Care Home: Radiant Home

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What the care home does well The staff give committed and dedicated care to the residents. ` The home gives home from home care` The home provides a clean, comfortable and welcoming place to live in The home gives the residents good home cooked food and provides choices in what they have to eat. The new deputy manager has had a positive effect on the care given to the residents. `She is first class` What has improved since the last inspection? Care plans have been improved to give better detail of the residents needs, which makes sure that they have the right care for their needs. Residents now have good access to medical services. Medicines are supplied as they are prescribed and their receipt is recorded properly. During the visit to the home the residents` were seen to be given privacy and dignity. The form to record complaints on gives a good description and dates of how and when a complaint is dealt with. Staffing levels are adequate for the current needs of the residents in the home at the moment. Staff training have received updated training and are continuing to receive appropriate training. There are health and safety risk assessments in place. What the care home could do better: The results of the homes quality audit could be included in the Statement of Purpose, which will help prospective residents and their families have a better idea of the care that the home provides. The care plans should be reviewed to make sure that the information about the Residents` needs is the same throughout. This will make sure that the residents have the right care for their needs. The manager should make sure that medicines are given directly from the containers provided by the chemist and not placed in another container. This will make sure that mistakes are not made when giving medicines to the residents. Medicines should not be signed for as given before the resident has taken them, as the staff sign the sheets to confirm that the medicines have been taken. The manager could ask the chemist to supply printed labels on the medicine record sheets, which will reduce the possibility of mistakes being made by hand writing them. There should be alternative storage found for the mops and buckets in the bathroom as they could cause a trip hazard and/or cause cross infection. The staff that are employed in the home should be above the minimum age limit that is allowed to give personal care. The risk of cross infection must be reduced by the use of aprons and gloves particularly when working in the kitchen or laundry in addition to giving care. CARE HOMES FOR OLDER PEOPLE Radiant Home 30 Sextant Road Leicester Leicestershire LE5 2JA Lead Inspector Thea Richards Unannounced Inspection 2nd May 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Radiant Home DS0000006382.V363804.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. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radiant Home Address 30 Sextant Road Leicester Leicestershire LE5 2JA 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) 0116 241 9898 0116 241 0354 derrol@radianthome.co.uk Mrs L Hopewell Mr Derrol Paul Hopewell Mr Derrol Paul Hopewell Care Home 6 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (6) of places Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 6. 11th December 2007 2. Date of last inspection Brief Description of the Service: Radiant Home is a small care home providing personal care and accommodation for six older people with a physical frailty and/or mental confusion. Mr Derrol Hopewell owns the home with his wife and manages it himself. The home is situated on the outskirts of Leicester in a residential area and is easily reached by private and public transport. There is parking available in the road outside the home. The house is a modern house that has been converted to provide the accommodation. There are four single en-suite bedrooms on the ground floor and one double en-suite bedroom located on the first floor, which can be accessed by the stair lift. Radiant Home has a large lounge with a dining area and a quiet room for residents to relax in which has specialised lighting. There is a fresh water fish tank in the lounge for residents to look at. Both lounges face the well- maintained garden at the rear, which has a lawn and is surrounded by mature plants and shrubs. There is seating for residents, which can be accessed by a ramp or steps. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 5 The home can be contacted by telephone, fax or email. The weekly fees range from £386.00 to £435.00pw. The Registered Manager at the inspection provided this information. There are additional costs for hairdressing, dry cleaning, chiropody and toiletries. A Statement of Purpose regarding the services the home offers is displayed in the reception area, with a copy of the last Inspection Report so that this information is accessible to residents and visitors. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 1 Star. This means that the people who use this service experience adequate quality outcomes. This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection), spent six hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the 11th December 2007. The visit took place on the 2nd May 2008 and lasted six hours. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to three of the residents. To achieve this, the residents were spoken with. We spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We looked at the Annual Quality Assurance Audit (AQQA) that the home had sent to us. This describes the services provided at the home for the residents, how the home are hoping to improve services and statistics about the residents and the staff. During the visit we spoke with the registered manager, the staff and the residents. There were no visitors in the home on the day of the visit, but we did receive quality surveys from relatives of the residents. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? Care plans have been improved to give better detail of the residents needs, which makes sure that they have the right care for their needs. Residents now have good access to medical services. Medicines are supplied as they are prescribed and their receipt is recorded properly. During the visit to the home the residents’ were seen to be given privacy and dignity. The form to record complaints on gives a good description and dates of how and when a complaint is dealt with. Staffing levels are adequate for the current needs of the residents in the home at the moment. Staff training have received updated training and are continuing to receive appropriate training. There are health and safety risk assessments in place. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 8 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. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 9 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 Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 10 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, 5, 6. Quality in this outcome area is good. This judgement has been made using the available evidence. The residents’ needs are assessed and agreed with by the resident or their families, a visit is made to the home and the staff are aware of their needs before they move into the home. EVIDENCE: The Statement of Purpose and the last Inspection Report is displayed in the reception area and is available for current and prospective residents and their families so they can judge whether the home is suitable for them. The Statement of Purpose has been revised to include more information regarding the home’s services and includes information regarding pre admission visits to residents. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply, making sure that residents can get the most suitable care. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 11 These can be made available in other formats such as large print to make sure that as many people as possible can understand them. Consideration should be given to including the results of the annual quality questionaire into the statement of purpose, so that prospective residents can read the comments from the residents and their families. This will help them in making a decision about the home. There was evidence of pre –admission assessments having been completed by the Registered Manager available on the residents’ files that we looked at. The home does not offer intermediate care facilities. The staff spoken with said that they knew what the resident’s needs were before they were admitted to the home. There were no visitors in the home on the day of the visit. Information from the surveys received by us from the families of the residents confirmed that they had good information about the home and visited it before their relative was admitted. These practices make sure that that the staff in the home have the the right information before the resident moves in and that they can meet their needs. It also makes sure that the resident meets someone from the home who they can recognise, which makes the move into care easier to manage for them. The home does not offer intermediate care facilities. The current registration certificate from the Commission for Social Care Inspection (CSCI) and up to date details of insurance cover are displayed in the entrance of the home. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 12 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 group is adequate. This judgement is made using the available evidence including a visit to the service. The staff meet the care needs of the residents as identified in the care plans with privacy, dignity and respect. Medication practices could put the residents at risk. EVIDENCE: The care plans for the ‘case tracked’ residents were found to contain good individual evidence of care, which reflects the care being given to the residents. There were risk assessments in place where risks to the residents have been identified. One of the care plans looked at had different information in the initial assessment than that in the care plan. This was shown to the manager who said that the deputy manger will review the care plan and update it. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 13 There are records of visits by professional staff, such as Doctors, district nurses and chiropodist. This shows that the residents are having the right medical care given to them. There are records of the residents’ weight, which makes sure that they are not losing or gaining large amounts of weight. There is a full record in each care plan to show what activities each resident takes part in. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. Staff spoken with were aware of the residents care needs. There were no families visiting on the day of the visit, however surveys that had been returned to us expressed satisfaction with the care at the home and confirmed that they had been involved in the care. The residents spoken with all have dementia, but we were able to speak with them well enough to confirm that they felt that they were looked after well. We spoke with all five of the residents in the home. There is documented evidence of the review of the care plans involving the residents’ families, this was confirmed by the surveys. The residents spoken with were not able to tell us that they had taken part in the review because of their confusion. We saw staff using a hoist to move a resident, this was done correctly with the staff speaking with her and reassuring her throughout the procedure. The staff were seen to be sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. When the staff were giving care and speaking with the residents they were seen to be doing so with dignity and respect. The residents spoken with were happy with the way staff treated them and said that they were very kind. A comment from a resident was: ‘The staff look after me well’. Medication records were correct and the staff spoken with were fully aware of the process for the ordering, receipt, administration, storage and disposal of the medicines. However, when administering medicines a member of staff was predispensing the medicines, without using a spoon, into another box for each resident. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 14 She was also seen to be signing the MAR sheets in the office before she gave the medicines to the residents. She did make sure that the residents took the medication. An immediate requirement was made and the manager was seen to be instructing the member of staff to change her methods. The staff who give the medicines have all had training to do so, this was confirmed by the staff spoken with, the manager and by the records seen. The manager told us that they would all be updated in medicine management. There were no controlled drugs on site. The deputy manager audits the medicines regularly and documents the outcome. There is a policy in place for self -medicating, but there are no residents selfmedicating at present. There were no photographs of the residents on the care plans or on the medicine sheets. This was shown to the manager who had photos put on them before the end of the visit. This practice makes sure that the resident is easily identified, particularly those with some confusion. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 15 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 group is good. This judgement is made using available evidence including a visit to the service. Residents have their social, spiritual and nutritional needs met. EVIDENCE: The staff were seen to be spending individual time with the residents. The residents were looking at magazines and later on some were enjoying drawing. The T.V was on in the morning and suitable music was playing later on. We spoke with all the residents who were happy with the level of activities and said that they had enough to do. There were no visitors in the home on the day of the visit, but the families who responded to the survey felt that there were enough activities for the residents to do. The families said that they were always made very welcome in the home. There was evidence in the daily records and in the care plans about the activity that the residents take part in. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 16 The residents spoken with said that the food was good and that they had a choice of what they had. The menus were varied and were discussed with the residents individually. We spent time with the residents at lunch- time. The meal looked plentiful and well presented and the residents were enjoying it. The religious needs of the residents are met individually as requested. A hairdresser visits the home weekly. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 17 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, 18. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. This can be made available in a large print , which makes sure that as many people as possible can read it. There is thorough form for recording complaints, this makes sure that the complaint is recorded and dated to give an accurate record of how and when the complaint was handled and resolved. The residents spoken with and the families who responded to our survey were aware of the policy and were aware of how to complain and who to complain to. They were happy that their concerns would be listened to and acted on. The staff spoken with were aware of how to handle any complaints. No complaints have been received by the home since the previous inspection on 11th December 2007 The Commission for Social Care has received one concern about the home since the last inspection. This was discussed with the manager at the visit and Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 18 he recognized that the issue could have been handled differently, although the concern had not previously been brought to his notice. All the staff spoken with were aware of Safeguarding and whistle blowing and said that they had had training in these areas. This was confirmed by the manager and by the records seen. They would report it to the senior carers or the manager and were aware of who to go to if there was no response. They were confident that the manager or the deputy would handle a situation properly. These practices make sure that the residents are safe from any abuse and that any concerns are handled correctly. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 19 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, 23, 24, 26. Quality in this outcome group is adequate This judgement has been made using available evidence including a visit to the service. The residents are not always protected by the policies and procedures in the home to provide a safe environment. EVIDENCE: Radiant Home is a modern converted house with four single bedrooms on the ground floor and a shared bedroom on the first floor that can be accessed by the stairs or a stair lift. The home was clean and welcoming on our arrival. The lounge/ dining room was bright and well decorated. There is a small lounge with relaxing lighting. Consideration could be made to provide more comfortable seating for the residents in this room. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 20 The bedrooms seen were pleasant rooms that had been personalised for the residents. Some of the bedrooms could be improved by redecoration. The manager told us that the home was to have some new carpets fitted. The residents spoken with were happy with their rooms and said that they could bring their own things in. The kitchen was clean but dated with wooden kitchen units. The manager told us that there were plans to re-fit the kitchen with stainless steel. There were mops and buckets in the shower room that could cause a trip hazard for the residents and the staff and does give a risk of cross infection for the residents. This was noted at the previous inspection and the manager, as on this visit said that he was going to buy a cupboard to put them in. The outside garden is pleasant and has a patio area that is accessible for the residents. There is a small wall that could cause a fall hazard for the residents, but the manager told us that the residents are not in the garden on their own and do not go into that part of the garden. The residents and the families who responded to the survey were happy with the cleanliness of the home. The care staff in the home do the cleaning and cooking duties in addition to their care duties. They have had training in health and safety and have a basic food hygiene certificate. The records kept, the staff spoken with and the manager confirmed that training had been completed. The records of hot water temperatures were up to date. The records for fire alarm testing and fire drills were up to date. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 21 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 group is good. This judgement is made using the available evidence including a visit to the service. The residents’ needs are met and the recruitment policy and the training protect their safety. EVIDENCE: The duty rota reflected the number of staff on duty. The residents, staff and families spoken with felt that there were enough numbers of staff on duty to look after their needs. We looked at three staff files and the required information was complete in two of them. This included evidence of identification, adequately completed application forms, two written references, a Criminal Records Bureau (CRB) check and a Protection of Vulnerable Adults check. One had a reference missing, the manager told us that she would make sure that one was obtained. This was obtained and sent to the Commission for Social Care Inspection within two days of the visit. A proposed new member of staff was found to be under the minimum age limit that is allowed to give personal care. The manager said that they would not employ him until he reached the correct age. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 22 The manager makes sure that all the required documentation is in place before an employee starts work. This was confirmed by the staff spoken with who told us that they could not start until they had all the paperwork in place. There was evidence of staff training including induction and the staff spoken with confirmed that they had received recent training in moving and handling. Training in the protection of vulnerable adults, basic food hygiene and health and safety had also been given. The residents and the families who responded to our survey felt that the staff were well trained to do their job. All of the staff either hold a National Vocational Qualification (NVQ) at least at level 2 or are in the process of completing it. The National Vocational Qualification is a qualification for care staff to make sure that they receive training in the needs of the resident group whom they are caring for. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 23 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, 36, 38. Quality in this outcome group is adequate. This judgement has been made using available evidence including a visit to the service. The residents live in a home, which provides for their needs, with suitable staff training, but with some safety systems not complied with. EVIDENCE: The registered manager has worked in the home for several years and owns the home with his wife. The deputy manager has been appointed recently and the owners are proposing that she will apply to be the registered manager when she has gained experience in the home. The surveys received from residents and families commented on the appointment as being a positive move with a comment received: Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 24 ‘ She is first class’ The residents are seen regularly on an individual basis, as are the families and there is an annual quality questionnaire for residents and their families. The quality audit was seen and the families who responded to our survey confirmed this. The health and safety records were found to up to date. When the staff were undertaking care work and work in the kitchen or the laundry they were seen to be moving from task to task without protecting their uniforms with an apron. This will give a risk of cross infection for the staff and the residents. The medication practices and the risk of cross infection in the home could put the residents at risk. The staff in the home do not have any involvement in the residents finances and there are no residents’ accounts. There was evidence in the records and from staff spoken with that regular staff supervision is taking place at the correct frequency. There are regular staff meetings held, confirmed by records held and by the staff. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 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 1 X X X 3 3 X X STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 1 Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 26 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 The manager should make sure that medicines are given directly from the containers provided by the chemist and not placed in another container. The manager should make sure that medicines are not signed for as given before the resident has taken them. The manager should make sure that the mops and buckets stored in the bathroom are removed to avoid a trip hazard and the risk of cross infection. The manager should make sure that the residents are protected from cross infection by the staff moving unprotected from task to task. Timescale for action 02/05/08 2. OP9 13(2) 02/05/08 3. OP19 13(4)(c) 02/06/08 4. OP38 13(3) 16/05/08 Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP1 OP7 OP9 OP29 Good Practice Recommendations The registered provider could consider putting the results of the annual quality audit into the Statement of Purpose. The manager should make sure that the care plans contain the same information about the residents needs throughout the document. The manager could request that the chemist supplies the home with printed medicine instructions on the medicine sheets. The manager should make sure that all staff employed are above the minimum age required to give personal care. Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 28 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 Radiant Home DS0000006382.V363804.R01.S.doc Version 5.2 Page 29 - 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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