Inspection on 13/09/06 for 111 Eastbourne Road

This inspection was carried out on 13th September 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

111 Eastbourne Road 23/05/07

111 Eastbourne Road 22/02/06

111 Eastbourne Road 08/11/05

111 Eastbourne Road 01/02/05

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Insight - Eastchurch

Southfields

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

CARE HOME ADULTS 18-65 111 Eastbourne Road 111 Eastbourne Road Lower Willingdon Eastbourne East Sussex BN20 9NE Lead Inspector Lucy Green Key Unannounced Inspection 13 September 2006 09:50 th 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 111 Eastbourne Road Address 111 Eastbourne Road Lower Willingdon Eastbourne East Sussex BN20 9NE 01323 482174 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) The Regard Partnership Limited Vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is nine (9). Only service users diagnosed with a learning disability are to be accommodated. Service users will be aged between eighteen (18) and sixty-five (65) years on admission. 22nd February 2006 Date of last inspection Brief Description of the Service: 111 Eastbourne Road is a large detached two storey property situated off the main road between Eastbourne and Polegate. The home is a short walk from local amenities and a car journey from the main town of Eastbourne. The home is registered to provide residential care to nine younger adults with learning disabilities. Service user accommodation is provided by nine single bedrooms, all of which have en-suite facilities. An additional communal bathroom is situated on the first floor. Communal areas comprise of a large lounge, separate dining room and a games/activities room. A large and well-maintained garden is situated to the rear of the property. Parking is available at the front of the home. The Registered Providers of the service are The Regard Partnership. This organisation owns a large number of homes across England and Wales. Information received from the Manager details that the current range of fees at 111 Eastbourne Road is £1348.59 - £1827.08 per week. More detailed information about the services provided at 111 Eastbourne Road can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents can be obtained directly from The Regard Partnership. Latest CSCI inspection reports are on available on request from the home. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 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 Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 111 Eastbourne Road are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from a range of representatives and an unannounced site visit which lasted eight hours on Wednesday 13 September 2006 between the hours of 09:50am and 5:50pm. The site visit included discussion with all parties, a tour of the premises and an examination of medication, care and staffing records. There were seven residents living at 111 Eastbourne Road at the time of this inspection visit. During the visit, the Inspector met with all of the seven residents and joined them for their lunchtime meal. Private conversations were had with two residents. The Inspector spoke individually with the Manager and five staff members, including the Deputy Manager and a Senior Carer. Comment cards were sent to stakeholders as part of this inspection and at the time of this report, feedback had been received from five relatives, four General Practitioners and one Care Manager. What the service does well: The home has a dedicated team of staff who clearly enjoy their work at the home and have a good relationship with the residents. Residents were observed approaching staff and requesting support without hesitation. The home has a relaxed and friendly atmosphere and it is evident that the philosophy at 111 Eastbourne Road is to create a ‘home’ for the people who live there. Meals are varied, balanced and well presented offering both choice and variety. Residents access a range of activities, both inside and outside the home. Residents spoken with confirmed that they enjoyed a variety of activities including college courses, bowling, swimming and theatre. One resident has a part-time job at a local café. Residents are supported with their personal routines as necessary and two residents confirmed that this support was carried out with dignity and respect. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 6 Bedrooms have been personalised to reflect individual tastes and preferences and residents were clearly proud to show-off their rooms. All residents spoken with expressed satisfaction with the service they received, remarking; “I like living here and have made lots of friends” and “I still enjoy living here and am becoming more independent”. Positive feedback was also received from other stakeholders including one local General Practitioner, who stated; “staff are excellent”. What has improved since the last inspection? 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. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are assessed prior to moving into the home. EVIDENCE: There have been no new admissions to 111 Eastbourne Road since the last inspection and therefore this standard could only be assessed in respect of the admission systems in place. The admission policy details two stages of assessment. The Regard Partnership has a central referrals department who undertakes an initial assessment of all prospective residents. A representative from 111 Eastbourne Road would then meet the prospective service user and conduct their own assessment. The second stage of the assessment covers more specific issues such as the home’s Statement of Purpose and compatibility with the other residents living at the home. The Statement of Purpose and Service User Guide both reflect that prospective residents are encouraged to visit the home and undertake trial stays before deciding to move to the home on a permanent basis. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from care plans which provide the reader with detailed information and comprehensive risk management strategies. The offering of choice is automatic at 111 Eastbourne Road. EVIDENCE: Staff practices observed throughout the inspection demonstrated a good understanding of the residents and their needs. The interaction between staff and residents was positive and it was evident that residents felt comfortable approaching staff for support or advice. Care and support was seen to be provided in a sensitive, dignified and respectful way. The two residents spoken with individually said that staff support them with their personal routines in an appropriate way. The Inspector viewed a sample of three care plans and it was pleasing to note that improvements have been made in this area. There was evidence that 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 10 each resident has a plan of care that provides detailed information about their health and welfare needs. Care plans are well maintained and easy to use. Allocated key-workers are responsible for ensuring that care plans are current and discussed with the service user. Service users have a multi-disciplinary review at least every six months and the minutes from these were in evidence. As part of the review process, service users and their keyworker identify goals which are then monitored for the next six months. It was noted in those care plans viewed that the home has begun to consider the long-term aims for each service user when setting these goals. It is important that the home concentrate on this area to ensure residents are supported to work towards achieving maximum independence. The Manager has reviewed and updated the range of risk assessments for each resident and it is now possible to track the level of risk and the controls in place to minimise any risk. The Inspector joined residents for their lunchtime meal; it was clear at this time that residents have the opportunity to make choices about their lives. Staff were observed giving residents choices about what they eat, drink and how they wished to spend that afternoon. Two residents informed the Inspector that they had been involved in redecorating their bedrooms and had chosen the colour schemes and furnishings. Conversations with staff members confirmed their commitment to offering choice and ensuring that residents are empowered to make their choices. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to lead healthy and fulfilling lives. Residents benefit from a range of varied and balanced meals EVIDENCE: The activity plans for the individuals case tracked provided documentary evidence that residents participate in a range of appropriate activities. The home has liaised closely with a local College to support residents to attend courses that meet their needs and expectations. One resident told the Inspector that she was due to start a pre-NVQ course and also informed the Inspector that she had just joined the student committee at College and said that she felt ‘proud to have taken on this role’. Another resident chatted with the Inspector about the activities she takes part and confirmed that she enjoyed the way her time is spent. During the time with the Inspector, this resident showed photos of her Holy Communion that 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 12 had taken place in June 2006. The resident said she is supported to go to church every Sunday. The Manager reported that the home is working hard to secure supported employment for the residents at 111 Eastbourne Road. One resident currently works one hour a week at a local café and another is stated to be recommencing his cleaning job at a nearby pub after Christmas. Residents continue to access a wide range of community based activities, including regular swimming, bowling and cinema trips. Three residents recently enjoyed watching Starlight Express at a local theatre. It was however identified that at the current time access to activities was being impinged upon by the use of only one vehicle. It was reported that whilst The Regard Partnership had authorised the release of a second vehicle, there had been some delay in this arriving. With seven residents accessing a range of different activities in is necessary for the home to have two cars and therefore a requirement was made at the time of this inspection. Conversation with staff revealed that all residents have been on holiday this year. Three residents went to Devon for a week and stayed in a college and four residents went to Somerset and stayed in a chalet for one week. Discussion with residents at lunchtime revealed that both holidays were a huge success. On the day of the inspection, it was observed that the routines of the home were reflective of individual needs. It was evident that residents are enabled to choose where to spend their time and make informed choices about their daily lives. 111 Eastbourne Road has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that residents have regular family contact and staff support residents to meet with and receive visits from their families. Relatives are invited to attend all resident reviews. Comment cards were sent to relatives and visitors following the inspection and five had been returned at the time of this report. Feedback was generally positive although two relatives indicated that there may be staffing shortages at weekends. Meals are generally prepared according to a six-week rotating menu. The menus have recently been revised to incorporate a wider variety of fresh fruit and vegetables. The menus now state that all main meals are served with either fresh vegetables, potatoes or salad. Discussion with staff and residents highlighted that alternatives to the menu are available and this was observed on the day of inspection. The Inspector joined residents for their lunchtime meal which consisted of a choice of cold meats, tuna and salad. Two residents chose to have sandwiches 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 13 as an alternative. The mealtime was found to be a relaxed and friendly occasion. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the provision of flexible and respectful personal and healthcare support and are protected by the systems in place to manage medication. EVIDENCE: Residents are encouraged and supported to manage their own personal care as far as possible. The role of staff at 111 Eastbourne Road is to primarily prompt advise. There was evidence in the care plans and through staff discussion that support is offered in a sensitive and respectful manner. Staff were observed supporting resdients in a respectful and flexible way at the time of the inspection. Staff support clients to ensure their health needs are met. Care plans contain a record of any visits or contact with healthcare professionals. There was evidence of current involvement from the local community learning disability team, psychiatry, doctors, dentists, opticians and chiropody. Comment cards were received from four General Practitioners (GP) and one Care Manager as part of the inspection process. The feedback indicated overall satisfaction with the care provided to residents living at 111 Eastbourne Road and one GP and stated that “staff are excellent”. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 15 The storage and administration of medication were found to be satisfactory. Records were accurate and current. Staff receive appropriate training in the management of medication. The Manager reported that there is currently some discussion with one resident about the prospect of them beginning to take responsibility for their own medication. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents and visitors to the home benefit from and are protected by the open culture at 111 Eastbourne Road. It is however of concern that internal complaints have taken an excessive length of time to resolve. EVIDENCE: The home has a complaints procedure in place and both the residents and relatives spoken with confirmed they knew how to make a complaint if necessary. The home has received one complaint from a neighbour about the level alleged noise that occurred on one day. The Manager dealt with this matter in a professional and timely matter and there have been no further complaints to date. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. During conversations with staff a number of individuals raised concerns about the way an internal complaint had been dealt with by the Regard Partnership. It was reported that an issue that was raised with Senior Managers in May 2006 has yet to be concluded. It is therefore required that this matter be addressed and then closed. The home has a number of systems in place to protect residents from abuse. It was evident from discussions with staff that they were clear about their roles and responsibilities in the protection of vulnerable adults. It was also 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 17 encouraging to identify that all staff spoken with were completely confident about the home’s policy on restraint – that it is not permitted at 111 Eastbourne Road. Staff receive training in Crisis Physical Intervention (CPI) and are trained to create space and diffuse situations of conflict. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a clean, comfortable and well maintained home. EVIDENCE: 111 Eastbourne Road is a two storey, detached property which is situated just off the main road between Eastbourne and Polegate. The home is well maintained and provides residents with sufficient private and communal space to meet their needs. Resident accommodation is provided in nine single bedrooms, with ensuite facilities. Bedrooms have been recently decorated and furnished to reflect the choices of the individual occupying them. Communal space comprises of a large lounge and separate dining room. There is an additional games/activity room on the ground floor where one resident has their computer. A large and well-maintained garden is situated to the rear of the property. At the time of this unannounced inspection, the home was found to be clean and tidy throughout, with the exception of one shower room which was in the process of being repaired. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a committed and enthusiastic team of staff who are willing to undertake training that will improve their skills. Residents are further protected by the robust recruitment procedures that are in place at 111 Eastbourne Road. EVIDENCE: The rota showed that staffing levels are typically provided by way of three staff on the early shift, three staff on the late shift and one person working a middle shift of 9am – 4:30pm. At night, the home is covered by one waking and one sleep-in person. The atmosphere in the home was observed to be calm and relaxed on the day of the inspection and there were sufficient staff on duty to meet the needs of the residents. Comment cards received from one relative indicated that there may be deficits in staffing levels at weekends and therefore it is recommended that the home review rotas to ensure there are sufficient staff on duty at this time. The recruitment files for three new staff members were viewed and found to contain the required information, thus demonstrating a robust system of recruitment. There was documentary evidence that new members work towards completion of approved induction and foundation programmes. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 20 The training audit was viewed and it was evident that there has been a recent increase in the provision of training at 111 Eastbourne Road. On the day of inspection, several staff had attended training on behavioural support. The Manager reported that she had identified other specialist courses including supporting people with autism. It was confirmed by the Manager that staff were up to date with their mandatory training including; fire safety, first aid, health and safety, food hygiene and the protection of vulnerable adults. Through discussions with the Manager and staff it was decided that staff would benefit from training in sexuality awareness. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management style at 111 Eastbourne Road is open and ensures that health, safety and welfare are protected. All parties would however benefit if the Manager was better supported by the organisation. EVIDENCE: The Manager has been in post at 111 Eastbourne Road for the past 14 months and is currently undergoing the process of registration. When the Manager was recruited from the position of Senior Carer, the Regard Partnership recognised the need to provide a robust support system for this individual. It is therefore disappointing to report that the Manager has not received any recorded supervision sessions since her appointment as Manager and that support from upper management has been limited. All staff and residents spoken with at the time of the inspection, stated that the Manager was open, transparent and approachable. Concerns were however 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 22 raised about the support the Manager receives from the organisation. It was also identified that there was a lack of communication between upper management and the home. The Regard Partnership has implemented robust systems for monitoring quality assurance and there a number of checks by the organisation to ensure that the home is performing. It is however highlighted, that a new Manager without any formal induction does require support in addition to checks that they are fulfilling their role. Various systems are in place to ensure the Health and Safety of the home are maintained. The information submitted by the Manager provides evidence that safety audits are being conducted on a regular basis. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 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 X 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 3 X X 3 X 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 24 NO 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 YA13 Regulation 12(1b) & 16(2m,n Requirement Timescale for action 01/11/06 2 YA22 3 YA35 4 YA37 The Registered Person must ensure that the home has sufficient access to transport to enable activities to occur. 22 The Registered Person must 01/11/06 ensure that all complaints are resolved in a satisfactory and timely manner. 18(1)(c)(i) The Registered Person must 01/12/06 ensure that training in sexuality awareness is provided to all staff. 18(1) & The Registered person must 01/11/06 (2) ensure that the Manager receives the appropriate support, supervision and training to enable her to undertake her role. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA33 Good Practice Recommendations The Registered Person to ensure that the rota is reviewed to ensure there are sufficient staff on duty at all times. Particular attention should be paid to the staffing levels at weekends. 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office 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 111 Eastbourne Road DS0000061489.V295598.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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