Inspection on 18/11/08 for 30 The Dock

This inspection was carried out on 18th November 2008.

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

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

Other inspections for this house

30 The Dock 28/11/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 30 The Dock 30 The Dock Catshill Bromsgrove Worcestershire B61 0NJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Dianne Thompson     Date: 1 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 30 The Dock 30 The Dock Catshill Bromsgrove Worcestershire B61 0NJ 01527875062 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): julie.mcgirr@dimensions.org Dimensions (UK) Ltd Name of registered manager (if applicable) Julie Diane McGirr Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 4 Date of last inspection Brief description of the care home The Dock is a traditional detached house in a residential area of Bromsgrove, which provides a home for four people who have learning disabilities, one of whom is also visually impaired. There is easy access to public transport and the town centre. The home has its own vehicle for people who sue the service. The home aims to provide a homely environment promoting independence and dignity. People receive care and support to live as ordinary a life as possible in the community. People are encouraged to participate in the running of the home and share in the general household activities Care Homes for Adults (18-65 years) Page 4 of 28 care home 4 Over 65 0 4 Brief description of the care home within their capabilities. The registered manager is Julie McGirr. Details of the current fees for the service are included in the Service Users Guide and start from sixty two pounds thirty five pence per week. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection visit to see what the service was like for the people who live at The Dock. The previous inspection of this service took place on 28/11/06. Time was spent talking to some of the people who live there and some of the staff working there. We looked at some of the records, policies and procedures in the office. We talked to other people to get their views about the service. The manager completed an Annual Quality Assessment (AQAA) and sent this to the Commission for Social Care Inspection (CSCI). The AQAA is where the manager tells us about the service provided at The Dock and the ways they plan to develop the service. Care Homes for Adults (18-65 years) Page 6 of 28 We looked at parts of the premises. Information gathered from other sources such as surveys, monthly visit reports and information sent to the CSCI has been included in this report. What the care home does well: What has improved since the last inspection? What they could do better: Activities that take place should be recorded in ways that shows what everyones lifestyle is like. All staff should make sure that records of all food eaten are fully completed and kept up to date. All staff should make sure that there are no gaps in the health care records for people in their care. All staff should make sure that information is recorded to follow up on health care appointments and any monitoring that is needed. Names of all people taking part in fire drills should be recorded to make sure that everyone attends regular fire drills. Care Homes for Adults (18-65 years) Page 8 of 28 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is available about the service and what can be provided to help people and their families making decisions about their future care needs. People are given opportunities to visit and assessments would be completed before people move into The Dock to make sure their individual needs can be met. Evidence: Policies and procedures are in place for staff to follow should a vacancy arise at The Dock. Information about the service is included in the Statement of Purpose and Service User Guide, and available to everyone living at The Dock or if requested by people making enquiries about the service. The Service User Guide gives information about the service that people can expect, together with details about the fees, the complaints procedure and a copy of the contract agreement between the individual and Dimensions. The admissions procedure states that full community care assessments are required Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: and that The Dock will complete their own assessments. We saw that community care assessments had been completed for the three files examined. Care plans are developed from information gathered during assessments, visits and discussions with other interested parties. The manager says in the services AQAA that individual support plans that reflect the needs assessment are completed. We saw information to show that people who consider moving to The Dock would be supported through a gradual introduction into the home over a period of time. This would be agreed during the assessment process and people who know them well would be encouraged to be involved in their transition. Surveys confirm that people are given information about the service and that they were involved in the assessment process. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide staff with relevant information about the assessed needs for each person so they are able to make sure people receive up to date and consistent support. People are supported to make decisions about their lives and are given opportunities to take part in all aspects of life in the home. Risk assessments show how risks are to be reduced and people are to be supported to be as independent as possible. Evidence: Care plans for 3 people were checked and all contained relevant information about individual needs and how they are to be met. Care plans set out in detail the action to be taken by care staff. We saw evidence that care plan reviews are taking place regularly, for example we saw that a review had taken place for one person on Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: 17/10/08. Information in care plans cover all aspects of care needs for each person including their daily living needs, health and personal care, physical well being, social interests and relationships, religious and cultural needs and any other specific areas. Information about the way people communicate is well documented and shows staff how people are to be helped. Communication is varied and care plans are completed within an easy read format that includes symbols and pictures. We saw information to show that The Dock works in a person centred way in the planning of care and support. Care plans include information about each person that shows who they are and what is important to them in their lives. We saw that staff complete records with people who use the service to make sure that everyone is involved as much as possible in their everyday lives and the choices they have. Each person is allocated a key worker to over see their care. Key workers support people on a one to one basis and contribute to their key persons plan of care. Surveys returned confirmed that people are satisfied with the care that is given or agreed with the service. We saw risk assessments that have been completed to keep people safe and include support guidelines for staff to follow. Risk assessments include dates for planned reviews and explore ways to make sure that people are supported to be as independent as possible. We saw that a risk assessment with guidelines is now in place to tell staff how to respond in the event someone was choking. This meets the recommendation of the previous inspection. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service says that people are supported and encouraged to take an active part in their choice of activities, although the records do not show this. Everyone is encouraged and supported to maintain links with their families and to develop friendships. Dietary needs are well catered for, and a healthy menu is provided although records are not being kept as required. Evidence: Time was spent with three people who were at home at the time of the inspection visit. One person was sleeping and two people were watching the television for some of the time. Activities records were examined for three people who were part of the case tracking process throughout this inspection visit. Although staff said that activities regularly Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: take place records do not reflect this. The manager says in the service AQAA that individual activity plans reflect the activities people have chosen and the outcomes of activities. The activity plans that we saw during the inspection visit did not reflect this. We saw that for some people the last entry in their activity records was written 20/1/08 attended a party, and 18/9/08 attended Snoezelen for another person. Although information within care plans and other records show that people attend places such as Redditch College regularly, records we saw did not reflect this. We saw records that say activities are to be supported, but there is no information to show how this is to be done or what activities this refers to. Support is given to people who wish to take annual holidays. We saw that a holiday earlier this year to Jersey had taken place for one person, and day trips for another person. Care records show that regular contact with family and friends is supported. People who use the service are able to see their visitors in private, and surveys confirm that people are made to feel welcome. Records show that the service provides meals that are varied and nutritious with choices available where preferred. For example, we saw menu choices of pasta, chicken casserole, baked potatoes with salmon, parsley sauce and vegetables, fish chips and beans, roast beef, and cottage pie. Assorted sandwiches with crisps had been eaten for lunch on the day of the inspection visit. Although the gaps in the records of foods eaten had been discussed at the previous inspection, records showed no improvement to the completion of food charts. Records are not being completed as required and the recommendation still stands. Snacks and drinks are available throughout the day, and people are consulted about their choice of meals. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual health and personal care needs are being met by the staff at The Dock although regular checks and monitoring is not being recorded as they should be. The Dock has a medication policy and procedure for staff to follow to make sure that all medication is given and stored safely, for the protection of everyone who lives there. Evidence: People who live at The Dock have care plans that include their health action plan. These plans give information about personal care needs and the ways people prefer to be supported. Health action plans give detailed information about each persons health needs and how they are to be met. Records indicate that physical checks are to be completed, such as weight and physical functions. We saw records that showed these checks are not being regularly completed. For example, we saw weight charts that did not say how often weight checks were to be carried out and showed only one entry for 2008. For another person we saw that their care plan stated regular weight checks and monitoring was to be done. The records did not show that this was being done. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: People have good access to medical support through their Primary Health Care Team (PCT) as required. This includes a speech and language therapist, physiotherapist, chiropodist, dentists and doctors. A record of visits to the doctors and other medical professionals is kept. The manager says in the services AQAA that staff document in communication notes when they have supported people to attend appointments or have been visited by healthcare professionals. Although information in health action plans shows that action has been taken in response to any concerns about peoples health that have arisen, there is a lack of follow up information available. For example, well person checks were completed and glucose was found in urine 7/4/05, and as a result the service was advised to cut out natural sugars. Records show that show that regular blood tests are carried out where required, such as carbamazepine levels, but no outcome is recorded? There is no information to show how such occurrences are monitored and whether any follow up plan or action has been taken in response to these. We saw staff talking with and helping people. Everyone was treated with respect, in how they were spoken to and the way in which support was given. Staff were patient and gave people the time to talk and staff made sure they listened to what people tried to communicate. Although communication with people who use the service for visitors may be difficult, people appeared to be comfortable and at ease in their surroundings. Surveys confirm that staff are very helpful and caring and that they look after and care for people living at The Dock. A policy and procedure is in place for the administration of medication. Each person has a medical profile to tell staff how they like to take their medication. The medication administration records were checked and all records are fully completed. Information includes clear instructions to staff for example, for one person they are to take capsules each am with a drink. A photograph of each person receiving medication is included in the medication record file. All staff who are involved in the administration of medication receive accredited training that includes basic knowledge of how medicines are used and how to recognise and deal with problems that may occur. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to easy to understand information about how to make a complaint, and staff help people to have their say and share any concerns they may have. There are procedures in place for the management of complaints and to make sure that people who use the service are protected from abuse. Evidence: The Dock has a complaints policy and procedure in place that is accessible to people who live at the home and their relatives. Staff support people should they wish to make a complaint. Survey responses show that people are aware of the complaints procedure and that no complaints have been made. The service has a complaints log that records both complaints and compliments that are made. There are specific policies and procedures in place to guide staff on the protection of vulnerable adults from abuse and on whistle blowing for staff. Staff receive training in abuse awareness and staff training records confirm this. Staff spoken to confirm they have training in the protection of vulnerable adults. Dimensions have appointees for financial matters for people using the service. People are supported to keep their money securely in their own rooms. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Dock is a homely and comfortable for people who live there. The home is kept clean and well maintained. Evidence: The Dock is in a residential area of Bromsgrove with access to shops, leisure centres and doctors surgery locally. The service has access to other recreational activities in the Bromsgrove and Redditch area. People living at The Dock have their own rooms and these have been personally decorated and reflect each persons choices of furniture and decor. All rooms are clean, tidy and well presented. There has been redecoration to the building and new furniture provided since the previous inspection. This includes the redecoration of the lounge and dining room which have also had new lighting fitted. Both bathrooms have been redecorated and the repairs to both bathrooms have been completed as required at the previous inspection. The manager says in the services AQAA that the dining room is being utilized as a sensory room although we did not see this at the time of the inspection visit. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The Dock is clean and tidy throughout. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. All cleaning materials are locked in the laundry room. Staff confirmed that they are trained in procedures for the control of infection and health and safety matters. There is a schedule for routine maintenance and upkeep of the buildings. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff on duty with the right skills and knowledge to meet the needs of people who live at The Dock. Staff are supported and work together to provide consistent and good quality care. Staff receive relevant training to help them meet the needs of the people who use the service. Recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to make sure that everyone living at The Dock is kept safe. Evidence: Staff on duty at the time of the inspection visit confirmed that the service has a committed and stable staff team. People commented in surveys that they were generally satisfied with the service and the staff. Staff appeared to be enthusiastic and well motivated. Dimensions operates a recruitment policy and procedure where everyone completes an appropriate application form and makes sure that suitable references are obtained including one from most recent employers. Criminal records and other safety checks are completed before appointments are confirmed. Staff spoken to confirmed that Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: employment procedures had been followed and all checks had been completed. Staff employment records are held centrally by Dimensions as agreed with the Commission for Social Care Inspection (CSCI), with the manager maintaining locally held records. All staff are required to work a probationary period. The service has a training programme based on individual training and development assessments for each member of staff. Dimensions show a commitment to staff training and supports services with trainers and training programmes for all staff. Four staff are currently working to NVQ awards at level 2 and level 3. Mandatory training such as health and Safety, Fire Safety, First Aid, Food Hygiene, Moving and Handling, Infection Control, and Vulnerable Adults is provided. We saw copies of certificates for recent training courses completed that included first aid completed October 2007, food hygiene completed September 2008, and epilepsy training completed April 2008. We saw records that show all staff are first aid trained and that all staff have completed fire training as required. Medication training records show that all staff complete training in the safe administration of medication, and that each member of staff completes additional assessment of theory and practice. Opportunities are being provided to develop staff skills through the supervision and appraisal process, and within the staff roles and responsibilities. The manager says in the services AQAA that support staff have continued to undertake new roles and responsibilities, facilitating person centred plans, developing duty rotas, chairing care reviews. Staff spoken to say they feel supported by their colleagues, by the manager and by Dimensions. One person commented that they really enjoy the work and wouldnt want to do anything else. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed and staff receive the leadership and support they need. Dimensions monitors The Dock in various ways to make sure that the health and welfare of people using the service is protected. Evidence: The manager Julie McGirr has many years experience working with people with learning disabilities. Julie is a registered nurse (RMNH) and has completed her registered Managers Award. Julie regularly completes training relevant to her position as registered manager of The Dock including mandatory training courses. The Annual Quality Assurance Assessment (AQAA) was completed and submitted to the CSCI prior to the inspection visit. The AQAA is where the manager tells us about the service provided at The Dock and the ways they plan to develop the service. The providers monthly visits are one of the ways that Dimensions monitors the service and how it is being run. These visits include interviews with staff and people living in Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: the home. An audit is completed to look at the service, their records, environment, training, complaints received and other areas including finance. Any actions needed to address any shortfalls are specified. The resulting reports are also part of The Docks quality assurance and monitoring system that is intended as part of the annual development plan for the service. This report includes asking for feedback from people who use the service and other people who are involved in supporting people such as families, local authorities and medical professionals. Supervision of care staff covers areas of care practice, service delivery and career development needs. Staff on duty at the time of the inspection confirmed that they are supported the manager in their work. Records show that regular checks of safety systems and equipment are carried out as required. This includes water temperatures, fire equipment and electrical appliances. A fire equipment and safety audit was completed in July 2008. A recommendation of the previous inspection advised that names of all people taking part in fire drills should be recorded, to make sure that all staff and people who live at The Dock regularly attend fire drills. We saw records that show this was done for the drill of 16/5/07, but has not been completed for fire drills completed since then, such as the fire drill recorded on 4/6/08. The recommendation has therefore not been met. We saw records to show that weekly fire tests are completed as required, for example on 4/11/08 and 11/11/08. We saw training records to show that staff complete all mandatory health and safety training topics and that generic risk assessments are in place. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 People who use the service should be given the opportunity to take part in activities for their personal development and records should be kept to show this. People who use the service should be given the opportunity to be part of the local community and records should be kept to show this. People who use the service should be given the opportunity to take part in appropriate leisure activities and records kept to show this. Records should clearly show what peoples lifestyle is like living at The Dock. Where food charts and records are in place, all staff should make sure that these are completed as required at all times. All staff should make sure that all health checks and monitoring are to be completed as required. 2 13 3 14 4 17 5 19 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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