Inspection on 19/12/05 for 52 Wellington Road

This inspection was carried out on 19th December 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

52 Wellington Road 29/08/07

52 Wellington Road 30/11/06

52 Wellington Road 14/06/05

52 Wellington Road 17/03/05

52 Wellington Road 17/03/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 52 Wellington Road Taunton Somerset TA1 5AP Lead Inspector David Kidner Announced Inspection 19th December 2005 09:30 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 52 Wellington Road Address Taunton Somerset TA1 5AP Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01823 334132 01823 327560 Home First & Foremost Ltd Ms Jaqueline Ann Shaw Care Home 12 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 12 persons in categories LD and PD Date of last inspection 14th June 2005 Brief Description of the Service: 52 Wellington Road is registered with the Commission for Social Care Inspection to provide care for up to 12 people in the categories of LD (learning disability) and PD (physical disability). The home is a large older style house situated within walking distance of Taunton town centre and many other local facilities. All service users rooms are for single occupancy and there are a variety of communal areas. Voyage Limited owns the home. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector conducted the Announced Inspection over one day (7.5hrs). The inspector met nine service users, spoke to a number of staff and viewed records in relation to care plans, health and safety, medicines and viewed all areas of the home with the exception of two bedrooms. The Inspector was made to feel very welcome at the home and would like to thanks the service users and the staff team for their help and contribution to the inspection. The Registered Manager was present throughout the inspection process. As part of the Inspection process the Inspector sent comment cards to all service users. Due to the needs of the service users no comment cards were received, as these would have had to be completed by staff on the service users’ behalf. The Inspector sent comment cards to the local GP and other Health Care Professionals. Comments were very positive. Voyage Ltd wrote to all service users’ parents/relatives and to all Placing Authorities informing them of the planned announced inspection and asked them to complete an assessment. The Inspector was given all the responses received. There were six responses from parents/relatives and two responses from placing authorities. On the whole the comments received were extremely positive about the services that are provided. As a result of this inspection the home had three requirements and three recommendations. What the service does well: The home is decorated and furnished to a high standard and offers service users a very homely environment. All bedrooms viewed reflect individual needs and lifestyles. All toilet and bathing facilities are en-suite and some have Jacuzzi baths. The care plans are very detailed, well presented and are kept under review. There are detailed individual risk assessments. Staff are committed in providing a variety of opportunities for service users to participate in activities out of the home. Service users are offered as much choice as possible. Staff appear to be very aware of the service users’ needs. The home has very good relationships with parents, relatives and other interested stakeholders. The service is pro-active in providing staff with appropriate training and maintains good records in relation to this. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12345 The home provides appropriate information for service users or other interested parties about the home before a decision is made to live there. The home ensures that it can meet the needs of prospective service users by conducting a pre-admission assessment. EVIDENCE: The home has a Statement of Purpose and a Service User Guide. These documents are readily available. At the previous Inspection it was a requirement that the home developed a formal Pre-Admission Assessment. The home has addressed this and the Inspector viewed the pre-admission assessment for a service user who has recently been admitted to the home. The assessment was detailed and well documented. It was noted that the service user moved from another home within the organisation. This certainly helped the transition period and assessment process. The Registered Manager outlined the transition process and documentation was completed to record this. The Inspector met the service user and was shown their bedroom by the service user. The Inspector noted that the service user appeared very happy and relaxed within their new environment. Staff stated that the person has 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 9 adjusted very well to their new environment. Staff were observed to be communicating with the service users preferred mode of communication. Each service user has an individual written contract/statement of the terms and conditions with the home. This is developed between the Placing Authority and Voyage. The contract is kept at Voyage Head office in Taunton. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 9 10 Care plans are comprehensive and regularly reviewed. The care team make every effort to offer service user choice in many aspects of daily living. Service user’s personal information is stored securely and confidentially. EVIDENCE: The Inspector viewed two care plans including the care plan of the most recently admitted service user. Both care plans were very well presented and very comprehensive. Each service user has a keyworker who completes a monthly summary. Individual day-to-day records are kept recording daily events and activities. It was noted that service users care plans had recently been reviewed, signed and dated. The home also conducts annual reviews with the placing authority. The home was waiting for the minutes of the most recent review. The care plans reflected the current needs of the service users. There was documentary evidence of detailed risk assessments being updated, visits to health care professionals and behaviour management guidelines. The Inspector noted that one care plan contained recommendations from a Speech 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 11 and Language Therapist that had not been addressed. This was discussed with the Registered Manager and is further highlighted under Standard 18.9. The service users who live at the home have complex needs and require support and assistance in all aspects of daily living. The Inspector spent some time sitting in the lounge, dining room and other communal areas observing interaction by staff with service users. There was positive interaction with service users. The Inspector also spoke to a number of staff in private. It is the Inspectors opinion that the staff team offer the service users as much choice as possible in many aspects of daily living. The Inspector observed service users being offered choices in food and drinks and in activities. Staff were able to demonstrate how they offer choices to individuals. The staff team appear very knowledgeable of the service users they support. Due to the complex needs of the service users the Registered Manager stated that it is not possible to conduct formal group service users’ meetings. However, staff seek service users opinions on an individual basis. Following discussions with the Registered Manager the Inspector recommends that the home exploring ways in which very small service users meetings could be held or how service users can be ‘formally’ involved in such topics as menu planning and decisions affecting the home. The Registered Manager agreed to give this further consideration. Currently, no service users have the support of an independent advocacy service. Service users finances are managed by the home. Records were not viewed at this inspection. The home ensures that all service users’ information is secure and confidential. There are policies and procedures in place to address this. Service users and their families have access to these policies. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 16 17 The home offers service users appropriate leisure activities. However, the home needs to ensure that there are enough drivers on duty to support outside activities to take place. The home fully encourages involvement for family member and friends. EVIDENCE: Since the last inspection there has been a change in funding at the local college and this has affected the opportunity for the service users to access college courses. Currently, there are no service users accessing the local college. The Registered Manager is exploring alternative opportunities. Staff spoken to confirmed that the service users access many local facilities including shops, cinema, bowling, pubs and going out for lunch. The staff rota is adjusted to ensure that service users are offered a variety of activities at different times of the day. Service users partake in activities of their own choice. On the day of the inspection the inspector noted one service user doing 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 13 a puzzle and another service users occupying their time with play type equipment, other service users were relaxing in the lounge. Records are kept of activities that individual service users undertake. The Inspector was advised that since the college courses have stopped it has been more difficult to offer some service users the activities that they would like to, as at times there are not enough staff on duty who can drive the home’s vehicles. The Companies’ policies have age restrictions in relation to driving the vehicle. This was discussed with the Registered Manager. It is recommended that the Registered Manager review the allocation of drivers that are available on a daily basis. Currently, a senior care staff must remain in the home at all times. It is noted that the majority of staff that can drive the vehicle are senior care staff. This should promote service users having more access to activities outside of the home. The home fully supports and encourages contact with family and friends. There are many pictures of family and friends in individual bedrooms and in communal areas. Staff regularly keep in touch with parents/relatives. Some relatives visit the home for dinner and other assist their relative with the purchasing and decorating of their bedroom. Due to the complex needs of the service users some areas are restricted to service users as a matter of health and safety. The Inspector viewed some risk assessments that had been conducted to address such matters. The home has a menu that reflects the likes and dislikes of the service users. Staff confirmed that they are very aware of the likes and dislikes and the menu is constructed around this. Service users can request alternatives if they so wish. The menu viewed appeared varied, balanced and nutritious. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 20 21 The home has aids and adaptations to assist the service users in their personal support. The home actively promotes privacy and dignity. EVIDENCE: The Inspector noted that the care plans contained information of how service users preferred to be guided, moved and transferred. All bedrooms have ensuite facilities so this provides maximum privacy and dignity when providing intimate personal care. Staff confirmed that there are no restrictions on time when service users wish to go to bed and get up of a morning (there are two waking night staff on duty at all times). Staff stated that service users are offered choices in clothing, hairstyle and make up. Where needed service users have the use of technical aids and equipment. The home has a hoist and various adapted cutlery, drinking cups, plates and bowls. On the day of the inspection one service user was receiving physiotherapy in the home. The Inspector noted that there had been some recommendations made by a Speech and Language Therapist in one service users care plan. These had not been acted upon. This must be addressed. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 15 The care plans previously viewed contained documentation to support that service users have access to all health care professionals. Records are kept of all visits to the GP, dentist, optician, physiotherapist, Specialist Consultants and chiropodist. The home had a Pharmacy Advice Visit on the 08.03.05. The Inspector viewed the MAR sheets and found that they were well maintained. All MAR sheets are supported with a photograph of each service user. A record is maintained of medicines that are returned to the pharmacist. The medicines storage area was clean and tidy. There has not been a death at the home. However, the home has various policies and procedures relating to ageing and death. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 The home has a detailed complaints policy. The home ensures that vulnerable adults are protected. EVIDENCE: The last recorded complaint was made in December 2004. The home has a copy of the Safeguarding Vulnerable Adults procedure for Somerset. All staff working at the home have undertaken an enhanced CRB clearance. There had not been any new staff appointments since the last inspection. The Commission for Social Care Inspection is aware that a member of staff has been suspended following an allegation of abuse in the home. The home has acted very professionally and responsibly. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 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 the following standard(s): 25 26 27 29 30 52 Wellington Rd provides a homely environment. The staff team assist service users in developing individualised personal bedrooms that reflect their needs. The home promotes privacy and dignity. The home provides adequate bathing and showering facilities. EVIDENCE: The Inspector viewed ten of the twelve bedrooms. All bedrooms reflected individual needs and preferences. They had been very well personalised and were nicely decorated and presented. Some bedrooms had a double sized bed and some had four-poster style beds. There were many personal possessions and pictures of families and friends. The home has taken steps to address specific care and support needs by modifying some bedroom environments. All bedrooms have full en-suite facilities. Some en-suites have Jacuzzi baths. The Inspector was advised that one service user’s bedroom will be refurbished early in the New Year and the bedroom and bathroom will be extended. This will improve the size of the bedroom and the en-suite facilities. En-suite 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 18 facilities are adapted to meet the needs of service users with high mobility support. Risk assessments have been conducted in relation to restrictions to en-suite facilities. On the day of the inspection the home was clean and tidy. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 Staffing levels have improved at the home. This needs to be kept under review. Staff receive appropriate training but some refresher training is needed. Staff supervisions are not occurring on a regular basis. EVIDENCE: There are job descriptions for all job roles. From discussions held with staff it was very clear that staff knew their roles and responsibilities. Staff that the Inspector spoke to demonstrated their awareness of the home’s policies and procedures. The staff the Inspector spoke to appear to be fully aware of the needs of the service users they support. Staff presented themselves in a professional manner and explained how they support service users on an individual basis. The staff team have access to a comprehensive training and development programme. Staff receive training in specific areas such as Somerset Total Communication (STC) and Intensive Interaction. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 20 The home encourages staff to complete an NVQ qualification. At the time of the Inspection and excluding the Registered Manager, a total of eight staff have an NVQ2 or above. There are seven staff that are undertaking NVQ qualification. There are twenty-two care staff employed at the home. The home is working towards a minimum of 50 of care workers to have an NVQ qualification. The Inspector has detailed discussions with the Registered Manager in relation to staffing levels at the home. It is noted that there has been an increase in staffing levels at the home since the last inspection. There is usually six or seven staff on duty during the day. If there is sickness this could cause some difficulties, however, the home makes every effort to obtain support from other homes within the Company. The home does not employ ancillary staff and the cleaning, laundry and cooking at the home is conducted by the care team. It appears that at times staff’s attention may be drawn away from providing activities/support to service users due to other demands on the running of the home. Due to the complex needs of the service users attention is also paid to room management. Due to service users not attending college at present service users are at home more regularly. The home’s policy is that a senior member of staff remains in the home at all times. It also appears that more drivers are needed. Following these discussions the Registered manager stated that she would monitor and discuss such matters with the care team. This will be discussed at the next inspection. The home has a robust recruitment process. However, the home has not recruited staff since the last inspection. Staff have moved to the home from other homes within the Company. The home has a Training and Development Plan 2005-2006. A record is kept of all individual training that has been undertaken. All newly appointed staff are enrolled on the Learning Disabilities Award framework. The Inspector viewed records relating to this. It was noted that mandatory training is provided and other specific training to meet the needs of the service users. It appears that some staff require refresher training in first aid and food hygiene. The Registered Manager is aware of this and will be notifying the Training and Development Manager. The Inspector viewed the homes’ records in relation to staff supervision. It was noted that staff are not receiving supervision on a regular basis. The Registered Manager acknowledged this. This was a recommendation made at the previous inspection and remains. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 41 42 43 The home is very well managed and has policies and procedures in place to safeguard service users. The home promotes health and safety. EVIDENCE: Jackie Shaw manages the home and is a very experienced Manager. Jackie was absent form the home for approximately one year as she was supporting another home within the Company. Jackie returned to 52 Wellington Rd in October 2005. Jackie has obtained the Registered Managers Award, a SENMH and a D32 & D33 Assessor. She ensures that she keeps herself regularly updated in care practices and new developments. The Inspector has received very positive feedback from relatives and care managers in relation to the management of the home. Staff have stated that Jackie is open, listens to staffs’ views and shows leadership skills. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 Page 22 The home has effective quality assurance and quality monitoring systems. There is an annual development plan and each home within the Company has an annual review that is conducted by the Operational Manager. The home is very pro-active in seeking the views of interested stakeholders. Voyage wrote to all parents/relatives and placing authorities prior to the inspection to seek their views and opinions of the service. The Inspector was handed the responses at the time of the inspection. Service users have access to their records if so wished. The records viewed by the inspector were up to date and stored securely. The Inspector viewed a number of records in relation to health and safety. Good records are kept of staff training. All staff have received regular fire training. All fire records were up to date and an annual service had been conducted on the fire alarm system on the 13.09.05. Portable appliance testing was completed on 19.12.05. The Electrical Hardwiring Certificate is dated 28.02.05 and the Gas Safety Certificate is dated 22.06.05. The home has conducted a vast number of individual service users risk assessments. A small number of service users beds are positioned next to radiators. The home has conducted risk assessments in relation to the temperature of the radiators. All radiators are thermostatically controlled and have covers fitted. It is suggested that the care plans state that the beds are sited next to radiators. The Inspector did not request to view records relating to the financial viability of the home as it is the Inspectors opinion that there are no such concerns at present. 52 Wellington Road DS0000039964.V271263.R02.S.doc Version 5.0 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 3 3 3 3 Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 52 Wellington Road Score 2 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 3 2 3 DS0000039964.V271263.R02.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA18 Regulation 13 (1) (b) Requirement The home must ensure that recommendations made by a Speech and Language Therapist for one identified service user are implemented. Timescale for action 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA8 Good Practice Recommendations The home should explore ways in which very small service users meetings could be held or how service users can be ‘formally’ involved in such topics as menu planning and decisions affecting the home. The home should review the allocation of drivers that are available on a daily basis. Currently, a senior care staff must remain in the home at all times. It is noted that the majority of staff that can drive the vehicle are senior care staff. This should promote service users having more access to activities outside of the home. The home should ensure that staff receive supervision on a regular basis. This was a recommendation made at the last Inspection conducted on the 14th June 2005. DS0000039964.V271263.R02.S.doc Version 5.0 Page 25 2 YA13 3 YA35 52 Wellington Road Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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