Inspection on 01/06/05 for 18 Marine Parade

This inspection was carried out on 1st June 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 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

18 Marine Parade 14/08/07

18 Marine Parade 15/09/06

18 Marine Parade 15/01/06

18 Marine Parade 25/01/05

18 Marine Parade 01/07/04

Similar services:

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

1 Marten Road

Daubeney House

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

CARE HOME ADULTS 18-65 18 Marine Parade Tankerton Whitstable Kent CT5 2BG Lead Inspector Kim Rogers Announced 01 June 2005 at10:00 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. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 18 Marine Parade Address Tankerton Whitstable Kent CT5 2BG 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) 01622 769100 MCCH Society Ltd Miss Susan Beaumont Registered Care Home 7 Category(ies) of Mental Disorder(E) (7) registration, with number Mental Disorder (7) of places 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Mental disorder, excluding learning disability or dementia (7), Mental Disorder, excluding learning disability or dementia - over 65 years of age (7) Date of last inspection 25/01/05 Brief Description of the Service: The company MCCH runs 18 Marine Parade. The home is registered to provide personal care and support to up to 7 adults with mental health needs. The home is detached and spacious with lounge, dining room, kitchen, office, 7 single rooms and two bathrooms, two shower rooms and toilets. Bedrooms have television points and wash hand basins. Accommodation is on two floors with the first floor accessed by stairs. The home has a large back garden with patio and seating area. The home is situated on the sea front at Whitstable with views from the front of the property overlooking the sea. The home has off road parking with further parking on the road. There are local shops, cafes and a bus stop nearby. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and carried out by Kim Rogers. The Inspector spoke to the Acting Manager, Pat Westbury, staff and Service Users. The Inspector spoke to Service Users privately on a one to one basis as well as informally as a group. The Inspector sampled documentation and records and toured the home. Some feedback cards from Service Users and their relatives were received. The Manager completed and submitted the pre inspection questionnaire. Pat Westbury has applied to the Commission to be the Registered Manager. Pat Westbury has worked at the home for several years. The previous Registered Manager of several years has been promoted within MCCH. The home was clean and paperwork was orderly and up to date. The house is safe and well maintained. The home has shown commitment to meeting the National Minimum Standards with the requirements and recommendations from the last inspection well met. The staff team are long standing, committed and multi skilled. Staff spoke with knowledge and understanding of Service Users needs. Service Users said ‘ I love it here, I am very happy’, ‘I like most of the staff’ ‘I like my Key worker’ ‘ Staff are careful about how I get in and out of the bath. They even take the temperature of the bath to make sure I don’t scald myself’ All Service Users said their privacy is respected, the staff treat them well and they feel safe. Relatives said they are welcomed into the home and are kept informed about important matters. One relative said,’ I am delighted with the care and treatment my relative receives’ ‘ My relative is relaxed and happy which means his health and well being is assured’ Another relative said ‘It would be nice for to have a pool table or darts so they have some interest in the house apart from the TV’ The Manager said that she has applied for funding for a summerhouse, which could accommodate a dartboard. A visiting professional said ‘ This is one of the best homes I visit. The care is always of very good quality. The staff are caring and communicable’ The Inspector concluded that this home provides a good standard of care. Service Users receive the support they need in a pleasant domestic setting. What the service does well: Service Users are relaxed and happy. Staff have positive and respectful relationships with Service Users. This was especially evident with Service Users having the confidence to joke with staff. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 6 The quality of the décor and furnishings is high enhancing Service Users quality of life. Staff are given opportunities to develop. Staff are taking turns to act in a senior position for three months as the current senior staff has been seconded. Staff were given the opportunity to facilitate sessions at a recent ‘team away day’. Person centred approaches are used in care planning at the home. Service Users hopes, dreams and goals are listened to and supported. Regular Service User meetings are held so Service Users are able to air their views. Communication between staff is good with effective systems in place to ensure this is maintained. The home works closely and has good relationships with health professionals. 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. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 8 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 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 9 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) 2,3,5 Service Users know the home will meet their needs. Service Users are aware of their role and responsibilities. EVIDENCE: The Inspector sampled Service user plans. Detailed assessments were included in Service user plans. Potential risks to Service users were also assessed. These assessments are crucial as they form the basis of the Service user plan. Staff said they work closely with health care professionals and other specialists where necessary to ensure they can meet a persons needs. A health professional confirmed this saying staff are caring and good communicators. The Inspector also saw evidence of this in Service user plans. Staff spoke with knowledge and empathy about the needs of Service users. Staff were observed communicating effectively with Service users. The staff team are long standing and experienced and were observed interacting with Service users in a positive respectful manner. All Service users have a contract which details the terms and conditions of residency. Contracts were seen in Service user plans. The contracts include the fee, who pays it and what it includes. Service users spoke to the Inspector about their roles and responsibilities around the home. Service users were aware of their roles regarding the household tasks. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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) 6,7,9,10 Service Users know their personal goals will be supported by the home. Service Users know that potential risks will be managed and not restrict their independence. Service Users know that any restrictions are made in their best interests. EVIDENCE: The Inspector sampled Service user plans. Current needs of Service users were identified and recorded. Interventions and actions by staff to support these needs were detailed. Potential risks to Service user had been assessed in the Service user plans with actions taken by staff recorded to reduce and eliminate these risks. Service users have a named Key worker who works closely with the Service user to ensure the plan is reviewed and current. Service user knew who their Key workers are. Service users had signed their Service user plans. Risk assessments including a financial risk assessment was seen in one plan, which had been signed, as agreed by the Service user. Personal care guidelines were detailed and signed by the Service user. There was evidence that staff use effective monitoring, observations and recording to keep the plans under review. Daily entries by staff related directly to identified needs, hopes and goals of Service users. Monthly evaluation reports by Key workers were also seen. This demonstrates that the support offered by staff is effective and is 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 11 recognised as good practice. The Inspector noted that restrictions made in the best interest of Service users were detailed and monitored regularly. One Service user who is subject to a restriction said they understood the reasons for this and agreed that staff had their best interests in mind. The needs relating to one Service user have increased. To protect the Service User and staff the Inspector required that the Service users plan be reviewed and updated. The Manager agreed to do this and that detailed recording will continue. Service Users wishes in the event of illness and death are recorded in Service user plans. The Inspector observed Service users making choices and decisions about every day life. These decisions were supported and respected by staff. Any limitations regarding decision-making are assessed and detailed in the Service user plan. Records and documentation viewed by the Inspector were up to date and stored securely in the duty office. Staff were observed closing the office door before handover to maintain confidentiality. The home has a statement of confidentiality which staff are made aware of during their induction. Service users and their representatives have access to their records if they wish. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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) 11,12,13,14,15,16,17 Service Users have opportunities for personal and social development. Service Users know their hobbies and interests will be supported by the home. The meals in this home are good offering both choice and variety. EVIDENCE: Service Users at this home access a wide range of further education, employment and leisure facilities. Service Users are supported to develop independent living skills such as household tasks including cooking. One Service User told the Inspector that they plan and prepare their own meals with staff support. Some Service Users attend ‘Innovations meetings’ which involves meeting with Service Users from other MCCH homes in the area. The group plan and organise events and activities. The meetings also enable Service Users to develop friendships and relationships. Service Users told the Inspector about activities they take part in. Some Service Users attend gardening projects, clubs and day centres. One Service User said attending a garden project helps keep them well. Service 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 13 Users told the Inspector about their hobbies which are supported by the home. Service users told the Inspector that they have support to access local shops, cafes and restaurants. One Service User was planning to go to the local shops on the day of the inspection. Information about local events and facilities are held at the home. The home does not have a vehicle for Service Users to use, however, staff who have the necessary insurance cover use their own vehicles. Service Users are also supported to use public transport or walk to local amenities. MCCH provide staff from their Visiting People Team (VPT) to support Service Users to access community facilities. Hobbies and interests were recorded in Service user plans. Service Users told the Inspector about their hobbies, which included music, cinema and art. Relationships with families and friends are supported by the home. One Service User said staff helped them to write and send a postcard to their Mum. On Friday nights Kareoke and bingo sessions are held for prizes. Staff said Service Users enjoy this. The home has recently purchased a new DVD player for the lounge. Some Service Users enjoy swimming, cycling and fishing. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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) 18,19,21 Service Users know that their health and personal care needs will be met. Personal support in this home is offered in such a way as to promote and protect Service Users privacy, dignity and independence. EVIDENCE: A Service User told the Inspector that ‘staff help me get in and out of the bath, they even check the temperature to make sure I don’t scald myself’ Service Users personal care needs are detailed in Service User plans. This ensures that Service Users are supported in the way they prefer. Service Users said ‘staff help me’ Service Users health needs are well met. Health is monitored closely in Service User plans. Any concerns are handed over by staff to the Manager or health professionals. The home works closely with health professionals including CPN’s and consultants to ensure Service Users health needs are met. Bathrooms and toilets at the home are fitted with locks to maintain privacy. Staff spoke with knowledge about accessing specialist guidance and advice to promote independence with personal care where necessary. Service Users are invited to attend well person clinics and medication reviews on a regular basis. The Inspector was satisfied that Service Users have access to a full range of healthcare facilities and support. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service Users know their complaints will be listened to and acted on. EVIDENCE: The home has a complaints policy and a complaints policy leaflet, which is given to all Service users. The leaflet is presented in an accessible format for Service users. The home also keeps a file for verbal complaints. Complaints are monitored with the completion of a monthly summary, which is sent to the company head office. The Inspector viewed the homes record of complaints. The home has received one complaint from a Service User since the last inspection. Details of the complaint were recorded with the investigation carried out and action taken to address the issues raised. The Inspector concluded that the complaints procedure is accessible and effective as it has lead to Service Users being empowered to complain about the service. This has lead to improved practice at the home. The Inspector noted this as good practice. Service Users have the opportunity to complain and comment at residents meetings. Service Users said they know who to complain to. The Home has an adult protection policy and a whistle blowing policy. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,30 The standard of the environment within the home is good providing Service Users with an attractive and homely place to live. EVIDENCE: The home has an attractive lounge and separate dining room. Doors from the dining room access the garden to the rear. There is a patio and seating area. The home was clean and suitably fragranced on the day of the inspection. Lighting, heating and ventilation was sufficient. The home is in keeping with the neighbouring properties and is close to local facilities. Staff have the necessary insurance cover to use their own vehicles or public transport is used to promote independence. Service users have unrestricted access to all communal parts of the home. Furnishings were seen to be of good quality and domestic in nature. The Inspector understands that the premise meets the requirements of the local fire authority and environmental health department. Service users told the Inspector that they were happy with their rooms. All bedrooms are for single occupancy with wash hand basins. Service Users were keen to show the Inspector their rooms. Service Users said they were happy 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 17 with their rooms. The Inspector noted that rooms are personalised. All bedrooms are fitted with locks and Service User are offered keys to their rooms. Service Users told the Inspector that the home has sufficient toilets and bathrooms to meet their needs. Facilities are sited on the ground floor and first floor and are close to communal areas. There is an assisted bathroom on the ground floor to maintain independence. Facilities are fitted with suitable locking devices. Kitchen and laundry facilities are sufficient and domestic in nature. Service users who wish to smoke in their rooms have been risk assessed. Staff and Service Users now smoke outside. The office is used as a sleep in room for staff. As required at the last inspection the home now has hygienic methods of hand drying. The Manager said that the home is hoping to gain funding for a summerhouse, which is intended for the smokers of the house and social activities. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36 Service Users know the staff are competent and sufficient in numbers to meet their needs. EVIDENCE: Two staff work a morning shift and two staff work an afternoon shift. At night there is one sleep in support staff working from 9pm to 11pm. Extra staff can be called on when needed from the MCCH Visiting People Team (VPT); this ensures that staffing is flexible. The staff team is long standing and experienced. There have been no staff leavers since the last inspection although the senior staff has been seconded to another MCCH service for six months. In the meantime two support staff have the opportunity to ‘act up’ in the senior role for three months each. The staff team is made up of males and females of various ages reflecting the Service Users. There are no staff under 21 years of age and no volunteers. The Home operates an on call procedure in the event of an emergency. The Inspector saw evidence that regular staff meetings are held. After talking to Service users the Inspector concluded that the Home has sufficient staffing levels to meet the needs of Service users. The Manager has developed the induction for new staff since the last inspection. Staff told the Inspector that they have regular one to one supervision sessions with a line Manager about every six weeks. These meetings are recorded and records kept confidentially. Staff said they discuss 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 19 their training and development needs at these supervision meetings. Senior staff supervise other staff after they have attended relevant training. The Manager spoke with knowledge about the purpose and benefits of regular formal supervision. All staff have a yearly appraisal which has incentives attached. Regular staff meetings are held which promotes communication. Staff have recently attended a team away day. Staff were given the opportunity to facilitate sessions throughout the day. Staff said the day was a success and aided team development. Staff spoke with knowledge and understanding of Service Users needs. Staff were observed speaking to Service Users in a positive and respectful manner. More than 50 of staff have a NVQ qualification. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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 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) 37,38,41,42 The Manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Service Users know their health and safety is protected. EVIDENCE: The Deputy Manager has been the Acting Manager for the past few months. The Deputy Manager has applied to the Commission to register as the permanent Manager. The Acting Manager is working towards the necessary qualifications and plans to complete the award soon. The Acting Manager has shown commitment to meeting the National Minimum Standards and has made improvements to the home since the last inspection. The Acting Manager has several years experience working at the home. Service Users made complimentary comments about the management of the home. Service Users said that the Manager and staff understand their needs. The Inspector observed the Manager giving clear directions in a positive and inclusive manner to the staff team. The home has corporate policies and procedures, which are 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 21 held at the home in the office. Staff, Service Users and their representatives have access to these policies. Staff sign to indicate they have read the policies. Polices are kept under review by working parties made up of staff and Managers of MCCH although no Service Users at the home have been involved in the review or development of policies and procedures. Thought should be given to this. Records required by legislation were at the home for the Inspector to view. Records were clear and up to date and stored securely. As required at the last inspection, the Manager has published the results from Service Users surveys. The results have been well presented in a file kept in the reception area of the home. Accidents and incidents are recorded and reported appropriately. The Inspector noted that the fire logbook was up to date and well recorded. The Home has automatic closure devices fitted to internal fire doors and smoke alarms linked to the fire panel. A member of staff has developed a model to use as a training tool for fire competency appraisals. The home has a health and safety representative and a fire warden who ensure that Service Users heath and safety is protected and promoted. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 18 Marine Parade Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 2 2 x x 3 3 x H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 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 YA6 Regulation 12 Requirement Service users plans must be reviewed and updated to reflect any change in needs. This especailly relates to one Service user. Timescale for action 30/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA37 YA40 Good Practice Recommendations The Manager should be qualified to level 4 NVQ in management and NVQ level 4 in care. Service users and satff should be included in the review and development of policies and procedures. 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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. Extracts may not be used or reproduced without the express permission of CSCI 18 Marine Parade H56-H05 S23716 18 Marine Parade V223072 010605 Stage 4.doc Version 1.30 Page 25 - 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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