Inspection on 07/07/05 for 151 Valley Road - Leonard Cheshire Disability

This inspection was carried out on 7th July 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

151 Valley Road - Leonard... 21/08/07

151 Valley Road - Leonard... 17/10/06

151 Valley Road - Leonard... 01/02/06

151 Valley Road - Leonard... 17/02/05

151 Valley Road - Leonard... 24/08/04

151 Valley Road - Leonard... 24/02/04

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

CARE HOME ADULTS 18-65 151 VALLEY ROAD 151 Valley Road Lillington Leamington Spa CV32 7RX Lead Inspector Maggie Arnold Unannounced 07 July 2005 12:30 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 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 Stationary 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. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 151 Valley Road Address 151 Valley Road Lillington Leamington Spa Warwickshire CV32 7RX 01926 881612 01926 425203 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Leonard Cheshire Mrs Sarah Jane Hyde Care Home 4 Category(ies) of Learning Disability registration, with number Physical Disability of places 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17 February 2005 Brief Description of the Service: 151 Valley Road is a purpose-built four-bedroom bungalow that is operated by the Leonard Cheshire Foundation. The property and all beds are purchased and funded through Social Services. The home provides respite care (and day care) for adults with profound and multiple disabilities. It is situated approximately two miles from Leamington Spa town centre and is within easy walking distance of local shops, pubs, library, church and health and community centres. There are four single bedrooms, two have en-suite facilities. The large flat garden area is mainly lawned and includes a sensory area complete with mobiles and touch sensitive items. There is ample parking space to the front of the property. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two visits and was the first time the inspector had visited the home. The first visit which was unannounced, took place on a weekday from 12.30 pm to 17.30pm. In order for the inspector to spend some time with residents, arrangements were made for a second visit, which took place from 4.00pm to 5.30pm the following week. The manager was present in the home on both occasions. Both the manager and staff fully co-operated in the inspection process. Various documentation such as care plans and residents’ files plus records of medication were looked at on this occasion. As noted in the report below, as requested by a family member, the inspector also sought confirmation regarding details of a resident’s previous visit to the home. Two recommendations arose from the findings. Two residents files and two staff files were selected for scrutiny and found to meet the required national minimum standards. Two staff were interviewed and demonstrated that they were well informed, competent and committed to the care of the residents. On the second visit time was spent sitting in the lounge with the staff and residents. The residents, who all had limited communication skills, appeared calm and at ease with the staff. The staff demonstrated knowledge, skill and sensitivity when communicating with the residents. On the first day of the inspection a tour of the building found it to be very clean, free from unpleasant odours and clutter. To summarise, the home is run by a competent and committed manager and staff team. This results in a well ordered home that has a calm and relaxed feel to it with works towards offering a good short stay respite service to both the residents and their families. What the service does well: The overall expertise and quality of care and management of the home is very good. Over the course of the two visits the manager and staff were observed to treat the residents in a respectful manner and care and support was delivered in a professional and sensitive manner. Staff were observed to be constantly talking to and involving residents in the various routines and decisions. Records seen were orderly, up to date and very easy to cross-reference. The purpose built home is comfortable, very clean and free from unpleasant odours and with appropriate aids and adaptations. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 All prospective residents and their family members or advocates are offered every opportunity to visit the home prior to admission. The assessment process is flexible and may include an overnight stay. This ensures a more robust assessment and works towards reassuring prospective residents and their family/advocates that the home can meet their needs. EVIDENCE: The referral and admission process is for all potential residents and family members or advocates to visit the home prior to admission. Discussions with the care manager and staff combined with documentary evidence demonstrated that potential residents and their family members are offered the opportunity to visit the home prior to admission. The initial visit allows the home and family to have more detailed discussions regarding the needs and preferences of the prospective resident. For example the visit allows for a fuller exchange of information regarding any particular techniques the family employ in caring for their son or daughter. The preadmission visit also offers the prospective service user and family members the opportunity to look at all four bedrooms and, along with the home, a decision is made as to which bedroom is most suited to the needs and preferences of the prospective resident. The home will endeavour to ensure that the resident always stays in the same bedroom. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 9 The home encourages prospective residents and their family members to make as many visits to the home as is necessary for them to make a decision as to whether 151 Valley Road is a suitable respite placement. Visits may include short visits, a stay for the day and overnight visit. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7,8 Residents have detailed individual care plans, which are routinely updated. The home is proactive in working with residents and family members to ensure that, as far as possible, residents are involved in decisions regarding their life and various aspects of life in the home. These work towards meeting the needs and preferences of the residents. EVIDENCE: Three residents were staying at the home at the time of the inspection. As noted in the previous section of this report, two care plans and accompanying records were selected for scrutiny. The home has a comprehensive recording documentation process, which covers all aspects of care, as well as personal aspirations and changing needs. For example, care plans include details of likes and dislikes as well as support plans for communication, mobility, behaviour and the management of medication. As well as information provided by the family, the care plans also incorporated guidance from professionals such as physiotherapists and speech and language specialists. Records seen were routinely updated and included details of changing needs, activities undertaken, and any particular concerns. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 11 More detailed information could further improve these records. For example, times of recording and details such as the frequency of nightly checks. Additional details such as when the hourly checks commenced would work towards more robust records. Instructions on forms should be followed and staff should ensure that all the appropriate boxes are completed. For example, daily record sheets have a space for recording the name of the service and designation of the staff member completing the records. These are not always filled in. If a mistake is made when recording it is good practice to simply cross through and initial rather than scribble it out as is present practice. Due to a significant number of the residents having limited speech and communication skills, the home works closely with family and other professionals in order for the develop communication techniques and skills specific to the individual residents. Throughout the two visits it was observed that the staff spoke directly to the resident and when asking a question, gave time for the resident to respond. Staff were skilled in knowing what to look out for and understand by the individual resident’s signs or signals, for example, raising a finger or the closing of eyes in response to a question. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14,15,17 In order to ensure that residents take part in appropriate activities the home works closely with family members to identify any preferred activities. There are good communication systems between the home and family members. Residents are offered a healthy diet in accordance with guidance from family and other specialists. EVIDENCE: The home tries to ensure that the resident’s follow their usual daily routine during their stay at the home. Providing it isn’t too far away, this also includes attendance at their usual day centre. For the residents who live further away the home provides a service similar to that of their usual day centre service. In addition to various games and musical instruments, the home also has a sensory room which some residents enjoy using. The garden is well laid out with a gazebo, summer house and various sensory activities such as a small water feature and large sensory board both of which can be easily activated by pushing various buttons. Bedrooms are also fitted with various accessories such as televisions and music players. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 13 Each resident has a communication diary that comes in with the resident and back home with them at the end of their stay. Both relatives and staff make entries in the diary on a regular basis that works towards ensuring that both parties are informed of what the resident has been doing his or her stay or absence from Valley Road. Family members may also visit or telephone the home should they so wish. On this occasion the inspector did not join the residents and staff for a meal. Care plans seen recorded the resident’s likes and dislikes. The care plans also included guidance from other professionals such as occupational therapists and speech and language therapists. For example, one care plan instructed that the resident be offered a soft diet and gave specific instructions regarding how they were to be seated and assisted when eating. The inspector observed that the care staff had followed the guidance accordingly. During the course of the inspection a staff member returned with the weekly shopping. There was a good variety of provisions. General observation of the open plan kitchen cum dining room found it to be very clean and well ordered. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21. The home has appropriate systems in place for the safe management and storage of medication. The home has written policies and procedures in place, which advise the residents’ families of the constraints of their relatives short stay in the home. EVIDENCE: The home is responsible for the management and administration of resident’s medication. The home adheres to Leonard Cheshire’s corporate policies and procedures for the safe management and administration of medication. Medication is usually brought in with the resident. At the time of admission into the home the medication is checked and recorded on individual medication administration record (MAR) sheets. The medication is then securely stored in a locked medication cabinet, which is also secured to a wall. Medications checked against the M.A.R.sheets of the two files selected for scrutiny were correct. The medication trolley was clean, free from clutter and well ordered. The Service User Guide, which is issued to all new residents and their family, advises that it is not usual practice to accept a person for respite if they are ill. As part of the admission procedure the also home requires an emergency contact number which the home will use in the event of a cause for concern such as illness, a fall or requirement for medical attention. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 15 The document also advises that, should a resident require a visit to a hospital casualty department, “a stable period of 24 hours at home is required before respite care can resume”. The Guide does advise that there is a special stay request that may be allow for exceptions to the this policy. For example, the rest of the family being away on holidays and no other appropriate person to take responsibility for the resident’s care. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has a complaints policy and procedure. Additionally there is also a Vulnerable Adults Procedure in place. These work towards ensuring that residents and family members views are listened to and that systems are in place to protect the residents from neglect. EVIDENCE: The home has a complaints policy and procedure, a copy of which is available in pictorial format. The home also makes readily available details of advocacy services including details of Warwickshire Advocacy services. Discussions with staff evidenced that they were mindful of potentially abusive practices and, were clear of their responsibilities and the procedures to be in the event of any concerns or allegations of abuse. The manager advised that the home is pro-active in raising any concerns with both family members and placing agencies. A family member requested that the Commission look at specific records relating to a regular respite visitor to the home. The family member was very clear that they did not wish to make a complaint but sought further clarification. It was confirmed that a meeting between the home, family member and other professionals had taken place. The records were made readily available for scrutiny and found to meet the statutory requirements. Two recommendations arose from the inspection of the records. Refer to the Individual Needs and Choices section in this report. The inspector has written to both the family member and home advising them of her findings. The home has not received any complaints since the last inspection, which took place on 24th August 2004. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 151 Valley Road is clean, comfortable, homely and decorated to a high standard. The size, layout, amenities and equipment all work towards ensuring that residents enjoy a safe and enjoyable stay at the home. EVIDENCE: The property is owned and maintained by the Local Authority with the staff being employed and supervised by the Leonard Cheshire Foundation. The purpose built home was very clean and comfortable with furniture laid out in a homely manner. A tour of the premises, which are bright and airy, evidenced that that it was a safe environment, which had been designed to meet the resident’s needs and preferences. For example, it has levelled access throughout, including in the garden, with wider doorframes and reception area. The four bedrooms are all decorated in a different colour theme with various decorations and equipment that works towards relaxing the occupant. The staff team has done much of the additional decoration. It is pleasing to note that the decorations such as mobiles and paintings are age appropriate for the residents. The bedrooms have good quality adequate storage facilities for short stay visit. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 18 Additionally the bedrooms are fitted with a television and radio/CD player. A hoist tracking system, which allows a degree of flexibility to meet the occupant’s preference regarding the position of the bed as well as aiding staff during transfers to of from the bed, is also fitted in the bedrooms. Two of the bedrooms have en-suite facilities. The remaining two bedrooms share a bathroom. The home also has a small sensory room that also doubles up as a night staff sleep-in room, the bed being a sofa bed. The kitchen/dining room, sitting room and conservatory are all interlinked with double doors that may be closed to offer privacy or quiet areas. The conservatory leads into a good sized secluded garden which, as noted in the Lifestyle section of this report, is designed to meet the needs and give enjoyment to the residents. At present approximately twenty short stay residents use the premises. As noted above the home has various aids and equipment such as hoists and floor mats that may be used by all residents. Residents bring their own specific specialist equipment, such as wheelchairs and head protection, with them. It is pleasing to note that hygiene; odour and infection control throughout the home was maintained to a very good standard. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34 and 35 The home has suitably trained and competent staff team who are committed to meeting the needs of the residents. The home has robust recruitment procedures in place which work towards protecting the residents. EVIDENCE: At the time of the inspection there were two support workers plus the manager in the home. A third support worker was out shopping for the home’s groceries. The staff member returned during the course of the inspection. The manager advised that, although there is a current staff vacancy, the home has a very stable staff team with some staff working in the home more or less since it was opened. Scrutiny of staff files, combined with two staff interviews and discussions with the manager evidenced that the staff well informed regarding the residents needs, and were well trained and competent to meet the needs of the residents. Staff files seen held details of the various of training courses attended. Staff undertake core training such as Health and Safety in the Workplace, Safe Handling of Medication and Moving and Handling. In addition staff also attend more specialist training and workshops. Subjects covered included epilepsy, diabetes and an understanding of various disabilities. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 20 Staff also routinely receive training and support from specialist health care professionals such as physiotherapists and psychologists. The home closes two separate weeks a year to allow for training. Two staff were interviewed, one who had been in post for almost ten years with the second staff member working in the home for approximately two and half years. Both staff members were clear regarding their roles and responsibilities and demonstrated a commitment to their work. Other staff spoken to throughout the two visits were also well informed and demonstrated good care practice delivered in a discrete and professional manner. In addition to support workers, the home also has a care co-ordinator and recently recruited part time administration assistant. The care co-ordinator works closely with the manager and rotas are developed to try and ensure that at least one of them is on duty during the day. The administration assistant was in the process of checking all staff files to ensure the required information, such as the information required by the Care Homes Act 2000: Care Homes Regulations 2001: Schedule 2, are held on file. The home does not employ catering or domiciliary staff. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42, 43 Staff training, up to date risk assessments and appropriate equipment works towards protecting the safety of residents and staff. The home benefits from a experienced manager is experienced and appropriately qualified. Regular visits from Leonard Cheshire senior management works towards ensuring the competent and accountable management of the home. EVIDENCE: As noted in the above section, staff routinely receive both statutory and specialist training. Files seen held appropriate and current risk assessments and the home has a variety of aids and equipment, which works towards reducing the risk of harm or accident to the residents and staff. The home has an experienced and appropriately qualified manager who demonstrated an excellent knowledge of the residents assessed needs and preferences. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 22 The manager receives formal monthly supervision. In accordance with the Care Standards Act 2000: Care Homes Regulations 2001: Regulation 26, the home is subject to regular unannounced visits from a representative of the Leonard Cheshire Foundation. A copy of the findings of the visit is forwarded to the Commission, home’s manager and regional director of the charity. The visits, which cover all aspects of the service, and supervision sessions, work towards monitoring the safe management of the home and quality of service. 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 3 4 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 151 VALLEY ROAD Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 3 E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 24 NA 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 Regulation Requirement No requirements arose from this inspection Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 6 Good Practice Recommendations In the event of forgetting to include information, such as a detail of an injury, it is recommended that the person completing the form, record such facts and include the time and date that the information was added. After a fall or incident that gives cause for concern, it is recommended that records include that staff have checked for injuries or marks when assisiting with personal care. At present the records only state if there has been a mark or injury noticed. In order to further improve records it is recommended that the home consider such practice as the times of recording and details such as frequency of nightly checks. Additional details such as when the hourly checks commenced would work towards more robust records. Additionally it is recommended that guidance on the various forms are fully adhered to. 2. 6 3. 6 151 VALLEY ROAD E53 S4221 151 Valley Road V238226 070705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 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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