Inspection on 12/02/09 for 27-29 Kingsley Road

This inspection was carried out on 12th February 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

27-29 Kingsley Road 06/02/07

27-29 Kingsley Road 14/10/05

27-29 Kingsley Road 20/06/05

27-29 Kingsley Road 17/11/04

27-29 Kingsley Road 10/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 27-29 Kingsley Road Roseneath 27/29 Kingsley Road Northampton Northants NN2 7BN The quality rating for this care home is: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Judith Roan Date: 1 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 36 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 36 Information about the care home Name of care home: Address: 27-29 Kingsley Road Roseneath 27/29 Kingsley Road Northampton Northants NN2 7BN 01604459432 01604459432 helen.kimber@mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Royal Mencap Society Name of registered manager (if applicable) Mrs Richelle Claire Clark Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 10 0 care home 10 learning disability Additional conditions: To include 3 people with an assoicated Physical Disability (PD). Date of last inspection 0 6 0 2 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 36 A bit about the care home 27/29 Kingsley Road is a Residential Care Home providing long-term care for 10 Adults with a learning disability. The home is run by the Royal Mencap Society and is situated on a busy main road within easy reach of local shops and amenities and has good access to public transport. Northampton town centre is only a short distance away. The bedrooms for people that use the service are located on all three floors of the home with a stair lift, which can be used to assist with access to the first floor. There are eight single bedrooms and one double. Three of the bedrooms have en-suites and there are two shared bathrooms in the home. Care Homes for Adults (18-65 years) Page 5 of 36 There is one shared lounge plus a conservatory, a separate dining room and a large garden to the rear of the home. Care Homes for Adults (18-65 years) Page 6 of 36 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 36 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We randomly selected two people who use the service and tracked the care they receive through review of their records, discussion with them, the care staff and observation of care practises. We also received information other people who use the service, relatives, support staff and a health care professional. The homes registered manager also completed an Annual Quality Assurance Assessment (AQAA) a document required by CSCI. The inspection was unannounced and was undertaken during the morning and early afternoon lasting 5 Hours. Care Homes for Adults (18-65 years) Page 8 of 36 People using the service said that Its a nice house they look after you and we go out I am not really happy here it is very noisy at night and I cannot sleep I like all the staff they are good to me Fees payable are dependent upon an assessment undertaken by the service and Care Management, which will determine the level of contribution payable by the service user. There are additional costs payable for activities and purchasing of personal items. What the care home does well Kingsley Rd is a warm and friendly home. You will be made welcome during your visit. Care Homes for Adults (18-65 years) Page 9 of 36 Bedrooms viewed were clean and pleasant and contained personal items. Support plans are developed with people who use the service. People who use the service are involved with decisions made about them, the home and in developing their support plans. People using the service are supported to be as independent as possible. Support workers will assist people in meeting their personal and health care needs. Care Homes for Adults (18-65 years) Page 10 of 36 Your privacy will be was respected. What has got better from the last inspection Mandatory staff training is now meeting work force standards. Care Homes for Adults (18-65 years) Page 11 of 36 Risk assessments are in place for uncovered radiators in the communal areas of the home. Staff supervision is now an ongoing process at the home. What the care home could do better Care Homes for Adults (18-65 years) Page 12 of 36 Not everyone at the home is happy due to the impact of anothers needs living at the home. Safe guarding procedures needs to be proactively used to ensure that needs are progressed and met. Additional staffing is required to support identified needs. Care Homes for Adults (18-65 years) Page 13 of 36 Administration of medication practice needs to be more robust to ensure that people using the service are protected. The manager must review how controlled drugs can be safely stored to ensure that they and meet the new regulations that came into force in 2007. If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 14 of 36 If you want to speak to the inspector please contact Judith Roan Cambridge Office Capitol Park Fulbourn Cambridge CB21 5XE Tel 01223 - 771300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 15 of 36 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 16 of 36 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The assessed needs of people newly admitted are not fully analysed to ensure that the service can meet their needs and that there is compatibility with others using the service. Evidence: The statement of purpose and other information needs to be developed so that it accessible and meets the needs of people the service aims to meet. The manager has stated within the AQAA that The statement of purpose could be more accessible to service users and their families another copy will be printed and located in an area of the house accessible to all. Once printed this will be discussed with the service users to where they wish it to be placed. An assessment of need is completed in conjunction with the funding authority prior to admission. The last admission was the result of a transfer from another home in the area where the individual persons needs could not be fully met. In reviewing this assessment it is clear that their needs were not fully considered and that the placement was at risk of failure. This has proved to be the situation despite the Care Homes for Adults (18-65 years) Page 17 of 36 Evidence: continual effort provided by the support team at the home. The manager is to review the admissions procedure to ensure that the issues learnt from this difficult period are used to minimise risks on admissions in the future. All other people had lived at the home for a long time and most said within their surveys that they could not remember much about the time, but one said that their family was fully involved. Care Homes for Adults (18-65 years) Page 18 of 36 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The needs of people who use the service are met through an effective support plans. Evidence: During the inspection we met with several people using the service who said that they were well looked after and that the support workers respected their right to privacy. One person was unhappy that they were being kept awake due to another resident shouting and screaming for several days at a time. The person was quite tearful about it and said that I do not wish to live here anymore. In discussion with staff they confirmed that they had received two complaints and knew that several others were unhappy. The care files of two people using the service were case tracked. Both contained good information on how support workers were to support the person to meet their needs. However the needs of one person were not being met as they were exhibiting by their behaviour that they were unhappy. The file contained evidence that the staff team had been proactive in seeking reassessment from health and social cares services. There Care Homes for Adults (18-65 years) Page 19 of 36 Evidence: were however considerable delays in action being taken to resolve the needs of the person and for plans to be formed for a new service to be sought. Additional one to one support had been identified and there were further delays from the funding authority to take action. The registered manager is required under the regulations to promote and make proper provision for the health and welfare of service users. In discussion with the manager it was acknowledged that further support could have been sought by using the safeguarding procedures to raise the urgency of the situation. The files contained a range of risk assessments in support of the plans. These were specific in relation to activities undertaken by people using the service. Support plans were reviewed and where necessary updated to meet changed needs. Support workers spoken with were knowledgeable about the care and support each person required. In observation of the work undertaken by support workers they were seen to be professional in their approach and respected the people they were supporting. One person spoken with during the inspection was able to confirm that they had enjoyed working on their support plan with their key worker. They also said that they were encouraged to make choices and decisions about their life. Regular house meeting are undertaken where individuals are supported to voice their views and to make informed choices about everyday activities within the home. All house meetings have minutes with appropriate action plans. Care Homes for Adults (18-65 years) Page 20 of 36 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are supported to have access to a range of activities but this could be improved with additional staffing. Evidence: One person spoken to said that they were able do activities of their choice and that they liked going out. In surveys several said that they would like to do more but were sometimes restricted due to staff availability or the needs of others taking priority. Some also questioned who paid for staff transport and meals whilst out on activities. Support workers in surveys also questioned this. The manager is recommended to seek clarification from the organisation as to the current practice as this appears to be contrary to what happens in other Mencap services. Several people who us the service attend a variety of day placements including college, day centres and individual activities to suit their needs. Care Homes for Adults (18-65 years) Page 21 of 36 Evidence: Individuals have a weekly activities programme that is updated to take account of various events and personal choices. During the period of observation it was noted how individuals were supported with everyday activities around the house to enable them to be included and to take on joint responsibility for their environment and their belongings. Individuals choose daily routines, like going to bed when they choose. People using the service are involved with the weekly shopping at a local supermarket The menu is chosen at house meeting, using picture where necessary to aid people with their choice. If someone does not like the chosen meal they are offered a different choice. Meals are served in the family style dining room. People were seen to choose what they had for breakfast and there was a relaxed getting up process for people staying at the home during the day. Several people were seen to be preparing their lunchtime meal and assisted each other to accomplish this task. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have the occasional not so healthy treat. There is negotiation between individuals so that meal times can be arranged around social activities and needs. The standard of food prepared at the home is good. Families commented on how good the communication has been with them and that the manager and the team of support workers kept them informed and involved. Families said that we are kept informed and were always made to feel welcome at the home. Our Families Charter encourages and guides our staff in supporting people to maintain and strengthen family connections that are important to them. Support workers confirmed that there was a good relationship between the service and families. The manager indicated that development over the next year will be To ensure that all choices and decisions made by service users are documented and that staff can show how they came to the decision. And to look at more detailed individualised communication systems so that service users are enabled and more confident to express their choices, needs and wishes. Care Homes for Adults (18-65 years) Page 22 of 36 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service are not fully protected by the administration of medication practices at the home, which leaves them vulnerable. Evidence: People who use the service confirmed within the surveys and in discussion that they were well cared for. There is good information kept which gives an overview of all medical appointments and check ups on an individual basis. This is contained in a Health check and health action booklet that forms part of the support Plan. Support plans cover all aspects of health care needs for people using the service to ensure that the management of personal care, monitoring weight, communication, dental, optical and chiropody needs are met. Accident/Incident Records which are rightly stored in the files of people using the service a combined record needs to be kept to show patterns and trends that can be analysed and used for management planning. Accident and incidents should be Care Homes for Adults (18-65 years) Page 23 of 36 Evidence: formally notified to the commission to ensure that the service is meeting regulations. Medication records were checked and found to be in the main satisfactory though contained some gaps, though stocks were checked and found to be satisfactory. The errors found on the day of the inspection where the evening medication had been signed for instead of the morning was due to the support worker being on duty all night. They should have been sleep in but were required to meet the needs of a person who is not well at present. The issues have been taken up in staff meetings and retraining following all incidents. Medication is kept in a locked room but must be securely locked away, it was observed at the inspection that the cabinet was left open and the keys had not been locked in the key safe. A controlled drugs cabinet must be installed at the home to ensure the safety of these drugs and to comply with the new regulations that came into force in 2007. Care Homes for Adults (18-65 years) Page 24 of 36 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The needs of people using the service have not been fully protected or listened to. Evidence: People using the service said that if they were worried about anything they would speak to staff or the manager. One person spoken to was very unhappy and became distressed as she had been happy at the home but her life was being affected by the behaviour of another person living at the home. They were not the only person feeling this way and the manager confirmed that they had received two complaints about the situation. In discussion with the manager they indicated that they had had a slow response from the funding authority to the management issues for a person who had moved into the home the previous year. There had been times when person was more settled but it was evident that they did not wish to live at the home and their behaviour led to the disruption of others throughout the day and night for several days at a time. Meeting were now in place to discuss the issues. The manager was advised to make a safeguarding referral in respect of the individual and others living at the home as the present situation was not an acceptable standard under which people could live. The situation was also affecting the staff with periods of sickness due to stress. There are residents meetings held where all residents are invited to attend and share their views about the home. A record of these meetings is available for residents and staff to refer to. Care Homes for Adults (18-65 years) Page 25 of 36 Evidence: The home has policies and procedures regarding the Protection of Vulnerable Adults and staff training records evidenced that this training has been provided to staff on adult protection. Recruitment procedures ensure that there is robust checking of new staff through references and criminal record bureau disclosures. The manager states within the AQAA that they have been very proactive in this area All Staff have completed Mencaps induction and foundation training which includes a comprehensive understanding of protecting vulnerable adults and supporting them to make complaints. All service users have the right to an advocate if they choose to and staff would support them to do this. We have picture guides, CD ROMs and staff to support service users raise any complaints or concerns. All service users have been issued with a copy of the complaints procedure and this is kept in their personal files. The complaints procedure is also displayed on the residents notice board in the dining room. We recognise that in supporting people who can be vulnerable and who may also have difficulty in expressing their feelings and fears, that the awareness and vigilance of staff is key to protecting people from harm. Care Homes for Adults (18-65 years) Page 26 of 36 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a warm family setting with individual space that is well maintained clean and hygienic. Evidence: People living at the home said that they were satisfied with their rooms and some showed the inspector their rooms. In observations the bedrooms showed that they were homely and reflected peoples individuality. The rooms contained many person items that suited their lifestyles The communal areas provide a choice of space where individuals can watch TV or spend time relaxing. Although at the time of the inspection several people preferred to spend time in their own rooms. Standards of cleanliness and odour control in all areas of the home were good. The manager within the AQAA indicates how people using the service are involved with their environment, As a mencap service we encourage service users to be involved in the decoration of their home and make decisions about how it furnished. We support service users to personalise their bedrooms with items of their own choice. Service users bedrooms are decorated to their own taste, service users are supported Care Homes for Adults (18-65 years) Page 27 of 36 Evidence: to choose what colour they want and what furnishings they want. Service users clean their bedrooms once an week and are supported by staff to do so. We have a daily task sheet and cleaning is separated into morning and evening tasks, service users are encouraged to be involved with the cleaning when possible. Care Homes for Adults (18-65 years) Page 28 of 36 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff skills and recruitment practices ensure that the needs of people who use the service are supported and that they are protected. Evidence: Mencap has a thorough recruitment procedure and files seen confirmed that required employment checks, application form, two references, criminal records bureau disclosures and interviews that involve people who use the service had been undertaken. The support worker team have a sound knowledge base about the needs of people that use the service. Through observation during the inspection they showed that they had a range of skills to support individuals and were proactive in developing everyday living skills. Support workers are offered a range of opportunities to train. The AQAA confirms the training undertaken with staff at the home. staff are actively encouraged to take on further training at present we have 1 member of staff working towards their National Vocational Qualification (NVQ) 3 in social care, 5 staff have NVQ level 2 and the deputy manager has NVQ level 3. Mencap has recently introduced a new induction programme which replaces the previous induction and foundation courses. This seems to be in a more user friendly format and easier to understand. Some training has been service specific, one service user has diabetes some staff have attended a training course about diabetes. Care Homes for Adults (18-65 years) Page 29 of 36 Evidence: The support worker team is well established and this has clear benefits for the people that use the service. The Homes manager is new and is awaiting to be formally interviewed as part of their process to become registered with the commission. They hold an NVQ level 3 and 4 and registered managers award. Staff have access to regular supervision which the manager and deputy manager share the responsibility. Staff undergo a probationary period of 6 months and probation interviews are carried out at 3 and 6 months. Staff use the communication systems within the service to full effect, these include the daily task list, communication book, diary and telephone. Support workers spoken to had a good knowledge of the needs of people using the service and were committed to providing a good service. They have regular supervision since the appointment of the new manager Support workers have access to a wide range of topics that include Person Centred Planning, a system that identifies the individual needs, of people using the service Lifestyle Planning, Epilepsy, Communication, Health Action Planning, Risk Assessment, Report Writing, Fire, Food Hygiene, etc. Training records are kept within individual staff files. New staff have to go through a detailed induction programme, based on the Skills for Care professional model. Care Homes for Adults (18-65 years) Page 30 of 36 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service is person centred and effectively managed in the best interest of people who use it. Evidence: The manager effectively manages the home in the best interests of people who use the service and the support workers. There was good feedback from people who use the service and support staff about the role of the manager. The have made an application to become registered and are awaiting an interview. There are several internal meetings within the service that focus on person centred care and enable people to voice their views and choices. All meeting have clear and comprehensive records. The registered manager reviews the service through the continuous improvement plan with their manager on a monthly basis. In addition monitoring forms are completed to ensure that the service develops and maintains a quality assurance system. All meetings at the home are recorded and demonstrate how the views of people using Care Homes for Adults (18-65 years) Page 31 of 36 Evidence: are fed into the ongoing review. The AQAA was reflective about the future development needs of the service and shows that the management team are proactive. Over the next 12 months their aim is to make support plans a live document by continual review and monitoring. This will include goals and achievements of people using the service and working more with families and including their views. The provider has undertaken all health and safety checks required. Clear records of all checks are well maintained. The AQAA also confirms the checks undertaken. Mencap has robust financial checks of personal monies that require records of receipts, running balances and two signatures. Monies are checked daily to ensure they are correct. Health and Safety Policies and Procedures are in place support workers are aware of these. Induction training ensures staffs knowledge and understanding of these. Care Homes for Adults (18-65 years) Page 32 of 36 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 33 of 36 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 20 13 The manager must review how controlled drugs can be safely stored. 30/06/2009 To ensure that they and meet the new regulations that came into force in 2007. 2 20 13 Medication administration and recording practice must maintained in accordance with Royal Pharmaceutical Guidelines. 30/04/2009 To ensure that people using the service are protected. 3 33 18 Additional staffing is required 17/04/2009 to support identified needs. This is to ensure that everyone that uses the service has their needs met. Care Homes for Adults (18-65 years) Page 34 of 36 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 14 There needs to be clear guidelines on how community activities are supported and what people who use the service are expected to pay in line with organisational policy. Safeguarding procedures needs to be pro actively used to ensure that needs are progressed and met. 2 23 Care Homes for Adults (18-65 years) Page 35 of 36 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 36 of 36 - 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!