Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: 1 Church Road 1 Church Road Wembdon Bridgwater Somerset TA6 7RQ The quality rating for this care home is:
one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alison Philpott
Date: 2 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home
Name of care home: Address: 1 Church Road 1 Church Road Wembdon Bridgwater Somerset TA6 7RQ 01278453635 01278456656 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Home First & Foremost Ltd care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 13. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability- Code LD Date of last inspection Brief description of the care home No 1 Church Road is a large extended house situated in a quiet residential area on the outskirts of Bridgwater. The property is surrounded by landscaped gardens. The home can accommodate up to thirteen people with learning disability and/or additional physical impairments. Accommodation is provided over two floors. All people who live at the home have their own bedroom. Twelve of the thirteen bedrooms have en-suite facilities. A dedicated staff team provide support. The people living here are supported to access a wide range of recreational activities within the home and the wider community. Contact with friends and families is promoted and supported according to individual needs and wishes. The Registered Provider is Milbury Care / Voyage Ltd. The current scale of charges is #1,200 to #2,200 per week. Care Homes for Adults (18-65 years)
Page 4 of 29 Over 65 0 13 Care Homes for Adults (18-65 years) Page 5 of 29 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home
peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection which took place over 13 hours on 21st November 2008. The inspection was undertaken by Alison Philpott and Jane Poole. Although there were two inspectors, throughout the report the term we will be used as it is written on behalf of the Commission. The home sent CSCI its completed Annual Quality Assurance Audit which gives details of all aspects of the home. As part of this inspection we received four completed surveys; two from relatives of people who live at the home and two from staff. During the inspection we spoke with people who live at the home, management and staff. Care Homes for Adults (18-65 years)
Page 6 of 29 We viewed the home, looked at four individual support plans, and looked at records relating to medication, finance, health & safety. The inspectors would like to thank people who live at the home, staff and management for their assistance on the day of inspection. The focus of this inspection visit was to inspect the relevant key standards under the CSCI Inspecting for Better Lives 2 framework. This focusses on outcomes for people who live at the home. The quality of the service is measured under four ratings. These are excellent, good, adequate and poor. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the care home does well: What has improved since the last inspection? What they could do better: The home must ensure that support needs and plans are reviewed so that peoples individual and changing needs continue to be met appropriately or to assist the home in identifying when it is no longer able to meet an individuals needs. The home advised that they are currently reviewing the support plans to ensure individuals needs are reflected. The home should look at providing support and tuition for people to manage their own finances, where it is assessed as appropriate, to promote independence. The home must ensure that activities are fully risk assessed to minimise identified risks and hazards and protect the people who live at the home. The home should consider pureeing foods separately so that people can experience and enjoy the individual tastes and colours. The home must ensure that people are supported to access their GP so that advice can be obtained and individuals health needs are monitored and managed appropriately. Care Homes for Adults (18-65 years) Page 8 of 29 The home should label liquid medications with the date it was opened and expiry date to ensure its used when at its best. The home should obtain a controlled drug book that is bound with numbered pages to ensure a clear audit trail. The home should ensure that a protocol for as required medication is put in place so that staff know what they can give and when to protect people. At present, none of the people living at the home deal with their own medication. The home should carry out an assessment to identify whether people are able to deal with their own medication to promote independence. One newly created bedroom does not have a wash hand basin or en-suite and there are no bathroom facilities close by. The home should review this situation to ensure that suitable arrangements are made to meet this individuals needs. The home should look for a suitable window covering for one identified bedroom to promote privacy and aid sleep. The home should review the necessity of the bolts on bathroom doors for each individual person living at the home to promote individuality and independence. In view of the diverse and complex needs of the people who live at the home, the home should review its communal lounge spaces to ensure that peoples individuals and collective needs are met appropriately. The home should ensure that the people who are not able to access the activities room are offered alternative opportunities so that they are not excluded. When staff work a long shift, the home should consider a system to ensure that staff can take a break to protect their wellbeing (see Working Time Regulations 1998). The home doesnt have a Registered Manager at present but the organisation are taking positive action to recruit. The home must ensure that the fire alarms are tested weekly to protect peoples safety 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home undertakes a full assessment prior to admission to ensure that it can meet the aspirations and needs of people appropriately. Evidence: The home has not had any new admissions since the last inspection. Therefore, this standard was not fully assessed at this inspection. If the home was to admit any new person to live at the home, they confirmed that they would undertake a full assessment to ensure that they were able to meet the individuals aspirations and needs appropriately. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person living at the home has an individual support plan. The plan is not used as a working document and does not consistently reflect the care and support that the staff deliver. People who live at the home are involved in the development of the service. Risk assessments are completed for most identified risks and hazards but are not always individualised or person centred. Evidence: We viewed four individual support plans. The home has introduced new paperwork since the last inspection. The plans include peoples individual likes and dislikes. A plan is completed for each area that the person needs support with. We observed individual behaviour that was not recorded in peoples plans. Some of the information that was included within the plans was not up-to-date and did not contain peoples changed
Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: needs. Short term and long term goals were identified within the plans. There was no evidence of the action being taken to work towards the goals. The home must ensure that support needs and plans are reviewed so that peoples individual and changing needs continue to be met appropriately or to assist the home in identifying when it is no longer able to meet an individuals needs. The home advised that they are currently reviewing the support plans to ensure individuals needs are reflected. The staff at the home were able to explain in good detail the support that they provide to people. The home holds regular meetings when people are involved in menu and activity planning. People spoken with confirmed that they enjoy these meetings. People spoken with confirmed that they are offered choices and we observed staff offering choices. The home supports people to manage their finances. Monies are stored separately and individual records are kept. Wherever possible, people living at the home sign the records of financial transactions with a member of staff. The home should look at providing support and tuition for people to manage their own finances, where it is assessed as appropriate, to promote independence. Risk assessments contained a good level of detail but are not always individualised. Two risk assessments relating to bathing and relationships did not contain information relating to risks and hazards of the activities that were taking place. The home must ensure that activities are fully risk assessed to minimise identified risks and hazards and protect the people who live at the home. When looking around the home, it appeared that there are a number of measures that have been put in place to protect an individual person but these were impacting on other people (see Environment - Standard 24). Through discussion with staff, it was identified that staff enter two peoples bedrooms to carry out regular checks on them at night. There was no documentation relating to this in the support plans. The home should review the need for and frequency of these checks and the assessment should be clearly documented in the support plan to protect peoples privacy and promote their wellbeing. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is developing its activities programme to ensure that individual and group needs continue to be met Staff support people who live at the home to maintain personal and family relationships The rights of people who live at the home are respected People living at the home enjoy their meals Evidence: We spoke with people who live at the home. One person was going to the Post Office to buy a hobby related magazine. Other people were watching television and DVDs.
Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: The home has a new activities room and is currently reviewing its activities programme to ensure that individual and group preferences are met. People who live at the home have benefited from holidays to either Portugal or an activities break in Cornwall. Since the last inspection the home has purchased another minibus to take people on outings. The bus has an electric tailgate for wheelchair access. On the day of the inspection, staff were taking three people to the Apex Leisure Park. People who live at the home confirmed that staff support them to maintain contact with family and friends. On the day of the inspection, the home provided transport to the station for one person who was going to visit family for the weekend. A number of bedrooms at the home have a keypad. Some of the people who live at the home are able to access their rooms. The staff support other people back to their rooms and assist them with the keypad. The home has also introduced an electric key fob that opens the door automatically so that wheelchair users can access their room more easily. One person who lives at the home confirmed that this was better for them. Staff were observed asking permission to enter peoples bedrooms. Where staff enter peoples rooms at night to carry out regular checks for health reasons, this should be clearly documented in the support plan (see Individual Needs and Choices Standard 9). We observed lunch being served in the dining room. The dish of sausage, mash and peas was well presented and smelt appetising. Several of the people at the home need their food to be pureed for special dietary reasons. We observed that the home purees all of the foods together. The home should consider pureeing the foods separately so that people can experience and enjoy the individual tastes and colours. Staff were observed assisting people to eat and offering choices. People confirmed that they enjoyed their meal and that the food is good at the home. People are actively involved in weekly meal planning and shopping. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are well supported by staff. People have access to a variety of healthcare professionals. Peoples healthcare needs are not consistently assessed and recognised to ensure that procedures are in place to address them. The homes procedures in relation to the management of medicines protect people who live at the home Evidence: Each person living at the home has a designated key worker to support them. People spoken with confirmed that they have choice in what time they get up and go to bed and what they wear. People who live at the home have access to specialist support including physiotherapists and speech and language therapists. We viewed information in support plans relating to access to a variety of healthcare professionals including GP, dentist, optician, and district nurse.
Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Some of the information that was included within the plans relating to peoples physical and emotional health needs was not up-to-date and did not contain peoples changed needs (see Individual Needs and Choices- Standard 6). One person who lives at the home was on a diet to reduce their weight. A food diet sheet was available. There was no evidence that a healthcare professional had been consulted. The home must ensure that people are supported to access their GP so that advice can be obtained and individuals health needs are monitored and managed appropriately. We viewed the homes medication procedures. The Medication Administration Record Sheets were fully completed. Medication was stored securely. The home should label liquid medications with the date it was opened and expiry date to ensure its used when at its best. The controlled drug book was viewed. The home should obtain a controlled drug book that is bound with numbered pages to ensure a clear audit trail. The home administers medication on an as required basis. The home should ensure that a protocol is put in place so that staff know what they can give and when, to protect people. At present, none of the people living at the home deal with their own medication. This was identified as a goal in one of the support plans viewed. The home should carry out an assessment to identify whether people are able to deal with their own medication to promote independence. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a complaints procedure and people at the home know how to express their views The homes policies protect people who live at the home Evidence: The home has not received any complaints since the last inspection. Within the two surveys received, relatives confirmed that they know how to make a complaint. One relative stated a comment to a member of staff or the head of care at the home usually sorts any problems. People who live at the home knew who to speak to if they were unhappy. The home has policies relating to whistleblowing and vulnerable adults. Staff have undertaken Protection of Vulnerable Adults training. Care Homes for Adults (18-65 years) Page 18 of 29 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a physical environment that meets the specific needs of most of the people who live there. The environment does not always meet the specialist needs of some people who live at the home People who live at the home are encouraged to personalise their bedrooms The home is clean and tidy Evidence: We viewed the home including a number of bedrooms with peoples permission, lounge, kitchen, dining area and laundry. The home has thirteen bedrooms. Twelve of the bedrooms have an en-suite bathroom. One of the homes lounges has been converted to a bedroom to meet one individuals needs. This bedroom does not have a wash hand basin or en-suite and there are no bathroom facilities close by. The home should review this situation to ensure that suitable arrangements are made to meet this individuals needs. The room that was used as a bedroom has been converted to an activities room which is used for individual and group activities. However, some of the people who live at the home are
Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: not able to access this room. The home should ensure that these people are offered alternative opportunities so that they are not excluded from activities. Some bedrooms have been decorated and re-carpeted. Bedrooms are personalised and homely with individuals possessions. One bedroom viewed did not have any curtains at the window to block the light coming in during the day or at night. The home should look for a suitable window covering for this bedroom to promote privacy and aid sleep. A number of the en-suite bathrooms have bolts at the top outside edge of the door. The home put these in place to prevent one person from entering other peoples bathrooms. As the bedroom doors locks have been updated, the home should review the necessity of the bolts for each individual person living at the home to promote individuality and independence. The lounge is light and airy and has comfortable chairs, sofas and a television. There is a spacious landing area with chairs for peaceful relaxation. The dining room is light and has a new electrically operated door so that people can access the pleasant garden. In view of the diverse and complex needs of the people who live at the home, the communal area spaces in the home are limited. The home should review its communal lounge spaces to ensure that peoples individual and collective needs are met appropriately. On the day of the inspection, the home had arranged for a company to attend to clean a carpet. The home confirmed that there are plans to recarpet the hallways. The laundry was clean, tidy and provides hand washing facilities for staff. Staff undertake infection control training and gloves and aprons are available. Care Homes for Adults (18-65 years) Page 20 of 29 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are supported by a competent team of staff The home has a comprehensive induction and training programme Evidence: On the morning of the inspection, the home was staffed by two seniors, and five support workers. In the afternoon there was one senior and three staff on duty. The senior support worker confirmed that there is usually six to seven staff working in the mornings; four staff in the afternoons and three waking staff at night. Through discussion and observation, it was evident that staff have good knowledge on how to support people. A number of staff said that they enjoy their work and appeared committed to obtaining the best outcomes for people. Staff spoken with work twelve hour shifts. They are happy to do this as it provides continuity and more opportunities for people who live at the home. When working this long shift, they dont get an uninterrupted break. The home should consider a system to ensure that staff can take a break to protect their wellbeing (see Working Time Regulations 1998). Staff spoken with were able to describe El Box, the new training programme. This
Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: interactive system provides induction and mandatory training to staff. Staff said its good and we can work on it when we have time and come back to it later. Staff recruitment files and supervision records were not viewed at this inspection. The Annual Quality Assurance Assessment sent to CSCI states that the home has a robust recruitment procedure which ensures that all necessary paperwork and checks are completed before they (staff) are able to work.. and all staff are supervised..on a regular basis. Care Homes for Adults (18-65 years) Page 22 of 29 Conduct and management of the home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has no Registered Manager at present but the organisation has provided other management support to the home The home has quality assurance systems in place The home has procedures in place to protect peoples health, safety and welfare Evidence: The Registered Manager has left the home since the last inspection. The organisation has put an Acting Manager in place. On the day of inspection, we were assisted by the homes senior staff and the organisations Operations Manager. The home is currently in the process of interviewing prospective managers. The operations manager confirmed that people who live at the home are involved in interviews and have the opportunity to ask questions and show applicants around the home. The operations manager spent time discussing the home and provided information relating to the improvements that are being planned.
Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: We were not able to view quality assurance systems at this inspection. The home informed us on their Annual Quality Assurance Assessment that they use let us know what you think cards so that they can obtain the views of people who live at the home. People who live at the home confirmed that they enjoy the regular meetings. The home keeps a record of compliments that they have received. There were a number of comments praising staff for their support. We viewed the homes health and safety records. These were found to be well maintained and up-to-date. This includes Portable appliance testing, boiler service, hoist service, landlords gas safety certificate and insurance. The fire alarm system was serviced on 16/10/08. The Fire Risk Assessment has been recently updated and now includes good information relating to how to assist individuals in the event of a fire. Emergency lighting is checked monthly. The last recorded test of the fire alarm system was 01/11/08. The system had been tested appropriately before this date. The home must ensure that the fire alarms are tested weekly to protect peoples safety. Accident records were not viewed. The operations manager confirmed that accident records are stored securely and audited to identify patterns. Care Homes for Adults (18-65 years) Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 29 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 6 15 The home must ensure that support needs and plans are reviewed This is to ensure that peoples individual and changing needs continue to be met appropriately or to assist the home in identifying when it is no longer able to meet an individuals needs. 27/02/2009 2 9 13 The home must ensure that activities are fully risk assessed This is to minimise identified risks and hazards and protect the people who live at the home 27/02/2009 3 19 13 The home must ensure that people are supported to access their GP This is so that advice can be obtained and individuals health needs are monitored and managed appropriately 23/01/2009 Care Homes for Adults (18-65 years) Page 26 of 29 4 27 23 The home should review the bathroom facilities of one identified bedroom This is to ensure that suitable arrangements are made to meet this individuals needs 27/01/2009 5 42 23 The home must ensure that the fire alarms are tested weekly This is to protect peoples safety in the event of a fire 23/01/2009 Recommendations
These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 The home should look at providing support and tuition for people to manage their own finances, where it is assessed as appropriate, to promote independence. The home should review the need for and frequency of night checks for individuals and the assessment should be clearly documented in the support plan to protect peoples privacy and wellbeing. The home should consider pureeing foods separately so that people can experience and enjoy individual tastes and colours. The home should label liquid medications with the date it was opened and expiry date to ensure its used when at its best. The home should obtain a controlled drug book that is bound with numbered pages to ensure a clear audit trail. The home should ensure that a protocol is put in place for as required medication so that staff know what they can give and when, to protect people. The home should review its communal lounge spaces to ensure that peoples individual and collective needs are met appropriately. The home should ensure that the people who are not able to access the activities room are offered alternative opportunities so that they are not excluded. 2 9 3 17 4 20 5 24 Care Homes for Adults (18-65 years) Page 27 of 29 6 7 26 27 The home should look for a suitable window covering for one identified bedroom to promote privacy and aid sleep. The home should review the necessity of the bolts on bathroom doors for each individual person living at the home to promote individuality and independence. The home should consider a system to ensure that staff can take a break to protect their wellbeing (see Working Time Regulations 1998). 8 33 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!