Inspection on 22/01/07 for 29 Berryscroft Road

This inspection was carried out on 22nd January 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

29 Berryscroft Road 16/05/07

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Insight - Eastchurch

Southfields

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Seabourne House

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Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Berryscroft Road (29) 29 Berryscroft Road Laleham Staines Middlesex TW18 1ND Lead Inspector Suzanne Magnier Unannounced Inspection 22nd January 2007 10:00 Berryscroft Road (29) DS0000067595.V329708.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 Berryscroft Road (29) DS0000067595.V329708.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. Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Berryscroft Road (29) Address 29 Berryscroft Road Laleham Staines Middlesex TW18 1ND 01784 459404 01784 459404 brandhomesltd@btinternet.com 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) Brand Homes Limited Mr Jon Reginald Brand Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 29 Berryscroft Road is small care home for three people with learning difficulties who are younger adults. Mr J Brand is the Proprietor and Manager and operates the care home with an emphasis on a domestic and homelike atmosphere. The house is set in a residential street in Laleham close to public amenities. The house offers three single bedrooms and shared communal and laundry facilities. There is a small rear garden with a seating area. The house has a friendly atmosphere and all residents participate fully in the running of their home. The current rate of fees are £447.19 – £1,045 per week. Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit formed part of the key inspection and took place over five hours commencing at 12 midday and finishing at 17.00 at the registered care home. Ms S Magnier Regulation Inspector conducted the inspection with the registered manager and the visit was announced in order that the inspector could meet with the residents and staff at the home. For the purpose of this report, the home has requested that people using the service are referred to as residents. The home are currently offering a residential service to 3 residents and employs 10 members of staff who work flexibly over the two services owned by Brand Homes Ltd. The inspection process included the sampling of documents which consisted of residents care plans, risk assessments, daily records, medication records, several policies and procedures; staff training details and staff recruitment files. Comments from residents and staff have been included in the report. These were obtained during the visit. The Commission for Social Care Inspection have also received written comments from healthcare professionals, which have also been included in the report. The inspector would like to thank the resident’s, staff and the manager for their assistance and hospitality during this visit. What the service does well: The home has a flexible yet structured atmosphere, which promotes the residents rights to freedom of choice in their home. The home has robust care plans, based on a person centred approach and supports resident’s to maintain active, stimulating and meaningful activities in the community. Encouragement is given to residents to maintain links with family and friends and promote new friendships. Risk assessments are well managed. Staff recruitment, induction and training files are well recorded and staff spoke favourably of the day-to-day management of the home. Berryscroft Road (29) DS0000067595.V329708.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. Berryscroft Road (29) DS0000067595.V329708.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 Berryscroft Road (29) DS0000067595.V329708.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): 1,2,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have sufficient information to make an informed choice if they would like to live in the home and trial periods of stay in the home are available. The arrangements for a needs assessment for new residents are adequate to ensure the needs of prospective residents are assessed and identified before admission to the home. Residents have a copy of their terms and conditions of stay in the home. EVIDENCE: The homes statement of purpose and service users guide remains available for prospective residents. Trial periods to the home according to the needs and preferences of the residents are arranged and can include overnight stays. There have been no admissions to the home since the last inspection in August 2005. The inspector sampled one resident’s file which evidenced that the home had undertaken assessments of the prospective residents needs, their likes and dislikes including activities, meals, preferences of their daily routines for example getting up in the morning, having a meal and also how the resident prefers to communicate. The resident file sampled contained a copy of the terms and conditions of residency in the home. Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 9 The home has maintained close bonds between the residents and staff and it is apparent through observation that the resident’s diversity of needs and preferences of lifestyles are promoted to ensure that all resident’s continue to have a sense and awareness of their individuality. Berryscroft Road (29) DS0000067595.V329708.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 home has maintained robust care planning and risk assessments. The documents were current and well recorded to ensure the resident’s wellbeing and health needs were evidenced as being met. Resident’s make decisions regarding their lives and participate in the running of their home. EVIDENCE: The home has continued to improve the standard of care plans to include person centred awareness. The care plan sampled by the inspector contained evidence that the resident had been involved in the development of the plan to reflect their lifestyle, goals and achievements. There was clear guidance for staff of how the resident preferred to be addressed, receive support or supervision with their personal care when necessary, what meals they like and what support was needed, if any, with their activities both in and outside of their home. The care plan detailed that the resident had requested to move from the home Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 11 and the manager had been prompt to bring this matter to the care manager. The homes manager explained that the resident had written a letter also which had been posted to the care manager and a review was due to take place in February 2007. It has been recommended that the resident and staff may wish to seek the support of an advocate in order to further progress the request and choices the resident is making regarding living elsewhere. The home has a flexible yet structured atmosphere, which promotes the residents rights to freedom of choice and independence in their home. It was evident through sampling records that staff members continued to support residents with diverse needs in a caring and individualised way in order to promote resident’s individuality, independence and sense of identity. The resident’s daily records were seen by the inspector and were generally respectfully and well written by staff however one entry, which was brought to the managers attention was written in a judgemental manner. The records included information about the resident’s daily activities, any support given by staff, any change in the health needs and actions taken, and how the resident had participated in their day. The residents care plan included a variety of goals and ambitions of each resident which reflected their diversity to include the need for solitude and quiet and an understanding of the residents needs in response to their anxiety. The home has continued to maintain individual documented risk assessments. The assessments sampled were well recorded to detail the activity or behaviour being presented, the hazard and actions taken to minimise the risks of harm. Some risk assessments included ironing, cooking, safe use of chemicals and using the vacuum and support for behaviours which may ‘test’ the service including clear guidance for staff to offer a structured and consistent response to the resident in order to calm the situation. Berryscroft Road (29) DS0000067595.V329708.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. The home promotes and maintains residents involvement in their community, offers opportunities for personal development, appropriate activities and maintaining friendships. Residents are encouraged to be involved in the running of the home and improving daily living skills. The available choice of food provided was of a good standard. EVIDENCE: The inspector met with one resident who had returned from their day out. The resident told the inspector they were still enjoying their employment and living in their home which was quiet and friendly. Written comments received by residents included ‘I don’t have a key for my bedroom but I do for my front door’. ‘It’s a nice home and I feel safe’; ‘The place has a roof over its head’; ‘It’s a lovely home. I feel safe and well cared for and good atmosphere.’ Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 13 There was evidence that the home supported the diversity of choice, as all the residents are encouraged to maintain their independence with staff support where necessary. The care plan sampled indicated that the resident received staff support, where necessary to do some of the housework, which included hovering, dusting, cleaning their bedrooms and polishing. The washing machine is in the conservatory area and with staff support the residents participate in doing their laundry. One residents comment included ‘I go food shopping sometimes’. Residents were free to move around their kitchen safely and the kitchen flooring had been recently renewed. The inspector noted that a menu was available in the home and staff were available in the home to support the preparation of the mealtime. The inspector sampled the homes recording of meals taken by the residents. The records indicated a varied diet, which included vegetarian dishes as well as meat dishes. Food serving temperatures were also recorded. The residents told the inspector that they can choose what they want to eat and one resident having their own choice of deserts in the homes refrigerator demonstrated this. The homes fridges and freezers contained had a variety of foodstuffs and fresh fruit and vegetables were also available. Berryscroft Road (29) DS0000067595.V329708.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. The home has consistent recording and documentation to evidence that residents attend health care appointments to ensure their wellbeing and welfare. The homes medication procedures are to demonstrate the safe administration of resident’s medication and ensure their wellbeing and safety. EVIDENCE: The resident care plan sampled by the inspector included a health care checklist, records of seizures, and a body weight chart, clear records of health care appointments attended for example visits to the dentist, optician, GP and chiropodist. Additional records also included appointments to psychiatrists, psychologists and other specialist healthcare professionals. The manager advised that the residents care plan review was due to be held in February 2007. Records indicated that some care plan reviews had taken place yet the manager explained that it was difficult to arrange reviews due to the shortage of care managers and any queries were generally dealt with through the ‘duty’ system. It was noted that the manager and staff were active in seeking advise and support from healthcare professionals should the need arise to ensure the safety and well being of the residents. Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 15 The home has a comprehensive, recently updated, medication policy and procedure regarding administration of medication. The home has a Monitored Dosage System (MDS) system, which is overseen by the manager. The medication is stored in a locked cabinet in order to protect the residents from harm. The inspector sampled all the resident’s medication administration charts all of which were in good order to demonstrate the safe administration of resident’s medication to ensure their wellbeing and safety. Berryscroft Road (29) DS0000067595.V329708.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. The home has a robust complaints procedure to demonstrate that complaints will be acted upon and a Safeguarding Adults (Adult Protection) policy and procedure in order that residents are adequately protected by the same policy and procedure. EVIDENCE: During the site visit the inspector asked a resident what they would do if they had any concerns. The resident said they would go to the manager or staff and would feel confident that their concerns would be listened to and dealt with. The home has a complaints procedure and the manager explained that no complaints have been received by the home. The manager explained that all staff had received training in safeguarding vulnerable adults. The inspector spoke with the manager and a staff member on different occasions who explained the appropriate procedures for reporting any allegation of abuse in line with the local authority safeguarding vulnerable adults policies and procedures. There have been no safeguarding referrals since the previous inspection. Berryscroft Road (29) DS0000067595.V329708.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): 24,25,26,27,28,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home offers a comfortable and homely environment. Resident’s bedrooms reflect individuality. Specific areas in the home need to be decorated to ensure a good decorative standard of throughout the home. The paved area in the homes back garden must be made safe to ensure the safety and well being of the residents. Communal areas, including bathrooms in the home were spacious, clean and hygienic. EVIDENCE: The home continues to offer a homely and comfortable environment. New double-glazing has been installed throughout the home. The inspector observed that new leather sofas had been purchased offering adequate seating for the residents and their visitors to the home. The dining area was well decorated and offered adequate space to meet the needs of the residents to enjoy their meals. In each of the bedrooms there were personal possessions, furniture and leisure items which included televisions, music and photos. The bedrooms were Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 18 viewed as clean and well kept. Following the installation of the double-glazing the window surround in one resident’s room had not been painted and a requirement has been made that this is rectified. The home has one bathroom and a shower room and toilets are available in each room. The bathroom was generally well decorated yet required further redecoration to a damp area on the ceiling and wall. A previous requirement regarding the repair of the cracked paving in the rear garden had not been met and a further requirement has been made that the hazard is removed in order to ensure the safety of the residents when using their garden. A previous requirement regarding the decoration of the conservatory and the alcove area by the staff sleep in room had not been met. The manager explained that he had received an estimate for the costs of the decoration. A further requirement has been made that the registered person must ensure that all parts of the home are kept clean and reasonably decorated which includes the conservatory area and the small alcove by the staff sleepover room. The inspector also observed that the pipes for the washing machine and dryer were not boxed in and a requirement has been made that the registered person must ensure that the pipe work for the washing machine and dryer are boxed in to ensure that all areas of the home to which residents have access are free from hazards to their safety. The general state of cleanliness and hygiene in the communal parts of the home was good. Berryscroft Road (29) DS0000067595.V329708.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): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home have improved the induction and training development and recruitment of staff procedures to ensure the safety and well being of residents. Further improvements need to be developed regarding staff recruitment practices to promote the homes equal opportunities policies and procedures to ensure the protection of residents. EVIDENCE: It was observed that the staff on duty were confident and competent in supporting and encouraging the residents. There was a sense of ease and resident’s spoke favourably about the staff, with some mentioning their favourite staff members by name. The majority of staff are employed to work over the two services owned by Brand Homes Ltd with the staff working flexible shifts to accommodate the needs of the residents. Whilst sampling staffing records the inspector noted that overall recruitment practices had improved for example an updated job description, application form and a structured induction programme. On sampling the recruitment records it was noted that there was a lack sufficient of evidence for example person specification, short listing criteria or interview records, to support that Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 20 prospective employees had received a structured interview and equality of opportunity and anti discrimination practices had been upheld. It is required that further development of staff recruitment practices include evidence of a detailed person specification, short listing criteria and interview records, to promote the homes equal opportunities policies and procedures to ensure the protection of residents. The staff files sampled evidenced that the manager undertakes safe vetting practices including appropriate references and Criminal Records Bureaux checks. (CRB). Staff training and induction records were sampled to evidence that staff have undertaken and have achieved distance-learning courses covering all mandatory training. There is regular support and advise available from community health care professionals for example speech and language therapists who commented ‘ I have only just started having dealings with the home. I have no reason to believe that they would not fulfil their obligations in their entirety’. Specialist training has also been made available to staff for example dementia awareness and some staff have experience and skills working with people who may ‘test’ the service. One comment card from a health care professional stated that ‘not all staff demonstrate a clear understanding of the needs of the residents and there’s not always a senior member of staff available to speak with.’ Five staff members are currently undertaking their National Vocational Qualification (NVQ) Level 2 and the deputy manager is currently undertaking her Level 3 NVQ. One staff member told the inspector that they had worked at the home for many years and the training opportunities had really improved the staff’s abilities to support residents. Berryscroft Road (29) DS0000067595.V329708.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): 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. While the overall management of the home is robust and residents and their representative’s views considered, the management has not addressed two requirements, which remain outstanding from the last inspection. Health and safety arrangements need to be improved to ensure resident’s safety and welfare. EVIDENCE: Generally, the home continues to be well managed. However there are two requirements from the last inspection, which have not received action including attention to uneven paving in the garden and decoration of the conservatory and another area in the home. These matters need to be addressed by the home in order to ensure the safety and comfort of residents. The registered manager has achieved the registered managers award, which has promoted a renewed sense of competency and confidence in the running Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 22 of the home. The philosophy and values of the home are evident and resident’s views about their home included ‘It’s a lovely home’. ‘I feel safe and well cared for and good atmosphere’. The manager explained that the home had undertaken a quality assurance questionnaire recently and were waiting for the result to be returned. It was evident during the inspection that the residents were able to voice their opinions about the service and that the staff would be attentive and respond to any improvements that the residents wanted. The home has resident meetings, which are attended by residents if they choose to. The inspector sampled a variety of health and safety records, which included fridge and freezer temperatures, accident and incident records, fire drills, practices and noted the home has smoke detectors in place. Fire extinguishers had been serviced in January 2007. Records indicated that the home undertake regular checks of the water temperatures in the home however the inspector noted that the water thermometer was broken. The manager advised that a new thermometer was on order and would be delivered to the home the following day. It has been required that the registered person shall ensure that unnecessary risks to the health and safety of residents are identified and as far as possible eliminated including risks from hot water. The home had recently had all electrical appliances and the gas boiler checked. The last environmental health visit had been undertaken in 2005. A monthly health and safety record was seen by the inspector, which was completed by the manager each month. Berryscroft Road (29) DS0000067595.V329708.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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Version 5.2 Page 24 Berryscroft Road (29) DS0000067595.V329708.R01.S.doc YES Are there any outstanding requirements from the last inspection? 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 YA24 Regulation 13(4)(a-c) Requirement The registered person must ensure that all areas of the home to which residents have access are so far as reasonably practicable free from hazards to safety and the paving in the rear garden is repaired or replaced. Not met 16/08/05 The registered person must ensure that all areas of the home are reasonably decorated to include the bathroom ceiling and wall, and the window surround in a resident’s bedroom. The registered person must ensure that all parts of the home are kept clean and reasonably decorated which includes the conservatory area and the small alcove by the staff sleepover room. Not met 01/02/06 The registered person must ensure that the pipe work for the washing machine and dryer are boxed in to ensure that all areas of the home to which DS0000067595.V329708.R01.S.doc Timescale for action 22/03/07 2. YA24 23.(2)(d) 22/03/07 3. YA24 23.(2)(d) 22/03/07 4. YA24 13.(4)(a) 23.(2)(d) 22/03/07 Berryscroft Road (29) Version 5.2 Page 25 5. YA34 6 YA42 residents have access are free from hazards to their safety. 18.(1)(a) The registered person must further develop the staff recruitment practices for example evidence of detailed person specification, short listing criteria and interview records, to promote the homes equal opportunities policies and procedures and to ensure the protection of residents. 13.(a)(b)(c) The registered person shall ensure that unnecessary risks to the health and safety of residents are identified and as far as possible eliminated including risks from hot water. 22/02/07 26/01/07 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. Refer to Standard YA7 Good Practice Recommendations It has been recommended that the resident and staff may wish to seek the support of an advocate in order to further progress the request and choices the resident is making regarding living elsewhere. Berryscroft Road (29) DS0000067595.V329708.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Berryscroft Road (29) DS0000067595.V329708.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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