Inspection on 01/06/06 for 1 Longmore Road

This inspection was carried out on 1st June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Longmore Road 18/09/07

1 Longmore Road 11/10/05

1 Longmore Road 26/04/05

1 Longmore Road 20/10/04

1 Longmore Road 25/05/04

Similar services:

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

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

CARE HOME ADULTS 18-65 1 Longmore Road Shinfield Park Reading Berkshire RG2 8QD Lead Inspector Stewart Mynott Unannounced Inspection 1st June 2006 2:15 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 1 Longmore Road Address Shinfield Park Reading Berkshire RG2 8QD 0118 986 7457 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) londonroad@tiscali.co.uk Milbury Care Services Limited *** Post Vacant *** Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 2005 Brief Description of the Service: 1 Longmore Road is a detached property in a secluded residential area within the town of Reading. The home is close to the M4 motorway and is subject to the associated noise levels. There are local shops nearby, and within a 10 Minute drive is Reading town centre where shopping and recreational facilities are available. The home has an unmarked vehicle and public transport is available. The home provides care and accommodation for up to seven people who have a learning disability and may have an associated physical disability. Service users have single bedrooms; three bedrooms are located on the ground floor and four bedrooms on the first floor. There is a lounge, kitchen and a conservatory that is used as a dining room. The home has a secluded rear garden with a garden swing, large fishpond and a patio area where seating is provided. The fees range from £1000 to £1500 per week to include residential and day support. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service was inspected over a four-day period with an unannounced visit to the home on the 1st June 2006 lasting for 4 hours. The manager and a service user gave a full tour of the building. After this time was spent with service users and staff on duty observing everyday life at the home. Three service users were able to discuss their views and experiences of the home. Discussions also took place with all staff and the manager on duty. Some of the service user and homes records were examined to support observations made during the day. What the service does well: What has improved since the last inspection? The manager has developed an action plan to ensure all systems within the home are reviewed and audited to improve standards of care and management within the home. The manager has identified areas requiring improvement and has set timescales for this work. The manager has worked hard to recruit new staff to the team to ensure the home relies less on temporary staff to ensure service users receive continuity of care. The home has developed systems to ensure that the home is clean and hygienic at all times and housekeeping chemicals are not accessible to service users without staff support. The upstairs bathroom has also been recently refurbished. The manager described an initiative to improve the gardens this year for service users enjoyment and it was noted that the rear garden was clear of rubbish. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 6 The assessment records for new service users are available within the home and these are used to devise a plan of care to ensure service users assessed needs will be met. Training has been provided for staff in abuse awareness. Staff spoken to understood their responsibility and how to prevent and report any concerns of this nature. 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. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. Service users needs are fully assessed before admission and a transition plan is developed to assist their introduction to the home. EVIDENCE: There has been one admission of a new service user since the last inspection. The manager had completed a full assessment to identify needs in liaison with other company staff. This “generic” assessment was available on file. A limited discussion with this service user revealed that they are happy and felt they have settled into the home. The care manager involved had completed a transition plan in pictorial form and the manager confirmed that this plan had been followed. The placement has been reviewed with the involvement of the service user and all relevant professionals. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. Service users do not yet have an up to date plan of care reflective of their assessed and changing needs. EVIDENCE: The manager is currently developing a new format for service users care plans to further develop a person centred approach and ensure each plan of care is easy to read, refer to and review. This review is identified in the manager’s quality audit action plan. The manager showed the inspector one care plan in development for a service user. This newer format will match the aims of the manager’s review although is not yet complete. The remaining service users care plans are informative and provide information to include individual support requirements stating how the service user “wants staff to support me” and “how I don’t want staff to support me”. However these care plans were written between 18 and 24 months prior to this inspection and were not viewed as containing up to date information. Annual reviews for service users have occurred on a regular basis to include the service user and other relevant professionals and from these reviews clear aims and objectives have been identified. It is not clear how and if such outcomes will be met, as current care plans do not reflect this information. However information from reviews will be incorporated into the new style care plans. The manager had identified that 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 10 this process will take until the end of this year to complete, however this time scale is required to be revised to ensure each service user has an up to date care plan reflective of their current needs and future aims and objectives for staff to both work to and review on a regular basis. Staff encourage service users to make decisions regarding their daily life as their ability will allow. During the inspection staff ensured service users were able make choices in their home life such as whether to participate in housekeeping tasks and assistance with personal support. Service users daily life and choices are also supported by comprehensive risk assessments. These were supportive to ensure all activities remained safe yet were not overly restrictive. These had been regularly reviewed and staff were aware of the importance of such assessments to assist with independence. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 14, 16 and 17 Quality in this outcome area is good. Service users are enabled to follow their own lifestyle with appropriate daily routines, day service programs and activities to suit their individual abilities. EVIDENCE: Two service users discussed their daily activity program to include attending day care services such as The Wokingham Resource and Occupational Centre and RECT (Reading Educational and Training Centre), both service users said they enjoyed attending these services and described a range of activities they enjoyed whilst attending. All service users have a full timetable of arranged activities and most service users attend day services, college and organised activities during the week. In addition staff support service users to make use of local facilities and activities within the local community. One service user stated they enjoyed “going shopping”. Additional activities are arranged at the home to help service users enjoy their leisure time. During the inspection a weekly music session occurred and service users stated they look forward to this and appeared to enjoy the experience. One service user stated that they were attending a college open day in the near future and their key worker was helping them to choose a suitable course. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 12 Discussions with service users and records seen demonstrate that service users are supported by staff to maintain links with family and friends. A large proportion of the inspection was spent observing daily life and routines within the home. Staff were seen to treat service users with dignity and respect and interacted and communicated with service users in an inclusive manner. One service user requires one to one staff support during the day and this was seen to be provided at all times with the service user being able to move around independently. Staff were relaxed and friendly and were able to deal with mild challenging behaviour observed during the inspection for one service user, appropriately and in line with care guidelines examined later. The home was observed to be busy at times, particularly as service users returned home from day services and service users were observed to have the freedom to move around the house as they wish and choose when to be alone or with other service users. Service users were observed to be encouraged to participate and take responsibility for some housekeeping tasks in line with their wishes and abilities. One service user was seen to assist staff making other service users drinks in the kitchen, which they later stated, “I like to do this”. The same service user also described their responsibility for looking after their room with staff support. Another service user stated that they do their own laundry with staff support and “take the bins out”. During the inspection staff on duty were preparing the cooked evening meal with service users visiting the kitchen taking an interest. The menu for the week was displayed in a pictorial format in the kitchen and service users were able to see the menu clearly. The menu for that week appeared varied with staff involving service users in shopping for provisions. Staff confirmed that individual preferences are catered for to include likes and dislikes. Service users appeared to enjoy their meal in the bright dining room and staff were seen to offer appropriate support. Three service users commented that they enjoyed their meal and “like the food very much”. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate. Further training is required to ensure there is sufficiently qualified staff available on every shift to administer medication. Records relating to health are incomplete and service users appointments and progress are difficult to “track”. EVIDENCE: Three service users were able to discuss their personal support requirements to include the support required for their personal care and general support requirements, and how they prefer staff to assist them. Service users were able to confirm that they that receive their personal care in private and staff listen and act on their wishes. Two service users confirmed that they always choose their own clothes and one service user confirmed they received staff assistance to maintain their chosen hairstyle. This information was contained in service users care plans. Staff on duty spoken to were able to demonstrate a good understanding of individual service users support requirements including communication, personal care and understanding and comfortably dealing with behaviours observed during the inspection. Three service users were also aware of their key worker and two service users were able to give examples of the additional support they receive for example phoning a relative and choosing a college course. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 14 Two service users with a physical disability require additional aids and equipment to maximise their independence and for one service user additional equipment has been provided with a specialist bed, wheelchair, shower trolley, hoist and a shower seat. A service user who has moved in recently has received an occupational therapist assessment and additional equipment to maintain independence and safety has been identified. The manager is currently organising obtaining this equipment. Staff on duty and the manager described the healthcare arrangements for service users. The service users use a local GP surgery it was confirmed that there is a supportive relationship and good access as required. Four service users records were examined and found to contain records of health related visits and confirmed access to all local NHS healthcare facilities in the community to include dentist, optician, audiologist, psychologist and dietician. It was noted that an accurate record of such visits were not maintained recently and the manager described that health related recording was in the process of being changed. A support worker explained the homes medication system. No service users at the home are currently able to manage their own medication and thus require staff support. The home uses the Boots system and the systems in place for ordering and returning medicines were seen to be satisfactory. A sample of medication administration sheets were examined and all were signed and appropriately and tallied with medication in stock. Not all staff on duty have received training to administer medication and as their had been vacancies which has led to a number of occasions when staff from a nearby home have been required to visit to administer medication. A risk assessment is in place ensuring an existing staff member is available to ensure medication is safely administered with external staff not familiar with all service users. However this is not regarded as best practise and the home must have sufficiently qualified staff available on duty for each shift. In addition the specimen signature sheet to identify all staff administering medication requires updating and it is advised that all persons, including any staff from nearby homes is included in this record. The manager has continued to provide comprehensive training to increase the number of staff able to administer medication safely working towards ensuring there is always someone on shift able to meet this service user need. Currently there is five staff fully trained in this area. Staff’s training records demonstrate that staff are provided with appropriate training in the handling and administration of medicines. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Service users and their representative’s views will be listened to and acted upon. Service users are protected from abuse by the homes robust polices and procedures that are fully understood by the staff team. EVIDENCE: The Provider has a comprehensive complaints procedure available within the home. Three service users felt that they would feel comfortable talking to the staff, manager or relatives if they were unhappy. Staff at the home were clear on how they would deal with any complaint from service users or their representatives and that this information would be recorded. The Provider has robust policies for dealing with abuse. An up to date copy of the vulnerable adults procedure was also available. Staff have now completed training to include protection of vulnerable adults as evidenced in staff training records. Staff spoken to understood their responsibility, including the reporting of any suspicions. There have been two investigations at the home since the last inspection during which all procedures were carefully followed and recorded to ensure the protection and safety of service users. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30 Quality in this outcome area is good. The home is clean, hygienic, comfortable and homely. EVIDENCE: A tour of the building was facilitated by the manager and a service user who showed the inspector their bedroom and the downstairs communal areas. The downstairs lounge and conservatory/dining room were enjoyed by service users during the inspection and were appropriately furnished, clean, comfortable and homely. The kitchen was clean and modern and easily accessed by service users. The laundry was also hygienic with cleaning chemicals secured to prevent unplanned access by service users. All areas of the home were odour free and decorated to a good standard. Service users bedroom were individual containing appropriate furniture and personal items, decorated to each service users tastes as confirmed by one service user who commented that they had chosen the colour of their room. The home has two bathrooms and the manager confirmed that the upstairs bathroom had been recently refurbished. The downstairs bathroom has been adapted with a shower trolley to assist service users with physical disabilities. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 17 Service users have access to a good-sized garden with seating areas. The manager described an “initiative” to enhance the gardens this year with additional planting involving the service users and staff. The grass at the rear was quite long and may not have been safe for service users without staff assistance, however it was noted that it had been unseasonably wet preventing the grass from being mown. The manager assured the inspector the grass is usually kept short to prevent any trip hazard for service users. There was no build up of rubbish within the back garden noted at this inspection. The inspector observed that the home has good systems of infection control including the use of paper towels and liquid soap within the communal bathrooms, laundry, kitchen and bedrooms of those service users who require assistance within personal care. Staff on duty were able to describe good standards of practise to keep the home clean and hygienic. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is good. Service users needs are met by staff that are provided in sufficient numbers who receive a good level of training and support by the manager. The homes recruitment procedures are followed to ensure the protection of service users. EVIDENCE: During the inspection through observation and discussion staff were seen to interact with service users in a friendly, relaxed, approachable and professional manner. The home was busy during the inspection with the return of service users from day care activities. Staff were observed to be organised to ensure a calm and homely atmosphere was maintained. Staff were able to demonstrate the necessary skills and understanding of each service user including those service users requiring a higher level of support or with communication difficulties. Three service users commented that they feel comfortable with the team to include “like the staff”, “I like my key worker” and “they help and support me”. Staff on duty felt that they had received a good range of training to assist them in their roles within the home. Training records for the staff indicated that a rolling program of training is provided to include mandatory topics and more specialist training. This is monitored by the manager to ensure staff all staff’s needs are identified in advance to include their attendance for refresher courses. One member of staff confirmed that they had received a good 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 19 structured induction program and was supported by the staff team. They confirmed that they will be starting their LDAF within the next month. There are currently thirteen staff employed at the home including the manager. Currently five staff have completed NVQ level 2 or above. Rotas examined for the last six weeks indicated that there are usually four staff provided during the morning with three staff during the evening. There is always one waking night staff with the support of an additional staff sleeping in. This staffing level has been maintained with the use of bank and agency staff. The home has had a number of vacancies including two senior posts, however a new deputy is now working at the home. The manager has worked hard to ensure that a good calibre of staff are recruited to work at the home and is currently in the process of awaiting pre employment checks to start four new support workers, which will leave one vacancy remaining in the staff team. The manager is responsible for the recruitment of new staff at the home. The manager described a coordinated approach with the recruitment administrator based at the regional office. The personnel file for a staff member recruited this year was viewed and contained all necessary completed and checked pre employment information including a completed application form, interview notes, identification, references and confirmation of receipt of an enhanced CRB prior to the start of employment. The manager has also identified that a full audit of all personnel files within the home will occur in the near future as part of an overall quality assurance exercise. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 and 42 Quality in this outcome area is adequate. The recording system is not yet currently developed and current arrangements need improving. EVIDENCE: The manager has been in post for seven months and is currently completing the final stages to register with the CSCI. The manager has had a positive impact on the quality and management of the home demonstrating a good level of experience and leadership. Service users and staff were positive about the manager stating she is supportive, approachable and understands the needs of the service users. The manager has identified aims and objectives for the development of the home and has produced an action plan based on observations to include implementation, monitoring and review of the systems within the home focussing on outcomes for service users and safety. In addition the manager assured the inspector that quality questionnaires would be sent out to those individuals identified in the managers action during this year in line with the 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 21 Providers policy. The home also benefits from regular visits from the operation manager undertaking regulation 26 visits and audits within the home. The manager had identified that improvements in record keeping for service users is required. The manager is currently implementing a more user friendly and better record keeping systems in relation to care planning and will redevelop the quality of the daily records of service users to assist the ongoing review of service users needs. It was particularly noted that records kept in relation to health were partially incomplete over the past several months and difficult to “track”. The manager has completed an audit of the health, welfare and safety of service users and staff at the home. Appropriate assessments for safe working practises and a new fire safety risk assessment were viewed. Staff were viewed to work in a safe manner and were able to discuss aspects of safe working practise. Staff records confirmed training in this area is provided on an ongoing basis. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 22 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 3 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 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 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X 3 X LIFESTYLES Standard No Score 11 X 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 2 X 3 3 3 X 2 3 X 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 23 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. 1. Standard YA6 Regulation 17 Requirement Timescale for action 31/10/06 2. YA20 18(1)(a) 3. YA41 17 The registered persons must develop and update service users care plans to ensure that they are reflective of their current assessed needs and include their identified future goals. The registered persons must 31/10/06 ensure that there are suitably qualified staffs available on duty at all times to administer service users medication. The registered persons must 15/07/06 ensure that all health related information and appointments are appropriately recorded and maintained for each service user. 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 YA20 Good Practice Recommendations The manager should update the medication staff signature sheet to include all persons that are trained to give DS0000011354.V289954.R01.S.doc Version 5.1 Page 24 1 Longmore Road medication including those of any temporary staff, to ensure signatures on medication sheets can be easily recognised. 1 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA National Enquiry Line: 0845 015 0120 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 Longmore Road DS0000011354.V289954.R01.S.doc Version 5.1 Page 26 - 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!