Care Home: Southfield House

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 Southfield House is a relatively small care home, with a small stable staff group who know the residents well. This means that good care can be consistently offered. Prospective residents are assessed by the manager before moving to Southfield to ensure, as far as is possible, that their identified needs can be met. Medical support is accessed well. Residents are protected from harm and are confident that any complaints will be dealt with appropriately by the staff and management. The building and grounds are pleasant and well maintained, both visually and in line with health and safety expectations. Staff have access to a range of training opportunities and are encouraged to take them up. The manager is experienced as approachable and supportive by residents and staff. What has improved since the last inspection? The good quality of care identified at previous inspections has been maintained. What the care home could do better: Several areas were identified where record keeping needed to be improved. These included records in connection with care planning; the thorough documentation of actions taken to ensure staff are suitable and the provision of a review of the quality of care which is available for residents. While these administrative failures did not present as having an immediately detrimental impact on residents, it did have a negative impact on the home`s ability to be accountable for their care and safety. CARE HOMES FOR OLDER PEOPLE Southfield House Woodford Road Woodford Stockport Cheshire SK7 1QF Lead Inspector Steve Chick Unannounced Inspection 8th August 2008 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Southfield House DS0000008573.V369424.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. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southfield House Address Woodford Road Woodford Stockport Cheshire SK7 1QF 0161-439 7703 NO FAX south1@btconnect.com 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) Southfield House Limited Mrs Joanna Lingwood Care Home 15 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (15) of places Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 15 residents to include: *up to 15 residents in the category of OP (Old age not falling within any other category); *up to 2 residents in the category of DE(E) (Dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager registered with the Commission for Social Care Inspection. 25th October 2006 2. Date of last inspection Brief Description of the Service: Southfield House is a residential care home that is registered to provide care for up to 15 elderly persons, two of whom may have a diagnosis of dementia. On the day of the inspection the home was full. The Registered Manager, Mrs Joanna Lingwood, has been the manager of Southfield House for eight years. Accommodation is provided in 15 single bedrooms, four of which have en-suite facilities. All bedrooms have a washbasin. Five of the bedrooms are on the first floor and the remaining bedrooms are situated on the ground floor. The home has a lift to assist residents to their rooms. The ground floor bathroom has been converted into a walk-in shower room. Southfield House has a large, pleasant dining room and two lounges; the larger lounge area has patio doors that open on to a raised patio area and extensive gardens. The smaller lounge is used for reading, card games and board games. The hairdresser also uses the room once a week. There is a ramp to the front and side of the house to enable wheelchair access and car parking to the front and rear of the building. Southfield House is situated in the Woodford area, close to the Bramhall border. Bramhall train station is approximately a 20-30 minute walk away; there is a regular bus service and motorway access is close by. The fees at the time of the inspection were between £460.00 and £510.00, which include in-house entertainments. There are extra charges for trips out, newspapers and hairdresser. The home does not, and has no current plans to, contract with the local authorities over the provision of funding. Southfield House DS0000008573.V369424.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 two star. This means the people who use this service experience good quality outcomes. We (the Commission for Social Care Inspection) undertook a key inspection, which included an unannounced visit to the home. This meant that no-one at Southfield House knew that the visit was going to take place. All the key inspection standards were assessed at the site visit. For the purpose of this inspection three residents were interviewed in private, as were two members of staff. Discussion also took place with the manager, who is also the owner of the care home. We also looked at information we have about how the service has managed any complaints, what the service has told us about things that have happened in the service, these are called ‘notifications’ and any relevant information from other organisations. Before the site visit, we asked for surveys to be given to residents and staff, asking what they thought about the care at the home. Two residents and three staff returned their surveys. We also asked the management of the home to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA). This is a legal requirement. The AQAA told us what they thought they did well, what they thought they need to do better and what they thought they have improved upon. The AQAA did not identify many areas where the manager thought they could improve. Where appropriate, information from the AQAA and the surveys has been included in the report. We have received no complaints about Southfield House since the last inspection, nor are we aware of any safeguarding concerns. Comments from residents, both in the surveys and during the visit, were very positive. Comments included: “service first class … [they] really look after you”; “[the manager] comes to talk just to see how things are”; “Very good”; “Staff attend very well, usually a bit slow but they are very kind”; “its squeaky clean you put something down for a minute and its gone for a wash”; “If got to be anywhere Id like it to be here. The building is beautifully kept and the garden is very nice.” Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Several areas were identified where record keeping needed to be improved. These included records in connection with care planning; the thorough documentation of actions taken to ensure staff are suitable and the provision of a review of the quality of care which is available for residents. While these administrative failures did not present as having an immediately detrimental impact on residents, it did have a negative impact on the home’s ability to be accountable for their care and safety. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 7 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. Southfield House DS0000008573.V369424.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 Southfield House DS0000008573.V369424.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. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents’ needs are appropriately assessed and they, or their representatives, are able to visit before a decision is made that the home is appropriate for them. EVIDENCE: The self-assessment (AQAA) informed us that all prospective residents are assessed by the manager. This assessment included the resident,their relatives or advocate and any other professional persons involved in their care. This was confirmed by the manager at the time of the site visit. All placements are subject to a one-month trial period. The manager was able to cite an example where the assessment process had resulted in a decision that the home could not meet the identified needs of a potential resident. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 10 A selection of residents’ files was looked at. All had a written assessment which would assist staff in offering appropriate care. Residents who were asked, confirmed that they had been assessed by the manager before they moved to the home. Residents who had completed our survey all confirmed that they had a contract and that they had enough information about the home. Southfield House does not offer intermediate care. Southfield House DS0000008573.V369424.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 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents’ health, personal and social care needs are met by the consistent implementation of policies and procedures. Staff practices also serve to promote the dignity of the residents. EVIDENCE: A selection of residents’ files was looked at. All had a written copy of a care plan and there was documentary evidence that the plan was reviewed at appropriate intervals. There was also documentary evidence that the written care plans were amended when a resident’s circumstances or assessment changed. There was some documentary evidence that residents were involved in creating their care plan, but this was inconsistent. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 12 Staff who were interviewed felt able to influence a resident’s care plan and that their views were listened to by senior staff. Some of the documentation seen lacked detail in connection with how, specifically, an identified need was to be met. Similarly, the daily records were frequently brief. One example was seen where the result of an accident was noted in the individuals daily record although previous entries had failed to mention the accident itself. A note of the accident had been made in the accident book. Both the manager and staff who were spoken with, were confident that whilst the documentation alone may not give a total picture of how to meet a resident’s needs, other systems successfully complemented the written care plan. These included a verbal handover at each change of shift and staff’s personal knowledge of the individual residents. Staff who returned surveys to us, all confirmed that they had up-to-date information about residents and that the passing of information worked well. One staff member said “I am brought up to date straight away about the people I care for and all their needs”. At the time of this visit Southfield House had a relatively stable group of staff who presented as knowing the residents well. The manager reported that no agency staff were ever used. Residents who were spoken to reported positively on the care they received. One said “service [is] first class … [they] really look after you”. Another resident, when asked what the best thing about the home was, said “the way it is run by all staff who are very understanding.” In response to the same question, another resident said “I do get looked after”. Residents also confirmed that the manager spoke with them on a daily basis. There was good documentary evidence that residents have access to the full range of medical services available in the community. This included GP’s, district nurses, chiropodists and opticians. Residents who were asked were confident that appropriate medical support was obtained for them when necessary. Similarly, staff were confident that medical support was obtained in a timely manner. Residents who completed our survey all said that staff listened and acted on what they said and that they received appropriate medical support. Medication was seen to be stored appropriately. The AQAA stated that staff were trained in the safe handling of medicines. A selection of medication administration records was looked at and presented as being predominantly well maintained. One example was seen where medication was consistently being given at a slightly different time to that on the pre-printed record sheet. Discussion with the manager indicated that there were good reasons for this. However, the record should reflect the actual time a medication is administered, rather than the one already printed on the record sheet. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 13 Residents who were asked confirmed that staff treated them with respect and helped to maintain their dignity. Similarly, staff who were asked reported that both they and their colleagues treated the residents with respect and maintained their dignity. Observations of staff and resident interaction indicated that relationships were appropriately relaxed, informal and professional. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The provision of food to maintain residents’ health and well-being is good and residents are able to exercise choice within the context of communal living. An appropriate range of activities was available for residents and visitors are welcome in the home, which enhances residents’ fulfilment and social stimulation. EVIDENCE: The AQAA completed by the manager stated that staff know and anticipate the social needs of the residents in their care and that residents are encouraged to continue the lifestyle previously chosen as much as they are able. The manager also reported that activities were accommodated both in the home and outside and that visitors are encouraged and made welcome. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 15 Residents who returned surveys to us confirmed that there were activities in the home, although one said “but I choose not to partake”. One resident who was spoken to during the inspection told us that they continued to attend social activities outside of the home on a regular basis. At the time of this unannounced site visit an exercise session was being undertaken with residents by a visiting personal trainer. Although no visitors were seen at the home during the visit, residents spoken to confirmed that relatives and friends were able to visit at any reasonable time. Residents who were spoken to were able to confirm that they have freedom of choice about how they spent their time. One described the atmosphere as “very free and easy”. Two residents who were spoken to said that they preferred to spend time in their own rooms, although they could go to the communal lounges if they wished. Two staff members who returned our survey made a point of commenting on the positive atmosphere at Southfield House. One said “ … it is like being at home and at work at the same time”. Another said “I feel the home runs efficiently and has a friendly and relaxed atmosphere”. One member of staff who was spoken to described the home as “cosy with a good atmosphere”. During the site visit one meal was sampled which was pleasantly presented and tasty. Generally, residents were positive about the provision of food and those who were asked, confirmed that an alternative would be made available if they wished. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are protected from abuse or exploitation by the home’s policies and staff practices, and are confident that any complaint they may have would be dealt with appropriately. EVIDENCE: The manager has developed a complaints procedure which has been found to be acceptable at previous inspections. This documentation was not looked at on this occasion. The manager reported that there had been no formal complaint made to her since the previous key inspection. The manager reported in the AQAA that she talked to the residents individually each day giving them the opportunity to express any concerns. Everyone who returned a survey said that they knew how to make a complaint. Residents who were spoken to during this visit said they were confident that they could make a complaint if they wished and that any complaint they did make would be listened to and responded to appropriately. Similarly, staff who were spoken to were confident that the management at the home would take any complaint seriously. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 17 Residents who were asked, said that they felt safe at Southfield House. Staff who were asked, also believed that residents were protected from abuse or exploitation. Staff also reported that they understood the need to be vigilant and knew what procedures to follow should they suspect that any resident was the victim of abuse. The manager reported in the AQAA, that staff received training in connection with the detection and prevention of abuse. A small sample of training records was looked at which included evidence of some staff attending an ‘alerters’ course. We are not aware of any complaints having been made, nor of any concerns in respect of the protection of vulnerable adults, in connection with Southfield House since the last key inspection. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 18 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. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home is appropriately maintained, decorated and cleaned to enable residents to live in a pleasant, safe and hygienic environment. EVIDENCE: During the unannounced visit to the home a tour of the building was undertaken. This included communal areas and a selection of residents’ bedrooms. Residents’ bedrooms demonstrated an appropriate degree of personalisation. One resident told us that she was waiting for more furniture and personal effects to be brought from her home. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 19 The home is situated in very pleasant grounds which presented as being well maintained. At the time of this visit one bathroom upstairs was being radically refurbished and a carpet fitter arrived to measure a room for a new carpet. No remedial issues were identified as being necessary to the building. The home presented as being clean and tidy with no unpleasant odours. This was reported as being the usual state of the building by staff and residents who were asked. One resident said “it is squeaky clean, you put something down for a minute and its gone for a wash”. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The numbers and skills mix of staff on duty promotes the independence and well being of residents. Recruitment and vetting procedures are usually effectively applied to minimise the risk to residents of inappropriate staff being employed. EVIDENCE: The staff rota for the week beginning 28th of July 2008 was looked at. This demonstrated that, in addition to the manager’s hours, a minimum of two carers were on duty from 08:00 to 22:00. Staff who completed surveys all reported that there were enough staff to meet the needs of the residents. One member of staff said “ … there is more than adequate staff on most days”. The manager reported in the AQAA that the rota is drawn up with the intention of ensuring not only suitable numbers but also an adequate skill mix of staff. Information provided by the manager in the AQAA indicated that of the 13 care staff, ten had NVQ level 2 or above and two were working towards NVQ level 2. A small selection of staff was identified to confirm this and appropriate certificates were seen. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 21 All staff who completed a survey said that they were subject to preemployment checks. A selection of files relating to the recruitment and vetting of recently appointed staff was looked at. These gave clear evidence that appropriate checks were usually thoroughly undertaken before staff started work. One exception to this was identified in connection with a member of staff whose initial contact with the home was through a work experience programme from a local college. Discussion with the manager indicated that this had created some confusion over the dates when they had started work and when a CRB disclosure had been received. The manager was reminded that the minimum legal checks on the suitability of staff must be thoroughly applied in all cases, regardless of how well known any ‘applicant’ is to the manager. Staff who completed surveys reported that they were given good training opportunities and encouraged to develop their skills and competency. One said “I have been on many courses and Im always offered the choice to go on any new and relevant courses which will increase my knowledge …”. This was also confirmed by staff who were spoken to during the visit. The manager maintained a staff training file and a small selection of training records was looked at to confirm what the manager and staff were saying. As mentioned elsewhere in this report, all residents spoken to were positive about the attitude and competence of the staff team. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The manager is competent to run the home and implement the health and safety procedures for the benefit of residents and staff. EVIDENCE: The registered manager has been found to have the appropriate qualifications, skills and experience at previous inspections. These issues were not looked at again on this inspection. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 23 The manager reported in the AQAA that although they have issued questionnaires to residents in the past, as a means of assessing the quality of the service, the numbers returned have been very low. In light of this and the relatively small nature of the home, alternative methods of seeking the views of residents and relatives were used. Discussion with the manager at the visit indicated that these alternative methodologies had not yet been brought together into one report. Discussion with residents and staff gave strong evidence that the manager had frequent contact with individual residents and sought their views. One resident said “Jo [the manager] comes to talk just to see how things are” and another said, when asked about the best thing about the home, “I do get looked after. Jo [the manager] is the main thing …”. One person completing a staff survey said “the manager talks to us on a daily basis and is always there if you need help or guidance or any information”. Previous inspections have identified that the manager does not have any responsibility for any resident’s finances. At this visit the manager also reported that neither she nor anyone else connected with Southfield House holds any personal monies on behalf of the residents. Previous inspections have found that safe working practices are followed at Southfield House. Documentary evidence was seen to confirm that the manager is a trained moving and handling trainer and assessor, which should help to ensure safe moving and handling practices are followed. Supplies of disposable gloves and aprons were seen on the premises. Staff who were asked, confirmed that these were always available and used, to minimise the risk of cross infection. Information provided by manager in the AQAA indicated that the equipment used on premises was regularly maintained. A small selection of records was looked at to confirm this, including fire detection and alarm system checks and the lift servicing. Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 24 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 3 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 3 17 X 18 3 3 X X X X X X 3 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 3 X X 3 Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 25 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 OP29 Regulation 19 Requirement An effective record must be kept of all the legally required information about any person appointed to work at the home. This is to demonstrate that appropriate action has been taken to safeguard the interests of people living in the home. Timescale for action 01/09/08 Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Documentation in connection with care planning should be maintained in sufficient detail to reliably inform staff of what actions they should be taking. This would help to ensure that residents consistently receive the care they need even if the carer’s personal knowledge of them is limited. Residents should be encouraged to sign their care plans as a way of demonstrating that they had been actively involved in discussion about how their care needs will be met. Medication administration records should clearly show the time when medication is administered to demonstrate that residents are getting the correct medication at the correct time. So that residents can be assured that the manager is acting on their views, a periodic report should be produced identifying the outcome of any quality review. 2 OP7 3 OP9 4 OP33 Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Area Office Unit 1, 3rd Floor 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 Southfield House DS0000008573.V369424.R01.S.doc Version 5.2 Page 28 - 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!