Care Home: Springview

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What the care home does well The home had a relaxed and friendly atmosphere. There is a good rapport between residents and staff. People who use the service are treated with respect and their dignity and privacy is valued and upheld. Staff demonstrated a good knowledge of residents needs and consequently an individualised service is promoted. The home makes sure that people`s needs are assessed before they move in so that people know the home will be able to meet their needs. Residents of the home feel that the staff are kind and polite and support them properly. People who use the service made many positive comments about Springview and these included, "I`ve never felt so well since I`ve been here" and "It`s a beautiful place". Residents are encouraged to live as independently as possible and can choose from a wide range of activities provided by the home. The building is clean, well maintained and decorated to a high standard. What has improved since the last inspection? A random inspection of the home took place on 4th October 2007. During this inspection we found that most requirements we made in April 2007 had been met. We found that those people with dementia were being offered the same service as the other residents at the home. Staff are now supporting individuals within a "Person Centred" framework. That means that all people at the home are treated as individuals with individual needs. People who use the service and people thinking of moving into the home are now able to obtain an up to date copy of the home`s quality assurance review. This shows people how well the home is doing in meeting it`s aims and objectives as well as showing people what residents at the home think about the quality of care provided. This was a requirement we made at the last inspection that has now been complied with. What the care home could do better: Although the home is providing an excellent level of service there is still room for improvement. Medication records must be accurately maintained at all times so that the home can be sure that all residents are receiving the right medication at the right times. Staff must attend training regularly in order to up date their knowledge and skills. Staff also need regular supervision so they can have an opportunity to let the management know about their work practices and training requirements. One requirement has been restated from the last inspection and two new requirements have been made as a result of this inspection. Two good practice recommendations have been made relating to the "service user guide" and the checking of staff competences after they have attended medication training. We are confident that these issues will be addressed by the home within the timescales we have given. CARE HOMES FOR OLDER PEOPLE Springview 10 Crescent Road Enfield Middlesex EN2 7BL Lead Inspector Mr David Hastings Unannounced Inspection 17th April 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springview DS0000010649.V361756.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. Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springview Address 10 Crescent Road Enfield Middlesex EN2 7BL 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) 020 8367 9966 020 8366 0900 springview@btconnect.com Springdene Nursing and Care Homes Limited Mr Soobash Koomar Jhurry Care Home 58 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (58) of places Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home must not accept older people with a diagnoses of dementia who are in need of nursing care. The home must have a designated staff team at all times on the second floor who are trained, competent and in sufficient numbers to care for people with a diagnoses of dementia. 10th April 2007 Date of last inspection Brief Description of the Service: Springview is a purpose built care home registered to provide personal care for a maximum of fifty-eight older people. There are seventeen beds located on the second floor that have been registered to provide a service to people who have a diagnosis of dementia. The home is privately owned and managed by Springdene Nursing and Care Homes Limited, which owns and operates three other care homes in North London. The aims of the home as set out in the statement of purpose are to ensure that all service users receive the highest possible standard of physical, mental, spiritual and social care within an environment, which upholds the core values of privacy, dignity, individuality, choice, rights and fulfilment. The home has fifty-eight single bedrooms with en-suite facilities located on all four floors. The main communal facilities are located on the ground floor and consist of a large lounge, dining room, library and activities room. Also on this floor are the kitchen, laundry room, reception and the managers office. There are separate lounges on the first and second floors. Communal bathrooms are located on the first, second and third floors. There is a parking area at the front of the home for several cars and a garden at the back. The garden is partly paved and accessible to service users. The home is located in a quiet residential area of Enfield Town close to a variety of shops, restaurants and transport links. The fees charged by the home range from £715 - £785. The provider must make information about the service available (including reports) to service users and other stakeholders. Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 5 Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This Key Unannounced inspection took place on Thursday 17th April, and lasted eight and a half hours. We were assisted throughout the inspection by the registered manager who was open and helpful. We spoke with seven staff and fourteen residents of the home. We inspected the building and examined various care records as well as a number of policies and procedures. We also spoke with two visitors to the home. The majority of residents we spoke with said they were very happy with the care and support they received. One resident told us, “They look after you well”. Another resident commented, “I’m very happy here”. What the service does well: What has improved since the last inspection? A random inspection of the home took place on 4th October 2007. During this inspection we found that most requirements we made in April 2007 had been met. We found that those people with dementia were being offered the same service as the other residents at the home. Staff are now supporting individuals within a “Person Centred” framework. That means that all people at the home are treated as individuals with individual needs. People who use the service and people thinking of moving into the home are now able to obtain an up to date copy of the home’s quality assurance review. This shows people how well the home is doing in meeting it’s aims and objectives as well as Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 7 showing people what residents at the home think about the quality of care provided. This was a requirement we made at the last inspection that has now been complied with. 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. Springview DS0000010649.V361756.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 Springview DS0000010649.V361756.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): 1 and 3 (6 not applicable) People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to this service. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. There is also good information available to prospective residents to the home about the services and facilities available. EVIDENCE: We looked at the “Service User Guide”. This gives people information about the home and services and facilities available. Although there was good information about the home it would be helpful to include a statement about how the home encourages people from different backgrounds to use this Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 10 service. A good practice recommendation has been issued that the home reviews the service user guide to include an equal opportunities statement. Four assessments were examined of people who had recently moved into the home. These assessments were detailed and covered all the elements required by this Standard including the assessment of physical, emotional, social and cultural needs. We also found that the information from these assessments was being recorded on peoples’ care plans as well. There was evidence that people moving into the home have a review of their placement after four to six weeks to see if they are happy at the home and whether they decide to move in on a permanent basis. All the residents we spoke with said they were happy with the care they received. People we spoke with confirmed that they had been involved in the assessment of their needs and were satisfied that their needs were being met by the home. Springview DS0000010649.V361756.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. This judgement has been made using available evidence including a visit to this service. Care plans clearly set out residents’ health, personal and social care needs so that staff know how best to support everyone at the home. People who use the service have good access to health care professionals and they are treated with respect. Where possible residents manage their own medication. If they cannot manage their medicine, the care home supports them with it, in a safe way. EVIDENCE: Seven residents’ care plans were examined. There was evidence from these plans that people’s physical care needs were recorded as well as the action needed to address these needs. Residents we spoke with confirmed that they were appropriately supported and had good access to health care professionals such as doctors, district nurses and chiropodists. We also saw written evidence that health care professionals regularly visited the home. Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 12 There was evidence from care plans that residents’ emotional, social and spiritual needs were being met. Care plans for people with dementia were more detailed and gave staff clear instructions about how to support the individual. A new care plan format is being introduced at the home and care plans are currently being revised so that staff are able to have a clearer understanding of the “Person Centred” approach to supporting people. People we spoke with said that staff were very helpful and supported them in a respectful manner and in a way that maintained their privacy. People told us that staff knocked on their door before entering and were sensitive when providing personal care. Staff we interviewed were able to give us practical examples of how they maintained residents’ privacy and dignity. Interactions we observed between staff and residents were friendly, respectful and showed genuine warmth and affection. Records in relation to the storage, receipt, administration and disposal of medication were inspected. Most of the records seen were satisfactory however there are some gaps in Medication charts and in one instance medication coming into the home had not been signed for. The manager told us that he audited the medication monthly and that things had improved considerably since the last inspection. A requirement relating to medication, issued at the last inspection has been restated. The service manager and registered manager told us they would be auditing medication every week from now on to ensure the safe handling and administration of medication at the home. Some staff also needed to attend refresher courses in medication as their certificates were out of date. The manager immediately removed the names of these staff from the list of people able to administer medication at the home. We saw evidence that staff are undertaking medication training in the near future. A good practice recommendation has been issued that after any training staff are “signed off” by the registered manager as competent to administer medication. This should be recorded in individual staff files so there is a clear record of all staff who are authorised to administer medication at the home. The records in relation to controlled drugs were accurate and there was excellent information on each person’s medication chart regarding pain indicators and contra indications of medication they were taking. Some people told us they self-administer their own medication and the manager informed us that their doctor had recorded that this was safe for them to do. Springview DS0000010649.V361756.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 excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff at the home provide a wide range of stimulating activities and residents are able to exercise choice and control over their lives. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. EVIDENCE: The home had a programme of weekly social and therapeutic activities. The programme was displayed on the ground floor in the reception area. Activities provided were noted to be varied and included arts and crafts, bingo, music, exercise, entertainment sessions and outings. Pottery and other items made by residents were on display in the activities room and on the ground floor next to the kitchen. People that we spoke with said they were satisfied with the activities organised. One person told us, “I’m never short of things to do”. On the day of the inspection a daily exercise class was taking place on the ground floor and an art therapy session was taking place on the second floor. There Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 14 was evidence from daily notes that people with dementia were encouraged to keep occupied and engaged. Visitors to the home that we met on the day of the inspection were very positive about the management and staff at the home and confirmed that they could visit at any reasonable time and that they were always made to feel welcome at the home. One visitor told us that, “The staff are so good, very helpful”. People who use the service confirmed that they were able to exercise choice and control over their lives. Comments included, “You can choose what you want to do”, “I go to bed when I want to”, there is no time factor” and “I can get dressed at my own leisure”. The home has a proactive residents’ committee and meeting minutes examined indicated that residents have a say in how the home is run. One resident told us, “ We can put forward ideas about things we are not happy about”. One resident confirmed, “We do get things altered”. The minutes also provided evidence that residents are consulted about the menus in the home and have made a number of suggestions, which the home has implemented. The chef was interviewed and had a good knowledge of individual resident’s dietary needs and preferences. Freezer temperatures are being recorded in order to ensure that food is maintained at appropriate temperatures. People we spoke with were positive about the quality of the food and the variety of the menus offered. One resident said, “I enjoy the food”. Lunchtime was relaxed, unhurried and sociable. Staff were offering discreet assistance where needed. Springview DS0000010649.V361756.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 excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. People at the home are protected from abuse by clear policies and procedures and by an appropriately trained staff team. EVIDENCE: The home has satisfactory policies and procedures in relation to complaints and the protection of residents from abuse. There was evidence from the record of complaints that all complaints had been dealt with appropriately and in line with the home’s complaints procedure. All the residents and visitors we spoke with said they had no complaints about the service but were clear that they would say something if they had a concern. One resident told us “I haven’t any complaints, everyone is very kind and helpful”. Staff interviewed were able to describe how vulnerable people could be at risk of abuse in a residential care setting. Staff were also aware of possible signs that someone may be being abused. They told us they would be suspicious if a resident suddenly became withdrawn or changed their usual behaviour. All staff interviewed were clear of their responsibility to report any suspicions of abuse to the appropriate authorities. Residents that we spoke to said they felt Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 16 safe and well supported at the home. Records indicated that staff have undertaken training in the protection of vulnerable people. Springview DS0000010649.V361756.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 and 26 People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is safe, clean, well equipped and furnished to a high standard. EVIDENCE: The registered manager showed us around the home and we met with some residents in their rooms. People who use the service told us they were happy with their rooms. Residents’ rooms we saw were individualised with their personal possessions. Communal areas were spacious, clean and well maintained. We saw satisfactory certificates to evidence that lifting hoists and other adaptations needed for residents were working properly and safely. The home employs a full time maintenance worker. People we spoke to told us that the home was always clean. The home employs domestic staff who were working very hard on the day of the inspection. Bathrooms and toilets were clean and contained anti bacterial soap and paper hand towels to limit the risk of cross infection. Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 18 We saw the laundry area, which has satisfactory equipment including facilities for sluicing bedding and clothes as required. Training in infection control is also provided for staff. There were no offensive odours detected in the home during the inspection. Springview DS0000010649.V361756.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 and 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Residents’ needs are met and they are cared for by staff who get the relevant training and support from their managers. EVIDENCE: People who use the service told us that staff were well mannered and treated them with respect and dignity. On resident commented that the staff are, “Lovely”. One resident said about the staff, “Some are good, some are not”. People we spoke to confirmed that there were enough staff on duty and that the staff were attentive and helped them with things they needed. The duty rota was examined. It indicated that in addition to the manager, there were normally at least 11 staff during the morning shift, 8 staff during the afternoon and evening shifts and 4 staff on waking duty during the night shifts. The manager told us that there had been some staff shortages recently however this was being covered with overtime and very occasional use of agency staff. From comments received by people using the service, these staffing shortages have not appeared to affect the residents at the home. Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 20 Staff on duty were interviewed on a range of topics associated with their work (such as health and safety, adult protection and the healthcare of residents). They were noted to be knowledgeable regarding the residents’ needs and their roles and responsibilities. According to pre inspection records received by the CSCI, 80 of care staff have an NVQ level 2 or equivalent. This exceeds the requirements for Standard 27 of the National Minimum Standards. We examined training profiles for staff. We found that in some instances refresher training was needed for some staff at the home, as their certificates were out of date. A requirement has been issued that the manager must carry out a training audit for all staff and send the CSCI a detailed breakdown regarding what training has been undertaken or booked for staff so that they all have up to date training required for the work they perform. The manager told us that some staff have undertaken training recently in a number of topics but where still waiting for their certificates. Staff interviewed were positive about the training opportunities available to them. The staff records examined indicated that the required recruitment standards and procedures (including obtaining satisfactory CRB disclosures and references) had been followed. Springview DS0000010649.V361756.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, 36 and 38 People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The manager of the home knows the residents very well and understands their needs. Residents do have opportunities to have a say in how the home is run. Residents’ financial interests are being safeguarded. The health and safety of residents and staff are promoted and protected. EVIDENCE: Both staff and residents that we spoke with were positive about the manager of the home. One resident said, “He is here, there and everywhere”. Staff told us that the manager was, “Helpful”. Visitors also praised the manager. One visitor said, “He is absolutely wonderful, he has time for you”. The manager is currently undertaking the Registered Managers Award to further enhance his management skills. Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 22 There are good systems in place to monitor the quality of the care provided including resident questionnaires and a proactive residents’ committee. The results of the lasted quality monitoring surveys have been published and are available to residents and their representatives. This information is also given to prospective residents of the home. This gives people a good idea of how well the home is doing to meet the aims and objectives of the service. A requirement relating to this, which was issued at the last inspection, has now been complied with. The home holds small amounts of money on behalf of residents so they can purchase items such as toiletries and pay for newspapers and hairdressing. Satisfactory records were examined in relation to the management of residents’ personal finances. Records were accurate and contained receipts and clear audit trails. The manager told us that due to some management issues, including a current vacancy for a deputy manager, staff supervision has not taken place as regularly as it should. Staff need to have regular supervision so that they can discuss practice issues as well as their learning and development needs. A requirement has been issued relating to this in the relevant section of this report. Water temperatures are checked on a regular basis to reduce the risk of residents scolding themselves. The maintenance certificates were checked for the nurse call, lift, hoist, electrical systems, gas safety and fire appliances and these were all in place. Satisfactory records were also seen in relation to fire safety. Records indicated that staff undertake fire drills every three months. This includes night staff. Records indicated that staff are undertaking the required health and safety training and this was confirmed by staff we interviewed. We found that the home has clear and detailed systems for monitoring health and safety matters. Springview DS0000010649.V361756.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 3 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 2 X 4 Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The registered person must ensure that the receipt and administration of medication is accurately recorded at all times. This is to ensure that people get the medication they need at the right times. This requirement has been amended and is restated. The registered person must ensure that the manager carry out a training audit for all staff and send the CSCI a detailed breakdown regarding what training has been undertaken or booked for staff so that they all have up to date training required for the work they perform. The registered person must ensure that all staff receive supervision at least every two months. This supervision must be recorded and include individual learning and development discussions. Timescale for action 01/05/08 2. OP30 18(1) a 01/06/08 3. OP36 18(2) 01/05/08 Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The registered person should ensure that the home’s “Statement of Purpose” includes an equal opportunities statement detailing how potential residents from diverse backgrounds are welcomed and encouraged by the home. The registered person should ensure that after any training individual staff are “signed off” by the registered manager as competent to administer medication. This should be recorded in individual staff files so there is a clear record of all staff who are authorised to administer and deal with medication at the home. 2. OP9 Springview DS0000010649.V361756.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Springview DS0000010649.V361756.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. 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