Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 22 Yes Are there any outstanding requirements from the last inspection? 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 OP 9 Regulation 13 (2) Requirement Service users prescribed treatment creams must only be used for the service user they are prescribed for. The registered person shall ensure that the care home is conducted so as-to promote and make proper provision for the health and welfare of service users. Terminally ill service users must have a plan of care that addresses their health care needs. Registered person shall having regard to the number the needs of the service users ensure thatthe premises to be used as the care home are of sound construction and kept in good state of repair externally and internally. All parts of the care home must be kept clean and reasonabily decorated. Stained carpets must be cleaned, laundry floor must be easily cleanable and free from dust, service uses rooms must be free from dust and sink and bath taps must be cleaned Timescale for action Immediate 2. OP 11 12 (1) (a) Immediate 3. OP 19 23 (2) (b) April 06 4. OP 26 23 (2) (d) November 05 Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 23 5. OP 29 19 (1) (b) Schedule 2 6. OP 38 13 (4) (3) The registered person shall not employ a person to work at the home unless he has obtained in respect of that person the information and documents specified in schedule 2 All parts of the home, to which service users have access are so far as is reasonably practical free from hazards to the safety. All chemicals used must be clearly labelled and securely stored November 05 extended from 01/01/05 Immediate 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 OP 3 OP 8 OP 12 OP 30 Good Practice Recommendations Each service user admitted to the home should have a plan of care based on long-term outcomes within five working days. Each service user should have a plan of care that addresses the health care needs identified in their assessment. The service users should have the opportunity to influence the type of activities that are provided for them. Staff should receive training for care for the terminally ill service user. Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Woodland Park Nursing Home D54-D07 S28762 Woodland Park V240133 130905 Stage 4.doc Version 1.40 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. 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!