Inspection on 24/04/07 for 119 Plymouth Close

This inspection was carried out on 24th April 2007.

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

Other inspections for this house

119 Plymouth Close 13/10/09

Similar services:

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Plymouth Close, 119 119 Plymouth Close Redditch Worcestershire B97 4NP Lead Inspector Dianne Thompson Key Unannounced Inspection 24th April 2007 10:00 Plymouth Close, 119 DS0000066860.V329838.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 Plymouth Close, 119 DS0000066860.V329838.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. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Plymouth Close, 119 Address 119 Plymouth Close Redditch Worcestershire B97 4NP 01527 402287 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.dimensions-uk.org Dimensions (UK) Ltd Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 05/12/2005 Brief Description of the Service: Plymouth Close is a traditional detached house in a residential suburb providing a home for up to three people who have a learning disability. The home has its own vehicle for service users’ use and there is easy access to public transport and the town centre. The home aims to provide a homely environment promoting independence and dignity. Service users receive care and support to live as ordinary a life as possible in the community. This involves staff teaching skills and creating opportunities on behalf of individual service users. Service users are encouraged to participate in the running of the home and share in the general household activities within their capabilities. The registered manager has now moved to another home and Plymouth Close is being managed by the assistant manager. Dimensions (UK) Ltd is now the care provider for the service, having registered with the Commission for Social Care Inspection on 1st April 2006. The current fee for the service is £63.95 per week. Charges which are additional to the fee include: • • • • • • Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Car lease Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection since Dimensions (UK) Ltd registered as the care provider. The main purpose of this inspection was to see what the service at Plymouth Close was like for the people who live there. Records for people who use the service were checked, and a tour of the building was also carried out. Other information gathered by the Commission for Social Care Inspection (CSCI) since the previous inspection is included in this report. Time was spent with people who use the service and the member of staff on duty. Surveys were sent out prior to the inspection visit. What the service does well: The home gives clear information to people who use the service about the home. Before someone new moves into the home staff check that they will be able to give them the care they need. The home looks after people well and writes down what help everyone needs. People who use the service are given help and support to do the activities they choose. Families and friends are welcome to visit the home. People who use the service can choose what they like to eat from the healthy menu at the home. People are supported with their medical appointments and their health care. All staff are trained to give medication safely. People who use the service can talk to staff about any problems they may have. Staff are trained and know what to do if there are any problems. Plymouth Close is homely, clean and tidy. People who use the service can decorate their rooms in the way they like. Staff are well trained. The home checks staff before they start working in the home. The provider checks the home to make sure that everything is being done properly. They check to make sure the home is a safe place to live and work in. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Plymouth Close, 119 DS0000066860.V329838.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 Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People are given information about the services offered at the home to help them make an informed choice about whether they would like to live at Plymouth Close and whether the home will meet their needs. The service user guide however, is not up to date. EVIDENCE: The home’s statement of purpose has been amended to provide up to date information about the home to help people decide if they wish to live at Plymouth Close. The service user guide has not yet been updated and should be completed to make sure people who use the service have access to up to date information. The home has an admissions policy and procedure in place and evidence was seen which shows that they are followed for admissions to the home. The assessment process is very detailed and care records show that the home receives full information about people, their background, their needs, their likes and dislikes when they are referred for a placement. Information is gathered from a range of sources such as other relevant professionals, visits to previous homes or schools, and discussions with family members. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 9 Introductory visits and stays are arranged at the home prior to admission. Everyone is given a copy of relevant information prior to moving into the home, and information is offered in preferred formats, such as symbols, pictures, audio and large print. The home has one vacancy at present. Surveys were sent to people who use the service and their relatives prior to the inspection visit. Surveys confirmed that information about the home had been supplied and that people using the service had visited prior to moving into the home. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Care plans provide staff with detailed information about individual’s assessed needs. They include risk assessments to show how risks are to be reduced and how to promote independence. People who use the service are supported to make choices and decisions in their daily lives and routines. EVIDENCE: Individual care plans are detailed and informative. Staff have information to make sure that all care is provided in a preferred and consistent way that encourages independence. Care plans focus on the needs of the individual, how these needs will be met, and include ways in which skills can be further developed. Person centred care plans (PCP) are being developed within the home. People who use the service are being appropriately involved in planning and reviewing their own care. A Path map has been completed for the home and the service that is being provided. The Path map process has given staff knowledge and Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 11 experience to support people in completing their PCP’s. The training and completion of the home Path gives staff an opportunity to explore, share ideas and take responsibility for specific areas of work. Files for two people who have different needs were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Relevant information and monitoring is provided in individual files to make sure all staff have the necessary information to provide quality care. Files include a profile information sheet. The home should review the information in these profiles to make sure they are up to date. Each person is allocated a key worker to oversee their care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Regular key worker meetings are held and notes of these meetings were seen. Plans are reviewed regularly or as any changes in need occur. Staff are fully aware of the plans and clearly use them to guide their practice. Relevant information is also readily available in the day file, such as cultural information and communication methods to guide practice. Plans provide information about the methods of communication that people who use the service understand. These plans make sure all staff are aware to promote consistency. Examples of the different methods used include facial expressions, signs, objects of reference and explanation lists where another language is used. One person who uses the service, showed the small album that is carried to help with understanding as an example of communication aids. Risk assessments are completed for people who use the service and are included in individual care plans. Survey results indicate that families are satisfied with the overall care provided. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People receive help and encouragement to lead active and interesting lives and are supported to access facilities within the community. People are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of people who use the service. EVIDENCE: Time was spent with two people who were at home at the time of the inspection visit. It is evident from talking with people who use the service and with a member of staff that the home provides a range of activities, both in-house and within the local community. Activities are organised according to individual likes and dislikes. A member of staff said that everyone is encouraged to participate. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 13 Activities within the home include cooking, listening to music, Indian Head Massage, foot spa, gardening, entertaining visitors, looking at magazines, and Bollywood movies. External activities include the Halcyon, meals out, luncheon club, boat trips, holidays, airport/museum, disco, parties, RAF meetings, day trips, picnics, train trips, and visits to the theatre. People who use the service are encouraged to be involved in shopping and household tasks. A member of staff was observed encouraging people to be involved in the daily tasks, such as mopping the bathroom floor. Records show that people are supported to keep regular contact with their friends and family. The home provides well-balanced, varied meals for people who use the service. Menus are planned during weekly meetings when people who use the service make their choices for the coming week. Alternative options are available to those chosen, and supper is provided. It was observed that foods stored in the fridge were appropriately covered, labelled and dated. One person indicated by showing a picture of a pizza that this was their favourite food. Records show that culture and religion is respected and supported. People are regularly supported to attend the church of their faith. Religious and cultural beliefs are also supported through diet and celebration of the various festivals. Plymouth Close, 119 DS0000066860.V329838.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. The plans provide information and promote consistency of care and support for people who use the service in a way that takes into account their preferences. The home has a medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: Care records and plans provide information about people’s physical and mental health and the support needed from staff to maintain their good hygiene and health. The care plans sampled contain information about how people prefer their personal care routines. Guidelines ensure that all staff are informed and work to preferred and agreed procedures. Care plans are regularly reviewed and updated as required or sooner if identified needs change. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 15 Staff are able to communicate with people who use the service verbally and, in certain cases, with the additional use of gestures, sign language, and pictures. Time was spent with people who were at home during the inspection visit. Although communication was limited, people seemed to be comfortable and well cared for in the home. One person indicated that they liked living in the home and that the staff look after them. Records of all physical checks such as weight monitoring are completed where people have particular health issues. In this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. Record keeping and information is detailed. People who use the service are well supported by medical services, which include GP’s, psychiatrist, Community Nurses, chiropodist, Worcestershire Behavioural Service, dentist, and optician. Arrangements are in place for preventative health services, such as annual health screening. A member of staff confirmed that all personal care is given in private to promote dignity for people who use the service. Medication administration records were seen and appropriate recording is evident. A list that details all prescribed medication for each person is held on individual files and is signed by their GP. This information also gives staff reasons for the medication and details any possible side effects. Medication storage was checked and everything was satisfactory. The people who use the service have signed forms giving consent to the administration of medication and to treatment. Risk assessments are in place in the event choking occurs. The home is advised to develop these further to make sure the guidelines are consistent. The risk assessment should also be reviewed to make sure the rating applied to level of risk is appropriate. Plymouth Close, 119 DS0000066860.V329838.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are protected by easy to understand information about how to complain, with appropriate information for staff provided. Staff support people to express their views and any concerns they may have. EVIDENCE: Plymouth Close has a suitable complaints policy and procedure in place. The complaints procedure is available in alternative formats where appropriate. There have been no complaints to the home and no complaints have been made to the CSCI since the previous inspection. The surveys indicate an awareness of the complaints procedure, and confirm that no complaints have been made to the home. Staff complete training in relation to abuse and protection during their induction and through specific training courses. During the inspection visit the member of staff was observed engaging with people who use the service in a supportive and respectful way. The home has relevant financial policies and procedures in place to make sure that money is kept safe for each person. People who use the service are supported to keep their money in a safe place in their bedrooms. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Plymouth Close is a comfortable, safe and welcoming home. The home is kept clean which ensures that good hygiene and infection control is maintained. EVIDENCE: A tour of the home was conducted with the help of one of the people living at Plymouth Close. There is a lounge, a separate dining room, kitchen and utility room. The home is attractively decorated and is very homely. There is a relaxed atmosphere to the home. People who live at Plymouth Close have personalised and decorated their rooms in the colours and style of their choosing. The home is close enough to local amenities and can be accessed on foot or by the homes car. The rear garden is fully enclosed. The garden would benefit from some regular maintenance that would make it more attractive and accessible to people living Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 18 in the home. There is garden furniture available for use and a there is evidence that people enjoy sitting in the garden. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. All cleaning materials are stored in locked cupboards in the utility room. The member of staff was observed wearing appropriate protective wear for the task being completed. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing levels are being maintained and the staff team understand their responsibilities. They are committed to their role. They are well supported and work together to provide service users with consistent and good quality care. Staff receive relevant training to help them meet the needs of people who use the service. The home’s recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone living at Plymouth Close. EVIDENCE: Plymouth Close has a committed and stable staff team. The home uses members of Dimensions bank staff when additional cover is needed. Survey results confirm that there are sufficient staff on duty. A member of staff said that the change to Dimensions (the new provider) has been relatively smooth. The people who use the service and staff have coped Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 20 with the change of provider well and have seen the transition period as a very positive experience. Dimensions provide regular staff training. Staff complete mandatory training such as health and safety, fire safety, first aid, food hygiene, moving and handling, infection control and vulnerable adults. Staff training completed last year included Our Approach, Fire Safety, First Aid and Person Centred Planning. Training courses planned for the coming year include Information Technology, Risk Assessments and First Aid. All staff are trained to administer medication. Three of the seven members of the staff team are qualified to NVQ and another member of staff is completing NVQ level II. All newly employed staff complete an Induction Course. The Induction process also includes new staff being supported by senior staff to familiarise themselves with the home, people who use the service and safety matters. Dimensions recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is managed in an open and positive way. Dimensions monitor the home in various ways to ensure that the service continues to develop as people who use the service want and that the home remains a safe place to live and work in. EVIDENCE: The registered manager has transferred to another Dimensions home, and the assistant manager, Wendy Lewis, is managing Plymouth Close. Wendy is a qualified nurse and an NVQ assessor. Wendy has previously managed the home in the absence of the registered manager who was on maternity leave. Wendy has many years experience and has completed training relevant to the post, including Person Centred Planning, Fire Training for Managers, Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 22 Leadership, Our Approach, and Defensible Documentation. Wendy was not available at the time of the inspection visit, but has completed a pre inspection questionnaire for the home. Staff said Wendy is very supportive. Management responsibilities include organising day-to-day activities, health and safety promotion, staff supervision and induction. In respect of management support from the provider, Dimensions has Training and Human Resource Officers who are available to advise and support the home. Service manager meetings are held regularly. The provider’s monthly visits are one of the ways that Dimensions monitors the service and how the home is being run. Interviews with staff and people who use the service take place during these visits. An audit of relevant aspects of the service, including records, environment, complaints received, finance and safety is completed. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and are intended to form an annual development plan for the service. This report includes service users, stakeholders and interested parties views on the service provision. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff undertake all mandatory health and safety training topics. Generic risk assessments are in place. Fire checks are completed regularly and include regular fire drills. This demonstrates good practice and ensures that everyone knows how to respond should a fire occur. Formal Fire Instruction training is scheduled for May 07. The approved Gas Installation Certificate has been lost. Efforts should be made to obtain copy or replacement certificate that is available in the home. Plymouth Close, 119 DS0000066860.V329838.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 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 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 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 3 X 3 X X 3 X Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 4 Requirement The service user guide must be updated to provide accurate information. Timescale for action 17/06/07 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. Refer to Standard YA12 YA19 YA42 Good Practice Recommendations The home should make sure all activities are fully recorded to accurately reflect the lifestyles of people who use the service. The risk assessment for choking should give guidelines that are clear and consistent for staff to follow if choking happens. The approved Gas Installation Certificate has been lost. Efforts should be made to obtain copy or replacement certificate. Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Plymouth Close, 119 DS0000066860.V329838.R01.S.doc Version 5.2 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. 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