Inspection on 18/10/07 for 12 Ryder Road

This inspection was carried out on 18th October 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

12 Ryder Road 17/10/08

12 Ryder Road 07/02/07

12 Ryder Road 10/11/05

12 Ryder Road 07/04/05

12 Ryder Road 26/10/04

12 Ryder Road 22/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 12 Ryder Road Stoke Plymouth Devon PL2 1JA Lead Inspector Brendan Hannon Unannounced Inspection 18th October 2007 9:30 12 Ryder Road DS0000003450.V347908.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 12 Ryder Road DS0000003450.V347908.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. 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 12 Ryder Road Address Stoke Plymouth Devon PL2 1JA 01752 219779 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) info@michaelbattfoundation.org Michael Batt Foundation (Valued Life Projects) Mr Mark John West Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning disabled adults some of whom may have a mental disorder Age 18-50 yrs Date of last inspection 7th February 2007 Brief Description of the Service: 12 Ryder Road is a care home providing personal care (if required) and accommodation for three people aged 18 - 50, with learning disabilities, who may also have mental health issues. It is owned by the Michael Batt Foundation (Valued Life Projects) which is a not for profit organisation providing services for people with a range of needs who require support and care to live in the community. The home was opened in 2000 and is a two storey terraced property located in the Stoke area of Plymouth. All the homes bedrooms are single and are on the 1st floor. None of these have en suite facilities. The home has a bathroom on the ground floor, consisting of a combined bath/shower and a toilet. There is also a bath/shower room on the 1st floor with a separate toilet. There are separate lounge and dining rooms and the home has a small back yard. A sheltered area is provided outside where people may smoke if they wish. All areas are accessible to the men that use the service. The weekly fees for this service are calculated on an individual basis depending upon the service user’s support needs. Information relating to the services provided by the Michael Batt Foundation can be obtained from their Head Office at Third Floor, Poseidon House, Neptune Business Park, Cattedown, Plymouth, PL4 OSJ, telephone number 01752 310531. 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on the 18th October 2007. The Registered Manager, Mr Mark West, was present. The inspector spoke with two of the people that use the service, who came and went from the home throughout the day. A tour of the building was made and documents relating to the support needs of the people that use the service were examined. A visit was also made to the Michael Batt Foundation’s head office on 11th October 2007 to examine staff personnel records from all of the Foundation care homes in Plymouth. Professionals with contacts with the service, and the care homes staff, were surveyed. We were present in the home for 5.5 hours and at the foundations head office for 2.5 hours. What the service does well: The house is comfortable and warm. There is plenty of good food. The people that live there have enough things to do to be happy. They can go to college and are helped to find a job. There are always enough staff to help and the people that live at Ryder Rd get all the help they need. Each person can have their room just as they want it. The staff know how to help people and the staff do their best. If a person that lives at Ryder Rd has a problem it is easy to get help. The staff are safe to be with. 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 6 If you want to live there the staff will tell you about what it is like. The staff are good at helping people to move in and be happy. 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. 12 Ryder Road DS0000003450.V347908.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 12 Ryder Road DS0000003450.V347908.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): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s pre-admission processes ensure that people that are considering using the service are provided with information about the home as well as having the opportunity to experience life in the home before admission. This enables them to make a properly informed decision to use the service. EVIDENCE: Individualised Service User Guides are in development but none of the men that use this service has yet received either a generic or an individualised guide. The Foundation can provide a Service User Guide in different formats, such as in a pictorial form and on audiotape, depending upon a persons needs and abilities. The registered manager was advised to distribute an interim generic Service User Guide until the intended individualised guide is completed for each person. One person has been admitted to the home in the last 12 months. Although he wasn’t present at the time of the inspection, the registered manager previously confirmed that he had had the opportunity to visit the home on several occasions to meet the other men that live there and the staff before making a decision to move in. Documents relating to his pre-admission assessment are held at the Foundation’s head office and gave a clear description of his needs 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 9 before admission. The Foundation has an appropriate admission policy and procedure. 12 Ryder Road DS0000003450.V347908.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people that use the service are enabled to participate in, and make decisions about, all aspects of their lives. The assessments of peoples’ needs and their plans of support are adequate. EVIDENCE: Discussions with one of the people that uses the service, and the staff, confirmed that people that live at Ryder Rd are actively consulted and enabled to make choices and decisions about their lives. People are supported to take risks that support their personal development. For example, one person has been supported to take increasingly long periods of unsupported time in the house as part of moving towards a more independent lifestyle. The staff member on duty was fully aware of the needs of this person. However the risk assessment (or rationale) that was in place to support this programme had not kept pace with developments and did not accurately describe the present situation. 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 11 Generally care planning was of mixed quality. Most needs were adequately assessed and care was adequately planned to meet these needs. However not all needs were not comprehensively recorded to give a full and detailed assessment of each person’s care needs. Similarly all care planning on how staff should meet these needs was not comprehensive and detailed. Some care planning had not been reviewed for some time. Restrictions on choice or freedom were discussed and those in place are to protect the person’s health and safety and recognise the person’s responsibility towards others. Some recording of these agreements was not in place or was out of date. Most of the men’s personal money is kept safe by the home. The personal money kept by the home was checked against each person’s individual balance sheet and it was correct. Each person has an individual bank account which they use routinely. The attitude and approach of the staff team promotes independence and empowers people to make decisions about lifestyles and daily routines. The interactions of the men that were present during the inspection were observed and they talked about their full and active lives at the home. They had considerable input into all parts of the daily activity of the house and played an important role in its functioning. 12 Ryder Road DS0000003450.V347908.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): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People that use the service learn life skills, attend work, go on education courses, participate in community and leisure activities of their choice, and participate fully in the daily life of their house. EVIDENCE: The service is commended for its success in supporting people that use Ryder Rd to find and maintain valued roles in the community. People that use the service are supported to maintain substantial part time employment working for companies in the Plymouth area and to attend substantial college courses. The people that use the service are supported to enjoy full lifestyles in the general Plymouth community. People that use the service are engaged on skill and independence development programmes towards moving on from residential care into semiindependent supported living situations. These programmes are being 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 13 successful and people are actively moving on from the care home. The service is commended for its active and goal orientated support for people that use the service to develop the skills they need to move on from it. This development is achieved through learning new daily living skills, individual food budgeting, planned unsupported time, going out independently, using public transport independently, and development of a full lifestyle outside the home and the organisation. Information to reach these conclusions was gained from peoples care planning, and discussions with both the people that use the service and with the registered manager. Some people had certificates of achievement from their employers displayed in the home. The certificate holders said how much value and increased self-esteem they gained from the achievement of these awards. People are encouraged to carry out all types of domestic tasks in the home and participate in leisure activities of their choice including holidays. The men present during the inspection explained that they all talk and agree on issues such as their day-to-day activities and commitments, shopping and meal planning. The home has access to transport provided by the organisation but tries whenever possible to encourage the use of public transport. When the organisations transport is used people make a contribution towards the cost of fuel. All the men plan their weekly menus, participate in their food shopping and prepare their meals, drinks and snacks. Each week everyone has a takeaway or meal out paid for by the organisation. Contact with relatives and friends is encouraged and there are no limitations on visitors to the home. 12 Ryder Road DS0000003450.V347908.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People that live at the home receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified because the staff know the people that use the service well. Medication administration carried out by the service is adequate. EVIDENCE: People that use the service confirmed that they are consulted about the level of personal support they need, and confirmed that they are supported to live more independently. The support plans for each of the three men that use the service were examined and these provided adequate evidence of personal, emotional and health care needs. Some support plans lacked detail to ensure that each member of the support team is consistently aware of each person’s specific needs and how these should be addressed. Incidents of inappropriate behaviour as a result of service user anxiety were documented and are monitored by the Team Leader, who is a member of the senior management team, to identify if further support and guidance is necessary to overcome these difficulties. 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 15 People that use the service are offered support from other healthcare professionals such as nurses and psychologists from the Community Learning Disability and Mental Health Teams. This community support enables people that use the service to express their concerns, deal with situations that make them angry, and develop more appropriate coping strategies. None of the men that use the service are managing their own medication. The home uses a blister pack monitored dosage system. The administration of medication carried out by the home was generally good. Medication is kept in a secure cupboard. Medication was stored tidily. On arrival at the home the keys to the secure storage had been left available to a person who was in the home on unsupported time. This error did not put people in danger. The Registered Manager took action during the inspection to ensure this mistake was not repeated. Medication documentation should be improved. One of the two medication profiles was not accurate. The recording of medication that had been administered by staff during the present medication round was poor. 12 Ryder Road DS0000003450.V347908.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People that live at the home are protected from abuse, neglect and self-harm. People that use the service can be confident that the Registered Provider always deals with complaints seriously and any concerns are listened to and acted upon immediately. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. House meetings are held to discuss the day-to-day running of the home as well as any issues of concern which are dealt with immediately. It was clear from discussion that the men that use the service can raise any issue at any time. Staff have received training in the protection of vulnerable adults and are aware of their responsibilities should they suspect a vulnerable person is at risk. 12 Ryder Road DS0000003450.V347908.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): 24,25,26,27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is generally satisfactory providing the men that live there with a homely place to live. EVIDENCE: The home is basic but clean with a generally satisfactory quality of furnishings. The men that live at the house have helped to redecorate several rooms during the last year including the lounge, dining room, kitchen diner and hallway. Each person has a single bedroom on the 1st floor, none of which have en suite facilities or wash hand basins. The men that live at the home have previously confirmed that they do not need a wash hand basin in their bedrooms and are happy to use the sinks in the bathrooms. They have also requested that bolt locks are kept on the bathrooms and toilets rather than have override type locks fitted. All the men hold and use their own bedroom door and front door keys. One person took me without support to show me his bedroom. He unlocked his own 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 18 bedroom door and showed me the facilities in his room. It was large and he said he had everything he needed. The standard of décor in the home is generally adequate but there were some areas that could be improved. The décor of the first floor bathroom was particularly noted. The kitchen is small, is in a poor condition, and is poorly laid out. One person that lives at the home demonstrated to me that when the cooker was being used access to the rear bathroom was obstructed. The fridge freezer is in the dining room some distance from the kitchen because the kitchen is too small to accommodate it. The registered manager confirmed that a new kitchen was being considered but that no definite decision to proceed with renewal had been taken. There are shared rooms on the ground floor consisting of a dining area adjoining the kitchen, a dining/lounge room and the main lounge. These rooms were in an adequate to good condition. A sheltered area is provided outside the rear door where people may smoke. 12 Ryder Road DS0000003450.V347908.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): 32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment processes are robust and people that use the service benefit from well supported staff that have a good understanding of the needs of the people that use the home. EVIDENCE: The Foundation has a department that ensures recruitment practices are safe. A sample of staff files were examined and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. Documentation showed records of staff meetings. Individual supervision sessions were taking place but not as frequently as stated by the organisations supervision policy. Staff are supervised informally while supporting the men that use the service. The registered manager was advised to ensure that regular formal supervision sessions are carried out with each staff member. The supervision meetings addressed the principles and values of the Foundation, staff performance and training and development needs, as well as day-to-day support issues. 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 20 The Foundation has a designated staff member to coordinate and arrange training, to maintain an overview of what the organisation requires, as well as ensuring that individual staff members receive the training they need. The foundation is now providing training to other organisations in the nationally recognised Learning Disability Qualification (LDQ), which has replaced the Learning Disability Award Framework (LDAF) levels 1 2. All new employees are being trained in this qualification and it is being backdated to any existing members of staff who do not hold LDAF1 2. The LDQ covers basic training on topics such as social role valorisation, person centred planning, human development, adult protection, emergency first aid, and health and safety ensuring staff members have the skills and confidence to support the people that use the service on a day-to-day basis and also at times of crisis. The majority of staff are either enrolled on or have completed the LDQ or have completed LDAF levels 1 2. Both courses are nationally recognised qualifications. The registered manager confirmed that there are a minimum of two staff on duty from 8am until 10pm with either one or two staff sleeping in the home at night. The organisation operates an ‘on call’ system whereby members of the management team are available to provide support both in and out of office hours. 12 Ryder Road DS0000003450.V347908.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): 37,38,39,40,41,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Peoples’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager, Mark West, is competent and experienced to run the home and confirmed that he is nearing completion of the Registered Manager’s Award, a recognised management qualification. He has also completed the “Humanistic Approach to Support” Course, a LDAF course that follows a person-centred philosophy of care and support. The management of the service has been very successful in supporting people that use the service to establish and maintain valued and fulfilled lifestyles. The service has also been very successful in supporting people that use the 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 22 service to achieve their development goals so that they can move on to a more independent living situation. The documentation to plan the delivery of people’s support had not been consistently maintained to a good standard. This documentation is important to ensure that support is provided safely and consistently to the people receiving the service. The organisation uses a system of management cover where, in the first instance, another Registered Manager oversees the planned absence of this service’s Registered Manager. Further support can also be gained from the organisations duty system. The organisations missing persons procedure was reviewed. The organisation was advised to document basic processes and timescales within this procedure for those people without specific guidance in their care planning. This will help staff to have a consistent approach to such incidents. The organisation supplies monthly reports to the CSCI in line with Regulation 26 of the Care Homes Regulations. Tests and checks of fire safety equipment had been carried out as required. People that use the service described being involved in practice fire evacuations from the home and were clear about what to do in the event of such an emergency. Original records of accidents are kept at the organisations head office. The organisation is advised to retain these at the home and for the service to send a copy to head office. Staff have completed training in fire safety, first aid, food hygiene and health and safety ensuring they have the skills to deal with emergencies. Risk assessments are in place regarding management of hot water, hot surfaces and the prevention of Legionella. The Foundation has a Quality Assurance Auditor who is responsible for assessing whether the services provided meet peoples needs to their satisfaction as well as ensuring their safety and that of the support staff. These assessments are detailed and include all aspects of a person’s personal, health, emotional and social support needs. The organisation ensures that people that use the services are approached for feedback on their service in a manner appropriate to their communication abilities. There is a draft Quality Assurance policy and procedure. As part of the Quality Assurance process relatives of the people that use the service, and professionals involved with each persons support, are approached to give their opinions on the service provided. The results of the quality assurance process are shared with the people that use the service and their relatives or representatives. 12 Ryder Road DS0000003450.V347908.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 3 3 3 4 3 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 2 25 3 26 3 27 3 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 3 3 3 X 12 Ryder Road DS0000003450.V347908.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. Standard Regulation Requirement Timescale for action 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 YA6 Good Practice Recommendations Care planning should be comprehensive, accurate and detailed for each person that uses the service. Documentation of risk assessment and restrictions of choice should be comprehensive. The recording of medication administration should be improved. The kitchen area should be renovated to provide a good quality food preparation area. 2 3 YA20 YA28 12 Ryder Road DS0000003450.V347908.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 12 Ryder Road DS0000003450.V347908.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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