Inspection on 14/03/07 for 41 Newport Road

This inspection was carried out on 14th March 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

41 Newport Road 31/10/07

41 Newport Road 11/01/06

41 Newport Road 24/08/05

41 Newport Road 18/11/04

41 Newport Road 22/07/04

41 Newport Road 17/02/04

Similar services:

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

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

CARE HOME ADULTS 18-65 Newport Road (41) 41 Newport Road Cowes Isle Of Wight PO31 7PW Lead Inspector Annie Kentfield Unannounced Inspection 14th March 2007 15:00 Newport Road (41) DS0000012514.V327652.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 Newport Road (41) DS0000012514.V327652.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. Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newport Road (41) Address 41 Newport Road Cowes Isle Of Wight PO31 7PW 01983 294134 01983 294134 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) Islecare `97 Limited Mark Kenyon Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Authorisation to accommodate a service user over 65 years of age The home has been authorised to accommodate a named individual with a learning disability over 65 years of age. The condition will no longer apply when the individual ceases to be resident in the home. 11th January 2006 Date of last inspection Brief Description of the Service: 41 Newport Road provides personal care and accommodation for up to six adults with a learning disability. It is a detached two-storey property situated on the main Newport to Cowes road about half a mile from Cowes town centre with its shops and amenities. While parking is mainly limited to side streets, bus stops are only a few yards from the home. There is a reasonably sized terraced rear garden available for residents use and a small lawned front garden with flowerbeds. Accommodation is on both levels. There are ten steps from the pavement to the front door and no lift from the ground to the second floor, making the home generally unsuitable for people with mobility difficulties. The current scale of charges is £320 - £490 per week with additional charges for chiropody, hairdressing, toiletries, transport and day care services. Newport Road (41) DS0000012514.V327652.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 41 Newport Road and brings together accumulated evidence of activity in the home since the last key inspection on 11 January 2006. Part of the process has been to consult with people who use the service; comment cards were left for the residents to complete and return if they wished to. Two Social Services care managers were consulted by telephone. Included in the inspection was an unannounced site visit to 41 Newport Road by an inspector on 14 March 2007 during an afternoon and evening. During the visit the inspector spoke with all of the residents, the staff, and deputy manager. The manager was not available in the home but some information used in the report was supplied by the manager in advance of the site visit in the form of a ‘pre-inspection questionnaire’. The inspector also spoke to the manager on the telephone. The inspector toured the building with the deputy manager and looked at a selection of records including care plans, medication records, financial records, staff rotas, menus and maintenance records. The responses from the consultations were generally positive, verbally, however, no comment cards were returned from residents or relatives. What the service does well: What has improved since the last inspection? Since the last inspection a new manager has been appointed (July 2006) and has since become the registered manager with responsibility for managing 41 Newport Road and another small home in Cowes. It is evident that residents and staff are benefiting from a positive and consistent management approach. The kitchen has been re-fitted and re-decorated. This was a requirement from the last two inspections and has now been met. Newport Road (41) DS0000012514.V327652.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. Newport Road (41) DS0000012514.V327652.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 Newport Road (41) DS0000012514.V327652.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): 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. Prospective residents can be confident that they will be invited to visit the home and have their needs and aspirations assessed before deciding to move in. Residents are given information about the home and the service provided. The assessment process used by the home needs some review to make it suitable for recording the needs, skills, goals and aspirations of younger adults who need structured support rather than personal care. EVIDENCE: The manager has addressed a previous requirement to ensure that residents have a signed contract or details of the terms and conditions of living in the home. Copies were seen in individual files. The contract itself uses somewhat obscure legal language, however, the information for residents about the terms and conditions is in plain English and accessible for the residents who are able to use written information. The deputy manager explained that the contract is discussed and signed with all of the residents. The home have considered communication needs and would make information available in a format other than written if the need were there. The process of assessment before a resident moves into the home should be part of the ‘person centred’ approach to care planning and record each residents’ skills, goals, needs and aspirations to ensure that the home is able Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 9 to meet the assessed needs of individual residents. Having standard Islecare assessment forms that are more appropriate for older people who have a high level of personal care need hampers the home. Subsequently, the assessment form does not fully capture all of the relevant information about a new resident, and needs to be reviewed. However, it is evident that the process of deciding to move into the home is carefully considered with new residents being offered lots of opportunity to visit and meet the other residents before deciding to move in. Newport Road (41) DS0000012514.V327652.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 resident 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: The inspector observed that residents are actively involved in all aspects of life in the home from how they arrange their own rooms, to the activities they take part in, or the shopping and menu planning, and staff clearly recognise the right of the residents to make their own decisions and choices. 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 residents and their key workers. As an example, staff are clearly doing a lot of work in developing opportunities for one resident to access suitable training and development skills and arrange for the resident to travel there by public transport. Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 11 However, none of these goals and aspirations are actually recorded on the care plan and the resident has not been fully part of the planning process and is feeling a bit frustrated at the length of time this is taking as there are no agreed timescales or reviews of these goals. Risk assessments are completed and mainly focus on keeping people who use the service safe. Where limitations are in place, there is some evidence that decisions are agreed with individual residents but this is not consistent. Information about contacting advocacy services is available but not promoted. The home are in the process of developing a more person centred approach to care plans and reviews and this positive start needs to be developed along with a clear plan for how key workers support individual residents. Residents should be actively encouraged to be involved in the development and review of their own care plan. The new style person centred care plans should be a working document that accurately reflect the care and support being provided but are not yet detailed enough to do this. Newport Road (41) DS0000012514.V327652.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 residents the opportunity to take part in a range of social, leisure and work activities according to their choice or preference. Residents are supported and encouraged to develop independent living skills and look after their own money. Residents have choice and variety of food and menus. EVIDENCE: All of the residents have a planned programme of weekly activities that can range from leisure and social events to training, college courses or voluntary work. Weekends are less organised and residents can choose to take part in activities or not. There is at least one day in the week for a ‘home day’ when residents like to do their laundry, clean their rooms or shop or go out for a meal or a drink. The lifestyle in the home is friendly and informal and although there is a rota of household tasks, this is flexible and residents will always help if someone Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 13 else is out or not feeling up to doing their allotted task. Residents and staff respect personal space and all bedrooms are considered private unless people are invited in, residents can lock their bedroom doors if they want to. Holidays for this year have been planned already and there are a number of different holidays that residents are looking forward to. Holidays, outings, menus and other household issues are discussed in the residents meetings that are held every 4 – 6 weeks. Wherever possible, residents are encouraged to manage their own finances but staff will provide advice and support with benefits and managing money. The systems for looking after residents’ monies was inspected and found to be in good order with suitable safeguarding systems in place. Relatives and visitors are welcome in the home and some of the residents spend time visiting friends or relatives locally. Residents are involved in choosing the menus and the food and often go shopping with staff to do this. Fresh fruit is always available for residents to help themselves along with a selection of drinks and snacks kept in the kitchen. Residents can use the kitchen to make themselves drinks at any time and residents make their own packed lunches. Meals are cooked by staff, sometimes with assistance from residents, and meals are eaten communally either in the kitchen or in the living/dining room. Newport Road (41) DS0000012514.V327652.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. The procedures for storing and dispensing medication are satisfactory. EVIDENCE: All aspects of the storage, dispensing and recording of medication were inspected and found to be satisfactory. Medication records are up to date and medicines received, administered and disposed of are recorded. Consideration is given to supporting residents to manage their own medication but this is not consistently planned or reviewed. Residents have access to health care services both within the home and in the local community but there are gaps in the information recorded although staff are able to give a verbal update on health care needs and interventions. There was verbal evidence of liaison and referral to support services such as the Learning Disability Nurse, Psychiatric Services, Chiropody and Dental Services. Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 15 The home have started to develop a person centred care planning approach but this is not fully workable and some of the information in the care files is out of date with no evidence of regular reviews. Some of the residents have Health Action Plans and of those seen, some lacked a signature and date and recorded evidence of intervention taken. Staff generally think in a person centred way when considering residents’ personal and health care needs but the process lacks consistency and record keeping does not reflect the level of care and support being provided. Decisions on how personal care is delivered are not consistently recorded. Newport Road (41) DS0000012514.V327652.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 good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure and arrangements are in place for protecting residents from possible harm or abuse. EVIDENCE: The written complaints procedure is on display in the home. No complaints have been received. Residents indicated that they would speak to their key worker or the manager if they were unhappy with anything, but no one had ever used this process. Records show that staff are aware of the home’s policy and procedure for safeguarding the residents and training in this area is included for all staff in the staff-training programme. Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 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 provides residents with a homely and comfortable environment but some areas of the home are in need of improvement. The home is generally clean and hygienic but attention is needed to ensure good hygiene and safety in the bathrooms and the use of bathing equipment. EVIDENCE: Since the last inspection the kitchen has been refurbished and decorated in a colour chosen by the residents. The new kitchen is clearly a big improvement although the flooring has not been replaced and there are some gaps in the flooring where the units are a different size. This needs to be addressed to ensure that the kitchen floor can be properly cleaned and washed. The open plan living room and dining room is homely and comfortable with enough seating for all of the residents. Some new dining chairs are needed to replace those that are broken and temporary folding chairs are being used. Residents have use of a computer in the dining room, it was noted that there Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 18 are trailing electrical leads for this and the deputy manager explained that they are awaiting a new socket to be installed close to the computer. There are two bathrooms, one on each floor. Both bathrooms are in need of refurbishment as the fittings and decoration are old and worn. The ground floor bathroom has a problem with damp and although recently decorated is showing signs of damp and mildew on the walls and ceilings. In both bathrooms the bath seats are very old and in poor condition making them difficult to keep clean. In discussion with the deputy manager it was recommended that the bath equipment needs to be replaced and this should be done with advice and assessment from a specialist who can recommend suitable equipment to meet the needs of the residents. The inspector was advised that valves to control the temperature of the hot water in wash hand basins have been removed but have not been replaced. This needs to be risk assessed to ensure the safety of the residents. The back garden is steeply terraced and only accessible by steps. On the first level there is a small decking area. The garden shed is not usable and the inspector was told that the shed is in imminent danger of collapse. This needs to be replaced. More use could be made of the garden; some of the residents enjoy gardening and with support, could have the opportunity to grow some plants if they want to. One of the residents already uses the conservatory to keep houseplants. It was evident that staff are aware of good hygiene practice and good practice in infection control is part of the staff-training programme. The laundry facilities are in the conservatory and residents are supported to do their own laundry. Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the residents’ support needs. This is evident from the positive relationships between staff and residents. There is an ongoing programme of staff training and development to ensure that residents are supported by competent and qualified staff. Islecare follow thorough recruitment procedures that protect the residents. EVIDENCE: The inspector spoke to all of the care staff on duty and it is evident that staff morale is good and the recent review of the staffing rotas for 41 Newport Road and Venner Avenue has been beneficial for both residents and staff. Rather than staff working across both homes, there are dedicated staff teams leading to better consistency of care and support for the residents in both homes. Staff are satisfied with the training opportunities provided by Islecare and confirmed that regular updates of training in safe working practice and opportunities to achieve the National Vocational Qualification (NVQ) in care are arranged. Some of the staff have also completed some of the units of LDAF Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 20 (Learning Disability Framework). Staff have identified one area of training needed – the autistic spectrum – in order to fully be aware of and meet the needs of residents in the home. Staff confirmed, and records were inspected, to demonstrate that regular formal supervision is carried out every 2 to 3 months. Since the last inspection there have not been any new staff appointments. The inspector is also aware that Islecare follow thorough and robust recruitment procedures so these records were not inspected on this occasion. Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents benefit from a positive and consistent management team. The registered manager needs to develop systems to regularly review aspects of its performance through a good programme of self-review and consultation, which should include seeking the views of residents, staff, relatives and visitors. The manager must ensure that all health and safety records for the home are kept up to date and meet regulatory requirements. EVIDENCE: The registered manager has been in post since July 2006 and has many years of relevant experience; he is currently working towards achieving the NVQ Registered Manager Award. Comments from residents and staff confirm that Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 22 the manager has an open and positive approach to running the home and is described as “a good listener” and “approachable”. Staff morale is good and staff turnover is low. Some work has been done to meet the requirement from the previous inspection with regard to regularly seeking the views of residents and others as part of the home’s quality assurance system, however, this still needs to be developed. A pilot questionnaire for residents from last year has not been completed fully or summarised. Some co-ordination of the various ways that the home reviews the service would improve quality assurance. There are regular residents meetings and these along with regular reviews of care plans could be part of the home’s quality audit. The representative of Islecare does make regular inspections of the home under Regulation 26 of the Care Homes Regulations and this could be more comprehensively planned and recorded to also be part of the home’s quality assurance process and to monitor practice and compliance in the home against the National Minimum Standards and the Care Homes Regulations. There was evidence of some systems in place to ensure that working practice in the home is safe for residents and staff, however, these need to be more robust and greater attention given to record keeping and monitoring that the home is compliant with all relevant health and safety legislation. The manager has not yet completed the required fire safety risk assessment and some of the records of fire safety checks were not up to date. A telephone discussion with the registered manager confirmed that he is in the process of completing a fire safety risk assessment. Staff are recording bath temperatures but the temperature of water in wash hand basins needs to be risk assessed. The deputy manager explained that thermostatic valves had been removed from the basins because they were not working properly but had not been replaced or the temperature of water checked. The general environmental risk assessments are being reviewed and this should be completed as soon as possible and kept under regular review. In discussion with the deputy manager about individual risk assessments – these need to be reviewed and updated. The two bath seats in use are very old and in poor condition. Mobility assessments must be reviewed for individual residents and include specialist advice or assessment with regard to the continuing suitability of the bath seats and any other equipment in use. Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 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 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 X 3 X 2 X X 2 X Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 24 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 YA6 Regulation 15 Requirement Individual care plans must clearly set out assessed needs, goals and aspirations and be reviewed regularly in consultation with residents and their key workers. Care plans must clearly record the arrangements for meeting the health and emotional care needs of the residents and be regularly reviewed. Timescale for action 30/06/07 2. YA18 YA19 13 (5) (6) 12 (1) (2) (3) 30/06/07 3. YA29 13 (5) Bath seats must be assessed for 30/06/07 their safety and suitability to provide a safe system for moving and handling residents who need specialist equipment. The registered manager must undertake to obtain written feedback from residents, relatives and stakeholders as part of the home’s quality assurance systems. This is a repeat requirement and the previous timescale of 30/04/06 has not been met. The registered manager must take adequate precautions DS0000012514.V327652.R01.S.doc 4. YA39 24 (3) 30/06/07 5. YA42 23 (4) 30/04/07 Newport Road (41) Version 5.2 Page 25 against the risk of fire in consultation with the local Fire Authority. 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 YA2 Good Practice Recommendations To develop the assessment process to include information relevant to younger adults that includes skills, goals and aspirations as part of the person centred approach to care planning. Better use of the garden for the benefit of the residents could be considered. The garden shed should be replaced. 2. YA24 Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 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 Newport Road (41) DS0000012514.V327652.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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