Inspection on 19/12/06 for 239 Boxley Road

This inspection was carried out on 19th 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

239 Boxley Road 30/11/07

239 Boxley Road 18/10/05

239 Boxley Road 14/06/05

239 Boxley Road 08/10/04

239 Boxley Road 26/04/04

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33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 239 Boxley Road Maidstone Kent ME14 2BG Lead Inspector Eamonn Kelly Key Unannounced Inspection 19th December 2006 10:30 239 Boxley Road DS0000023869.V318409.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 239 Boxley Road DS0000023869.V318409.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. 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 239 Boxley Road Address Maidstone Kent ME14 2BG Telephone number Fax number Email address Provider Web address Names of registered providers Name of manager Type of registration No. of places registered (if applicable) 01622 764979 01622 686457 yes.oshea@invictanet.co.uk Mrs Lorna O`Shea & Mr Sean O`Shea Mrs Deborah McNair Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2005 Brief Description of the Service: The home provides accommodation and care for people with learning disabilities. All residents have single bedrooms. Apart from one bedroom on the ground floor, the rest are on the first and second floors. The premises do not have a passenger lift. Twenty-four hour care is provided. One member of staff is on duty at night. The commission understands that a minimum of two support workers is always on duty at the home during the day when residents are there. This excludes staff accompanying residents outside the home. The home receives additional management support through the owners company that runs 9 properties (not regulated by the commission) in the Maidstone area for supported living. This community support service currents supports some 73 people within 9 properties. These properties house residents financed by “Supporting People” and Kent County Council. The reason the business is not regulated by the commission is that regulatory legislation exempts residential placements where the provider of accommodation is separate from the provider of care in each of the premises. Fees at the care home are as follows: 1. Weekly fees are £557. Weekly fees requested for new residents are £814. 2. Residents must meet the following costs from their own resources: • • • • • • • • • Hairdressing. Magazines, DVD’s. Personal audio-visual equipment. Chiropody. Use of the payphone. Cost of meals out. Clothes and toiletries. Cost of some activities (eg. entrance fees). Holiday costs. DS0000023869.V318409.R01.S.doc Version 5.2 Page 5 239 Boxley Road • • • Additional costs for holidays in some circumstances (eg proportion of staff costs for holidays abroad). Transport costs [eg. taxi fares (currently under review by the manager as other methods of travel may be more cost effective for residents), 38p per mile when transported in private cars, contribution for journeys made in vehicles owned by the “supported living” business]. All other personal spending. 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 19th, 20th and 28th December 2006. A follow-up visit was made on 2nd March 2007. The inspection consisted of meeting with residents, the manager of the home, the general manager (239 Boxley Rd & supported accommodation schemes), members of staff and visitors. A visit was made to the owner’s craft centre that is used by some residents. Care practices were observed and discussed with members of staff, residents and visitors. A variety of records were seen during the visit principally those that supported the care of residents. Residents and their representatives, care managers and GP’s completed and returned 21 CSCI surveys to the commission. Some respondents to the commission’s survey were phoned by the commission to discuss their views about the home. The report includes reference to issues where the commission accepts that the home will implement improvements as part of its commitment to on-going quality assurance measures. What the service does well: What has improved since the last inspection? What they could do better: A new Resident’s Guide for the residential home (that clearly separates it from the owner’s “supported living” projects) is being prepared and a copy will be provided to residents and/or their representatives. New personal contracts are 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 7 being prepared that will outline the rights and responsibilities of residents and the home. Subsequent to the inspection visits, exchanges between the home and the commission established that • • • Care would be taken in circumstances where residents purchase furniture and equipment for or within the residential home. The exposure of residents and their supporters to additional costs would be clearly stated in both the new Resident’s Guide and resident’s personal contract and Improved staffing levels would be maintained. 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. 239 Boxley Road DS0000023869.V318409.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 239 Boxley Road DS0000023869.V318409.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 adequate. This judgement was made using available evidence including visits to the service. Prospective residents and their representatives receive advice and guidance in enabling them to decide if the home is likely to meet their support needs. This initial assistance would be improved if the resident’s guide referred specifically to the care home and was more accurate in content. EVIDENCE: The manager carries out detailed assessments over a period of time of prospective resident’s support needs. Family members, prospective residents and care managers are closely involved in the process. The purpose is to enable both parties (the resident/representative(s) and the home) to be confident that the decision on taking up residence is likely to be correct. The anticipated longer-term outcome is that the resident receives appropriate support or that he/she eventually no longer needs full-time residential care and becomes more independent in the community. The home has a good track record of helping residents become more independent. In the most recent examples of this progress residents moved to the owner’s independent living scheme in Maidstone. 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 10 As part of this admission procedure, a resident’s guide is provided. It was agreed during the inspection visit that this document would be revised so that those involved with planned placements received full and accurate information about the home’s objectives, services, facilities and costs. The current range of information is not accurate enough and some information relates to other parts of the owner’s businesses. The “welcome pack” could still be used at this stage and also during later support as part of individual support plans. Care is taken during the initial assessment process to enable clear decisions to be made so that the prospective resident’s aspirations are met following admission and that other residents are not likely to be disadvantaged. The manager outlined the way the home is working to fill current vacancies. Discussion about resident’s personal contracts led to an offer by the manager to revise them. The new contracts would contain better information on the rights and responsibilities of both parties (ie. the resident/resident’s representative and the home). The manager also planned changes to the content of all future personal contracts. This included personalising the content in relation to each resident’s support needs and changing circumstances over time. 239 Boxley Road DS0000023869.V318409.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 was made using available evidence including visits to the service. Residents have the benefit of being able to make decisions about how to lead their lives and they each have relatively independent lifestyles. EVIDENCE: A care plan record containing good information, including a typed and updated personal profile, is kept for each resident. These contain general information and also specific details of resident’s support needs and how these are being met. The home is developing individual plans so that, in due course, each will contain narratives supported by pictures and script that charts the lifestyles of residents. Where residents find benefit, the plans would include a copy of information based on the current “welcome pack”. 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 12 Each resident has his/her set of activities and routines. The manager is looking at ways of broadening the range of activities available depending on the capabilities and preferences of residents. Residents are involved in making decisions about what happens at the home and about how they spend their time. During 2005, two residents had progressed to the extent that they were able to move to an independent living scheme (also owned by Mr and Mrs O’Shea) in Maidstone. The previous inspection report referred to the objective of maintaining the independence of residents. They continue to lead busy lives. Responses from people who completed CSCI questionnaires suggested that pressures on staff placed some restriction on individualising resident’s opportunities. The manager outlined how resident’s preferences and capabilities will be further taken into account in the future. 239 Boxley Road DS0000023869.V318409.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): 12-17. Quality in this outcome area is good. This judgement was made using available evidence including visits to the service. Resident’s derive benefit from opportunities for leisure and personal development. EVIDENCE: Each resident has an agreed programme that, in relevant circumstances, includes access to education, leisure opportunities and personal development. These opportunities and activities are available within and outside the premises. Resident’s interests and capabilities are assessed and initial activities are agreed. These have been in place for some considerable time and are likely to have become repetitive and institutionalised (particularly where residents 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 14 attend local authority or private day centres). The manager is re-assessing the capabilities and aspirations of each resident to enable each to progress further. Residents receive assistance from staff to follow agreed routines. This involves, within the premises, encouragement with household tasks, cooking, maintaining bedrooms and operating personal audio-visual equipment. The premises have good communal areas. Communal resources are available for residents to use. A resident has the use of a garage to store items of value and personal interest. The resident has full control over the storage area and keeps it locked. Shops and pubs are within walking distance. The town centre is nearby so leisure centres, cinemas and restaurants are easily visited. Some residents make regular use of the owner’s craft centre that is a few minutes walk of the home. At this location they receive skilled tuition from craft specialists and they meet people there who live at the owner’s supported living scheme premises in Maidstone. Residents and their representatives who responded to the CSCI survey indicated that the range of opportunities for resident’s personal development is good. Residents are closely involved in choosing where they go on holiday. They have been abroad on previous occasions including a cruise in the Mediterranean. During the inspection visits, there were a number of instances that demonstrated how good knowledge by members of staff of resident’s perspectives led to methods of communication that alleviated resident’s concerns at the time. The home’s chef uses a Food Standards Agency information pack to keep track of food hygiene measures. This included a recommended FSA diary, risk assessment procedure, and method of keeping a cleaning rota. The chef helps residents to use the kitchen. This is to both enable them to have routine involvement in the home’s activities and for planned personal development. There are constant menu reviews, meal theme days and integration of resident’s likes and dislikes in meal provision. 239 Boxley Road DS0000023869.V318409.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): 18-21. Quality in this outcome area is good. This judgement was made using available evidence including visits to the service. Residents receive good personal and healthcare support. EVIDENCE: Profiles of residents discussed during the inspection and observation of some aspects of life at the home, indicated that residents receive good personal and healthcare support. Over the past year, the CSCI were informed by the general manager of how the health of residents is protected including where serious health conditions were faced by residents. Members of staff have a good knowledge of the types of conditions experienced by residents. The manager and staff have recently re-assessed how best to help residents cope with their physical and mental handicap conditions. Aspects of communication observed during the inspection visits confirmed that members of staff are knowledgeable about how to meet each resident’s personal health challenges. This includes how the chef helps residents enjoy life at the home and improve their skills. 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 16 The circumstances surrounding the death and funeral of a resident in 2006 indicated that members of staff were able to provide support for residents at that difficult and special time. During the past year, procedures relating to the receipt, administration and storage of medicines have been reviewed. This followed recommendations in the previous inspection report. Several improvements were made to procedures so that residents’ safety whilst at the premises and elsewhere was paramount. 239 Boxley Road DS0000023869.V318409.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 was made using available evidence including visits to the service. Residents are protected from abuse. EVIDENCE: Members of staff are aware of their duty to recognise if residents are subject to any forms of abuse and, according to staff met during the inspection visits, they know how to report suspected instances. Each member of staff is aware of how to contact social services or the commission if circumstances existed where they felt that the owners or manager could not be initially alerted. During the inspection, residents spoke in a relaxed way about aspects of life at the home. Residents and others also responded in a broadly positive way to the CSCI survey. Some reservations were expressed by relatives in relation to staffing levels at the home. The revised resident’s guide will, the manager said, contain a plain and straightforward outline of the home’s complaint’s procedure. It would also indicate the circumstances where staff, residents or visitors should report suspected abuse directly to a relevant agency. The manager is aware of the two ways that POVA is referred to. Firstly, that the Dept of Health POVA Manager must be informed if any member of staff is dismissed or suspended in circumstances relating to the safety or continuing 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 18 well being of residents. Secondly, the home provides training on aspects associated with the protection of vulnerable adults (pova) including an appropriate level of tuition during the induction process and how suspected abuse should be identified and reported. 239 Boxley Road DS0000023869.V318409.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, 30. Quality in this outcome area is good. This judgement was made using available evidence including visits to the service. Residents have the benefit of living in premises that are suitable for their support needs. EVIDENCE: All residents have single bedrooms. Apart from one bedroom on the ground floor, the rest are on the first and second floors. The premises do not have a passenger lift. The absence of a passenger lift restricts the types of physical disabilities of new residents. Three bedrooms have en-suite facilities. There are sufficient communal bathroom facilities. The ground floor bathroom is the one most used by residents. Consequently this bathroom has recently been refurbished. Some residents lock their bedroom doors. Each personalises his/her room. 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 20 The owner provides furniture specified under current national minimum standards for each resident. Where residents bought cupboards and other furniture, the manager was advised to maintain a record in the resident’s personal file and to make sure that residents are not encouraged to buy furniture and fittings. New personal contracts will include a reference to the bedroom occupied. The manager agreed that any subsequent changes would result in the issue of a new personal contact that showed the reasons for the change. The conservatory is used as a utility room and contains clothes washing facilities. A tumble drier is soon to be purchased. Improvements to office facilities were discussed during the inspection visits. The manager was requested to consider replacing the payphone in the office with a normal phone for safety and efficiency reasons. A fax machine would also be useful. In view of the possibility of resident’s identities being stolen through discarded letters, the purchase of a shredding machine is advised. The office has a personal computer and printer. All areas of the premises were clean and well maintained. The premises have good communal areas for residents and staff. 239 Boxley Road DS0000023869.V318409.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): 31, 32, 34, 35. Quality in this outcome area is good. This judgement was made using available evidence including visits to the service. Residents have the benefit of being in the care of members of staff that are hardworking and enthusiastic. EVIDENCE: There was only one member of staff on duty on 26, 27, 28 and 29 December 2006 from 8am-8pm. On 28th December, the lone carer on duty was required to carry out all aspects of support and supervision including cooking from 8am to 8pm. A similar arrangement was in place for the following day according to the staff rota. The commission was previously informed that a minimum of 2 support workers is on duty within the premises when residents are there. Since the inspection visits, the commission was advised by the manager that better staffing arrangements are in place. Respondents to the CSCI survey indicated concerns with staffing levels. In premises with bedroom and other facilities spread over 3 floors and with 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 22 residents who need a significant level of support, the manager provided an assurance that sufficient numbers of staff are in place at all times. A training company assists the manager and the organisation’s training manager in providing training for staff. This includes the opportunity for each member of staff at the home to undertake NVQ Level 2 or 3 and “mandatory” training. The manager intends to accurately reflect this progress in the revised Resident’s Guide. Recruitment procedures include a full application form completed by applicants, two references taken up, CRB checks finalised and then probationary periods, induction and supervision. The manager has made progress in carrying out formal supervision of each member of staff. Discussion with staff suggested that the procedure should be accelerated so that all members of staff are able to discuss all aspects of their work including how they wish to obtain opportunities for personal development. A spreadsheet to be maintained at the home will show the name of each member of staff, the CRB (criminal records bureau) reference number, date and outcome of the check. The record of staff training at the home will show the current level of staff training. This relates to induction training, NVQ Levels 2 and 3 in Care or Promoting Independence and “mandatory” training. The manager is updating the induction procedure and associated staff record for all new members of staff so that it is consistent with “Skills for Care” recommendations. Members of staff met during the inspection visits were hardworking and enthusiastic. They have a good knowledge of residents’ support needs and how these are being met. 239 Boxley Road DS0000023869.V318409.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 was made using available evidence including visits to the service. Residents and members of staff have the benefit of living in a residential home that is well conducted. EVIDENCE: The manager, Mrs Deborah McNair, has a BSc in Human Movement Science and other relevant academic qualifications. She is undertaking the registered manager’s award and has significant experience of working with people who have learning and physical disabilities. The general manager of the owner’s supported living projects supports the manager of the home. During 2006, the CSCI were informed by the general 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 24 manager of the home’s progress in maintaining the health of residents. Incidents affecting residents are also reported to the commission. As well as support from the general manager, the home’s manager has the benefit of advice and support from the supported living project’s finance manager and personnel/training manager. Positive feedback from residents and their representatives about services were received by the commission via a survey prior to the inspection and from residents and members of staff during the inspection. There were a number of occasions during the inspection visits that indicated how the manager and support staff involved residents closely in important aspects of their support and care. There were indications that the manager is looking at new ways of integrating residents further into community life. This includes encouraging staff to use their knowledge of why residents respond in particular ways. The manager was requested to check that all necessary safety certificates and associated records are in place. This includes the need for a new fire safety risk assessment, under new safety regulations, to be carried out by a qualified person. 239 Boxley Road DS0000023869.V318409.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 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 3 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 2 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 4 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 3 3 x 3 x x 3 x 239 Boxley Road DS0000023869.V318409.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 YA1YA1 YA5YA5 Regulation 4, 5 & 6. Requirement Prospective residents and their representatives must receive a copy of a new Resident’s Guide. This guide must be prepared as a separate document from the information relating to the owner’s “independent living” business. The new guide must contain the information discussed during the inspection agreed as relevant to the parties involved. A copy of the new guide must be given to current residents or, if more appropriate, to their representative. It is acknowledged that the manager has undertaken to update resident’s personal contracts that will involve innovative changes to the content of all future personal contracts. This involves personalising their content in relation to each residents support needs. “The registered person shall produce a 239 Boxley Road DS0000023869.V318409.R01.S.doc Version 5.2 Page 27 Timescale for action 01/05/07 written guide to the care home…”. The registered person shall…revise…the guide and notify service users of any such revision within 28 days”. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 239 Boxley Road DS0000023869.V318409.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 239 Boxley Road DS0000023869.V318409.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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