Inspection on 16/05/05 for 52 Mill Lane

This inspection was carried out on 16th May 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

52 Mill Lane 15/12/08

52 Mill Lane 30/01/07

52 Mill Lane 17/11/05

52 Mill Lane 10/11/04

52 Mill Lane 24/05/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 52 Mill Lane 52 Mill Lane Hove East Sussex BN41 2DE Lead Inspector Jenny Blackwell Announced 16 May 2005 10:00 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. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 52 Mill Lane Address 52 Mill lane Hove East Sussex BN41 2DE 01273 439156 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) Southdown Housing Association Limited Ms Patricia Margaret Hyland Care home 5 Category(ies) of Learning disability (LD) 5 registration, with number Physical disability (PD) 5 of places 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for five (5) service users with a learning disability and a physical disability. 2 The number of service users accommodated must not exceed five (5). 3 Only service users aged between 18-65 on admission to be accommodated. Date of last inspection 10th November 2004 Brief Description of the Service: 52 Mill Lane is run by the Southdown Housing Association, and provides longterm accommodation in a ‘dormer’ style bungalow for up to five adults of either gender. The people live on the ground floor of the property and have their own single bedrooms, while sharing the communal living/dining room, kitchen, bathrooms and garden. The home is located in the residential area of Portslade, on the outskirts of Brighton, within reasonable distance of local shops and other amenities. Although established as a service for younger adults with learning disabilities, within the current group of people four are also wheelchair users, and the home provides adapted facilities to them. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this summary and report the people who live at the home will be referred to as people/person (except in the requirements section), and the people who work at the home as staff or by their job title. The people who live at the home, some of the staff team and manager were present during the inspection. Time was spent with four of the five people who live at the home. The manager was spoken to individually and four staff were spoken to throughout the day. The inspection was arranged with the manager of the home, as this was an announced inspection. Another inspector who observed the inspection accompanied the lead inspector. The requirements made from the inspection in November 2004 were checked to see if the they had been met. The manager produced evidence to show that most of the requirements and recommendation had been met. One requirement will be carried forward. Five relative comment cards were returned prior to the inspection. All contained positive responses, with comments such as “the house is run by lovely staff”, “my son is very well cared for”, “I am more than satisfied with all the aspects of the care my son receives.” and “we are delighted with the standard of care our daughter receives”. The people who live at the home and the staff were helpful throughout the inspection and contributed to the report where possible. What the service does well: Daily activities were planned and arranged around each person likes and dislike. During the day all the people either went out or had an activity at home. Staff organised their shifts around the people’s wishes. The staff were seen to interact with each person respectfully and were knowledgeable about their support needs and their preferences. The care plans were well written with comprehensive information about individuals preferred routines during the day. This enabled the staff team to be 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 6 consistent in their approach to each person. Particular care was taken to emphasis the personality of a person and their achievements, rather than their disabilities. Southdown Housing Association had a comprehensive induction and training programme for new and existing staff. Throughout the day staff were seen to act in a friendly, professional manner with the people. The staff team had training and were experienced in specialist support for the people such as dietary and nutrition support, posture support and sensory disability awareness. What has improved since the last inspection? What they could do better: The quality of the daily support and level of tailored activities for the people living at the home is good. The staff team report that the manager and seniors are approachable and supportive. To continue to maintain and improve this level of service the manager needs to ensure that the core documents that the home’s function is based around such as the statement of purpose, the service user guide accurately reflect the services that are provided. In addition the organisation, manager and staff need to continue to make these documents more accessible to people with disabilities. The medication procedures need to continually be monitored and reviewed as although improved it was noted during this inspection procedures were not as thorough as they needed to be. The manager and inspector discussed ways in which the people at the home could become more involved in decision making on a daily basis. The use of photo rota boards and menu plans may assist the participation and understanding for the individuals on what will be happening for the day. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 7 Brighton and Hove City Council are the placing authority for each person living at the home. It was noted that their placements had not been reviewed since 2003. The manager was required to ensure each person has a placement review yearly. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 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 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 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) 1,2,3,4and 5. The manager and staff had access to policies and documents that help them to support new people move to the home. The Statement of Purpose and service user guide needed updating in order to accurately reflect the function of the home. EVIDENCE: The Statement of Purpose was viewed during the inspection. It was noted it had been reviewed since the last inspection however the information regarding staff’s qualifications and numbers of people living at the home was not accurate. It would be beneficial if the manager and staff develop theses documents into a more accessible format for the people who currently live at the home and perspective new people. The home is purpose built for people with disabilities and the staff team have specialist training in supporting people with learning disabilities. The staff demonstrated comprehensive knowledge of people’s needs particularly specific health care support. The manager and staff have access to policies and procedures to ensure perspective new people have appropriate introductory visits. Each person has a 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 10 licence agreement with Southdown Housing Association that are detailed and in a pictorial format. It was noted that Brighton and Hove City Council had not reviewed some people’s placement assessments annually; the last review was conducted in 2003. It was required the manager ensures each persons assessments are reviewed annually. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 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 and 8 Each person’s individual support plans contained information based on their preferences, their likes and dislikes and health care needs. Each plan was well written and was presented in the same format. The plans enabled the staff team to work in a consistent manner with each person. EVIDENCE: Three support plans out of the five for the service users were viewed. The plans contained detailed information about the wishes and support needs of each person. For example in one person’s plan detailed information was logged about how staff were to undertake personal care tasks noting that it was imported that staff perform in a consistent manner when supporting the person. Another person had a “Pen picture” about his history written by his family members in his plan. The manager believed this enabled staff to view the person as someone with a history and family relationships, not just as someone in receipt of care. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 12 The staff were seen to work hard in involving service users in making choice in the home allowing time for service users to make decisions and express their wishes in a communication method they preferred. Other methods of helping people to be more aware of what was going to happen through out the day were discussed. Such as photo rota’s to see which staff was working and pictorial menus and photos of meals that may help people know what food they would be eating. The manager stated she would work with the people and the staff to try these and other methods. The home has developed risk assessments for each service user including manual handling and environmental factors. These are reviewed regularly and updated when needed. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 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) 12,13,14,15,16 and 17. The manager and staff were committed in supporting each person with their interest. Personalised activity plans were in place for each individual and the staff were concerned with engaging people primarily on a one to one basis. Each person was actively engaged in their local community and have good links with family and friends. The meals appeared nutritionally balanced in general although one person seemed to have a fairly high number of ready made meals. EVIDENCE: The people are encouraged to maintain the levels of independence that are appropriate for them. They attend a variety of day services, college courses and leisure activities. One person has all his day opportunities arranged by the home. The manager and staff arrange for people to participate in activities in their local community. The home is set in a residential area and their neighbours know the people. During the day four of the five people were at local day 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 14 services were they attend different sessions such as art, swimming and cookery. Other leisure activities that the staff arrange for people included aromatherapy, going out to concerts and shows, restaurants and pubs. Each person has an active life and enjoys a variety of indoor and outdoor activities. Some people attend a 9-week drama course run by an organisation called Carousel. Volunteers ran the group, which allowed the people to have time away from the staff. The staff at the home had a good understanding of the benefits of this arrangement for the individuals. The support plans describe the significant others for each person. Family involvement is encouraged and supported by the staff. The manager and staff promote independence and choice for each person. Care is taken by the staff to respect individual’s dignity and privacy, staff were seen to knock on peoples doors and ask permission from them before moving them about the house or entering rooms. The menus were seen and meal preparation observed. The staff prepare the meals and do all the cooking. Mostly one or two people are in the kitchen when meals are being prepared and staff engage with them. On this occasion it was noted that one person had a fairly high number of ready meals, as this was a quick option to fit into her leisure activities. It is recommended that the nutritional content of this amount of ready meals be checked to ensure the person is not having a substandard diet. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 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 and 20 The people who live at the home are supported to maintain their well being. They attend community health care appointments and have access to specialist health care provision. Preferences in the ways people receive personal support are recorded. The medication procedures are clear and have improved; however a requirement was made to further improve the procedures. EVIDENCE: The staff have been supporting the people with the specific health care needs. In particular specialist feeding regimes and respiratory and postural support. The staff have undertaking training and have gained in-depth knowledge in these areas. On the day of the inspection the deputy manager was spoken to about recent changes in a specialist diet for one person. The deputy and staff were concerned about the responses the person was having to the new food. The staff contacted the specialist team to report their concerns and request that the food be changed. The staff team demonstrated a good level of understanding of the person’s needs and their responsibility to ensure he remained well. The medication procedures and storage was checked during the inspection. It was found that the manager had improved the systems to reduce the errors in 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 16 administering medication. Some areas could continue to be improved. One of the person’s G.P had given a verbal prescription over the phone to the manager. This had not been followed up by in writing and therefore the manager needed to ensure the correct procedures were followed. It was also required that the manager keep a log of the numbers of certain drugs that have a potential to be misused. On some drug sheets handwritten information had been entered. It was recommended that the staff member changing the record sign all hand written information. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 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 and 23 The organisation’s policies and procedures enable the people who live at the home and their representatives the opportunity to raise concerns and make complaints. The staff understood the complaints procedure and the process was monitored by the manager. The organisation operates within procedures to protect people from abuse. The manager and staff worked in line with the procedures and demonstrated knowledge on their roles and responsibilities in protecting people and reporting suspected abuse. However training gaps in Adult Protection could lead to a reduced knowledge base in staff. EVIDENCE: The complaints procedure was seen during the inspection within the Service User Guide. The organisation has attempted to make the information accessible to those people who don’t read by producing the information in a pictorial format. The manager was asked about what she would do if she received a complaint. She described how she would respond to a complaint and where she would log the information. She talked about informing C.S.C.I if the complaint was significant. It was noted from the information supplied in the pre inspection questionnaire that although Adult Protection training was part of the comprehensive induction programme and the managers training, not many of the existing staff had been trained in Adult Protection. It was required that all staff receive Adult Protection training and receive regular updates in training. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 18 A check was carried out on the handling of the people’s monies. Appropriate procedures were in place and all staff used the same recording system for each person. Checks are carried out on each person’s money at the change over of each shift. It was noted that a staff member had a sum of money booked out on one person’s behalf for over a month, this had not been reconciled. It was required the manager ensures that all staff adhered to the home’s procedures when handling people’s monies. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 19 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) 24,25,26,27,28,29 and 30. The home generally met the environmental outcomes for the people. The house was homely in both the shared space and people’s individual bedrooms. The bathroom and toilets were well equipped although peoples needs had changed and a remodelling of the bathing facilities is needed to met the people’s needs. All parts of the home were clean and well presented and the staff team had paid particular attention to designing the garden to improve access and the enjoyment for the people living at the home. EVIDENCE: The home had been adapted to support people with physical disabilities. Southdown Housing had invested in updating the building to adapt to the changing needs of the people who live at the home. The opinions of experts are sort when the building causes problems for the people and staff members. The manager gained a report from an Occupational Therapist to advise the organisation the best way to improve the bathroom facilities for the people. The progress of implementing these changes will be monitored through the inspection process over the next year. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 20 Each person had his or her own bedroom. They were decorated in a style that reflected each person’s personality and their interests and hobbies. The staff consulted each person about the style of their rooms. Keyworkers had used inventive ways of incorporating specialist equipment in people’s rooms that did not highlight the people’s disabilities. Care was taken to ensure that people’s interests and personalities were reflected in the layout and design of their rooms. The lounge and dinning area were of a reasonable size, however staff were aware that the area could become a little crowded if everyone was using the space at one time. The staff team had worked hard with the people to improve the access and enjoyment of the home’s garden. One staff member in particular had spent significant time in remodelling the areas that enabled the people to actively engage in gardening. The paths had been made more assessable for people and areas of the garden had been made into quiet spaces. The home was clean and tidy on the day of the inspection and the laundry facilities are appropriate for the peoples needs. Staff demonstrated knowledge in infection control methods. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 21 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) 32,33,34 and 35. The staff team were competent in supporting people with disabilities and generally deemed to be effective in their work. The organisations policies and procedures for recruitment of new staff are followed by the home. The people are protected by a robust procedure that meets the requirements in the National Minimum Standards. The organisation invests in the induction and training of its staff and the manager monitors each staff member through supervisions and staff meetings. EVIDENCE: The manager was asked about her role in the recruitment of staff for the home. She was able to demonstrate a good understanding of the organisations recruitment procedures and went on to describe the particular qualities she would look for in new staff that would suit the needs of the people at the home. Since the previous inspection the organisation has arranged with the manager a system that ensures she viewed the recruitment documents of each new staff member. These documents include identification documents, criminal record check confirmation and references. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 22 The manager organised training through individual supervision and through the organisational training plan. The staff received induction within the first six weeks and foundation training within six months. 8 days of training are setaside for each staff member. As stated in standard 23 a requirement was made to ensure all staff receive adult protection training. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 23 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) 37,38,39,42 and 43. The people who live at the home appeared to benefit from a well run home and the staff team had a clear understanding of the leadership’s ethos. The manager and staff and senior managers conducted a yearly service review. This process meets the intended outcome that the people and their representative’s views contribute to the development of the home. The manager demonstrated knowledge of monitoring health and safety issues. The home was generally a safe enviorment for the people who live and work in the home. EVIDENCE: One member of staff was asked about the support he received from the manager. He stated that the manager had reworked his rota to enable him to attend an external training course to further develop his career, and found her to be “very good” in supporting him in his work at the home. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 24 A formal process of obtaining peoples views was sought from family members or representatives via an annual service review of the home. Feedback from people and their representatives are included in the review. Goals are set for the year and are regularly reviewed. Several health and safety documents were viewed including the homes fire plan, water temperature checks, food storage temperatures and monthly house health and safety checks. Accidents and incidents records were looked at and all were recorded and reported appropriately. Staff are trained in First aid, moving and handling and food hygiene. The home had appropriate fire protection procedures. The manager was unable to locate an electrical wire safety certificate but had requested one to be conducted by Southdown Housing Association. No evidence was seen during the time at the home that the health and safety procedures were not being carried out by staff. Environment risk assessments were in place for each area of the house. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 52 Mill Lane Score 2 2 2 3 Standard No 22 23 ENVIRONMENT Score 3 2 H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 25 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 2 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 26 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 1 Regulation 4(1)(b) Requirement That the manager ensures the statement of purpose accurately reflects the homes service and facilities. It is required that the manager ensures the needs of the service user have been assessed by a suitable qualified person. That the manager ensures that verbal prescriptions taken from the G.P are followed up in writing. That the manager records the amount of medication held in the home which has a potential for misuse. That all staff attend Adult Protection training. That the manager ensures service users monies are handled in accordance to the homes policy. Timescale for action 31st June 2005. 31st August 2005 Immediate 2. 2 14(1)(a,c) 3. 20 13(2) 4. 20 13(2) Immediate. 5. 6. 23 23 13(6) 13(6) 31st August 2005 Immediate. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 52 Mill Lane Refer to Good Practice Recommendations H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 27 1. 2. Standard 17 20 That the manager monitor the amount of ready meals provided to a service users. That the manager ensures hand written information on the drug sheets are signed. 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 28 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 52 Mill Lane H59 H10 S14149 52 Mill Lane V217874 160505 stage 4.doc Version 1.20 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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