Inspection on 24/04/09 for Sandpiper

This is the latest available inspection report for this service, carried out on 24th April 2009.

CQC found this care home to be providing an Good 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.

Extracts from inspection reports are licensed from CQC, this page was updated on 21/07/2009.

Key inspection report CARE HOME ADULTS 18-65 Sandpiper Beach Road Kewstoke Weston-super-Mare BS22 9UZ Lead Inspector Juanita Glass Unannounced Inspection 24th April 2009 09:00 Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandpiper Address Beach Road Kewstoke Weston-super-Mare BS22 9UZ 01934 424667 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) New Bridges Residential Care Limited To be agreed Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6), of places Physical disability (1) Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Mental disorder (Code MD) Physical disability (Code PD) - maximum of 1 place The maximum number of service users who can be accommodated is 6. 2. Date of last inspection N/A New Service Brief Description of the Service: Sandpipers is a community-based home registered to accommodate younger adults aged 18 to 65. They provide support for people with a learning disability, complex behaviours, cognitive deficits or epilepsy. The home can also cater for people with a physical disability who may be wheelchair bound, including people who may require assistance with personal care. They do not provide nursing care. The homes model of care is designed to promote independence, individuality and personal development in all aspects of daily living. This enables each resident to maximise his or her individual potential. Sandpipers has five en-suite bedrooms in the main house and one flatlet. People living in the home also have access to communal areas such as lounge, conservatory, dining room and garden. They also have the use of shared laundry and kitchen facilities. The home is situated on the Beach Road in Kewstoke within walking distance of the beach and main bus routes for Weston-super-Mare. Current fees depend on the assessed needs of the person as an individual. Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use the service experience good quality outcomes. This inspection took place over one day and a total of five hours were spent in the home. To gather enough evidence to support our judgments for this inspection, We The Commission asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. We also looked at surveys returned to us by people living in the home and people with an interest such as relatives, social workers and GPs. We received 6 surveys, 4 from people living in the home, 1 from a member of staff who worked there and 1 from a Health Care professional. Once we had received this information we carried out a visit to Sandpipers. We met all the people living there and spoke to all except one person who did not want to comment on their care, we also spoke to the manager and staff working there. Whilst in the home we looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. Also records relevant to the administration of medication, service records and health and safety. What the service does well: People spoken to said that they felt the support in the home was very good. They said staff were very nice and looked after them well. Two of the written surveys said that they were very happy living at Sandpipers. One person said they looked forward to their activities and always had plenty to do. Another person said they had enrolled at college to follow a course of their choice. The service provides support in a person centred way that respects the individual’s diverse needs and expectations. This means they recognise their need to continue with life long learning developing living skills and encouraging people to maintain their independence. Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 6 People live in a well maintained home that is secure in its setting with access to secure gardens and transport to the surrounding areas. Enabling them to access places of interest as well as educational facilities. People are supported by well trained staff who are experienced in the care of people with challenging behaviours and supporting them to live a fulfilled life. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Sandpiper DS0000072743.V375489.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 Sandpiper DS0000072743.V375489.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 People using the service experience good quality outcomes in this area. People benefit from sufficient information in an appropriate format to help them make an informed choice of home. They can visit and have a trial period before they decide to stay. They also benefit from an in depth assessment that looks at their personal needs, and a contract in a format that they can understand. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We asked the manager for a copy of the Statement of Purpose and Service User Guide. These were made available to us and contained all the information we would expect to see to help people make an informed choice about where they want to live. The manager confirmed that they were in the process of developing an Easy Read version of the Service User Guide for people who may have difficulty understanding the written guide. We looked at the care plans for people living in the home. We saw that they contained in depth pre admission assessments, which identified people’s Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 9 personal needs. They showed that the manager had met with people who wanted to move into the home and discussed their needs and expectations. We also saw care plans from Social Services which may help to identify needs the service user was not aware of. Everybody living at Sandpipers had a signed contract setting out the terms and conditions of their residency in the home. People we spoke to said they had been given a trial time when they could ‘test drive’ the home to see whether it was the right placement for them. The manager confirmed that if people living in the home expressed concerns over a new service user during their trial stay their concerns would be taken into account when deciding whether the placement would work. Two people said in their written survey that they had been provided with enough information about the home and were happy with the choice they had been offered. One person said they had received information from their social worker, family and the staff in the home, whilst another said their parents had looked at the information and visited the home on their behalf. Sandpiper DS0000072743.V375489.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. People benefit from clear person centred care plans that have been discussed and agreed with them, showing that they are consulted and make decisions about their life. They also benefit from clear risk assessments that enable them to take reasonable risks as part of their independent lifestyle. People know that the information held by the home is secure and confidences are respected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the care plans for people living in the home. They showed that people’s personal preferences were respected and taken into consideration when planning the care that the service provides. All the care plans were Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 11 person centred and included an in depth assessment of peoples needs. We saw that the care plans had been agreed with people living in the home and had been signed by them. The care plans showed what needs had been identified and how those needs were going to be met with a desired outcome for the service user. They included statements about ‘what I like, what I dislike, what makes me angry.’ People we spoke to said they knew about their care plans and had talked about them with their key-worker, they also knew who their key-worker was. We discussed with the manager the need for the care plans to be further developed, they had an easy read format and these needed to be completed with the individual. This would mean that people could show they had understood the care they had chosen to receive. We spoke to people about the way they could make decisions about the running of the home and the care they received. They all said that they could talk to staff and comment on things at the resident meetings. We looked at the minutes of a meeting and we saw that people had made suggestions for their holiday and garden furniture. They had also requested more input into the menus and cooking meals in the home. All these areas had been looked at following the meeting and resulted in holiday suggestions being sought and an evening meal each week that is ‘resident choice evening.’ People were assisted to take risks in a safe and responsible way enabling them to lead as normal a life as possible within a care setting. Full risk assessments were seen in care plans and outcomes for people recorded. One person said they liked the way they were encouraged to go out and was looking forward to horse riding after lunch. We asked people about the way their care plans were looked after but they did not comment, one person said ‘they are here if I want them and the office is locked.’ Sandpiper DS0000072743.V375489.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): This is what people staying in this care home experience: 11, 12, 13, 14, 15, 16 and 17 People using the service experience good quality outcomes in this area. People benefit from appropriate leisure and social skills activities relevant to their assessed needs. They maintain contact with friends, family and the local community. They are supported to be independent and are involved in all areas of daily living in the home. People benefit from a healthy and nutritious diet, which they are involved in planning and preparing. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the programme of activities that people at Sandpipers could take part in. We saw that people could join in a variety of activities relevant to their interests and capabilities. We also noted that people could continue with life long learning and developing personal skills. Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 13 We spoke to people about the activities and interests that they could follow. Two people said that they had plenty to do and listed a variety of activities that they joined in with. Some people were going horse riding on the day of our visit. One person in their written survey said that they had enrolled at the local college to follow a course. The manager confirmed that people were encouraged to take part in a life skills course or a course that interested them. One person was being encouraged to start a part time job in a supportive setting. People indicated in their surveys that they attended church regularly and the statement of purpose stated that they would support people to continue to follow their chosen religion. People were supported to maintain contact with their family, friends and the local community this was also backed up with a clear risk assessment when felt necessary. We spoke to people about the food they were offered at Sandpipers, they all said they had plenty to eat and were involved in deciding the meals they had and in the preparation. We looked at the menus, which showed that people were offered a choice of nutritional and well-balanced meals. Lunch on the day of our visit was relaxed and people were offered a choice. People’s likes and dislikes were clearly recorded. Sandpiper DS0000072743.V375489.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 People using the service experience good quality outcomes in this area. People living in the home benefit from personal and specialist healthcare support that is provided in a person centred way respecting choices and rights. They benefit from and are protected by the homes policies and procedures for the administration of medication. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Care plans showed that people at Sandpipers were supported to access healthcare specialists as well as the Mental Health and Learning Disabilities Teams. Support in the home is gender specific if required and the staff team skill and gender mix reflected this. We saw that there was a clear indication of possible triggers that might show when a person’s mental health was deteriorating or when an episode of Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 15 challenging behaviour might be developing these also contained very clear guidance for staff. Health Action Plans were in place and people had been supported in attending specific appointments such as dentist, optician or hospital outpatient or health screening clinics. Staff confirmed that they could seek advice and support from the local community nursing services or the local hospice to help people handle any issues if they needed nursing or terminal care. There was a detailed medicines policy and procedure in place. All care staff received both in-house and distance training in how they should receive, store and give out medicines. We looked at the way staff record the medication that they give to people, all the records we looked at were up to date and had all the information we would expect to see. The medication was stored in locked cupboards properly and staff were seen giving people medicine in the right way. When medication was received into the home it was recorded and staff signed to show that it had been checked. We discussed the need for the secure place controlled drugs are stored in to be securely attached to the cupboard with bolts that people could not tamper with. If somebody were assessed as able to manage their own medication staff would help them to keep their independence. Sandpiper DS0000072743.V375489.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware of the procedures to follow to protect people from abuse. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Copies of the homes complaints policy and procedure were included with the Service User Guide these will also be written in Easy Read format for people to understand fully when the service user guide is up dated. People spoken to said they knew how to make a complaint and who to approach. Two people said they felt easy about talking to staff and the manager. The complaints policy also told people how they could contact The Commission if they needed to. We saw a copy of the North Somerset policy and procedure for Safeguarding Adults under No Secrets, which was available for all staff to read. Staff had a very good understanding of the procedures to follow to safeguard vulnerable adults. Staff files showed that they had all gone to training about abuse and how to ensure people were protected. We spoke to the manager about the Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 17 local authorities safeguarding policy and procedure and he agreed to attend the safeguarding training provided by North Somerset Social Services. Sandpiper DS0000072743.V375489.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28,29 and 30 People using the service experience good quality outcomes in this area. People benefit from a homely well-maintained environment that is individual to their personal needs, likes and dislikes. All areas were clean and hygienic. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We saw that Sandpipers was a well maintained home with communal areas where people could mix with the other residents as well as their private bedrooms. People had personalised their rooms to reflect their personality, likes and dislikes. Bedrooms also contained en-suite facilities and there was a bathroom where people could be helped if they had a physical disability. We talked to the manager about the need for some pictures or hangings on the walls of the communal areas to reduce the clinical feel. People living in the Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 19 home had access to garden areas as well as the laundry and kitchen where they were encouraged to develop their daily living skills. All areas of the home were well furnished and lighting was very good. We noticed that the home was very clean and tidy and that staff had all the protective clothing they needed. People said they were very happy with the home and their rooms were just how they wanted them. Sandpiper DS0000072743.V375489.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 People using the service experience good quality outcomes in this area. People benefit from a staff team who have clear job descriptions, are competent, qualified and trained to meet the diverse needs of people in the home. They are also protected by clear policies and procedures for the recruitment of new staff and supervision of existing staff in the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the personnel files for staff working at Sandpipers. We then spoke to people living in the home and staff working there. Staffing levels were determined by the assessed needs of people living in the home. These could change daily as some people may need two to one support sometimes. Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 21 We looked at the personnel files and they showed that all staff had a job description, which clearly stated what their roles and responsibilities were to support people in achieving a normal lifestyle whilst improving personal life skills. They also showed that people had been encouraged to attend training specific to their role and the needs of the people living at the home as well as all mandatory training. It was evident that people were encouraged to obtain an NVQ qualification In Health and Social Care. We spoke to people living in the home they said they were looked after by ‘very nice’ people who knew what their needs were and how to look after them. We spoke to staff who felt they received all the support and training they needed to carry out their roles in the home. They confirmed that they received regular supervision from management. A review of the personnel records for the most recently employed members of staff showed that people living at Sandpipers were protected by a robust recruitment procedure. All the required documentation was available showing that a POVA 1st, CRB and two references were obtained before a new member of staff commenced work. They then followed an induction programme that ensured they were competent to work with the current resident group. Sandpiper DS0000072743.V375489.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 and 43 People using the service experience good quality outcomes in this area. People benefit from a home that is well managed in an open and approachable way, which considers peoples personal input into the day to day running of the home. The policies and procedures, record keeping and health and safety in the home safeguard people living there. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager has over twenty years experience in the care of people with a Learning Disability and Mental Health problems especially people who exhibit challenging behaviours. He has worked in a secure service and managed three Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 23 similar units. An experienced deputy manager and staff who have received appropriate training support the manager. The manager needs to commence the registration process with The Commission. People we spoke to said they felt they could talk to any member of staff and were observed to have a relaxed and friendly rapport. The office was open during the day and people came and went at will to talk to the manager and staff. Staff said they felt well supported and able to approach anybody at any time. It was evident that people living at Sandpipers were involved in the day to day running of the home and organising their personal lives. As the home had only been open 6 months a Quality Assurance process with people living there had not been carried out however a comprehensive programme was in place and planned for the near future. Progress in this area will be assessed at the next inspection. The manager had carried out an audit in the home and held both staff and resident meetings. Comments made by people at the residents meeting had been taken on board and included in the day to day running of the home. All the policies and procedures for the smooth running of Sandpipers were in place, reviewed and up to date. We looked at records relating to the servicing of equipment used in the home. All the records were up to date and available for inspection, these included the COSHH records, which are the guidelines for staff to follow if they spill, drink or are splashed by chemicals used in the home. The implementation of health and safety within the home was satisfactory. All residents had personal risk assessments. Generic risk assessments were in place and reviewed regularly. A review of the firelog showed all tests, training and drills were being carried out to the Avon and Somerset Fire Brigade guidelines. Sandpiper DS0000072743.V375489.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 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Version 5.2 Page 25 Sandpiper DS0000072743.V375489.R01.S.doc 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 Refer to Standard YA1 Good Practice Recommendations The responsible person needs to complete the Easy Read version of the service user guide. This is to enable people who cannot understand written information to know about the home. The manger needs to develop the care plans in an easy read personal plan version agreed with the resident. The responsible person needs to ensure that the controlled drugs box is secured in the drugs cupboard with bolts that are tamper proof. The manager needs to attend the safeguarding adults training provided by North Somerset Social Services. This is to ensure that people are protected by the manager’s knowledge of the local protocols. 2 3 4 YA6 YA20 YA23 Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 26 Care Quality Commission London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Sandpiper DS0000072743.V375489.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!