Inspection on 08/05/07 for 32 Kentish Road

This inspection was carried out on 8th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

32 Kentish Road 30/01/07

32 Kentish Road 13/01/06

32 Kentish Road 29/09/05

32 Kentish Road 28/02/05

32 Kentish Road 03/01/05

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

CARE HOME ADULTS 18-65 32 Kentish Road Freemantle Southampton Hampshire SO15 3GX Lead Inspector Annie Kentfield Unannounced Inspection 8th May 2007 12:00 32 Kentish Road DS0000039603.V336086.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 32 Kentish Road DS0000039603.V336086.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. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 32 Kentish Road Address Freemantle Southampton Hampshire SO15 3GX 023 80 701227 023 80 772007 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) Southampton City Council Mrs Nicola Jane Ward Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2007 Brief Description of the Service: 32 Kentish Road offers respite care to adults who have a learning disability. The service is managed by Southampton City Council and can accommodate up to seven service users for pre-arranged periods of respite care. There is a small and secluded garden attached to the home and service users are also able to access the nearby day care services. The building is accessible with bedrooms and bathrooms located on the ground and first floors. The building does not have a stair lift or passenger lift. The service user contribution for an overnight stay is approximately £3.56. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by 32 Kentish Road and brings together accumulated evidence of activity in the home since the last key inspection on 30 January 2007. Part of the process has been to consult with people who use the service and with relatives and health and social care professionals who visit the home. There were five responses to the care homes survey received from service users; two responses from relatives and two responses from social services care managers. Included in the inspection was an unannounced site visit to 32 Kentish Road by an inspector on 8 May 2007 between 12 and 5pm. During the visit the inspector spoke with staff on duty and two service users. The inspector toured the building with a member of staff and looked at a selection of records. The Annual Quality Assurance Assessment (AQAA) a self- assessment form sent to the registered manager prior to the visit was not completed and returned in time to be included in this report. The responses from the consultations were very positive. What the service does well: What has improved since the last inspection? Since the last inspection work has started on reviewing and updating the information about the service that is available to service users and relatives. The manager plans to make the information available in written and picture format. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 6 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. 32 Kentish Road DS0000039603.V336086.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 32 Kentish Road DS0000039603.V336086.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 and 5 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a lack of up to date information, in suitable formats, about the service. Although the care needs of prospective service users and their carers are carefully considered, the service must also consider the emotional and psychological care needs of service users. EVIDENCE: Since the last inspection the manager has started to update the information about the service. Consideration should be given to providing information in a number of formats that are suitable for the service users. The service also needs to ensure that service users and/or their representatives have a copy of the terms of stay (this will be completed by the end of May 2007) The terms and conditions should provide basic information on what people who stay in the home can expect to receive. The last inspection also identified a need to develop the initial care needs assessment to include details of service users emotional and psychological care needs. The manager has started to address this and has confirmed that this will be in place by the end of May 2007. Comments received from service users demonstrate that they were invited to visit 32 Kentish Road before deciding to stay for periods of respite. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 9 32 Kentish Road DS0000039603.V336086.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 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each service user has a care plan but the practice of involving residents in the development and review of the plan is variable. The care plan is not used as a working document and does not consistently reflect the care and support being offered and delivered. EVIDENCE: Comments received from service users and others indicate that service users are supported to participate in all aspects of life in the home and there are lots of choices offered with regard to social and leisure activities when service users are staying for periods of respite care. However, the individual care plans are very basic and are not detailed or person centred. Although the home has a key worker system there is very little evidence of regular consultation and review of care plans with the service users and their key workers. Since the last inspection the development of person centred care planning has been reviewed and discussed between the manager and staff in the team 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 11 meetings and the manager has confirmed that the service plans to review and change the way that care plans are written and reviewed in a way that actively involves the service users and/or their representatives in the process. A good start has been made with positive involvement of all care staff in discussing how they develop person centred care plans. The previous inspection identified a need to record individual emotional and psychological needs as part of the assessment and care plan to ensure that appropriate support is offered; this has been discussed in the staff meetings but has yet to be put into place. Service users have the opportunity to meet in a monthly advocacy group that is co-ordinated by a local advocacy worker and a member of staff. This group was meeting during the inspection visit, although the attendance was very low as there were very few service users in residence at the time. It may be worth considering timing the group meeting for when there are more service users around. 32 Kentish Road DS0000039603.V336086.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 and 17 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle of the home offers service users the opportunity to take part in a range of social, leisure and work activities according to their choice or preference. EVIDENCE: The inspector observed that the lifestyle in the home is friendly, informal and relaxed. Service users said they had fun and enjoyed staying at Kentish Road. The daily routines are based around planned activities such as the day centre, or whether the service users choose to go shopping, swimming, walks or other social activities. One service user said they liked to stay in and were supported to do household tasks that they liked doing. The previous inspection required the manager to develop guidance for service users and staff on relationships and sexuality. This requirement was discussed 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 13 with the manager and following the inspection visit – a draft guidance has been drawn up and is awaiting approval to become policy and procedure. Meals are cooked by the care staff and a supply of food is kept in the home so that there is a choice of main meal in the evening, with a dining table in the kitchen and in the sitting room. Fresh fruit is available at any time. 32 Kentish Road DS0000039603.V336086.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 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health needs of the residents are monitored and appropriate action taken and intervention given but more attention should be given to recording this and reviewing changing care needs. There has been a failure to respond to previous requirements about unsafe practice in the administration and dispensing of service users’ medication and the dispensing of eye drops. EVIDENCE: Comments from service users, carers and social care professionals indicate that the manager and care staff have a good knowledge of the individual care needs of all of the service users using the respite care facility and provide a good level of care and support. However, record-keeping systems could be improved to demonstrate this and also record how changes in care needs are being met. The inspections of the service in March 2006 and January 2007 identified improvements to be made in the way that medication is recorded and 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 15 dispensed. The most recent inspection visit found that these requirements had not been addressed. Immediate requirements were made following the inspection visit and the manager has taken action to ensure that the recording and dispensing of medication is safe for the service users. The manager has confirmed that staff who dispense medication will receive training is the safe administration of medicines on 20th and 27th June 2007. Specific training in the administration of eye drops will be provided for care staff on 2nd July 2007. The manager will also ensure that regular checks are in place to ensure that medication procedures in the home comply with the home’s medication policy. 32 Kentish Road DS0000039603.V336086.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 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service must develop a complaints procedure that is clearly written and easy to understand. It should be available on request in a number of formats to help anyone involved with the service to complain or make suggestions for improvement. EVIDENCE: Service users who returned comment cards said they felt safe and happy in the home. “Never needed to complain – I would tell a member of staff if I was unhappy”. It was evident that care staff are very aware of how service users communicate their likes and dislikes and some of the staff have skills in using Maketon or have learnt to communicate effectively with service users who use non-verbal communication. The previous inspection found that about 50 of relatives who returned comment cards did not know what the complaints procedure for the service is although one relative commented that they had made a complaint but were very satisfied with how this was dealt with and resolved. The written complaints procedure for the service was not available and the manager confirmed that it is being updated. However, consideration should also be given to ensuring that information is available in a number of formats to help service users who wish to complain or make any suggestions for improvement or change. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 17 Discussion with care staff demonstrated an awareness of safeguarding vulnerable adults and specific training is provided. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home environment is comfortable and meets the needs of the service users. However, greater attention should be given to good practice in maintaining good hygiene and control of infection. EVIDENCE: Comments from service users and relatives confirmed that the home is clean and comfortable and service users like to stay there. There is a range of communal space and service users are able to use this as they choose. Bedrooms are on the ground and first floor with specially adapted en-suite facilities in some of the ground floor bedrooms. The building does not have a stair lift or passenger lift. Bedrooms are single and furnished appropriately for short periods of stay. Staff say there is an ongoing programme of decoration and refurbishment. It was noted that all of the beds, except one, were in place without a bed headboard, however, this was not commented on with concern by any of the 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 19 service users. Some of the mattresses slip off the divan because of the texture of the mattress covers, again it was not mentioned as a concern but could be reviewed as it may cause discomfort for service users. The home employs a housekeeper who undertakes some of the cleaning work and the laundry. Comments received say that the home is always clean and tidy although on the day of the inspection visit, some areas were in need of cleaning – the floor of the staff room, and the area where the public telephone is sited. There are sufficient toilet and bathroom facilities with some en-suite facilities in some of the bedrooms. Although liquid soap is provided, there are no paper towels in shared toilets and bathrooms. Staff explained that cloth towels are changed daily and paper towels were not used because of the risk of toilets and washbasins being blocked. However, there were no hand washing facilities in the kitchen or laundry room and the manager should seek advice that the practice in the home is appropriate and suitable to ensure good hygiene and safe practice in infection control. At the previous inspection there was some discussion about how the building was going to accommodate offices for Adult Placement staff without intruding or impacting on the safety and privacy of service users using the respite facility. Adult Placement now has an office on the first floor and although there are plans for them to move into separate accommodation in another wing of the building – this has yet to be arranged and access to this office is via the respite unit. A date for this work to be carried out was not given. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the service users’ support needs. However, there are some gaps in the staff training programme that must be addressed to meet statutory requirements that were made at the previous inspection. EVIDENCE: Comments from service users, relatives and care professionals were positive about the care staff and manager of the home: “They are excellent” “The staff are friendly and kind” “The staff are all nice” “Carers listen to me and take time to work out what I need or want” These comments were also confirmed from observation of practice in the home and it is evident that staff communicate well with the service users, are good listeners, and take professional pride in providing a high level of individual care and support. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 21 One relative expressed some reservation about the knowledge that “agency” staff have of the care needs of service users, but on the whole felt that staff are “very good”. Records were not available to confirm the use of agency or bank staff in the home, but care staff explained that the City Council has a bank of care staff that is able to cover gaps in the staff rota. Usually the bank staff are familiar with a number of services and have the same training opportunities as permanent staff. Recruitment records were not inspected as the inspector was advised that no new staff had been recruited since the last inspection and previous inspections had found recruitment procedures to be thorough. Training records were not available during the inspection and the selfassessment form completed by the manager was not provided to the Commission before the inspection (containing confirmation of the staff training and qualifications). However, discussion with care staff confirmed that they are satisfied with the level of training and support provided by the service. The previous inspection identified some gaps in staff training and the manager was required to ensure that all staff responsible for administering medication be trained in the safe use of eye drops. This had not been met within the agreed timescale of April 2007. However, following the inspection visit an immediate requirement was made and the manager has confirmed in writing that training for staff in the safe use of eye drops has been arranged for 2 July 2007. The manager also confirmed in writing that care staff would receive training in the safe administration of medicines on 20 and 27 June 2007. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41 and 42 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager has a good understanding of the areas in which the service needs to improve and there is evidence of good links with carers and others involved in the service. There is now a plan of action in place to address the improvements needed and to ensure compliance with previous statutory requirements. EVIDENCE: It is evident from the comments and feedback from service users, relatives, care professionals, and care staff, that the manager has a positive and inclusive approach to managing the service. The manager and the responsible person from Southampton City Council have made a prompt and appropriate response, to the concerns identified during the inspection of the service and a written action plan has been supplied that 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 23 addresses all of the previous requirements. The Annual Quality Assurance Assessment (AQAA) – a self -assessment form that all registered services are required to complete annually, was not returned by the manager within the given timescale. This information will, however, be used in future inspections of the service. Evidence of how the service monitors quality and outcomes was not available, however, the manager confirmed verbally that an annual satisfaction questionnaire is sent to service users/carers; however, the outcome or summary of this was not completed. The manager is aware that much of the feedback and compliments about the service are requested and received verbally. Formal monitoring systems and better systems of reviewing care would ensure that the quality monitoring process is open, positive and measurable. The previous inspection of the home required the manager to address immediate concerns about the temperature of the hot water supplied to the home. Whilst this has not been completely resolved, the manager has taken steps to regularly check the water temperatures and undertake risk assessments for the use of hot water by the service users. The inspection visit noted that fridge and freezer temperature checks were not being recorded as required and the manager has addressed this issue. The manager must also seek advice on the home’s practice for maintaining good hygiene and infection control as the shared hand-washing facilities do not provide paper towels and no risk assessment was available. The manager has confirmed in writing that the fire safety risk assessment for the home has been updated. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 2 3 X 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X 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 X 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 2 2 2 2 X 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 25 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 YA2 Regulation 14 Requirement Assessments and care plans must reflect the emotional and psychological care needs and support for service users. This is a repeat requirement, as the previous timescale of 14/04/07 has not been met. The registered manager has confirmed that this requirement will be met by 31/05/07 Service users/representatives must have a copy of terms and conditions of stay in the home. Records must be kept to demonstrate this. This is a repeat requirement, as the previous timescale of 14/04/07 has not been met. The registered manager has confirmed that this requirement will be met by 31/05/07 Care staff must have written guidance about supporting personal and/or sexual relationships between service users. This is a repeat requirement, as the previous timescale of DS0000039603.V336086.R01.S.doc Timescale for action 31/05/07 2. YA5 5 31/05/07 3. YA15 17 12/05/07 32 Kentish Road Version 5.2 Page 26 4. YA20 13(2) 5. YA22 5 6. YA30 13(3) 7. YA35 13(2) 8. YA40 5 14/04/07 has not been met. The registered manager has confirmed that draft guidance has been drawn up until a policy is written. Staff responsible for administering medication must be trained in the safe administration of eye drops. This was an immediate requirement, as previous timescales of 31/03/06 and 14/04/07 have not been met. The registered manager has confirmed that training for staff has been arranged for 02/07/07. Service users and their representatives must have access to the service complaints procedure, in a suitable format. This is a repeat requirement, as the previous timescale of 14/04/07 has not been met. The registered manager has confirmed that a copy of the service complaints procedure will be sent to service users/relatives by 31/05/07. The registered manager must seek advice on safe practice in the home for maintaining good hygiene and the control of infection. Care staff must receive appropriate training in the safe administration of medicines. This was an immediate requirement and the registered manager has confirmed that training will be provided on 20/27 June 2007. Policies and procedures must be reviewed, up to date, and reflect current legislation and best practice. This is a repeat requirement, DS0000039603.V336086.R01.S.doc 02/07/07 31/05/07 30/06/07 27/06/07 31/05/07 32 Kentish Road Version 5.2 Page 27 9. YA42 23(5) 13(3) 10. YA41 17 as the previous timescale of 14/04/07 has not been met. The registered manager has confirmed this requirement will be met by 31/05/07 Care staff must follow the policy and procedures for recording fridge and freezer temperatures to ensure the safety of service users and staff. This was an immediate requirement. The registered manager has confirmed that monitoring checks are in place for recording fridge and freezer temperatures. All records must be kept up to date and be available at all times for inspection. 31/05/07 31/05/07 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 YA1 Good Practice Recommendations The manager is advised to ensure the service information is updated so that the correct information is given to service users and their relatives. This recommendation was also made at the inspection of January 2007. The manager is advised to develop the care records so they reflect the individuals needs as they see them in a person centred way. This recommendation was also made at the inspection of January 2007 The quality audit process could be expanded to audit all the standards within the home and reflect the opinions of all those who use the service including significant others. Care manager, medical health and social care professions and the service users. DS0000039603.V336086.R01.S.doc Version 5.2 Page 28 2. YA6 3. YA39 32 Kentish Road This recommendation was also made at the inspection of January 2007. 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 32 Kentish Road DS0000039603.V336086.R01.S.doc Version 5.2 Page 30 - 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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