Inspection on 14/04/05 for 20 Allington Way

This inspection was carried out on 14th April 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

20 Allington Way 13/05/08

20 Allington Way 20/12/06

20 Allington Way 31/10/05

20 Allington Way 07/10/04

20 Allington Way 04/06/04

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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 20 Allington Way 20 Allington Way Maidstone Kent ME16 OHJ Lead Inspector Lynnette Gajjar Unannounced 14 April 2005 15:25pm 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. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 20 Allington Way Address 20 Allington Way Maidstone Kent ME16 OHi 01622 686681 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) MCCH Society Ltd Mrs Susan Maxwell CRH Care Home 3 Category(ies) of LD Learning Disability registration, with number of places 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: NA Date of last inspection 7 October 2004 Brief Description of the Service: 20 Allington Way is one of a number of registered care homes managed by MCCH Society Ltd in the South East of England. The home offers 24-hour care for 3 adults 18-65 year of age,who have a learning disability. The home has one sleep over staff at night. The house’s accommodation comprises of a large kitchen / dining area, single bedroom, bathroom with WC and lounge on the ground floor. There are two further single bedrooms, bathroom with WC and staff sleepover / office on the first floor. The home has a large rear garden and ample off street parking for three cars (two of which are Service Users own mobility cars). There is also un-restricted street parking. Service Users are encouraged to take part in daily activities to the best of their abilities and access the local community and amenities. The home is situated near the main A20, with easy access to public transport regularly into Maidstone town centre. Maidstone town centre is approximately 2.5 miles. There are also a small row of local shops and amenities accessible in Allington. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The visit lasted from 15.25pm until 18.15pm. The home currently has two service users in residence and one vacancy. The visit was spent talking directly with both service users privately and collectively; two care staff, the registered manager and the visiting service coordinator. Due to the nature of the service, it is difficult to reliably incorporate accurate reflections of the service in the report. Some judgements about quality of life and choices were taken from direct conversation with service users and observation followed by discussion with staff and evidencing records held at the home. A tour of the premises was undertaken. What the service does well: What has improved since the last inspection? Service users are more settled as the manager is now working all the time at the home, the feel the home is also much happier. “It’s good having Sue here more, she always makes me laugh”. The redecoration of the hallway and stairs with different colours patterns has made this area brighter and improved safety as service users. Independence, mobility and safe moving have improved, as service users have more grab rails around the home and the security of the new mobile hoist to use. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 6 Good support is given to service users in managing their personal monies; staff are recording clearer records that are easier to follow. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 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 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 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) 1,2,3,4,5 Service users and advocates are given comprehensive information to make choices prior to moving in to the home. Service users have the security of tenancy through written agreements with the housing association. EVIDENCE: Service users spoken with were not aware of the comprehensive written statement of purpose and service users guide, which gives clear information about the service provided. The registered manager stated ongoing work continues to develop these documents in more easily understood formats for the current service users, such as pictorial and tapes/videos etc. Both service users have resided in the home for a number of years, but one remembered being given good verbal information about the home and visiting with their mother before they moved in, they also stated “ do you know I think I have a much better life here than at home, it’s lovely here”. The home had a recent new admission for short-term care where the manager stated lessons were learnt to improve on communication with other interested parties as part of this process. One service user also discussed this recent admission and being involved in the new persons induction and visits to the home. Being asked their views and agreement to the new person moving into the home for a short stay. This service user also expressed sadness at their moving out of the home recently and how they missed them. The second service user’s body language and facial expression also indicated a fondness to this person during 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 9 this conversation. Staff confirmed improved conversation and interaction between service users over the past five months. A file shared contained a written tenancy agreement, which gives the service user security and rights of residency, detailing the tenants and landlord’s rights and responsibilities. Service users require help to understand the agreement. The organisation has a housing officer who also supports service users with understanding their tenancy agreements through meetings and discussion. Pictorial formats are being piloted in another area of the organisation. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 Service users are able to make a range of choices about their lifestyle and are helped to look at risks that they may face to do the activities through their care plan. Service users feel safe talking to staff and know what they share will not be shared with anyone who doesn’t need to know. EVIDENCE: Staff have worked hard to develop personal records related to the service users care. The records seen have provided care staff with relevant information to ensure the individuals is offered the same personalised care. A service user said they had discussed their care plan, had meetings with their care manager, nursing staff and key-worker about some of the problems of doing some activities since they have not been so well and can’t get about so well. They were pleased that staff have helped them look at different way to do things and with more help with special equipment it has meant they are able to continue doing them. Records shared were reviewed and recorded monthly. Further work on other formats other than the written word should be looked into; to assist those service users to have more involvement and understanding of the care plan process. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 11 Staff understood each service user was an individual and direct observation evidenced that personal decisions were respected. Discussion took place with staff in exploring a new day activity locally with a service user, which was instantly not accepted by them and staff retracted this and confirmed this would not be done. Reading of daily records, speaking with staff and service users and general observation also supported personal decisions inactivities for both service users. Both lead different social activities and support needs. Staff spoken with, showed a good understanding of respecting confidentiality. Records are stored securely and service users did not share these with others without their personal agreement. Both agree to the inspector looking and discussing their care plans with them and the registered manager. Service users had chosen personal coloured files and were familiar with the files during this discussion. The homes computer is registered and complies with Data Protection Act 1998. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 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 users are helped to learn and keep practical skills they need each day, to the best of their abilities. They have access to the local area, through individual and group activities. Families and friends are in regular contact, which helps them to share their views and feelings. Food served by the home was found to be popular and includes individual choices at each meal. EVIDENCE: In speaking with service users and staff daily chores and activities explores opportunities for the individual, offering further independence and confidence to question and say ‘no’. Good examples were directly observed during this visit were a service user with limited communication was encouraged and enabled to assert their view and choices without being led by staff. A service user excitably discussed the additional day booked to attend Tuck by Truck and meeting a specific friend who worked there. Showing key-workers responsibility for working with service users in identifying activities and work placements of interest 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 13 Both service users require full staff support within the local community. This was fully evidenced through conversation and both verbal and body language responses with both service users. A service user finds busy crowded areas difficult to manage and staff showed compassion and planning of outings and activities to limit the distress this may cause. Simple arrangements such as entering a restaurant by the back entrance rather than front, where it is busy have been arranged with local proprietors to enable the service user to eat out at Chinese restaurant comfortably and successfully. Throughout this visit service users and staff talked of the close contact with family and friends, including inviting for meals at either home. A service user discussed a friend visiting the following day for evening meal with them and discussing menus with the staff. Daily records also supported and reflected regular contact. Service users require full support from staff in preparing of meals and beverages due to limited ability and health care needs. Service users are encouraged to take part in the purchasing and preparations of food. Menu records evidenced varied and balanced meals. A service user has continued to gain weight through the support given. Alternative sandwiches were offered at the evening meal when a service user said they didn’t like it. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 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) 18,19.20,21 Service users healthcare needs are managed well and staff are aware of additional support individuals require. Medication practices are good, making sure the physical and personal needs are met. Personal wishes in the event of illness and bereavement are managed sensitively. EVIDENCE: Talking with service users privately, it was evident that individual preferences regarding personal care are taken into account, but also encouraging good standards of personal hygiene and self-respect. Records and observation indicated high standards of personal presentation and dress. A service user is supported by staff, to colour their hair regularly at their choice. Both service users indicated key-worker and family support in going shopping for personal items and clothing. This area continues to be well managed within the home, with clearly detailed guidance in care plans in support with preferred gender of staff working with them, times for getting up and baths meals etc. The staff team has become more stable since the last inspection; with a further three new staff due or already started. Giving stability and security to the service users and key-working role. Care plans and conversation with service users evidenced regular contact with health care professionals. A service user discussed transport arrangements to 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 15 appointments and the high level of support from both care and hospital staff. “ I feel fit as a fiddle now”. Medication is stored securely and safely within Royal Pharmaceutical Society guidelines. Systems are in place to reduce the risk of errors occurring. Good levels of support, understanding and empathy were shared due to the recent bereavement of a service user. Safe, confidential and sensitive support was evident from staff to assist service user through this difficult time. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home operates in an open manner and has not had any formal complaints since the last visit. Both service users and relatives are aware of how to complain or raise concerns. Staff have a good understanding of the how to prevent abuse but would benefit from formal training. EVIDENCE: The complaint procedure is clearly on display around the home. A service user spoken with clearly understood who to talk to if they wish to make a complaint. But quickly stated they had “no complaints, all the staff were lovely”. The registered manager stated no formal complaints have been received since the last inspection. The commission received one concern from advocates, through support from the care management, and senior management concerns were listened to and responded to appropriately and were resolved amicably. Since the last inspection the three adult protection cases have been closed following full investigation and disciplinary action by the organisation. Staff spoken with expressed a good understanding how to prevent abuse and raise an alert, thus safeguarding service users from the risk of harm or abuse. The registered manager stated they are still waiting for confirmation of POVA awareness training by the organisation but training requests have been submitted to the training department. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 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) 24,25,26,27,28,29,30 Service users have sufficient facilities to meet their current needs with minor alterations that would benefit further safe and comfortable surroundings. All rooms visited were found to be in good order and personalised. The home continues to benefit from investment as evident from recent works with the registered manager continuing to ensure a safe, well-maintained environment for service users through the agreed action plan. EVIDENCE: There is continued commitment from the registered manager and staff to maintain the home to a good standard. Further redecoration has occurred since the last inspection and the hallway and stair have been redecorated and carpeted following advice from Kent Association for the Blind. The asbestos identified at the bottom of the garden has been removed. For independent use of the garden, railed pathways and seating would allow the less ambulant service users better access. Jutting brickwork and uneven surfaces are also a hazard for the less ambulant Service User and the registered manager evidenced request with the housing department to rectify this but is awaiting a response. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 18 A service user talked about their bedroom being decorated in the next few weeks, their involvement in choosing the colour scheme and looking forward to buying new bedding and curtains to match. There are a few outstanding areas still requiring addressing from the last inspections such as wash basins in service users rooms and separate laundry The registered manager stated all of the aforementioned have been submitted as work required and are awaiting budget allocation. It is acknowledge that staff are issued with alcohol hand wash vaporisers to wear at all times and clean hands between work activities to reduce the risk infection. Full ground floor environment risk assessment been undertaken with the District Nurse and additional grab rails and a hoist are now in situe. The home has two good accessible bathing facilities to promote independence and supported personal care. The ground floor bathroom could be restricted in space, if the plans to use some of the space to build a separate laundry area. Plans have not yet been submitted to the fire officer or the commission for approval. The ground floor bedroom is the only room fitted with a call system. The homes action plans stated that Service Users wear piper lifeline pendants. This pendant was repositioned in the ground floor bedroom over night following concerns over mobility and was found to be invaluable to the service user who was able to call for assistance easily. The home has adequate communal areas to meet the Service User requirements however the home does not have separate private space for visitors or consultation. Service Users and staff confirmed that visitors are limited and when they occur they go to their private rooms if they do not want to involve others in their conversations but many prefer to stay and chat to everyone in the home. This presented as acceptable to the current service users; concerns over behavioural management are no longer present. The lounge was observed not to be used during this visit but mainly the dining/kitchen area as the ‘ hub of activity and preferred social area’. There is a laundry located in the main kitchen. The registered manager evidenced discussion and site visits with the Health and Safety Advisor and Housing dept to move these. Risk assessments and guidelines are in place to ensure the safe handling of laundry and separation of cooking and meal preparation times, pending the alterations being carried out. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35,36 Service users feel confident in the recruitment and supervision provided, to make a safe and protected home. There is sufficient numbers of confident and knowledgeable staff team to support service users in their daily lives. EVIDENCE: The home has in the past year experienced higher turnover of staff mainly due to promotion within the organisation. Since the last inspection the home has successfully recruited three new staff, thus offering more stability. The home has a whole time equivalent staffing level of 7 staff including the manager and is currently running with one senior support worker vacancy, where interviews are taking place this week. A good response was received to this advert. New staff complete a full induction linked to TOPPS. Packages were seen today in preparation for new staff. All staff files held in the home evidenced today had the required administration and checks undertaken through the recruitment process. Staff today presented as confident and approachable in their roles. Their commitment to the ensuring the safety and independence of Service Users was very evident in the manner, support seen during the visit. Of the current 5 care staff in post 4 have achieved NVQ 2 or 3 in Care. One new staff member is registered to commence this. Staff confirmed that they 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 20 are in the processing of updating and renewing mandatory training and applications have been submitted to the training department for processing. Acknowledgement letters were evident on the new staff file for core mandatory training; some had already been completed in the past week. Regular one to one supervision is taking place the registered manager, with written records indicating all staff will receive at least 6 within 12 months. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 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) 37,38,39,42 Service users have benefited from a motivated manager based at the home, who is developing a fuller range of management and care skills in understanding best practice. The home was found to be conducted in an open and friendly manner with staff support to carry out their roles. The overall management of the home, including senior management of the organisation has stabilised offering consistent support and addressing shortfalls from previous visits. The home would benefit further from regular formal feedback from others involved in the service users lives and care provided. EVIDENCE: 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 22 The registered manager has been in post since January 2003. They have the Certificate in Management Studies and is due to recommence the Care Qualification with Canterbury Tizzard Centre in September 2005 following deferral for one year and therefore does not currently hold a formal qualification in care. Following a review of management arrangements, the registered manager has relinquished line management responsibilities for four other homes and has been concentrating on managing 20 Allington Way for the past six months. Considerable improvements in staff morale, supervision, written records and administration are noticeable with their fulltime management support. The registered manager presented as open and enjoying the dedicated time at the home and feeling of accomplishment to address concerns raised in the previous visit. The home has allocated team away days to explore the homes yearly goals and action plan. This represents their annual development plan and promotion and growth in line with good practice in working with adults with a learning disability. Formal surveys are not undertaken with service users due to the nature of service provided, however it is strongly recommended that formal surveys are undertaken regularly with other persons involved with individuals, such as visiting professionals, families and visitors to seek views and listen to issues advocated on behalf of the current services users rather than relying in the yearly formal review process. Formal environmental and fire risk assessments are in place. Weekly walking routes records are undertaken it monitors and report maintenance and health and safety issues for action. Regular servicing of equipment in the home is undertaken as required. Incidents which affect the well-being of service users are recorded, with what action was taken. All recent incidents have been reported to Commission for Social Care Inspection (Kent and Medway) as required by regulation 37. 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 3 3 3 2 Standard No 11 12 13 14 15 20 Allington Way 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 Version 1.20 Page 24 H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 4 Standard No 37 38 39 40 41 42 43 Score 2 3 2 x x 3 x 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc Version 1.20 Page 25 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 YA 30 Regulation 13(3) Timescale for action The registered person shall make 31st July suitable arrangements to prevent 2005 infection, toxic conditions and the spread of infection within the care home.The registered manager stated that site visits have occurred to discuss moving the laundry equipment away from the Kitchen. Plans have yet to be drafted or consultation with the commission and fire service to suitability of the proposall The registered person shall 31st May ensure thatAll parts of the home 2005 to which Service Users have access are so far as reasonably free from hazards to safety.Unnecessary risks to the health and safety of Service Users are identified and so far as possible eliminated. .Removing or placing grab rail over the jutting wall on ramp area to back garden to minimise the tripping hazard.This was a requirement set from inspection dated 7th October 2004. The registered manager stated the housing department have been to assess this but they have not been informed of any completion to Version 1.20 Page 26 Requirement 2. YA24 13(4) 20 Allington Way H56 H06 S29146 20 Allington Way V214527 140405 Stage 4.doc date. 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 YA1 Good Practice Recommendations The statement of purpose and service users guide is further developed on other formats to meet the needs of current service users, especially for those with limited reading skills. The contract is in a format/language appropriate to each Service Users needs, and /or reasonable efforts have been made to explain the contract to the Service User.The registered manager stated a pilot of a pictorial format continues to be explored within the organisation. This is an ongoing recommendation for the previous two inspections of 2004. The care plans continue to develop in a format/language appropriate to each Service Users needs, and /or reasonable efforts have been made to explain the care plan to the Service User or representative It is recommended that washbasins in private rooms are re-assessed. It is recommended that plans for adaptation of ground floor bathroom and laundry area be submitted to fire officer and the commission before any work commences.The registered manager stated further site visit have occurred and alternative options are currently being explored by housing dept since the last inspection on 7th October 2004. This is an ongoing recommendation from in April 2002.. It is recommended that the registered manager continue to complete their formal qualification in care. It is recommended that views of other persons involved with service users is actively sought through a quality assurance survey at least once an year and the feedback is summarised and submitted to the commission and included with the service users guide for prospective service users reference. 2. YA5 3. YA6 4. 5. YA26 YA 30 6. 7. 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