Inspection on 22/10/07 for 127 Longdon Road

This inspection was carried out on 22nd October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

127 Longdon Road 12/01/07

127 Longdon Road 02/03/06

127 Longdon Road 12/01/06

127 Longdon Road 09/03/05

127 Longdon Road 11/08/04

127 Longdon Road 10/03/04

127 Longdon Road 17/10/72

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 127 Longdon Road 127 Longdon Road Knowle Solihull West Midlands B93 9HY Lead Inspector Julie Preston Key Unannounced Inspection 22nd October 2007 09:00 127 Longdon Road DS0000004533.V348503.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 127 Longdon Road DS0000004533.V348503.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. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 127 Longdon Road Address 127 Longdon Road Knowle Solihull West Midlands B93 9HY 01564 775979 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) Sunny Mount (Knowle) Limited vacant post Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2007 Brief Description of the Service: 127 Longdon Rd is a 5 bedroom, semi-detached house owned by the Sunny Mount (Knowle) Limited. The home is situated approximately ¾ mile from the centre of Knowle. The house is domestic in scale but has been extended and adapted to meet the needs of the residents. Accommodation and support is currently provided for 4 people with learning disabilities. All the people living there have their own single bedrooms and there is a room for one member of staff, providing sleepin night time cover. Downstairs there is an open plan lounge / dining area and additional dining facilities in a fairly spacious kitchen. One person’s accommodation is also situated on the ground floor level. There is a ramp to facilitate access to the front of the house. However, the house is not adapted to the needs of people who use a wheelchair. With the exception of one individual’s accommodation, people living in this house need to be able to manage stairs. There is a private garden situated to the rear of the property. Information is shared with people within monthly house meetings and in day to day discussion. The fees charged to service users range from £485.00 to £500.00 per week, of which contributions are made according to individuals benefit entitlement. Additional charges are made for transport, toiletries and hairdressing, which people pay for from their personal allowances. Sunny Mount (Knowle) Limited provide each person with £100 per annum to be spent on clothing and £150 per annum towards the cost of a holiday. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and a questionnaire about the home. The questionnaire is called the Annual Quality Assurance Assessment (AQAA). The visit took place over two days and staff and people who live at the home did not know that we were coming. Two service users were “case tracked” and this involves discovering individual experiences of living at the home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were reviewed. The inspector looked around the building to make sure that it was warm, clean and comfortable. What the service does well: People make decisions about their lives and receive support from staff to do so. Records that explain how to care for people and help them stay safe and healthy are well written so that staff understand how to meet individual’s needs. The home is good at helping people stay in touch with their friends and relatives so that they do not lose relationships that are important to them. People are offered good food that helps them stay healthy and well. The staff team are well thought of by people who live in the home and are described as “the best” and “hard workers”. There are good systems in place to recruit new staff so that people who live in the home are protected from possible harm. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 127 Longdon Road DS0000004533.V348503.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 127 Longdon Road DS0000004533.V348503.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have access to information about the services and facilities provided in the home so that they can be confident their needs will be met there. EVIDENCE: No new people have been admitted to the home since the last inspection in January 2007. There is a procedure for assessing the needs of people before they move in to Longdon Road so that the person can be confident their individual needs can be met within the service. All of the people currently living in the home commented that they had had opportunities to visit and stay there, prior to moving in. The home has a service user guide and statement of purpose that have been recently updated so that information about the services and facilities provided in the home is accurate and up to date. The registered manager confirmed that the service user guide is made available to individuals and their relatives. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 9 127 Longdon Road DS0000004533.V348503.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 good. This judgement has been made using available evidence including a visit to this service. There are effective systems of care planning and risk assessment in place to enable peoples’ needs to be understood and met. People that live in the home receive good support to make choices and decisions about their lifestyles. EVIDENCE: The care plans for two people were sampled. Both contained information about how staff are to support people to meet their communication, social, spiritual, health, personal care, dietary and mobility needs. The care plans had been reviewed within the last six months to ensure they continue to be relevant to individuals’ needs. Some “no longer active” documents were stored within care plan records. It is recommended that these be stored separately to current documents so that 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 11 staff have accurate and up to date information relating to people’s care and to streamline care records. The home completes risk assessments for people so that consideration is given to supporting them to take responsible risks and promote their independence. Risk assessments sampled had been reviewed on a regular basis. People who live at Longdon Road need support to manage their finances. Two sets of records were sampled at this visit. There are systems in place to record individuals’ income and expenditure, which are checked each day for their ongoing protection. Improvements had been made to the way in which people pay for services that they use. Taxi fares are now charged according to individual use and receipts maintained as part of the home’s audit process. House meetings take place each month. People commented in response to questionnaires sent by the CSCI about their experience of living in the home, “We wanted to go to a pop concert and we went”. “I decide to go to the cinema and out for meals”. “I always decide what I want to do, I lay the tables for tea and make my own drinks”. This indicates that people are making an active contribution to the way in which the home is run and decisions about their lifestyles. 127 Longdon Road DS0000004533.V348503.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. People who live in the home experience a meaningful lifestyle that promotes their independence and is reflective of their individual needs. EVIDENCE: People’s activity preferences had been recorded in their plans of care. Daily records were sampled to check that people had regular opportunities to take part in things they enjoy doing. Records showed that people undertake many activities such as going to evening social clubs and the cinema, shopping, arts and craft sessions, trips to local pubs and restaurants and visiting friends and relatives. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 13 People commented in the questionnaires sent by the CSCI, “I do my sums and colouring”, “I like going to the cinema and for meals”, “I like to go for meals at the weekend”. The home is good at supporting people to keep in touch with their friends and relatives. Within the care plans sampled there was information about the support people need to keep in touch with those that are important to them, such as making telephone calls and planning trips overseas and within the UK, to visit their relatives. Menus and records of food consumed by individuals were sampled to establish that a balanced and varied diet is provided that meets peoples’ needs and preferences. A range of food had been offered including Sunday roasts, which is reflective of people’s cultural needs. There was evidence in care plans and daily records that people had been consulted about the weekly menus and that healthy eating was being encouraged to assist individuals to maintain good health. People are supported to use their skills in the kitchen so that their independence is promoted. Risk assessments had been completed to reduce known hazards associated with cooking and food preparation so that individuals could take part in these tasks safely. 127 Longdon Road DS0000004533.V348503.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. There are effective systems in place to meet peoples’ personal and health care needs. Medicines are well managed so that people receive their medication in a planned and safe manner. EVIDENCE: Two personal and health care plans were sampled at this visit. There was some good information about individuals’ personal care needs and preferences, which staff clearly understood so that people receive care in a manner they need and like. Financial and daily records showed that people shop for their own toiletries and clothes and use local hairdressers and barbers, with the support of staff as part of their regular personal care routines. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 15 Records showed that people have regular appointments with healthcare professionals and the outcome of this contact had been documented so that staff had accurate information about individuals’ state of health. Where people’s health care needs had changed, this had been recorded and there was evidence that care plans and risk assessments had been updated to reflect the individual’s needs and instruct staff how to support them appropriately. The system of storing, administering and recording medicines kept in the home was looked at to establish that people are protected by robust procedures. Windridges, the pharmacy, supply the medication to the home using the monitored dosage system in blister packs. A pharmacist had visited the home during the previous week and identified no issues that needed action to improve the way medicines are managed. The Medication Administration records (MAR) sampled, cross-referenced with the blister packs indicating that medication had been given to people as prescribed. Some PRN (as required medicines) are prescribed. Written protocols had been developed to describe the circumstances under which such medicines should be offered so that people receive their medication in a planned and safe way. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are effective procedures in place to listen to and act upon people’s concerns and complaints if they have any. The home is taking adequate measures to promote the protection of vulnerable adults. Staff training will further serve to safeguard people who live in the home. EVIDENCE: There have been no complaints made about the home in the last twelve months. All four people who live in the home stated that they are aware of their right to raise concerns and complaints and know whom to speak to do so. House meeting records sampled for a period of four months, showed that complaints and concerns form part of the agenda at each meeting. The home has a complaints procedure, which is available on the premises for the people who live there. There have been no safeguarding referrals made to the lead agency responsible for adult protection in the last twelve months. The home has a policy for promoting the protection of vulnerable adults, which is issued by Solihull Care Trust. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 17 Staff have not received training in adult protection, although one member of staff has completed their NVQ Level II, which includes an element of adult protection. This must be reviewed so that staff receive training that promotes the ongoing protection of people who live in the home. People’s belongings and property have not been recorded. It is strongly recommended that this take place so that staff can keep track if anything goes missing and look after peoples’ possessions. Recruitment records sampled showed that a robust procedure is followed for the ongoing protection of people living in the home. 127 Longdon Road DS0000004533.V348503.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, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Outstanding repairs and maintenance impact upon what is otherwise a comfortable and homely environment for people to live in. EVIDENCE: 127 Longdon Road is situated in a residential area of Knowle, close to local amenities such as shops, places of worship, leisure facilities and public transport links. This is important to the people who live there as they make regular use of community based resources. The home is domestic in style and looks no different to others in the road. There are four bedrooms, one of which is on the ground floor with a private toilet and shower. The first floor has a communal bathroom, which is shared by the other three people who live in the home. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 19 The shower in the first floor bathroom was being replaced and it was reported that it had been out of use for approximately six weeks. This must be addressed so that people have access to appropriate bathing facilities that meet their needs and preferences. The home does not provide sanitary disposal facilities, which means that sanitary waste is not disposed of safely and hygienically. Four steps at the top of the staircase had been recarpeted in a colour and style that was different to the rest of the carpeting and was showing signs of wear which could present a trip hazard to anyone using the stairs. Action must be taken to making the staircase safe and look more pleasant and homely. On the ground floor there is a through lounge and dining room, which is well decorated and comfortable, with sufficient space for people to relax and have their meals. The kitchen floor is covered with carpet at the entrance leading to a non slip surface near the sinks and dishwasher. The carpet part was noted to be dirty and stained and there was a gap between the two finishes which is a potential trip hazard. Dust and food particles had become stuck in the gap, which staff said was difficult to clean. This must be addressed so that the area is safe and hygienic. Refuse is stored outside the utility room door in bin liners. Appropriate storage must be provided to dispose of waste safely and hygienically. Otherwise, the premises were clean, warm and well furnished. It was evident that rooms had been personalised to reflect the tastes of people who live in the home. 127 Longdon Road DS0000004533.V348503.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, 33, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are supported by a caring team of established staff who have good understanding of their individual needs. It is not evident that all staff have received training to enable people’s needs to be consistently met. The home operates a robust system of recruiting staff for the protection of the people who live there. EVIDENCE: Comments received from people who live in the home about the staff who work there were positive. “The staff are the best” and “Staff work hard”. One person felt that there were not enough staff on duty at weekends to support people to do different things. The numbers of staff on duty at weekends (one during the day) indicates that people have to go out as a group and those opportunities for individual activities are limited. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 21 No new staff have been appointed since the last visit to the home in January 2007. At that time staff recruitment records were looked at and found to contain evidence that satisfactory checks had been made of the person’s suitability to work within the home prior to their appointment for the ongoing protection of the people who live there. Staff training records sampled identified that some training is outstanding, in Basic Food Hygiene, Adult Protection and First Aid and Fire Safety Awareness. This training must be provided to all staff so that people’s health and well being is promoted and maintained. The checking of staff files showed that staff receive formal supervision approximately every two months to offer them the support they need to carry out their work and to receive feedback on their performance. The member of staff spoken to at this visit demonstrated good knowledge of the needs of people who live in the home and clearly knows them well. 127 Longdon Road DS0000004533.V348503.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): 37, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management of the home continues to improve, although there are some elements of health and safety practice that do not always fully protect the well being of the people who live there. EVIDENCE: The registered manager is not based at Longdon Road; however there is a full time Senior Care Officer who manages the day-to-day running of the home. The Senior Care Officer has completed her NVQ 3, Assessors Award and a Certificate in Supervisory Development. It was evident from the responses made by people in the questionnaires sent by the CSCI that the Senior Care Officer is well thought of and approachable. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 23 Quality assurance systems within the home are not fully developed. House meetings do take place and people who live at Longdon Road home state that they are confident about raising concerns and complaints, however the registered provider does not make regular visits to the home to comment and report upon the standard of care delivered and establish that people’s views are sought to measure the success of the home in meeting its stated aims and objectives. A number of checks are made by staff to make sure that peoples’ health and safety is maintained. Records showed that the fire alarm system had been regularly tested and serviced to make sure that it was working properly. Emergency lighting had not been tested on a regular basis to make sure it remained in good working order. Hot water temperatures are checked and recorded to ensure that they do not pose a scalding risk to people. Fridge and freezer temperatures are checked and recorded to make sure that food is stored safely. This report has identified that staff have not taken part in training to ensure that people’s health and safety is adequately promoted and protected. 127 Longdon Road DS0000004533.V348503.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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 25 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 YA24 Timescale for action 23(2)(j) The first floor shower must 15/12/07 be repaired so that people who live in the home have access to adequate showering facilities. 13(4)(c) The carpet at the top of 25/11/07 the staircase must be repaired so that it does not pose a risk to the health and safety of people in the home. 13(4)(c) The kitchen carpet must 15/12/07 be replaced with a suitable covering so that trip hazards are reduced and the area can be hygienically cleaned. 13(3) Sanitary disposal facilities 25/11/07 must be provided so that waste can be disposed of hygienically. 13(3) Suitable storage must be 15/12/07 provided outside to dispose of household waste safely and hygienically. 18(1)(a)12(1)(a,b) Staffing levels within the 15/12/07 home must be reviewed to ensure that people’s needs are met at the weekends. DS0000004533.V348503.R01.S.doc Version 5.2 Page 26 Regulation Requirement 2 YA24 3 YA24 4 YA30 5 YA30 6 YA33 127 Longdon Road Unmet from last inspection on 12/01/07. 7 YA35 YA23 13(6)18(1)(a,c)(i) Staff must receive training in adult protection. Unmet from last inspection on 12/01/07. 8 YA35 18(1)(a,c)(i) A review of staff training must take place so that staff receive training appropriate to the work they are to perform and to promote the health and well being of people who live in the home. 15/12/07 15/12/07 9 YA39 26(1-5) 10 YA42 23(4)(c)(v) A representative of the 15/12/07 registered provider must visit the home on a regular basis to report on the quality of care provided in accordance with this regulation. Emergency lighting must 25/11/07 be checked on a regular basis to make sure that it is in good working order. 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 Refer to Standard YA6 YA23 Good Practice Recommendations Information that is not relevant to people’s current care needs should be stored separately to their working care records so that they are easier for staff to read and digest. Property lists should be completed for each person so that an accurate and up to date inventory is maintained for DS0000004533.V348503.R01.S.doc Version 5.2 Page 27 127 Longdon Road 3 YA24 their ongoing protection. Carpet at the top of the staircase should be replaced to match that covering the rest of the stairs so that it looks more pleasant and homely. 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 127 Longdon Road DS0000004533.V348503.R01.S.doc Version 5.2 Page 29 - 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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