Care Home: Beechwood House

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well The registered manager works regular shifts at the home and is in constant contact with staff, people living at the home and their visitors. Because of this and the small size of the home, the owners maintain a good grasp of how things are running and our observations indicated an open style of management that welcomed discussion and comment. Since they took over the new managers have established a style of operation about how things are to be done, building on the good reputation locally that the home has enjoyed and establishing good standards of service. Improvements have been started with the care records so that they are more informative and efficient to use, and plans have been put into place to improve staff management and training. The staff group are mostly well established at the home and are committed and caring; they worked with a professional and friendly style during the inspection and all the people spoken to spoke positively about the standards of care they provide. What has improved since the last inspection? This is the first inspection of this service since it was re-registered in October 2009. What the care home could do better: Two statutory requirements have been made as a result of this inspection that relate to the home`s legally required documents and standards of staff training. There are six good practice recommendations that relate to indirect aspects of care and welfare. CARE HOMES FOR OLDER PEOPLE Beechwood House 202 Woolley Bridge Road Hadfield Glossop Derbyshire SK13 1PQ Lead Inspector Brian Marks Unannounced Inspection 17th February 2009 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 Beechwood House DS0000072816.V374140.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. Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood House Address 202 Woolley Bridge Road Hadfield Glossop Derbyshire SK13 1PQ 01457 867268 01457 867268 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) Mrs Bridie Kalliga Mr Konstandinos Kalligas Mrs Bridie Kalliga Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 10 This was the first inspection of a newly reregistered service. 2. Date of last inspection Brief Description of the Service: Beechwood House, Hadfield – formerly The Risings – is located in the grounds of St. Charles Church and set back from the main road. Local shops are close by, as are bus routes into Glossop town centre. It was purchased and reregistered by the current owners in October 2008 and is registered for up to ten older persons with accommodation spread over two floors. This comprises six single bedrooms and two double bedrooms, one of which has en-suite toilet facilities, and there are accessible bathroom and toilet facilities on each floor. The home has one main lounge and a large conservatory, with a separate dining area; the home is a non-smoking area. There is a stair lift to assist residents to the first floor, an alarm call system fitted throughout and there is an accessible patio sitting area and garden to the side of the premises. The range of charges for accommodation at the home is from £405 to £420 per week. Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us and the written Annual Quality Assurance Assessment document (AQAA), which was returned before the inspection. All of the above material assisted with the preparation of a structured plan for the inspection. For administrative reasons we did not send out any surveys forms ourselves, but during the inspection we did look a number that had been filled in by people living at the home and by relatives who regularly visit as part of the owner’s quality monitoring systems. At the home, apart from examining documents, care files and records, time was spent with the registered manager of the home, who is also a joint owner and who was in charge during the visit. We also talked to the two care staff who were working on the day shift. The care records of three people who live at the home were looked at in detail and their experiences of care at the home formed the basis of this inspection. They and others who were able to talk to us were interviewed personally as well as two relatives who were at the home on the day of the inspection. Because the home was re-registered in October 2008 this is regarded as the first inspection of this service. The assessment of the home’s quality was made against the key National Minimum Standards (NMS) identified at the beginning of each section of this report, as well as other Standards that were felt to be most relevant. What the service does well: The registered manager works regular shifts at the home and is in constant contact with staff, people living at the home and their visitors. Because of this and the small size of the home, the owners maintain a good grasp of how things are running and our observations indicated an open style of management that welcomed discussion and comment. Since they took over the new managers have established a style of operation about how things are to be done, building on the good reputation locally that the home has enjoyed and establishing good standards of service. Improvements have been started with the care records so that they are more informative and efficient to use, and plans have been put into place to improve staff management and training. Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 6 The staff group are mostly well established at the home and are committed and caring; they worked with a professional and friendly style during the inspection and all the people spoken to spoke positively about the standards of care they provide. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Beechwood House DS0000072816.V374140.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 Beechwood House DS0000072816.V374140.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need being properly identified, but little information is included in these early assessments about their social world and background history. Although they are given information about the home before a decision about their future is made, this does not include everything that is required by law. EVIDENCE: In the AQAA we were told abut the home’s Statement of Purpose, its aims and objectives and how people coming to live at the home make a fully informed choice about whether the home can meet their needs. We looked at the home’s Statement of Purpose, the guide to the home and New Enquiry booklet that are given out to people and which should help them decide their future. Whilst a lot of information is contained within these documents, not all that is required by law is included and some of it is not upto-date about the Commission; people do not have all the information they need to make the right decision for their future. Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 9 We looked at the care records of three people who are living at the home, including somebody who had moved in recently and somebody who has lived there for some years. A third file was a record that the manager had revised and updated using the documentation she plans to use for everybody. Using the latter as an example of current practice, we found clear assessments of the physical care needs of the person concerned including details of health and medical issues and this was developed from historical records of the person as well as from their family. Within all the records we looked at we found that the amount of information about the psychological and social worlds of the people concerned is variable and generally very brief. Additionally all files contain assessments of the general and specific areas of risk that are relevant to the person concerned including safe moving and handling, falls and nutrition as well as general risk areas. The home does not provide intermediate care so Standard 6 does not apply. Beechwood House DS0000072816.V374140.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home have care records that promote safety and consistency, and staff work in ways that respect individuality, privacy and dignity. EVIDENCE: In the AQAA we were told how everybody has an individual care plan, which is regularly reviewed by staff and updated to cover changing needs. We were told that there has been a new monthly review format that is more structured in its approach and gives a clearer picture of any changes that occur. Taking the revised care record, described above, as an example of current practice, we found that there are clear descriptions of the areas where people need help or where they experience risk, as well as the areas in which they are independent; the care activities to be carried out by staff are clearly identified. As referred to above, the descriptions of social interests and life background are generally brief. The links between activities identified in the care plans and the assessments of need and risk previously carried out are clear. The various elements of the care records looked at held evidence that they had been Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 11 reviewed and evaluated at monthly intervals, and this is carried out by the person’s named key worker, which gives a personal view of the progress that has been made. The manager described how she had started the process of transferring all care records onto this revised format. The care records that we looked at confirmed that contact with external healthcare services is routinely made, particularly the local doctors and district nurses, as well as a number of specialist healthcare services, such cardiology clinic and mobility specialists. From comments in the written records and the direct comments from people, we could see how the staff at the home work hard to care in sensitive and dignified ways, and to keep people as independent as possible: ‘They help me in ways that I want help with. They’re always cheerful and lively and treat me as an individual’. ‘The doctor comes in when I need him and when I had some difficulties recently they called for an ambulance very promptly’. ‘It’s a very personal service here’. Examination of the arrangements for the receipt, storage and administration of medicines indicated that these are satisfactory. Medication is stored securely and the home uses a Monitored Dosage System for administration. A number of people are prescribed drugs for occasional (PRN) but specific instructions for their administration were but not included in the medicines records, which may lead to inappropriate use. Beechwood House DS0000072816.V374140.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home enjoy lifestyles and routines that suit them and have the opportunity to take part in organised leisure and social activities. EVIDENCE: In the AQAA we were told how a weekly programme of activities is provided and that there is an ‘open door’ policy for residents and relatives to discuss any issues with the manager. We were also told about catering at the home, which was described as providing a balanced and nutritious diet including any special needs. The notice board in the main lounge indicated a list of regular activities that take place in the afternoons and another notice advertised the visit of a professional entertainer later in the week. We were told by the manager that, with the close proximity of the home to the local Catholic Church, a small number of people go there regularly for a service of worship when the weather is suitable, and also that there are regular volunteer visitors form the church congregation. One of the people spoken to confirmed that she did this and that they are generally happy with life at the home; she is able to do very much as she likes around the home. People told us that they develop their own routines, including spending their time in the communal areas or in their Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 13 rooms; the former is the choice of the majority with most people in the conservatory listening to music during the morning of the inspection. The people we spoke to around the home told us about their lives: ‘I liked this home’s small size and quiet which is why I chose it. I do a lot of reading and the mobile Library calls very 3 weeks’. ‘It’s very homely and I particularly like the regular exercise activity – it keeps me mobile and my walking has improved since I’ve been here’. ‘My husband visits every day and they’re all very welcoming’. ‘It’s a happy place to live and we’re a regular group that seems to stay the same’. A brief visit was made to the kitchen and the carer who had responsibility for the day’s meals – there is no regular kitchen staff – described current arrangements. Good standards in the catering service have continued, and a 4-week menu is being followed. The menu indicates a choice at the main meals of the day and a hot option regularly available for breakfast and at teatime. Arrangements for purchase, storage and stock control are satisfactory. People were generally very positive in their feedback about the standard of food at the home with good quality and quantity mentioned: ‘The menu on the wall is very helpful’. ‘I don’t like pork so I get something else’. ‘The food is excellent and varied; it’s home-style food and there is a choice very day’. Whilst we were talking to people in the conservatory, the carer came in to make a note of the choice people wanted for the main meals of the day. One of the people we spoke to also showed us his diet sheet, which described items to be avoided and the level of softening required because of his swallowing difficulties. He told us that this is always done properly. Beechwood House DS0000072816.V374140.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to safeguard them from harm. EVIDENCE: The AQAA told us how information about complaints is provided to people in the information documents that are given out and that complaints and issues are dealt with immediately. We were also told how staff are made aware of the complaints procedure, about their responsibility to protect vulnerable adults, about ‘whistle-blowing’ and how residents are protected by the background checks that are made about staff when they come to work at the home. The manager told us that no complaints had been received since she had taken over the running of the home and everybody we talked to said that they knew about getting their problems resolved and were confident that they would be listened to. We were also told that there had ben no situations dealt with as safeguarding incidents in the same period. Although the home has a policy and procedure in place that describes how to respond to allegations, these are from a corporate manual and do not reflect the local situation of the home or the local statutory procedures in place in Derbyshire. Beechwood House DS0000072816.V374140.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home live in a safe, well-maintained environment with good standards of hygiene and cleanliness. EVIDENCE: The AQAA we were told about the home’s homely, clean and safe environment and about changes that have been made since the current owners took over and about their plans for a steady improvement in furnishings and decoration. From a brief tour of the building and visits to some of the bedrooms we saw that a satisfactory standard has been maintained and how a comfortable atmosphere has been provided. However in most of the areas of the building there were signs that the programme of redecoration hade been allowed to slip with areas of, for example, torn wallpaper and discoloured or old paintwork in existence, along with some worn carpets and old furniture. None of these shortfalls are excessive but they give an overall impression of a lack of attention and investment in the areas mentioned. Furniture and furnishings in Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 16 bedrooms are varied, with new carpets and modern furniture in evidence. There were a good number of personal touches in bedrooms that made for individual environments, and noted equipment in different parts of the building available for staff to help people with mobility difficulties. However, one bedroom had a hoist stored in it, which took up space away from the individual concerned. Everybody we spoke to was satisfied with standards of comfort and facilities of the home. We were not able to locate any recent reports from the Environmental Health and Fire Officers and the manager did not have any information within the home’s transferred records to indicate when they had last happened. On the day of the inspection the home was clean, tidy and free from odours and the people spoken to were complimentary about the service provided by the laundry. Everybody seen in the home wore clean and well-presented clothing and the laundry room is well-equipped and works to an orderly system. Beechwood House DS0000072816.V374140.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The skill mix and numbers of staff on duty at the home are adequate to support a safe environment in which to live and work, but they have not received all the training necessary to do their jobs properly and in more professional ways. EVIDENCE: In the AQAA we were told how the home has a high ratio of staff to residents, and that the staff are trained, qualified and experienced. We were told that the home does not have a high staff turnover and that recruitment includes obtaining checks from the Criminal Records Bureau (CRB). During the inspection we interviewed the two staff on duty during the early day shift and one of these, who had been recently appointed, described her induction training that was followed just after she started working at the home. Records indicated that this was the nationally approved programme developed by a Government training agency. The files of two recently appointed staff indicated that their recruitment had been carried out properly with the right checks being made, although the CRB check for the last care staff to be appointed had not been received until four weeks after she had started work. In line with the standard of checks that had been confirmed, we were told that she had always worked ‘under supervision’ of more experienced carer. We were unable to confirm how this was worked in practice. Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 18 Examination of the duty roster and discussion with staff indicated that there are always 2 care staff on duty during the day and, because of the small size of the home, they carry out other duties such as laundry and cooking. In our discussions with people living at the home they told us that staff were always around the communal areas of the home and were very attentive. Our own observations during the inspection confirmed this. Any gaps in the staff listed for duty are covered by their colleagues and we were told that ‘continuity of caring is achieved through good teamwork’. Staff told us that they have received good opportunities for training and records indicated achievements in some key areas but also shortfalls in relation to staff responsibilities to protect vulnerable people. The commitment to getting staff through the NVQ has continued with the required 50 target already achieved, and the rest of the carers group have been enrolled to boost this achievement. One of the staff spoken to also described attendance on a course aimed to help them care better for people with dementia provided by the Council, and about the positive impact this training had had on them. The manager told us about planning future training activities for staff and about the logistical difficulties getting access to training provided by the Council because of the home’s geographical location. As a general comment we noted good standards of morale and enthusiasm expressed during our staff interviews and staff spoke positively about the working environment that has quickly developed with the current owners: ‘Because of the size of the home we get to know everybody really well – we’re really close to them’. ‘It’s all like a big family here’. Beechwood House DS0000072816.V374140.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally a well-managed and safe environment in which to live and work, and its management is open so that people feel involved with the home and confident about contributing to it running. EVIDENCE: In the AQAA we were told how the home’s registered manager has had many years experience as a trained nurse and that this includes experience of care of the elderly. We were also told that good communication channels are maintained between management and staff, residents and their families and this allows for resolution of problems and standards to be maintained. The registered manager and her husband took over the home in October 2008 and they told us they have been occupied with re-establishing systems of operation that had slipped a little with the change of ownership. As described Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 20 above, improving care documentation, staff training and investment in the building have been identified as key areas for progress to be made. Another area that we agreed had been allowed to slip has been the operation of a formal system for meeting with and offering support and supervision to staff. From our discussions with staff and from their records we looked at there have been few instances where they have been meeting with a senior member of staff in a planned way in recent months. However there have been meetings between the staff group and the home’s management and minutes of these indicated discussions about the running of the home had been productive. Staff told us that day-to-day support from the manager is very active and that ‘she is always there if you’re not sure about something’. There have also been meetings with the residents and their relatives to work out any problems and issues; catering has been one of the matters dealt with. The manager has also carried out separate written surveys for the residents and for relatives and we looked at the returns that had been received. These indicated good levels of satisfaction with life at the home and positive views about standards of care, which were said by a number to be ‘improving’. The AQAA told us about good standards of health and safety activity and regular servicing of equipment, and observations made around the building and a sample of fire safety and servicing records indicate that the home was hazard free at the time of the inspection. Beechwood House DS0000072816.V374140.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 2 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 X 3 Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Not applicable 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 OP1 Regulation 4(1), 5(1) Requirement Timescale for action 31/05/09 2. OP30 18(1)(c) The manager must revise the home’s Statement of Purpose and Service User’s Guide so that all the elements described in Schedule 2 of the Regulations are described and people coming to live at the home are fully informed about how the home operates and their rights within it. Staff working at the home must 31/05/09 receive training that equips them to care for the people living there, particularly in relation to their responsibilities to safeguard them from harm. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations The needs assessments of people living at the home should be revised and updated, using the format devised DS0000072816.V374140.R01.S.doc Version 5.2 Page 23 Beechwood House 2. OP7 3. OP9 4. OP18 5. 6. OP26 OP36 by the registered manager and should be regularly reviewed so that staff are working with up to date information. The care plans of people living at the home should be revised and updated, using the format devised by the registered manager and they should be regularly reviewed so that staff are working with up to date information. The descriptions and protocols for the administration of occasional use (PRN) medicines should be completed and kept in the individual medicines administration record (MAR) for the person concerned. The written policy and procedure that describes actions to be taken in response to allegations of abuse should be rewritten to reflect the home’s local situation and to include reference to the local statutory actions sanctioned in Derbyshire. The manager should consult with the Environmental Health and Fire Officers to find out if inspection visits are overdue and to gain advice on the safety of the home. All staff should receive formal 1-to-1 supervision from the home’s manager, at intervals of every two months. This will ensure the opportunity for regular consultation about and monitoring of their work. Beechwood House DS0000072816.V374140.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Beechwood House DS0000072816.V374140.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. 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!