Inspection on 22/07/05 for 2 Beacon Road

This inspection was carried out on 22nd July 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Beacon Road 25/10/07

2 Beacon Road 27/07/06

2 Beacon Road 05/01/06

2 Beacon Road 23/11/04

2 Beacon Road 11/06/04

2 Beacon Road 29/02/04

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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 2 Beacon Road Herne Bay Kent CT6 6DH Lead Inspector Kim Rogers Unannounced 22/07/05 at 14:00 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. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 2 Beacon Road Address 2 Beacon Road, Herne Bay, Kent, CT6 6DH 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) 01227 360334 Care Management Group Limited Registered Care Home 3 Category(ies) of Learning Disabilities x 3 registration, with number of places 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23/11/04 Brief Description of the Service: 2 Beacon Road is a detached bungalow set in a residential road of Herne Bay. The Home provides 24-hour residential care and support to three adults with learning disabilities. Part of the Home is separately registered as an annexe for one person. The Home is owned and run by the Care Management Group. Accommodation is over two floors. Stairs access the first floor. All bedrooms are single with wash hand basins. The Home has a lounge, dining room, kitchen and three bedrooms. There is a duty office which doubles as staffs sleep in room. The Home has parking and garden to the front and a garden to the rear. Local shops and the sea front of Herne Bay are nearby, as are bus stops and Herne Bay railway station. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out by one Inspector on a Friday afternoon. Two of three service users were at the home when the Inspector arrived. The service user who lives in the attached flat was also at the home. There was one staff on duty who was preparing lunch. A second member of staff arrived from a neighbouring home to assist the Inspector. The Manager and Deputy were both on a training day. Staff telephoned the Manager who arrived shortly after the inspection started. The Inspector spoke to service users individually and as a group over lunch. Service users chatted about their forthcoming holiday to Spain, which they said they are looking forward to. One service user showed the Inspector their room, which was clean and personalised. The Inspector looked around other parts of the home and looked at some records. Some time was spent with the Manager in her office at a neighbouring home while service users went swimming. The Inspector met with service users again on their return later that afternoon. The Manager Audrey Emmett is the Manager at his home, the attached flat for one service user and a neighbouring home. This home provides a good level of care and support to service users. There are some improvements needed regarding the environment, which need addressing for example the updating of the bathroom and the repair of cast iron guttering. What the service does well: What has improved since the last inspection? The complaints procedure has been made more service user friendly with pictures and photographs detailing who service users can complain to. The home has new replacement windows. Decorative radiator covers have been fitted. Medication records are well recorded. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 6 Some documents for service users have been developed so they are more accessible for example some are in pictorial format. New net curtains have been purchased. 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. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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) 1,2,5 Current and prospective service users have the information they need to help them make a decision about this home. Service users know their needs will be assessed. Service users are aware of the terms and conditions of their stay. EVIDENCE: This home has a suitably detailed Statement of Purpose and Service User Guide. These documents ensure that current and prospective service users have information about the home including about the facilities and staff. Both are well presented with colour pictures and photographs. The home must ensure that these documents are reviewed yearly after consultation with service users. No service user has moved into this home since the last inspection. The Inspector sampled a service user plan (care plan), which included a detailed assessment of the persons needs. There was also an assessment of potential risks. The standards emphasise the importance of this assessment as it forms the basis of the service user plan. Each service user is issued with a contract detailing the terms and conditions of their stay. The fee is included which is broken down. The service user and a representative from the home signed contracts seen. Contracts are presented with some pictures included making them more accessible to some service users. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 9 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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) 6,9,10 Service users know their personal goals will be identified, recorded and supported. Service users know that potential risks will be managed Service users know that information about them will be kept confidential. EVIDENCE: Each service user has a service user plan. The Inspector sampled a service user plan, which are developed from the initial assessment of needs. Potential risks were assessed and recorded with interventions by staff to reduce these risks. Service users sign up to these risk assessments. Specialist support needs are recorded with actions by staff to support these needs. Any restrictions on choice and freedom made in the service users best interest are detailed. Specialist support guidelines are in place and approved where necessary. Service users had signed the plans sampled. All service users have a named key worker. Key workers record monthly updates and reviews. The Inspector saw evidence of formal reviews being held six monthly. The monthly reviews are kept separately from the service user plans. The Inspector discussed this with the Manager, as service user plans must evidence regular review, which staff should be aware of when they read and follow the plans daily. The 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 11 Manager said she would give thought to this. Care Managers and family members may be invited to reviews. As mentioned the Inspector saw that risk assessments are carried out covering all areas that may pose a risk to service users. Risk assessments are detailed and regularly reviewed. The Manager and staff are preparing risk assessments for a forth-coming holiday. Records are individual and are held securely in the duty office at 2 Beacon Road. Copies of some records are also held in the Managers office at a neighbouring home. All records are secure and up to date. Service users have access to thier records and the homes policies and procedures if they wish. The Inspector observed the staff handover between shifts. Information about service users was exchanged in the office with the door closed. The home has a policy on sharing confidential information. About half an hour into the inspection the Inspector was sitting chatting to service users over lunch when a member of staff from a neighbouring home entered the home. Without giving any service user a choice this staff member announced ‘ I’m pulling you all over the road’ meaning that all service users and staff should go to the neighbouring home. Apparently this was due to staff shortages. The Inspector was concerned that no choice had been given to Service users or other arrangements made so service users could continue what they were doing in their own home. Staff said this happens rarely. Service users said they did not mind going over to the other home, as some were going swimming anyway. However later in the afternoon the Manager said that one of the service users appeared anxious. The Inspector discussed this with the Manager who also said that this was an exceptional circumstance. However, staff should be reminded that service users must have a choice and be supported to make choices and decisions. The way the staff spoke to service users and staff should be addressed through individual supervision. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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) 11,12,13,15,16,17 Service Service Service Service Service users users users users users have opportunities for personal development. take part in appropriate leisure activities. relationships are supported. rights are respected. are provided with a health diet. EVIDENCE: Service users told the Inspector about their friends at college and at a neighbouring home. Service users said they sometimes invite their friends over for dinner. Service users said they enjoy keeping their room tidy. Service users have support to develop independent living skills like cooking and cleaning. Service users attend colleges and adult education classes. Service users were preparing to go swimming on the day of the visit. Service users showed the Inspector some artwork made at art classes. Service users have the opportunity to attend classes to develop their literacy and numeracy skills. The Manager said that staff and service users have recently attended an open day at a local college and signed up for some classes. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 13 Service users access a range of leisure activities for example swimming and horse riding. Service users left the home during the inspection to go swimming. During this time the Inspector met with Manager. The Inspector spoke to Service users when they returned. They said they enjoyed the swimming session. The Manager showed the Inspector an activity planner, which showed activities for Service users for the week. The Manager said that individual activity planners would be produced for Service users. Some will be in pictorial format. The Inspector welcomed this. A Service user told the Inspector about their family. The Service user said they spend time at weekends with their family and have regular visits. Another Service user spoke of their family and friends who visit regularly. One service user is being supported to develop their skills to enable them to use the telephone independently. The atmosphere at the home was relaxed. Part of this home is a one bedroom flat where another service user lives. All the service users are friends and spend a lot of time together having meals together and attending colleges together. When the Inspector arrived one service user was watching cricket on television, others were preparing to go swimming. A service user showed the Inspector the key to their room and the front door. The service user said that their key was stiff so the Inspector tried it. The key would not turn in the lock. The Inspector made a requirement to address this. Access to the garden is currently restricted due to the risk of falling guttering. Service users have access to all other parts of the home. Service users said they have support to cook. One Service user told the Inspector about their favourite foods. These were recorded when crossreferenced in the service user plan. Fresh fruit is available for snacks. There is a small dining area where service users generally choose to eat together. Service users said they often invite friends over for meals. No one was sure what was for dinner that night although one service user thought it may be chops. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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) 18,19 Service users know their personal care needs will be met. Service users health needs are met. EVIDENCE: Service users personal care needs are recorded in service user plans. This includes details of how a person prefers to be supported. Most service users need minimal support with personal care. Staff said that times for getting up and going to bed are flexible. Service users confirmed this and said they sometimes watch television or look at book and magazines. 3 service users share one bathroom at this home. The Manager said that she plans to have grab rails fitted. A lock is fitted although it is not an indicator lock and is fitted at the top of the inside of the door. The Inspector asked the Manger if all service users could reach to operate the lock. The Manager said all service users could operate the lock. Service users were dressed in their own clothes and have individual styles. A service user told the Inspector that they are planning to go shopping for clothes next week in preparation for their forthcoming holiday. All service users have a named key worker who carried out monthly reviews of service user plans. All service users are registered with a GP. There were records of regular checks with dentist’s, opticians and chiropodists. Health is monitored in service user 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 15 plans. The Inspector was satisfied that service users have access to a full range of medical and healthcare support and advice. The Inspector did not look at medication practices in detail however medication administration records were seen. Allergies are now included on these charts as required at the last inspection. Any changes made by hand now include the authority for the change as previously required. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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 Service users know their complaints will be listened to. Service users are protected from abuse. EVIDENCE: The home has a complaints procedure. This is included in the homes Statement of Purpose and service user guide. Since the last inspection this procedure as been made more service user friendly with the addition of pictures and photographs of people service users can complain to. The home has received no complaints since the last inspection. The home has an adult protection policy and whistle blowing policy. Staff initially learn about how to protect vulnerable adults during their induction. Courses are then offered on a rolling programme. The home has a copy of the Kent and Medway joint policy on adult abuse. Since the last inspection the Manager has acquired a video about adult protection. Staff have watched this video and then answered written questions to test their competency and knowledge about what abuse is and who and how they would report any suspicions to. Any necessary guidelines about supporting service users who may be aggressive are included in service user plans. These are based on positive approaches and good practice and showed regular review. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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) 24,25,27,28,30 Access is restricted to the garden due to risks to service users. Service users are happy with their rooms. This home is clean. Improvements are needed to the bathroom if service users needs are to be fully met. EVIDENCE: The garden cannot be accessed as part of the cast iron guttering around the property has fallen down onto the patio. As there is cast iron guttering around the building the Manager carried out a risk assessment. This showed that there is a potential risk to service users. The Manager said she has gained estimates for the work and has a builder ready. She said she is awaiting confirmation of the funding from head office. A requirement was made that the guttering be repaired or replaced by 30/8/05 so that the service users can access the garden. One service user showed the Inspector their bedroom. They said they are happy with their room, which was clean and personalised with the service users own possessions. The service user said they have support to keep their room clean. The service user showed the Inspector the key to their room and a 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 18 key to the front door. The key to their room was not working. The key would not turn. The Inspector made a requirement to address this. The home has a lounge/diner and a kitchen. There is one bedroom on the ground floor with two bedrooms, a bathroom, WC and staff sleep in room on the first floor. All three bedrooms are for single occupancy and have wash hand basins. There is new lino in the WC. The bathroom is in need of improving. Both of the bath taps have blue disks so it is not obvious which one is the top tap. One tap leaks as noted at the last inspection. There is peeling paint on the wall around the window and the paint on the walls is tatty. For example a towel rail has been removed but the wall not made good. There are no grab rails on the walls although the Manager said she plans to address this. There is no individual control on the bathroom radiator and no lampshade. Thought must be given to the bathroom due to the needs and age of the current service users. Both the WC and bathroom have a slide bar lock fitted. The bathroom lock is high up although the Manager said that service users could reach this lock. A requirement was made to improve and up date the bathroom. Radiator covers have been fitted since the last inspection. New replacement window have been fitted. Service users said they are pleased with the windows. The home was clean and orderly on the day of the visit. Service users are supported where necessary to carry out household tasks. There is a domestic washing machine in the kitchen. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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) 31,32,34,35 Service users are supported by competent staff who are aware of their roles and responsibilities. Service users are protected by thorough recruitment checks on staff. EVIDENCE: The Inspector sampled staff files. All staff have a job description and are given a contract of employment. The Inspector spoke to several members of staff who were aware of their role and responsibilities. Line management at this home is clear for staff. Staff are given a copy of the General Social Care Councils guidelines for care staff. The Inspector observed staff supporting service users in a respectful manner. Interactions were positive and appropriate. Staff and the Manager spoke with knowledge and understanding of service users needs. Staff are deployed to meet the needs of the service users. Sometimes there are 2 staff on duty and other times there may be 1 staff. The Deputy Manager oversees the staffing with extra staff available when necessary. The Inspector was concerned that the staff and service users were asked to go to a neighbouring home during this visit due to this other home being short staffed. The Manager said this was rare and staff confirmed this. Service users said they didn’t mind going to the other home for the afternoon as they have friends there. The staff team are both male and female. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 20 The Inspector saw the file of the newest member of staff. Thorough recruitment checks had been carried out before the person started work including two references and a criminal records bureau check. There was an induction record for this member of staff. The staff had attended a one-day induction course held at a local college as well as completing the homes induction with a senior staff as a mentor. The homes induction was a list of areas to be covered with ticks signatures and dates. The Inspector recommended that how competency is assessed be included in this record. The Inspector saw the training matrix. Training is planned around the needs of service users. The Manager has identified shortfalls in training and planned relevant courses. Some staff are working towards a national vocational qualification. The training and induction provided ensures that competent staff support service users. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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) 37,38,42 This is a well run home with good leadership and management. Service users health and safety is protected. EVIDENCE: Mrs. Audrey Emmett is the Manager of the Home and plans to apply to the Commission to be the Registered Manager. Mrs. Emmett was previously a Registered Manager at another Care Management Group Home in Kent. Mrs. Emmett transferred to 2 Beacon Road at the beginning of July 2004 and is responsible for the management of two other homes nearby. Mrs. Emmett has several years experience and has completed the City and Guilds Advanced Management in Care Award and is also a qualified teacher. Mrs. Emmett plans to consolidate her experience and qualifications with the completion of the required National Vocational Qualification in both care and management at Level 4 by 2005. Mrs. Emmett is currently working towards this award. Service users said ‘I like Audrey’ Mrs. Emmett has several years experience in managing care homes and supporting adults with disabilities. In a short time 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 22 there have been improvements at the Home especially relating to the environment and recruiting to staff vacancies. The Inspector attended the staff handover. The Manager was observed communicating a clear sense of direction to staff. The Inspector saw evidence that the Manager was promoting autonomy in the staff team by giving staff opportunities for personal and career development. The Manager spoke positively about her role, the Home and the staff team. Staff said that the Manager was approachable. The Manager has regular meetings with a line manager. This line manager has changed since the last inspection. The Manager said this is an improvement as the line manager lives closer to this home so contact has increased. The Inspector receives regular reports from the line manager who visits the home as required under regulation 26. The Inspector was concerned about the apparent delays reported in funding improvements to the home. This will be monitored at future inspections. The home has corporate policies. New staff sign to say they have read these policies. The Manager said that policies are discussed at team meetings. The Inspector saw the minutes and this was the case. Policies are held in the office so staff and service users have access. The windows have been replaced which is an improvement. Previously some windows did not open or close. The Inspector noted that there is a current hard wire certificate and tests for the legionella bacteria have been carried out. The fire logbook was well recorded with regular drills and practices held with service users attending. The Manager has carried out a fire risk assessment and sent it to the fire officer since the last inspection. There is the hazard previously mentioned of the guttering but this has been risk assessed by the manager and steps taken to reduce risks to service users and staff. This home has the necessary public liability insurance. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 2 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Beacon Road Score 2 2 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 3 H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA19 Regulation 23 Requirement Outstanding maintenance issues must be addressed including the repair or replacement of a bathroom tap. The guttering must be repaired so service users access the garden. All locks to service users rooms must work. The bathroom must be improved to meet service users needs. Timescale for action 30/01/05 revised to 30/08/05 30/08/05 30/08/05 30/01/06 2. 3. 4. YA19 YA18 YA27 13(4)a 12(4)a 12 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 YA32 YA35 Good Practice Recommendations At least 50 of care staff should be qualified to level 2 NVQ by 2005. Induction and foundation training for staff must evidence how competency is assessed. 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 Page 25 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 2 Beacon Road H56-H05 S23137 2 Beacon Road V239502 220705 Stage 4.doc Version 1.40 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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