Care Home: Montagu Court Rest Home

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What the care home does well The home provides a welcoming and relaxed atmosphere and has been decorated and furnished in a homely manner. Bedrooms are individualised with people`s own possessions. People living at the home are provided with a varied diet that offers choice and is well presented.People are supported by a caring staff group, and people living in the home spoke highly of them. The home benefits from a regular input from the Registered Provider. Family and friends are welcome to visit and can do so at any reasonable time. What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Montagu Court Rest Home 49-51 Edgar Road Cliftonville Kent CT9 2EQ Lead Inspector Anne Butts Unannounced Inspection 31st July 2008 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 Montagu Court Rest Home DS0000047079.V367599.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. Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Montagu Court Rest Home Address 49-51 Edgar Road Cliftonville Kent CT9 2EQ 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) 01843 223648 01843 226740 qualityandcare@ctconnect.com Mr Alan Morris Mrs Brenda Joyce Addison Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 30. Date of last inspection 24th July 2007 Brief Description of the Service: Montagu Court is a large privately owned property providing residential care and support for up to thirty service users who require varying degrees of assistance. The home is a family run business, with the proprietors having a great deal of input into the day-to-day running of the business. Staffing within the home comprises of the registered owners, manager, deputy manager, senior care staff, care and ancillary workers. A home manager is employed who is responsible for the general maintenance of the building. The home is located within a short walk of Cliftonville shopping centre and promenade. The Manager confirmed at the inspection visit that the fees range from £295 to £365 per week. Montagu Court Rest Home DS0000047079.V367599.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 in accordance with the Inspecting for Better Lives (IBL) process. Key inspections are aimed at making sure that the individual services are meeting the standards and that the outcomes are promoting the best interests of the people living in the home. The IBL process for a Key inspection involves a pre-inspection assessment of service information obtained from a variety of sources including an annual selfassessment and surveys. It is now a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. The AQAA was returned to us within the timescales stated and contained enough information. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable us (The Commission for Social Care Inspection) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to the IBL process including information on KLORA’s and AQAA’s. The visit took place over the course of one day and was carried out by one inspector. During the visit we (The Commission) spent time touring the building, speaking to people living in the home, speaking to staff, manager and registered provider and reviewing documentation. What the service does well: The home provides a welcoming and relaxed atmosphere and has been decorated and furnished in a homely manner. Bedrooms are individualised with people’s own possessions. People living at the home are provided with a varied diet that offers choice and is well presented. Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 6 People are supported by a caring staff group, and people living in the home spoke highly of them. The home benefits from a regular input from the Registered Provider. Family and friends are welcome to visit and can do so at any reasonable time. 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. Montagu Court Rest Home DS0000047079.V367599.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 Montagu Court Rest Home DS0000047079.V367599.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, 2, 3, 5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose and Service User Guide are comprehensive and provide prospective service users with the information they need to make an informed choice about moving into the home. People benefit from an assessment process that ensures objectives and outcomes are promoted. EVIDENCE: There is a Statement of Purpose and Service Users Guide in place and these had been updated on 7 July 2008. Both documents were informative and detailed and gave comprehensive information about the services that prospective resident’s can expect from the service. Staff will go through the information in the documents if requested. The most recent inspection reports are available for people to view. Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 9 All people are issued with a contract and statement of terms and conditions and a residence contract and this identifies the fees payable and the number of the bedroom occupied, so protecting people’s rights to residency. We looked at the pre-assessment process for three people living in the home. At our last visit a requirement had been made with regards to this. This has been met with pre-assessments now being more in-depth and identifying the individual needs of the person. The manager stated that people are only admitted following a full needs assessment and if they are confident that they can meet individual needs. We saw evidence of appropriate information obtained from referring authorities. People are given the opportunity to visit the home prior to moving in and conversations with people currently living in the home confirmed this. The home does not provide intermediate care, but does offer short-term respite care. Montagu Court Rest Home DS0000047079.V367599.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. People have their health, personal and social care needs set out in an individual plan. Clearer guidelines would further support people. People are protected by the homes policies and procedures on medication but improved record keeping of medication would further safeguard people. Personal and healthcare support is offered in a way that promotes and protects service users’ dignity and privacy in their daily life. EVIDENCE: We looked at three care plans. We saw that they took into account peoples individual preferences and wishes and reflected the daily living tasks that they could carry out for themselves. People are supported to be independent where possible. The care plans, however, were large documents and we saw that there was a lot of information in different parts of the plan and sometimes the Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 11 information was not where you would expect to find it. This meant it was not easy to establish some of the care and support that was needed. There were risk assessments in place, but the information from these did not always give clear guidelines on the action for staff to take or placed in the care plan. A recommendation is being made that risk assessments give clearer detail. A requirement was made at our last visit that care plans should be kept under review. This is now happening with regular reviews taking place and any change in needs identified and incorporated into the care plan. We looked at a selection of weight records for people living in the home, peoples healthcare needs with regards to their nutrition are monitored and people are weighed regularly. There were occasions, however, where there were no recorded outcomes on any action taken if a weight change had been identified. We are recommending that weight records be maintained in a more robust manner. Records and feedback obtained on the day confirmed that residents have access to a range of healthcare services including GP’s district nurses, opticians and dentists. People are supported in going to appointments. The home uses the Monitored Dosage System and has policies and procedures in place for the storage and administration of medication. There is a system for signing medication in and out of the home and sending back returns to the pharmacist. There are safe systems for any controlled drugs. Only staff who are trained administer medication. The manager stated that they would speak to the GP if they identify the need for a medication review. At our visit we identified that some tablets held in boxes did not correspond with the amount that had been recorded as administered on the Medication Administration Record (MAR) sheets in that in three boxes there were two tablets over. We advised the home to investigate this and inform us of the outcomes. The manager has since advised us that the errors were due to incorrect delivery from the pharmacy. A requirement is being made with regards to medication. We spoke to staff about how they promote and support people with maintaining their privacy and dignity and they described how they supported people with this. For example always knocking on someone’s bedroom door before entering and being discreet when helping some to the bathroom. Care plans identified how to respect this and everyone we spoke to who lives in the home all said that staff were respectful. Montagu Court Rest Home DS0000047079.V367599.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 have the opportunity to participate in a suitable programme of activities that takes into account their preferences and choices. Meals are nutritious, balanced and offer a healthy and varied diet for people and served in pleasing surroundings. EVIDENCE: We spoke to eight people and they talked about their experiences of living in the home. Everyone we spoke to made positive comments about the home. Comments included “I like it here, everyone is really friendly” and “the girls are lovely”. People can take part in their preferred activities as they wish. People said that different activities on offer included arts and crafts, bingo, quizzes, film nights and excursions out in the home’s mini-bus. One lady described how they Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 13 would visit local beauty spots and other towns. Another person said, “I am quite happy – I don’t want to do lots”. Entertainers regularly visit the home and in the summer arrangements are made for a garden party. Staff will take people to the local shops and those who are able are supported to go out on their own. One lady we spoke to said that she regularly attends a social club, which she enjoys. There is a hairdresser who visits on a regular basis. The Annual Quality Assurance Assessment (AQAA) stated that that arrangements are made for people to either attend their preferred religious service or for a priest / clergyman to visit the home. People are able to make choices about how they spend their day and the home works flexibly with people to support them with. People confirmed that they could choose to eat where they preferred and get up or go to bed at their preferred times. Family and friends are encouraged to visit and take part in activities. People living in the home commented favourably on the meals. With comments including: “I really enjoy the meals here”. “The food is very good” and “We always have a choice and we can have what we want for breakfast” We observed the lunchtime meal and saw that staff talked to people when they were giving out the meals. The meals were well presented, including meals that needed to be of different consistencies and people who needed a special diet were catered for. Following the main course a dessert trolley is brought round, which people can then choose from. The atmosphere is the dining room was relaxed and happy with people talking to each other. A pianist was playing background music, which people said they enjoyed. The dining room is light and airy and tables were nicely laid and decorated with either flowers or personal items that people had chosen. Montagu Court Rest Home DS0000047079.V367599.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. Complaints and adult protection procedures within the home serve to safeguard the people living in the home. They can be confident that any concerns will be listened to and acted upon. EVIDENCE: There is a complaints procedure in place and this is available to all people living in the home. The Annual Quality Assurance Assessment (AQAA) stated that there had been no complaints in the last 12 months and the manager confirmed this. She confirmed that where people had minor concerns these were dealt with straight away. We observed one person during our visit who had some concerns about his medication, he wanted to speak to the manager who dealt with his issues in a sensitive and supportive manner. Other people we spoke to all confirmed that they were confident about making any complaints to either the manager or the owner (who visit the home on a daily basis). We spoke to three members of staff who all confirmed that had received training in safeguarding adults, and were able to describe what action they would take if they suspected any abuse. The majority of staff have been trained in safeguarding adult procedures. There are policies and procedures in place. Montagu Court Rest Home DS0000047079.V367599.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, 23, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be confident that that the home will provide them with a clean homely environment that has an ongoing refurbishment programme. Individual rooms are personalised and reflect people’s choices. EVIDENCE: The home is a large Victorian style building that is generally well maintained. It is currently undergoing a refurbishment programme, which includes installing en-suites in bedrooms that currently do not have this facility. The kitchen is currently being refurbished and a conservatory area is being planned for the rear of the property, which will extend the lounge areas. There is also ongoing redecoration and refurbishment of communal areas. Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 16 As this is an older style property certain areas of the home are restricted within the confines of its layout. For example the lower lounge area is quite narrow and this means that people cannot have their walking aids such as tripods placed close to hand, as they are a trip hazard. The walking aids are all stored at the end of the lounge area and available for people, but are out of reach. It is recommended that an environmental risk assessment be put into place that gives guidance to staff on making sure that walking aids are made available to people when they need them. Another area of the home that is restricted due to its layout is some of the stairways, doors open practically onto stairs and again it is recommended that an environmental risk assessment is put into place in relation to this so as to reduce the risk of any falls. The home manager has responsibility for the health and safety of the home and started to address this at the time of our visit. The communal areas are generally well maintained, in particular the dining area, which had many homely furnishings, and decorations that made it attractive and welcoming. The dining area is also air-conditioned. There is access to a garden area both at the rear and the front of the property. Individual bedrooms are well decorated and personalised with people’s own belongings. One person told us “I really like my room and I can have all my own things with me”. One bedroom had two doors including one that opened directly onto the en-suite and this did not have a lock, in order to protect privacy consideration should be made to looking at how to make this door secure. All bedrooms have lockable storage space for valuables. Some of the bedrooms on the upper floors are not suitable for people, who are less mobile, but the manager recognises this and it is stated in the terms and conditions of contract and is part of the assessment process when admitting new people into the home. There is a lift to the upper floors and there is a separate hairdressing room. At the last inspection there had been a requirement made in relation to infection control in the laundry area – this has been resolved and therefore this requirement has been met. The laundry has equipment to meet standards and overall the home was clean. The AQAA confirmed that there are systems and procedures in place for infection control and that six members of staff have now been trained in this area. Montagu Court Rest Home DS0000047079.V367599.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. People can be confident that a competent and caring staff team meets their needs. However, their care could be compromised where staff are not fully up to date with mandatory training needs. People are protected by the home’s recruitment procedures. EVIDENCE: We viewed the staff rota, spoke to staff and residents this all confirmed that there are sufficient numbers of staff on duty to meet the needs of the people living in the home. Working alongside the care staff there are designated ancillary staff including the chef. There are also designated hours for laundry and domestic duties. The AQAA stated and the manager confirmed at our visit that there is stable staff group with a low turnover of staff. We spoke to people living in the home and they all spoke highly of the staff and said that they found them helpful and friendly. There were some comments that sometimes they had to wait for staff to assist them, but everyone said that they understood people were busy at times. Staff also said that there were some occasions when they felt rushed. Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 18 Observations during the course of our visit showed that staff treated people living in the home with kindness and respect and responded when asked for assistance. We looked at three staff files and reviewed recruitment procedures. All files viewed contained an application form, minimum of two references, proof of identity, Criminal Records Bureau (CRB) check and a Protection of Vulnerable Adults (POVA) first check. We spoke to staff and they all confirmed the recruitment procedures. All new staff employed in the home have induction training and work supervised with senior members of staff on duty and staff we spoke to confirmed that they had done induction training and they felt it covered all the what they needed to know. The induction records for staff, however, did evidence that the documentation for the induction process would benefit from being more in line with the Skills For Care requirements and it is being strongly recommended that this be expanded upon. The AQAA stated that there are seven members of staff who have a National Vocational Qualification (NVQ) level 2 or above in care with a further two members of staff working towards this achievement. This meets with the National Minimum Standards. At the last inspection a requirement was made with regards to a training and development programme and the home has continued with its training programme. However, the AQAA identified that the home has recognised that this is still an area of improvement and that the staff-training programme needs to be continued. We looked at the staff-training matrix and spoke to members of staff. The training matrix identified that the majority of staff had completed training in areas such as movement and handling, adult protection and fire awareness. The majority of staff had not completed other areas of training, however, and this included infection control, first aid and health and safety. The manager confirmed that only members of staff who had taken medication-training courses administer medication. As there are some shortfalls, in that not all staff have received the appropriate training a new requirement is being made with regards to this – and the registered provider needs to make sure that there are enough trained first aiders so that there is always someone on duty with this qualification. Staff we spoke to confirmed that they had undertaken different training courses. There are plans for some specific training courses and this includes Loss and Bereavement and incontinence training. Montagu Court Rest Home DS0000047079.V367599.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, 32, 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. People can be confident that the quality of their care is promoted by the philosophies of the home. The health, safety and welfare of service users and staff are mainly promoted and protected. Additional risk assessments would further safeguard people. EVIDENCE: The Manager has now been in post for just over a year and is registered with us (The Commission). The Manager is qualified, competent and has many years experience in a management capacity. A senior member of care staff Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 20 supports her on a daily basis and the Registered Provider is regularly in the home. During our visit we spent time speaking to both the Registered Manager and Registered Provider and it was apparent that they promote an open culture and that input is welcomed from staff, service users, health care professionals and visitors. The returned AQAA was completed to a satisfactory standard and identified where they felt areas of improvement could be made. The Registered Manager confirmed that she has regular supervision from the Registered Provider and they use these sessions to look at ways at improving the service that they are providing. There is a Home manager who is responsible for the health and safety and maintenance of the home and the AQAA confirmed that all up to date checks had been carried out including those in relation to the most recent Fire Regulations. Accidents and incidents are monitored and records showed that appropriate action (and if appropriate healthcare intervention) is taken. There are quality assurance systems in place and the AQAA confirmed that questionnaires are sent out and that there are monitoring systems in place. They also recognise, however, that they would like to improve on these processes. There are systems in place for people’s individual financial affairs. Montagu Court Rest Home DS0000047079.V367599.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 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 2 2 X X 3 3 X 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 3 3 3 3 X X 3 Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 (2) Requirement Timescale for action 15/09/08 2 OP30 18b (1) (c) (i) “The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home”. The registered person shall 30/11/08 ensure that the persons employed to work at the home receive training appropriate to work they are to perform. In that a training plan is developed for staff who have not received training in mandatory areas are provided with the training 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 OP7 Good Practice Recommendations That there are clearer recorded outcomes of risk assessments. DS0000047079.V367599.R01.S.doc Version 5.2 Page 23 Montagu Court Rest Home 2 3 OP8 OP19 4 OP30 That weight records are maintained in a more robust manner with full recorded outcomes of any action taken following a significant weight change. That environmental risk assessments are carried out in relation to the lower lounge area and where doors open directly onto stairs and procedures put in place to minimise any possible hazards. That the induction training programme for staff is in line with the Skills For Care guidance and there is robust documented evidence to support this. Montagu Court Rest Home DS0000047079.V367599.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Montagu Court Rest Home DS0000047079.V367599.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. 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