CARE HOME ADULTS 18-65
Pentire Crescent (15) Pentire Crescent (15) East Pentire Newquay TR7 1PU Lead Inspector
Lowenna Harty Unannounced Inspection 5th September 2006 09:30 Pentire Crescent (15) DS0000028263.V309748.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 Pentire Crescent (15) DS0000028263.V309748.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. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Pentire Crescent (15) Address Pentire Crescent (15) East Pentire Newquay TR7 1PU 01326 371000 01326 371099 mark.pearce@dcact.eu.com 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) Spectrum Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: 15 Pentire Crescent is a home providing accommodation and personal care for up to 3 adults with a learning disability. The home is run by Spectrum, an organisation that provides care for people with autistic spectrum disorders. Spectrum employs a manager and a team of care staff to provide care to service users on a day-to-day basis. The aim is to provide them with the support they need in a homely, domestic-style environment. The home is located in Newquay and as such service users are able to access all the facilities of a small town with the added advantage of ready access to several local beaches. The house is a detached, two-storey building, with a large garden. Service users are provided with their own bedrooms, one of which has an en-suite bathroom. There are two additional bathrooms. All the bedrooms are on the ground floor of the house. The home has an office and a separate sleeping in room for staff. There is a domestic-style kitchen with open plan dining room a conservatory and a separate laundry/store room downstairs. There is also a workshop that service users are able to make use of. On the first floor of the building there is a large, comfortable lounge, with TV, Video, music centre and a computer with internet access. The home does not specifically provide accommodation for people with physical or sensory disabilities, but could readily adapted to meet special needs, if required. The home’s statement of purpose, which informs service users about the services the home provides, is kept on the home’s notice board. Copies of previous inspection reports are available on request. Fees range from £1057.00 to £1400.00 per week. There are additional charges for personal items such as toiletries, newspapers and magazines, according to the information provided at the time of the inspection. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key inspection, which was unannounced. It took place on 5 September 2006 and lasted for approximately five hours. The purpose of the inspection was to ensure that service users’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that service users’ placements in the home result in good outcomes for them. Information received from and about the home since the previous inspection has also been taken into consideration in making judgements about the quality of outcomes for the service users living there. The inspection included interviews, held in private, with each of the service users and telephone contact with relatives and social workers representing them. A member of staff was interviewed and there were opportunities to directly observe aspects of service users’ daily lives in the home and staff interaction with them. Other activities included an inspection of the premises, examination of care, safety and employment records and discussion with a registered manager from one of Spectrum’s other homes, in the absence of the registered manager of this one. The principle method of inspection was “case tracking”. This involves interviews with a select number of service users; staff caring for them and their representatives, and examination of records relating to their care. This provides a useful impression of how the home is working for service users overall. All three service users were case tracked at this inspection. Service users and their representatives expressed continuing satisfaction with the care and services provided to them at the home and improvements to the service are ongoing. What the service does well:
The three service users living in the home have been there for several years and are very familiar with the services it provides. They have written information about it, which they are all able to access easily. They generally get on well with each other and the home operates like a shared domestic dwelling with staff support provided where it is needed to assist them to develop and maintain their skills and independence. Service users are encouraged and supported to develop their skills and independence in many ways. They draw up their own care plans and maintain
Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 6 daily care records for themselves, for example. Staff are available to provide support where necessary, but in ways that do not place undue restrictions on service users who need less support, who were seen coming and going from the home as they wished, during the inspection. Service users are encouraged to participate in activities they enjoy and value, with due consideration of any risks involved, so that they can do so safely. This includes access to a wide range of activities in and out of the home, with due consideration of their individual needs, interests and backgrounds. Examples include access to voluntary work, support to pursue their leisure interests, support to attend church services and day trips to places of local interest. The home has a workshop that they can access, service users are able to keep pets, with Spectrum’s agreement and they have a shared lounge with TV, Video, DVD and a computer with Internet access. Service users and their relatives confirmed that they are actively supported to maintain valued relationships with their families and friends and this was observed during the inspection. A relative of one service user said that they have been particularly impressed with the support they have received in this respect. Service users are informed of their rights and responsibilities so that they are clear about what is expected of them and what they can expect as residents of the home. This information is provided to them in their individual contracts and care plan reviews. All of the service users said that they are satisfied with the food provided to them. The home has an ordinary, domestic Kitchen and they participate fully in shopping for food, planning, preparing and serving meals, so that they develop skills, confidence and independence. They are supported and encouraged to eat healthy and nutritious meals so that they enjoy their meals and stay well. The service users looked well cared for, smartly and fashionably dressed and have good access to healthcare services when they need them. There are generally safe systems in place to ensure that they receive any medicines they need and are protected from medication errors. Service users are able to make their views known and are taken seriously, so that the home is run in their best interests. There are systems in place to protect them from abuse and keep them safe, including checks on staff to make sure they are suitable to work with vulnerable adults in a care setting. The physical environment of the home is suitable for the service users living there. It provides them with an ordinary, domestic setting so that they can develop their skills and independence comfortably. It appeared clean and tidy throughout at the time of the inspection, which was unannounced and service users were observed assisting staff with cleaning tasks, as part of their agreed activity plans. Service users and their representatives were complementary of the staff working in the home, saying that they are knowledgeable and helpful.
Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 7 Spectrum provides them with access to ongoing training so that they can gain formal qualifications in care work and continuously update their skills. They were observed interacting with service users respectfully and appropriately at all times during the inspection. They are recruited on the basis that they are suitable to work with vulnerable adults in a care setting and in accordance with equal opportunities so that service users can have confidence in them. The home is generally well run, for the benefit of service users and generally good standards have been maintained despite recent changes in the management arrangements. Service users and their representatives are able to contribute their views with regard to the day-to-day running and ongoing planning of the service through their regular care plan reviews and informal discussions with staff. There have also been formal surveys carried out to take account of their views. Service users and staff said that they feel safe in the home and there are risk assessments in place to ensure that safety factors are taken into account and adequately managed. What has improved since the last inspection? What they could do better:
Service users’ care plans would be improved by setting them more detailed and specific goals so that they are clear about what they need to achieve to fully maximise their skills and independence. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 8 Written guidance about the safe management of medicines in the home should be more readily available to staff, by being stored with service users’ medicines and records, for example, so that they can refer to them should the need arise. This would reduce risks of medication errors adversely affecting service users. More staff should achieve formal qualifications in care work so that service users and their representatives can be fully confident of their competence to work in a care setting. At present less that half are qualified to the minimum recommended level, although those that are not are currently working towards achieving qualifications. There have been management changes in the home recently and whilst this does not seem to have impacted negatively on service users so far, care staff have not been provided with regular formal supervision of their work. This should be re-introduced for them so that they have the support they need and ongoing monitoring of their work to ensure that currently good standards of care in the home are maintained. There needs to be an effective registered manager in charge of the home so that service users can have confidence that the currently good standards are maintained. Whilst the home appears to be safely managed in most respects, records of fire safety equipment tests and evacuations indicate that they have not been carried out recently. This needs improvement so that service users have adequate protection from harm should a fire start in the home. 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. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 9 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 Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. Service users’ needs are assessed prior to their admission so that they can be confident it will meet their health, personal and social care needs, including needs relating to their age, religion, cultural and ethnic backgrounds, abilities, gender and sexual orientation. EVIDENCE: There have been no changes to the service user group since the previous inspection and the home’s records confirm that all the service users have lived in the home for several years. Service users confirmed that they are well settled in the home, during interviews held in private and that they get on well with each other. A copy of the home’s statement of purpose is on the home’s notice board, which states that service users are not admitted on an emergency basis and that admission is only on the basis of a full assessment. Copies of current service users’ initial assessments are held on their personal files in the office. Service users’ admission notes provide information on their individual and diverse backgrounds. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. Service users are aware of their care plans, which fully address their health, personal and social care needs, including needs relating to their individual and diverse backgrounds (age, religion, culture and ethnicity, abilities, gender and sexual orientation), although they would benefit from clearer goals to work towards. They are able to take safely managed risks and make important decisions about their lives so that they develop their skills and independence. EVIDENCE: All the service users said that they know about their care plans and that they regularly attend reviews so that they are aware of the purpose of their placements in the home and are able to contribute to the ongoing care planning process. Service users’ relatives and representatives who were interviewed as part of the inspection process confirmed this. Copies of care plans, which service users draw up for themselves, are held on their individual case files. There are specific headings to address their health, personal and social care needs, including their individual and diverse needs. Care plans provide service users with broad goals to work towards, but these would benefit from being more detailed and specific, to encourage them to fully maximise their skills for independent living. A representative of one service
Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 12 user was concerned that this should happen so that service users’ progress can be monitored more transparently. Service users participate in making decisions about important aspects of their daily lives, according to their individual abilities and this was observed during the inspection. Staff were observed supporting service users who required it, to make decisions about what to do during the day, while those who needed less support, were able to come and go from the home independently, as they wished, for example. Service users’ written care plans formally consider their abilities to make decisions for themselves and daily care records provide further evidence of the choices they make in their daily lives. All the service users have now been provided with locks and keys to their bedroom doors so that they can choose the level of privacy they wish to enjoy in their private accommodation. Service users are able to take managed risks, backed up with written risk assessments and risk management plans, particularly with regard to their engagement in higher risk activities, which they particularly value. All the service users confirmed that they feel safe in the home and are not subject to unnecessary restrictions so that they can develop their skills, independence and confidence. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. Service users are able to take part in a wide range of activities in and out of the home, which are appropriate to their ages, individual needs, interests and cultural backgrounds so that they develop their skills and confidence. They are supported to maintain valued social and family relationships so that they are not isolated or institutionalised. They are informed of their rights and responsibilities so that they are aware of what is expected of them. They are provided with a wholesome and varied diet so that they enjoy their meals and stay healthy. EVIDENCE: Service users’ care plans and daily care records provide good evidence that their interests and abilities are fully considered in planning their daily activities, which are planned with them individually. This includes assisting them to access voluntary employment opportunities and church services, for example. Service users said that they are satisfied with the activities provided for them, which relatives who were interviewed confirmed. At the time of the inspection service users were engaged in a variety of different and appropriate activities in and out of the home, with staff support provided as necessary. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 14 Service users’ daily care records show that they access a wide range of community resources, either independently or with staff support, depending on their individual needs and abilities. Service users and their representatives confirmed this during interviews as part of the inspection process and they were observed coming and going from the home during the day of the inspection. All of the service users maintain valued relationships with their families and friends, with staff support as necessary, which their daily care records and interviews with them confirmed. They are able to make telephone calls in private if they wish and have access to the Internet on the home’s computer. A relative of one service user said that the home actively promotes and assists them to maintain contact with the home. Service users are informed of their rights and responsibilities through their individual contracts and care plans, which they confirmed they understand. All the relatives and representatives interviewed said that they are satisfied with the arrangements in place to manage service users’ personal finances so that their rights are protected. Service users are supported and encouraged to eat healthily. They undertake shopping, planning for, preparing and serving meals with assistance from staff. They all said that they are satisfied with the meals provided to them. Nutritional needs and preferences are considered as part of the care planning process. They take it in turns to choose the main meal each day, with alternatives available for those who do not want the main choice. All the service users looked healthy and well nourished. The home has an ordinary, domestic kitchen, which they can access freely, to prepare drinks and snacks when they want them. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. Service users’ personal and healthcare needs are well met so that they are able to live full and active lives in and out of the home. There are systems in place to support them with medication but improvements are needed to fully protect them from medication errors. EVIDENCE: Service users’ individual care plans address their personal care needs. They all appeared to be attractively and fashionably dressed and were well groomed so that they can comfortably take part in community life. The home has suitable bathroom facilities so that they can attend to their personal care in private. Service users’ care plans also consider their healthcare needs. There are separate healthcare records for each of them, which indicate that they access a range of healthcare services, according to their individual needs. Staff interviewed during the inspection and service users’ relatives and representatives confirmed this. There are satisfactory facilities for storage of medicines and records appeared to be accurate. Service users in this home are on low levels of medication and Spectrum provides staff with training on managing medicines. The written procedures to guide staff on how to safely administer medicines were not readily available, however. They should have been located with service users’
Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 16 medicines and records. The person in charge of the home at the time of the inspection said that the written guidance would be located, however, so no formal requirement will be issued, particularly in light of the low risk of medication errors affecting service users in this home. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. Service users are listened to and respected so that their views, concerns and complaints are taken seriously and acted upon. There are formal and informal systems in place to ensure that they are able to feel safe in the home. EVIDENCE: All the service users were able to make their views known during interviews held in private with them, at the time of the inspection. They are provided with written copies of the home’s formal complaints procedure and have formal and informal opportunities to raise any concerns with staff before they become serious complaints. They all expressed satisfaction with the care and services provided to them at the home. Most of the relatives and representatives who were interviewed agreed with this. The home has written procedures to guide staff on what to do if they suspect a service user is at risk of abuse. These have been updated and improved since the last inspection. There are records to show that staff are recruited on the basis that they are suitable to work with vulnerable adults in a care setting and appropriate checks are made. All of the service users said that they feel safe in the home and their relatives and representatives confirmed this. Most importantly, service users are not isolated in the home, but take part in a range of activities in the local community and have relationships with people from outside of the home that they can communicate serious concerns to. Pentire Crescent (15) DS0000028263.V309748.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. The home’s environment provides service users with an ordinary, domestic setting so that they can develop their skills and independence in a non-institutional setting. It is safe and clean so that service users are protected from risks of cross-infection. EVIDENCE: The home looks like an ordinary, domestic dwelling. It is well decorated and comfortably furnished throughout and all the service users said that they liked living there. The home appeared clean and tidy throughout at the time of the inspection, which was unannounced. Records show that there is a low incidence of sickness in the home among staff and service users. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. Staff have ready access to ongoing training so that service users can have confidence in their knowledge and skills although more should achieve formal qualifications in care so that service users can have greater faith in their competence to work effectively with them. Staff are recruited on the basis of fair, safe and effective recruitment and selection policies and practices so that service users can have faith that they are suitable to work in a care setting. Staff require improved supervision so that Service users can be sure that their ongoing care practice and training needs are effectively monitored and managed. EVIDENCE: Records of staff qualifications indicate that fewer than half of the staff have formal qualifications in care work but staff who were interviewed said that they are working towards achieving them. Service users and their representatives said that they have confidence in the staff working in the home. Staff recruitment records indicate that staff are recruited fairly, in accordance with equal opportunities legislation and a staff member who was interviewed confirmed this. Checks are made to ensure that they are safe to work with vulnerable adults in a care setting and interview records indicate that they are selected on their suitability to work in the care sector. Staff training records indicate that they undergo induction training on commencing work with Spectrum and have good access to ongoing training so
Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 20 that they can update their knowledge and skills continuously during their employment. A staff member who was interviewed confirmed this. Because of recent changes in the management of the home, staff have not had access to regular formal supervision. Whilst this has not resulted in negative outcomes for service users so far, formal supervision systems should be reintroduced to maintain the good standards of care currently in place. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Standards in this outcome area are adequate. The home is currently generally well run but management arrangements need to be improved so that standards do not deteriorate and negatively impact on service users. There are formal and informal systems in place to ensure that service users’ views are taken into account in the ongoing management of the home. Some aspects of health and safety need improvement so that service users are protected from avoidable harm and injury in the home. EVIDENCE: The home’s current management arrangements are in a state of flux, but Spectrum has recently appointed a new acting manager who was due to commence in the week following the inspection. In the meantime, senior managers from within Spectrum and from other local Spectrum homes have been available to support staff and service users. A manager from another Spectrum home came across and provided information to assist the inspection process and was knowledgeable about the service. The home’s staff team appeared competent and confident and were also able to assist. A new manager for the home needs to be registered formally with the Commission,
Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 22 however, so that service users can be assured of the ongoing effective management of the home. Service users and their representatives mainly agreed that they have opportunities to formally state their views on the quality of the care and services provided and these are taken into account in its on going management. There are records of questionnaires sent out to service users and their relatives asking them about the quality of services provided. They are also invited to contribute their views during care plan reviews and informally, when planning daily and weekly activities, according to staff who were interviewed. The home’s environment appeared safe and there are written individual and environmental risk assessments in place to minimise risks to service users and staff working in the home. Staff and service users said that they feel safe in the home. Records of fire safety equipment tests and evacuations indicate that these need to be done more frequently, however, to ensure that service users are better protected from harm due to fire in the home. Pentire Crescent (15) DS0000028263.V309748.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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 2 X Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation 23(4)(c) Requirement There must be regular testing of all fire safety equipment and evacuations of the home carried out, with records maintained so that service users are adequately protected from the risk of harm due to fire in the home. Timescale for action 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations Service users’ care plans should contain more specific and detailed goals to help them develop their skills activities of daily living and maximise their independence. The home’s written procedures for the management of service users’ medicines should be located with their medicines and medication records so that staff have ready access to them and there is a reduced risk of medication errors. A greater proportion of the staff should achieve qualifications to at least NVQ level 2 so that service users can have confidence in their competence to work
DS0000028263.V309748.R01.S.doc Version 5.2 Page 25 2. YA20 3. YA32 Pentire Crescent (15) 4. YA36 5. YA37 effectively with them. Care staff should be provided with regular formal supervision with records maintained so that service users can be confident that there is effective monitoring and management of the staff working with them. A manager, registered with the Commission should be appointed to take charge of the home so that currently good standards of care can be maintained for the benefit of service users. Pentire Crescent (15) DS0000028263.V309748.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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