Inspection on 02/08/05 for 100 Goldstone Crescent

This inspection was carried out on 2nd August 2005.

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 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

100 Goldstone Crescent 10/10/08

100 Goldstone Crescent 20/11/06

100 Goldstone Crescent 18/01/06

100 Goldstone Crescent 18/01/05

100 Goldstone Crescent 20/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 100 Goldstone Crescent 100 Goldstone Crescent Hove East Sussex BN3 6BE Lead Inspector Jennie Williams Announced 2 August 2005 09:30 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 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 Stationary 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. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 100 Goldstone Crescent Address 100 Goldstone Crescent Hove East Sussex BN3 6BE 01273 553718 01273 553718 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Care Management Group VACANT Care Home 3 Category(ies) of Learning disability (LD) 3 registration, with number of places 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 That a maximum number of service users to be accommodated is three (3). 2 That service users should be younger adults aged between eighteen (18) and sixty-five (65) years on admission. 3 That service users to be accommodated have a learning disability, not falling within any other category. Date of last inspection 18 January 2005 Brief Description of the Service: 100 Goldstone Crescent is one of many homes within the Care Management Group (CMG). This home was taken over by CMG in 2004. It is registered to provide accommodatoin for three residents with a learning disability. The home is located in a quiet residential area in Hove. There is access to local amenities and public transport. The home has access to a mini bus. There is no parking available at the home, but free parking is available in the adjacent streets. All rooms are for single occupancy and are located over two floors. Residents must be able to independently mobilise to access the first floor. The layout of the home is not suitable to accommodate wheelchair users. There is a garden at the rear of the building that is currently not accessible and unsafe for residents to use. There is currently no registered manager at the home. A manager from a nearby CMG home is overseeing the running of 100 Goldstone Crescent until a new manager is recruited. This manager, who is familiar with the staff and residents, facilitated the inspection. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 100 Goldstone Crescent will be referred to as ‘residents’. This report is based on the findings of the specified inspection date. This announced inspection took place over four and a quarter hours on the 2 August 2005. Staff files, some policies and procedures, records, care plans, individuals’ personal allowance and medication procedures were inspected. A tour of the home was provided. The environment and some individual rooms were spot-checked. The pre inspection questionnaire was sampled and the Inspector received two comment cards from external health professionals. There were two residents residing at the home and one resident on holidays on the day of the inspection. Staff were spoken with during the inspection process and the Inspector had limited contact with the residents due to their daily schedules and limited communication abilities. What the service does well: What has improved since the last inspection? What they could do better: There are shortfalls in some of the documentation at the home. Documentation needs to be improved. The main concern is around the residents unable to access the garden area. There have been no proposals provided to the home from CMG head office to notify them of the timescales for work to be commenced on the garden. This has been an outstanding issue from the last two inspection reports. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 6 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. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 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 standard(s) 2, 3 & 4 The home has information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. All prospective residents are assessed prior to moving into the home. EVIDENCE: The Statement of Purpose and Service User Guide was provided to CSCI when Care Management Group Ltd took over the ownership of the home. These documents will need updating to reflect the changes in management and staff. These documents incorporate the use of pictures and symbols. The organisation has a central assessment team based in Wimbledon who undertake the initial assessment of prospective residents. There have been no new admissions at this home. The manager informed the Inspector that it has been assured by the company that they will be involved in the assessment procedure. It was reiterated to the manager the importance of them having the final say on whether an individual is to be admitted or not. Copies of previous care plans/social services assessments are taken when available. The home has good support systems in place through the use of the organisations specialist health professionals if required eg. physiotherapist, speech and language therapists. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 9 Prospective residents/representatives are encouraged to visit the home prior to moving in. Due to the disability of the residents, admissions are generally well planned and the home will not take any emergency referrals or short-term admissions. There is one resident who is not appropriately placed at this home. It was confirmed that this resident was residing at the home prior to CMG taking over. The overseeing manager confirmed that this individual will be moving to another home within the CMG organisation. Due to the limitations in this individuals’ mobility, the environment is not well suited to meet their needs. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 Residents’ needs are being met by the detailed information contained in the care plans. Residents are supported to make decisions and choices about their lives. EVIDENCE: The home has detailed care plans, titled ‘all about me’. These are developed and reviewed with input from relatives and residents, wherever applicable. The use of photos was evident throughout the ‘all about me’. The home must ensure and provide evidence that care plans are reviewed every six months or earlier if the needs of an individual changes. Information on an individual was unorganised. The overseeing manager had already implemented steps to address this issue. It was discussed with the overseeing manager that clearer guidelines be incorporated into the ‘all about me’ and risk assessments regarding residents leaving the home and travelling on the bus. Staff must ensure that the limitations of an individual are clearly identified. It was confirmed that risk assessments are currently being reviewed. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 11 One resident has complex needs and communication is limited. Staff working at the home are able to interpret the individuals’ subtle level of communication. Residents are empowered wherever possible to make decisions about their own lives and daily routines. Both comment cards from visiting health professionals confirmed that any specialist advice given to the home is incorporated into the individual’s ‘all about me’. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 & 17 Residents are provided with opportunities for personal development and to be involved in the local community. Visitors are welcomed at the home. EVIDENCE: Residents are provided with a range of activities they are able to participate in. On the day of the inspection, one resident was on holidays and two were attending a day centre for the day. The day centre provides opportunities for residents to engage in informative and creative activities should they wish. Residents are encouraged and supported to be involved in the running of the home. There are house meetings held every Monday. Residents are involved in the planning of activities, menus etc. Residents are encouraged to participate in household duties. It is recommended that a survey be undertaken to ascertain if any resident wishes to be more involved in the running of the home. Residents should be provided with the opportunity to be involved in the reviewing of policies and procedures and the recruitment procedure, if an individual is capable and willing to do so. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 13 Due to the disability of the individuals’, all residents are accompanied by a staff member when going out in the local community. Residents are encouraged to be involved in the local community. The home has a good rapport with their neighbours. Visitors are welcomed at the home. Residents may see visitors in their own rooms if they wish. There is a visitor’s book kept at the entrance of the home that all people must sign when entering and leaving the home. Residents benefit from having a daily routine, but these are flexible. There is a board in the kitchen that has pictures informing the residents who is working that day and what activities are required to be done eg. menu planning, food shopping etc. Menus are developed with the input from residents on a weekly basis. Individuals’ likes and dislikes are accommodated. Specialist nutritional advice is accessed when the need arises. A resident confirmed that they enjoyed the food provided at the home. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Resident’s needs are being met by the skill mix of staff and support network of health professionals within the CMG organisation. Residents are safeguarded by the medication procedures within the home. EVIDENCE: Throughout the ‘all about me’ there are clear instructions on the preferred way an individual receives personal support. The home does not provide nursing care. Health needs are met with the skill mix of staff and the good support network throughout the organisation. The two comment cards received demonstrated that a GP and a Care Manager are satisfied with the overall care provided at the home and staff demonstrate a clear understanding of the care needs of residents. Due to the disability of the residents, no one is capable of managing their own medication. MAR charts inspected demonstrated that there are clear records of all medication administered. There were signed records to demonstrate how many tablets were provided for the resident to take on their holiday. It was confirmed that there are policies and procedures in place for all aspects of dealing with medication. The overseeing manager has implemented a medication communication book for staff to write in. This assists in promoting safe medication practices. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 15 It was noted that information in an individuals ‘all about me’ in regards to administering diazepam, did not correspond with the guidelines recorded on the MAR chart. Staff must ensure that information in the ‘all about me’ compliments the guidelines prescribed on the MAR charts. It is recommended as good practice that any handwritten MAR charts are double checked and signed by staff that have received medication training. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Residents/representatives are provided with opportunities to air their views. Clear written policies will provide staff with clearer guidance on adult protection procedures. EVIDENCE: There is a complaints procedure available at the home. This needs amending to include the contact details of the local CSCI office. There is a pictorial complaints procedure that residents have access to. There have been no complaints made since the last inspection. The adult protection policy and procedure needs to clearly state that all allegations of abuse must be referred to social services, who are the lead agency. Information regarding the POVA list needs to be included in this policy. The whistle-blowing policy needs to be amended as it currently only focuses on abuse. It needs to be made clear that whistle blowing can relate to any practices within a home. It is recommended that the contact details of the local CSCI office is included in the whistle blowing policy. All residents have their own bank accounts. Residents’ monies spot-checked demonstrated that there are clear records kept of financial transactions. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 Residents live in a homely environment. Residents will benefit more when the garden is made safe and accessible. EVIDENCE: 100 Goldstone Crescent is located in a quiet residential area of Hove. There is access to local amenities and public transport. The home has access to a mini bus. There is no parking available at the home, but free parking is available in the adjacent streets. All rooms are for single occupancy and are located over two floors. Residents must be able to independently mobilise to access the first floor. The layout of the home is not suitable to accommodate wheelchair users. Rooms spot-checked were seen to be personalised. The Inspector was informed that an individual preferred a specific colour. Their room did not reflect this. In the process of redecorating the home, rooms should be decorated as per the individuals’ choice and preference. The carpet at the entrance to an individuals’ room posed as a trip hazard. It was made an immediate requirement that this carpet be repaired/replaced. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 18 The bath slip mat was found to mouldy and the carpet in the bathroom damp and slightly smelling. It is required that the flooring and slip mat be replaced. There is a garden at the rear of the building that is currently not accessible and unsafe for residents to use. There have been no proposals provided to the home from CMG head office to notify them of the timescales for work to be commenced on the garden. Residents must be provided with an opportunity to access a safe garden. There are currently no pre set valves installed at hot water outlets to ensure water is distributed around the recommended 43°C. This has already been identified as action to be taken and the overseeing manager confirmed that it should be completed by mid September. This has not been identified as a requirement as action is being taken to address this shortfall. The home has sought advice from the Environmental Health Department in regards to the appropriateness of the current laundry facilities, as required from the last inspection. The overseeing manager has developed new procedures to promote infection control when dealing with laundry duties. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35 Residents’ needs are currently being met with the number and skill mix of staff on duty. Residents are safeguarded by the homes’ recruitment procedures. EVIDENCE: Staff spoken with were happy working at the home and stated that there are opportunities to attend training sessions. One new member of staff was happy with the induction process at the home. Staff stated that they felt there was always enough staff on duty to meet the needs of the residents. The recruitment process has improved since the last inspection. There were some minor shortfalls noted in the staff files inspected. Management must ensure that a full employment history is obtained from all employees and ensure an explanation is provided for any gaps in employment. All staff files must comply with Schedule 2. A letter is received by the head office of the organisation stating that a CRB check has been undertaken. It is recommended that this letter provides information to the manager if it was clear or not and that a POVA check has been undertaken. Staff are provided with a copy of the General Social Care Council Code of Conduct and Practice. A form is signed to confirm they have received a copy. The overseeing manager is currently supervising the staff at 100 Goldstone Crescent. A more structured process will be implemented when a new 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 20 manager has been employed at the home. Staff confirmed that they are always able to contact the overseeing manager or a senior member of staff within the CMG group if the need arose. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 40 & 42 Residents are safe guarded by the systems in place to monitor the health, safety and welfare of residents. EVIDENCE: There is currently no manager at the home. The registered manager of another CMG home is currently overseeing the running of the home. It was confirmed that he will visit the home regularly and is contactable via telephone when needed. Staff working at the home were complimentary about the overseeing manager and found him to be approachable and supportive. CMG are currently recruiting for a new manager. CMG head office send out their own quality assurance documentation to residents families/representatives on an annual basis and provides the home with feedback. The home has developed their own in house quality assurance system and was last undertaken mid-July 2004. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 22 Not all policies and procedures were inspected. Any shortfalls in policies and procedures have been highlighted in the relevant sections of the report. The home receives policies and procedures from the head office of CMG. It is recommended that a quick reference guide be implemented so staff can quickly access the relevant policy they require. Staff sign a form to demonstrate that they have read and understood the policies and procedures. The pre inspection questionnaire demonstrates that all relevant health and safety checks are undertaken. There is no accident book at the home, but accidents are recorded on standardised forms. There is no information on these records to demonstrate if it has been reported to the relevant authorities. No information is recorded on what action should be taken to reduce the risk of the accident/incident occurring again. It is recommended that the Health and Safety poster be displayed in a prominent place for people to access. It is currently on display inside the medication cupboard. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 2 3 x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 100 Goldstone Crescent Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 2 3 2 x 3 x H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 24 YES Are there any outstanding requirements from the last inspection? 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 YA1 Regulation 4&5 Requirement That the Statement of Purpose and Service User Guide is amended to reflect the changes in management and staff. That evidence be provided that care plans are reveiwed at least every six months or earlier if the needs of an individual change. That the limitations of an individual is clearly identified and additional risk assessments be undertaken. That information in the care plan compliments the guidelines prescribed on the MAR charts. That the complaints policy includes the contact details of the CSCI office. That the adult protection policy clearly states that all allegations of abuse must be referred to social services. Information about the POVA list needs to be included. That the whistle blowing policy is amended to state that it refers to any practice in the home and not just abuse issues. That the garden area of the home be tidied and up dated to make it safe and accessible to Timescale for action 31.10.05 2. YA6 15 30.09.05 3. YA9 4. 5. 6. YA20 YA22 YA23 13.4(b&c) & Schedule 3 (q) 13.2 22.7(a) 13.6 30.09.05 30.09.05 30.09.05 30.09.05 7. YA23 Appendix 2 23.2(o) 30.09.05 8. YA28 31.10.05 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 25 9. YA26 23.2(d) 10. YA26 13.4 11. 12. 13. 14. YA27 YA34 YA42 23.2(d) Schedule 2 Schedule 3&4 service users. (Outstanding from last two inspections) That in the process of redecorating the home, rooms should be decorated as per the individuals’ choice and preference. That the carpet that poses a trip hazard in the downstairs bedroom is repaired/replaced. (Immediate requriement) That the flooring and slip mat be replaced in the bathroom. That all staff files comply with Schedule 2. That the recording of accidents and action taken be improved. 30.11.05 05.08.05 30.09.05 31.10.05 30.09.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard YA8 YA20 YA23 YA34 YA40 YA42 Good Practice Recommendations That a survey be undertaken to ascertain which areas of the running of the home the service users would like to be involved in more. That any handwritten MAR charts are double checked and signed by staff that have received medication training. That the contact details of the local CSCI office is included in the whistle blowing policy. That clearer information is provided to the manager regarding the suitably of POVA and CRB checks. That a quick reference guide be implemented so staff can quickly access the relevant policy they require. That the Health and Safety poster is displayed in a prominent place. 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 100 Goldstone Crescent H59 H10 S60757 100 Goldstone Crescent V229745 020805 stage 4.doc Version 1.40 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. 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