Inspection on 06/07/05 for 41 Regent Road,

This inspection was carried out on 6th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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, 18/10/06

41 Regent Road, 25/01/06

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 Wendy Jones Announced 6 July 2005 13:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 41 Regent Road Address Hanley Stoke-on-Trent Staffordshire ST1 3BT 01782 263720 01782 263720 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Shelton Care Limited Mrs Yvonne Robertson CRH 16 Category(ies) of LD (16) registration, with number PD (3) of places 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 4 March 2005 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 in-house 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. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out on the 6th July 2005. Information for the visit was provided from a completed pre inspection questionnaire; from discussion with staff at the home; from discussion and conversation with service users; from inspection of care records, staff rota’s, training records, risk assessments, fire safety records and the service Statement of Purpose. 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 some of the service users on the ground floor. What the service does well: The service had a Statement of Purpose and Service User guides a copy of a revised copy of the Statement of Purpose was provided for the Commission for Social Care records. Pre admission assessments were carried out, the information seen provided a detailed account of the prospective service users care needs, and the service assessment was complimented by a social workers assessment. Care plans were devised to address the assessed needs of each individual, the records showed that service users were encouraged to discuss and participate in care planning and in some instances had signed documentation to confirm involvement and agreement with the plans. Monitoring and reviews of plans were undertaken on a regular basis with key workers organising mini monthly reviews with their allocated service user. Risk assessments gave detailed information about the identified risk and the steps put in place to reduce the risk, form the sample seen their was also a regular review of this documentation. Flat meeting s were planned and arranged periodically, it was reported that there were weekly meetings to discuss menu planning, proposals for activities for the coming week, housekeeping issues and future plans. The medication procedures and policy was effective, medication administration records were satisfactory, storage facilities adequate. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 6 The home was divided into two flats each accommodating 8 service users. The first floor flat had it’s own front door and was accessed only via a staircase, making it unsuitable for those service users who may have a physical disability. The ground floor flat had some adaptations to allow the admission of service users with mobility difficulties. All bedrooms were for single occupancy and met or exceeded the minimum standards in terms of size. Service users spoken to confirmed satisfaction with the facilities provided. Staffing levels were satisfactory, with no staff vacancies. 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 E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. The homes Statement of Purpose and Service User Guide were excellent providing service users and prospective service users with details of the services the home provides enabling an informed decision about admission to be made. The standard of pre admission assessment was high, providing staff with a good insight into the needs of prospective services and if the service could meet those needs. EVIDENCE: The service had a detailed Statement of Purpose, which identified the aims and objectives of the company and the service. It included the minimum requirements as set out in Regulation to inform prospective service users or their representatives of its purpose and ability to meet the needs of service users with a learning disability. The Service User Guides were located in each of the service user files and bedrooms with some evidence that they had been discussed with service users. The format had been changed to include a pictorial form for a more user-friendly document. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 9 Staff confirmed that the admission procedures for prospective service users including a package of transition from the previous placement or place of residence; the package could be varied dependent on the needs of the individual. Usually staff would visit the prospective service user, their family or carers, carry out some initial assessment work then encourage and facilitate visits to the home, to assess suitability and compatibility with other service users and observe and assess the prospective service users adaptation and reaction to the potential placement. One service user confirmed these opportunities had been provided before a decision was made to move in to the home. The service pre admission assessment was very detailed providing some very good information for staff; this was complimented by the social work and previous placement assessments. Records also showed that a statement of terms and conditions of residency was included in the Service User Guide and in each of the service user records. Contracts were usually between the funding authority and the service. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9,10. The standard of care planning was good with evidence that plans were in place to address all of the identified assessed needs of service users. The systems for service user consultation in this home were good with a variety of evidence that indicates that service users’ views were both sought and acted upon. EVIDENCE: A sample of care records were inspected for case tracking purposes the quality of information was high with evidence that care plans were in place to address the assessed needs of service users. Monthly mini reviews of care were arranged with the key workers and service users to discuss progress, any changes and satisfaction with the plans in place. There was evidence that service users had an opportunity to discuss and be involved with their plans and in some instances had signed their plans to confirm agreement. Person centred planning had been implemented, and a review of the 24-hour plans “ an ordinary day” had been undertaken since the last inspection. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 11 ABC charts were in place to assist staff to recognise triggers to behaviour, to record any antecedents and to respond accordingly within the framework of behavioural management strategies for individuals. Flat meetings were recorded for November 04 and 21 March 04; the service should consider more regular meetings for service users to be involved with decision about the service. It was accepted that staff had indicated that regular weekly flat meetings were arranged to support service users with menu planning, shopping, domestic routines and decisions, and to plan the social and leisure arrangements for the following week. Service users confirmed from discussion that they were able to make everyday decisions and choices about their involvement in the domestic routines of the home and their preferred social and leisure activities. Risk assessments were in place, contained good information about the level of risk and provided clear guidance for staff to ensure that the risk was reduced. Responsible risk taking enabling service users to have freedom of movement out of the home were also in place. Missing persons’ procedures complimented these types of risk assessment. Care record were appropriately stored in a locked office. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 standard(s) 11,12,15,17. Service users were supported to access suitable leisure, recreational and occupational opportunities in the community. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Two service users were interviewed during this visit, both indicated that they had some autonomy and control over their day-to-day lives, and were involved and included in day-to-day decision making. They both accessed occupational, social and leisure activities, which were socially valued and integrated in the local community. Records showed that service users accessed a range of resources, from specialist day care centres, to occupation in shops and other services. This balance of specialist and integrated activity was appropriate to the needs and wishes of each service user. Each service user was supported to access suitable holiday facilities, dependent on preference, decisions were made with each service user, regarding location, time scale, staffing and if the holiday was to be shared. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 13 Family contact details were included in the records seen, a number of relatives returned feedback forms prior to and following the inspection, and gave generally satisfactory responses to the questions asked. Service users were supported to make healthy choices regarding their daily diet, special dietary requirements were known by staff, menu’s indicated that a supportive and responsible approach was adopted by the service. Menu’s indicated that a balance diet was enjoyed with a variety of meals and options available. Service users were observed to help themselves to food and snacks during the inspection. A service user on the first floor confirmed that they all participated during the week in the preparation and cooking of food, the service user gave a clear indication that service adopted a flexible approach to this. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 standard(s) 18,19,20. The health and personal care of service users were appropriately met with evidence of regular health appointments involvement with specialist services, and attention and sensitive intervention and support to meet personal care needs. The home has made progress with regard to the arrangements for the storage and administration of medication, on going monitoring and action should be taken to ensure that the storage temperature for medication is maintained at a suitable level. EVIDENCE: Personal and health care needs had been assessed and care plans put on place where a need was identified. The records showed that service users were supported to attend regular health related appointments and that regular monitoring have identified health needs was in place. Specific health needs such as diabetes, epilepsy were monitored with the specialist clinics and consultants. Service users who suffered anxieties that could affect their mood and behaviour were referred to the appropriate health specialist as required. A patient liaison officer from the local health PCT was reported to have recently been involved with the home and intends to support the service to ensure that easier access to routine and preventative health checks at the GP surgeries used by the service. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 15 Medication policies and procedures appeared to provide an effective framework for staff to safely administered records and receive medication. Staff had received certificated training and an assessment of competence before administering medication, information in the medication file showed that the purpose and effects of each of the prescribed medication was provided. Protocols for the administration of as required medication were in place. As at the previous inspection the storage of medication was an issue during this visit. It was clear that the service had acted upon recommendations at the previous inspection to monitor the storage and room temperature where medication was stored. An air conditioning unit had been purchased to address the matter. From records seen, it had been successful until a very recent break down of the equipment. Staff reported that they had made arrangements for a replacement to be delivered. There was some discussion regarding an alternative storage for the medication, this should be considered by the service. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 standard(s) 22,23. The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to and acted upon. Arrangements for protecting service users were satisfactory, but could be improved by all staff receiving training in vulnerable adults procedures. EVIDENCE: The service has a complaints procedure, which they have also produced in a pictorial format for the benefit of service users. Since the last announced inspection no complaints have been made to the CSCI or had been received by the service. Service users were reported to be encouraged to comment on the service they receive at flat meetings and at reviews. Service users expressed satisfaction with the service they received. The service had procedures for the protection of vulnerable adults and information for staff on recognising and reporting abuse. Training for staff in the Protection of Vulnerable Adults must be provided, it was understood that this training forms part of the new induction programme developed by the organisation, but it was not established from the records seen if any staff had received the training. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 standard(s) 24,25,30. The standard of the environment within this home was good providing service users with an attractive, clean and homely place to live. EVIDENCE: The first floor flat accommodated 8 service users, usually between the ages of 23-50years, who have a mild to moderate learning disability, all bedrooms were for single occupancy and met or exceed the minimum standards in terms of room size. Communal facilities included 2 lounges, a dining room and spacious kitchen. The bathing facilities include a bathroom with toilet and a shower room with toilet. It was intended to replace the shower in the near future. A staff office and sleep in room is located on this floor. Service users accessed the flat from their own front door; all service users had been provided with a key to the door. The ground floor flat also accommodated 8 service users ages ranging from 25-60 years and may have a moderate to severe learning disability. As for the first floor, all bedrooms were for single occupancy, one bedroom had en-suite facilities. Communal space included a large kitchen/diner and had a separate lounge. There were two bathrooms with toilets and a separate toilet. This flat 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 18 also had an office. Access to the ground floor flat was usually via a ramped access at the side entrance, off the main car park. Across the car park were a block of offices used by the care manager and for training and meetings. At the rear of this building an enclosed garden had been created, with pergola, garden seating and tables, raised flowerbeds and plant pots. This inspection included two bedrooms one on each floor, they were both of good size and were adequately furnished; from discussion, the occupants were satisfied with their rooms, one service user stated that he had chosen new wallpaper for when his room is to be redecorated. Both service users confirmed they had a key to their bedroom doors and could secure personal belongings in a lockable drawer if necessary. Both rooms contained personal items and showed evidence that the occupants were supported to own their personal space. The home throughout was clean and appeared to meet the needs of service users; the ground floor flat had some adaptations for those who may have mobility difficulties. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,35,36. Staffing levels was good providing staff in adequate numbers to meet the needs of service users. Records of staff training showed some deficits, which should be addressed to ensure an effective and well-trained staff team. The frequency of staff supervision was good, further work was required to ensure that night staff received regular supervision and the staff responsible for supervising others received training. EVIDENCE: Staffing levels on the day of the inspection included two seniors 10am-6pm, 3 staff from 7.45am-3.15pm, 1 x 12-7pm, 3x 3-10pm and 1x 3pm-11pm, sleep in. The two seniors were supernumerary to the care hours for the duration of the shift. 16 care staff are employed by the service, of these numbers 3 staff have achieved NVQ level 3, 2 staff have NVQ level 2. 2 staff were undertaking the training. Since the last inspection there has been a recruitment drive and a change in the staff contracts, most staff had changed to a 42 hour per week contract. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 20 The staff rota’s showed that there was one person on maternity leave, one person had two day’ s off sick, 1 new member of staff had started during the week of the inspection with another to start on 18 July 2005. The service and the organisation had a system, for identifying staff training needs and nomination for courses, a rolling programme of induction provided staff with access to mandatory training courses and training appropriate to the needs of service users. A training manager had developed training modules for staff linked to the Learning Disability Framework. Information regarding staff training indicated that some mandatory training and training updates were needed. The records showed, that 1 worker required infection control training, 14 staff required fire training updates, 2 staff needed Health and Safety training, 10 staff required annual updates in manual handling and annual updates in the management of challenging behaviour, known as NVCI were over due for 8 staff, and two staff needed to receive the training. It was understood from discussion with senior staff that training in the administration of medication was planned for August 2005. Some staff were reported to be undertaking a distance learning training package in health and safety and infection control. It was also accepted that a number of staff had missed training updates due to maternity leave. Two staff were undertaking the TOPPS induction, 14 staff had undertaken Epilepsy Awareness training, 16 had undertaken Basic Food Hygiene training. It was not established from the records seen if staff had received training in the Protection of Vulnerable Adults Training, it was understood that this now forms part of the new induction package for the home. Staff supervision was planned every 2 months, responsibility for staff supervision was delegated to the two senior staff at the home, as discussed at previous inspection visits, any staff allocated the responsibility for the formal supervision of staff must be trained to do so. The night staff supervision had lapsed, due to some difficulties in arranging it; suggestions and discussion took place regarding how this could be resolved. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,42,43. The service was well organised with clear roles and responsibilities established. Good procedures, and regular servicing and monitoring of equipment assured the health and safety of service users. EVIDENCE: The registered care manager was undertaking the registered care managers award and NVQ level 4 in care, it was anticipated that the course would be completed by the end of July 2005. Quality monitoring and regulation 26 visits had not occurred on a regular basis, this had been discussed at the last inspection. It was understood that due to changes of staff in the organisation one of the senior staff at Regent Road would be undertaking Quality Audits on behalf of the company, from August 2005. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 22 Records showed that the fire safety checks were appropriately completed, servicing documentation was up to date and staff had participated in regular fire drills. Information provided in the pre inspection questionnaire indicated that the maintenance and servicing of equipment was up to date including gas heating, electrical appliances, emergency call systems, legionella and hot water temperature checks. General and individual risk assessments were available and had been regularly reviewed. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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 3 4 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 4 Standard No 11 12 13 14 15 16 17 3 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x 2 3 x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 41 Regent Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 2 E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. 4. Standard YA23 YA32 YA36 YA43 26 Regulation 13 13 Requirement All staff must receive training in the protection of vulnerable adults. All staff must receive mandatory training. Staff responsible for the supervision of others must receive training. Monthly monitoring of the service must be undertaken on behalf of the organisation and a copy of any report on the performance of the home copied to the CSCI. Timescale for action 06/09/05 06/10/05 06/10/05 06/08/05. 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. Refer to Standard YA8 YA20 YA36 Good Practice Recommendations The service should consider more regular flat meetings to encourage service users to take a more active role in decision making within the home. The service should ensure that medication is stored at an appropriate temperature or consider alternative storage facilities. Staff should reecive a minimum of 6 supervision sessions E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 25 41 Regent Road per year. 41 Regent Road E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Stafford - 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 E51-E09 S8250 41 Regent Road V231380 060705 Stage 4.doc Version 1.40 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. 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!