Inspection on 03/05/07 for 1-2 Orchard Mews

This inspection was carried out on 3rd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1-2 Orchard Mews 22/04/08

1-2 Orchard Mews 07/02/07

1-2 Orchard Mews 14/10/05

1-2 Orchard Mews 20/05/05

1-2 Orchard Mews 14/01/05

1-2 Orchard Mews 08/07/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1-2 Orchard Mews Bakers Drove Rownhams Southampton SO16 8AD Lead Inspector Laurie Stride Unannounced Inspection 3rd May 2007 11:15 1-2 Orchard Mews DS0000059159.V336164.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 1-2 Orchard Mews DS0000059159.V336164.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. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1-2 Orchard Mews Address Bakers Drove Rownhams Southampton SO16 8AD 023 8073 9076 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) www.choicesupport.org.uk Choice Support Mr David Minett Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2007 Brief Description of the Service: 1-2 Orchard Mews consists of two purpose built bungalows with through access via the office. Service users have learning disabilities and those living in bungalow 1 require a high level of physical support, have communication difficulties, and are wheelchair users. The occupants of bungalow 2 have greater communication skills and are more physically able. One staff team operates throughout the home, although the service users tend to keep their own area of the home. The fees for living in this home are £1040 per week. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met with people who use the service, staff members, the registered manager and a visiting healthcare professional during the visit to the home, which took place over one day. During the visit the inspector spent time with people who live in the home and was able to have a conversation with one person, observed staff working with individuals, sampled records, had individual meetings with staff and viewed parts of the premises. In preparation for this visit the inspector also examined incident reports and the two most recent inspection reports on the home. A survey form was received from the relative of a person who lives at the home. What the service does well: What has improved since the last inspection? The manager has continued work on developing and improving the care planning and record management in the home. This is shown through improving records of the assessment of individual needs and support planning around people’s choices, better medication procedures and keeping records of complaints and compliments about the service. The manager says that staff members are also now more actively involved in the operation of the home. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 6 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. 1-2 Orchard Mews DS0000059159.V336164.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 1-2 Orchard Mews DS0000059159.V336164.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a process of assessment and documenting the needs of people who use the service and improvements have been made in implementing this more effectively. EVIDENCE: The inspector examined a sample of three files relating to people who use the service, including the information for an individual who moved into the home since the last inspection. The records for this person showed that a care managers assessment had been obtained and that a care review meeting had been held a month after the admission. The individual had been in hospital prior to coming to the home and detailed information was limited, however an interim care plan had been set up using the available information, including basic risk assessments. (See also the section on Lifestyle). 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 9 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 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Improvements have been made in the approaches of the home to documenting and responding to the assessed needs of people who use the service. Individual choice is promoted within a risk-assessed framework. EVIDENCE: With the exception of the documentation for the new person to use the service, the two other plans examined by the inspector contained a good level of information and strategies to support the relevant individuals. The three files seen also provided evidence that care and support plans are now being kept under review. Support plans included personal care, healthcare, mobility, eating and drinking and cross gender personal care. A section within the support plans deals with managing risk with an assessment of the activity and control measures to minimise the risk of harm to the individual. One plan seen had a new version of risk assessment being introduced into the home, this is in a more accessible 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 10 format, which encourages the involvement of the individual and has a more person centred assessment. The new person centred plans are held by the individuals concerned. Records of meetings, feedback and action planning were seen in respect of one person. The meeting of people in the individual’s chosen ‘circle’ were well attended, including relatives, health and social care professionals, advocates and staff members. The registered manager reported that approximately 50 of people who use the service currently have dates for person centred planning meetings. The new person centred plans will further develop the involvement of people who use the service in making choices about their support. The inspector observed the staff providing support to people in sensitive and valuing ways. Staff spoke to people who live in the home informing them of what they were doing and offered choices to individuals throughout the day. People who use the service moved freely around the home and for those people who require assistance getting around the home they were asked were they would like to be. The manager and staff are also beginning to develop information files for each person who lives in the home. For example, these contain information about activities and facilities that may be of interest to the individual, including details about how to vote. The manager said that all people living in the home now have their voting cards and the home has started working on ways to support people who may wish to use them. Two of the people who use the service require medication to be administered via an invasive route. The inspector was able to confirm the involvement of the district nurse and specialist healthcare team in training staff in the correct procedure. The District Nurse had signed a document confirming that individual staff had been trained and are competent in carrying out the procedure. In the case of one individual, the person’s General Practitioner had also signed a document giving permission for staff to carry out the procedure following training. The registered manager reported that he was awaiting a similar document from the other person’s doctor. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are supported to take part in activities that they enjoy enhanced by contact with families and support to maintain important relationships. People who live in the home have a healthy and balanced diet that has been geared towards their individual needs. EVIDENCE: The home produces an activity plan to include each of the individuals who use the service, including a record that the staff keep to document the activities individuals take part in and their responses to the activity. From this information the inspector confirmed that people who live in the home take part in activities including trips to clubs and concerts, music therapy, shopping, cooking, keep fit, day service groups and a local college. Activities for a recently admitted individual are limited at present as the staff get to know the person and their likes and dislikes. Prior to coming to the 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 12 home, this person had attended a centre on three days a week and the home’s records indicated that this activity would continue following admission. However, the manager said that this activity had subsequently become unavailable to the individual and this matter would be taken up at a forthcoming meeting with external agencies. The home was looking into suitable alternative activities for the individual and to develop a comprehensive lifestyle support plan. Individual support plans contained information on important relationships in people’s lives. Families visit regularly and there are no restrictions on visiting the home. Comments from one person’s relative stated they were pleased with the placement and felt confident that the staff were able to meet the individual’s needs. Evidence was seen of a balanced menu plan for people who use the service. Meals are chosen based on individual likes and healthcare needs. People who use the service have very specific eating and drinking guidelines in place to ensure their safety and wellbeing is maintained and these have been completed with input from the specialist healthcare team. The inspector observed staff supporting individuals at lunchtime, in a relaxed and unhurried setting. At the previous inspection it was identified that it is the policy of the home for staff to sit and eat the same meals as people who use the service in a group. However the method of obtaining monies from the head office for food has meant that at times insufficient funds are available to provide meals for all and people who use the service are a priority. This means that the home’s policy of staff eating the same meals together with people who live in the home cannot be followed. The manager said this matter was still under review. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 13 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 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides support for individuals to access health care services to meet their needs. Personal support is given in a way that respects the privacy and dignity of the individual. There have been improvements in the homes practices in the administration and recording of medication, which have been made in order to demonstrate that safe practice is maintained at all times. EVIDENCE: Each person is registered with a general practitioner and records are kept of all appointments. Evidence was seen to confirm that people who use the service are supported to attend medical appointments and maintain their health needs. Files examined by the inspector contained support plans to meet the healthcare needs of individuals. Staff spoken to understood the principles of upholding the privacy and dignity of people who use the service when giving personal care and support. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 14 Through discussion with a visiting healthcare professional it was evident that the staff at the home had developed as a team, improving their responsiveness and capacity at meeting individuals needs and promoting choice. It was evident also that the home was communicating with external agencies, who had provided guidelines and additional training to staff in relation to meeting the specific needs of people who use the service. The home has improved the procedures for administering medication to people who use the service. A ‘Nomad’ monitored dosage system is in place and individuals now receive their medication straight from the pharmacy container, minimising the risk of errors through secondary dispensing. A sample of the medication records was examined and these were completed accurately. Medication is stored securely in a suitable medication cabinet. Staff have undertaken training and assessment before they can administer medication to people who use the service. At the last two inspections the home was required to obtain authorisation for the use of invasive methods for administering medication. This is now being put in place and evidence was seen that the manager had obtained this permission from one individuals’ general practitioner, and was awaiting similar documentation from another person’s doctor. This will ensure that the training and practices have been agreed with the individuals’ GP. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 15 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 & 23 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home has policies and procedures in place to respond to the concerns of people who use the service and their representatives. It was not possible to determine how individuals’ monies are being managed from the information available in the home. EVIDENCE: At the last two inspections of the service the home was required to complete and keep a log of all complaints in the home. This has now been put in place and includes records of previous complaints and action taken, as well as compliments and notes of thanks. One concern had been logged since the last inspection and a meeting between the relevant people had been arranged in relation to this. The training records for staff confirmed that training in adult protection takes place and staff who spoke to the inspector were clear in their roles and responsibilities when keeping people who live in the home safe. Money belonging to people who use the service is held centrally and small amounts of money are requested and sent by the organisation, which is then held in the home. The manager confirmed that there had been no change to this arrangement since the last inspection. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 16 There was no evidence, as confirmed by the registered manager in the home, that a previous requirement had been met, specifically that the home must demonstrate how monies belonging to people who use the service are being managed, to include confirmation that the monies is not being held in an account used for the running of the business and that individuals are receiving interest on the money they have deposited. As at the previous inspection, the inspector saw evidence to confirm that monies spent for service users is recorded and receipted in the home. The manager provided a printout sent from the head office but could not explain how this account is held. The print out did not include information on how interest was applied to the monies. The requirement has been repeated in this report. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a clean and homely environment. The overall service would benefit from a refurbishment and repair of the kitchens. EVIDENCE: On the day of the inspection visit the home was clean, tidy and free from any unpleasant smells. The home is generally well maintained and had good furniture in the communal areas. As at the previous inspection, the kitchens are showing signs of age and this area needs to have attention to improve the part of the home. However, handles have been replaced in order to tidy up the appearance of this area. The manager stated at the previous visit that this has been raised as part of the service development and improvement plan in negotiation with the housing association, however they have been told that a replacement will not be until 2012. The home has two separate gardens with seating for people who enjoy 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 18 sitting out in the warmer weather. The fence is still down on bungalow two and the home is waiting for the housing association to fix this. Each bungalow has a utility room containing the laundry facilities and the manager has stated that these machines meet the services needs. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 19 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): 32, 34, 35 & 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who use the service are supported by a staff team who have been well trained and supervised to meet their needs, however the system of recording recruitment practices does not demonstrate that a thorough process is followed to maintain the safety of people who live in the home. EVIDENCE: The staff rota is linked to activities for people who use the service and showed that there is generally four staff on duty in the morning and three in the afternoon. The manager said that this is flexible around individual’s needs. Night-time cover is one member of staff awake and another sleeping-in. The personnel records for six members of staff were inspected, all of whom had been in post at the time of the last inspection as there had been no new staff recruited since the last inspection in February. Four of the staff files contained all of the required information, including evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks, application forms with employment histories and two written references, with the exception of one file that contained only one written reference. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 20 The other two files did not contain copies of completed application forms or any written references. One of these contained a note indicating that a reference had been chased up but there was no evidence of this having been completed. Through discussion with the manager, who also telephoned the organisation’s human resource department, it was confirmed that both staff members had been bank staff employed by the previous service provider and who had transferred across to the new organisation. It was advised that any issues in obtaining the relevant records from a previous provider should be documented in the individual files. The current organisation had not fully audited and updated the recruitment records in the home despite previous requirements on three occasions. This does not demonstrate that people who use the service are protected by the company’s procedures. Staff training records were examined and this provided evidence to confirm that staff are undertaking training and development relevant to their work. Staff have undertaken an induction and foundation. The manager reported that three staff are currently working on a National Vocational Award (NVQ). There was no available record of those staff who had completed an NVQ and the manager said he was building up this information to include in the home’s statement of purpose. New staff complete their induction and foundation training before being put forward for the NVQ award. A training programme ensures that staff undertake training in moving and handling, fire safety, food hygiene, health and safety and first aid. Additional training is also provided for staff including communication, epilepsy, autism, diabetes, mental health, care of medicines and skills teaching. Discussions with staff members confirmed that they feel well supported through formal and informal supervision and that they are encouraged to develop their skills and abilities. Staff confirmed that they have a programme of induction into the home and are encouraged to develop their skills through training, including NVQ. Team meetings and handovers take place and staff reported that the communication is good in the home. Comments from the relative of a person who lives in the home stated that staff members communicate well with individuals who live in the home. A visiting healthcare professional also commented that there were some excellent staff and care being provided. 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 21 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, 39 & 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who live in the home are supported by a service that continues to be managed in a generally more effective manner, however some areas still need to be addressed to fully demonstrate the effectiveness of this management. The organisation has systems to ensure the views of people who use the service and their representatives influence the running of the home, although there is no evidence at this time that these systems have had any impact on the service and the effectiveness of these systems will therefore need to be assessed at future inspections. The home is generally well maintained and equipment is serviced to keep everyone safe. EVIDENCE: 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 22 There is a registered manager in post who is a Registered Nurse and who is currently undertaking the NVQ level 4 Registered Manager Award. The manager had day-to-day responsibility for the running of the home prior to registration and this has maintained management stability. The manager has a monthly support and supervision meeting with an area manager for the organisation. Some areas highlighted in this and the previous report, such as staff recruitment records and the management of monies belonging to people who use the service, are directly related to the management of the home and have yet to be addressed to demonstrate that the home is managed effectively. The inspector saw evidence of continued improvement in the organisation of information, care planning, risk assessment processes and the positive staff attitude that can be attributed to the current management of the home. As identified in the previous report, the organisation has systems to ensure the views of service users and their representatives influence the running of the home. However there is currently no evidence that these systems have had any impact on the service and it was not possible to assess the effectiveness of these systems during this visit. Since the last inspection in February 2007 the manager has undertaken training in Reach 2 standards and plans to feedback the training to staff as part of further implementation of the quality assurance programme. Regulation 26 visits take place on a monthly basis by a representative of the registered person. The manager reported that meetings have been reestablished for people who use the service, in order for them to have more direct influence on the running of the home. The manager is keen to encourage people who use the service in making decisions, supported through the implementation of person centred planning approaches in the home. The inspector confirmed by examining the homes maintenance records that the alarm system has been serviced regularly. Weekly alarms tests are completed and fire drills are undertaken. Staff training in fire safety is up to date. The manager has set up a system that monitors any accidents/incidents and records showed that these have reduced. 1-2 Orchard Mews DS0000059159.V336164.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 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 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA23 Regulation 20(1) Requirement The home must demonstrate how service user’s monies are being managed to include confirmation that the monies is not being held in an account used for the running of the business and that service users are receiving interest on the money they have deposited. Repeated requirement timescale of 07/04/07 not met. 2. YA34 19 Schedule 2 Recruitment records must be held for all staff to include two references. Repeated requirement timescale of 14/1/05, 20/5/05, 06/01/06 and 07/03/07 partly met. 04/06/07 Timescale for action 02/07/07 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 1-2 Orchard Mews DS0000059159.V336164.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 1-2 Orchard Mews DS0000059159.V336164.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!