Inspection on 03/08/06 for 2 Herondale

This inspection was carried out on 3rd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Herondale 28/08/07

2 Herondale 30/11/05

2 Herondale 22/07/05

2 Herondale 21/02/05

2 Herondale 16/08/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME ADULTS 18-65 Herondale (2) 2 Herondale Basildon Essex SS14 1RR Lead Inspector Mr Trevor Davey Key Unannounced Inspection 3rd August 2006 10:45 Herondale (2) DS0000018053.V306963.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 Herondale (2) DS0000018053.V306963.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. Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Herondale (2) Address 2 Herondale Basildon Essex SS14 1RR 01268 523399 01268 523399 herondale@mcch.org.uk 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) MCCH Society Limited Mrs Diane Patricia Watts Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th November 2005 Brief Description of the Service: 2 Herondale is registered to provide personal care and accommodation to a maximum of eight adults with a mental disorder. This includes residents’ aged 18 to 65 years as well as older people over 65 years of age. This does not include people who may have dementia or learning disability. The home is a modern purpose built premises set in a residential area of Basildon. The accommodation is on two floors with eight single bedrooms some of which are on the ground floor. Residents have use of the lounge, separate dining room, quiet/smoking room, laundry and kitchen. There is a shaft lift access between the ground and first floors. The home has a garden to the rear and adequate parking to the front. It is also close to local shops and Basildon town centre can be reached on foot or by public transport. The current weekly fees range from £978 to £997. Extra charges are made for hairdressing, chiropody, toiletries, activities and holidays. Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Key Inspection site visit took place over a period of 6.00 hours. The visit mainly focused on the progress the home had made since the last inspection and covered all key standards. A tour of the home took place. Staff and residents were spoken with during the site visit who were helpful in their contributions and the assistance they gave to the Inspector. In addition, case tracking took place using some of the personal care records and other official documents within the home were also assessed. Letters had been sent out to health care professionals and funding authorities requesting feedback of the service provided by the home but no responses have been received. In addition, individual resident surveys conducted by the staff team, were also taken into account. Some relatives also completed survey forms. From the responses received, these were generally positive and complimentary regarding the care provided. Information was also taken from the pre-inspection questionnaire submitted by the manager. Other documentation and contacts with the home, which had taken place since the last inspection, were also taken into account in determining the outcomes of this inspection. What the service does well: What has improved since the last inspection? Since the last inspection, requirements have been met including improvements in the time taken to deal with items of maintenance, repairs and servicing to the building/equipment. The Statement of Purpose and Service User Guide for the home has also been updated. In addition, staff have carried out some interior decorating to the ground floor of the premises. Several notifications under Regulation 37 of the Care Homes Regulations have been received by the Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 6 Commission for Social Care Inspection relating to errors, which have occurred in the administration of medication. Improvements to the procedures have since been made by the staff team resulting in medicines being administered more safely, reducing the risk of error. Staffing levels are now more consistent with two vacancies having recently been filled. These new appointments are due to commence shortly, subject to satisfactory recruitment checks. 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. Herondale (2) DS0000018053.V306963.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 Herondale (2) DS0000018053.V306963.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Admissions are not made to the home until a full needs assessment has been undertaken reflecting individual aspirations. EVIDENCE: A sample check was made of pre-admission assessments which had been carried out which included reports from the clinical psychologist including background information, current presenting problems, assessment and contributing factors as well as recommendations. Nursing reports were also included as part of this process with information relating to self-care, eating and drinking, shopping and money matters. A social history was also included. Visits to the home prior to admission are also arranged as part of the assessment procedure. Following admission, care plans had been compiled to reflect individual goals and aims as agreed with the resident. There have been occasions in the past where only basic information was made available apart from reports supplied by community psychiatric nurses. The management are now aware that prospective residents can only be admitted to the home on the basis of a full assessment being undertaken by people competent to so, in accordance with the provisions of this national minimum standard. Herondale (2) DS0000018053.V306963.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Care plans together with risk assessments, were in place, which had been drawn up following discussion with residents, taking account of individual needs and showing how support is to be provided. EVIDENCE: Case tracking took place in respect of two residents as well as inspecting other personal care records. Conversations also took place with residents who were willing to talk to the inspector. Care plans are developed following person centred planning principles and each resident has a plan that has been discussed with him or her. Care plans were comprehensive and detailed which included up to date information. Regular reviews had taken place which had been signed by the resident concerned, manager and a key worker. The care plan format included goals and aims together with objectives and expected outcome. Some of the residents spoken to, confirmed that their care needs were discussed with them Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 10 by the staff team and that regular support was provided to enable them to follow their preferred daily routines and choice of activities. One of the residents spoken to said that they had copies of previous care plans in their bedroom. Community psychiatric nurses and other healthcare professionals play a positive part in supporting residents and the staff in addressing behavioural problems and clinical needs. Risk assessments were specific in dealing with such issues as shower supervision, personal finance, slips or falls as well as the use of cigarettes, verbal and physical aggression. In each case the identified risk, steps to be taken and signatures of staff, manager and individual resident had been included. One of the survey forms completed by a relative confirmed that staff demonstrated a clear understanding of the care needs of residents and that the home communicates clearly and keeps in touch. Herondale (2) DS0000018053.V306963.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The home provides support to residents in pursuing social and recreational activities in accordance with individual needs and choices, which is linked, into the local community. Residents are able to enjoy regular appropriate family and personal relationships. Residents rights are respected and daily responsibilities in the home encouraged. EVIDENCE: From discussion, observation and records available, there is evidence to show that residents are encouraged to enjoy and take part in leisure and recreational activities particularly in the local community. Residents are welcomed and accepted by local shopkeepers/traders all of which, are easily assessable and near to the home. Visits to local pubs and restaurants also take place. In addition, holidays and outings are arranged in accordance with resident’s choice. Staff are good and supporting residents and accompanying them to local shops and other leisure facilities. During the inspection, one of Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 12 the residents showed staff birthday presents which one of the other residents had purchased from the shops. Some of the residents spoken to were also looking forward to their coming holiday in Norfolk. Photographs were displayed in the home of previous outings and events which had taken place. Residents are encouraged to take part in household chores and garden maintenance. Although some residents need motivating, others enjoy this activity rather than going out and pursuing other interests. Personal care records had evidence of where various opportunities had been offered but had been declined by the residents concerned. Positive social interaction had occurred with residents from other care homes, which included barbecues and other functions taking place at various locations. One resident had been supported by staff and assisted in making transport arrangements to visit their relatives in the Midlands, which had proved to be a very positive experience. Some of the residents are no longer self- motivated to take part in activities or to pursue interests, which they once followed. It is recommended that the staff team continue to develop creative and imaginative ways of stimulating interest in order to give opportunities for residents to follow a more fulfilled and varied lifestyle. Residents spoken to confirmed that they were able to choose and prepare their own lunches. Menus are discussed with residents once a week and meals are changed where necessary in accordance with personal choice. Records of meals provided were available. One of the residents spoke about regular visits they make to relatives, which is made with the support of the home. Other contacts also take place with families or next of kin/advocates. Some residents have very little contact with relatives which in some cases, is because of the express wishes of residents concerned. From conversation, observation and the inspection of records, there was evidence to show that the core values of rights, privacy, choice and independence were being upheld. Herondale (2) DS0000018053.V306963.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to the service. Assessed and identified care/health and emotional needs were being met appropriately, which included the positive support of other health care professionals on a regular basis. Policies and practices for medication have been improved to promote safer administration of medicines for residents. EVIDENCE: Efficient systems are in place to ensure residents receive effective personal and health care support. Staff are highly aware that the way in which support is given is a key issue for residents. Individual plans clearly record personal and health care needs and detail how they will be delivered. Information recorded included visits and treatment provided by community psychiatric and district nurses. In addition, the record of specialist appointments with consultants and local doctors were available. Staff were very positive regarding the working relationship and support received from consultant psychiatrists and community psychiatric nurses, which was said to be excellent. Consultant psychiatrists had also been willing to speak at the staff team away- days. Some of the comments in resident surveys also confirmed that they were able to obtain help from local mental health services when needed. In addition, residents stated that they were satisfied with the help and support they receive from Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 14 staff in handling difficult situations. It has not always been possible to have good communication links with local doctors surgeries when it has sometimes been difficult to obtain appointments for residents. In emergency situations, it has sometimes been necessary to take residents direct to Accident and Emergency department at the local hospital. The management of the home are working to improve the situation to bring about improved accessibility and a better service being available for residents. A sample check was made of the medication administration records and entries had been completed in accordance with accepted practice. Previously, there had been a number of errors in the administration of medication but procedures have been revised and additional training has been given to staff, which has significantly reduced the risk of errors occurring. The storage cabinet had also been reorganised and any excess ordering has been cancelled with the pharmacist. The Area Service Co-ordinator has also been successfully inspecting medication procedures as part of the monthly monitoring visit. Protocols were in place for treatment under P.R.N. (to be taken as required), including the use of dermol lotion and aqueous cream. Records were also available of homely remedies and visits of residents who attend clinics for depot injections. The Inspector has been in touch with the Mental Health Commissioner who has quarterly meetings with the Registered Provider. Copies of previous inspection reports are discussed together with information regarding feedback received from residents and carers of the service provided. Herondale (2) DS0000018053.V306963.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. There is an established complaints procedure in place and residents views are listened to and acted upon. Staff have an understanding of the reporting procedure for the prevention of harm to vulnerable adults, ensuring that the safety of residents in the home is of paramount importance. EVIDENCE: The home has a complaints procedure, which is included in the Service User Guide. The home was able to demonstrate that its procedures are effective and a complaint received from a member of the public a few months ago, was dealt with appropriately and had a successful outcome. Some of the residents spoken to, confirmed that they could discuss issues as well as being able to consult with staff. Meetings with residents also take place and some residents had completed survey forms with the assistance of staff. These were based on the Carers and Users Expectations of Services (C.U.E.S.) format. Some of the residents had refused to take part in the survey and although this format has been used on previous occasions, it is questionable whether the layout is entirely suitable for the residents in this home. It is suggested that a more user-friendly format be created, including the use of symbols/pictures with a view to involving residents more positively in giving feedback of services provided and how these can be improved. Staff have an awareness of the reporting procedures to be used when relating to instances for the prevention of harm to vulnerable adults. It was noted from the staff training records, that no recent P.O.V.A. training has been given Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 16 to staff and that this last occurred over five years ago. The manager advised the Inspector that she had applied for updated training on behalf of the staff at Herondale and recently, Essex Social Services had sent through a training package to be used by staff in-house. This form of training has yet to be tested but the Registered Provider must ensure that any P.O.V.A. instruction is fully understood by staff and can be applied in practice should it be necessary to report such instances of abuse or suspected abuse. Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 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 the following standard(s): 24 & 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The home provides a physical and safe environment that is appropriate to the specific needs of residents who live there. EVIDENCE: Since the last inspection, improvements had been made to the response time in dealing with items which require maintenance and servicing. At the time of inspection, there were no urgent matters outstanding. Current servicing/safety certificates were in place. Members of staff have redecorated the lounge, dining and utility rooms as well as a kitchen. The downstairs hallway carpet was showing particular signs of wear and needs replacing. The manager advised the Inspector that the carpet in this as well as other areas of the home, is due to be replaced by the Registered Provider later this year. The home is generally clean and tidy and bedrooms are personalised in accordance with individual taste. Facilities with appropriate size bathrooms and equipment as well as a shaft lift, are available and suitable for the resident group including wheelchair users. Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 18 Staff are aware of infection control measures and attended training in 2005. They also have an awareness of the necessary controls of substances hazardous to health which were being followed. Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 & 35 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The number of staff on duty, with support and supervision, was able to meet the needs of residents who have confidence in the care provided. Resident’s are protected by the home’s recruitment procedures. The training programme for staff does not include adequate provision for mental health needs. EVIDENCE: A rota was available which supported named staff on duty. This normally includes three staff including the manager during the waking day with one awake member of staff on duty at night and another ‘sleeping in’ on the premises to provide assistance if required. Some of the residents spoke positively of the input and support received from staff and it was observed during the inspection that residents were confidently able to approach members of the team to discuss issues and to ask questions. Staff were seen to be responding appropriately to individual residents. Two new staff have been recruited to cover existing vacancies and interview papers had been submitted to the Registered Provider’s central office where recruitment records are retained. The manager was waiting clearance from central office regarding satisfactorily references and Criminal Record Bureau Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 20 checks before giving the new staff a commencement date. An arrangement has been agreed with the Registered Provider for the Provider Relationship Manager of the Commission for Social Care Inspection to check recruitment records twice a year at the central office in Maidstone. Should there be any shortfalls or concerns, these will be addressed at the time and the Inspector notified accordingly. A variety of training courses had been completed by staff including epilepsy, manual handling, care planning/monthly evaluations, and fire training. It was noted that very little provision had been made for mental health awareness and the last recorded training took place in 2002. As the home is registered for the care of mentally disordered people, the Registered Provider needs to give more priority to enable the staff team to be updated on mental health issues. It was also noted that some courses for which training applications had been submitted, e.g. understanding mental distress, (applied for in September 2005), that a response was still awaited. In addition, staff who had applied for N.V.Q. training in December 2003, were still waiting to obtain a place on the course. Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The registered manager is suitably experienced to run the home to meet its stated purpose, aims and objectives. Systems are in place to ensure that the needs and views of residents are taken into account for improving the service. The standards for health, safety and welfare of residents and staff are maintained. EVIDENCE: The manager is currently studying for the N.V.Q.4 Registered Managers Award and has completed various other courses of training. There is a strong ethos of being open and transparent in all areas of running the home. The manager, together with the staff team, works effectively together to improve the service and quality of life for residents recognising equality and diversity issues. The home had carried out a survey with residents to find out their views of the home and service provided. Not all residents were willing to take part in the survey but those who did respond, were generally positive of the support Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 22 provided. Confirmation was given that help from local mental health services was available and staff were available to give help in difficult situations. Other comments were made to indicate that some residents would like to go out more frequently. Staff mentioned to the Inspector that some of the residents were reluctant to co-operate in the survey, particularly as the same questions and format is used each time. The survey format used is the Carers and Users Expectations of Services (C.U.E.S.) and staff commented that they did not feel the layout of the form/questions was entirely suitable for the resident group living at Herondale. Recommendations as to how feedback from residents’ surveys could be improved has already been covered in this report under standard Y.A.22. The responses should then be used as part of the process for looking at ways to improve quality of life in accordance with the aspirations of residents. The pre-inspection questionnaire had details of regular servicing which had been carried out in respect of health and safety, including emergency call systems, shaft lift and other hoisting equipment. Policies, procedures and codes of practice are regularly reviewed and updated as required. Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 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 4 4 3 x 3 x 3 x x 3 x Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 24 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 YA23 Regulation 13 (6) Requirement The Registered Person shall make arrangements for the ongoing training of staff or by other measures, to maximise awareness of P.O.V.A. procedures, in order to prevent service uses being harmed or suffering abuse or being placed at risk of harm or abuse. The Registered Person shall, having regard to the size of the care home, the Statement of Purpose and the number and needs of service users, ensure that staff receive training appropriate to the work they are to perform, including mental health awareness. Timescale for action 30/09/06 2. YA35 18 01/12/06 Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 25 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 YA12 Good Practice Recommendations The Registered Provider, together with the staff team, should look at alternative ways of encouraging residents to enjoy an increased stimulating lifestyle with a variety of options to choose from. The Registered Provider should look at alternative ways of obtaining the views of residents, including survey forms, which are user-friendly, taking into account the individual needs of the resident group. The feedback should be used as part of the ongoing process to improve services in the home and local community. 2 YA22 Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Herondale (2) DS0000018053.V306963.R01.S.doc Version 5.2 Page 27 - 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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