Inspection on 20/12/06 for 20 Allington Way

This inspection was carried out on 20th December 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 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 31/10/05

20 Allington Way 14/04/05

20 Allington Way 07/10/04

20 Allington Way 04/06/04

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Insight - Eastchurch

Southfields

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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 0HJ Lead Inspector Debbie Sullivan Key Unannounced Inspection 19th December 2006 09:15 20 Allington Way DS0000029146.V317914.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 20 Allington Way DS0000029146.V317914.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. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 20 Allington Way Address 20 Allington Way Maidstone Kent ME16 0HJ 01622 686681 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 Mr Graham Kennedy Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st October 2005 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 from 18-65 years of age who have a learning disability. The home has one member of staff sleeping in at night. The accommodation has 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. There is also un-restricted street parking. Service Users are encouraged to take part in daily activities within the home and community and to access the local amenities. The home is situated near the main A20, with easy access to regular public transport into Maidstone town centre. The town centre is approximately 2.5 miles away. There is also a small row of local shops and amenities accessible in Allington. The fee for the service is £1,226.00 per week. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection site visit of this service took place over nearly six hours, during the site visit a tour of the property took place and time was spent with the registered manager, service users and support staff. Information was also gained from the pre inspection questionnaire completed by the manager, observation of the routines of the day, discussion with service users and support staff and reading records and other documentation. Due to the nature of the service some judgements about quality of life and choices have been made using information provided by staff and on records. At the time of the last inspection the service had experienced a period of instability in terms of staffing, management and the group of service users living there. The new manager has worked hard to resolve this during 2006, and the findings of this inspection are that it now offers a secure and well run environment for service users that has a more stable and well-trained staff group. Comments made during the site visit by service users included, “It’s lovely” “Staff are all nice to me” Comments made by staff included, “Since the new manager and senior have taken over you could not wish for a better home” “Training is brilliant” “Service users are now more relaxed” What the service does well: The home provides a well-maintained and homely environment in which service users are secure and can gain in confidence. Service users are treated as individuals and their personal and healthcare needs, interests, abilities and communication needs are well recorded and understood by staff. Healthcare needs are well met and the home promotes contact with other professionals when necessary. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 6 Staff are well supported, offered good opportunities for training and work well as a team. What has improved since the last inspection? What they could do better: Work needs to continue to provide the service users guide, statement of purpose and service user’s contract in a format that is more accessible to them. Further progress needs to be made on filling vacant staffing hours. Planned redecoration of the living room will improve the quality of the communal space available to service users. The provision of washbasins in bedrooms would benefit service users and reduce any risk of cross infection. The fitting of radiator guards in both bathrooms would further ensure the safety of service users. A new washing machine is needed, as the current machine is not designed to take the amount of laundry produced on a daily basis. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential service users are able to visit the home and spend time there before making a decision to move in. The provision of the statement of purpose and service users guide in pictorial form would give service users the opportunity to access more information. EVIDENCE: At the time of the last inspection the service user group was not compatible, with one service user having been wrongly placed. This situation was resolved in early 2006 when a new service user moved in after a period of preparation and introduction. Another service user spoke of these visits and staff said that she looked forward to them. The introduction included visits for meals, overnight and then staying for a weekend. The new service user has settled in well, the group is now more settled overall and is confident in each other’s company. There are no current plans for any changes in the group. The home has a statement of purpose and service users guide, both are under revision, as is the service users contract documentation, so that the information is more accessible to service users. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 10 Contracts are in place on care plans and in the case of the most recent service user who had moved from another MCCH property had been updated. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users are recorded on their care plans and the information reflects all areas of their lives. Opportunities for choice, decision making and risk taking have increased and risk assessments reviewed. EVIDENCE: Each service users’ care plan was read, in the case of the newest service service user some information needed to be reduced and updated, as it was still relevant to their previous home. All the care plans contained comprehensive information on all aspects of the service users day to day lives, such as health, social activities, a weekly planner, personal care preferences where it was clear that consultation had taken place, financial information and risk assessments. There was evidence of reviews and risk assessments had been broadened and revised, the manager intends do some further work in this area. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 12 Since the last inspection, and with a more settled atmosphere in the house and a more confident staff group, service users have had encouragement and more opportunities to make choices and decisions about their lives. It was clear during the site visit that staff offer the chance for decision making as often as possible, eg choice of meal or drink or opportunities to go out, and are comfortable in doing so. Examples are choice of activity within the home and community, use of all areas of the house without now being compromised by another service users’ behaviour, opportunities for one to one time with staff and consultation about the running of the home. Service users help with the shopping and are supported to clean their rooms. The manager and staff gave an example of a service user who feels insecure when away from the house and who is slowly choosing to access the community more with encouragement. The recording and management of the finances of service users held at the home has substantially improved, service users keep spending money in personal locked tins and are supported to withdraw and spend their money. Amounts tallied with the daily recording. The recording of transactions is regularly monitored and the balance checked, Service users have either social services representatives or legal advocates as appointees. Records are stored confidentially and securely, and staff had good awareness of when information may need to be given to another agency. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to access a range of social and recreational activities of their choice and opportunities for these have been increased. Staff are respectful towards service users and have a good rapport with them. EVIDENCE: Service users participate in a range of activities within the placement and community. During the site visit one service user was out all day at a day opportunities service, another attends a work experience project several days a week and other regular activities are shopping, going out for lunch, riding and joining with people in other MCCH services for social events. One service user who is not always happy to be away from the house is supported to go out to lunch regularly if she chooses to. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 14 There is regular contact with relatives, and staff spoke of relatives visiting the house and service users going to see them, two service users were spending Christmas Day with their families. At home service users like to watch TV in the lounge or their rooms, listen to music and enjoy being with staff. Staff said that service users like being together and chatting and will often choose each others company rather than spending time alone. Now that the service users are more compatible and all three are comfortable in each other’s company the atmosphere in the house is much improved. Opportunities for trips out and individual time with staff have also improved. One service user with their own motability care who needs to attend dialysis three times a week, and on other days attends work experience, sometimes also has to pay for a taxi as there are not currently enough drivers amongst the staff to accommodate all necessary journeys, although staff who do drive go out of their way to try to be available. A service user spoken with felt that staff are respectful towards them and spoke warmly of them in general, the interaction observed between staff and service users was excellent and staff clearly respect their individuality and understand needs well. The menu is very varied and service users contribute to choosing meals daily, choices are recorded. During the site visit the house held its pre Christmas meal for staff and service users, this was a Chinese meal and a staff member came in from leave to attend, a service user spoken with afterwards said how much they had enjoyed it and were looking forward to Christmas at the house. Service users have some special dietary and nutritional needs and these are clearly recorded and adhered to. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of service users are well met and individual preferences are respected. Medication practices are good and staff adhere to policies and procedures. EVIDENCE: Each service user requires some assistance with their personal care, the level of independence varies and care plans clearly stated what tasks service users needed support with, preferences for how care is given are recorded, this includes gender preference. A great deal of attention is given to ensuring that personal and health care needs are met as fully as possible, the service users are supported to access a number of health and social care professionals and as far as possible attend appointments in the community rather than at home to promote community participation. Information was recorded showing that service users visited such professionals as chiropodists, dentists, an optician and physiotherapist. A reflexologist visits the house. One service user has noticeably benefited from a calmer and more stable atmosphere and now exhibits less anxious behaviours and is becoming more 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 16 confident. Another service user with quite complex health needs is very well supported in respect of regular hospital attendance for dialysis and other health appointments and changes in needs are recorded. Medication is correctly stored and all staff are trained to administer it, MAR sheets seen had no gaps and the GP has now signed statements regarding PRN medications. One service user is supported to partially self medicate. There are clear policies and procedures in place regarding medication and the new manager has updated much of the information and guidance for staff. Information was provided on one care plan of the wishes of the service user in the event of death, this had been recorded sensitively. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Safeguarding and complaints policies and procedures are in place. Staff receive adult protection training and are aware of what constitutes abuse. EVIDENCE: The complaints procedure is displayed in the home, there had been no complaints since the last inspection and the adult protection alert then current has been closed. Staff have a good understanding of when service users are not happy, and those who are less able to communicate express their feelings via mood or gesture. Service users would need support to make a formal complaint. One service user spoken with was happy with the service and aware they could go to staff with any concerns. The home has adult protection policies and procedures in place, staff spoken with had received updated Adult Protection training and possessed good awareness of what could constitute an Adult Protection referral and who to go to with information if necessary. Staff were also aware of the whistle blowing procedure. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean, warm and homely, service users’ bedrooms reflect their needs and interests. The provision of washbasins in bedrooms would improve infection control and increase privacy for service users. EVIDENCE: The atmosphere in the house is homely and it is warm, clean and mostly well maintained. Service users bedrooms suit their individual needs and a service user who had developed increased mobility difficulties spoke of moving from an upstairs room to downstairs. The bedrooms are decorated to suit the service users tastes and include lots of personal items such as photographs, videos, cuddly toys and TV’s. Each service user has continence needs and the addition of washbasins in bedrooms would improve opportunities for good infection control practice and privacy. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 19 There is an upstairs and downstairs bathroom, neither had guards on the radiators and the downstairs bathroom was rather cluttered, with items stored there due to lack of any other storage space. The communal areas are the comfortable kitchen/dining room and lounge; the house was attractively decorated for Christmas. The lounge is imminently due to be redecorated and preparation work for this had begun. The kitchen/diner is clearly a place for service users to congregate and chat with staff it is roomy and has a pleasant atmosphere and there are notice boards with information about social events and other items of interest to service users and staff. The washing machine is situated in the kitchen, again due to lack of space elsewhere, and the current model is not a type adequate for the amount of washing now generated. The home does not have dishwasher, which again is advisable to improve infection control. The COSHH cupboard is also located in the kitchen and securely locked. Equipment is available to assist service users who require it for either personal or communal use. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A staff group that is well trained supported and supervised and works well as a team supports service users. EVIDENCE: Standard 34 was not inspected on this site visit as an agreement is in place that the Performance Relationship Manager from CSCI for MCCH inspects staffing records at least once a year, the next inspection is due in January 2007. The staff team has been increased and is now more stable, the new manager has been in post since February 2006 and there is a new senior support worker. Some staffing hours remain unfilled, existing staff cover most gaps or MCCH bank staff are used, where bank staff fill gaps they are those familiar with the home, very rarely agency staff are used. Staff spoken with enjoyed working at the home said that they were very happy with the changes the new manager had made and that they felt well supported. They also felt that the organisation offered good training 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 21 opportunities and spoke of attending a number of courses in recent months including, diabetes, epilepsy, fire safety and manual handling. Staff receive regular recorded supervision and team meetings are held. Two staff members have gained NVQ 3 in care and a further two are enrolled on the training following their probationary period. During the site visit staff clearly had a good relationship with service users and worked well together, the home’s communication book gave good examples of staff informing each other of day to day issues as well as valuing each other’s contribution to the service. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed in the best interests of service users and staff. Service users are benefiting from improvements in the management of the service. EVIDENCE: Since the last inspection there have been substantial changes and improvements made to the running of the home. The main areas that have changed are that the service user group is now settled and compatible and there have been staff changes resulting in a more stable, confident and better supported team. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 23 The manager has been in post since February 2006 and has brought about positive changes in the ethos, atmosphere, record keeping, staff support and overall running of the house. Staff spoken with referred to the improvements, a better atmosphere for service users and liked working at the home. The atmosphere during the site visit was welcoming and friendly. The manager has introduced a quality assurance survey that has been sent to relatives, and the views of service users are sought as much as possible with their inclusion where appropriate at staff meetings. Policies and procedures have been revised this year where required to reflect changes in the service and many are organisational. Records are stored securely and service users are involved in contributing to their personal information. Safe working practices are promoted, fire equipment is tested at appropriate intervals, a regular walking route of the property takes place and fridge and freezer temperatures are monitored daily. Risk assessments in relation to the activities of the house and service users in the community have been reviewed, as have individual risk assessments, and plans are in place for some improvements to the premises commencing with the lounge redecoration. Regulation 26 visits by the registered provider are taking place again and a manager from MCCH arrived for this purpose during the site visit. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 24 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 2 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 3 28 3 29 3 30 1 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 3 3 3 2 3 3 3 3 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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. YA1 4(2) 5(1)(2) Standard Regulation Requirement “The registered person shall supply a copy of the statement of purpose to the Commission and make it available on request for inspection by every service user” and “The registered person shall produce a written guide to the care home and supply a copy to each service user” In that the statement of purpose and service users guide need to be made available in formats accessible to service users. 2. 13(3) YA30 “ The registered person shall make suitable arrangements to prevent infection, toxic conditions and spread of infection at the care home” In that a washing machine be purchased that is more reliable and suitable for the requirements of the home to reduce risk of cross infection, and in that washbasin be fitted in each service users bedroom. 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 26 Timescale for action 30/03/07 28/02/07 Any plans for future adaptation work on the home and kitchen refurbishment, must consider relocation of the washing machine away from food storage, preparation and dining areas. The requirement for the fitting of washbasins is repeated from the last inspection. 3. YA33 18(1)(a) “The registered person shall, having regard to the size of the care home, statement of purpose and the number and needs of service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home.” In that if further review of staffing hours at the home identifies that there are vacant hours, recruitment must take place to fill them. 4. YA37 9(2) “A person shall not manage a 30/01/07 care home unless he is of integrity and good character, qualified and holds the necessary skills and experience necessary for managing the care home” In that the manager of the home must apply to the commission for registration. This requirement is repeated from the last inspection. 5. YA42 13(4(a) “The registered person shall ensure that all parts of the home to which service users DS0000029146.V317914.R01.S.doc Version 5.2 Page 27 28/02/07 28/02/07 20 Allington Way have access are so far as reasonably practicable free from hazards to their safety” In that radiator guards must be fitted on both bathroom radiators. 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. YA5 2. YA6 Refer to Standard Good Practice Recommendations It is recommended that service users’ contracts with the home are developed in a format accessible for them. It is recommended that the care plan of the most recently admitted service user is revised and any out of date information archived, so that it correctly reflects the current service provided. It is recommended that the home consider increasing the number of staff that can drive, so that no service user is not financially disadvantaged in having to fund taxis. It is recommended that the rack containing cleaning equipment be removed from the downstairs bathroom, or a covered storage area be provided for it in the room. The manager agreed to remove some items during the inspection. 5. YA39 It is recommended that quality assurance surveys be sent to professionals involved with service users as well as to relatives. 3. YA13 4. YA27 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 20 Allington Way DS0000029146.V317914.R01.S.doc Version 5.2 Page 29 - 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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