Care Home: The Old Rectory Care Home

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What the care home does well The newly registered manager who has worked at the home for ten months manages the home well. She is supported by staff, the majority of whom have worked at the home for several years. The area manager visits the home approximately one day a week, offering support to both residents and staff.This friendly staff team appear to know the residents` needs and help them to remain as independent as possible, offering support when required. Staff are well-trained and competent to care for the residents. Residents are cared for in a homely environment within the village of Acle. Each bedroom contains resident`s personal possessions and is decorated according to their taste. Residents are encouraged to continue with their own hobbies and interests, with several going out on occasions. What has improved since the last inspection? The home was issued with ten requirements from the previous inspection carried out on 4th May 2007. The manager has dealt with seven of these requirements by updating the key worker system, holding monthly residents` meetings, ensuring adequate staffing levels, improving the staff training and supervision and improving storage of residents finances. Due to the recent fire there has been major redecoration with residents` bedrooms, lounges and carpets and chairs replaced. The fire system has been renewed. Seventy five per cent of staff have completed or are currently undertaking the NVQ training to ensure the standard of care continues to improve. What the care home could do better: The home has care plans in place for residents to ensure staff can care for them, although the social history is lacking and it is recommended that the manager should include a more detailed life history of residents. The risk assessments within the care plans are basic and are required to be altered to become more meaningful. The home could improve its quality procedures by formalising an annual quality survey and writing a report that current and prospective residents and their families could read. It is recommended the home monitor frailer residents weight to avoid any risk of developing pressure problems by obtaining chair scales or something similar. CARE HOMES FOR OLDER PEOPLE The Old Rectory Care Home Norwich Road Acle Norwich Norfolk NR13 3BX Lead Inspector Hilda Stephenson Unannounced Inspection 15th April 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Old Rectory Care Home DS0000061106.V362563.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. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Rectory Care Home Address Norwich Road Acle Norwich Norfolk NR13 3BX 01493 751 322 01493 751 322 sue@oldrectoryacle.plus.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) Pearlcare (Acle) Ltd Sue Goodacre Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to thirty-four (34) Older People of either sex, not falling into any other category, may be accommodated. 4th May 2007 Date of last inspection Brief Description of the Service: The Old Rectory is a period residence located in the small rural market town of Acle, mid way between Norwich and Great Yarmouth and close to the Norfolk Broads. There are shops, a weekly market, pubs and a church all within walking distance and there are local bus and train services. The property has been purposefully adapted and extended to provide residential accommodation for up to 34 older people. There are 3 double and 28 single rooms and many have direct access into a well-planned garden. The double rooms and 24 of the single rooms have en suite facilities. The Old Rectory Care Home DS0000061106.V362563.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 star. This means the people who use this service experience good quality outcomes. This visit to Acle, Old Rectory took place during the day on the 15th April 2008 as an unannounced inspection to check the outcomes of the key standards. These standards were inspected, although not all the elements have been examined. The evidence gathered to publish this report was obtained by speaking to ten of the twenty four residents, four visitors, four staff and the manager during the day, and checking through care records, policies and procedures. The manager returned the annual quality assurance assessment, which provided written information about the home since the last inspection. Further evidence was gathered from comments received through the comment cards that were returned to the office from both residents and relatives prior to the visit. The home had a fire in November during nighttime hours. Residents were evacuated safely by staff and fire fighters and were accommodated in the nearby church hall. The manager organised temporary accommodation at other residential homes until the building was made habitable. A small area of the home at the back door and corridor was affected by the fire and smoke. The proprietor arranged for the re-decoration of the resident’s bedrooms, replacement of carpets throughout, replacement of chairs in the lounge, replacement of the door and adapted the rear area to become the senior carers office. The manager worked closely with fire officers, social workers and her staff to ensure that the residents were safe and well cared for during this disruption. The home re-opened in January. During this site visit a tour of the building and grounds was undertaken and found the home to be clean, tidy and very well decorated throughout. There has since been a new fire alarm system put in place and all staff have attended fire training. The fire was investigated by police who found that the home was not at fault and that staff had attended to the residents’ safety in a responsible and timely manner. What the service does well: The newly registered manager who has worked at the home for ten months manages the home well. She is supported by staff, the majority of whom have worked at the home for several years. The area manager visits the home approximately one day a week, offering support to both residents and staff. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 6 This friendly staff team appear to know the residents’ needs and help them to remain as independent as possible, offering support when required. Staff are well-trained and competent to care for the residents. Residents are cared for in a homely environment within the village of Acle. Each bedroom contains resident’s personal possessions and is decorated according to their taste. Residents are encouraged to continue with their own hobbies and interests, with several going out on occasions. What has improved since the last inspection? What they could do better: The home has care plans in place for residents to ensure staff can care for them, although the social history is lacking and it is recommended that the manager should include a more detailed life history of residents. The risk assessments within the care plans are basic and are required to be altered to become more meaningful. The home could improve its quality procedures by formalising an annual quality survey and writing a report that current and prospective residents and their families could read. It is recommended the home monitor frailer residents weight to avoid any risk of developing pressure problems by obtaining chair scales or something similar. The Old Rectory Care Home DS0000061106.V362563.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. The Old Rectory Care Home DS0000061106.V362563.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 The Old Rectory Care Home DS0000061106.V362563.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good clear written information is available for prospective new residents and their families to enable them to make up their mind whether the home is right for them. All residents’ individual needs are assessed before moving into the home. Residents requiring intermediate care are not admitted to this home, although they occasionally admit residents who require short-term respite care. EVIDENCE: There has been a change of manager following on from the last inspection. The statement of purpose and service user guide has been updated to include the change of details. These documents are available to all prospective residents and a copy is situated in the front entrance hall. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 10 The manager explained the admission process for prospective residents and this was verified after speaking to a recently admitted resident. This person confirmed that they had received the written information prior to the admission. The manager visited the resident beforehand and asked questions about the level of care that would be required, so she could arrange for any specialist equipment that might be required. The pre-admission details contained personal details about the level of care that was required and instructions for the care staff on how to attend to them on an individual basis, such as their personal care needs. This made up part of the care plan until a plan of care was devised by the manager and senior carer during the initial assessment period over the first four weeks. The Old Rectory Care Home DS0000061106.V362563.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health care needs are generally met, although improvements to the care plan details are needed. Residents or their Next Of Kin are involved when their care plan is compiled and reviewed to ensure that their individual needs are met. Safe medication administration procedures are in place to ensure residents receive the correct prescribed medical treatment. EVIDENCE: Two residents’ care plans were thoroughly examined and found to contain clear information regarding the physical and social needs of each individual; this information was basic and the home should consider developing a more person centred approach to follow the good initial assessment visit that takes place. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 12 Each of the care plans contained risk assessments in relation to residents’ moving and handling needs, though these were difficult to follow and the manager stated that the care plans required updating. The home does monitor residents’ nutritional needs and their weight, but does not have the facilities when residents can no longer stand on the scales; it is recommended that the home obtain suitable weighing scales for frailer residents who are at risk. Residents and their relatives spoken to confirmed that they were regularly kept up to date with their care needs and written aspects of the care plans. Evidence of specialist services such as chiropody, hearing, dental and psychiatric services were regularly sought for those who required these. The manager explained that expertise from the community nurses was sought when specialist pressure equipment was required. The home has recently changed the medication system and now uses the monthly Nomad system. The senior care staff administers medicines and all have attended a medication course. The senior carer on duty demonstrated how medicines are taken round the home to the residents and the lunchtime round was partially observed. The medication records were checked for the three residents involved with case tracking and found to be accurate. Several other medication records were checked and found to be properly recorded by the staff. The senior care staff also check medicines that come into the home accurately and any that need returning, so helping to ensure a safe system is in place. Residents confirmed that the staff at the home uphold their privacy and dignity at all times, for example, assisting them back to their rooms or one of the lounges if they require a quiet area. Ten residents were spoken with and four relatives during this site visit. Several residents stated that they prefer to spend time in their own room or a favourite lounge and this was respected by the home. The home has several shared rooms and suitable screening is provided. The Old Rectory Care Home DS0000061106.V362563.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are generally content with the food offered and are able to exercise a choice of food. Social activities are adapted to suit resident’s individual tastes. EVIDENCE: Sociable activities tend to be arranged through the residents’ meetings each month and a list of these are displayed in various communal areas throughout the home. The hairdresser was attending to several residents during this site visit. Care staff organised games, cards, bingo, singing, parties and the occasional outing in the garden or down to the local village shops. It was observed that staff respected those residents who did not wish to take part in activities and preferred to stay in their room, although it was noted that some staff spent time to sit and talk with residents at various times during the day. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 14 Some residents were too physically frail to take part in more organised activities it was noted that the home provided music and reminiscence discussions. Comments received from relatives confirmed that they could visit anytime and felt welcomed into the home by the friendly staff. They also confirmed that they were offered tea with their relative. One resident spoken to at length commented how he continued to regularly go out to the shops and walk round the village. Several others confirmed that they continue to go out regularly with their relatives. Visitors to the home are requested to sign the visitors book when they enter the building as part of their fire regulations, and this showed that the residents enjoy a high number of people who visit the home each day. The comment cards that were returned confirmed that the content and quality of the meals continued to be very good. Some residents who required assistance had their food cut up or staff assisted them in a dignified manner. The kitchen was found to be clean and the cook was preparing lunch of roast lamb and jacket potato and salad, with two choices for dessert. The dining room is situated opposite the kitchen so meals are served direct by the care staff. Residents are asked their preferences on a daily basis, although the cook confirmed that this could be altered if a resident’s condition changed. The meals appeared to suit the majority of residents and the cook regularly visits residents to seek their opinion when the menu is changed. The menu is rotated over a two-week programme and adapted to change with the seasons. The last Environmental Health visit took place the previous week and found no serious issues that needed dealing with. The Old Rectory Care Home DS0000061106.V362563.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that the manager would deal with their complaints satisfactorily. Residents are protected from abuse. EVIDENCE: No complaints were received through the collection of the comment cards from residents and relatives. Although, one visitor had telephoned CSCI to raise awareness of their concerns. These were investigated during this site visit and no action was necessary by the home. The home has a complaints procedure that is available for residents to read. The Statement of Purpose shows how to complain and the manager states she is always available to listen to anyone with any concerns. On talking to the residents it was clear that they are happy to talk to the manager or the proprietor of any concerns or worries that they may have. The home has not received a complaint since the last inspection. The complaints policy displayed on the general notice board had out of date information on it and this was altered during the site visit. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 16 Staff records show that staff has attended adult protection training. This topic is also included within the recommended NVQ training. Staff spoken to during this visit confirmed they felt confident in their knowledge of various forms of abuse and how they put this into action to protect their residents they care for. The staff feels able to report any concerns to the manager and all residents spoken to feel the service offered is good and all of the staff treat them appropriately. The Old Rectory Care Home DS0000061106.V362563.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and well-maintained home. EVIDENCE: The home had a fire in November during nighttime hours. Residents were evacuated safely by staff and fire fighters and were accommodated in the nearby church hall. The manager organised temporary accommodation at other residential homes until the building was made habitable. A small area of the home at the back door and corridor was affected by the fire and smoke. The proprietor decorated the resident’s bedrooms, replaced the carpets throughout, replaced chairs in the lounge, replaced the door and adapted the rear area to become the senior carers office. The manager worked closely with fire officers, social workers and her staff to ensure that the residents were safe and well cared for during this disruption. The home re-opened in January. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 18 During this site visit a tour of the building and grounds was undertaken and found the home to be clean, tidy and very well decorated throughout. There has since been a new fire alarm system put in place and all staff has attended fire training. The fire was investigated by police and found that the home was not at fault and had attended to residents in a responsible and timely manner. The home has been purposefully adapted and extended to provide residential accommodation for up to 34 older people. There are three double and twentyeight single rooms and many have direct access into a well-planned garden. The double rooms and twenty-four of the single rooms have en suite facilities. The home has adequate bathing and toilet facilities throughout. Due to the major redecoration after the fire, the maintenance plan has become obsolete and a new plan is to be formatted for the twelve months. The property has been purposefully adapted and extended to provide residential accommodation for up to 34 older people. There are 3 double and 28 single rooms and many have direct access into a well-planned garden. The double rooms and 24 of the single rooms have en suite facilities. All residents’ personal laundry is carried out at the home by designated staff. The laundry room is very small and could pose a risk to staff working in there so it is recommended that the proprietor look at ways of improving this environment. See Recommendations The Old Rectory Care Home DS0000061106.V362563.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-trained competent staff cares for residents. The home has a good clear recruitment procedure in place to ensure the protection of vulnerable adults. EVIDENCE: Staff spoken to throughout the day had been in post for a while and the rota showed the correct number of staff on duty. During this visit the manager, a senior carer, three care staff; one cook and kitchen assistant, a cleaner and maintenance staff were on duty. The manager explained that care staff numbers had been adapted to suit the needs of the current residents. Residents spoken to thought the staff were very ‘competent and caring’ and assisted them at times that suited them. It was observed that the call bell did not ring for long when residents wanted some attention from staff. The training and supervision records were available along with the initial induction training records these were particularly of a good standard. Two staff files were checked and the manager had followed a good clear recruitment procedure, obtaining references and the relevant checks before staff commenced. The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 20 The home had six of the nineteen care staff that had achieved the NVQ level 2 training and a further six care staff currently undertaking this. The majority of senior care staff either had or were undertaking the level 3 NVQ in care, which is good practice. It was noted that staff expressed their satisfaction of their job role and the amount of support they received from the manager. Staff meetings were held at regular intervals with smaller informal meetings during the year. Minutes were taken at all the meetings so staff could catch up. One area the staff exceeds on is the manager encourages the care staff to attend a vision course at the local opticians, so they can empathise with residents with sight problems to ensure they have the correct glasses or other aids as necessary. Staff records showed the staff has attended all the recommended training such as moving and handling, infection control, first aid, food hygiene, continence, medication and health and safety. The Old Rectory Care Home DS0000061106.V362563.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is managed with their best interests at heart. Resident’s health, welfare and safety needs are promoted and protected. EVIDENCE: Ten residents and four relatives were spoken to during this visit to the home. Plus comments received from comment cards confirmed that the manager manages the home in an open and friendly way. The manager Sue Goodacre has worked at the home since June 2007 and has recently become the registered manager. She is well qualified to manage the home and is supported by the company through the weekly visits made by the area manager. Staff confirmed that regular staff and residents meetings are The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 22 now in place for all people in the home to be able to discuss issues and plan events. There is a lack of a robust quality assurance system in place, this was discussed with the manager and due to the fire incident, this ongoing requirement will be carried over for the home to adopt a good quality assurance system using questionnaires to gain an insight from residents, relatives and visiting professionals into producing an action plan from the results. The home could improve its quality procedures by formalising an annual quality survey, and writing a report that current and prospective residents and their families could read. There has been an improvement in some areas and staff are monitored through regular supervision sessions. Resident’s finances are protected and any personal spending money is kept safe in individual wallets, with clear financial records in place, which are audited each week. Safe working practices were observed during the inspection. Hoists and other specialised equipment are in place and regularly maintained by external contractors. A sample of health and safety procedures was checked including fire records, monitoring accidents, staff training, infection control and improvements with risk assessments are needed. The regulatory records were also checked with no requirements outstanding from both the fire and EHO inspections. The water, central heating and radiators, fire equipment and specialist equipment were also satisfactory. The registration and insurance certificate was valid and displayed in the entrance hall. Overall, the home is managed in a safe and satisfactory manner putting residents and staff’s health and safety first, although some areas still require improvements. The Old Rectory Care Home DS0000061106.V362563.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 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 3 x 3 The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 13.4 Requirement All people living in the Home must have risk assessments pertinent to that individual stored in their care plan. This will ensure that they receive person centred support that meets their needs All people living in the Home must have an up to date, detailed care plan with actions care staff must take based on the assessed needs especially with a detailed life history of each individual. This will ensure that all people using the service have their social and personal needs met The Quality Assurance system should be further improved to include records of questionnaires, meetings and comments from everyone who lives, works or visits the Home. This will ensure that the Home is run in the best interests of everyone who lives there. DS0000061106.V362563.R01.S.doc Version 5.2 Page 25 Timescale for action 30/06/08 2. OP7 12.1 30/06/08 3. OP33 24.1,2,3 30/08/08 The Old Rectory Care Home 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 OP8 Good Practice Recommendations Nutritional screening should be monitored for frailer residents who no longer can manage the stand on scales, to ensure that no future problems occur with pressure. Consideration should be given to enlarging the laundry area, which is cramped and would contribute to the health and safety of staff working there as part of the infection control procedures for all those people living in the Home. 2. OP26 The Old Rectory Care Home DS0000061106.V362563.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Old Rectory Care Home DS0000061106.V362563.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. 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