Care Home: Shawcross Care Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The manager makes sure that the staff only care for those people whose needs they can meet. Relatives feel that the residents are well looked after and they made the following comments: "Time is given to talk with residents". "They give the residents a caring, warm and friendly atmosphere to live in". "We have the A Team on today". The meals provided are varied and nutritious and the residents have a good choice of menu. In order to protect the residents from harm, management make sure that they check people out properly and safely before offering them a job. Management are good at checking out the quality of care and the services provided for the residents. What has improved since the last inspection? A new form for assessing prospective residents has been introduced. This assessment form is very detailed and gives a clear picture of what care a resident may need. A very experienced manager has recently been appointed. A training programme has been developed to ensure that all staff receive the correct training. Adequate training is required for all staff so that they are suitably trained and competent to do their jobs and do not put the residents at risk of harm. New carpeting has been provided in the lounge and corridors of the Dementia Unit. CARE HOMES FOR OLDER PEOPLE Shawcross Care Home Bolton Road Ashton-in-Makerfield Wigan Lancashire WN4 8TU Lead Inspector Grace Tarney Unannounced Inspection 09:30 28th May 2008 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shawcross Care Home DS0000068317.V362976.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. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shawcross Care Home Address Bolton Road Ashton-in-Makerfield Wigan Lancashire WN4 8TU 01942 276628 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) shawcross@fshc.co.uk Tameng Care Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Lesley Wilson Care Home 50 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (26) of places Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 50 service users to include: up to service users in the category of OP (Older People) (including 3 non-nursing places) up to 24 service users in the category of DE (E) Dementia over 65 years) for residential care only The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 2. Date of last inspection Brief Description of the Service: Shawcross is a purpose-built care home providing care for 24 elderly people with dementia and 26 elderly people who require residential or nursing care. The home is located in Ashton-In-Makerfield and is close to shops, churches, and local social clubs. Main bus routes are nearby. The nursing and dementia care units are both split into two smaller units situated on the ground and first floors. Lounge and dining areas are situated on each floor. All bedrooms are single with en-suite toilet facilities. The provider informed us that the fees within the home ranged from £346 52 to £515 per week. The fees charged depend on the needs of the residents, whether they pay privately for their care, or whether they receive the free nursing care top up. Additional charges are made for private chiropody, hairdressing and newspapers. This information was received on the 5th June 2008. A copy of the most recent Commission for Social Care (CSCI) inspection report is displayed in the reception area. Shawcross Care Home DS0000068317.V362976.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 stars. This means the people who use this service experience good quality outcomes. The home was not told that this inspection was to take place although many weeks before the inspection, questionnaires (comment cards) were sent out to the residents, their relatives and the staff. The questionnaires asked what people thought about the care and quality of the service provided. 4 were received from relatives and 3 from staff. What they felt about the care and services provided is written in different sections throughout this report. Also before the inspection we (The Commission) asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way we do. We spent 8 hours at the home, concentrating mainly on the Nursing Unit, and during this time we examined care records and medicine records to make sure that the health and care needs of the residents were being met. We also looked around the Nursing Unit at some of the bedrooms, bathrooms, toilets and sitting areas to check if they were clean, warm and well decorated. We also looked at the menus and looked at what the residents had for their breakfast, lunch and evening meal. We also checked how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. We also looked at how management check that the care and services that they provide is what the residents and their relatives want, or expect. How the home manages the residents’ spending money was also looked at. In order to get further information about the home we also spent time speaking to 2 residents, 2 visitors, 3 care staff, the cook and the administrator. What the service does well: The manager makes sure that the staff only care for those people whose needs they can meet. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 6 Relatives feel that the residents are well looked after and they made the following comments: “Time is given to talk with residents”. “They give the residents a caring, warm and friendly atmosphere to live in”. “We have the A Team on today”. The meals provided are varied and nutritious and the residents have a good choice of menu. In order to protect the residents from harm, management make sure that they check people out properly and safely before offering them a job. Management are good at checking out the quality of care and the services provided for the residents. 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 Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Shawcross Care Home DS0000068317.V362976.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 Shawcross Care Home DS0000068317.V362976.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody that a person is only admitted if the staff can meet their needs. EVIDENCE: Before any resident was admitted to the home a senior member of staff from the home undertook an assessment of their needs. The assessment looks at what help and support the prospective resident needs in all aspects of daily life. Management have recently introduced a new detailed assessment document that is used for assessments before admission to the home and then a further in depth assessment when they are admitted. The 2 assessments looked at were detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. Standard 6 does not apply. The home does not provide Intermediate Care. Shawcross Care Home DS0000068317.V362976.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 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents care needs are met safely but the care plans are not as up to date as they should be. EVIDENCE: Individual care plans were in place for each resident. The care plans of 2 of the residents on the Nursing Unit were looked at. The care plans provided information about how the residents’ needs were to be met. The care plan of one of the residents showed that she had a lot of nursing needs. This resident had a pressure sore. There was a good plan of care for the treatment of the pressure sore and a good plan of care to prevent any further deterioration. The staff had also involved the services of a nurse who specialises in the care of pressure sores and wound care. It was not clear in the care plan however whether the pressure sore had been redressed as often as it was supposed to be. Looking through the daily reports Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 11 we saw that it had been but the staff had been writing the information there and not on the review/evaluation section of the care plan. We discussed this with senior management who agreed that it should be written on the review section of the care plan. This makes it much easier to see the progress or otherwise of the pressure sore. We visited this resident in her bedroom. She looked well cared for and all the correct type of equipment was in place to ensure that her needs were met. The care plan of another resident was not as up to date as it should have been. Whilst the staff looked at whether or not there was any risk in relation to this resident developing pressure sores, despite being at risk, it had not been reviewed for 2 months. Staff had looked at whether this resident was at risk with diet and fluid intake but this had not been updated since August 2007. The assessment for how this resident was to be assisted with being moved around and by how many members of staff was not dated and not signed. If a risk assessment is undated it is difficult to know if the information within it is still relevant. There was a good care plan in place for one of the identified needs but it did not give enough detail about how the care staff were to deal with something that happened on a daily basis with regards to the residents’ toilet needs. The care plans detailed the religious and cultural needs of the residents. At the time of the inspection there were no residents of any ethnic minority. Neither were there any residents who required special diets to meet their religious or cultural needs. The following were some of the comments made: “They ensure the comfort and cleanliness of my mother and generally treat her with the dignity she deserves”. “They care with kindness”. “They are all very pleasant”. We looked at how the medicines were managed on the Nursing Unit. Overall a safe system of medicine management was in place. Medicines were stored securely and only trained nurses were responsible for the management of the medicines. Controlled Drugs were safely stored and accurately recorded. The following however needed putting right: • One resident was prescribed a medicine that was to be given 1 or 2 at night. This medicine was being given first thing in the morning. Whilst this medicine would not cause any harm by being given in the morning it is essential that medicines are given as prescribed. If either the staff or the resident feel that it is more beneficial to be given in the morning then Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 12 they must consult with the residents GP to have the prescription changed. • There were inconsistencies with regards to the recording of the when required medications. Some staff left the section for recording whether it had been given or not, blank, whilst other staff filled in a code that stated not required. Whilst either way is acceptable, there needs to be some consistency so that it can be shown that a resident has been asked if they require their medication or not. The temperature of the drugs fridge was not being recorded. To ensure that the medicines are being stored at the correct temperature the temperature should be recorded at least once daily. • Staff were seen speaking to the residents in a quiet and respectful way. Staff confirmed that the importance of ensuring privacy, respect and dignity is part of their initial training. The residents looked clean and comfortable and were suitably dressed. It was of concern however to note that staff were weighing residents in the upstairs lounge. This is not dignified. Senior management told us that the residents should be weighed in their bedrooms or in the bathrooms. They agreed to speak to staff about this. We also saw that some information about the residents’ needs was displayed in the office on the Nursing Unit. Visitors have access to this office and therefore confidentiality could be breached. Senior management agreed to remove the information. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The absence of suitable of activities means the residents lack stimulation and enjoyment in their daily life. Residents are given a choice of well-balanced and nutritional meals. EVIDENCE: The residents’ routines of daily living and their social interests were recorded in their care plans. An activities co-ordinator is employed by the home but works for only 6 hours a week. We were told that very little activities take place and that the care staff undertake activities when they have the time. We saw that the majority of the residents were sleeping for most of the day or watching television. One comment made was: “Wish we could have a bit more stimulation”. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 14 We saw that an hour before lunch some of the residents were sat at the dining tables. We were told that 3 of the residents liked to do this so that they could look out of the window. 1 resident confirmed this when we spoke to him. The staff could not really explain why the other 3 were there except that it was the usual practice. Another explanation was that the residents were being weighed that day in the lounge. We saw relatives coming and going throughout the day and they seemed to know the staff very well. One relative told us that they are always made welcome. One relative told us that he regularly brews up for himself, staff and other visitors. We were told that the residents may handle their own finances if they are able and wish to do so, although most are dealt with by their families. We did not eat with the residents but saw what they were having for lunch on the Nursing Unit. The meal served looked appetising and nutritious and was served from a heated food trolley. Some residents had their meal served on small plates so that they were not “over faced”. 1 resident told us that the food was good and they could always have a second helping. Inspection of the menus and a discussion with the cook showed that there is always a choice of menu at breakfast, lunch and teatime. We were told that a cooked breakfast alternative has recently been introduced and this has gone down well. Any cultural or dietary needs, likes and dislikes were looked at when a resident is first admitted to the home. Shawcross Care Home DS0000068317.V362976.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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel able and know how to complain, and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents. EVIDENCE: A detailed complaints procedure was in place and was displayed in the reception area. It is easy to understand and gives an assurance that complaints will be responded to within 28 days. A record is kept of any complaint made and includes details of the investigation and any action taken. The AQAA document that was sent to us informed that all new residents received a copy of the complaints procedure in their Welcome Pack. 1 complaint has been made to us since the last inspection. This was in relation to the recruitment of a previous staff member. We were satisfied that management had acted properly and the staff member had been safely recruited. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with 2 of the care staff showed that they were aware of the procedure to follow in the event of any allegation of abuse. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 16 The new manager has identified that several staff are still in need of formal training and this has been organised in conjunction with Wigan Social Services Department Training partnership. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 24 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a clean and safe environment. EVIDENCE: For the purpose of this inspection, only the environment on the Nursing Unit was looked at. Accommodation is provided on 2 floors and can be reached either by a lift or stairs. The corridors throughout the home were wide and well lit and there were grab rails in place to help any resident with a mobility problem. Each nursing floor had a lounge and dining area. These were warm, clean and suitably furnished. In addition to each bedroom having an en-suite toilet there were toilets on each floor. They were close by to bedrooms and lounge areas and suitably Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 18 adapted for disabled use. They also had an overriding door lock to ensure privacy. One of the toilets did not have a call bell in place. We were told that this toilet was for staff only. It was not identified as such. To make sure that only staff and visitors use it, it should be signed as such. The bedrooms on the unit were clean and suitably furnished. They had a door lock and a lockable space to store anything that is of value or importance to the resident. We saw that whilst the doors had a key to lock them from the outside the residents were not able to lock their door from the inside. We discussed this issue with the senior management and it was agreed that on admission, a resident would be asked if they would like an overriding safety door lock that could be locked from the inside. One of the bedrooms had several cigarette burns in the carpet and another carpet was badly stained. One relative commented: “The furnishings could do with replacing or upgrading and the bedrooms spring cleaned and decorated”. The radiators throughout the home were suitably covered and we were informed that thermostatic control valves were fitted to baths and showers. This reduces the risk of residents being harmed by protecting them from accidental burning or scalding. The systems for controlling the spread of infection were good. Staff and resident hand washing facilities were in place in toilets, bathrooms and bedrooms. The laundry looked well organised and had enough equipment to provide an efficient laundry service. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Failure to provide adequate dementia care training for the care staff so that they are suitably trained and competent could result in the needs of the residents not being met. EVIDENCE: Inspection of the duty rotas and a discussion with staff and relatives showed that there was enough staff on duty over a 24-hour period to meet the needs of the residents living in the home. On the Nursing Unit 24-hour nursing care continues to be provided by suitably qualified nurses who are supported by trained care assistants. On the Dementia Unit experienced care assistants provide the care and support. The information received from the AQAA document sent to us showed that 56 of the staff had achieved their NVQ level 2 or above in care. This is good progress. We looked at how the management recruit their staff. The personnel files of 3 staff members were inspected. All were in order and these staff had been properly and safely employed. This helps protect residents from being cared for by unsuitable people. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 20 The information received from the AQAA document sent to us showed that management provide a staff induction programme for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. One of the newly employed care assistants told us that that he had been given an induction booklet and he was being supervised and supported through it by 1 of the nurses. The information received from the AQAA document also told us that since the new manager started at the home a detailed training programme has been developed. We also received information showing what training had been done and what had been planned. Management are aware however that there has been no training in dementia care for the staff that work on the Dementia Unit. To ensure that the staff have the right skills and knowledge to care for the residents, this must be put in place. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and well managed. Management continually look at the care and facilities they provide so that the residents’ welfare is protected. EVIDENCE: The recently appointed manager is a very experienced nurse and manager and she holds several management qualifications. Relatives, residents and staff spoke positively of her attitude and knowledge. She is about to be registered with us. 1 relative commented: “The lady in charge is always available and you can go to her at any time”. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 22 A member of staff commented: “I feel now we have a new manager she is listening to our needs”. Information from the AQAA document sent to us and documents looked at in the home showed that management do a monthly check of lots of things in the home. They check to make sure that there are no hazards around the building and also check the records about care, medicines, food and any accidents that have happened. They also send out surveys to residents and relatives asking for their views on the services provided. They also hold resident/relative meetings every 4 months. The manager told us in the AQAA document that she has an Open Door Policy. The systems in place for the management of residents’ money were good. We were told that they only handle money brought in for the residents’ expenses. Receipts were given out and copies retained for all financial transactions. Information received from the AQAA sent to us showed that the homes’ fixtures, fitting and equipment are properly maintained and regularly serviced. We saw that regular weekly checking and testing of fire detection system, fire exits and emergency lights was undertaken and documented. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 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 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 x x 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement To ensure that the needs of the residents are met the care plans and the risk assessments must be up to date. Medicines must be given as prescribed. Bedroom carpets must be kept clean or replaced. Training in dementia care must be provided for care staff so that they have the knowledge and skills they need to protect and meet the needs of the residents. Timescale for action 30/06/08 2 3 4 OP9 OP24 OP30 13(2) 16(2)(c) 18(1)(c) (i) 28/05/08 31/08/08 31/08/08 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 OP9 Good Practice Recommendations There should be some consistency in recording the as required medications so that it can be shown whether a resident has been asked if they require their medication or not. Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 25 2. 3. OP9 OP12 To ensure that the medicines are being stored at the correct temperature the fridge temperature should be recorded at least once daily. More activities need to be provided for the residents so that they can find enjoyment and stimulation in their daily life. Residents should be asked on admission if they would like an overriding safety door lock that could be locked from the inside. Their wishes should be respected, acted upon if relevant, and the outcome recorded in their care plan. 4 OP24 Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Shawcross Care Home DS0000068317.V362976.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!