Inspection on 12/07/06 for Watermill House

This inspection was carried out on 12th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Watermill House 08/07/09

Watermill House 19/07/07

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Watermill House Common Road Wressle North Lincolnshire DN20 0DH Lead Inspector Stephen Robertshaw Unannounced Inspection 12th July 2006 09:30 Watermill House DS0000066605.V306610.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 Watermill House DS0000066605.V306610.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. Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Watermill House Address Common Road Wressle North Lincolnshire DN20 0DH 01652 652147 01652 655766 helen@roxbyhouse.co.uk www.optionsgroup.co.uk Wider Options Ltd 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) Helen Elizabeth Horsewood Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005. Brief Description of the Service: Watermill House provides accommodation for up to nine service users who have Autism Spectrum disorders and associated challenging behaviours. The original registration last year was for five service users; however, a new development on the site has been approved by the Commission to increase the registration to nine. The accommodation includes extensive grounds for the service users to access and horses are stabled on the premises. The service users also access services available at Watermill’s sister home Roxby House. Similar services are currently being developed at Watermill but they have not yet been completed. This includes therapeutic areas including a gym and a water spa. The current fees for the home are between £2766.62 and £3407.10 per week. There are no other fees incurred by the service users at the home. The fees include a weekly allowance for individual service users’ food, personal hygiene needs and activities. Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of the site visit there were five service users living at the home. The site visit was unannounced and took place on the 12th July 2006. The inspector was at the home for approximately seven hours. The evidence for this report was gathered through talking with three of the service users, four staff, the manager the home, from the returned pre-inspection questionnaire, and contact with service users social workers. The pre-inspection questionnaire had been returned to the Commission before the site visit took place. The service users’ experiences at the home were very positive saying that all of their needs could be met there and it provided a homely and friendly environment. What the service does well: The pre-admission assessment of individual service users needs are very thorough and include multi-disciplinary assessments. This means that service users can be sure that if they go to live at the home that they will be well looked after. The service users are provided with very good opportunities to visit the home before they make a decision for a longer placement there. Written and picture formatted information is also sent out to people who would like to be admitted to the home this includes new service users, their families and their social workers. This makes sure that everyone understands what is available to them at Watermill House. The service users care plans and individual learning plans include very clear detail of how their needs must be met and they are also provide in picture format. This means that the service users have a plan that they can understand. Care plans are supported by risk assessments. This means that the service users are helped to develop their own personal and healthcare skills. There is a wide range of activities on a regular basis. The service users have a personal budget for their activities and this means that they can become involved in activities that they like and that interest them. Good contact is kept with service users’ family and friends. This means that they are never out of touch with the people that they care for and love. Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 6 All staff administering medication have received medication training. This helps to protect the service users’ basic health. Individual service users rooms are furnished and decorated to a very high standard and had been personalised for the service users. This helps them to settle at the unit and to make it their home. The management approach to the home was open, positive and inclusive. This means that the service users feel that they can talk to the managers when they want to. All of the appropriate service and maintenance records were in place in the home. This means that the home provides a safe environment for the service users to live in. 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. Watermill House DS0000066605.V306610.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 Watermill House DS0000066605.V306610.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): 1,2,3,4 and 5 Quality in this outcome area is excellent. This judgement had been made from evidence gathered both during and before the visit to the service. This means that the service users have a comprehensive assessment of their needs completed before they are admitted in to the home. EVIDENCE: The inspector observed all of the information recorded in the home for three service users. Two of the service users were currently living at the home and the third service user was due to be admitted in to the home the day after the inspection. The assessments were a combination of information gathered from the service users families and carers, the homes pre-admission assessment psychology, psychiatry and occupational therapy assessments. The information was very comprehensive and easy to follow. It was evident that a multi-disciplinary approach had been used to determine the individual needs of the service users. The home’s statement of purpose and service user guide are appropriate to the service. These documents are also produced in a picture format to enable the easier understanding of them by some of the service users. National Minimum Standards 2,3 and 4 were exceeded by the home. Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 9 The home has the capacity to meet the needs of the service users. This evidence was supported through direct observations of the staff working with the service users and the inspector’s discussions with service users social workers. Before service users are admitted in to the home they are provided with a opportunity to visit and stay over at the home this is called the ‘transition period’. All of the service users contact with the service prior to an admission to the home was clearly recorded. The service users are also provided with an introduction to the home including photographs of the home and grounds and the proposed room for the individual service user. The admissions to the home are planned well in advance and although the home has policies and procedures in position for emergency admissions they are not usually considered. Each of the files seen by the inspector included a contract for their placement provided by their funding authorities, and a contract of terms and conditions of their placement with the home. This detailed what was included for the fees and the room to be occupied by the service user. Watermill House DS0000066605.V306610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 The quality outcomes in this area are excellent. This means that the home effectively meet the identified needs of the service users. EVIDENCE: The inspector observed the care files for two of the current service users. These both included very comprehensive care plans that detailed how individual needs must be met. The home’s care plans were closely associated to all of the individual needs identified in the service users original assessments. The care plans and service users individual learning plans had all been evaluated on a regular basis to ensure that they were still appropriate to the individual service user. A social worker for one of the service users spoken to by the inspector confirmed that the care plans in the home were appropriate to the needs of the service users and that they included the needs that were identified by the social worker in their care plans that they provided to the home. They also confirmed that they are kept up to date with the service users progress at the home and that they are also informed of any incidents at the home that included the service user in their care. The social worker also Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 11 stated that the staff and management at the home are very receptive to any changes that they may suggest to care plans or care practices at the home. Where appropriate care plans were supported with clear risk assessment and risk management plans. These were also written in a manner that was easy to understand and follow. Direct observation of the staff working with the service users supported the evidence that they are encouraged to make decisions for themselves throughout their daily lives and realistic goals and objectives are set out for them. Service users’ daily plans are provide to them in written and pictorial forms to help them with their understanding of the tasks they are involved in to develop their personal skills and knowledge. Choice is also provided to the service users through their weekly budgets for their food, personal toiletries and activities that they want to become involved in. Staff support the service users with all of these tasks but the final outcome is determined by the service users. The service users’ finances are generally controlled by their families, however the home is the corporate appointee for one service user’s finances. The home operates a key worker system for the service users. This is effective as each service users has a minimum of two staff allocated to them so when one is not available due to holidays, sickness or training the other key worker should be available. The service users’ abilities to participate in the running of the home are very limited due to the extent of their disabilities however they are encouraged to voice their opinions through meetings and the open door policy of the management. All of the information recorded in the home in relation to the service users was stored in accordance with confidentiality guidelines. Staff spoken to and interviewed by the inspector were aware of the limitations of confidentiality when the information disclosed to them put service users or others at risk. Watermill House DS0000066605.V306610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. This means that the service users are supported and encouraged to maintain and develop their personal lifestyles at the home. EVIDENCE: The service users are encouraged and supported to maintain and develop their social, emotional, communication and independent living skills. The inspector observed staff working with service users to promote their skills and independence. The care plans showed how service users are supported to access training and development opportunities at the home and in the community. This information is included in their individual learning plans and where appropriate this included support from language and communication specialists and psychology support. The service users are encouraged to engage in activities in the day and evening periods. This includes activities in the home and in the community. Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 13 Service users have an individual activities file and all activities that they are involved in are comprehensively recorded. This included their presentation and mood when taking part in the activities. A service users stated to the inspector that they ‘liked going out’, with staff. The home is currently under further development and a gym and other activities will soon be available to the service users on site. Up until then the service users will continue to access some services though Roxby House. Individual care files showed how the service users are supported and encouraged to keep in contact with their families and friends and they all have their own individual areas where they can see people in private. The evidence for this standard continued to be exceeded. The home has clear policies and procedures to support service users if they wish to develop or maintain intimate personal relationships with people of their choice. Any restrictions in the movement of individual service users are supported through a clear risk assessment process and had been agreed through a multidisciplinary assessment. The service users choose their menus for the week supported by the staff to ensure an appropriate diet and then go to the local shops and supermarkets with staff support to buy the ingredients for the meals that they have chosen. All of the service users’ case files observed by the inspector included a full assessment of their individual nutritional needs. Watermill House DS0000066605.V306610.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 and 21 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to the service. This means that the service users receive very good healthcare and personal support at the home. EVIDENCE: The home does not provide nursing care. Direct observations by the inspector supported the evidence that the service users’ privacy, dignity and respect are upheld at the home. Discussions with service users’ placement officers also supported this standard. Service users’ care plans identify where there is any limited ability for choosing suitable clothing etc that different options are made available to them. Direct observations by the inspector showed how the service users are supported and encouraged to maintain their individuality at the home. This included fashion and hairstyles. The healthcare needs of the service users are met through healthcare professionals that are based in the community. This included GP’s and district nurses and support through the companies psychology, psychiatric and behavioural specialists. All contact with these professionals is clearly identified Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 15 in the individual service users’ care files. Since the opening of the unit the homes relationship with the local GP appears to have improved as initially there was some concern shown by them in relation to the demand that they thought may be placed on their services. Although the service users see the GP’s and healthcare workers when they have a particular need the home have not yet established annual healthcare checks for all of the service users. Service users’ weight is regularly recorded at the home as part of the monitoring of their physical health. None of the service users at the home self-administer prescribed medication. All of the staff that administer medication in the home had received accredited medication training. The service users’ medication is provided through a local pharmacy in monitored dosage containers. Observation by the inspector showed that the Medication Administration Record sheets were all up to date and had been accurately recorded. The inspector also observed the administration of medication to the service users and identified that all legislation and good working practices were met. There were no service users at the home that were prescribed controlled medication. However the inspector identified that if controlled drugs were stored at the home then the appropriate storage and recording systems were in position. Service users’ care files provided evidence that their families and carers had been contacted to identify any aging, illness and death wishes for the service users. Watermill House DS0000066605.V306610.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 and 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. This means that that the service users are protected from potential abuse at the home. EVIDENCE: The home has a clear and effective complaints procedure. This is in a written format and it is also available with pictorial symbols. There had been six complaints formally recorded at the home since the last inspection. This had all been followed up in relation to the homes policies and procedures. Two complaints were partially upheld and the remainder were dismissed. The staff receive Protection of Vulnerable Adult training through their induction training. Staff interviewed by the inspector were aware of adult protection issues and understood their responsibilities for protecting the service users and making referrals when they identified any concerns. There has only been one vulnerable adult investigation at the home since its registration. The management worked well with the investigating authority and there was no further action taken. The home was supported in their handling of the investigation by the local authority. One of the service users’ social workers spoken to by the inspector stated that they were confident that if their were any protection of vulnerable adults concerns at the home then the management would report them to the appropriate agency. Watermill House DS0000066605.V306610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28 and 29 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. This means that the service users are provided with a homely and comfortable environment. EVIDENCE: Since the last inspection the home has been extended with additional accommodation for a further four service users. All of the service users’ individual bedrooms include en-suite facilities, and each service user has their own lounge area to relax in. The home also provides the service users with two additional lounge and kitchen areas. This brings the homes quit rooms to a total of nine. An activity barn has also been included in the grounds of the home and this includes an additional two toilets. A total of fourteen toilets are available to the service users at Watermill House. The environment of the home provides a homely atmosphere and is generally in a very good condition. Priority recently has been in the completion of the Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 18 additional facilities and this has led to some areas of the home in need of redecoration to keep it up to the service’s usual high standards. The premises have been developed to ensure the safety of the service users. This includes secure grounds that the service users can wander in if they require any personal space and remain safe. The grounds have remained safe and secure throughout the recent building works on the site. The furniture, fittings and lighting are all domestic in character. Some of the furniture and fittings including televisions are secured and protected to ensure that service users cannot harm themselves or others with the equipment. The standard for the quality of service users bedrooms was exceeded. Each service user has a sitting area in addition to their bedroom. The standard of the furniture and fittings was very high. Several service users invited the inspector to see their rooms. One service user said to the inspector that they ‘liked’ their room and that it was ‘home’ for them. Watermill House does not employ additional domestic staff. The care staff undertake all of the domestic chores in the home, or service user take part in the domestic chores if it is identified in their care files as part of their personal development and independent life skill training. This includes cleaning their bedrooms and the kitchen areas. Any repairs and maintenance of equipment in the home is undertaken on a regular basis and was very well recorded. A tour of the premises by the inspector found it to be very clean and tidy and that it was free of any offensive odours. The home does not have any sluicing facilities however the washing machines were programmable to disinfection and sluicing standards. The washing machines are domestic in character to train the service users how to complete their own washing in a more independent environment. Watermill House DS0000066605.V306610.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): 31,32,33,34,35 and 38 Quality in this outcome area is adequate. This judgement has been made through evidence gathered both during and before the visit to the service. This means that the staff have the knowledge and skills to meet the needs of the service users. EVIDENCE: The inspector observed the staff personnel and training records for four of the staff working at the home. The records observed by the inspector supported the evidence that the staff have the skills and personal attributes to meet the needs of the service users. Most of the appropriate safety vetting is carried out for new members of staff before they have any contact with the service user group. One member of staff’s personnel file showed that the home had not applied for a new CRB for them but had accepted one gained through a different employer as it had only recently been completed. Once a member of staff has been employed they undertake a three-week induction period where they have very limited access to the service user group. The induction includes all of the induction standards. Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 20 All staff are expected to complete a minimum of NVQ 2 in care. The company have recently been accredited as an NVQ centre and this has helped in the advancement of the staff undertaking this training. There are 26 staff employed at the home and three staff have achieved NVQ 3 and a further member of staff has achieved NVQ 2. Another twelve of the staff are working towards NVQ 3. This means that currently 19.23 of the staff have achieved the award. The home needs to continue its progress with NVQ training to achieve the require minimum of 50 of staff that have completed the award. The manager of the home confirmed that from September 2006 the staff would be enrolled on the induction standards for learning disability (LDAF). Staff training records and interviews with staff showed they understood and could meet the needs of the service users. The records that they make on a daily basis are very informative in relation to how the service users have led their daily lives and how they responded to contact and communication with other people. The staff also confirmed that regular staff meetings are held to keep them up to date with changing legislation, new policies and procedures and to identify any training needs of the staff group. The staffing numbers exceed the hours required by the Residential Forum. The staffing hours are determined and are calculated on individual service users needs and as determined through their individual contracts. All staff receive appropriate training to make sure that they can effectively communicate with individual service users. Interviews with staff and observation of supervision records showed that they all receive at least the recommended minimum of six formal recorded supervision periods per year. The supervision covers their working practices, the philosophy of care at the home and identification of individual training needs. When appropriate the staff also receive specialist support and supervision through the companies psychology department. The home’s training plan ensures that all of the staff receive the appropriate mandatory training and that this is maintained up to date and is relevant to the needs of the service users. Watermill House DS0000066605.V306610.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): 37,38,39,40,41,42 and 43 Quality in this outcome area is good. This judgement has been made through evidence gathered both during and before the visit to the service. This means that the management are very supportive of the service user and staff groups and clearly understands their needs. EVIDENCE: The manager of the home has completed the Registered Managers Award and is close to completing the NVQ 4 in care. The two deputies at the home are also working towards the NVQ 4 in care. The manager also has a Certificate in Education, City and Guilds 7307 stage 1 and 2 and is up to date with all her mandatory training including 1st aid and moving and handling. Since the last inspection the manager of the home has successfully completed a fit person interview with the Commission at the Hessle Office. The management approach towards the home creates an open, positive and inclusive atmosphere. This was supported through direct observation of the Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 22 manager interacting with the service users and staff and testimonies from the staff. One service users said that the manager was a ‘nice lady’ that helped them. A social worked contacted by the inspector as part of the information gathering for this inspection stated that the management of the home were very approachable and clearly understood the needs of the service users. The quality assurance systems in the home has developed further and is appropriate to identify the needs of the service. The only outstanding part of the Quality assurance system is to implement an action plan from the analysed information gathered from the returned questionnaires. The senior management of the home had been accepting staff to work at the home with CRB’s gained in previous employment. The inspector reminded the manager of the home that CRB’s are not transferable and must be completed for all new staff. The home’s policies and procedures were all in position had been recently reviewed to ensure that they were still accurate to meet the needs of the service users and the service itself. The record keeping in the home was very comprehensive, up to date and accurately recorded. The only issue with the records was that incomplete dates had been included on some documents for example only the month and year, or the date and month. All of the required certificates to ensure the safety of the service users and staff were in position. This included electrical installation safety certificates and gas landlord safety certificates. The manager of the home is responsible for ensuring that all of these certificates are up to date. The management of the team are very pro-active in contacting the Commission and placing social work teams of any incidents involving individual service users. Social workers confirmed to the inspector that the homes contact with them was very good. The external management of the home are very supportive towards the manager, staff and service users. Regulation 26 visits and reports are completed on a monthly basis by the senior management of the service. Watermill House DS0000066605.V306610.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 3 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 4 26 4 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 1 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 2 3 3 3 4 3 3 2 3 3 Watermill House DS0000066605.V306610.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 YA34 Regulation 19..1(a) 19.5 (a) Requirement The registered person must ensure that all new staff coming to work at the home receive a new CRB clearance or a POVA first before they commence working at the home. Timescale for action 30/08/06 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. Refer to Standard YA6 YA19 YA39 YA41 Good Practice Recommendations The registered parson should make sure that all of the service users behavioural programmes are evaluated in conjunction with the relevant care plans. The registered person should make sure that all of the service users living at the home receive the minimum of an annual \healthcare check. The registered person should continue with the progress being made to the home’s quality assurance and monitoring programme. The registered person should make sure that all documents in the home include full dates for when they had been completed or amended. Watermill House DS0000066605.V306610.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Watermill House DS0000066605.V306610.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!