Inspection on 19/07/07 for 17 Gordon Road

This inspection was carried out on 19th July 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

17 Gordon Road 28/07/06

17 Gordon Road 01/03/06

17 Gordon Road 08/11/05

17 Gordon Road 14/02/05

17 Gordon Road 13/09/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 17 Gordon Road 17 Gordon Road Vange Basildon Essex SS14 1PN Lead Inspector Vicky Dutton Unannounced Inspection 19th July 2007 08:30 17 Gordon Road DS0000018111.V346555.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 17 Gordon Road DS0000018111.V346555.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. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 17 Gordon Road Address 17 Gordon Road Vange Basildon Essex SS14 1PN 01268 282777 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.familymosaic.co.uk Family Mosaic Teresa Elizabeth Rudd Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 3 persons of either sex to be accommodated who have a learning disability. No more than 3 persons to be accommodated at any one time. Date of last inspection 28th July 2006 Brief Description of the Service: 17 Gordon Road provides care and accommodation for three adults with a learning disability. The home’s facilities include a comfortable open plan living room, dining room and kitchen. There is also a shower room, an office and a laundry room on the ground floor. Upstairs there is a bathroom, three bedrooms for residents and a sleeping in room for staff. Gordon Road has a reasonable sized and secluded garden to the rear of the house, which all residents can access. The home is situated within walking distance of local shops. Basildon town centre is a short distance away. There is a good bus service in the area. Residents within the home are encouraged to access leisure pursuits and community facilities supported by experienced staff. The home has its own transport available. A Statement of Purpose and Service Users Guide about the home were available. The residents within Gordon Road pay weekly rent ranging from £63.95 to £98.60. This information was provided on the day of the site visit. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ site visit. The visit took place over a five and a half hour period. At this inspection all the key standards were considered. The home’s compliance with requirements made at the previous inspection was assessed. At the site visit a tour of the premises took place, care records, staff records, medication and other documentation were selected and various elements of these assessed. Time was spent talking to and interacting with the three residents at the home, two of whom had very limited verbal abilities. Prior to the site visit the home had completed and sent in to CSCI their Annual Quality Assurance Assessment (AQAA). This was very well completed and outlined how the home feel they are performing against the National Minimum Standards, and how they can evidence this. Also prior to the site visit a selection of surveys had been sent to the home for distribution to relatives and involved professionals. Pictorial surveys were offered to assist residents to express their views. The registered manager felt that residents at the home would not be able to comprehend and use these effectively. Staff on duty during the site visit were spoken with. The views expressed at the site visit and survey responses have been incorporated into this report. The inspector was assisted at the site visit by the registered manager and other members of the staff team. Feedback on findings summarised at the end of the site visit. The opportunity for discussion or clarification was given. A feedback card on the inspection process was left at the home. The inspector would like to thank the manager, staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: The home has a relaxed atmosphere. Although residents could not clearly express their views about the home, they appeared well cared for and were happy and relaxed with staff at the home. Residents living at the home receive good care and support that is based on their individual needs. Residents enjoy an active lifestyle and make good use of the local community. The home provides residents with a homely place to live and a pleasant garden to enjoy. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 6 Feedback from relatives about the service was very positive. One said that 17 Gordon Road ‘consistently provides good care and a home environment for my relative.’ What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 17 Gordon Road DS0000018111.V346555.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 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is available. New potential residents would have their needs assessed, and be offered opportunities to visit the home before moving in. EVIDENCE: It was seen that the home had a Statement of Purpose and a Service Users Guide in place. These documents were not however examined in detail at this visit. It was recognised that due to the nature of residents’ needs the Service Users Guide would need to be formulated in a more suitable format and tailored to the needs of any future admissions. The residents at Gordon Road have all lived there for a very long time, two since the home opened in 1987, and one from soon afterwards. The manager is aware of appropriate admission processes. 17 Gordon Road DS0000018111.V346555.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. Residents living at Gordon Road can expect to receive good care and support based on their individual needs. Residents will be involved in making decisions about their daily lives, and can expect to be cared for safely by having risks associated with their individual care needs assessed. EVIDENCE: Each resident has a comprehensive care file in place containing support plans, risk assessments, daily records and information about health and activities. One of these files was viewed in detail at this site visit. Support plans were written in the first person and were detailed, up to date and informative. They provided a good basis for care to be delivered, and residents’ needs to be met. During the site visit it was observed that communication with one resident in relation to a set activity was carried out exactly in accordance with the support plan. It was explained that residents are involved in formulating their support plans and that all aspects are explained to them. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 10 During the site visit staff were heard and observed to offer residents choices in aspects of their lives such as activities of daily living and how they would like to occupy their time. There was a detailed infringement of rights list contained within the care plan viewed outlining for example, why the resident did not have a key to their room, and why they could not independently access the front door of the property. Care files included risk assessments relating to the above and other aspects relevant to residents’ individual needs. 17 Gordon Road DS0000018111.V346555.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. Residents know that the home will provide them with opportunities for activity and occupation. They will be supported to maintain contact with their families, and enjoy good food. EVIDENCE: Residents attend various activities and college courses during the week. One resident has been undertaking numeracy and writing courses. The same resident told the inspector about their favourite activity which is a paid job undertaken for one hour each week. Staff at the home work hard to look for and facilitate new opportunities and activities for residents. The care file viewed contained details of weekly activities undertaken by the resident. This included glass painting, cookery and parachute games. Residents at Gordon Road enjoy an active lifestyle that includes a good level of community access. The home has a vehicle available to support this. Records 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 12 showed that recently residents have done such things as a trip to Pitsea to the shops, a trip to a Country Park and a meal out. One resident in particular has formed strong links at a local church, but all the residents enjoy attending, and it was said that they are very much a part of the congregation there. Care documentation showed that all residents maintain family links. From discussions with the manager it was evident that the home work with families and residents to maintain links in ways that are appropriate to individual needs. One resident had recently been out for a meal with their family, another spends regular days with their family. Observations during the site visit showed that residents are very much encouraged to be independent and undertake normal tasks of daily living with support from care workers. Residents assisted with getting their own breakfast and lunch, and undertook some household tasks such as vacuuming. One resident’s support plans included one for daily living skills. This included a step by step plan for achieving ‘bedroom maintenance.’ Residents choose on a daily basis what they wish to eat. On the day of the site visit they chose what they wanted to eat for breakfast and lunch. Residents enjoyed eating their lunch in the garden and the meal was relaxed and unrushed. Nutrition records viewed showed that a balanced diet is maintained. Residents’ weight is monitored. The home’s refrigerators and freezers were well stocked and fresh fruit was readily available on the dining room table. Residents enjoy taking part in food shopping for the home and assisting with meal preparation. 17 Gordon Road DS0000018111.V346555.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive good personal, healthcare and emotional support based on their individual needs. Their medication will be managed safely. EVIDENCE: Support plans give staff clear guidance and instructions on how to support residents with personal care and other activities in ways that they prefer. Independence is encouraged. Most staff at the home have worked there for some time and have a detailed knowledge of residents needs. This was demonstrated by observation and discussion during the site visit. Residents at Gordon Road are unable to manage their own health care needs, and are supported in this by the home’s staff. Records show that residents’ health is monitored and appropriate actions taken when needed. One resident has been experiencing deteriorating patterns of behaviour. Records clearly showed how the home have been trying to address this by firstly ruling out any physical cause, and then seeking support from a behavioural specialist. Each resident has a ‘yearly health plan’ in place. These showed that residents are 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 14 supported to have regular health checks such as attending the optician and dentist. The home’s medication system and documentation was viewed, and seen to be generally well managed. One error was noted on the Medication Administration Record, (MAR) and the manager planned to address this with the staff member concerned. Protocols for the administration of medication prescribed to be taken ‘as and when required’ (PRN) were in place. For one resident the protocol is now cross referenced to their support plan relating to behaviour so that if required staff give the medication in a consistent manner. The home’s medication is stored in a locked kitchen cupboard. Currently the temperature in this area is not monitored to ensure that medicines are stored at optimum temperatures. It was seen on staff files that staff had received training in the administration of medication, and that their competence was assessed by the home’s manager. Appropriate policies, procedures and information was available to support staffs’ practice. Homely remedies are well managed at the home with a sheet of appropriate medicines for each resident, agreed and signed by their GP available with their MAR sheet. The care file viewed included a support plan relating to medication that included a ‘consent to medication’ verbally agreed by the resident. 17 Gordon Road DS0000018111.V346555.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. People can be assured that they will be able to raise concerns about the service. Residents will be protected from abuse. EVIDENCE: The home has a clear complaints procedure in place. This needs some updating to include details of funding authorities who have a duty to investigate any complaints made about the service where a complaint made locally cannot be resolved, or where people do not wish to raise concerns locally. Pictorial information is available to residents about what to do if they are unhappy. No complaints or concerns about the service have been raised with the home or CSCI. Training records showed that all staff at the home have undertaken training in the protection of vulnerable adults. As part of core training Family Mosaic offer ‘Personal Safety’ training at three levels. Level three deals with managing challenging behaviour. Only the manager at the home has undertaken level three training. Other staff at the home have undertaken level one which includes breakaway techniques. The manager and staff felt that this was sufficient to meet the needs of residents currently living at Gordon Road. Support plans, observation and discussions showed that residents’ behaviour is understood and, where necessary, monitored by the use of appropriate documentation. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 16 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, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is clean, comfortable and homely. EVIDENCE: The environment within Gordon Road is comfortable and homely. Since the previous inspection new carpet has been fitted to the hall and stairs and a new bathroom suite has been fitted. The home has a pleasant garden. This has been enhanced this year by the provision of a new garden table and chairs. Residents’ bedrooms were homely and reflected their individual preferences and interests. On the day of the site visit the home was clean and hygienic. The home has a separate laundry/utility area which was clean and well organised, with hazardous materials kept locked safely away. The home’s AQAA confirmed that appropriate policies and procedures relating to the control of infection were available. Further information about this subject arrived during the site 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 17 visit. Staff do not currently receive any specific training about appropriate infection control procedures. On the day of the site visit there were no paper towels available in the downstairs shower room, instead a hand towel had been provided. This may not provide effective infection control. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents know that the staff that assist them will be sufficiently trained to meet their needs. The home’s recording and record keeping processes do not help to assure residents that staff are recruited safely. EVIDENCE: Two members of staff and the manager were spoken with and practice observed during the course of the visit to the home. All staff were approachable and comfortable with the residents. They were seen communicating with residents in an interested and motivated manner. Residents were relaxed and comfortable with the staff. Five full time and one part time members of staff are employed at the home. Of these three hold a National Vocational Qualification (NVQ) at level three. A further member of staff hopes to commence this training soon. Recruitment for Gordon Road is undertaken centrally by the organisation and recruited staff allocated to different schemes as needed. Home’s managers are involved in recruitment on a rotational basis (not necessarily for their own 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 19 home.) Recruited staff may visit the home prior to taking up employment, but there is no obligation to do so. Residents do not therefore have the opportunity to be introduced to new staff before they start work. The manager at Gordon Road said that this situation is currently being discussed so that potential staff have an informal interview at the home before attending for a formal interview. One member of staff was identified as being new to the home, but they had worked in other areas of the organisation. The file of the member of staff most recently newly recruited to the organisation was viewed. Information on file was muddled and confused by the use of different forms to record information. It was difficult to get a clear picture to show that recruitment is carried out in a satisfactory manner and appropriate records maintained. A form was in place to evidence recruitment practices. Under references the ‘date obtained’ was blank and no details specified, just a note to say references approved. Criminal Records Bureau (CRB) check was recorded with a date from after the member of staffs’ start date. Later in the file the original CRB check was in place. The form was not properly completed or signed off/dated as indicated. The section relating to the POVA first check was blank, then later on another form it was stated that this information was available in the organisations human resources department, along with references and an application form. Evidence of identification and a recent photograph was available. Since employment the member of staff had left for a few months and then returned to the organisation. There was no indication that any further checks had been undertaken when they returned to the organisation. The home’s training matrix was new and had not yet been fully completed with dates transferred onto it from other records. The manager said that training in areas such as learning disability and communication were available, but that the staff at Gordon Road were mainly longstanding and very experienced. The file of one member of staff viewed showed that a good range of training had been undertaken over time that included appropriate areas including boundaries and ethics. The file of one member of staff showed that an induction had been undertaken. However the current recording methods do not properly evidence that induction training is being undertaken to Skills for Care standards. Again different formats are in place on the file to record similar things, some are blank, and some fully or partially completed. For example a ‘Induction Review Report’ blank and a ‘Probationary Review Form’ completed. The initial three weeks of employment had been recorded by keeping a daily record of tasks undertaken for example ‘read all support plans.’ A Skills for Care ‘Progress Log of Standards and Certificate of Successful Completion’ was in place on file but had not been filled in. The manager pointed out that detailed discussions had taken place in one to one supervision and been recorded in supervision notes that related to Skills for Care Standards. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 20 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, 38, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well managed home where their views and needs underpin how the home is run. EVIDENCE: The registered manager is experienced and has worked at the home for some time. They are currently undertaking their Registered Managers Award, and hope to compete this by the end of the year. The home is managed in a clear and inclusive manner. Residents and staff meetings are held. Residents prefer an informal approach and their views are sought informally on a daily basis. Quality assurance is carried out on an organisation wide basis rather than by individual homes. Family Mosaic conducts an annual quality audit. As part of 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 21 this questionnaires are sent out to residents and relatives across the organisation. Feedback from questionnaires are then fed back to individual homes together with an operational plan for the coming year. As required by regulation regular visits are carried out to the home by a senior person in the organisation. These are to check that the home is being run in line with regulation, standards and the organisations own policies and procedures. The home has internal quality systems in place for example monthly management reviews. The home’s health and safety records and procedures were sampled. This showed that systems and services at the home are monitored, tested and maintained. Fire records showed that a comprehensive fire risk assessment is in place and that regular drills are undertaken. At the previous inspection the issue of the upstairs windows in residents’ bedrooms being unrestricted was raised, as this could present a potential hazard to residents. The windows remain un-restricted, it was stated that this work is still planned. It was seen that comprehensive risk assessments were in place relating to this, and to other issues in the home such as uncovered radiators. 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 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 X 3 3 3 X X 3 X 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 23 Yes 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 YA34 Regulation 19(1) Requirement Management of the home must ensure that records relating to staff recruitment are clear and consistently maintained. All records required to be kept by regulation must be available at the home to be inspected. This is a repeated requirement. Timescale for action 01/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations The temperature in the medication storage area should be monitored to ensure that residents’ medication is stored at optimum temperatures. Management at the home should ensure that staff receive training and guidance in effective infection control. Appropriate hand washing/drying facilities should always be available in communal bathrooms/toilets. 2. YA30 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 24 3. YA35 Management at the home should ensure that staff induction in line with Skills For Care standards is properly evidenced at the home. To ensure residents’ safety the home should ensure the fitting of window restrictors to the upstairs windows. 4. YA42 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 17 Gordon Road DS0000018111.V346555.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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