Care Home: King William Residential Home

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What the care home does well People`s health needs are well met with the involvement of health professionals when necessary. One person said that, "if I need a doctor they will be called straight away". There is good communication between each shift and between senior staff and care assistants. When a person falls, this is well recorded and the person is monitored. The manager makes sure that every effort is made to minimise the risk of further falls. Medication was well managed using a safe system. People living at the home were treated with respect. One person said that, "staff look after us very well ".There were regular activities including trips and outside entertainers coming into the home. People living at the home were regularly asked what they would like to do. Meals provided at the home were of a good standard with choice offered at every mealtime. Everyone spoken with was very pleased with the food. One person said that, "the food is fantastic". The home was clean, well maintained and comfortable. There were good systems in place to make sure that staff were following the home`s policies and procedures for example audits of medication records and individuals care plans. People living at the home and any visitors were given regular opportunities to comment on the service. A relative had written in the home`s survey that the home was, "a caring and safe environment". What has improved since the last inspection? All of the requirements and recommendations that had been made at the previous inspection visit on 19 April 2007 have been met. This includes the care record, particularly individual care plans are now more detailed, regularly reviewed and audited by the manager. Also the temperature of the medication room has now been reduced and the statement of purpose has been revised. New furniture had been purchased for the dining room and two lounge areas had been re decorated and re carpeted. Vacant bedrooms had also been re decorated. Garden furniture has been purchased ready for the good weather. CARE HOMES FOR OLDER PEOPLE King William Residential Home Lowes Hill Ripley Derbyshire DE5 3DW Lead Inspector Jill Wells Unannounced Inspection 09:30 2nd April 2008 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 King William Residential Home DS0000020027.V361745.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. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King William Residential Home Address Lowes Hill Ripley Derbyshire DE5 3DW 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) (01773) 748841 01773 743606 www.ashmere.co.uk Ashmere Care Group Mr Gerald Poxton, Mrs Sandra R Poxton, Mrs Ann Theresa Poxton, Dr Michael G Poxton, Mr David A Poxton Gillian Wright Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (5) of places King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ashmere Care Group is registered to provide personal care and accommodation to service users whose primary needs fall within the following categories:Old age, not falling into any other category (OP) 28 Physical disability aged 50 years and over (PD) 5. The maximum number of persons to be accommodated at King William Residential Home is 28 2nd April 2008 2. Date of last inspection Brief Description of the Service: The King William Care Home provides 24-hour care for older people and up to 5 physically disabled persons aged 50 years or over. Part of the building was formerly a public house and there is a large purpose built extension. The home is situated on the edge of a Derbyshire market town with good shopping facilities and amenities available within half a mile. The home offers 22 single rooms and 3 double rooms many of which have ensuite facilities available. There is a garden that is fully accessible to residents, and a car park. Information about the home, including CSCI inspection reports, is displayed in the home and is also available from the manager or provider on request. There is a wide range of fees charged at the home from £363.85 to £720 per week (for a younger person using a double room for sole occupancy). The manager provided this information during the inspection visit 2nd April 2008. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and took place over 6 hours. There were 19 people accommodated in the home on the day of the inspection, two people were under 65. 6 residents, 5 staff, the manager and area manager were spoken with during the visit. There were no visitors to the home during the visit. Some residents were unable to contribute directly to the inspection process because of communication difficulties, but they were observed during the visit to see how well their needs were met by staff. We also looked at all the information that we have received, or asked for, since the last key inspection on the 11th April 2007. This included: • The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. • What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement. • The previous key inspection report. Records were examined, including care records, staff records, maintenance, and health and safety records. A tour of the building was carried out. The quality rating for the service is two star. This means the people who use the service experience good quality outcomes. What the service does well: Peoples health needs are well met with the involvement of health professionals when necessary. One person said that, if I need a doctor they will be called straight away. There is good communication between each shift and between senior staff and care assistants. When a person falls, this is well recorded and the person is monitored. The manager makes sure that every effort is made to minimise the risk of further falls. Medication was well managed using a safe system. People living at the home were treated with respect. One person said that, staff look after us very well . King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 6 There were regular activities including trips and outside entertainers coming into the home. People living at the home were regularly asked what they would like to do. Meals provided at the home were of a good standard with choice offered at every mealtime. Everyone spoken with was very pleased with the food. One person said that, the food is fantastic. The home was clean, well maintained and comfortable. There were good systems in place to make sure that staff were following the homes policies and procedures for example audits of medication records and individuals care plans. People living at the home and any visitors were given regular opportunities to comment on the service. A relative had written in the homes survey that the home was, a caring and safe environment. What has improved since the last inspection? What they could do better: Care staff should be more aware of people’s history and background to make sure that it is not just their basic care needs that they meet. Care staff also need to be aware of the homes ‘whistleblowing’ policy’ to ensure that they would feel comfortable reporting any poor practice if it was seen. At the time of the inspection visit there had been a reduction of the number of people living at the home to 19. A decision had been made to reduce care staff as a result of this until numbers of people living at the home increase again. This was putting strain on care staff at busy times and possibly causing delays in meeting peoples needs. Please contact the provider for advice of actions taken in response to this King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 7 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. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 8 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 King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 9 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, 2, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are fully assessed prior to admission so the individual and the home can be sure the placement is appropriate. EVIDENCE: The statement of purpose for the home had been reviewed since the last inspection visit. This now included all the information that someone would need to know about the home. However the home no longer has an area within the building for smoking, which could be more clearly stated within the homes information. The service user guide has also been revised. This had good information for new people coming to the home although it does not give the correct address and contact number for the Commission for Social Care Inspection (CSCI) and states that nurses work at the home, which is not the case. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 10 Although the home’s information had been revised, out of date copies were still available in residents’ bedrooms. Each person is provided with a contract and statement of terms and conditions at the point of moving into the home. This included all the relevant information and ensured that people were aware of their rights and responsibilities. Records of three people living at the home were seen. Each one had a detailed assessment of their needs that had been completed by the manager with involvement from the person and their relatives where appropriate. This ensured that the service could meet the needs of new people. The home’s information said that prospective residents are invited to visit the home and to move in on a trial basis. A person spoken with was able to confirm this. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples health and personal care needs are met and the principles of respect, dignity and privacy are put into practice. EVIDENCE: The care records of three people living at the home were seen. Senior care staff had written these. The care plans had been signed by the individual living at the home, which indicated their involvement in the process. The care plans were written in a person centred way and included individuals likes, dislikes, preferences and abilities, as well as their health. They are written in plain language, and were easy to understand. They did not however include individuals’ social history and background, which could improve the care provided by staff. Each care plan that was seen includes risk assessments and risk management plans to help minimise risk. There are records of the monitoring of people’s weight and pressure care by senior staff. The care King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 12 plans were regularly reviewed to ensure that they continue to be up to date. The manager signs each individuals care records on a monthly basis as part of an audit, which is good practice. One persons care record showed a recent review undertaken by Social Services staff. The minutes showed that Social Services were satisfied with the level of care provided. Two care staff were spoken with, and both said that they had not read individuals care plans. They did not know basic information about individuals when asked including the reason why one person had been admitted to the home and another persons religion. They said that they knew of each persons needs by other staff giving this information to them verbally. This showed that although senior care staff had a good undertsanding of the person’s full needs, care staff were focusing on only basic care needs rather than looking at the person as a whole. A ‘hand over’ between the two shifts was observed and showed good communication between each shift Records, staff and people living at the home were all able to confirm that GPs and other health professionals were contacted and visited when required. One person said that, if I need a doctor they will be called straight away. One person had recently had new dentures and new glasses. The manager had arranged speech therapy for one person. A detailed moving and handling plan was in place for someone that needed assistance with moving. Falls, and monitoring of the resident’s condition after a fall were recorded. The manager was undertaking a falls analysis on a monthly basis and taking relevant action to minimise risks for individuals. This included using pressure mats to alert staff when a person has got out of bed, and involving health professions to test for any health conditions which may increase risk of falls. Medication in the home was stored securely. An air-conditioner had been purchased to ensure that the storage room temperature was correct. The medication administration records were seen and were correctly completed. Senior staff were signing that they had checked the records on a daily basis for any inaccuracies. Medication was at times being handled due to difficulties with the blister pack provided by the pharmacist. This should be rectified when a new blister packs system comes into place. Controlled drugs were securely stored and the controlled drugs register was checked and found to be accurate. Care records did not show that individuals had been assessed or asked if they were able to self medicate. No one at the home managed their own medication. People spoken with said that were treated with respect by staff. One person said that, staff are very good to me and are never rude. The induction for new staff included how to treat people with respect at all times. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The range of activities and standard of meals offered was good, which met the needs and wishes of people living at the home. EVIDENCE: There was a wide range of activities that people could be involved with. This included bingo, reminiscing, singalongs and crafts. The home continues to plan monthly themed evenings, for example Spanish theme, cheese and wine tasting and Fathers Day tea. These were very popular with people living at the home. An Amber Valley Council project had visited the home for several sessions to do craft work with people. Several people said that this was very enjoyable. Records were kept of activities that individuals were involved with. One person said that, staff do games and try to entertain us though most of us like to sleep a lot. A recent staff meeting showed that the manager had to remind staff of the importance of activities which may have reduced due to care staff needing to undertake some kitchen duties. This had improved with the recruitment of a kitchen assistant. The service arranged regular outside entertainers, using the residents’ fund for this. Residents and relatives King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 14 meetings were held on a 2-3 monthly basis. Minutes of these meetings showed that people were well consulted concerning trips out, entertainment and use of residents fund money. There was a monthly religious service where hymns and prayers were said. One person used to attend church, transported by the community minibus but had recently asked not to attend due to their health. The manager told us that residents could go to bed and get up when they wish to do so. One person said that they sometimes did not go to bed until 1 a.m. Staff said that if any person did not want their meal at the regular time, this would be saved for them to be eaten at a later time. The smoking lounge had been changed to a visitors lounge. This meant that people could take their visitors to this area if they did not wish to use their bedroom. People were encouraged to bring their own personal possessions with them and bedrooms that were seen had been personalised. There was a choice of food at mealtimes. People were asked in advance their preferred choice. This included a vegetarian option. Fresh fruit and vegetables were used. All the people that were spoken with said that the food was of a very good standard. One person said that, the food is fantastic. The minutes of residents meetings showed that people were consulted about the menu. The cook said that a birthday cake was baked for someones birthday. This was very much appreciated by the people spoken with. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. People who use the service are able to express their concerns and are protected from abuse. EVIDENCE: There were no complaints recorded at the home since the last inspection visit. The manager was advised that concerns and informal complaints should also be recorded to show that the service was responsive to individuals concerns. The complaints procedure was on the main noticeboard and had been revised to include the new contact details of the Commission for Social Care Inspection (CSCI). The area manager present during the inspection visit said that this new format was due to be printed using large print for people with sight impairment. People spoken with said that they would talk to staff or the manager if they had a complaint. There was a policy and procedure for the safeguarding of vulnerable adults. Staff had signed that they had read this document. Most staff had attended training in safeguarding vulnerable adults. Staff spoken with were aware what to do if they suspected abuse of a vulnerable adult although they not aware of the homes whistle blowing policy. This was of concern to the manager as she had recently discussed this with staff at a meeting, although this discussion was not recorded. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 16 King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 17 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home is on two floors, with a passenger lift in place. A tour of the building showed that the home was clean and well maintained. People spoken with said that they were happy with the level of cleanliness at the home. One person said, it’s usually lovely and clean. A domestic worker and maintenance person were spoken with and they confirmed that there were adequate hours and equipment to ensure that the home continued to be clean and well maintained. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 18 Information from the service was that new furniture had been purchased for the dining room and two lounge areas had been re decorated and re carpeted. Vacant bedrooms had also been re decorated. There were sufficient numbers of bathrooms and toilets to meet peoples needs. There were grab rails and other aids around the home to assist people and maximise their independence. New garden furniture had been purchased for people to sit outside. When people were first admitted to the home they were asked if they would like a key to their bedroom and lockable drawer. This discussion was recorded. One person spoken with did have a key. Laundry facilities were sited in the cellar that was away from the main areas and where food was stored and prepared. This was a large area and had relevant equipment including industrial washing machines with a sluicing facility. People spoken with were satisfied with the laundry service. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment practices, staff training programme were sufficient to ensure that residents were protected and were supported by competent staff. Staffing levels were not always meeting people’s needs at busy times. EVIDENCE: On the morning of the inspection visit there was the deputy manager and 1 care assistant. It was evident from observing, that at busy times e.g. during the medication round and at mealtimes that 2 staff was unlikely to be adequate to meet people’s needs. Several people were heard asking staff for things e.g. drinks, and staff had to ask them to wait, as they were busy. One person spoken with said that, we are looked after very well. Another person said that, I just ask for juice and staff bring it. After a discussion with the manager she agreed that additional care hours would be beneficial at busy times. In addition to the care staff, there was a cook, kitchen assistant, domestic assistant and maintenance man on duty. Information from the service was that agency staff were not used at the home. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 20 The records of 2 members of staff were examined. The records included all the required information, except for one record of new worker without a photograph. This worker confirmed that the manager had asked her to bring in a photograph. There was an induction programme in place that met the Skills for Care standards. A new worker was spoken with. They confirmed that they shadowed colleagues for one week before being placed on the rota as a worker. The new person was in the process of working through the induction standards and had been given six weeks to complete this. There were individual training records for each member of staff, plus a training plan giving an overview of training carried out and training needed for the current year. The new worker spoken with said that she had undertaken moving and handling training and was due to attend health and safety training the following week. The home had achieved above the minimum requirement of 50 care staff with National Vocational Qualification, (NVQ), at level 2 or 3. Although record showed that some staff required refresher training and had not undertaken all of the mandatory training, the manager was able to give dates of planned training in the near future. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 21 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): 31,33,35 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 has effective quality assurance systems, ensuring that people are listened to and the home continues to develop and improve. EVIDENCE: The manager had almost completed the Registered Managers Award (RMA). A staff member said that, the manager is good, she will listen. The area manager visits the home regularly to support the manager and undertakes relevant audits. There were also regular managers meetings where managers receive support and share good practice. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 22 There are a number of ways that the manager gave people an opportunity to comment on the service. This includes questionnaires to people living at the home, staff, relatives and outside professionals. Any issues raised in these questionnaires were responded to appropriately. Regular residents/relatives and staff meetings were held. The minutes of these meetings showed that they were an opportunity for people to suggest changes or improvements to any part of the service. At the last residents meeting the minutes showed that a person said, I would not stay here if I was not happy. There is also a suggestion box in the hallway. Quality audits were undertaken on a monthly basis to ensure that the home is running effectively. A report on the quality audits had been completed highlighting changes made to improve the service including redecoration, improvements to entertainment and some new windows. The maintenance person was responsible for regular health and safety checks. These included testing water temperatures, call systems and fire equipment. Water from a tap in a communal toilet was running hot on the day of the inspection visit. This was discussed with the maintenance person who corrected the temperature immediately. The manager confirmed that due to a poor response by staff to a recent fire drill these were now done more regularly to ensure that staff were competent. Staff were observed using gloves and aprons where appropriate. Information received from the service was that all policies and procedures were in place and had been reviewed in February 2007. The health and safety policy was seen and had been recently reviewed. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 23 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 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCI14AL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 OP1 Good Practice Recommendations All information produced by the service should clearly state that the home has now been designated into a no smoking environment to ensure prospective new people are aware of this change. The service user guide should provide the correct address and phone number of the Commission for Social Care Inspection (CSCI) to allow anyone to contact us if they wish to do so. The service user guide should be clear that there are no nurses working at the home, as this could be misleading for new people. 2. OP1 3. OP1 King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 25 4. 5. 6. OP7 OP7 OP9 OP18 7. 8. OP27 Care records should include a social history and background about each individual to assist staff to care for people. Care staff should be aware of the content of each persons care plan to ensure that they are meeting all of their needs. New people being admitted to the home should be asked/assessed as to their wishes and abilities concerning managing their own medication. Any person able and safe to do so should be supported to have their independence promoted. Records should be in place concerning decisions made. All staff should be aware of the homes whistle blowing policy. Staffing levels should be reviewed at busy times to ensure that people’s needs can be met without unnecessary delay. King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 26 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 King William Residential Home DS0000020027.V361745.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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