Inspection on 16/04/07 for 14 Marloes Walk

This inspection was carried out on 16th April 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

14 Marloes Walk 29/06/06

14 Marloes Walk 10/01/06

14 Marloes Walk 26/08/05

14 Marloes Walk 14/03/05

14 Marloes Walk 15/06/04

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 14 Marloes Walk 14 Marloes Walk Sydenham Leamington Spa Warwickshire CV31 1PA Lead Inspector Martin Brown Unannounced Inspection 16th April 2007 09:30 14 Marloes Walk DS0000058004.V335901.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 14 Marloes Walk DS0000058004.V335901.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. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 14 Marloes Walk Address 14 Marloes Walk Sydenham Leamington Spa Warwickshire CV31 1PA 01926 452804 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.turning-point.co.uk Turning Point Ms Sally Barlow Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2006 Brief Description of the Service: 14 Marloes Walk is a care home with nursing for eight younger adults with severe learning disabilities and physical disabilities. The South Warwickshire Primary Care Trust owns the home and the service providers are Turning Point. The two bungalows were purpose built and the home was opened in 1994. Four service users are accommodated in each of the bungalows. The bungalows are connected and have a shared office, sensory room and laundry. The home is close to a small row of shops and is close to the town of Leamington Spa. All of the bedrooms are single without en-suite facilities. There are two adapted bathrooms and a sensory room. The home and gardens are suitable for wheelchair users. The service aims to provide care, support and a good quality of life primarily for people who have very little independent mobility, and very limited communication. The fee for each person, per week, is currently £1613.50 per person. This does not include social activities, hairdressing, toiletries or magazines. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place at 10am on a weekday morning and lasted for five hours. All residents, bar one who was on holiday, were present for at least some part of the inspection. Records were examined, interaction between residents and staff was observed. The experiences in the home of three residents were looked at in depth. This is known as ‘case tracking’. Staff from both shifts, as well as the manager, were seen and spoken with, as were two relatives that day. One relative was also spoken with on the phone. Comments from a professional in regular contact with the home were received prior to the inspection. The pre-inspection questionnaire completed by the manager, as well as surveys completed by relatives which were received following the inspection, also informed the writing of this report. All at the home were welcoming and helpful. What the service does well: What has improved since the last inspection? The service has successfully recruited a number of permanent staff, reducing the reliance on agency staff. This was commented on by relatives, who whilst 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 6 full of praise for the regular staff, had sometimes felt in the past that agency staff not fully familiar with the personalities and needs of the residents, had been unable to fully meet the needs of their loved ones. They felt this was no longer the case, and had confidence in all the staff. “By having less agency staffing, it is much better”, was one comment. The environment continues to improve, with minor additions all the while making it more ‘homely’ and stimulating for residents. Staff were more confident that training was more specifically targeted at the needs of the people living at 14 Marloes Walk. 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. 14 Marloes Walk DS0000058004.V335901.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 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service ensures that the needs of prospective service users are assessed, so that all can be confident that needs can be fully met. EVIDENCE: There was one vacancy at the time of the last inspection. This has now been filled, following a lengthy introductory process, which involved visits to the service, the manager’s own assessment, and access to records from the previous service, and the full involvement of outside professionals. Staff commented that the person’s relative was very happy with the level and variety of activities and the individual nature of the care and facilities provided, and compared it favourably with the previous service. This was confirmed by the relative, who was “very pleased” with all aspects of the service. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 9 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. Good, clear guidance continues to support staff in providing consistent care for residents. The home continues to assist and heed residents in decision-making. An appropriate balance continues to be struck between ensuring that residents are safe and comfortable, and that they have new and varied experiences. EVIDENCE: ‘Active support’ documents detail individual activities for each resident, giving a mix of essential daily care and health activities and more varied social activities. Staff and management both showed awareness of the stresses between ensuring necessary tasks are undertaken, and that activities are planned and provided for, and ensuring that routines did not become too rigid, and allowed for considerations such as varying health needs. Guidelines for care continue to be clear and well illustrated with photographs, and regularly reviewed to take account of changing needs. Through a mixture of communication guides, care plans, daily recordings and staff sharing of information, residents’ needs are met in a consistent and well-informed manner. Staff showed throughout a good knowledge of the residents and their 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 10 needs and wishes, and acknowledged how reliant they were on translating gestures and eye moments to gauge certain residents’ wishes and moods at times. Newer staff commented that written and photographic guidance was helpful in this respect, but that what was most useful was advice from other, more experienced, staff. Staff discussion, observed interactions and recorded guidelines showed that the safety and comfort of residents was paramount, but that these considerations did not prevent staff from enthusiastically supporting residents in a variety of life enhancing activities, such as holidays and trips out. Because of the nature of the residents’ disabilities, these can involve a higher than usual level of risk, but preparations, risk assessments and management showed that these are well-provided for. Relatives spoken to were enthusiastic about the opportunities made available for their loved ones. Staff were observed to be moving and handling residents in accordance with guidelines, and informing them at all times what was happening, as well as discussing, for example, clothes being worn that day. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 11 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. The service continues to work hard to minimise the impact of individual disabilities on the ability of residents to experience the outside world and take part in stimulating, ‘mainstream ‘ activities. EVIDENCE: Staff were enthusiastic about recent or planned activities with residents, including holidays abroad, and sporting and other activities. Two residents had been supported to take place in a charity ‘walk’, the route of which the service had ensured became suitably ‘wheelchair friendly’. Staff tailor individual activities towards anticipated or proven likes, noting, for example, one resident enjoying sporting, and ‘loud’ events, such as football matches, and night clubs, with another enjoying quieter, more individual activities. Staff discussed the increasing use by residents of the local bus service, now wheelchair accessible, as well as local trains, rather than just taxis and the service’s own mini-bus. Staff noted that one resident in particular enjoys the additional social contact on buses and trains. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 12 The service continues to support full involvement of families; two residents had visits from family members during the inspections. All were positive concerning the approachability of staff and management, and of the care, support, and activities provided. Staff spoke positively of residents throughout, and observation of staff interactions with residents showed they kept them informed at all times of what was happening, and were at all times respectful of individual rights, always letting them know what was planned, whether it was moving them from a chair, or planning a trip out. Attention was paid to facial expressions, noises or movements as expressions of satisfaction or otherwise. The home continues to promote a healthy and varied diet. Safe and effective nutrition is the priority, especially where ‘peg’ feeds are concerned. These are currently used by a number of residents. These were seen to be managed appropriately by nursing staff, with other professional support and advice available. Where residents require a lot of support in eating this was seen to be taking place appropriately, with support being tailored to specific needs at that moment. Clear individual guidelines for eating are in place. A menu showed a variety of wholesome food available, the manager advised that alternatives are always available in freezers. Outside professionals continue to work closely with the home to help promote individual development in eating and swallowing and to help resolve any difficulties. A recent ‘Asian night’ led by staff had provided an opportunity for residents and staff to experience a variety of foods, costumes and fragrances. Photographs of this event were on display. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 13 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): 18,19,20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear guidance and the knowledge of experienced staff helps ensure that residents receive support in ways they are familiar with and comfortable with. Residents can be confident that minor shortfalls in medication are being addressed. EVIDENCE: Staff moving and handling of two residents in the lounge was observed and was seen to take place in a professional, warm, and friendly way, with clear guidance on what was happening being given throughout in a reassuring way, interspersed with a mixture of friendly ‘chat’. Good practice is supported by clear guidance. Staff were always ready to help and support each other, and all were alert to signs of well-being or otherwise from residents. Most medication is dispensed via a proprietary ‘blister’ pack system. Records were seen of those dispensed separately, and these were seen to be accurately recorded and audited. Numbers of sample medications counted tallied with figures of those dispensed. Records of the preceding month’s Medication Administration Sheets, which were about to be audited by the management, were examined. These showed two omissions on the very last day of the 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 14 month. Further investigation showed that the medication had been administered, but not recorded. The manager was able to identify the source of the omission, and is to discuss with the person concerned ways of ensuring this does not recur. Record sheets have a section marked ‘allergies’, which was blank in all cases. The manager advised that none of the residents had known allergies, and agreed it would be clearer to have ‘none’ recorded in this space, rather than leave it blank. Medication records all contained photographs of individual residents, bar one, which appeared to have fallen out. The manager advised that this would be replaced. There were no clearly recorded details on the medication record of when and why to apply a medicinal cream prescribed ‘as required’, although staff were knowledgeable about its use. The health needs of some of those at 14 Marloes Walk are particularly acute, and the service has enlisted outside specialist support to ensure it is able to provide palliative care as appropriate, and that support is available for all concerned. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff continue to show a commendable commitment to understanding and meeting service users’ needs and wishes. The open and transparent nature of the service continues to help protect vulnerable residents from abuse and neglect. EVIDENCE: Observation and discussion showed staff taking time and effort to gauge and understand residents’ wishes and reactions. Newer staff acknowledged that they may still not be fully familiar with the likely interpretation of all the residents’ responses. This is less of an issue than previously, as there is now a much higher percentage of permanent staff and a correspondingly lower use of agency staff. Staff spoken to were familiar with the concept of ‘whistleblowing’ and understood what constituted abuse, and some were able to give past examples of how they had raised concerns about poor practice. The complaints book continues to be empty. The manager advised that any issues raised by relatives are resolved before they get to the stage of a complaint. She also advised that relatives’ meetings had not been wished for by relatives, who preferred to raise any issue on a one-to-one basis. This was confirmed in discussion with relatives visiting the home during the inspection, who commented that staff and management were always approachable, and that they always had the utmost confidence in what staff were doing. The only slight reservation expressed was that at times, in the past, unfamiliar staff employed from agencies had not been familiar enough 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 16 with residents to fully understand what they needed. Relatives emphasised that, with the influx of permanent staff, they felt this was no longer the case. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from a clean, spacious, and hygienic environment that continues to be ‘homely’. Residents can be confident that the manager will continue to ensure that minor shortfalls will be addressed. EVIDENCE: The environment is spacious and suited to the needs of the people using it. Bedrooms, in particular, are personalised in line with the needs and interests of the individual, with lots of decorations, pictures and personal possessions. Outside each bedroom is a letter rack for post. The ‘snoozealum’ room continues to develop; staff and management advised that it is well-used by individual residents in differing ways. Some use it for relaxation, and others as a room for other activities such as aromatherapy. Attention was drawn by the manager to the poor state of cupboards in the laundry room, which could benefit from refurbishment. There is a sink in the laundry, principally for laundry use, although the manager acknowledged that this is rarely, if ever, used since the arrival of a 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 18 washing machine with a sluicing facility. There is no hand washbasin solely for staff use. The manager agreed that the current sink could be used for this purpose, subject to a risk assessment or the installing of a ‘mixer’ valve in respect of the hot tap. In other areas, such as the kitchen, there are appropriate hand washbasins in use, which were frequently used throughout the day. In bungalow ‘A’ the control symbols on the electric hob are worn, leading to potential risks in not being able to identify which control is for which hob. Only staff access the cooker, owing to residents’ disabilities. The manager advised that the need for this to be rectified has been highlighted, but that she had been told there had been difficulties in locating the manufacturer to make good a replacement. The home was clean and hygienic on the day of the inspection. Pictures and decorations help make the home more ‘homely.’ The garden is currently in a state of ‘transition’ with plans and funds being raised to install a trampoline and a hot tub, amongst other facilities. Staff are the prime movers in these plans, the manager advised that all safety considerations are being fully considered. Residents are still able to use the garden, and, on the day of the inspection, two residents enjoyed the sunshine in the garden for a short period. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a much more consistent staff team, with far less reliance on agency staff. EVIDENCE: Staff spoken to were enthusiastic, positive and committed, discussing holidays, activities, and fund-raising events, in which great efforts were made to involve residents as much as possible, such as the sponsored ‘walk’, in which two residents took part. Rotas showed that agency staff used now make up a very small proportion of the staff at Marloes Walk. All staff on duty during the inspection, and for the next four days, at least, were permanent staff. The manager advised that most of the agency staff used are ones relatively familiar with the residents and their needs. A sample of files of recently recruited staff were looked at and seen to be satisfactory, with appropriate recruitment, induction and supervision procedures being followed. ‘Proformas’ for agency staff were all satisfactory, bar one, in which the agency had not, the manager advised, sent printed confirmation of a satisfactory Criminal Bureau Records check, for an agency 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 20 worker, in spite of this being requested. A verbal telephone request was all that had been received. The manager advised that this agency would not be used again, and that in future, no agency worker would be allowed to work at the home without written confirmation from the agency of a satisfactory Criminal Records Bureau check. All staff were positive regarding training, commenting that as well as general ‘Turning Point’ training, there is now also targeted training more relevant to the needs of the people living at 14 Marloes Walk, such as ‘in-house’ Moving and Handling training. Similarly, the manager now felt that recruitment was being targeted and processed more effectively by the organisation in order to meet the needs of the residents at 14 Marloes Walk. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from living in a well-run home that promotes their health, safety and well-being. EVIDENCE: The pre-inspection report, received following the inspection, confirmed that required safety checks take place as required. One safety lapse noted was the disposal of what looked like a broken wine glass in the sharps container. The manager advised she would was to remind staff of the sole purpose of sharps containers. Positive feedback was received from other professionals and relatives concerning the running of the home; “Sally is a wonderful manager” was a comment from one relative. Experienced staff remain committed and 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 22 motivated, and newer staff were keen to learn and were impressed with their experience of the service so far. Regulation 26 visits continue to take place regularly; these are detailed and evidence that the organisation works well to monitor progress within the home and identify areas for improvement. Service user views are interpreted by staff, who appear to genuinely work to interpret what residents’ wishes and likes are. The variety of activities, and the differing styles of bedrooms reflect this. Relatives are frequent visitors, and those spoken to confirmed that they prefer to discuss any issues arising on a one-to-one basis with staff, rather than have more formal meetings. 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 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 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 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 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 3 x x 3 x x 2 x 14 Marloes Walk DS0000058004.V335901.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 16(2) Requirement Kitchen cookers must be able to be operated safely, by ensuring that hob controls are clearly labelled. The service must only employ agency staff once it has written confirmation from the agency that appropriate checks are in place. ‘Sharps’ containers must only be used as directed on the container. Timescale for action 17/06/07 2 YA34 19 17/04/07 3 YA42 13(3) 17/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA20 YA20 YA24 Good Practice Recommendations Details of why and when to use a medicinal cream should be clearly recorded on the medication administration record sheets Whether residents have, or have not, any specific allergies, should be clearly recorded on MARS charts. It is recommended that cupboards in the laundry room are replaced. DS0000058004.V335901.R01.S.doc Version 5.2 Page 25 14 Marloes Walk 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. 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