Inspection on 12/07/05 for 39 High Barn Close

This inspection was carried out on 12th July 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

39 High Barn Close 02/04/07

39 High Barn Close 13/12/05

39 High Barn Close 30/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 39 High Barn Close, Rochdale, Lancashire, OL11 3PW. Lead Inspector Jenny Andrew Unannounced 12th July 2005 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 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 Stationary 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. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 39 High Barn Close, Address Rochdale, Lancashire, OL11 3PW. Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01706 648535 Pendleton Care Limited Tony Walsh Care Home Only 3 Category(ies) of Learning Disability 3 registration, with number of places 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 3 service users to include:up to 3 service users in the category of LD (Learning disability). 2. The service should at all times employ a suitably qualified and experienced manager who is registered by the Commission for Social Care Inspection. Date of last inspection 30th November 2004 Brief Description of the Service: High Barn Close is a large semi-detached house set in a cul-de-sac in its own grounds. It provides long-term, 24 hour care for 3 younger adults with learning disabilities. The organisation specialises in the care of young adults with autism. The home provides roomy communal accommodation in a lounge, separate dining room and kitchen. All bedrooms are single and one is situated on the ground floor in order that service users with physical disabilities may also be accommodated. A post office and corner shop are in walking distance and Rochdale town centre, supermarket and other amenities are within half a mile radius. Buses to and from Rochdale and other local towns pass close by. A car park is not provided although on-street parking is available. Access to the main door is via 4 steps. A lift to the first floor accommodation is not provided. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over five and a half hours. The Inspector looked around parts of the building, checked care plans and some records as well as looking at how the medication was given out. As two service users had limited speech, the Inspector watched how they made their needs known to the staff. In order to obtain information about the home, the manager, 3 service users, 1 relative and 3 support workers were spoken with. Since the last inspection, a new manager has come to work at the home. What the service does well: What has improved since the last inspection? Although teamwork at the home has always been good, the way staff share information about the service users has improved. The statement of purpose and service user guide had been transferred to audio tape in order that service users could more easily understand it. As this included the complaints procedure, this meant that service users, who could not read, knew how to complain. Since the last inspection, more staff had taken their NVQ level 2 training and this meant that the home now had more than half the staff team with this qualification. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 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. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The admission procedure was good and all service users received a full assessment, before moving into the home, which ensured their health, social, emotional and personal care needs could be met. EVIDENCE: The files of all 3 service users were inspected. Two of the service users had been in the home since it opened, the third had lived there since February, 2005, having moved from one of the organisation’s other homes. All 3 files contained detailed assessments. The organisation’s Behaviour Psychologist had completed a full assessment for the person who had recently moved to the home and detailed transitional plans were in place. All relevant parties had been involved and the parent of this service user confirmed she had been fully included in the whole process. Whilst some initial problems had been encountered, feedback from the staff indicated this service user had settled well and indeed, had made more progress since moving than he had at his former placement. The service user’s parent also said she was happy with his progress. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 Care plans were detailed, accurately reflected each service users changing needs, choices, goals and support requirements, thus ensuring service users were supported to increase their independence, self-esteem and ability to make informed choices within a safe environment. EVIDENCE: The home had an effective care planning system in place, which incorporated monitoring and reviewing arrangements. The care plans of all 3 service users were seen. The plans were comprehensive covering: biography information, preferences about daily routines, communication abilities, leisure/social activities, independence, behavioural profile and identified any potential adult protection safeguards. Given the specialist nature of the care provided, detailed behavioural and management strategies for challenging behaviour were also in place. All documentation had been reviewed and updated on a regular basis. In addition to the care plan, each service user had a Person Centred Plan (PCP), illustrated with photographs, which were meaningful to the individuals. One service user held his own PCP. Due to identified problems, the other two were held in the office but key-workers looked at the plans with the service users on a regular basis. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 10 The good practice of formulating both long and short-term aims/goals is acknowledged. As each of the service users had very diverse needs, the goals were broken down into stages in order that each person, with support, could be assisted to meet them. These were set out in Essential Skills Evidence files and reviewed during key-worker evidence meetings and at 3 and 6 monthly reviews. Areas addressed were practical and vocational skills, personal care, community and leisure, daily living skills, communication, literacy and numeracy. The high level of staff commitment towards motivating service users, identified at the last inspection, has continued. Staff spoken to were clearly aware of the individual needs of each of the service users and were able to communicate effectively with them. Whilst all 3 service users were chatted with during the inspection, it was difficult to identify whether they felt their needs were being met. Two service users did however say they were happy living at the home and that they liked the staff. The other service user’s relative was spoken to and she said she was pleased with the care given and felt the dietary needs of her son had much improved since he had moved from his previous placement. Due to the level of need of the service users, detailed risk assessments and behaviour management strategies were in place for the protection of service users/others. This documentation had been discussed and agreed with service users and relatives. All risk assessments had been reviewed and updated on a monthly basis. Appropriate recordings were in place when staff had used agreed intervention techniques. The manager supported the concept of calculated risk taking which enabled service users to increase their independence and participate more actively within the local community. The health care needs of one service user were changing and the manager was in the process of undertaking a moving/handling assessment for him. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 &16 Links with the community were good, supporting and enriching service users social and educational opportunities and increasing their self-esteem. The individual service users preferred daily routines were respected with staff ensuring that service users independence and choices were promoted. EVIDENCE: Community activities enjoyed by the service users included visits to the cinema, garden centres, pubs, cafes, McDonalds, supermarkets, shops, parks and discos. Walking around the area was also enjoyed by one of the service users. The use of public transport was also encouraged, subject to a satisfactory risk assessment having been done. The week prior to the inspection, one service user had chosen to hire a car for the week and had enjoyed going further afield to other places of interest. In order to ensure the needs of the individual service users could be met, the rota was flexible and staff were happy to change their shift patterns to ensure service users could participate in activities at times of their choosing. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 12 Service users and/or their relatives had been consulted at election time, as to whether they wished to vote, but no-one had chosen to partake in the process. As previously stated, the individual needs of the service users living at the home are complex. It is important to them that a rigid routine is adhered to and staff ensure their wishes are respected. All staff spoken to were clear about the service users daily routines. Observations made during the inspection, confirmed that staff were able to communicate well with the service users and use different techniques in order to motivate and encourage them in daily living tasks. Each service user was supported to be as independent as possible and this was evidenced during the visit. All 3 service users had different ways of communicating and throughout the inspection staff were seen to interact well with them in a respectful way. It was apparent that positive relationships had been formed between the service users and staff on duty. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 20 The support provided is effective in improving the physical and mental health and wellbeing of the service users with service users preferred routines being followed. The systems for the administration of medication were satisfactory with clear procedures in place to ensure service users safety. EVIDENCE: The care plans for each service user were explicit in exactly what service users preferred routines and support needs were. Such detail was vital given that two of the service users could not easily communicate their needs and preferences. Recordings on one plan indicated that a service user had requested only female staff to assist with personal care tasks. This had been reviewed at a later stage to state that this had now changed and that the service user should be asked on a daily basis what his preferences were. Staff spoken to were able to give examples of how they ensure service users privacy and dignity needs were met. Realistic and achievable goals in relation to independence needs were agreed and recorded and systems were in place to measure whether the goals were being achieved. Appropriate aids and adaptations had been fitted in the ensuite shower/toilet in order to ensure the service user could retain his independence. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 14 During the inspection, staff were heard encouraging service users to choose their own clothes, brush their hair and clean their en-suite facility. One service user had chosen to return to bed and staff had respected his wishes. They were however, seen to go in to see him on a regular basis to see if they could motivate him to get up and pursue an activity. Service users received additional specialist support and advice as needed from Psychiatrists, Physiotherapists and the organisations own Behavioural Psychotherapist. The health care needs of a service user had recently changed and the District Nurse service were now visiting the home on a regular basis. Due to the complex needs of the service users, two staff were on duty during the night, one who slept and one on waking duty. This ensured that should service users require help and assistance, their individual needs could be met during this period. It also enabled them to have a real choice on the time they went to bed. Although the home only accommodated 3 people, a keyworker and cokeyworker system was in place to ensure continuity and consistency of support for each service user. The Boots medication system was in place and medication procedures were being followed. An audit by the Boots representative had been undertaken on 3 June 2005 and no recommendations had been made. There was no overstocking of drugs and two staff signed the medication administration records. This was evidenced during the inspection. Due to the level of need, service users do not hold their own medication. At the time of the inspection, no controlled drugs were being held. Health care professionals, reviewed medication on a regular basis. All staff responsible for the administration of medication had received training. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 There was a good complaints system in place, which ensured that service users views were listened to and acted upon. EVIDENCE: The complaints procedure was included in the statement of purpose and service user guide, which had both been translated into Boardmaker (symbols rather than script) to make them more easily understandable for service users. A complaints book was in place and since the last inspection, three complaints had been logged, two from service users about not being able to be supported in planned community activities and one from a relative. Appropriate action had been recorded and taken in each instance. From interviewing the manager and speaking to the staff, it was clear that they took every possible step to ensure that service users were encouraged to air their views and concerns about any aspect of their lives. Service user meetings were held every two months when staff went through different aspects of the service users daily lives. This encouraged the service users to say whether or not they were happy with their routines or whether they wanted to change things or say what they were unhappy with. These meetings were taped, so that an accurate record was held of what service users had requested be changed so that action taken by the staff to address changes, could be monitored if necessary. The key-worker meetings were also a format in which service users could express any concerns or anxieties about their lifestyles and staff said they reinforced their right to complain on a regular basis. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 The standard of décor within the home had deteriorated and several areas were in need of attention in order to provide a more homely, attractive and environment for the service users. EVIDENCE: The home was located near to the local Post Office, corner shop, bus stop etc. and was in keeping with the local community. Communal areas were, in the main comfortable, personalised, airy, clean and free from offensive odours. It was however, noted that the settee in the lounge was in need of repair or replacement and the carpet was in need of cleaning. In one of the service user meetings, one of the men had already requested a replacement settee. There were various parts of the building in need of re-plastering and redecoration. These were on the landing wall, 2 sections of the wall near the bathroom and in the separate toilet. Following re-plastering, re-decoration will also be necessary. The fire door in the kitchen was rotting and in need of replacement. It was also observed that the drainpipe was leaking and water from the bathroom was dripping down the external wall. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 17 The window restrictors in one bedroom were in need of replacing and an isolator needed fitting to the gas supply to the cooker so that service users safety is ensured. When the Inspector arrived at the home she could not gain entry to the premises for 20 minutes, due to there being no door bell. Staff were upstairs and could not hear her knocking on the door. Maintenance was undertaken by the Landlord and a maintenance record book was kept. The majority of the identified shortfalls had already been forwarded to the landlord. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 & 35 The staff team had the collective skills, training and expertise to undertake their roles efficiently and effectively which ensured the needs of the service users were being well met. Good recruitment and selection procedures were in place providing the necessary protection for service users. EVIDENCE: There was a good match of well-qualified staff, offering consistency of care within the home. Staff morale was high resulting in an enthusiastic workforce that worked positively with service users to improve their whole quality of life. Staffing levels were currently meeting the needs of the individual service users. This was evidenced from checking the communication book, care plans, staff meeting minutes and reviews as well as talking to staff and service users. Discussion with staff, identified they felt well supported by the manager and worked well together as a team. Team meetings were regularly held. All the staff team were able to communicate effectively with the service users and this was evidenced throughout the inspection. The organisation had access to its own Behavioural Psychotherapist and referrals could be made as necessary. At the last inspection, there were no male support workers. The situation had improved in that there were now four male members of the team, one of whom was the registered manager. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 19 There was a rigorous recruitment and selection system in place and one of the more recently employed staff, who had commenced working at the home in August 2004, was interviewed. She confirmed that she had not commenced work until a satisfactory Criminal Records Bureau had been obtained together with 2 written references. She said her interview had been thorough and that she had been given scenarios to comment upon as part of the interview process. She had been given a copy of the General Social Care Council Code of Conduct. She confirmed that she had undertaken TOPSS induction training and worked on a supernumerary basis for approximately 3 weeks to give her time to get to know the service users, read care plans and related documentation about each person and familiarise herself with all the policies and procedures. Following her induction, she had undertaken training in moving/handling, physical intervention, COSSH, food hygiene and health and safety. She was still awaiting courses in “Introduction to Autism”, “Communication skills” and “Learning disabilities and Values. Given that this foundation training should be undertaken within the first 6 months of employment, action must now be taken to ensure she receives such training without further delay. All staff are subject to a satisfactory 6 month probationary period. Given the specialist nature of the service, many of the staff had received training in challenging behaviour, autism and autistic spectrum disorder. As the staff training profiles were not up to date, it could not be assessed whether all staff had received a minimum of 5 days training over the last 12 months. Three staff files were randomly selected and each contained application form, health declaration, contracts and 2 references. Criminal Record Bureau checks (CRB’s) had been obtained in 2 instances. The third file did not contain a CRB although one had been requested approximately 12 months ago. Problems with the CRB were currently being experienced regarding the application due to the employee having moved addresses. The manager stated he was continuing to follow this up. Two of the files did not contain photographs of the employees. The manager had almost completed his NVQ level 4/Registered Managers Award and approximately 50 of the staff team had already attained NVQ level 2 qualifications. In addition one support worker had almost completed NVQ level 3, 1 was in the process of undertaking NVQ level 2 and 2 further staff were enrolling for NVQ Level 2 in August 2005. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Care practices within the home promoted and safeguarded the health, safety and welfare of the service users. EVIDENCE: All necessary maintenance and associated checks had been made although confirmation that the gas appliances and central heating system had been serviced was not available, as the Landlord had not yet issued their reports to the home. Upon receipt, these documents should be faxed to the CSCI Bolton Office. The accident report sheets had been appropriately completed and with the exception of one fairly new employee, all had undertaken appropriate health and safety training. Other related training was done as part of the induction programme. A monthly health and safety inspection was undertaken on the first day of each month with recordings of the findings being made. This included the testing of fire alarms, water temperatures, electrical equipment etc. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 21 Assessments were undertaken where risk areas were identified and a fire risk assessment was in place. As identified in standard 19 above, the fire door in the kitchen was in need of replacement due to the wood having rotted in one corner. A request for this work to be undertaken had already been passed to the Landlord. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 4 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x x Standard No 11 12 13 14 15 16 17 x x 4 x x 3 x Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 39 High Barn Close, Score 4 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 23 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. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Standard 24 24 24 24 24 24 24 24 34 34 35 43 Regulation 16 23 23 23 23 13 13 23 19 19 18 25 Requirement The settee must be repaired or replaced. The lounge carpet must be cleaned. The areas identified in the report must be re-plastered and redecorated. The fire door in the kitchen must be replaced. The external drainpipe must be repaired. Window restrictors in 1 bedroom must be replaced with those with a narrower opening. An isolator must be fitted to the gas cooker. A door bell must be fitted to the door in order that any visitors may gain easy access. The manager must ensure that the CRB check for the identified individual is received. A staff photograph must be on each persons personnel file. All staff must receive foundation training within 6 months of employment. Copies of financial accounts must be forwarded to the Bolton CSCI Officer. (Previous timescale of 28.02.05 not met). F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Timescale for action 30.09.05 30.09.05 30.09.05 30.09.05 30.09.05 31.08.05 31.08.05 31.08.05 31.08.05 31.08.05 30.09.05 31.08.05 39 High Barn Close, Version 1.40 Page 24 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 43 Good Practice Recommendations A copy of Pendleton Cares business and financial plan should be forwarded to the CSCI office. This recommendation has been made previously. 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. National Enquiry Line: 0845 015 0120 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 39 High Barn Close, F06 F56 S62678 High Barn Close V230488 12.07.05 Stage 4.doc Version 1.40 Page 26 - 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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