Inspection on 13/11/06 for 120 Furber Road

This inspection was carried out on 13th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

120 Furber Road 09/12/05

120 Furber Road 07/06/05

120 Furber Road 06/12/04

120 Furber Road 05/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 120 Furber Road St George Bristol Bristol BS5 8PT Lead Inspector Sarah Webb Key Unannounced Inspection 13 & 21st November 2006 09:00 th 120 Furber Road DS0000026631.V317527.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 120 Furber Road DS0000026631.V317527.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. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 120 Furber Road Address St George Bristol Bristol BS5 8PT 0117 9352157 0117 9709305 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) admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Ms Carol Mary Halton Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 3 persons aged 50 years and over with learning disabilities May accommodate up to 5 persons aged 65 years and over with learning disabilities 9th December 2005 Date of last inspection Brief Description of the Service: 120 Furber Road is operated by Aspects and Milestones Care Trust and is registered to provide accommodation and personal care for 5 men and women who have learning difficulties between the ages of 50 to 65 years and over. The property is situated in a quiet residential street in St George, on the outskirts of Bristol and close to the South Gloucestershire boundary. There are local amenities within walking distance, and both Bristol and Bath bus routes are close by. The premises has been extended to add a fifth bedroom, and to provide en suite facilities to three bedrooms. There are garden areas to both the front and back of the property. The home is wheelchair accessible. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection with the focus on reviewing the progress of the requirements and recommendations from the unannounced visit in December 2005 and in assessing the key standards of the National Minimum Standards. The home has demonstrated compliance in meeting the requirements and recommendations from the previous inspection. There have been no additional visits during this period. The home has been keeping the Commission for Social Care Inspection informed of incidents that affect the wellbeing of the individuals living at Furber Road. The inspection was conducted over 9 hours. The inspector had an opportunity to meet with all 5 residents, three members of staff, and the manager. The inspection process included viewing care records and other relevant documents required of a care home and a tour of the home. What the service does well: What has improved since the last inspection? The home has developed essential life plans for existing residents and for these to include the daily routines of individuals. There is now information and documentation relating to bank and agency staff that ensures their suitability to work with vulnerable adults. Additional information is included in the Statement of Purpose and the admissions process in order to inform both residents and other interested parties. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 6 Risk assessments have been completed for one resident that requires support with rising each morning. The kitchen has been refurbished with new kitchen units, worktop and oven. The hoist has been serviced by an appropriate and competent person. 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. 120 Furber Road DS0000026631.V317527.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 120 Furber Road DS0000026631.V317527.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, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Existing and prospective residents are provided with relevant information in order to make informed choices about the home. Prospective residents can be assured that their needs will be assessed prior to moving in and are offered visits to the home before making a decision to move there. The home needs to update some areas of the terms and conditions for two new residents. EVIDENCE: Since the last inspection, two requirements have been met regarding updating the Statement of Purpose with the inclusion of systems introduced and the appropriate timescales, and the arrangements for visitors; also for the admission procedure to contain the involvement of representatives. A folder is held for each resident and includes a pictorial service user guide, statement of purpose and the terms and conditions of their placement. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 9 There have been two new residents admitted to the home since the last inspection. This was due to a home closing in the organisation and both residents moved together to Furber Rd. Examination of records indicated that both assessments and reviews have been carried out by the funding authority in determining the needs of the two residents, and that the home is able to meet their needs. The home has followed the admissions procedure in that both residents had day visits prior to being admitted and overnight stays in order to determine whether they liked the home and were happy to move. The manager said that it was not beneficial for the second resident to have more than 1 overnight stay as they became confused; this was agreed within a multidisciplinary approach. On examination of records relating to their terms and conditions it was evident some information refers to their previous home and are in need of being updated including the arrangements for the use of the homes vehicle. It was evident through both discussion with staff and observation of records that another residents needs have changed. The home is in the process of being advised through specialist services in order to support them safely prior to a reassessment of their needs and whether the home is able to continue to meet their needs. 120 Furber Road DS0000026631.V317527.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 adequate. This judgement has been made using available evidence including a visit to this service. The home must ensure that care planning for two new residents provides relevant and up to date information in order that staff are given the appropriate information to meet individuals needs. The home has arrangements in place to minimise risks so that the safety and welfare of residents is promoted. EVIDENCE: A requirement has been met for essential life plans to be developed for existing residents and for these to include the daily routines of individuals. This now needs to be extended to the two new residents. The home has processes in place for residents care plans to be reviewed on a monthly basis by key workers. This includes the monitoring of activities attended and health issues, with future aims included and action planning to meet these aims. The review of care plans are also discussed at staff meetings 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 11 and it was evident through discussion with staff that they have a good understanding of residents needs. Examination of three residents monthly review forms identified that although these have been reviewed on a generally regular basis there were some inconsistencies. There was comprehensive information available regarding the two new residents who have been admitted to the home. However the majority of information held refers to their past placement with the need for inappropriate information to be back filed; it was evident that some of their preferences have changed and need to be recorded in line with how they have adjusted to their new placement at Furber Rd. The home must ensure that their care plans are updated, informing staff of their preferences, communication needs, behaviours and the use of restrictions in place at night. Although one resident is encouraged to get up in the morning in order to attend their day placement, which they enjoy, residents generally make decisions regarding when they wish to get up in the morning and choice of food. All daily activities and decisions are recorded in individual diaries. None of the residents maintain their own benefit book or handle their own financial affairs. Risk assessments were examined and included the involvement of professionals, decisions reached through the advantages and disadvantages of risk. The home had risk assessed areas that included residents falling, individuals mobility, bathing, eating and chocking. 120 Furber Road DS0000026631.V317527.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 good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities to participate in the local community and are offered meaningful activities. Staff support residents with the maintenance of family relationships and contact with friends. Residents have varied and nutritious meals prepared by the staff. EVIDENCE: All residents are provided with opportunities to be involved in meaningful activities. One person continues to receive additional support through another agency to access the community whilst another resident attends a day service. Although three residents have no structured day service, members of staff arrange community activities for those residents that remain at the home. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 13 These include a college placement, contact with friends, hydrotherapy, aromatherapy, shopping, and regular trips to cafes and places of local interest. Individuals’ diaries record activities attended. All residents contribute towards the use of the homes vehicle; this covers the cost of the car lease, maintenance, upkeep, and mileage. A record is kept of all trips and mileage. Staff continue to encourage and maintain residents with ongoing friendships outside of the home. Family members are encouraged to keep in contact with the home. A requirement has been met for risk assessments to be completed to establish existing residents’ abilities to have their bedroom keys. This now needs to be extended to the new residents. It was evident that there is flexibility with regard to the times of meals taking into account individual needs. The inspector observed individuals being assisted with eating and in making choices. The majority of residents require supervision and prompting during meal times. Individual mealtime guidance is recorded. Staff carry out shopping duties. Staff said individuals are involved in choosing the menu. Examination of the menus indicated that residents are offered a standard breakfast, light lunch and a cooked meal in the evening with snacks in between meals. A recommendation is made to keep a record of alternative food offered. To comply with food safety, a record of fridge and freezer temperatures is maintained along with the temperatures of cooked meat. 120 Furber Road DS0000026631.V317527.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 good. This judgement has been made using available evidence including a visit to this service. Residents benefit from individual personal support suited to their preferences within an appropriate and suitable environment. There are arrangements in place to support both residents and staff with safe moving and handling practices. There were safe systems in place for the administration of medication, however consent needs to be obtained from residents. EVIDENCE: Care files examined identified the home provides comprehensive information on how residents are to be supported in keeping healthy and safe. This includes support with personal care and mobility, health issues, and generally the residents well being. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 15 All residents are registered at the same local GP practice and are supported to access health care services. Healthcare is recorded in individuals’ diaries including medical reviews by G.P. Residents are referred to the local Community Learning Difficulty Team for support from specialist services. There have been some recent changes to a resident in relation to their mobility and who are now dependent on staff to meet all personal and daily living needs. A hoist is now needed in supporting them with aspects of their mobility. Specialist services are in the process of assessing their mobility and whether the home is able to meet their needs. In the interim, a manual handling trainer from the organisation is supporting staff in how to use appropriate disability equipment safely. The trainer is also training the manager and two staff in manual handling techniques in order to assist the remainder of the staff team. Examination of records identified that there is information in place on safe systems in supporting this person. The home has both the organisation and a local medication policy in place. Medication profiles were in place with photographic identity and describe the preferred routine, the purpose of needs and side effects. Staff sign medication administration sheets to confirm that medication is administered to residents. Records are held when residents refuse medication, and for giving “when required” medication. However there was no record to evidence that residents are consenting to medication being administered. A requirement is therefore made for this to be implemented. Medication is held within a secure cabinet and was consistent with the administration records sheets. A record is kept of the disposal of medication with the pharmacist countersigning the record. 120 Furber Road DS0000026631.V317527.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. Residents and their representatives concerns are listened to and acted on by staff. The home follows appropriate procedures in order to protect residents from abuse with staff having received appropriate training. EVIDENCE: The organisation has a comprehensive complaints policy. A copy in an accessible format was in each residents file, including timescales for responses and contact details of advocacy agencies and the Commission. There has been 1 complaint received at the home for investigation since the last inspection. This has been recorded with both the outcome and action taken. Monthly service reviews offer the opportunity for staff to discuss any concerns that may have been observed regarding the residents care. Not all residents are able to communicate verbally; it was evident through discussion with staff that they would understand and respond to any protests made by residents and advocate on their behalf. The manager said that families would also advocate for residents. None of the service users are able to be responsible for their own financial affairs and the staff fully support this function. The Trust arranges periodic audits of all the records and procedures. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 17 The organisation has policies and procedures regarding the protection of vulnerable adults and whistle blowing. Local Authority policies on the protection of vulnerable adults are available in the home. All staff have completed training in the protection of vulnerable adults. The manager has completed protection of vulnerable adults training organised by the Local Authority for managers. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 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. Residents’ benefit from a comfortable, clean and homely environment. Residents’ privacy is respected through appropriate toilet and bathroom facilities. However repairs to a separate bathroom need to be implemented in order to ensure their safety. Residents’ benefit from a range of accessible shared spaces. The home is clean and free from unpleasant smells. EVIDENCE: The home is in keeping with the local community and is located in a quiet residential area in St. George close to shops amenities and bus routes. The property is a bungalow extended to provide accommodation to five people. There is level access into the home and is wheelchair accessible. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 19 The house is well decorated internally and furnished in a domestic style. The home follows a process in recording maintenance issues. There is a bathroom at either end of the property with appropriate equipment to assist residents with mobility impairments and to encourage independence. A bath panel is missing from one of the bathrooms and is in need of repair allowing for the movement of a hoist. Three bedrooms have en suite facilities improving the arrangements for residents’ privacy. Shared space consists of a lounge, dining room and conservatory. These areas provide suitable space for residents to make choices for both quieter areas and more sociable space. A requirement has been met for repairs to be made in the kitchen. The kitchen has been totally refurbished with new kitchen units, worktop and oven. The home was clean and free from malodours with infection control procedures in place. There are appropriate arrangements in place to dispose of clinical waste. There is a separate laundry facility. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence including a visit to this service. The staff are a consistent and competent team, and have a good understanding of their role and the residents individuals needs. Residents would be protected better through recruitment policy and practice to include evidence of staff identity. Staff have attended relevant training in order to meet the needs of residents. EVIDENCE: Staffing records identified that the staff are a consistent and long standing team with most of the staff having worked at the home for several years. Those staff spoken to have a good understanding of what is expected of them and in how they should be supporting the residents. Examination of the rota evidenced that three staff are on duty at any one time. One member of staff is on ‘waking’ duties at night. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 21 One member of staff has completed National Vocational Qualification level 3 whilst 5 staff are in the process of completing this qualification. Recruitment records were examined for a newer staff member. These held appropriate documentation such as application, 2 references, and occupational health assessment. Discussion with them identified that they are currently completing their organisation induction and Learning Disability Assessment Framework. New staff also sign a code of conduct record to agree that they have read and understood the organisational vulnerable adults policy and the General Social Care Council’s code of conduct. Examination of staffing records identified that evidence of staff identity needs to be improved. The personnel department keeps copies of police checks. Although a letter is sent to the manager by the organisation informing her of all staff police checks there is no reference to the outcome of these checks. The manager said she would be advised if there were any disclosure issues. A requirement made at the last inspection, for the manager to receive information and documentation about bank and agency staff that ensures their suitability to work with vulnerable adults, was discussed with the manager. She said that all agency staff should provide their identity badge at the start of a shift with their Criminal Records Bureau identification number printed on it. Agency staffing records in the home evidenced that the home checks badges and records identification numbers. If agency staff do not produce their identity card the manager would inform the agency. In light of this process the above requirement has been met. Training records indicated that staff attended statutory training in first aid, manual handling, food hygiene and fire. Other areas of training included risk assessment, and bereavement. However it was evident that not all staff training records have been updated with current training attended. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 22 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): 39, & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from their care being kept under review through quality assurance and monitoring systems. The home needs to improve some areas of record keeping in order to evidence the effective running of the home. The home has arrangements in place to promote and protect the health and safety of residents and staff. EVIDENCE: The manager said the organisation is to involve all managers in reviewing other homes on an annual basis, based on the National Minimum Standards. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 23 From this quality audit tool, action plans will be put in place to address any shortfalls. This will be followed up at the next inspection. The manager said views are sought from residents’ families on a regular basis and they are kept informed of any changes. Feedback is also sought through residents’ reviews, and observation by the staff team. The manager said the homes business plan decides on planned ideas for improving and developing the service. Individuals’ records are kept secure. These are referred to within previous standards. However the home must ensure staff training records are maintained and up dated regularly. Records that relate to procedures, checks and practices examined, indicated that checks and practices are conducted regularly. These include disability equipment checks and a requirement has been met for a competent person to service the hoist. Records that relate to fire safety policies, procedures, checks and practices examined, indicated that checks and practices are conducted at the stipulated frequencies. The fire log was up to date with checks on all fire equipment, fire safety training, and fire drills. The home holds records regarding Gas Safety and electrical certification. 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 24 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 x 4 3 5 2 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 2 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x x 3 x 2 3 x 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 25 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. 2. Standard YA5 YA6 Regulation 5(b) Requirement Timescale for action 28/02/07 28/02/07 3. 4. 5. 6. YA20 YA24 YA34 YA35 Update the terms and conditions for two new residents. 15 Update two new residents care plans in order that appropriate and relevant information is available for staff to meet their assessed needs. 13(2) Obtain residents consent to medication being administered. 23 Repair bath panel allowing for the movement of hoist Sched.2(1) Keep a record of evidence of staff identity. 17(3)(a) Update training records. 28/03/07 28/02/07 28/02/07 31/03/07 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. Refer to Standard YA17 Good Practice Recommendations Keep an record of alternative food offered 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 120 Furber Road DS0000026631.V317527.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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