Inspection on 23/02/08 for Rock House

This is the latest available inspection report for this service, carried out on 23rd February 2008.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Rock House 109 Rock Avenue Gillingham Kent ME7 5PY Lead Inspector Anne Butts Unannounced Inspection 21 February 2008 09:00 Rock House DS0000066024.V352744.R01.S.doc Version 5.2 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 Rock House DS0000066024.V352744.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 Adults 18-65. 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. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rock House Address 109 Rock Avenue Gillingham Kent ME7 5PY 01634 280703 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) Rodney Herkanaidu Mr Marc Wood Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th February 2007 Brief Description of the Service: Rock House is a fifteen-bedroom property supporting people with mental health problems aged 18 - 65. This is still a comparatively new service set up by an individual provider who has an interest and commitment to supporting people who suffer with mental health needs. The home is situated in Rock Avenue, a main road on the outskirts of the centre of Gillingham. There are good local transport networks, with a bus service passing the home on a regular basis. The premises are set over 3 floors with well-appointed communal spaces and lounges. There are two kitchens that are available for service users to use at any time and a fully equipped laundry area. There is also a gym and computer room. All bedrooms are single occupancy and have en-suite facilities. The ethos of the home is to support service users in working towards to achieving and maintaining an independent lifestyle. The current fees for the home start at £927.00, and this includes a weekly individual budget for food. Fees rise in accordance with the amount of individual one-to-one support required and can be fully discussed with manager and provider on referral. Information on the homes full services’ are available through the Statement of Purpose and Service Users Guide and on publication of any report from The Commission of Social Care Inspection. Rock House DS0000066024.V352744.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 3 star. This means the people who use this service experience excellent quality outcomes. This was a key unannounced inspection that took place over the course of one day. During the visit time was spent reviewing records, talking to the registered manager, registered provider, five members of staff and five people who are live in the home. Prior to our visit, we reviewed our records of the home and further feedback was obtained through the Annual Quality Assurance Assessment and surveys sent out to relevant people. We (The Commission) made our judgements taking into account evidence from a range of information as described above. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information on these can found on the CSCI website. What the service does well: What has improved since the last inspection? Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 6 There was one requirement made at the last inspection with regards to training. The home continues to source training for staff that will enable them to meet the needs of the service users. The home has continued to improve their quality assurance processes, and have recruited an independent assessor to carry out regular visits to the home. This, however, is still subject to ongoing improvement so that it can best reflect the outcomes for people living in the home. 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. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People benefit from having their needs fully assessed and can be confident that their wishes are acknowledged. EVIDENCE: Rock House provides care and support to people who have been diagnosed with a mental health need. This is done through the Care Programme Approach. They will only provide support to people whose needs they have assessed as being able to meet. There is a thorough assessment process in place. When a referral is made to the home they request that the purchasing authority complete a referral form with an assessment of need that covers background information, current circumstances, any physical or emotional needs, any medical needs and any associated risks identified with the individual amongst others. The Manager is then able to make an informed decision from this information as to whether the home may be able to meet the needs of the individual. Prior to moving in people are invited to visit the home, and this can be as many times as they want and include overnight stays or a shorter visit to be Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 9 introduced to the home and people living in it. They are promoted in participating in the assessment process, and if all parties agree that the home may be suitable for them – then prospective service users are invited to stay for a six-week assessment period. In agreement with the individual, they are aware that this is an assessment period and everyone works together in ensuring that the home can support each person in accordance with their needs. During this time a holistic assessment is carried out regarding the individuals needs, likes and dislikes. One person told us that he had recently moved into the home and he stated that the staff were very helpful and friendly and that he liked living here. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care and support which people receive is based upon their individual needs and they can be confident that they are actively involved in making decisions about things that affect them. EVIDENCE: The people using the service were positive about the support and assistance that was offered to them. There are care plans in place for all service users and these have been developed for each individual. The care plans are laid out in a format that establishes people’s independence and activities which they want to carry out for themselves and then identify the supporting role (if any) that they will be supported with. Care plans overall addressed individual needs, although in some cases where the assessment had identified a need or procedure – this was not reflected in the care plan. For example, although the home is non-smoking some people Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 11 had a tendency to smoke in their bedrooms – if staff suspected that this was the case then a room search would be carried out. This needs to be agreed in the care plan with the individual involved. Service users are supported in their own decision-making processes and all current service users have full control over their own finances and daily living activities. They are also allocated, from within the fees, a budget for their own shopping and are supported in managing this. Advice is given when people asked for support and people are fully supported with maintaining as much independence as possible. Staff were observed interacting well with all service users – people were treated as equals and their choices and decisions were respected. For example on person wanted to go shopping – a member of staff discussed what they wanted and they talked about the amount of money they needed in an open and frank manner. There are risk assessments in place for supporting people with taking responsible risks. These are carried out in agreement with the person and decisions are recorded. The home has robust missing persons procedures and has an agreement with all people living in the home about guidelines for when they are out and about, and contacting the home if they do not return at the agreed time. They instigate this as soon as it is recognised that someone is missing. At the time of our visit one person had just returned to the home following an absence. Staff were observed to treat them with respect and genuine concern. The manager also supported the person to settle back in and allow them the opportunity to recover. When the person was ready they were invited to come and talk about their experience and discuss how the home could support them in the future. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a strong commitment to enabling service users to develop their skills, including social, emotional, communication and independent living skills, and people benefit from a flexible routine that meets their individual needs. EVIDENCE: The home is actively encouraging people with promoting and maintaining their independent living skills. People are supported with budgeting, household skills and accessing the community. This was reflected in their lifestyle plans. Throughout this report we have been able to reflect how people are supported with this. Returned surveys from staff evidenced that they are aware of the need to support people and not to ‘do’ things for them. Unfortunately as the people living in the home have been placed through out of area boroughs, the home has been unable to fully secure appropriate services Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 13 for all the people in the locality. They are currently looking into how they can support people living in the home with their mental health needs through appropriate local services. This is, however, having some detrimental effect on some of the people living on the home. One person who had recently moved in said although he enjoyed living in the home and that people were very nice, he felt lonely as he couldn’t attend ‘clubs’ and meet people in the area who were like him. Another person also stated that he felt he had only had limited support from the local mental health care team. The home was able to evidence that they are pro-actively trying to support people with their mental health needs and access appropriate resources. They need to continue to address this. Visitors are welcomed at all reasonable times and there are plenty of spaces to enable service users to meet friends and family in private – should they so wish. The home is promoting and supporting service users in establishing and maintaining associations with others in the home, and where conflicts arise they are being dealt with by working with the people involved. All prospective service users have the opportunity to meet those people already living there. Throughout the visit staff were observed to treat individual people with courtesy and respect. Staff maintained a professional yet friendly manner and was observed to remain firm but fair with people when discussing options of choice. They supported people by openly discussing the positive and negative outcomes with them when supporting them to make decisions. Observations and conversations with people also demonstrated that they were able to make their own daily living choices. People living in the home are allocated a budget out of the fees to buy their own food on a weekly basis. Their lifestyle plans indicate the agreed amount of support different people want. There is allocated cupboard, fridge and freezer space for everyone. People generally tend to organise their own meals and staff in the home support with encouraging healthy eating and preparing meals if required. Records are maintained so that staff can monitor peoples diet. Observations showed how one person wanted to buy a take-away meal that would leave him with very little money for food for the remainder of the week and the member of staff spent time talking this through and discussing other options and explaining the consequences of having no money for food shopping for the remainder of the week. A satisfactory agreement was reached. Occasionally different people club together and prepare a communal meal, such as a roast dinner. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from being supported in a manner that suits their individual preferences and wishes. EVIDENCE: People living in the home are mainly self caring with regards to their personal care needs. Staff are available for support and guidance. The lifestyle plans evidenced that individual’s physical and emotional needs are recognised. Individuals are supported and facilitated in taking control of and managing their healthcare. The home supports people with accessing local healthcare facilities. Records indicated that people are registered with G.P.’s, dentists etc. Currently all medication is kept in the main office, and no one in the home selfadministers. Medication is stored securely and when people need any medication they come to the office and request this. This is then entered onto the Medication Administration Record (MAR) sheets. There were some gaps in Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 15 the auditing process for medication in that their was no mechanism in place for making sure as to exactly how much medication was being held in the home at any one time. This was discussed with the manager at the time of the visit and he stated that he would review the system to make sure there are robust procedures in place for this. On observation there did appear to be some lack of monitoring to make sure that all service users had taken their medication – the senior in charge explained that this was noted in the handover book & was monitored then. This was also discussed at the time and the home must make sure that this is a robust mechanism that fully protects people living in the home. Staff in the home are flexible to the changing needs and wishes of the people living in the home. One person has managed their own medication previously – they had then requested not to be responsible for this any more and was now currently looking at being supported with self-medicating again. The home had adapted the lifestyle plan at each change in needs and listened to the preferences and worked with the individual to achieve their goals. When people request to manage their own medication they are provided with a locked cupboard in their room. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People can be confident that their views are listened to and acted upon. Arrangements for safeguarding people are good, with appropriate action taken to follow up any allegations. EVIDENCE: There is a clear complaints procedure in place and people are encouraged to talk to staff and voice any concerns or complaints. There is an open culture that welcomes people to express their views and opinions. One person discussed some concerns they had, and on review of the records it was evident that the home were aware of these and were currently working with the individual to address and resolve the issues. We have received no complaints about the service. The home is pro-active in safeguarding the people living in the home. They have assessments in place, which have been agreed with the individual, and these are reviewed, as needs change in order to support them to take responsible risks. The majority of staff have undertaken training in learning about safeguarding adults, other members of staff have undertaken an awareness through their induction training. The home continues to access training in this area for all staff. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 17 The home is clear about when an incident needs to be referred to the local authority as part of the safeguarding procedures. They have encountered some problems in this area, with referrals not always being acted upon promptly. They do, however, actively work on behalf of the service users to make sure that their best interests are promoted. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from living in a home that is well maintained and supports them in leading an independent lifestyle. EVIDENCE: A full tour of the building was not undertaken, as people living in the home prefer to maintain the privacy of their own rooms. All bedrooms are, however, single occupancy and are en-suite. Discussions with people supported that they liked their rooms and that they were happy living in the home. The layout and design of the home allows for a range of communal spaces varying in size and the whole home is well maintained and attractively decorated. There is a small gymnasium installed and a communal computer room. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 19 All areas were clean and people living in the home have access to all communal areas. There are two kitchens and a separate laundry area. All service users have their own key to their individual rooms and also the front door. The manager retains a master key for individual bedrooms but this is identified in the contract and rooms will only be accessed without service users permission in the case of an emergency. The home has adopted a strict no-smoking policy and all prospective residents are advised about this. They have provided a sheltered area in the garden to enable people to smoke under cover. The manager has had to introduce additional house rules with regards to smoking as not all people have respected this. All people living in the home were officially informed, and they continue to work with individual people to address issues around smoking. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a stable staff team who are well supported and have a high moral. This means that people living in the home benefit from being supported by a well motivated staff group. EVIDENCE: The home conducts staff selection in line with recognised good practice and the National Minimum Standards. We viewed three files and they all contained completed application forms, rehabilitation of offenders’ declaration, health declaration and terms and conditions of employment. Staff are only recruited if they are able to demonstrate an aptitude for working with this service user group. Staff are not employed until the home has received a satisfactory Criminal Records Bureau (CRB) check and two references have been obtained. On one of the files we viewed, however, there was only one reference – the manager stated that this had been received but not yet been filed. The manager stated that all staff undertake an induction programme at the start of their employment. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 21 All staff have either completed a National Vocational Qualification (NVQ) or are enrolled to start with Medway College. Varied training certificates were viewed for different staff including managing challenging behaviour, safe-guarding adults and moving and handling. Appropriate members of staff have completed medication training and the majority of staff have undertaken training in health and safety and an introduction to mental health. The training matrix did indicate that there were some shortfalls in training, however the registered manager is aware of these and whilst waiting for available courses is supplementing the training programme with E-learning courses. Three members of staff are booked on training in regards to the Mental Capacity Act. Staff confirmed that the training they had received had been beneficial. Conversations with staff all evidenced that they enjoyed working in the home and felt well supported by the registered manager and registered provider. Staff were knowledgeable about the individual needs of the people living in the home and confirmed that they were given guidance in best care practice. Regular staff meetings are held on a fortnightly basis so that staff can share ideas or concerns and review the care and support provided in the home. On the day of our visit there was a staff meeting and we had the opportunity to observe interactions between members of staff and people living in the home. There was a relaxed atmosphere with positive interactions between people. Three staff surveys were returned and they all confirmed that they received appropriate training and support. Staff treated people as equals and their choices and decisions were respected. Staff attitude was open and transparent and they have adopted a consistent and respectful approach with people. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People benefit from living in a home that is run in their best interests so they can be confident that views and opinions are listened to. The continued development of quality assurance processes will further benefit the people living in the home. EVIDENCE: The registered manager is experienced in the care of people with mental health needs and has a clear understanding of the focus of the service, which is to provide high quality care and support to people living in the home. He is well supported by the registered provider. Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 23 The home operates in an open and transparent manner with people living in the home having ample opportunities to have their say, through one-to-one and group meetings. The lifestyle plans and observations clearly demonstrated that the individual diverse needs of people were taken into account with a strong emphasis on promoting equality and recognising individual human rights. The home still remains below full capacity but continues to refuse to compromise their values by providing a service to people whose needs they cannot meet. The registered provider has implemented good quality assurance processes and has employed an independent person to evaluate the service on a monthly basis. This is still in its infancy and this is continuing to be developed to the best advantage of this service. Staff and people living in the home are encouraged to actively contribute ideas so they can have an input on the way the home is run. There are robust health and safety systems in place, with regular checks being carried out for the safe maintenance of the home. This includes regular fire alarm checks, fire drills (with people living in the home being included in this), emergency lighting and temperatures of fridges and freezers. There are monthly inspection checks of all rooms to review any maintenance required. Certificates were viewed for safe maintenance electrical and gas appliances. There are environmental risk assessments in place including the safety of the premises, control of substances hazardous to health and food hygiene amongst others. Accidents and incidents are recorded with strategies and outcomes put into place to reduce any re-occurrence. The home actively works with us and reports any untoward incidents with details of action taken under Regulation 37, which requires care homes to inform us of these. Rock House DS0000066024.V352744.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 Adults 18-65 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 X 2 4 3 4 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 4 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 4 3 X X 4 X Rock House DS0000066024.V352744.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. Standard Regulation Requirement Timescale for action 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. 2. 3. Refer to Standard YA6 YA13 Good Practice Recommendations Care plans should reflect any agreed procedures to minimise risks to service users. The home must continue to support service users in accessing community resources suitable to support them with their mental health needs. The systems for auditing medication need to be more robust. YA20 Rock House DS0000066024.V352744.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Rock House DS0000066024.V352744.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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