Inspection on 06/07/07 for 275a Rutland Road

This inspection was carried out on 6th July 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

275a Rutland Road 05/07/06

275a Rutland Road 21/02/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Whitwood House

Whitwood Hall

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 275a Rutland Road 275 Rutland Road Pitsmoor Sheffield S3 9PZ Lead Inspector Steve Marsh Key Unannounced Inspection 6th July 2007 10:30 275a Rutland Road DS0000062380.V345372.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 275a Rutland Road DS0000062380.V345372.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. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 275a Rutland Road Address 275 Rutland Road Pitsmoor Sheffield S3 9PZ 0114 281 2272 P/F 0114 281 2272 steven.danford@sheffield.gov.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) Sheffield City Council - Disabilities Services Division Mr Steven Danford Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2006 Brief Description of the Service: Rutland Road is a care home providing short-term care to adults with learning disabilities. It is located in a residential area of Sheffield with good access to public services and amenities (e.g. bus services, shops, libraries and pubs). Accommodation is on two floors and consists of two bedrooms, a small lounge and dining kitchen area on the ground floor and a further three bedrooms on the first floor. There are sufficient toilet and bathing facilities. A range of fees is charged for the service dependent on the person’s age. The present scale of charges range between £10:70p and 17:40p per day, which includes accommodation and all meals. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between the hours of 10:30am and 5:00pm. The purpose of this inspection was to make sure the home was being run for the benefit of the people who stay there and in accordance with requirements and regulations. The methods I used included looking at records, watching staff at work, talking to people staying at the home, talking with staff and looking around the property. I also had a discussion with the relative of one person staying at the home and left questionnaires for other relatives and people using the service. No pre-inspection information was available before the day of the visit. This was my first visit to Rutland Road and therefore I would like to take the opportunity to thank the manager, staff and people staying at the home for making me feel welcome and for their assistance in the inspection process. What the service does well: The home is well managed and the manager provides good leadership to the staff team and makes sure people’s rights are protected. The staff have a caring attitude and have a good understanding of the needs of the people in their care. The manager and staff create a warm and friendly atmosphere, treat everyone as individuals and wherever possible provide care and support in line with their wishes. The admission procedure is thorough and the manager will not admit a person unless he feels they are compatible with people already living there and staff can provide the level of care/support they require. People are supported in making decisions about their daily lives and are encouraged to participate in activities outside the home so that they feel a valued member of society. People staying at the home said that they looked forward to their stay and the staff were always kind and caring. Comments included “all the staff are great” and “I always have fun when I stay.” 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 6 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. 275a Rutland Road DS0000062380.V345372.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 275a Rutland Road DS0000062380.V345372.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): 1, 2 and 4. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People considering using the service are provided with sufficient information to enable them to make an informed decision about the home. The admission procedure is now thorough and relatives can be sure that people will not be admitted unless staff are able to meet their needs. EVIDENCE: The manager confirmed that the home’s statement of purpose and service user guide have recently been updated and are available to people that are considering using the service and their relatives. The home continues to work closely with the Sheffield Care Trust and all referrals for admission are initially presented and discussed at the monthly allocation meeting held for respite disability services If an individual is allocated a place the manager will visit the person in their own home to make sure the placement is appropriate. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 9 They and their relatives are then invited to visit the home to view the accommodation, meet other people using the service and the staff. Before admission people are also offered a series of teatime visits, which helps them and their relatives decide if the home is right for them. The manager confirmed that people offered a place at the home are always supported throughout the admission process and care is taken to make sure they settle in to their new environment. Because the home only provides respite/short stays there can be several weeks between people’s visits and therefore it may take a number of visits before they feel completely comfortable about being away from home. However, the people seen on the day of the visit had stayed a number of times before and made themselves at home very quickly. The admission procedure was informal and was very much like welcoming back old friends that were coming to stay for the weekend. This immediately put people at ease and created a warm and friendly atmosphere. 275a Rutland Road DS0000062380.V345372.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 and 9. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Care plans are comprehensive but need to be more person centred and user friendly so that information can be accessed easily. EVIDENCE: Comprehensive care plans are in place for all people and cover all aspects of their health and social care. The manager confirmed that care plans are reviewed on a regular basis and accurately reflect the current level of care and/or support required by the individual. The care plans reviewed were generally completed to a satisfactory standard and gave guidance to the staff on how people’s needs were to be met. However, in some instances information was hard to find within the care plans and therefore they are difficult to use as a working document. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 11 The manager is aware of this and confirmed that the home is currently in the process of implementing a new person centred care plan. However, because of the large number of people supported by the service, about eighty in total it will take several months before the new system is fully operational. There is evidence to show that people staying at the home and their relatives are involved in the care planning process. However, sometimes staff at the home are not invited to review meetings, which might mean that they are not aware of changes in their care plan. The manager is currently addressing this matter by establishing stronger links with other professionals involved in providing the care package and being pro active in making sure the information they have on individuals is accurate and up to date. As part of this process the relatives of all people using the service are contacted a few days before they are due to be admitted to make sure that there has been no changes to the care plan or medication. Risk assessment have been completed for people staying at the home, where specific risks have been identified, which may limit their freedom of choice or affect their quality of life. Through discussions with staff and my observations during the day it is apparent that people staying at the home are encouraged to take control of their life and makes as many decisions and choices as possible. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People living at the home are encouraged and supported to participate in a range of activities, which helps to improve their quality of life. The home responds to individual needs and choices and encourages people to exercise control over their daily lives. EVIDENCE: The home only offers respite care therefore it remains the responsibility of their family/main carer or other professionals to provide people using the service with appropriate education or employment opportunities. However, the manager confirmed that the majority of people using the service continue to attend day centres during their stay at the home. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 13 Staff said that the daily routines of the home are based around the needs of the people staying there and they have a flexible approach to work practices. Rotas are organised in such a way that additional staff are on duty at peak times of the day or when people need support in accessing social or leisure activities in the community. Through discussion with staff it is apparent that they make sure that people lead a full and active life during their stay and are always looking at ways of providing them with new experiences and opportunities. Questionnaires returned by people that use the service clearly indicate that they are very happy with the activities arranged for them Comments included “I love staying at the home because we always have a great time” and “We do something different every time I stay – the staff are great.” People are encouraged to use the shops, pubs and other facilities in the local area and given the opportunity to develop their personal life and social skills. People are also encouraged to maintain strong links with family and friends so they don’t feel isolated. On the day of the visit people were asked what they wanted to do during the evening and plans were made for some people to go to the local pub with staff while one person had arranged to go out with a friend. Throughout the visit staff were observed to interact well with the people in their care and people were relaxed and clearly felt comfortable in their presence. The home does not employ a cook therefore it is the responsibility of the care staff to provide people with a varied and balanced diet and promote healthy eating. The care plans identify the preferred choices of meals and any special dietary requirements, which makes sure that people’s wishes are taken into consideration when menus are planned. The manager confirmed that mealtimes are unhurried and people are encouraged to make hot drinks and light snacks if they have the ability. 275a Rutland Road DS0000062380.V345372.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 and 20. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s healthcare needs are met, and if required assistance with personal care is provided in a discreet and sensitive manner. EVIDENCE: As people are only admitted to the home for respite care it remains the responsibility of their family or main carer to make sure that they are registered with a general practitioner and their healthcare needs are met. However, the manager confirmed that staff accompany people on visits to see their general practitioner or when attending outpatient appointments if necessary during their stay. During conversations with staff it was evident that they had a good understanding of the needs of the people in their care and respected their right to privacy and dignity. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 15 Staff said that the daily routines at the home were flexible and people are encouraged to be as independent as possible and make informed decisions and choices about their daily lives. The care plans identified how people prefer to have their personal care provided and included information about what time they wished to get up and dressed and when they preferred to take a bath/shower. People spoken to confirmed that staff supported them during their stay but as far as possible they followed their own daily routines and were encouraged to do so. The home only provides respite care therefore it is the responsibility of the family or main carer to make sure that people have enough medication to last them the duration of their stay. People who are able to manage their medication are encouraged to do so, however the majority of people using the service require assistance from staff. The manager confirmed that a new medication policy has just been introduced and all staff have received in-house training to make sure they up to date with procedures. Following the last inspection the home sought advice from a pharmacist to make sure that the storage and recording of medication was in line with present legislation. On reviewing the medication system no concerns were raised, which indicates that people are receiving their medication as prescribed. 275a Rutland Road DS0000062380.V345372.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 and 23. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Thorough complaint and adult protection policies and procedures make sure that individuals are listened to and protected from any form of abuse. EVIDENCE: There is a clear complaints procedure in place and a relative spoken to said that she would have no problems approaching the manager if she had any concerns about the standard of care being provided. No complaints have been received since the last inspection. Adult protection policies and procedures are in place and staff have received appropriate training in the recognition and reporting of abuse. Staff spoken to confirmed that they were aware of the homes policy on “whistle blowing” and were aware of what to do if they felt any practices put in place at the home were not in the best interest of the people using the service. Policy and procedures are in place relating to handling people’s financial affairs and transaction sheets are completed when people give staff money for safekeeping. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home provides people with a pleasant and comfortable environment in which to live during their stay. However, the garden must be improved so that people can use the area safely. EVIDENCE: The home is decorated and furnished to a good standard throughout and in addition to the five single bedrooms provides a small lounge, kitchen/dining room and sufficient toilet and bathroom facilities. The bedrooms vary in sizes but are all comfortably furnished and have a television and video recorder as standard. People are also encouraged to bring small personal items with them during their stay to make the rooms more homely. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 18 The lounge and kitchen/dining are domestic in size and the atmosphere within the home is that of a small family unit. People spoken to said that the bedrooms were great and they liked having their own space. Questionnaires returned by people that use the service and relatives also clearly indicate that the home is always kept clean and bedrooms are comfortable and well furnished. Unfortunately, the layout of the building restricts people with a physical disability from accessing the service as there is no wheelchair access and three of the five bedrooms are located on the first floor. Externally there is a large garden with a small overgrown patio area. Both the garden and patio area require attention before they are suitable for people to use and funding is currently being sought to provide fencing, a new patio and general garden maintenance. As the lack of safe outdoor facilities was also highlighted in the last inspection report the Registered Providers must now make every effort to address this matter as soon as possible so that people can enjoy the garden area. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 and 35. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People using the service are protected by a thorough recruitment and selection procedure. There is a commitment to staff training and to ensuring that people receive the standard of care they require. EVIDENCE: No staff recruitment files were looked at during this visit as they are held at the organisation’s headquarters. However, the manager confirmed that Sheffield City Council (Disability Services) operate a thorough staff recruitment and selection procedure based on equal opportunities and ensuring the protection of the people using the service. The home has a small but well-established staff team that are committed to ensuring the people living at the home receive the best possible quality of care and support. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 20 Agency staff are used at times to cover for sickness or annual leave and wherever possible the home try to use the same agency staff so that people receive continuity of care. All staff have contracts of employment and job descriptions, which outline their roles and responsibilities within the home and staff said that they felt well supported by the manager in meeting personal objectives. There continues to be a commitment to staff training and the manager confirmed that following their induction training, staff go on to complete further training using the Learning Disability Award Framework (LDAF). There is also an expectation that all members of care staff will achieve a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. However, at present less than 50 of staff have achieved this award. The training needs of individual staff are discussed during their formal one-toone supervision with their line manager, which takes place at regular intervals throughout the year. Training records clearly show that staff receive the training they require to meet the needs of people staying at the home and for their own personal development. Staff spoken with said that the level and quality of training provided is good and confirmed that the home is committed to having a trained, skilled and experienced workforce. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 and 43. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well run and the manager provides good leadership to the staff team and ensures people’s rights are protected and their needs met in line with their care plan. EVIDENCE: Mr Steven Danford has been the manager of the home since it opened and has many years experience working with people with a learning disability. Mr Danford has achieved a National Vocational Qualification (NVQ) at level four in management and care and continues to update his skill and knowledge base. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 22 In addition to managing Rutland Road the manager also manages another twobedded satellite home where he has his office base. However, staff said that he spent a lot of time at the Rutland Road and in his absence they were well supported by the deputy manager. Staff confirmed that the manager has an open and approachable management style and ensures clear channels of communication within the home by holding regular meetings with staff and people that use the service. Quality assurance monitoring systems are in place and the manager is proactive in obtaining the views and opinions of people using the service, their relatives and other professionals about how the service is meeting stated aims and objectives. Through discussion with staff it is also apparent that they are constantly selfassessing the service they provide and are aware of what they do well and what areas of the service need further development. A relative spoken to confirmed that that she was very pleased with the standard of care provided by the home and felt that the manager and staff listened to people using the service, which made them feel valued. Questionnaires returned by relatives also indicate they are happy with the standard of care provided. Comments included “I know my son is well cared for and the staff understand his needs” and “staff offer support not only to people using the service but also their relatives – they know how difficult it can be caring for someone with a learning disability.” The home is currently looking at sending new pictorial questionnaires out to people that use the service, which will be the first time a survey, has been undertaken. A summary of the results of the survey will then be made available to all interested parties including the Commission. As part of the quality assurance monitoring process the line manager for the service also visits the home but unfortunately the last recoded visit was January 2007 and not monthly as required. Policies and procedures are in place at the home to ensure the health and safety of people using the service, visitors and staff, and are reviewed on a regular basis to ensure they comply with present legislation. 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 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 3 27 3 28 2 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 2 X 3 3 3 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 24 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 YA6 Regulation 15 Requirement The registered manager must make sure that the new person centred care planning system is implemented as soon as possible. So that information about people is easily accessible to staff and the care plans can be used as working documents. Outstanding from the last inspection – timescale 30/11/06 not met. The registered provider must make sure the garden area is made safe and accessible for the people to use. Outstanding from the last inspection -- timescale 30/12/06 not met. The registered provider must make sure that staff recruitment files are securely held at the home and available for inspection on request. So that the organisation can evidence that they have thorough recruitment and selection procedure. Outstanding from last DS0000062380.V345372.R01.S.doc Timescale for action 31/12/07 2. YA28 23(2)(o) 30/09/07 3. YA34 19 30/09/07 275a Rutland Road Version 5.2 Page 25 inspection – timescale 01/08/06 not met. 4. YA39 24 & 26 As part of the quality assurance monitoring process the registered provider must make sure that a designated person visits the home on a monthly basis as required under Regulation 26 of the Care Homes Regulations 2001. A copy of the report completed must then be made available to the Commission. Outstanding from last inspection – timescale 01/09/06 not met. 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 275a Rutland Road DS0000062380.V345372.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 275a Rutland Road DS0000062380.V345372.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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