Care Home: Rowans Care Centre

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What the care home does well Staff are well regarded by people living in the home. One person living in the home said, "staff very pleasant, very nice, can`t grumble." Staff enjoy working at Rowans Care Centre, one staff member saying, "there`s a good atmosphere." People have their physical and mental health needs assessed before moving into the home so they know their needs can be met at the home. People living in the home receive advice and support from a number of health care professionals in a prompt manner so that any additional care needs they may have are quickly met. Medication is well managed so people receive the medication they need in a safe way.There are one to one and group activities available on three days a week so people who live at the home have the opportunity for social interaction and stimulation. The standard of catering is good and people living in the home are offered choice so they can have a healthy diet with food they prefer. The home ensures that all staff are thoroughly vetted before they start work in the home so people living in the home know they are protected from possible harm. Rowans Care Centre is comfortable, well maintained and safe so people living in the home can enjoy a pleasant living environment. The home is well managed and there are good systems in place to find out whether the home is performing well and providing a good service to make sure that it is run in the best interests of the people who live there. What has improved since the last inspection? The overall management of the home has improved so people enjoy better standards of care. All people living in the home have a care plan, which describes how their needs in respect of their health and welfare are to be met. This makes sure that the people who live in the home get the care they need. Care plans and risk assessments are kept under review so that people`s changing needs are recorded. This means the care plans show that actions have been taken to make sure that people`s needs are being met appropriately. The management of medicines in the home has improved so that people receive their medicines safely, as prescribed. All necessary recruitment documentation and security (POVA/CRB) checks have been obtained to make sure employees are suitable to work with the people who live at the home. Fire doors are not wedged open when no staff members are present so that people in the home are protected in case there is a fire in the home. There is an up to date fire risk assessment for the home, which shows the actions that will be taken to protect people living in, working and visiting the home. Portable electrical appliances have been tested so that people in the home are protected from any electrical faults from this equipment. CARE HOMES FOR OLDER PEOPLE Rowans Care Centre Merriden Road Macclesfield Cheshire SK10 3AN Lead Inspector June Shimmin Key Unannounced Inspection 28 July 2008 09:20 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 Rowans Care Centre DS0000069626.V366153.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. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowans Care Centre Address Merriden Road Macclesfield Cheshire SK10 3AN 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) 01625 422284 01625 427000 rowans@canterbury-care.com Canterbury Care Homes Ltd Care Home 30 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (30), Physical disability (10) of places Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing: Code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP (maximum number of places: 30). Physical disability: Code PD (maximum number of places: 10). Dementia: Code DE (maximum number of places: 5). The maximum number of people who can be accommodated is: 30. Date of last inspection 13 December 2007 Brief Description of the Service: The Rowans Care Centre is in a residential area on the outskirts of Macclesfield town centre. It is run by Canterbury Care Homes Limited, which took over as the new owner in June 2007. There are local shops within walking distance of the home and a wider range of facilities in the centre of Macclesfield. The home is on a bus route. The home has two floors with a passenger lift and three staircases between them. The central core of the home has 8 single rooms and one shared room. There are two separate lounges on the first floor and a dining room on the ground floor. There are two wings to the home, each with ten single bedrooms and a lounge. There is wheelchair access to all parts of the home and a variety of aids and adaptations around the building so that the people who live in the home can move about as independently as possible. There are open gardens to the front and rear of the building. The current weekly fees range from £518.86 to £799. regarding fees are available from the manager. Further details Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is one star. This means that the people who use the service experience adequate quality outcomes. An unannounced visit to the home was carried out on 28 July 2008 by one inspector. The visit lasted six and a half hours. Before the visit the manager was asked to provide information about the home as part of this inspection process. CSCI questionnaires were also sent out to staff to find out their views. Relatives were given comment cards to complete during the inspection. Other information received since the last key inspection was also reviewed. A short inspection was carried out on 15 April 2008 to follow up requirements made at our previous big inspection. At the short inspection we found that many improvements had been made at the home and all but one of the requirements we made at our last big inspection were met. During the visit, various records and the premises were looked at. We talked with five people living in the home and gained their views about the care and services that are provided. We spoke with four staff members. Their views are incorporated into the findings of this report. We told the manager about the findings of at the end of our visit to the home. What the service does well: Staff are well regarded by people living in the home. One person living in the home said, “staff very pleasant, very nice, can’t grumble.” Staff enjoy working at Rowans Care Centre, one staff member saying, “there’s a good atmosphere.” People have their physical and mental health needs assessed before moving into the home so they know their needs can be met at the home. People living in the home receive advice and support from a number of health care professionals in a prompt manner so that any additional care needs they may have are quickly met. Medication is well managed so people receive the medication they need in a safe way. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 6 There are one to one and group activities available on three days a week so people who live at the home have the opportunity for social interaction and stimulation. The standard of catering is good and people living in the home are offered choice so they can have a healthy diet with food they prefer. The home ensures that all staff are thoroughly vetted before they start work in the home so people living in the home know they are protected from possible harm. Rowans Care Centre is comfortable, well maintained and safe so people living in the home can enjoy a pleasant living environment. The home is well managed and there are good systems in place to find out whether the home is performing well and providing a good service to make sure that it is run in the best interests of the people who live there. What has improved since the last inspection? The overall management of the home has improved so people enjoy better standards of care. All people living in the home have a care plan, which describes how their needs in respect of their health and welfare are to be met. This makes sure that the people who live in the home get the care they need. Care plans and risk assessments are kept under review so that people’s changing needs are recorded. This means the care plans show that actions have been taken to make sure that people’s needs are being met appropriately. The management of medicines in the home has improved so that people receive their medicines safely, as prescribed. All necessary recruitment documentation and security (POVA/CRB) checks have been obtained to make sure employees are suitable to work with the people who live at the home. Fire doors are not wedged open when no staff members are present so that people in the home are protected in case there is a fire in the home. There is an up to date fire risk assessment for the home, which shows the actions that will be taken to protect people living in, working and visiting the home. Portable electrical appliances have been tested so that people in the home are protected from any electrical faults from this equipment. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 7 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. Rowans Care Centre DS0000069626.V366153.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 Rowans Care Centre DS0000069626.V366153.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): 3 and 6 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People considering moving into Rowans Care Centre have their needs assessed before they move in so they can be confident that their needs can be met at the home. EVIDENCE: The assessments of two people who recently moved into Rowans Care Centre were seen. The manager said that she carries out these assessments and is usually given additional information from a social worker or health professional about the person’s needs. This helps her decide if the person’s needs can be met at the home. The content of both assessments included information about the person’s physical and mental health needs as well as details of any risks to which the person might be susceptible so that a care plan could be drawn up. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 10 The assessments did not have much information about the person’s family, former work or leisure interests so that staff might find it difficult to communicate meaningfully with the person and would not be able to provide care that was person centred. For instance, one assessment stated that the person enjoyed television but did not say what programmes the person liked to watch so they might not be able to watch the programmes they preferred. Intermediate care is not provided at Rowans Care Centre so standard 6 does not apply. Rowans Care Centre DS0000069626.V366153.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 and 10 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health and personal care needs of people living in the home are met and their privacy and dignity respected so they receive good care. EVIDENCE: The care plans of two people were seen, one of whom had moved into Rowans Care Centre three days before our visit. The care plan and risk assessments were only partially completed so that staff would not be fully aware of the actions to be taken to reduce risks and meet the person’s care needs. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 12 The second care plan was of a good standard and included relevant risk assessments. The care plan had been reviewed monthly so that the person’s changing needs were recorded and staff would know what to do to meet those needs. The care plans were pre printed and an attempt had been made to individualise them by writing in the person’s name. However, many of the actions on these care plans were non-specific so it would be difficult for staff to provide person centred care. For instance one care plan stated ‘complete a detailed social assessment’ but there was none provided. Also it said, ‘engage X in conversation regarding likes/dislikes’ but as communication with this person was difficult it would be impossible to know what these were unless there had been communication with the family about this when the person moved into the home. Another care plan said that the person should use the nurse call bell to summon assistance although the manager said the person would not be able to use it. Records indicated that the home made contact with various health care professionals such as optician, chiropodist and dietician when needed to make sure that people’s other health care needs were met. A GP from a local nursing home scheme visited the home regularly to review the needs of people living in the home. The medication records for the month before our visit were seen. These were generally of a good standard with only a few gaps where staff had forgotten to sign the medication administration record. It was noted that the temperature in the ground floor medication room was slightly higher than it should be and advice was given to the manager about this. People living in the home said that staff were ‘alright’ and knocked on their doors before entering. During the inspection staff were observed interacting with people in the home in a friendly, courteous and sensitive manner. Rowans Care Centre DS0000069626.V366153.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 and 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Rowans Care Centre provides a range of activities that people living in the home can choose to join so they are not socially isolated. The standard of catering is good, offering variety, so people are well nourished. EVIDENCE: Rowans Care Centre employs a person to provide activities for six hours on three days of the week. The person responsible for this was in the home during our visit. We observed them playing a game of skittles with a group of people living in the home and several relatives. The people taking part appeared to be enjoying the game and the sunshine. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 14 Other people in the home preferred to stay in their own room and watch television, so that they could express choice about how they spent their day. The person in charge of activities kept notes about the various activities but these were not linked to care plans for social isolation so it was difficult to know whether the social care needs of all people were being met. Also there was little information about the previous interests of people before they moved into the home so it would be unclear if staff were aware about people’s differing interests and social needs. The person responsible for activities also said that she had one to one sessions with people in the morning and this usually consisted of chats and reminiscing about the past so those people who preferred not to join group activities could have the opportunity to talk to someone. This is important for people who are confined to their bed for any length of time and who may receive few visitors. One relative however felt that there should be more “activities for residents” and “more mental stimulation for those that need it”. Relatives appeared to be welcome in the home and could visit people in their own room or one of the lounges. During our visit we saw people who live in the home being offered hot and cold drinks. The main meal of the day is served at lunch and there was a choice of main meal and dessert. The food appeared appetising and well prepared. One relative said, “every effort is made to make the meals suitable for each resident, eg pureeing when necessary”. People who need help to eat were supported in a sensitive manner and there were enough staff in the dining room to make sure that everybody who needed it could be helped. Before the meal a carer was heard asking people what they wanted for the main course and during the afternoon the cook went round asking people what they would like for the evening meal so people were clearly given choices. Rowans Care Centre DS0000069626.V366153.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 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home has policies, procedures and staff training in complaints and safeguarding adults but limited training in safeguarding adults means that staff may be unaware of their responsibilities and what to do to protect people from abuse. EVIDENCE: Rowans Care Centre has a complaints procedure which is displayed near the entrance to the home so people are aware of their rights and know who to speak to if they have any concerns. Complaints made over the last six months were seen; these had been investigated by the manager and letters sent to the complainants. However, it appeared that one of the main issues raised by several complainants had still not been resolved, namely the cleanliness of the home. Rowans Care Centre has a policy and procedure on safeguarding adults and whistle blowing. The manager said that four staff have undertaken training in this subject and that further training was planned for the following month. As the home did not have an up to date training record it was difficult to tell how many staff had undertaken training in this subject. Also two staff interviewed during the site visit, one of whom was a nurse, had not done this training and were unsure about the correct procedure to follow. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 16 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 and 26 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Various improvements to the home have made it a more pleasant environment for people living there although standards of cleanliness need improving so the environment is pleasant and hygienic. EVIDENCE: Since the last key inspection a great number of improvements have been made to the internal environment of the home. These include: new flooring to the dining room; new dining room furniture; new carpeting downstairs in corridors, lounge and smoking room; redecoration of two lounges with a further lounge being redecorated currently; all bedroom doors have been repainted in primary colours with individual names and door knockers on every door. In addition specialist mattresses and beds have been purchased, which are more comfortable for people and help prevent people developing pressure ulcers. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 17 The kitchen floor has been replaced and a new fridge and cooker bought. Some of the windows have been replaced and eventually all will be replaced, improving the environment even more for people living there. These represent some of the major improvements to the home but do not include all changes. During a tour of the building it was noticed that although there were no smells, carpets needed vacuuming and there was food debris on the dining room floor from the previous day. The manager said this was due to staff sickness and that no one had been found to cover the shifts. Three people had made complaints about the cleanliness of the home in the last few months and it appeared that their concerns had not been addressed. The home has relevant infection control policies and procedures and it was clear that staff were following these. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 18 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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Recruitment practices are thorough so people living in the home are safe although staffing levels need reviewing and further staff training is needed to make sure that all staff have up to date knowledge to carry out their jobs. EVIDENCE: Records of the recruitment of two new staff were seen. All necessary documentation was in place including a POVA first. This is a preliminary security check from the Criminal Records Bureau (CRB), indicating that the person can start work under supervision pending confirmation of a full security check. This means that people living in the home are protected from people who are unsuitable to work with the people who live in the home. There were enough care staff in the home at the time of our visit to make sure that people’s needs were met. However, several ancillary staff were sick and the home was trying to cover these hours by asking care staff to do extra shifts. One staff member wrote to the CSCI about inadequate staffing levels on seven dates between April and May this year during the change from one manager to another. The new manager confirmed that she is able to use agency staff when necessary to cover care staff shortages. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 19 The manager did not have an up to date training chart so it was difficult to establish what training staff had done. The manager thought that three of the fourteen carers had achieved NVQ Level 2 in care or equivalent. The certificate for one staff member was seen and another told us that she was working towards the award. Rowans Care Centre is registered to provide care for up to five people with dementia but neither staff member we spoke with during our visit had undertaken training on this subject so may not be fully able to meet the needs of someone with dementia. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 20 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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There has been a recent change of manager for the home and it is well managed so that it is run in the best interests of the people living there. EVIDENCE: The new manager has been in post for just over two months but has moved from another Canterbury Care home where she was manager for many years. The new manager is also familiar with Rowans Care Centre and is therefore in a good position to take on the management role and to provide continuity. She is a first level registered nurse and has achieved the Registered Manager’s award. In addition, she has attained a diploma in Palliative Care and a certificate in dementia care so that she has further knowledge about the needs of people for whom she is caring. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 21 The new manager is well liked and respected by staff. One staff member said, “the management is good”. The manager said that she is intending to apply to become the registered with the commission as manager of Rowans Care Centre, as required by the Care Standards Act 2000. The owners of the home and the manager use various methods to check whether the home is providing a good service. A representative of the company that runs the home visits every month and provides a written report to the manager about aspects of the management of the home. A copy is available in the home for the CSCI to look at. Since the new manager has started work at the home she has held a number of meetings for people living there, relatives and staff to tell them about changes and to hear their views about how the home is run. The manager also holds a “surgery” on Thursday evenings for relatives to come and talk with her but has had little response to date. Although the manager usually informs the CSCI of events that the home must tell us about, there have been several instances when this information has not been passed on. The manager has conducted several audits since starting at the home such as looking at care plans and accidents so she is aware of any actions she may need to take to improve standards. The home uses a safe system for the management of small sums of money kept by the home on behalf of people living there so they know their money is safe. The home is well maintained and any issues brought to the manager’s attention are dealt with promptly. Several issues relating to the nurse call system, smoke detectors and the gas boiler were outstanding but the manager was urgently chasing these matters up. Records were seen that showed that fire protection equipment is checked and serviced regularly. The manager said that staff undertake regular training sessions and fire drills so they know what to do if there is a fire. However, these records were again not fully up to date. A contractor has recently reviewed the fire risk assessment for the home and the manager said that the actions highlighted in the report were being addressed so that people in the home were safe. Although the staff training chart was not up to date the manager said that two training sessions had been arranged for moving and handling in the near future so that all staff would undertake refresher training. Also the cook had done an advanced food hygiene course so she was knowledgeable in food safety issues. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 22 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 23 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 OP18 Regulation 13(6) Timescale for action All staff must undertake training 28/10/08 in safeguarding adults so they know what to do to protect people living at the home if they suspect someone is being abused. Suitable arrangements must be 28/10/08 made to ensure that the home is kept clean and tidy at all times and to protect people in the home from possible infection. Requirement 2 OP26 13(3) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP3 Good Practice Recommendations Information should be obtained about each person’s social, leisure, religious and cultural needs when they move into the home so that person centred care can be provided to meet the person’s needs. This should include details of the person’s preferences and likes/dislikes. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 24 2 3 4 5 6 7 OP7 OP16 OP27 OP28 OP30 OP30 8 9 OP31 OP38 10 OP38 Care plans and risk assessments should be completed as soon as possible after people move into the home to make sure staff know what to do to meet their needs. Issues raised in complaints should be dealt with fully so that people know their concerns are being listened to and actions taken to meet any shortfalls. The staffing levels should be sufficient so the care needs of the people living in the home can be met at all times. A minimum ratio of 50 of care staff should achieve NVQ2 so that they have the knowledge and skills to perform their role competently. All staff providing care for people with dementia should undertake training in this subject so that they know how to meet the needs of people with dementia. Accurate training records should be kept so that the manager is aware of what training each member of staff has undertaken and what refresher and update training is due. The manager should submit a valid application to become the registered with the commission as manager of the home as soon as possible to meet legal requirements. All staff involved in moving and handling should undertake an annual refresher course in this subject so that they are competent in up to date safe techniques for moving people. The manager should make sure that all CSCI is notified of all significant events in the home that are identified under Regulation 37 of the Care Homes Regulations 2001. Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region Unit 1, Level 3 Tustin Court Port Way Preston PR2 2YQ 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 Rowans Care Centre DS0000069626.V366153.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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