Inspection on 07/07/08 for 209 Weston Road

This inspection was carried out on 7th July 2008.

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

Similar services:

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 209 Weston Road Meir Stoke-on-Trent Staffordshire ST3 6AT Lead Inspector Mandy Brassington Key Unannounced Inspection 7th July 2008 10:00 209 Weston Road DS0000071400.V367588.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 209 Weston Road DS0000071400.V367588.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. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 209 Weston Road Address Meir Stoke-on-Trent Staffordshire ST3 6AT 01782 596 056 01782 596 056 orchardcareltd@live.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Orchard Care Ltd Manager post vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (Code PC) the service users of the following gender: Either Whose Primary care needs on admission to the home are within the following categories: 2. Learning Disabilities (LD) 6 The maximum number of service users to be accommodated is 6 Date of last inspection First inspection since change in registration Brief Description of the Service: 209 Weston Road is a registered care home able to accommodate 6 adults with a learning disability. The home is one of 3 small care homes in the Longton area registered by Orchard Care Homes Ltd. The owners are both involved in the day-to-day management of the homes. The home was opened in 1995 as part of the Stallington Hospital resettlement programme. Five people are living in home and are female. The building is a large semi-detached Victorian house situated in a residential area and on main ‘bus’ route with easy access to the Potteries towns. There are 2 ground floor single bedrooms and 3 first floor bedrooms (one of which is shared). There is no lift and access to the first floor is via the staircase. Bathing and toileting facilities are provided on both floors. There is a recent ground floor extension providing a dining/activity room. There is a small garden to the front of the property and car parking area to the rear. The home is not identifiable as a care home in the community. The Service User Guide on 7 July 2008 recorded that the weekly fee level for the home was £674.43 per week. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means that people who use the service experience good quality outcomes. This visit was an unannounced key inspection and therefore covered the core standards. The inspection took place over seven hours by one inspector who used the National Minimum Standards for Younger Adults as the basis for the inspection. Prior to the inspection the registered person completed an Annual Quality Assurance Audit (AQAA) for us. One completed questionnaire was returned from a person who used the service. A tour of the home was undertaken. On the day of the inspection, the home was accommodating five people. The inspection included an examination of records, indirect observation, discussion and observation of five people who use the service, and four staff on duty. Four Care Plans were examined along with two staff records. Observation of daily events took place. Lunch was eaten with people who use the service. The medication storage system and medication procedures were inspected. What the service does well: People living in the home are able to choose the type and style of lifestyle that makes them happy. Two people have chosen to go to college and learn new skills, and travel independently with a friend. One person has also chosen to have a voluntary job working with horses. Two people enjoy doing domestic chores and being responsible for looking after their home. Everybody likes to keep in touch with family and friends and visitors are welcomed into the home. Different meals are cooked each day and people are responsible for shopping and can choose what to eat. Some meals are eaten on a table tray whilst relaxing watching the television and some meals are eaten together in the dining room as a large family, giving people an opportunity to talk about their day. Each day in the home is different, with different activities and shared experiences to talk about. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 6 People are able to go shopping and buy clothes and personal items. Everybody is able to dress well and wear clothes that reflect their personal style along with jewellery and accessories. A Holiday is taken every year and people have chosen to go abroad including Turkey and Malta. There are lots of photographs of the fun times people have enjoyed. People can take responsibility for looking after and taking their medicines. Staff have made sure people understand why, how and when to take medicines so people are safe and can keep well. The staff team is small and people have developed close relationships with staff, who help people to be independent, active and happy. The home is small in size and provides a comfortable and homely environment. People have recently been able to choose how to decorate their bedrooms and all around the home there are personal photos and possessions, which make the house a home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 209 Weston Road DS0000071400.V367588.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 209 Weston Road DS0000071400.V367588.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, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place after a comprehensive assessment. People are able to spend time in the home before to deciding whether to move in. EVIDENCE: People have lived together in the home for many years and previous visits have identified that the assessments were suitable at the time of admission. The home has one vacancy and one person has been visiting the home for tea visits and overnight stays over the past weeks, to ensure the home is able to meet the person’s needs and for people to have an opportunity to spend time together. Discussion with people who use the service revealed the person has been welcomed into the home, and people have been able to talk to staff about their views and experiences. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 10 The manager has carried out an assessment of need and is continuing to liaise closely with family, and with staff from her present home to support the person with any move. Each person has a Service User Guide which records how the home provides support, and the terms and conditions of occupancy and fees payable. One person has recently moved into the community and staff are continuing to provide support to the person. The Statement of Purpose has not been amended to reflect the support provided as required. A copy of the contract to provide community care was not available for inspection. It is required that this is provided to demonstrate that the home is only providing social support. 209 Weston Road DS0000071400.V367588.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are involved in planning their support and are able to make decisions and take control of their own lives. EVIDENCE: We examined three plans of care, which demonstrated that each person has a summary of a typical day written in the first person describing how people need to be supported. This summary includes specific information about how individuals like to be supported with personal care, meals and activities, activities they enjoy, and personal relationships people have with family and friends. People stated they were able to tell staff what was important and Key workers recorded this. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 12 One plan contained information regarding complex behaviour and how the person needed to be supported, including use of body language and tone of voice. A record of any incident was recorded along with a graph detailing any ‘as required’ (p.r.n.) medication that had been administered as a result of complex behaviour. Staff reported they were able to use this information to ensure a consistent approach, and the incident forms and graphs supported the review process. One plan contained an epilepsy management plan, giving information about the type of seizure and what the happened during the seizure. There was a chart to record any incident, which was reviewed with medical professionals. Discussion took place with the manager and staff about reviewing the care plans to ensure there was information about all support needs and appropriate risks. Two people are independent in the community although there was no evidence of assessment and review, and how staff ensured people were able to keep safe. One person has high dependency needs and discussion with staff revealed that the person could be supported to be independent in some areas of personal care, although there was no specific care plan to support the person. From observation and discussion with staff it was evident that people are suitably supported and the staff have worked with people for a significant length of time, and had a good knowledge of individuals needs. It is recommended that this knowledge be recorded to provide a more consistent approach to care practices, and to clearly record how this had been reviewed. From observation of practices and discussion with people who use the service it was evident that people are involved in planning of care and their lifestyle. People are able to make decisions about how to spend their day. One person was observed making and choosing their lunch; two people chose to go to college early so they could have a drink with friends before lectures. Further discussion with people, confirmed that staff promote people’s independence and give advice and support so people can make an informed decision. 209 Weston Road DS0000071400.V367588.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): 12, 13, 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 are involved activities of their own choice, which they enjoy. People have the opportunity to develop and keep important personal and family relationships. EVIDENCE: From discussion with the manager and staff, it was evident the team are committed to ensuring that people who use the service are able to live an ordinary life, and have access to all community facilities and services. On the day of the visit, two people were attending a local college and chose to go out for lunch; three people were involved in domestic activities in the home and chose to go out for dinner in the evening. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 14 Discussion with people who use the service revealed that they have been able to access local college courses of their choosing. One person stated they were studying a language course and improving literacy. The person commented, ‘we only go out together, we look after each other, it’s always better to have a friend with you.’ The person revealed that they had a mobile phone and would call staff if they had any concerns or felt unsafe. It was evident that the two people knew how to keep safe, local facilities and bus timetables. People are encouraged to be responsible for all personal daily activities, including preparation for college, transport and attendance. One person has a voluntary job at a local stable. The person reported, ‘ I love doing it, it’s great there, everybody talks tome and helps me out.’ People are able to be involved in a variety of leisure activities. Discussion with individuals revealed that they were able to choose to go to places of interest, and staff are flexible to enable activities where support is required to take place. People attend church on a regular basis and staff reported that one person was a member of the church choir. Staff were knowledgeable about the religious practices of people and how this could be supported. Routines in the home are flexible and one person said, ‘I go to bed when I want’, and ‘I like to look nice, I buy my own clothes and choose what I want to wear each day’. All people in the home have had an opportunity to go on holiday. Two people have recently been to Turkey for a week’s holiday and one person was very enthusiastic to show photographs of the holiday. Other holidays have included Malta and America. People are able to develop relationships with people outside of the home and staff stated that they consider the views of other people when inviting guests into the home. People are able to see friends in private, including their bedroom. People are able to maintain relationships with family members. People are responsible for planning, purchasing and cooking meals. Staff reported that support is given to people to cook meals on a one to one basis. On the day of the inspection people were able to prepare a selection of sandwiches and soup for lunch. In the evening everybody chose to eat out at a restaurant. 209 Weston Road DS0000071400.V367588.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to have regular appointments with health professionals to keep well, and are supported to be independent and take responsibility for their own personal care. EVIDENCE: Three plans of care were examined and all plans included information about people’s health care needs. Each person is registered with a local General Practitioner, and are supported to attend appointments to maintain their wellbeing. Where any health care is provided or appointments attended, the plan of care is updated to incorporate the changes. One person has support from a dietician who has assessed the person’s health needs and given advice on how to maintain a healthy diet, and how to prepare food to meet the person’s needs. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 16 All people were well presented and dressed in a style of their choosing. It was evident, that staff have ensured that individuals were able to receive support to address personal care issues and personal hygiene. One person commented, ‘I have lots of nice things, I like my clothes and looking nice.’ The home operates the Boots Monitored Dosage System (MDS). The staff stated that there were no controlled drugs in use. People’s medication is stored in their room in a secure tin. Two people are responsible for administering their own medication and showed us where the medication is stored and how they record they have taken their medicines. Discussion revealed the people were aware of when and why they were taking any medicines, and were proud of their achievement in becoming independent in this area. Inspection of the medication storage system and Medication Administration Records for the other three people was satisfactory and medicines had been recorded as appropriate. 209 Weston Road DS0000071400.V367588.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, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have information about how to complain and are encouraged to raise any concern. The staff understand the procedures for responding to any allegation to keep people living in the home safe. EVIDENCE: The home has a complaints procedure that is clearly written and easy to understand. Discussion with people who used the service revealed that people knew how to raise any concern. The home has an open culture where individuals stated they felt safe and supported to share any concerns with staff or the providers. There has been one complaint since the last inspection, which was addressed by the manager and the registered persons and a copy of all correspondence and the outcome was maintained in the home. Details of the complaint were forwarded to us for our attention. Records demonstrated that staff had received training in Safeguarding Adults. From discussion with staff, individuals were clear on how to recognise signs of 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 18 abuse and would report any suspicion. Staff confirmed a copy of the Safeguarding Procedure was available in the home. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 19 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, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a pleasant, safe place to live, and people personalise their bedrooms and all areas of the home to reflect their interests and style. EVIDENCE: The building is a large semi-detached Victorian house situated in a residential area. The ground floor has a kitchen, shower room, lounge with a reading room off this, and a separate dining room. There are two ground floor single bedrooms and three first floor bedrooms, one of which is shared. People have access to all areas of the shared accommodation, which has been decorated by people in the home with pictures, and photographs of recent events and family. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 20 There are separate laundry facilities off the kitchen and staff reported these are suitable to meet the needs of people living in the home. People are comfortable in their home and one person reported, ‘This is my home, I live here.’ The manager reported within the AQAA that the home had been redecorated since the last inspection and people had been able to choose how they wanted their room to be decorated. Three people showed us their bedroom, which contained many personal items, electrical equipment and photographs. There were craft objects displayed which had been completed at an arts and crafts session. One person had recently moved to a single room and reported that they enjoyed having a room of their own. There is one vacancy, which is within the shared bedroom. A privacy screen has been provided. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 21 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): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by well trained staff who are available at all times in the home, and are experienced to meet people’s needs. EVIDENCE: The home operates two day shifts and a night shift. During the day there are generally two staff on duty and the manager works across the shifts to provide support. Additional staff can be provided to support specific activities. On five days, one member of staff provides social support for one person who has recently moved out of the home. This registered person may also provide this support. The manager reported that there is always two staff on duty and this is in addition to the support staff provide in the home. Most of the staff have worked in the home for many years and have built good relationships with individuals. There was a relaxed atmosphere between 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 22 people and staff. People spoke very positively about the staff and the support, comments included, ‘they’re really good, and make sure we’re ok’, ‘they help us and make sure we’re safe.’ Discussion with staff demonstrated a commitment to providing a good quality service, and providing individuals to have a variety of opportunities, to develop skills and be involved in community activities. Staff records are kept within the main office a short distance from the home. It was not possible to inspect staff documents on the day of the visit and the manager made arrangements to send us the records. It is recommended that these be kept at the home or arrangements are put in place to make sure the records can be made available for inspection. Two staff records were inspected after the visit and demonstrated the service had robust recruitment practices. All records included an application form, written references, and a Criminal Records Bureau Check (CRB) and details of qualifications. Discussion with the manager and staff, and records demonstrated that people have attended training for fire awareness, emergency first aid, food safety, medication, moving and handling, managing complex behaviour and person centred advice. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 23 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, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and providers have a clear understanding of how the home is to be managed, to make sure that people in the home are supported and safe in the home. EVIDENCE: 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 24 The manager has worked at the home for twelve months. We have received a Criminal Records Bureau Check and the manager has submitted an application to begin the Fit person process and become the registered manager. The registered persons have amended the Statement of Purpose to reflect the current management arrangements within the home. It was evident from observation and discussion with people, that the manager is enthusiastic and committed to providing a good quality service. The manager is open and transparent in all areas of managing the home and has a positive outlook on the inspection process. The registered persons play an active role in the home, and the manager reported that they are supportive and have a good relationship with people who use the service. People who use the service, friends and family are consulted about the quality of the service on an annual basis. Topics covered include how people are respected, are people able to make decisions and staff attitude. The questionnaire also includes questions regarding staff training and whether the service has addressed previous issues raised by us. Discussion took place regarding a review of the questionnaires to meet the specific needs of people who use the service in a suitable format. Information from the questionnaires supports each persons annual person centred plan review. Prior to the Inspection the manager completed an Annual Quality Assurance Audit (AQAA) for us. The AQAA contained clear, relevant information that was supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It showed clearly how they are going to do this. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 25 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 X 4 X 5 3 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 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA1 Regulation Care Standards Act Part II Requirement To provide a copy of the contract for one person to demonstrate how the person is supported in the community and that the home is operating under the agreed registration of the home. Timescale for action 21/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA1 YA6 YA34 YA38 Good Practice Recommendations To amend the Statement of Purpose to reflect the actual service provided in relation to providing care in the community To review the plans of care to record all support needs and evidence of review To maintain staff records in the home and to be available for inspection To review the quality audit questionnaires to an easy read format for people who use the service. 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 209 Weston Road DS0000071400.V367588.R01.S.doc Version 5.2 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!