Inspection on 06/02/07 for 27-29 Kingsley Road

This inspection was carried out on 6th February 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

27-29 Kingsley Road 12/02/09

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 08/07/2008.

CARE HOME ADULTS 18-65 Kingsley Road, 27/29 Roseneath 27/29 Kingsley Road Northampton Northants NN2 7BN Lead Inspector Keith Charlton Key Unannounced Inspection 6th February 2007 02:15 Kingsley Road, 27/29 DS0000012833.V327404.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 Kingsley Road, 27/29 DS0000012833.V327404.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. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingsley Road, 27/29 Address Roseneath 27/29 Kingsley Road Northampton Northants NN2 7BN 01604 459432 01604 459432 H2082@Mencap.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) Royal Mencap Society Vacant Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include 3 people with an associated Physical Disability (PD). Date of last inspection 14th October 2005 Brief Description of the Service: 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. Residents’ rooms 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. There is one shared lounge plus a conservatory, a separate dining room and a large garden to the rear of the home. Fees are typically £ 276 per week – this information was provided before the day of the inspection. There are costs for extras – hairdressing, toiletries, holidays, chiropody etc. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The manager was not on duty to assist with the inspection process, so the deputy and other support staff assisted. Planning for the inspection included looking at the last Inspection Report and assessing any notifications of significant events sent to the Commission for Social Care Inspection by the home. There have been no complaints received by the Commission for Social Care Inspection regarding the home in the past year. The inspections took place between 14.15 and 18.30 on day one and completed the following day with the manager and her line manager, and included a selected tour of the building, inspection of records and indirect observation of care practices. The inspector spoke with five residents, three members of staff, plus management. The Commission for Social Care Inspection also received eight Comment Cards from residents, one from a medical professional and two from relatives. All testified to the high standard if care provided to residents by staff. What the service does well: The service focuses on residents’ individual needs, e.g. residents spoken with said they liked living in the home and thought staff were friendly, the food was good and they liked their bedrooms. Care Plans are generally comprehensive and detailed to assist staff to deliver care that fits individual service users care needs. A choice of foods is always available to service users and there is a focus on healthy eating. Staff were found to be friendly and helpful in their dealings with residents. Bedrooms are personalised and homely and organised to residents’ styles of living with a large amount of possessions in them to make them homely. Facilities are kept in a generally clean and tidy condition and decor is kept to a good standard. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 6 There are regular residents meetings to provide information about services and asks their views about them. The minutes kept contain relevant information as to what was discussed. 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 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 7 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 Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 8 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment system to meet residents’ needs is in place. EVIDENCE: Pictures are used for residents’ Quality Assurance Surveys. This could be extended to other information – e.g. the Statement of Purpose that describes the services offered, the Complaints Procedure, menus etc., to make it easier for residents to understand this information. A resident said that he stayed in the home for a trial before he made up his mind about coming to live there. Comment Cards also mention visits before coming to live in the home. The Manager said that there is a Mencap procedure in that there are trial periods available for residents to sample living at the home before confirming a permanent stay, and that the Social Service Department is responsible for providing a detailed assessment prior to admission so that residents needs can be fully covered from the beginning. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 9 There was no evidence seen by the inspector regarding assessments prior to the admission of residents, as all residents have lived in the home for many years and this information was not available on file. The manager said it would be available for any future residents. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of people living in the home are generally well met. EVIDENCE: Residents spoken with thought they were well looked after and no one thought they were restricted in any way. Two residents’ care plans were viewed within individual record files. Both files contained information with actions stated as to how staff were expected to meet those identified needs. The managers acknowledged that further work was needed following the completion of Person Centred Planning training (a system which identifies residents needs) to identify residents personal goals and how this is going to be achieved. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 11 Evidence was seen of a range of risk assessments, which addressed activities chosen by residents that may present risk. These included safety in the community. Risk assessments identified aspects of each resident’s care needs that resulted in increased vulnerability. Staff spoken with were knowledgeable about the care and support each service user required. Staff were observed offering choices to service users, e.g. choice of food. The inspector case tracked two care records, which again clearly demonstrated that service users changing needs are being monitored and supported whilst living at the home. Records, observations and discussions with residents demonstrate that they make decisions about their lives and have independent life styles as much as possible, e.g. some residents are able to go out on their own, residents are encouraged to do household chores, do as much of their personal care as possible and they can use the kitchen with staff supervision and make their own breakfast and lunch. Residents were observed helping out in the kitchen. Staff said residents can make decisions about their own lives wherever possible e.g. what time to get up and go to bed, where they want to go on holiday, when they want to bathe, etc. They are asked their views on important issues in their meetings and these are recorded regarding food, holidays, outings etc. Staff said that residents independence is always encouraged, as it is an essential part of the residents rights and is a philosophy of the home. It is recommended that residents have representation in staff meetings and for staff interviews, if they wish, so as to increase their voice as to the running of the service. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home have the opportunity to have a fulfilling lifestyle though this needs to be extended to provide more stimulation. EVIDENCE: Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 13 Residents spoken to said they could do what they wanted to do and that they liked going out. A resident, who wanted to have more outings, was found to only be having only a small number of outings. This was acknowledged by the managers, who said recruitment for two full time staff was in hand and this would free up time for more one to one outings, as per residents Care Plans. Another resident was found to have limited activities at home (she had chosen not to go to day care). It was agreed that residents in this position would have a weekly Activities Programme drawn up for them, based on their wishes and choices. Another resident said he goes on holidays and was looking forward to going to Skegness this year, which he really enjoyed. A resident was found to be having his breakfast in the afternoon. Staff said this was his choice, which respected his lifestyle. Some residents said that they go to the Gateway and Dolphin clubs, which they said they liked doing. There was evidence of other activities – artwork, cooking, going out to activities – colleges, discos, local pubs etc. Residents Meeting notes showed that they have been consulted about holidays and activities. Staff said that residents use a range of community facilities including local shops, pubs, the park, the post office to get their money as well as attending specific groups for people with learning disabilities. Residents said they could have their visitors to the home and that there were no restrictions on visiting times. A resident said he could invite friends to visit when he wanted to. A staff member said that it was important for residents to maintain contact with their friends and family. Though no relatives visited the home during the inspection, Comment Cards said that staff were always welcoming and that the care provided to their relatives was always of a high standard. Food records showed that service users were given a choice of food. The tea tasted was of a satisfactory standard with a choice of food, with salad as part of the meal, thereby encouraging healthy eating. Records showed that the previous management have tried to promote healthy eating though there was a record in the staff meeting minutes stating that residents will not be provided with seconds – current management said this should not be the case and they would inform staff accordingly, as residents are entitled to more food if they requested it. The inspector had a discussion with the Managers as to offering more healthy but tasty alternatives to the current menus, as there is an issue with weight gain for some residents. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good personal support with their physical and emotional health needs being met. EVIDENCE: Residents said that they were looked after by staff and that if they were ill then staff would get the doctor for them. There is comprehensive information kept which details all medical appointments and check ups on an individual basis - from nurses, GPs, dentist, etc. This is contained in the format, ‘Health check and health action’ booklet that forms part of the Care Plan. Care Plans indicate all aspects of service users health care needs are covered – e.g. management of personal care, monitoring weight, communication, dental, optical and chiropody needs etc. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 15 Accident/Incident Records are in residents individual files which makes it difficult to check for patterns, trends etc., though there was a list of dates when accidents happened. This was discussed with management, who said they would consider how to set up a more accessible system. Staff stated that all staff that issue medication have had medication training by the pharmacist. Staff training records supported this. The home has a policy and procedure for the safe administration of medications and has a two person checking procedure to ensure medication is issued and recorded appropriately. Medication records were checked and found to be generally satisfactory though contained some gaps, though stocks were checked and found to be satisfactory. Staff meeting records refer to incidents where recording practice was not up to standard. The managers said that this would be followed up. Medication is kept securely locked away, as observed by the inspector. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ welfare is protected by robust practice, as staff are aware of the Adult Protection Procedure. Residents views are listened to and acted upon. EVIDENCE: Residents said that if they were worried about anything they would speak to staff or the manager and they thought it would be sorted out. The Commission for Social Care Inspection has also received no complaints regarding the service since the last inspection. There were two complaints noted in the home’s Complaints Book, which had been followed up and action taken to deal with the issues raised. The Complaints Procedure seen by the inspector reflected the National Minimum Standard in that it stated that any complaints would be fully investigated and followed up. 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. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 17 Staff members on duty were asked about their understanding of whistle blowing procedures, and both demonstrated a good understanding of the protection of residents from abuse. 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. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely and comfortable environment, and standards of hygiene are generally good. EVIDENCE: Residents said that they liked their bedrooms and they could have all their things in them. Some residents showed the inspector their bedrooms. Observations of the bedrooms demonstrated that they were homely and reflected residents individuality and the décor in their bedrooms suit their lifestyles. One bedroom seen had a fridge and kettle so that he could make his own drinks and keep his own drink and foodstuffs if he chose, thereby encouraging his independence. Another married couple had their own bedroom and separate lounge area, thereby encouraging their privacy and homeliness of accommodation. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 19 A conservatory has been built since the last inspection to provide more lounge space for residents. This was locked at the time of the inspection. The manager unlocked it and said this area would be put in order by improving the heating level and removing the old TV, so that residents could use it as they wished. Standards of cleanliness and odour control in all areas of the home were generally good except where there was an unpleasant odour to a corridor area on the first floor. The managers said that a carpet cleaner would be bought so that cleaning could be dealt with straight away rather than having to wait for maintenance. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a dedicated staff group, though there are not yet sufficient staff numbers on duty to meet residents needs, and staff training needs to be strengthened. EVIDENCE: Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 21 Residents spoken to were very happy with staff and saw them as helpful and friendly. Staff members spoken to by the inspector had a good knowledge of service uses care needs and were committed to providing a good service to residents. Staffing levels during the course of the inspection did not meet residents current needs as there are three residents with one to one needs at times for activities and there have been challenging behaviour and self harm incidents. There are two care staff on duty during daytime/evening periods, with a sleeping staff member on duty at night with staff on call if needed. If a staff member has to go out this leaves only one other staff in the home, with on call assistance if needed. Managers fully acknowledged this situation and said that there is current recruitment to fill two full time care posts. This will mean that there will be three care staff on duty during the day when residents are in the home. Staff records were inspected but and found to have all the necessary statutory checks, with identification in place for all records. Managers acknowledged that staff were not currently supplied with regular supervision, and said plans were in hand to rectify this. The manager is to ascertain the number of staff with National Vocational Qualification level qualifications and take action to meet the 50 needed to attain the National Minimum Standard. Staff have had training in a range of topics – the Person Centred Planning system which identifies service users individual needs, Epilepsy, Communication, Health Action Planning, Risk Assessment, Fire, Food Hygiene, Moving and Handling etc., though this the managers recognised this had not been systematic as training records kept within individual staff files had a number of blanks for training issues, e.g. challenging behaviour, moving and handling, health and safety, disability awareness etc. New staff have to go through a Mencap induction programme. The line manager said that there is a current national plan to base the induction programme on the Skills for Care professional model. It was recommended that a training matrix be set up to quickly identify who needs training in what topic. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the generally proactive management of the home. EVIDENCE: Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 23 Both residents and staff spoke highly of how the home is run. The Staff Meeting notes seen were detailed and comprehensive and focus on ensuring staff meet residents care needs. Residents have been asked as to their views on the way the home is run through a detailed Quality Assurance survey, though there was no evidence that issues raised by residents had not been acted on, as the action sheets seen were blank. This was recognised by managers. There is a need to analyse the results of surveys, produce an Action Plan to implement it and include this information in the Statement of Purpose for current and future residents’ information. Staff members were asked as to the fire procedure and were aware of this. Fire records showed that regular testing of emergency lighting was in place and there are regular fire drills. The fire risk assessment was also in place. However testing of fire bells was not always being carried out on a weekly basis and there was no evidence that staff have had training/been in a fire drill each year. The managers said this would be followed up. Some residents monies were checked and found to be in order. Records had receipts, running balances and usually two signatures and the managers said monies are checked daily to ensure they are correct. Health and Safety Policies and Procedures were in place with some Risk Assessments for safe working practices but these were missing for some issues, e.g. working with equipment, ladders etc. There was no Risk Assessment regarding the need for the fitting of radiator covers to protect residents from burning. There was also a need to Risk Assess a residents’ personal lounge where there were a number of full plastic bags, which could have constituted a tripping risk. The manager said these issues would be looked into and followed up. The hot water temperature was measured and found to be at the National Minimum Standard of 43c. There are hot water valves in place to ensure residents are protected from scalding temperatures. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 1 33 X 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA32 Regulation 18 Requirement Staffing levels need to be increased to be able to meet residents needs. A review of staff training must be carried out and training provided in all essential care issues (This was stated in the last Inspection Report and the timescale for action is overdue). Timescale for action 07/03/07 2. YA35 13,18 07/08/07 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. Refer to Standard YA36 YA42 Good Practice Recommendations Staff supervision needs to be put into place to provide regular support and supervision to staff. Health and Safety issues regarding uncovered radiators need to be followed up and actioned. Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Kingsley Road, 27/29 DS0000012833.V327404.R01.S.doc Version 5.2 Page 27 - 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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