Inspection on 18/10/06 for 41 Regent Road,

This inspection was carried out on 18th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

41 Regent Road, 20/06/07

41 Regent Road, 25/01/06

41 Regent Road, 06/07/05

41 Regent Road, 04/03/05

41 Regent Road, 03/08/04

41 Regent Road, 31/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 41 Regent Road, Hanley Stoke-on-Trent Staffordshire ST1 3BT Lead Inspector Ms Wendy Jones Key Unannounced Inspection 18 and 19 October 2006 13:15 41 Regent Road, DS0000008250.V312452.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 41 Regent Road, DS0000008250.V312452.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. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 41 Regent Road, Address Hanley Stoke-on-Trent Staffordshire ST1 3BT 01782 263720 01782 263720 accounts@richmondcaregroup.com 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) Shelton Care Limited Mrs Yvonne Doyle Care Home 16 Category(ies) of Learning disability (16), Physical disability (3) registration, with number of places 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 January 2006 Brief Description of the Service: The home was formerly a factory site. The accommodation has been designed to provide single bedrooms in two units of eight beds, each with its own facilities. The accommodation has been refurbished and provides for a domestic scale environment. The service provides residential care for adults with learning disabilities including three who may have a physical disability. There is a day service owned by the proprietors on the same site, adjacent to the residential services. The residents of Regent Road are able to access inhouse and local community daytime provision. The accommodation is situated close to community facilities and services. The interior of the home is decorated and maintained to provide a domestic atmosphere, whereas the exterior of the home retains its industrial heritage. Plans are in place to develop the outward appearance of the building to improve the general look and impression. These plans have been in place for some considerable time. The current scale of charges for this service ranges from £318 to £1,122 per week. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection of Regent Road Residential Care Home, carried out over a period of two days, from 18-19 October 2006, not including pre inspection planning. The inspection methodology included pre inspection details; service user and relative questionnaires, discussion with social workers and the GP; inspection of the environment; discussion with service users and the manager; interviews of four staff; inspection of care records and other documents pertinent to the inspection process. One to one discussions were undertaken with 6 service users. The service is registered to provide care and accommodation for up to 16 service users who have a learning disability. The dependency of service users varied - service users on the first floor were more self sufficient and independent generally, requiring less support with personal care matters than the service users on the ground floor where dependency was greater. What the service does well: 4 relatives comment cards included comments such as “ the staff are very supportive,” “we have found the manager and staff to be friendly and caring,” 4 care professionals returned comments cards, and made observations such as “the support staff here are excellent,” “staff show a clear understanding of the needs of service users.” 9 resident questionnaires were completed; they all gave positive accounts of their lives and the support they received. The standards of care assessment and planning are good, and health care needs of residents are met. Staff showed a commitment to supporting residents that was commendable. Service users said that they could choose what to do. This was evidenced through discussion and inspection of the records. Some residents have employment outside of the home others attend a range of occupational and recreational activities. Staff had received training in all key areas and discussed willingness for further development. Health and safety matters were addressed. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. 41 Regent Road, DS0000008250.V312452.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 41 Regent Road, DS0000008250.V312452.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have a copy of the service user guide in their files and the Statement of Purpose is on display in the home. EVIDENCE: The Statement of Purpose had been reviewed in August 2006 to ensure that it accurately reflected the home, it’s aim and objectives and facilities it provides. From discussion with residents and from the feedback from relatives it was evident that the service should ensure that the document is made more easily available in the home. Each service user had a copy of the service user guide in their care files, service users spoken to were generally familiar with the document and some had signed their own copy. In one example the guide was dated 2003, when signed and the cost of the service was out of date. The service must ensure that the Service User Guide is updated to reflect the recent amendments to the Care Homes Regulations 2001. The terms and conditions of residency were contained in the Service User Guide. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 9 Service users said that they had visited the home before moving in to it and had met staff from the home prior to the move. Assessment information in the individual files was detailed and there was evidence of professional/social workers assessment, in a Community Care Assessment (CCA). The Statement of Purpose for the home identifies the admission criterion for the home. 41 Regent Road, DS0000008250.V312452.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play a role in planning the care and support they receive. EVIDENCE: This visit included 1:1 discussions with 6 service users, all knew who their key worker was and where their care plans were stored, they confirmed that staff reviewed their care plans with them monthly. This was evidenced from a sample of the care records; this monthly review or “mini review” included a review of each plan of care and the comments of service users. It was evident throughout the inspection that service users living in the first floor unit were encouraged to make their own decisions about their daily life and routines, staff were observed to encourage and guide service users rather than make decisions on their behalf. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 11 Service users said “ I can decide what I would like to do,” “ Staff support me when I need it,” “ I have been helped to sort out what I do in the daytime.” They confirmed that they met on a regular basis to discuss any problems in the flat, plans for future activities and events, menu planning and routines. This was evidenced from the records of the meetings that were available, Risk assessments were in place and had been reviewed on a regular basis, the standard of risk assessment was high, with evidence that service users and relevant others had been involved in the decision-making. In one care file the user had risk assessments that related to road and fire safety, money management and budgeting, using electrical equipment and maintaining independence. Finances: The service operates a policy and procedure, which means that monies kept on behalf of service users are checked daily. This information is passed to the staff on the next shift and signed to confirm accuracy. The manager or senior staff carries out a monthly quality audit to ensure that the sums recorded accurately reflect the amount of money kept on behalf of service users. Some service users manage their own monies and personal allowance and have been provided with a lockable facility for it’s safe storage. The majority of service users are supported to save money and have building society accounts for this purpose. 41 Regent Road, DS0000008250.V312452.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 at least once during a 12 month period. 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. Records showed, and service user confirmed that they were supported to engage in activities both in and out of the home and that their rights were respected if they chose not to be involved. EVIDENCE: Service users living on the first floor were relatively independent in their dayto-day lives. The majority accessed the community independently, at least one person had a voluntary job in a local shop and they said that they were able to make decisions about what they did during the day. During the inspection one service user was preparing to go to a day care session, another had returned from an activity and three service users were planning to go out shopping and had decided to have a lunch out. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 13 Service users on the ground floor had attended a variety of day service sessions. Including a new service called “Networks” offering service users of a higher dependency daytime activities on a 1:1 basis. 5 of the service users residing in the first floor flat were spoken to individually and in a small group. They talked positively about the home and their level of independence, they all knew who their key workers were and confirmed that they met with them regularly to discuss any issues they may have or to review their care plans, aims and goals. They talked about their future aspirations and how the staff were supporting them to be independent. They discussed involvement in a local church group. 1 service user commented that he’d like a daily paper delivered. A service user on the ground floor flat, discussed how staff had supported him with his changing needs and also confirmed that he was involved in the regular reviews of his care “ mini reviews were held monthly”, but also spoke of the frequent more informal support and guidance he received. He showed evidence of this. Mealtimes and Food: Residents in the first floor flat, were observed making choices about the meals they wanted, preparing and cooking them. They said that they took turns in choosing and cooking the evening meal, but they could have some thing other than the main meal choice if they wanted to. The kitchens on both floors were easily available to all residents, risk assessments were in place in individual files were a risk had been identified. The service met the standards of basic food hygiene and monitored and records fridge/ freezer and hot food temperatures. 41 Regent Road, DS0000008250.V312452.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. The quality if this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents have access to health and remedial services, staff make sure that those residents who are fit and well enough are encouraged to be independent, have regular appointments and visit local health care services. Personal aids and equipment are available and well maintained to support both resident and staff in daily living. Residents discussed the support they had received relating to personal relationships and following lengthy discussion it was evident that the service had acted responsibly and made every effort to provide information in suitable formats as well as offer advice. The home works to an efficient medication policy supported by procedures and practice guidance. Staff are aware of and understand the guidance, and quality assurance systems confirm that practice reflects policy. High priority is given to maintaining and updating medication records. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 15 Staff follow robust systems to make sure that medication records are fully completed, contain required entries, and are signed by appropriate staff. Regular management checks are recorded to monitor compliance. A good practice recommendation suggested that the homely remedies policy should be included in the medication file. Matters arising include the continued need to monitor storage temperatures on the ground floor and take further action if necessary to ensure appropriate temperatures are maintained. Care staff work to a consistent standard and constantly monitor pain, distress and other symptoms to ensure individuals receive the care they need. The health care needs of two resident were discussed in detail, the manager and staff discussed some difficulties in obtaining appropriate health care support in one instance, advice was given in this respect. The evidence of this visit was of a supportive and committed staff team who advocated on behalf of resident to ensure they received the health care and treatment they were entitled to. 41 Regent Road, DS0000008250.V312452.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: Service users said that they knew who to go to if they had any concerns, comments included “ I would go to any of the staff,” “ I would speak to my key worker,” “staff have helped me when I have had a problem.” No complaints have been made to the Commission for Social Care Inspection and no Vulnerable adults issues have arisen. The complaints procedure was displayed in the home, all 4 relatives who returned comments cards indicated that they were aware of the procedure and all confirmed that they had not made a complaint. 1 relative expressed concern that the communication between the home and the family could be improved and gave an example of this, the manager was asked to ensure that this issue was addressed to the satisfaction of the family. Independent advocacy services have been sought as required for individual service users, but the service also supports service users to self-advocate as much as possible, the evidence of this inspection confirmed that a number are well able to express themselves. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 17 4 staff were interviewed during this visit, they gave satisfactory responses to questions about Vulnerable adults issues and gave accounts of and examples where they had supported service users. The manager confirmed that staff had received training in Vulnerable Adults issues, recognising and reporting suspected abuse. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 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 physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence EVIDENCE: From the exterior of the building the home does not reflect an ordinary household dwelling, as it is a former tile factory. The manager has stated on a number of occasions that there are plans for improving the appearance of the exterior, but little has happened. The home is divided into two units, each has the capacity to accommodate up to 8 service users. The first floor unit provides for those service users who are mobile and more independent. The ground floor unit provides for service users who may have a physical disability, a more severe learning disability. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 19 Both units provide adequate communal space in an environment that although not purpose built does provide a homely place to live. One questionnaire from a care professional included a comment that at times the environment could be a little depressing, this was looked into during the inspection and felt that the area referred to was probably the lounge on the ground floor. This room has a low false ceiling that can make the room feel quite oppressive. The manager stated she had discussed the possibility of changing the ceiling and the lighting to the type in keeping with an ordinary domestic setting. Since the last inspection the fire alarm system has been replaced, remedial work is needed to cover up some holes in the ceiling where the old smoke and heat detectors were located. Service user comments about the environment included “my bedroom has had a new floor,” “ I have asked for some sort of screen outside the side door, where I go to have a cigarette, because it can be very windy there, but nothing has been done,” “ I have a swipe card but it doesn’t work at the moment.” Other comments form other service users included, “ I like my bedroom”, “we have 2 sitting rooms so we don’t all have to be together.” A sample of bedrooms showed that they were adequately furnished and residents have been supported to personalise them, creating a lovely ambience. Residents gave positive comment about their home. It was suggested that the flat on the first floor has a door bell fitted to it’s entrance at the top of the stairs. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home have received training and are provided in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Staffing levels were maintained at a minimum of 4 per shift, but additional staff were provided to support residents for specific events or occasions. In the 8 week period prior to the inspection the service had used 40 hours of agency support. The total weekly contracted hours for the home were calculated at 589 per week. Of the 19 care staff employed 13 had an NVQ qualification at level 2 or above, this equated to 75 of the workforce, exceeding the minimum standard expected. The manager stated that she had 1 staff vacancy but a recent recruitment drive had been successful and they were waiting for the statutory checks to be completed. An activity support worker’s hours had been increased to provide additional 1:1 support for a service user. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 21 A staff handover was observed, the practice included discussing events that had occurred on the shift and giving an account of what service users had been engaged in. And identifying and action points or plans for the next shift period and the support residents required. 1 member of staff stated that the induction she had received had been very good and had taken approximately 13 weeks. She was working through the SCILS foundation programme. She also confirmed that she completed the majority of her mandatory training and had other training planned. 3 other staff were interviewed they all stated that they had received regular 1:1 supervision, made positive comments about the standard and frequency of training that was offered, one member of staff commented that the “training had developed remarkably” and “staff felt involved in decision making.” Further training in areas specifically relating to individual residents includes dementia care, 2 staff also said that although they had received training in Autism Spectrum Disorder, they would like further training. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and has effective quality assurance systems. EVIDENCE: The manager stated she had completed the NVQ level 4 in care and management known as the Registered Managers Award (RMA). Information in the pre inspection questionnaire indicated that servicing and maintenance of equipment in the home had been carried out routinely Budgets are allocated for food shopping per unit. The manager holds a petty cash float for other minor household replacements or expenses. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 23 A recent fire safety audit by the fire service; had resulted in the service reviewing the fire safety risk assessment for the home and replacing the fire safety system to ensure compliance with the new fire safety guidance. Additional safeguards included, emergency contingency plans and changes to practice that included the shift leader having (on their person) all relevant information needed in the event of a crisis, including a mobile phone and telephone details of all agencies to contact. The organisation has put in place a quality audit system and employs some one to visit each of the homes to audit against a particular standard periodically. The quality of information was of a high standard and clearly set out the areas for improvement and the action staff should take. A discussion with the quality assurance auditor, confirmed that the commitment by the organisation to improve it’s services was high. It was also suggested that she may be able to access further training and support, including regular supervision in this area. Monthly visits by the provider have been undertaken, there was evidence in the home, I was told that the visits may be included as part of the quality audits. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 x 4 X 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 3 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 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 4 4 3 3 3 3 3 X X 3 X 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 6 Requirement Timescale for action 19/01/07 2 3 YA20 YA24 13(2) 18 4 YA24 13 Service User Guide must be reviewed to ensure they accurately reflect the current cost of the service and how those costs are broken down. Medication storage temperatures 22/12/06 must be within the guidance given at all times. Ensure that all areas of 22/12/06 maintenance are quickly addressed, this relates to the holes in the ceilings left by the replacement of the fire safety system. Ensure that resident health and 19/12/06 well being is not compromised by hot surface temperatures of radiators and take action to reduce the risk. 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 26 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. 2. 3. 4. Refer to Standard YA1 YA24 YA10 YA24 Good Practice Recommendations The Statement of Purpose should be made more readily available to service users staff and visitors. Provide a screen outside the side door of the home, as requested by a resident. Consider ordering a daily paper to be delivered. Ensure that communication regarding events in resident lives is timely enough to enable them to visit should they choose to. Retain a copy of the homely remedies policy in the medication file for ease of access. Ensure that where residents have their own swipe card it is in working order. Ask staff to sign the record of fire drill to confirm confirmation of attendance and understanding. The organisation should consider additional training opportunities where there is a need for a particular area of expertise, this relates to Quality Assurance and Dementia care. Consider a review of the lighting and ceiling in the ground floor lounge. Fit a door bell or knocker to the entrance of the first floor flat at the top of the stairs. 5 6 7 8 YA20 YA16 YA42 YA32 9 10 YA24 YA24 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 41 Regent Road, DS0000008250.V312452.R01.S.doc Version 5.2 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!