CARE HOME ADULTS 18-65
Greswolde Park Road, 4 Acocks Green Birmingham West Midlands B27 6QD Lead Inspector
Joe O`Connor Unannounced Inspection 6th December 2005 11:00 Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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 Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Greswolde Park Road, 4 Address Acocks Green Birmingham West Midlands B27 6QD 0121 765 4630 0121 765 4630 goldy@tiscali.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Birmingham Multi-Care Ms Anne Tucker-Browne Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Residents must be aged under 65 years That the registered manager completes the NVQ Registered Managers Award by March 2006. 27th April 2005 Date of last inspection Brief Description of the Service: 4 Greswolde Park Road is a large traditional type house, situated in a quiet residential area close to the centre of Acocks Green Birmingham that has a variety of shops and other community resources. Public transport services operate close to the home, which is not conspicuously identified as a residential unit. Accommodation is provided in four single bedrooms that are situated on the first floor. A comfortable lounge and separate dining room are located on the ground floor. The dining room is also used for administration, as there is no office. Bath facilities are situated on the ground floor and shower facilities are located on the first floor. The home is adapted for wheelchair use and there is a shaft lift, suitable for a wheelchair plus a member of staff. The premises has a range of aids and adaptations to assist with mobility which include level access, hoists including ceiling tracking, toilet and bath aids, adapted beds, and other equipment to assist with eating. The home maintains high standards of cleanliness, decoration and maintenance and appears comfortable and homely. There is a garden at the rear of the home that is secure and has been organised so respite service users can enjoy it during fine weather. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over a day. Three service users were present of which two were able to convey some of their views on life in the home. A tour of the premises was undertaken. Service users care plans and risk assessments were inspected. Staff recruitment and training records were examined and a number of health and safety records were also sampled. The Inspector had opportunity to talk to the Registered Manager. What the service does well: What has improved since the last inspection?
Improvements have been made to the premises including the installation of new kitchen units and a cooker. New furniture had been purchased for the garden. A requirement for exposed hot water pipes in one of the service user’s bedrooms had been covered. The first floor of the premises will be decorated when the service is closed over the Christmas holiday period. Staff have received up to date training in fire safety and infection control since the previous inspection. An examination of the health and safety records found staff had completed a fire drill prior to this inspection. This was a requirement from the previous inspection. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 6 The policies and procedures had been reviewed since the last inspection ensuring these were up to date and reflected current legislation and practice. The manager had obtained a new copy of the adult protection procedures published by Birmingham Social Care & Health. Care plans have been developed in a way that presents the information about the service users in a more person centred approach. These were detailed and covered their likes and dislikes and what specific assistance did they require. The complaints procedure has been developed in a format that includes the use of photographs helping service users who they can speak to if they want to comment about the service they are receiving. A picture format has also been developed for questionnaires that also ask service users what they think of the service they are receiving. 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. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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 Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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 the following standard(s): 1, 2, 3, 4 There is a Statement of Purpose and Service User Guide in place, which will require some amending so that prospective service users are fully informed of about the service being provided. Prospective service users are assessed prior to admission but not all have information completed by social workers. Service users are able to visit the service prior to admission and stay to enable them to choose if they wish to take up the service. The needs of the current group of service users are met with staff providing friendly and positive support. EVIDENCE: The service has a Statement of Purpose and Service User Guide, which is partly illustrated. Two amendments are required including the sizes of the service users and to state that the service does not provide nursing care. At the time of this inspection the manager had received a number of referrals. Two examples seen included basic information as to their specific needs including medication details and sleeping habits. One of the referrals did contain a single assessment and care plan completed by a social worker. Another referral received did not have a social worker assessment and care plan which the manager must obtain copies while the service user is receiving a service. Further examination of the new referrals indicated that staff were documenting pre –admission visits and any overnight stays. The Statement of Purpose has an admission procedure. At the time of this inspection the current group of service users needs were
Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 9 being met. Staff were observed to provide friendly support. One service user was observed to watch a video of one his favourite TV programmes Mr Bean. The service user did say he enjoyed coming to stay and also said he liked the bedroom he was sleeping in. Another service user was singing along to Christmas music and said he thought the staff were very nice and spoke politely to him. Service users were observed to be dressed appropriately for the climate of the day. There was a relaxed friendly atmosphere at the time of this inspection. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 How service users needs are to be met are set out in care plans that reflect a more person centred approach to care planning. Service users have risk assessments but the reasons why restrictions on service users are not fully explained that protect their interests and without professional advice. EVIDENCE: Two service users care records were sampled during this inspection. The manager had re-developed the care plans into a format that provided information in a more person centred approach. For example service users’ preferred name was used. The care plans covered areas such as what assistance was needed with their personal care and any aspects of their care that could be managed by themselves. The care plans also referred to their likes and dislikes including food. One care plan referred to a service user’s cultural requirements as a Muslim. An examination of service users records found that risk assessments were in place for the use of bedrails and for going out in the community. It was noted that a risk assessment had been completed by the manager for the use of covert medication in one service user’s pudding at teatime. There was no evidence was confirming whether this had been drawn up following a multiGreswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 11 disciplinary meeting with healthcare professionals. The manager was informed of the need to discuss this issue with the individual service user’s doctor to look at the medication being administered in liquid form. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 17 Service users have access to leisure activities in the community and also receive organised activities provided by other agencies. Service users are able to maintain contact with their families during their short stay with the service. Service users are provided with a nutritious varied diet that promotes healthy eating and meets specific cultural requirements. EVIDENCE: At the time of this inspection one service user was going out with two members of staff to go out to the cinema to see the current Harry Potter film. He later commented that enjoyed the film and was later watching a video of Mr Bean. Two service users arrived later during the day from their day services which transport is provided by the local authority. An examination of service users records found that trips out for bowling and pub lunches had taken place. They also have the opportunity to go shopping in Birmingham or Solihull. One service user’s care plan set out in detail the need for him to go to a particular church on Sundays and for what time. The manager stated that before the Christmas break the service users would be seeing the Wizard of Oz show in Birmingham.
Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 13 An examination of service users’ records indicated they are able to maintain contact with their relatives. One service user said he was contacting his mother to find out if she was all right as she had recently become ill. A daily record is maintained of what food service users have eaten during the day. An examination of two service users’ daily records confirmed they had access to a varied range of nutritious and health meals. One service user’s care plan stated the importance of a halal diet, as the service user is a Muslim. A sample of the individual’s records found that his dietary requirements were being adhered to. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Not all service users have manual handling assessments to state how they should be appropriately transferred. Service users’ healthcare is appropriately arranged and monitored by the service promoting and maintaining good health. Medication management in the home is good with some minor improvements required to promote good health. EVIDENCE: An examination of service users records found not all had manual handling assessments one was not dated. Further sampling found that one service user had a care plan specifically for the use of rectal diazepam. There was also a chart in place for the monitoring of any seizures. The care plans sampled referred to the need for service users have privacy and dignity when the using for example a commode. Service users preferred times for getting up and going to bed were documented. Medication management was found to be good but improvements were required. An examination of the Medicines Administration Records (MAR charts) did not record where service users had taken their medication to their day service. The manager had addressed a requirement from the previous inspection to ensure all service users had up to date medication when coming into the service. A letter had been devised by the manager to inform carers of
Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 15 this requirement. Written protocols were in place for the use of PRN medication or as required as it is known. The policy and procedure for medication was in need of amending to state that any medication errors must be reported to the CSCI. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Service users have access to a complaints procedure that is available in an accessible pictorial format. The recording of individual service users’ personal allowances must require a more robust approach enabling a clear trail of individual expenditure and final balances. EVIDENCE: Neither the Commission nor the service has received any complaints about the service since the last inspection. The manager has developed the complaints procedure into a more accessible format that involves the use of photographs. It also included a photo of the Inspector as part of people the service users can contact to comment about the service. There is an adult protection policy and procedure along with an up to date copy of the Multi Agency Guidelines published by Birmingham Social Care & Health. There is a policy and procedure for physical intervention but this will need amending to state that any use of physical intervention must be notified to the CSCI without delay. Staff have received training in adult protection and challenging behaviour. Service users financial records were examined during this inspection. It was noted that each service user’s personal monies were recorded in one book. Individual person expenditure details were recorded on separate balance sheets and returned to the service users when they return to their own home. However, copies of the personal expenditure sheets were no on the service users’ file. The manager must review its current system of recording service users’ personal expenditure to that can be clearly audited. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29, 30 The premises are maintained to a high standard and provide a safe, clean and homely environment for service users. The premises have appropriate aids and adaptations including toilets and bathrooms, maintaining service users independence and safety. Service users bedrooms while comfortable and suitably furnished do not have lockable facilities. There is adequate shared space available that is comfortable for all service users. Infection control practices while good were in need of improving ensuring service users welfare and dignity. EVIDENCE: A tour of the premises was undertaken and it was found to be warm, clean, tidy and maintained to an acceptable standard. An improvement had been made to the kitchen with the installation of new kitchen units and a cooker. The manager stated that when the building is closed for the Christmas holiday period the first floor would be decorated including the bedrooms. The bedrooms viewed during this inspection were bright and airy. The bedrooms had the majority of furnishings required, but it was noted none of the bedrooms had individual lockable storage facilities so they can store their valuables. No measurements of the service users’ bedrooms were taken but they appeared to meet the spatial requirements. The bedrooms had suitable door locks that guarantee service users’ privacy but could be accessed by staff
Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 18 in an emergency. Each service user has a wash hand basin in their bedroom. Service users are able to bring in their own possessions including a videos and stereo equipment. Service users have access to a range of equipment to assist with moving and handling such track ceiling hoists throughout the premises. There is a level access shower on the first floor. The front of the premises is accessible via a ramp. A passenger lift is also available that can accommodate a wheelchair user and a member of staff. The premises has a comfortable lounge and separate dining room. Toilet facilities are available on the ground and first floor. New furniture had been purchased for the garden. There are appropriate arrangements in place for the disposal of clinical waste. The laundry is located in the bathroom but this is not used when service users are having a bath. Procedures are in place for the control of infection. It was noted that one of the bedrooms had a unused continence pads on display on a chair and the manager must ensure these are suitably stored to maintain service users dignity and reduce the risk of cross contamination. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 36 The staff recruitment policy and procedure should be amended to protect service users interests. The organisation offers and provides training for all staff employed to enhance their development, but some topics are in need of updating. The current practice with regard to staff supervision must be improved to enable effective completion of their duties. EVIDENCE: At the time of this inspection there were two members of staff on duty during the morning and with two on duty during the afternoon and evening with one night waking member of staff on duty. The manager stated that an additional night waking member of staff could be provided for service users with more complex needs. Two members of staff were currently on maternity leave. Two full time posts had been recruited but one left shortly afterwards due to performance matters. The manager was updating the staff training records and it was noted that staff had completed training in fire safety and infection control since the last inspection. The majority of staff had completed first aid training since the last inspection. An examination of three staff files found that updated training was required for manual handling as this was last completed in 2003. One member of staff was found not to have completed adult protection training and other staff were due for updated training in this topic. One member of staff had completed training in Anaphylaxis Epi-pen training. This is for people who are
Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 20 at risk of adverse reactions to nuts and other allergies. Two staff were undertaking training towards NVQ Level 2. Another member of staff was completing NVQ Level 3. There had been some improvements with the frequency of staff supervisions but it was noted that two staff had received supervisions over the telephone. There was no record of these documented and it is expected that staff supervision occur on a one to one basis. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41, 42 Service users lives in a home that is run by a manager who understands the needs of service users in her care. The records were generally up to date for the safety of service users. The organisation has reviewed its policies and procedures to reflect any changes in legislation and current practice. Service users do not have enough involvement in commentating on the care and support they receive. EVIDENCE: The manager has addressed all but one of the requirements from the previous inspection. The manager has an understanding around the needs of the service users and any comments were received positively. The manager stated was well on her way to completing the Registered Managers Award. The atmosphere was found to be relaxed and friendly. A representative from the organisation visits the service every month and reports for these visits are available for inspection. It was noted that although there was evidence of the service users who had been spoken to, there was no record of comments they had to make about the care and support they were
Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 22 receiving. The manager has developed a satisfaction questionnaire for service users in a picture/ symbol format, which will be used at the end of the year. Records maintained on the premises were generally up to date and locked in a secure facility. The service has a range of policies and procedures and these had been reviewed since the last inspection, which was a requirement from the previous inspection. Records with regard to health and safety were satisfactory. There was documented evidence that the fire alarm was being tested on a weekly basis and the emergency lighting every month. Staff had undertaken a fire drill and fire training since the previous inspection. Documented evidence was in place to confirm the lift and hoists had been serviced since the last inspection. There was a risk assessment in place for the prevention of fire and this had been reviewed since the last inspection. The service had received a visit from a Fire Safety Officer representing West Midlands Fire Service. A requirement had been identified for the glass above the bathroom door to be replaced with a fire resistant window. At the time of publication of this report the manager provided documentary evidence to confirm that this had been addressed. The main kitchen was clean, tidy and there was daily record in place for the recording of the fridge and freezers temperatures. An examination of the accident book found four accidents had occurred since the last inspection and these had been notified to the Commission via Regulation 37. A requirement from the previous inspection for the exposed hot water piping to be covered in one of the bedrooms had been addressed. This was seen when undertaking a tour of the premises. Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 3 3 N/A Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 N/A 2 N/A Standard No 24 25 26 27 28 29 30
STAFFING Score 3 N/A 2 3 3 3 2 LIFESTYLES Standard No Score 11 N/A 12 3 13 3 14 N/A 15 3 16 N/A 17 Standard No 31 32 33 34 35 36 Score N/A N/A 3 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Greswolde Park Road, 4 Score 2 3 2 N/A Standard No 37 38 39 40 41 42 43 Score 3 N/A 2 3 3 3 N/A DS0000016989.V270684.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4(1a-c) Sch1 5(1) Requirement The Registered Person must ensure the Statement of Purpose is amended to state the sizes of the rooms and that the service does not provide nursing care. The Registered Person must ensure all service users have individual risk assessments and that these are dated. The Registered Person must ensure that any reasons for the use of covert medication must only be taken within a multi-disciplinary setting. All service users must have manual handling assessments. The Registered Person must ensure the medication procedure states that any medication errors must be reported to the CSCI. The Registered Person must ensure the Medicines Administration Records indicate where medication for service users have been given out for when they go out during the day.
DS0000016989.V270684.R01.S.doc Timescale for action 06/02/06 2. YA9 13(4) 06/01/06 3. YA9 12(1a,b) (2)(3) 06/01/06 4. 5. YA18 YA20 13(6) 13(2) 06/01/06 06/01/06 6. YA20 13(2) 06/01/06 Greswolde Park Road, 4 Version 5.0 Page 25 7. YA23 13(7) 8. YA23 13(7) 9. YA26 16(2)(c) 10. YA30 13(3) 11. YA34 9(2)(b) 12. YA35 18(1)(a) 13. YA36 18(2) The home must ensure that its physical intervention policy and procedure is updated to reflect current practice. It must state that if physical intervention is used then the CSCI must be notified. Outstanding Requirement. Timescale 27 July 2005 not met. The Registered Person must ensure copies of service users personal expenditure are maintained on their individual records and available for inspection. The Registered Person must ensure service users’ bedrooms have lockable facilities for the storage of any valuables. The Registered Person must ensure all unused continence pads are appropriately stored to reduce the risk of cross contamination. The Registered Person must ensure the staff recruitment procedure is amended to state that in addition to an enhanced CRB check staff; a POVA first check will be completed. It must also state any gaps in the applicant’s employment record will be followed up. The Registered Person must ensure all staff receive updated training in Manual Handling Adult protection The Registered Person must ensure that all staff receives one to one documented supervision. The manager must be
DS0000016989.V270684.R01.S.doc 06/01/06 06/01/06 06/02/06 13/12/05 06/02/06 06/02/06 06/01/06 14. YA37 9(2)(b) 27/03/06
Version 5.0 Page 26 Greswolde Park Road, 4 15. YA39 24(1) 26(1) qualified to NVQ Level 4 in Management by March 2006. The Registered Person must 06/02/06 ensure the visits undertaken by the Registered Individual provide evidence where service users have been consulted about the service they are receiving. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Greswolde Park Road, 4 DS0000016989.V270684.R01.S.doc Version 5.0 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
