Inspection on 31/08/05 for 51 Greedon Rise (Homefield College)

This inspection was carried out on 31st August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

51 Greedon Rise (Homefield... 03/12/08

51 Greedon Rise (Homefield... 09/06/08

51 Greedon Rise (Homefield... 06/09/07

51 Greedon Rise (Homefield... 05/07/06

51 Greedon Rise (Homefield... 05/01/06

51 Greedon Rise (Homefield... 17/01/05

51 Greedon Rise (Homefield... 26/10/04

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Hunter`s Lodge

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

CARE HOME ADULTS 18-65 51 Greedon Rise (Homefield College Limited) 51 Greedon Rise Sileby Loughborough LE12 7TE Lead Inspector Sharon Treadwell Unannounced Inspection Wednesday, 31st August 2005 at 11:30 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. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 51 Greedon Rise Address 51 Greedon Rise Sileby Leicestershire LE12 7TE 01509 816091 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) Homefield College Limited Ms Wendy Cooke Care Home 3 Category(ies) of LD Learning disability(3) registration, with number of places 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17/1/2005 Brief Description of the Service: 51 Greedon Rise is a 4 bedroomed, semi-detached property, situated on a residential estate in Sileby. The home does not stand out from its’ neighbours. The home is clean, comfortable and homely and currently accommodates three female students in single rooms. Shared accommodation consists of a lounge, dining room, kitchen and enclosed, lawned garden. The home is one of seven, which are annexed to Homefield College. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence in a longer term placement. Young people at the college have been placed by the Learning Skills Council. These placements are generally term time only and limited to 2 or3 years. However, some young people receive continued funding from Social Services Departments and their placements progress to become long term. The college (and implicitly the seven houses) provide placements for adults with learning disabilities and those who have autistic spectrum disorder and some challenging behaviours. The college does not provide for students who require nursing care.The three young women accommodated at this home are all full time students funded by Social Services and all have now been accommodated at this home long term. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out at 11.30am on a weekday morning. Prior to the inspection the inspector had received a completed pre inspection questionnaire from the manager and also completed comment cards from two of the young people currently accommodated at the home and from four relatives. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this inspection was that of case tracking, which involved selecting two of the young people currently accommodated at the home and tracking the care they received through looking at their records and observation and discussion with young people and staff at the home. A lengthy discussion was held with the three young women accommodated at this home during this inspection and their very positive views about their home and the staff who provide their care and support, are reflected throughout this report. This inspection took three and a half hours, during which the inspector spoke with three of the young people and with the staff member on duty at the time of the inspection. All are commended for their warm welcome and for the ease with which they facilitated this inspection. What the service does well: The inspector has visited the three young women at this home several times and has observed their confidence and competence grow. Young people are well supported and facilitated to access a wide range of education, personal development, leisure and social opportunities. Young people are encouraged and supported to express their views about their care and their environment and feel strongly that their views are listened to and acted upon. All three young women told the inspector that their individual daily programmes were compiled in close consultation with them but with sound advice from the staff. 51 Greedon Rise provides a clean, comfortable and homely environment. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Training for staff in the administration of medication is to a good standard but is not currently accredited training. Staff do not currently have a very good awareness of the Care Homes Regulations and the National Minimum Standards or of the role of the Commission for Social Care inspection. Monitoring visits are made to the home on behalf of the Registered Provider but these are not always made at monthly intervals. The files examined during this inspection do not evidence appropriate care planning and review. The home needs to review staff access to records. The home was recommended during the previous inspection to complete a written risk assessment in relation to the lone working situation and to share its contents with all staff members. This has not been undertaken and this recommendation is re-iterated strongly within this report. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 7 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. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 8 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 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 5. The home ensures, prior to admission, that it is able to fully meet the identified needs of any service user admitted and places heavy emphasis on consultation with young people already in placement. EVIDENCE: The inspector is aware from previous inspections of all of the Homefield homes that the process of initial assessment at the point of admission to the college is an extremely comprehensive one. Admission is after an assessment process involving an interview, an initial assessment day and a two-day residential assessment. Subsequently, during the young person’s first term a thorough assessment is undertaken in four main areas of Independent Living, Basic Skills, Vocational; Learning and Social and Personal Development. Learning goals are then identified and a comprehensive personal programme compiled. The accommodation provided by the college has a clear route of progression for young people whose placements are long term, the final stage of which is one of the Homefield houses. At the time of this inspection one of the young women told the inspector of a proposed imminent move to one of the other Homefield houses. She detailed the involvement of her family in this decision and said she was ‘really looking forward to moving’ but was also ‘a bit nervous’. Another young person, currently accommodated at one of the other Homefield houses will be moving in to 51 Greedon Rise. The other two young women accommodated at the 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 10 home told the inspector that their views about this proposed change had been sought and listened to. The home is strongly reminded to ensure that the files of both the young people who are changing houses reflect the discussions held and the reasons for these moves. At the time of the previous inspection the home was required to evidence on young people’s files that a written contract was in place with each of the service users detailing the terms and conditions of their placement. The files examined still do not contain this document and the young women at the home confirmed that they had not received or signed any such contract. The inspector is aware that Homefield College Limited has signed contractual agreements with placing authorities. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 11 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. Young people at this home feel that they have strong relationships with the staff who value their opinions. Young people’s written records are not reflective of appropriate care planning, review or risk assessment. EVIDENCE: In discussion the young women accommodated at this home detailed that they valued their relationships with the staff who ‘give us good advice’ and ‘are always prepared to listen to our opinion’. The young women said they had been involved in choosing colour schemes during the redecoration of the lounge and had negotiated with staff in setting up their personal programmes for the coming year. One of the young women spoke of service users and staff as a strong team ‘we all pull together and work hard to keep our home nice’. Individual programmes evidence a strong focus on the encouragement of development of independence skills and, over the last two years the inspector has observed these three young women to become increasingly confident and competent. Each of the young women has weekly, recorded support sessions with their appointed key worker. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 12 The care plan format utilised by all of the Homefield houses is of a commendable standard detailing the young person’s functional capacity and support needs in a wide range of areas. However one of the files examined during this inspection contained a care plan compiled in 2000 with no evidence of subsequent review and the other contained no Homefield Care Plan and the only review records were of placing authority reviews, the most recent of which was in 2002. Both of the young women confirmed that they had attended reviews of their care plan, held at the home, last year. The member of staff on duty operated as key worker to one of the young women, confirmed that the young person’s care plan had been reviewed quite recently and produced a hand written version, which was undated. Discussions during this inspection, with both staff and the young women accommodated, indicate that care planning and review is not as lacking as the files suggest. The home must ensure that young people’s records contain a current care plan as well as written evidence of appropriate review of that plan. The care plan format, where the care plan is current, comprises a comprehensive risk assessment tool. The home additionally completes an individual risk assessment detailing the young person’s capacity to undertake various activities such as visiting the doctor or dentist or going to the shops alone or whether they require support for this. In one of the files examined this individual risk assessment was dated May 2003 and in the other file it was undated. The assessment of the young person completed in May 2003 was examined with the young person concerned and the member of staff who was her key worker and was found to be inappropriate. Whilst inspector observation and discussion with young people and staff do evidence that young people are encouraged and supported to take responsible risks and that their personal safety is prioritised, the files tracked do not. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 13 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, 13, 15, 16, 17. Service users are encouraged and facilitated to make full use of community facilities and to participate in a wide range of social, leisure and educational activities of their choice. EVIDENCE: During term time all of the young people accommodated attend local colleges of further education for programmes of their own choosing, which are either education or skill based. During this inspection the young women spoke of their chosen courses for the coming year. One young woman has a great interest in horticulture and has signed up for a course at Brooksby College, which she is really looking forward to whilst another is keen to improve her literacy skills because she has so many friends that she writes letters to. The young women spoke positively about the support given by the staff to help them to find appropriate employment opportunities. One young woman works two days each week in a local charity shop where she told the inspector that she had made ‘lots of new friends’. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 14 Young people at this home are able to access a range of leisure opportunities, which are available to all Homefield students such as a Tuesday evening club and regular day trips as well as annual holidays. One of the young people at the home has recently taken part in a group trip to Euro Disney, which she told the inspector she thoroughly enjoyed especially since the rides made her feel ‘sick and dizzy’! The other two young women were preparing for an imminent holiday in Majorca. One of the young women has also been on a student holiday to Skegness during the summer. All of the young people have a key to their own bedroom and during this inspection staff and other young people were noted to knock on young people’s bedroom doors and wait to be invited in. One young person has a key to the front door of the home (this is determined through risk assessment). All of the young women confirmed that they were supported to retain good contact with family members and friends. All three of the young women are actively involved in determining menus, shopping for provisions and in the preparation of meals. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 15 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. Young people are provided with a very individual service, their specific and very individual health and personal support needs are clearly identified and well met. EVIDENCE: The care plan format clearly address health issues and areas where personal support is needed. None of the young women currently accommodated at the home require intimate personal care although staff retain an awareness of the need to monitor and encourage personal hygiene. The files examined contained a full record of all medical appointments and prescribed treatments. A standard pro forma is completed by staff in respect of each medical appointment attended by a young person at the home, which details the reason for the appointment and the action resulting from it. These forms were examined in relation to the young people tracked. The home has been recommended to seek advice and input from the local Dental Practice’s Hygienist with regard to specific concerns discussed with one of the young women during the inspection. The managers of all of the Homefield houses have undertaken training on the storage and administration of medication with the local pharmacist. The managers cascade this training to care staff in the homes. The member of staff 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 16 on duty at the time of this inspection told the inspector that she had recently undertaken inset training covering the use of non-prescription medication. Whilst the inspector notes that this is good practice, none of the current training is accredited. During the inspection discussions were held with the young women about the self-administration of medication. Currently two of the young women administer their own medication but under supervision and the medication is retained by the staff. One young woman explained this to the inspector: ‘It’s better that the staff keep it because we get a bit mixed up. I’d rather it that way then I don’t forget.’ 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 17 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 homes policies and practices offer effective protection to young people who are supported and encouraged to voice their opinions. EVIDENCE: Records of complaints were not examined during this inspection since the member of staff on duty was unable to access the complaints folder. The home needs to assess its current practice on access to records since although the inspector acknowledges that confidentiality requirements necessitate restricted access to some information, others need to be accessible to all staff. The Registered Manager detailed in the pre-inspection questionnaire that one complaint had been received since the previous inspection and that this complaint had been upheld. One of the young women told the inspector that she had once made a complaint and had been ‘very pleased with how it was handled’. All of the young women said that they knew how to make a complaint and were confident that the staff would support them. All of the young women also confirmed that they were aware that they could contact the inspector if they felt they needed to. The home has a comprehensive policy on Abuse, which clearly defines the various types of abuse and also clearly states action required. The home has a separate, equally comprehensive policy on reporting and preventing sexual abuse. This policy clarifies what constitutes sexual abuse and also the principles for the legal determination of inability to consent. All the young people are given both guidance and assistance with finance management skills. All the young people have personal bank accounts. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 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 standard(s) 24, 25, 26, 28, 30. The home is decorated and furnished to a good standard and service users are provided with well equipped personal and shared space. EVIDENCE: All three of the young women’s bedrooms were viewed during this inspection. All were highly personalised and young people are encouraged to bring personal belongings, to put up posters and to display certificates and medals evidencing personal achievements. Two of the young women have swimming medals on display and one also has a commendable range of trophies denoting swimming achievements. Shared areas of the home were found during the inspection to be clean and comfortable. The young people expressed pride in the part they played in keeping the home clean and making sure it was welcoming to visitors. Two of the young women spoke with the inspector of their wish to have their bedrooms redecorated in different colour schemes. The inspector is aware that this request has also been made to the provider during a recent Regulation 26 monitoring visit. Both young women told the inspector that they would be 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 19 happy to be involved in the redecoration and staff at the home may wish to consider the possibility of using this as a learning experience. The home is clean and hygienic throughout. Young people are encouraged and, where necessary assisted, to deal with their own laundry. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35. Young people feel that they have good relationships with the staff and feel confident in the ability of the staff to provide appropriate guidance and support. EVIDENCE: Throughout the inspection the young women spoke very positively about their relationships with the staff at the home. They spoke of staff as good listeners and of the value they placed on the advice given by the staff. Since the previous inspection there have been new staff appointments to the home and the young women said that they liked the new staff. Prior to the inspection the inspector was supplied with details of internal staff training undertaken since the previous inspection. During the previous inspection the inspector recommended, in light of the lone working situation within the Homefield houses, that certificated training in certain areas (for example first aid, food hygiene and restraint) was crucial to the health, safety and welfare of the young people and should therefore form an integral part of induction/foundation training for support staff employed in the houses. Homefield College Limited has begun to implement this. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 21 In the pre-inspection questionnaire the Registered Manager detailed that two of the staff were due to commence National Vocational Qualification level 2 training imminently. Currently none of the staff team of four is qualified.The Registered Manager is currently completing the Registered Managers Award. During this inspection the member of staff spoken to confirmed that formal staff supervision was now taking place and that staff appraisals had recently been commenced. During this inspection the inspector held discussions with the member of staff on duty and the three young women accommodated about the role of the National Minimum Standards, the purpose of inspection and the content of reports. None of the young women had ever seen an inspection report for the home and the inspector would recommend that, dependent on capacity, the report is made available to them or its contents are clearly explained to them when it is received by the Registered Manager. The Home should additionally address the very limited knowledge of staff of the Care Standards Act and of the National Minimum Standards and of the their implications for care practice. The staff member spoken to did not have a full appreciation of the role of the Commission for Social Care Inspection. A copy of the Care Standards Act and the National Minimum Standards should be available at the home. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 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 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) 39, 41, 42. The manager and staff team of this home evidence a commitment to operating it in a manner which best serves the interests of the young people accommodated. EVIDENCE: The home has an up to date fire safety risk assessment (August 2005), fire fighting equipment is subject to annual service by an approved contractor (January 2005) and records of fire alarm testing and fire drills are appropriately completed. The written records evidence that all three young women regularly participate in fire drills. Portable appliance testing was last undertaken in March 2003 according to labels on appliances but the Registered Manager should ensure that an up to date certificate is obtained since the certificate on file expired in April 2005. The home has a wide range of Quality Assurance systems to enable appropriate monitoring of service provision. A quality assurance checklist is issued to the manager of the home detailing records and practices to be 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 23 monitored and a weekly report sheet is completed by the manager in line with this checklist and submitted to the Homefield Directors. The manager is additionally required to complete a weekly house maintenance report, which is also forwarded to the directors. Provider monitoring visits under Regulation 26 of the Care Homes Regulations are taking place and reports of these visits are comprehensive, are available at the home and have been forwarded to the Commission for Social Care Inspection as required under Regulation 26. The visits are not always being made at the required frequency (once a month) Young people’s individual records are securely stored. As detailed earlier in this report, some of the information contained in these records is not current (care plans) or appropriate (risk assessments). The member of staff spoken to during this inspection told the inspector that staff do not receive specific training regarding the retention of and required content of young people’s files. A better awareness of the Care Homes Regulations and National Minimum Standards would enhance staff knowledge in this area but there is also a managerial responsibility to monitor appropriate file retention. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 4 4 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 4 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 51 Greedon Rise (Homefield College Limited) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 2 3 x C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 25 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. Standard 6, 9. Regulation 15 Requirement The Registered Persons must ensure that young people’s records contain a current care plan as well as written evidence of appropriate review of that plan. Care planning reviews should be inclusive of an updating of young peoples individual risk assessments. Timescale for action October 31st 2005 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. Refer to Standard 5 22 Good Practice Recommendations The home should develop a contractual agreement with each service user detailing the terms and conditions of placement. The home needs to assess its current practice on access to records since although the inspector acknowledges that confidentiality requirements necessitate restricted access to some information, others need to be accessible to all staff. The home is recommended to implement accredited training for all staff responsible for administering medication. The home is recommended to ensure that monitoring visits C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 26 3. 4. 20 39 51 Greedon Rise (Homefield College Limited) 5. 35 6. 42, 33. by the provider are undertaken at a minimum frequency of one per month. The home is recommended to develop staff awareness of the role of the Commission for Social Care inspection and of the implications of the Care Standards Act and the National Minimum Standards for care practice. A copy of the Care Standards Act and the National Minimum Standards should be available at the home. The home is recommended within this report to complete a written risk assessment in relation to lone-working, which should be shared with all staff. 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 Page 27 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicester LE19 1SX 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 51 Greedon Rise (Homefield College Limited) C51 C01 S1799 51 Greedon Rise (Homefield College) V247114 310805 STAGE 4.doc Version 1.40 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!