Inspection on 12/06/07 for 53-55 Sandyleaze

This inspection was carried out on 12th June 2007.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

53-55 Sandyleaze 20/10/09

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 53/55 Sandyleaze 53/55 Sandyleaze Longlevens Gloucester Glos GL2 0PX Lead Inspector Mrs Eleanor Fox Unannounced Inspection 12th June 2007 10:00 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 53/55 Sandyleaze Address 53/55 Sandyleaze Longlevens Gloucester Glos GL2 0PX 01452 530110 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) www.brandontrust.org The Brandon Trust Mr Francis Patrick O`Ryan Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (3) of places 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20/01/06 (Under different ownership) Brief Description of the Service: 53/55 Sandyleaze is a detached house with accommodation for five adults with learning disabilities, some of whom also have additional physical needs. All residents have single bedrooms and access to a lounge equipped with comfortable furniture and dining area. One bedroom is located on the ground floor; the remaining four bedrooms, a staff ‘sleeping in’ room and an office are all on the first floor of the property. There is an enclosed garden at the rear of the house with ramped access. The home is situated in a residential area on the outskirts of Gloucester and is within easy reach of local facilities. Transport is provided when required. The home is staffed 24 hours a day. Family and friends are welcome to visit residents at the home. The Brandon Trust took over ownership of 53/55 Sandyleaze on April 1st 2006. The provider supplies information about the service, including the most recent CSCI report, to residents and their advocates on request. Some of the information is supplied in pictorial form. The current weekly fees are £1137.58 with residents contributing between £63.95 and £98.60 towards this cost. Selected personal items are charged extra. The costs of these services are readily available in the home, as required. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to 53/55 Sandyleaze and takes into account the views and experiences of people using the service. One inspector undertook this unannounced inspection over a full day in June 2007. During the visit, she chose the care of two of the service users for particular scrutiny. She spoke to each of these people, read their care records, visited their bedrooms and, where possible, observed their interaction with members of staff. She also observed their participation in a number of activities. The inspector walked around the property and observed the service of a mid day meal during her visit. She also joined the service users and members of staff while they ate their meal together. Records relating to staff training were provided for inspection. The provision of quality assurance processes was also inspected, as were the processes in place to address the maintenance of equipment and other health and safety issues in the building. The inspector had the opportunity to talk to the Registered Manager, particularly in relation to general management issues; full information was provided, as requested. Particular thanks are due for the production of the clearly detailed ‘Annual Quality Assurance Assessment’, which was provided to the Commission for Social Care Inspection prior to the visit. CSCI surveys were sent to the home for distribution to family and advocates prior to the inspection; some of their comments and opinions are reflected in the content of this report. What the service does well: 53/55 Sandyleaze provides a homely, safe and well-maintained environment for the people living there. It offers a welcoming and inclusive atmosphere for visitors. Residents living at the home are treated with courtesy and friendly respect. Clearly detailed plans of care relating to all aspects of their lives are developed for each person. Any restrictions to independent living are agreed on the basis of appropriate risk assessments. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 6 Residents receive sensitive support and encouragement to lead as full and independent a life style as possible. They are given access to a variety of activities and opportunities for stimulation. A good standard and variety of food is provided at this home. The management of health care needs is addressed well with advice and support sourced from medical professionals when necessary. Employees have the opportunity to attend training appropriate to their work, which includes a good focus on the national vocational training and protection of vulnerable adults. Health and safety matters are also addressed well. What has improved since the last inspection? What they could do better: The home’s policies, particularly those relating to abuse and health and safety matters must be fully reviewed and updated to reflect current legislation and recent management changes in the home. Consideration should be given to reviewing the staffing arrangements to ensure that adequate cover is provided to address the needs of the residents living at this home at the current time. Consideration also should be given to reorganising the care records to avoid unnecessary duplication of information. Evidence must be provided to confirm that all the electrical equipment in the home has been checked for safety. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A thorough assessment process gives prospective residents and their advocates the assurance that their particular needs will be met. EVIDENCE: Although there have been no new admissions to the home since the last inspection, it was possible to see that there are processes in place to fully assess any prospective residents prior to coming into 53/55 Sandyleaze. It was observed that the placements of two people are now being reviewed. One person was able to describe her experiences when she first moved into the home. She had had the opportunity to visit the residence and to stay for a while to meet the other people living and working there. Each person is admitted on a three-month trial basis before a final commitment to living permanently in the home is made. In this small home, this gives everyone the opportunity to adjust to the arrival of the new resident. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The comprehensive care planning systems in place, including risk assessments, give detailed information to ensure that residents’ health, personal and social needs are met. EVIDENCE: Well-detailed plans to address all areas of the resident’s care and life style are documented and reviewed appropriately. Some of these are also in pictorial format to assist communications and understanding. It was evident that, where possible residents had been involved in the production of these plans and, in one case, the person concerned confirmed this. However, since the takeover of the new Company, there is considerable duplication of information, which could lead to confusion and possible misinterpretation. This particularly applies to general care plans, background and personal information about the 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 11 residents. It is strongly recommended that all the records should be reorganised into a simpler and clearer format to aid the staff providing care. Each resident also has a named key worker, which gives continuity to his or her holistic care. Two people who were spoken to were able to identify these people, showing the inspector their photographs displayed on the wall. Throughout the inspection it was observed that staff were gently encouraging residents to take decisions about how they would spend their day. All were offered choice over their food and where and how they should eat it. Some chose to have a trip out in the car; another preferred to spend much of the day in the bedroom. Detailed risk assessments are undertaken on each person to assess their ability to undertake as independent a life style as is possible. These are reviewed and updated appropriately and cover all aspects of their life. They provide good guidance to staff working in the home. There are written procedures in place to address any unexplained absences. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to live as full and independent a life as possible, with good opportunities to undertake a variety of activities within a risk-assessed framework. They are also offered a good standard of food. EVIDENCE: The records clearly showed that one person had developed skills during the stay at the home, responding positively to the support given by the staff. A close relative also confirmed the good progress. Residents are encouraged and supported to lead as active a life as they are able. Pictorial charts in some of the bedrooms provide prompts of the activities of the day. Some of the residents attend Day centres, visit specialist clubs, and 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 13 enjoy shopping trips locally. One person described her trips with obvious enthusiasm. The residents also visit pubs and attend social events with support from staff and family and friends. One person attends a Church nearby. People living in the home normally enjoy a holiday each year; photographs of these trips are displayed in the home. One member of staff described how much one person had enjoyed a break by the seaside; this was clearly evident in the photographs. Residents meet with family and friends when they wish and are able. One person has developed a close friendship with a retired member of staff, whom she visits weekly. The relative of one person wrote most positively of the care his relation receives at 53/55 Sandyleaze. Residents appear to have free access to all areas of the home, moving from communal areas to the privacy of their rooms as and when they choose. In good weather they also have access to the private garden at the rear of the property. A pictorial menu board informs residents of the menu of the day. Observation of the menus showed that residents are offered a choice and variety of reasonably healthy food. Comments in the records showed that the majority appear to enjoy their meals and eat well. This was evident at lunchtime, which was a congenial meal with some people being discreetly and sensitively supported to have their food. One person preferred to eat at a later time. The kitchen was clean and tidy with good supplies of fresh food available. Following a recent environmental health inspection, the home has been awarded three stars, ‘Scores on the Doors Award’ for their catering standards. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ medical care needs are planned and addressed appropriately, ensuring that they receive the healthcare support they require. EVIDENCE: Detailed plans have been prepared for each person, based on their identified care needs and their own particular preferences. These give clear guidance for each person responsible for providing care. Where possible, care is provided by staff of the same gender. Mechanical aids are provided and maintained as necessary to assist the residents to live as independently as possible and to assist staff when care procedures are undertaken. The records showed that support from medical professionals is sourced as required. The Community Learning Disability Nurse had been regularly involved in the care of one person; another had required treatment from a community Nurse. The staff had clearly followed her advice and instructions carefully as the resident’s medical condition had now improved. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 15 Records showed that residents had had dental treatment, optical care, chiropody, physiotherapy, plus other medical attention when required. Two people received massage treatment during the inspection. A ‘monitored dose system’ is in use at the home for the administration of medications. Observation of the medication administration records showed that medicines had been administered correctly. Where medications had been prescribed as ‘as required’, there were clear associated care plans to provide an explanation as to when these should be administered; one had been written by the community nurse. Evidence was provided to confirm that members of staff have received formal medication administration training so that they understand the processes. Any errors are reported, clearly recorded and addressed appropriately. Copies of these reports are submitted to the Commission for Social Care Inspection when any incidents occur. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints system enables residents and their families to feel assured that their views would be listened to and acted upon. Residents are also offered a good level of protection against possible abuse. EVIDENCE: There are published complaints procedures for the home, the details of which are readily available and have been prepared in pictorial form to assist those with communication difficulties. During the inspection, it was observed that members of staff appeared to respond appropriately to residents’ comments and were sensitive to any changes in mood or perceived anxieties. It was also observed that records in the personal care files showed that any concerns raised by the residents were recorded and remedial action taken where possible. There have been no formal complaints recorded since the last inspection. It was reported that the Brandon Trust monitors the number and content of any concerns and complaints that may be raised. All members of staff were attending formal training on the protection of vulnerable adults on the day of the inspection. Some of the staff had also attended previous courses on the subject. The care of residents’ personal 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 17 monies was checked on this visit; in each case these were stored and recorded correctly. It was observed that the policies to address abuse issues, although very detailed, do require review and updating as the processes are no longer entirely relevant following the change in ownership. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents live in a comfortable homely residence, which meets their particular needs. EVIDENCE: During a walk around the building it was observed that the whole home was warm, well ventilated, clean and fresh. Many of the rooms had been decorated in bright ‘sunny’ colours. The garden is well maintained and provides ramped access so that residents may enjoy this facility in good weather. A visit was made to the bedroom of each person. All the rooms had been furnished appropriately and had been personalised with photographs, treasured possessions and in some cases, some small items of furniture. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 19 Pictorial prompts were being used in some of the rooms and there has been good use of sensory equipment. Since the last inspection the bathroom on the ground floor has been totally refurbished. This room has also been decorated to a good standard. The residents now have very good bathing facilities to suit their respective needs. The whole property appeared clean and fresh; there was no evidence of offensive odours in any areas. Laundry requirements are addressed in house. Each resident was wearing their own fresh and well-presented clothing. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care is normally provided by a stable care team, which is subject to robust recruitment processes. The staff also have access to very good training opportunities, ensuring that the residents are fully protected. EVIDENCE: People who spoke to the inspector and/or completed survey forms described the staff in most positive terms. One person wrote, “the staff are excellent.” And another said, “They’re nice” – confirmed with a big smile. Almost all the staff have completed a National Vocational Qualification, Level 2 or are working towards achieving the award. Although the duty rotas suggested that there were normally at least two or more staff on duty throughout the day, the inspector was concerned that just one member of the bank team, who did indeed know the home well, had been left to care for the five residents, some of whom had complex needs. The whole care team was actually attending a full day’s training course elsewhere. However, arrangements were in place for members of staff to return to the home if any problems arose. The manager and one other member of staff 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 21 returned to the home later that morning. As a result some of the residents were able to have a trip out in the car during the afternoon. Similarly only one person ‘sleeps in’ the home during the night despite the care needs of the residents living there. It was confirmed that at least one of the residents does often require care during the night. It is recommended that at least two people should be readily available in the home to provide care at all times and that at least one person should be awake during the night. Although no new staff have been recruited to the home during the last year, the Manager was asked to describe the recruitment processes, which would be undertaken if a vacancy should arise. He had a good understanding of the correct recruitment processes to follow and was aware of the importance of thorough screening of each prospective applicant. Staff have access to a commendable amount of varied training appropriate to their respective roles. This includes attendance at mandatory annual training, records of which are maintained and monitored. During the last few weeks, members of staff have attended courses on understanding the special needs of people with autism and were undertaking POVA (Protection of Vulnerable Adults) training on the day of the inspection. Not all members of staff have completed manual handling training but this shortfall is being addressed and evidence was seen that courses have been booked in the near future. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The majority of management systems in place ensure that the financial interests, and the health, safety and welfare of people using the service are safeguarded. EVIDENCE: The Registered Manager has extensive experience in the care of people with learning difficulties; he has completed the Registered Manager’s Award and ensures that he attends training to keep his care practice skills up to date. The Manager does have other responsibilities, which means there are periods when he is absent from the home. However he is supported in his role by the senior carers. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 23 Lines of management responsibility are clearly defined and made known to everyone at 53/55 Sandyleaze. It was apparent that all groups of staff appear to work as a cohesive team with the individual members of staff providing good support to each other. Staff meetings are arranged every two months and minutes taken of the discussions; these were provided to the inspector to read. There are a number of quality improvement measures undertaken at this home. Surveys are undertaken of relatives’ satisfaction with the care provided. Every year an Annual Action Plan is then developed. Objectives for 2007 were shown to the inspector; some have already been achieved. A senior manager from The Brandon Trust also audits the home’s performance on a monthly basis. While checking through the policy file, it was evident that many important policies, including those relating to health and safety issues, were still “pending”. As a result the staff are relying on existing policies, some of which are now only partly relevant following the change of ownership. All policies must be reviewed and updated so that they are practical working documents for the staff to follow. Some records were provided to show that statutory maintenance/inspection of equipment and services is arranged in a timely fashion. Where faults are identified, they are rectified as necessary. However it was not possible to ascertain if electrical equipment had been checked for safety in the last year. This information will be sent to the Commission for Social Care Inspection following this inspection. Water temperatures are checked at outlets on a monthly basis; in recent months these have remained within safe levels. Fire prevention management is handled correctly. Records showed that staff have received training on health and safety matters; those who are now overdue for manual handling training will be addressed shortly. Arrangements appeared to be in place to ensure that the building was safe and secure throughout 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 2 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 4 3 2 x 2 x 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No – this is the first inspection since the home was taken over by The Brandon Trust 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 YA23 Regulation 13(6) Requirement Policies addressing all abuse issues must be reviewed and updated to reflect the change of management. Confirmation that electrical equipment has been checked for safety must be supplied to the Commission for Social Care Inspection Timescale for action 31/07/07 2 YA42 23(2)(c) 31/07/07 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 YA6 Good Practice Recommendations It is strongly recommended that all the care records should be reorganised into a simpler and clearer format, avoiding duplication, to aid the staff providing care. It is recommended that at least two people should be readily available in the home to provide care at all times and that at least one member of staff should be awake during the night. Policies and procedures should be reviewed and updated at DS0000067083.V337034.R01.S.doc Version 5.2 Page 26 2 YA33 3 YA40 53/55 Sandyleaze least annually to ensure that all the contents comply with current regulations and are relevant to the home. 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 53/55 Sandyleaze DS0000067083.V337034.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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