Inspection on 01/08/08 for 201a Berrow Road

This inspection was carried out on 1st August 2008.

CSCI found this care home to be providing an Poor service.

The inspector found no outstanding requirements from the previous inspection report, but made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

201a Berrow Road 27/01/09

201a Berrow Road 03/07/07

201a Berrow Road 24/08/06

201a Berrow Road 24/01/06

201a Berrow Road 23/08/05

201a Berrow Road 30/03/05

201a Berrow Road 05/08/04

201a Berrow Road 02/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 12/03/2009.

CARE HOME ADULTS 18-65 201a Berrow Road Burnham-on-sea Somerset TA8 2JF Lead Inspector Sally Murphy Unannounced Inspection 1 August 2008 10:00 st 201a Berrow Road DS0000016279.V365175.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 201a Berrow Road DS0000016279.V365175.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. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 201a Berrow Road Address Burnham-on-sea Somerset TA8 2JF 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) 01278 786358 Mrs Veronica Margaret Hawkins Mrs Veronica Margaret Hawkins Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 3rd July 2007 Brief Description of the Service: 201a Berrow Road is registered to provide personal care for up to 3 people who have a learning disability. Mr and Mrs Hawkins own the home and the Registered Manager is Mrs Veronica Hawkins. Both owners live at the home and provide all care and support. The home is spacious and is set in attractive gardens. It is within easy reach of Burnham town centre and the sea front. All bedrooms are located on the first floor and are of single occupancy. The home shares a family type bathroom with a bath and overhead shower. People who live at the home are able to use a separate small lounge and dining room on the ground floor. There is a large rear garden that has a summerhouse and hot tub. Fees range between £490.78 – 851.19 each week. This sum does not include the purchase of toiletries, clothes or monies to engage in social activities or hobbies. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. This key inspection was completed by one Inspector over one day. The Registered Manager was telephoned prior to the inspection being started to ensure that they and the people living at the home would be present for the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. During the course of the inspection, records were examined, care practice observed and discussions held with Mr and Mrs Hawkins (Registered Manager and Provider). Discussions were also held with each of the people living at the home. Prior to the inspection Comment Cards (surveys) were sent to the people living at the home, and health care professionals. The Registered Persons also completed an Annual Quality Assurance Assessment (AQAA), as required by CSCI. The findings from these documents have been included within the report. The Inspector would like to thank the registered persons and the people living at the home for their time and assistance during the inspection. What the service does well: 201a Berrow Road provides a care for people within a homely, family style home. People are able to choose when they get up, when they go to bed and how they spend their day. Both people living at the home are able to access the local community independently. Within the AQAA it states that ‘individuals are listened to and action plans made accordingly’. People are supported in accessing health care services and maintaining contact with family members. People living at the home confirmed that they are satisfied with the activities provided, and often go out for meals locally with Mr and Mrs Hawkins. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 6 People are able to access a well maintained garden at the rear of the property that has a summerhouse and hot tub. People living at the home stated that they were happy with the care they receive and meals provided. What has improved since the last inspection? What they could do better: Care records and risk assessments must be updated appropriately. Where there are restrictions in place regarding daily activities, and finances these must be recorded and appropriate assessments and plans put in place. The registered persons must ensure that there are appropriate procedures in place, and records maintained to safeguard people from risk of financial abuse. The home should ensure that a holiday or quality days out are provided for both people. The management of medication is generally safe, however medication records must be appropriately maintained to ensure that they accurately reflect the medication given. The furniture and decoration with people’s bedrooms must be reviewed and replaced as necessary. Appropriate support must be provided to people living at the home to personalise their rooms to reflect individual tastes and preferences. The registered persons must review infection control procedures within the home. This is with particular regard to the communal bathroom. The registered manager must thoroughly review the standards of care provided to ensure that they meet with the National Minimum Standards for 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 7 Younger People and the Care Home Regulations 2001, and identify areas for improvement within the home. The registered persons must ensure that during times when they are caring for their grandchildren that this does not limit the range of activities and support available to people receiving care, and that appropriate consideration is given to the care needs of both people living at the home. 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. 201a Berrow Road DS0000016279.V365175.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 201a Berrow Road DS0000016279.V365175.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 & 5. (Standards 2 - 4 do not apply as there have been no new admissions to the home). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are provided with appropriate information regarding the services and facilities provided, and are aware of the terms of occupancy at the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide. These have been updated following the last key inspection and now contain all required documentation. The people currently living at the home have been there for many years. The registered persons advised that they do not plan to admit any further people to the home. A home had obtained a copy of the financial agreement for both people living at the home. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 & 10. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Care plans did not contain sufficient information regarding people’s needs and risk assessments have not been completed for all areas identified. There were not appropriate procedures in place to safeguard people from risk of financial abuse. EVIDENCE: Care records were examined for both people living at the home during this inspection. Brief care plans had been developed for each person, which had been updated in January 2008. Care records included some information on people’s preferences and needs, and some risk assessments had been completed. However for one person the care plan did not address a significant area of risk, and would not have been evident to someone reading this care plan that this was a key part of this person’s needs to ensure the safety of the individual and others. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 11 The registered persons assist both people living at the home with managing their finances. For one person they decide how much money they can be given each day, however there was no risk assessment or care plan in place to support how this sum was determined or the rationale for restricting their access to their monies. A running record is maintained of monies given, which is then settled by the person’s relative on a monthly basis. For the second person the registered manager is their Appointee. The registered manager advised that they visit the bank together to draw out money. Bank statements were seen. The home also maintains a running record of monies spent by them on behalf of this person. This record was examined and it was found that the sum available to this person did not match that recorded on the bank statement. The registered manager advised that they do not maintain receipt to support the entries on the running record and that this record is not totalled or audited, but instead that £100 is taken from the persons bank account periodically to cover the monies spent on their behalf. Failure to maintain a clear audit trail to support transactions involving people’s finances may place people at risk of financial abuse. Risk assessments had not been completed in relation to people’s ability to manage their money or the level or type of assistance required. Both people living at the home confirmed that they are consulted regarding aspects of life at the home. Records relating to people living at the home are stored securely. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are satisfied with the activities provided. The meals provided are based on known likes and dislikes, and appropriate records maintained. EVIDENCE: Both people who live at the home confirmed that they participate in cleaning their bedrooms but do not wish to join in any other household tasks. One person receives additional funding from Social Services to participate in activities for ten hours each week. They also go for meals and for trips out with the registered providers. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 13 The work placement for the second person ended last year. They now spend several days a week with a friend who lives locally in addition to attending clubs and accessing shops locally. Both people stated that they were satisfied with the activities provided. The home maintains daily records including information on the activities participated in and meals taken. Within the AQAA the registered manager has written that ‘individuals are listened to and action plans made accordingly’. Both people living at the home also have TV’s in their rooms and one person has a PS2, video, music centre and DVD. One person has pet goldfish in their room. Both people are free to choose how they spend their leisure time and have unrestricted access to communal areas, including the kitchen and garden. The owners have a separate lounge and conservatory that is private and not available to people living at the home. The registered persons advised that one person went away with them on holiday last year to Spain, whilst the second person spent time with family members. The home should ensure that a holiday or quality days out are provided for both people as part of the placement. The home assists both people to maintain regular contact with their relatives. Both people confirmed that they are happy with the food provided. As a ‘homely’ style service there are no set menus and food is cooked on the day in accordance with known likes and dislikes. People have access to the kitchen and are able to make drinks and snacks at any time. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People receive appropriate support to meet their personal care needs and to access health care services. The management of medication is generally safe, however medication records must be appropriately maintained to ensure that they accurately reflect the medication given. EVIDENCE: People living at the home confirmed that they are able to choose when they get up or go to bed. People choose which clothes to wear. One person confirmed that they receive the help needed to meet their personal care needs. Both people confirmed that Mr and Mrs Hawkins knock their bedroom doors before entering. On the day of the inspection both people appeared to be well attired. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 15 People are registered with local GP’s and are assisted to attend appointments if they wish to have support. Personal files contain details of appointments with other appropriate health care professionals. One person takes regular medication, which is administered by the registered manager. All medication is kept in a locked cupboard. Medication Administration Records were examined during the inspection. It was found that these had generally been appropriately maintained, however one medication had been signed for twice a day, when it had been prescribed to be given once daily. Medication stocks were checked and it was established that this medication had only been given once a day as prescribed. The registered manager advised that they may obtain the measured dosage (MDS) system to aid administration of medication. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People living at the home confirmed that they feel that their views are listened to. The procedures for supporting people in managing their finances require review to ensure that there is a clear audit trail for each transaction. EVIDENCE: The home has a Complaints policy and there is a copy of the Somerset County Council “Safeguarding Vulnerable Adults” policy. Both people stated that they would be able to raise any issues of concern with their Social Worker. There have been no complaints received by CSCI or the home since the last inspection. As previously stated under Individual Needs and Choices there are not appropriate procedures in place to safeguard people living at the home from the risk of financial abuse. The home has appropriate restraint and whistle blowing polices. Mr and Mrs Hawkins do not use physical intervention or breakaway techniques, as these are currently not required at the home. 201a Berrow Road DS0000016279.V365175.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,27,28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is sufficient private and communal space available, however further action must be taken to personalise accommodation. The home must improve procedures with regard to infection control. EVIDENCE: 201a Berrow Road is a detached house situated within walking distance of the sea front and close to Burnham town centre. Mr and Mrs Hawkins live on the premises and have a private lounge and conservatory that is not accessible to people living at the home. On the ground floor there is a lounge for people who live at the home. Both people stated that they do not really use this room any longer. Children’s toys had been stored in this room. These should be cleared away to ensure that this 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 18 area is available for people living at the home should they wish to use this. There is a kitchen with dining area, and domestic style laundry facilities located in a utility area. There is a well-maintained garden at the rear of the property, which includes a summerhouse and hot tub. Bedrooms are all single occupancy and are located on the first floor. There is no lift so people need to be physically able. One person living at the home showed the Inspector their room. This has been decorated and furnished to a basic standard and would benefit from renewal. Surfaces on furniture is worn and scratched and the chair has been raised by adding several more cushions. The person advised that they had recently chosen the new duvet cover and curtains. This person stated that they spend most of their time in their room. The bedroom included some photographs of family members but otherwise had not been personalised to reflect their personal tastes and preferences. This person has lived at the home for over 10 years and it would be expected that their bedroom would be more homely and reflective of their personal tastes. Risk assessments had been completed in relation to window openings not being restricted, wardrobes not being fixed and radiators not being covered. The people living at the home share a communal bathroom. There were toiletries available within the bathroom, several razors and a tablet of soap in the shower. These pose a risk of cross infection and must not be available within communal areas. There was one uncapped razor hung beside the toothbrushes. This may pose a risk of injury. There was no liquid soap available at the hand basin for people to wash their hands. The home may wish to continue using cotton towels rather than paper towels in accordance with the ‘homely’ nature of this service, however they must ensure that these are changed each day. At present no aids or adaptations are needed to meet peoples needs. The home has generally been maintained to a good standard of cleanliness 201a Berrow Road DS0000016279.V365175.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. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: All care is provided by Mr and Mrs Hawkins, there are no other staff employed, therefore this outcome group has not been assessed at this inspection. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41 & 42. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The registered manager must thoroughly update policies and procedures to ensure that they reflect good practice and that the home is run in the best interests of those people living there. EVIDENCE: The registered manager is Veronica Hawkins who runs the home in partnership with her husband. Mr and Mrs Hawkins live on the premises and both provide care and support to people living at the home. Within the AQAA it states that ‘we are both hands on 24/7’. There are no other staff employed at the home. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 21 The registered manager has worked in the care sector for many years and completed NVQ Level 2 in care in 1996. Since the last inspection the registered manager has completed First Aid and food hygiene training. They have also obtained guidance on the Mental Capacity Act and managing challenging behaviour. At the previous three inspections it was recommended that Mrs Hawkins should undertake further NVQ training. This has not been pursued and remains as a recommendation. Mr Hawkins has not attended training in First Aid or Food Hygiene. As previously stated within this report some policies and procedures must be updated to safeguard people’s finances within the home. Care plans must be updated to ensure that they provide sufficient information regarding people’s needs. Medication records must be appropriately maintained. Communal and individual accommodation and infection control procedures also require attention. The registered manager must thoroughly review the standards of care provided to ensure that they meet with the National Minimum Standards for Younger People and the Care Home Regulations 2001, and identify areas for improvement within the home. Within the AQAA it states that ‘we have no plans to actively improve, but any news and opinions to improve the service will be acted on’. The home does not have an annual quality assurance plan. The registered providers have advised that feedback is obtained from each person living at the home on an informal basis. The registered persons should also consider seeking feedback from relatives and health care professionals as part of the quality assurance process. On the day of inspection the registered providers were also caring for their grandchildren at the home. They must ensure that during times when they are caring for their grandchildren that this does not limit the range of activities and support available to people receiving care, and that appropriate consideration is given to the care needs of both people living at the home. Since the last inspection the home has completed a fire risk assessment and forwarded this to CSCI. The registered manager must ensure that this is reviewed on an annual basis. Smoke detectors had been tested on a monthly basis and appropriate records maintained. The electrical hardwiring has been tested and a satisfactory certificate obtained. The hot water outlets are fitted with thermostatic valves. Fridge and freezer temperatures had been checked and appropriate records maintained. In line with providing a family type environment people’s bedroom windows are not restricted, radiators have not been covered and wardrobes have not been secured. The home displays appropriate Employers Liability insurance. 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 22 There is a rug at the top of the stairs, which may pose a trip hazard. This was discussed with the registered persons who agreed to remove it immediately. There have been no recorded accidents at the home since 31.03.04. 201a Berrow Road DS0000016279.V365175.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 3 2 N/A 3 N/A 4 N/A 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 3 25 x 26 1 27 3 28 2 29 x 30 1 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 1 3 1 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 1 x 1 X x 2 x 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 & YA9 Regulation 15 (5) Requirement Care records and risk assessments must be updated appropriately. Where there are restrictions in place regarding daily activities, and finances these must be recorded and appropriate assessments and plans put in place. 2. YA7 & YA23 13 (6) The registered persons must ensure that there are appropriate procedures in place, and records maintained to safeguard people from risk of financial abuse. Medication records must be appropriately maintained to reflect the medication given. The furniture and decoration with people’s bedrooms must be reviewed and replaced as necessary. Appropriate support must be provided to people living at the home to personalise their rooms 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 25 Timescale for action 01/10/08 26/09/08 3. YA20 13 (3) 26/09/09 4. YA26 23 (2) 03/10/08 to reflect individual tastes and preferences. 5. YA30 13 (3) The registered persons must review infection control procedures within the home. This is with particular regard to the communal bathroom. 6. YA37YA39 24 (1) The registered manager must thoroughly review the standards of care provided to ensure that they meet with the National Minimum Standards for Younger People and the Care Home Regulations 2001, and identify areas for improvement within the home. The registered persons must ensure that during times when they are caring for their grandchildren that this does not limit the range of activities and support available to people receiving care, and that appropriate consideration is given to the care needs of both people living at the home. The rug at the top of the stairs must pose a trip hazard and must be removed. 26/09/08 26/09/09 7. YA38 12 (1) 15/09/09 8. YA42 13 (4) 15/09/09 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 26 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 YA14 Good Practice Recommendations The registered providers should provide a holiday or quality days out for both people living at the home, as part of the service provided. The lounge / dining area for people living at the home should be cleared of children’s toys and other items not belonging to these people. The registered manager should undertake further NVQ training. The registered persons should seek feedback from people living at the home, relatives and healthcare professionals as part of the quality assurance process. Mr Hawkins should attend training in food hygiene and first aid. 2. YA28 3. 4. YA37 YA39 5. YA42 201a Berrow Road DS0000016279.V365175.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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