Inspection on 23/09/05 for 55 Drubbery Lane

This inspection was carried out on 23rd September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

55 Drubbery Lane 22/01/07

55 Drubbery Lane 16/12/05

55 Drubbery Lane 07/12/04

55 Drubbery Lane 07/07/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 55 Drubbery Lane 55 Drubbery lane Blurton Stoke on Trent Staffordshire ST3 4BH Lead Inspector Peter Dawson Unannounced Inspection 23rd September 2005 09:00 55 Drubbery Lane DS0000008245.V252866.R01.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 55 Drubbery Lane DS0000008245.V252866.R01.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. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 55 Drubbery Lane Address 55 Drubbery lane Blurton Stoke on Trent Staffordshire ST3 4BH 01782 311324 01782 311324 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) Royal Mencap Society Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2004 Brief Description of the Service: 55 Drubbery Lane is registered to provide care for 5 adults with learning disabilities and associated physical disabilities, although the current design and usage is suitable only to accommodate 3 people in single bedrooms (there were previously 2 double bedrooms). The possibility of converting the large garage/carport area to increase the number of bedrooms has been discussed but the current situation seems to be that Mencap who operate the service had decided the accommodation may be vacated. There is no written or confirmed decision notified to the Commission about this but the speculation provides an anxious and unsettled atmosphere for both residents and staff. Both should be formally informed about future plans and the options available for their future. There are currently 3 residents, two have been resident at Drubbery Lane since opening 15 years ago. A further resident admitted 3 months ago, although the future of the service is in question. The home is managed by the Mencap Homes Foundation initially for people who were in long-stay hospital care. The home is a spacious and carefully adapted bungalow situated is superb extensive grounds. All 3 residents have wheelchairs for mobility and all areas of the home and grounds are easily accessible. The home is situated in a residential area with good access to all main towns. 2 people carriers which transport wheelchairs are available. There are 3 spacious bedrooms one has large en-suite facility, all have adequate space for wheelchair use, hoist etc. There is a large lounge/dining area overlooking the garden. There is a communal bathroom with assisted facility and separate toilet areas. There is a large kitchen area and laundry and office accommodation. Furniture, fittings and equipment are to a high standard. All bedrooms have been redecorated recently. All areas are bright and the home presents an atmosphere of a warm, and welcoming family environment. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The possible closure of this home inevitably provides insecurity for both residents and staff. At the time of the last report there were only 2 people in residence who have been together in the home since it opened 16 years ago and were together in previous long-term hospital care. A new resident was admitted to the home in June this year and she and her family made aware of the possible closure. The importance of at least the 2 original residents being able to continue living together upon closure is obvious to all involved. The new resident has been appropriately introduced to the home prior to admission and stated she made “her own decision about the suitability of the home for her”. A new Registered Manager has been appointed providing greater security for the future interests of the resident group. The threatened closure inevitably provides anxiety and insecurity for all living or working in the home. The physical environment is to an excellent standard for the needs of this particular group. Staff provide a warm and positive atmosphere with support to residents. All three residents were seen and spoken to and made a positive contribution to the inspection. All spoke highly about staff and there were clear positive relationships and support systems in place between residents and staff. Two matters relating to Safe Working Practices require action and matters relating to prescribed rectal diazepam must be swiftly addressed in the interests of the future safety of a resident. Locating an electric wheelchair belonging to a resident would vastly promote independence. What the service does well: An excellent high standard environment, easily accessible for all 3 wheelchair users in the home. Chosen lifestyles are accommodated and the wishes of residents sought in all areas of daily living. A small group, personalised and highly individualised model of care. 55 Drubbery Lane DS0000008245.V252866.R01.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. 55 Drubbery Lane DS0000008245.V252866.R01.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 55 Drubbery Lane DS0000008245.V252866.R01.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): 1–4 Pre admission procedures including assessment and visits were confirmed by recently admitted resident. The statement of purpose has been revised the service users guide requires updating. EVIDENCE: A new statement of purpose has been compiled with resident input. The Service Users Guide is presently being reviewed/updated also. A resident admitted 3 months ago stated she had visited the home prior to admission, spent time with residents and staff, and had meals at the home and also overnight stay prior to admission. She said that she had made the decision herself about the suitability of the home for her. Pre-admission assessment and also Care Management Assessment were obtained prior to admission and formed the basis of care planning information. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 9 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 to 9 Care plans were detailed and comprehensive and to a high standard. Needs, choices and participation of residents were exampled during the inspection. EVIDENCE: Care plans are located in resident’s bedrooms allowing ongoing access. These were sampled and seen to provide comprehensive information concerning all aspects of resident’s needs and life. Information included a 24 hour plan of care for each resident providing concise and instant instructions, for staff who may not know residents, of the actions required to provide care. Risk assessments were in place for all resident activity and a chronological record of interventions by health care professionals allowed tracking of health care needs. There were also daily records of health care needs. During the inspection residents were seen to be involved in decisions about their lives and daily programmes. All were consulted about their preferences and wishes for the day and any difficulties discussed and explained by staff. Appropriate reassurance was given to resident attending dentist and constant 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 10 reassurance given to male resident about arrangements to meet his female friend in another home. Residents were seen to be consulted about bathing, outings, food choice and relationships during the inspection. Care plans are reviewed regularly as required in the home. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 11 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): 11 – 17 There was evidence of opportunities for personal development and involved in community facilities for social, leisure and educational activity. All residents were seen to be involved in daily decisions about their lives. There was also evidence of promotion of family and personal relationships. EVIDENCE: A recently admitted resident has enrolled and commenced college engaging in Life Skills. Residents attend keep-fit group and separate craft group (both nondisability). One attends church weekly and also involved in the related social activities during the week. The varying interests/needs of residents are met individually e.g. one going to show at theatre, another visiting theatre for 60’s event, another Broadway show. All will go to pantomime which is a common interest. There are good transport facilities on-site with 2 people carriers. All have wheelchairs and can be transported either separately or together in the 2 vehicles. Recent private hire of vehicle to transport all 3 residents was good and reduces number of staff drivers required if all go out together. Residents pay 43p per mile for transport (from DLA benefits) but there is a cap on the 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 12 maximum amount which relates to the benefit received. This does not affect the extent of usage of the vehicle. Two people were resident in June and both went to Torquay for holiday with 2 staff. There have been reported visits to local places of interest – all recently visited large craft centre at Bridgemere to choose individual craft activity for coming winter months. Family contacts are promoted where possible but are limited in relation to the 2 long-stay residents. The family of recently admitted resident are involved in care wherever possible and visit the home fairly regularly. Family contact is part of the philosophy of care of the home wherever it is possible. Appropriate community, leisure and educational activities are accessed by all residents. Health care services, hairdressing etc. are all accessed directly in the community. Residents said they were satisfied with food provision. All are involved in food choices and preparation of food with staff assistance. Many food choices made spontaneously on the day. All have wheelchairs but access to the working areas in the kitchen have been adapted appropriately to allow participation. Staff were heard to discuss the food choices of the day with residents. There has recently been change of supermarket shopping to allow greater resident participation (better shopping facilities for people with physical disabilities). 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 13 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 Arrangements in place relating to personal care and healthcare support were found to be to a satisfactory standard. This was confirmed by residents. There is a safe system of medication in operation in the home but serious shortcomings which must be addressed in relation to administering rectal diazepam. EVIDENCE: Personal care was inspected by means of discussions with residents and staff and from information in care plans. The inspector discussed the matters of privacy and dignity with residents in terms of providing personal care. A resident requiring use of hoist stated she was happy about the process and the circumstances and practicalities of providing that care. The question of male staff being involved in personal care with female residents was discussed with the Manager and residents. Required consultations and protocols were clearly in place – residents making choices. There is a high physical dependency level for all 3 residents. These needs are clearly defined in care planning information with the required actions of staff to provide the personal care to meet those needs. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 14 All visits to health care professionals are recorded in care plans with outcomes. Actions required to meet health care needs are defined. All are registered with local GP and attend surgery/health centre as required. Identified health needs were tracked in care plans and seen to be actioned swiftly as required. Medication is supplied in MDS (blister packs) from local pharmacy and a good service reported. There is no self-medication in the home but MAR sheets and records relating to the receipt, storage and disposal of medication were inspected and found to be in place, accurate and appropriate. A recently admitted resident is prescribed rectal diazepam for epilepsy. There have been no seizures since admission. The Manager reported that the Mencap organisation had decreed that staff were not to administer the medication as suitable response teams were available to provide the service. This situation must not continue – staff must immediately be provided with training from nursing specialists in the administration of rectal diazepam and a written protocol agreed with the GP must be provided. The home must also provide a procedure relating to future use of the medication. To comply with Pharmaceutical Society rules – all prescribed medication must be administered in accordance with the instructions to do so. The Mencap organisation is exposed to potential litigation if prescribed medication is not given. Additionally the organisation would be providing a reduced service to the resident. Action must be taken immediately to resolve this matter. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 15 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 Standards relating to complaints and protection were found to be met. EVIDENCE: The home has an established written complaint procedure which also includes pictorial symbols, there is also an audio version of the complaints procedure. All these are available to all residents within the care planning information files located in individual bedrooms. Some updating of the complaints procedure was identified in the last report and has been completed. There are robust procedures in the home relating to adult protection. Staff training in these areas is regularly updated and discussed in staff supervision. Financial records were not inspected on this visit. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 16 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): 24 - 30 There is a high standard environment well maintained with good access both internally and externally for the 3 residents who are wheelchair users. The home is suitable for its stated purpose. Bedrooms are decorated and furnished to a high standard and promote individuality and independence. There are adequate facilities for people with physical disabilities. Standards of hygiene are high. An electric cable at the side of the bath panel must be made secure immediately in the interests of safety. EVIDENCE: The home provides an attractive and comfortable environment along domestic lines. The standard of décor, furniture, fittings and equipment were seen to be to a good standard on this visit. At the time of the last inspection there was water damage, following leak to bedroom and corridor areas, requiring redecoration/remedy. This has been done and new resident admitted to renovated bedroom. In fact all bedrooms have been redecorated since the last inspection, involving residents in choices 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 17 of colour schemes etc. The results provide excellent and attractive bedroom areas for all 3 residents. All bedrooms have been decorated and provide varied and individual facilities for residents. All have TV/DVD/music etc and are spacious and well equipped reflecting the individual personalities and choices of residents. There is adequate space in all bedrooms for wheelchairs, hoist etc. Furniture is located strategically to accommodate this. All bedrooms have lockable cabinets for cash, personal effects, bank books etc. There is an assisted bathing facility in large bathroom with good access. A hydrobath is in use regularly and favourite of residents. Separate toilet facilities are available with good access and appropriate grab rails etc. One bedroom has en-suite facility with walk-in shower. There are appropriate grab rails, toileting and bathing aids throughout the home. All residents are wheelchair users, one being self-propelled. A recently admitted resident is not able to use self-propelled wheelchair and reportedly had an electric wheelchair prior to admission. It is vital that this chair is tracked which would provide greater independence for the resident. The Manager will pursue this with the relevant social worker. The garden area is superb covering around ¼ acre with mature trees and shrubs providing a very pleasant and totally private facility. The area is accessed via the patio area from the main lounge/dining area with good seating/tables and used very extensively throughout the summer months, residents have a positive “ownership” of this area which they enjoy and provides pleasure and stimulation for them. Inspection of the bathroom revealed an exposed earth-wire in the area surrounding the bath in the communal bathroom. This must be suitably protected to ensure safety of residents and is a potentially high hazard. This must be actioned immediately. The standards of cleanliness throughout the home was high with good cleaning routines in place to ensure those standard. Good infection control practices were evident. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 18 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 – 33 and 35 - 36 Many staff are long service providing a high standard of care and good commitment to residents. The threatened closure of the home reduces staff morale. Definite details about the closure is not known to staff or residents. There is a high level of anxiety about the future for both residents and staff. Mencap need to make swift and precise plans with residents and staff about the future to reduce insecurity and speculation. EVIDENCE: Drubbery Lane has a committed staff team most being employed for many years and having well established positive relationships with residents. The home is staffed to a weekly 364 hours. At the time of the last inspection the home were working with 80 hours of care staff vacancies and this situation remains. The staffing difficulties relate to fact that there is anticipated closure of the home with permanent staff not being replaced. The situation is compounded due to one staff member on suspension, sick leave, annual leave or staff leaving. Mencap have advised that agency staff should not be used. What is happening is practice is that existing staff are attempting to cover the reduced staffing numbers, this is putting additional pressure upon staff, some of whom 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 19 are seeking alternative employment due to threatened closure. The Manager is currently working 30 of her 37.5 hours per week “hands on” on the rota. The above factors clearly affect staff morale but the commitment to residents is high in these difficult circumstances. A domestic assistant works 10 hours per week, laundry and catering services are provided by care staff. There are two staff on duty throughout the day and one waking and one member of staff sleeping in at night. At various times in the day additional hours are provided to employ 3 person on duty as agreed in requirement of assessed needs of new resident. The last report recommended review of the staffing structure to allow for a formally recognised senior member of staff on duty at all times, following the deletion of the Deputy Managers post in 2004. This has not been done. Staff files were not inspected on this visit, although no new staff have been appointed since the last inspection. The home should actively seek to employ temporary/bank staff to deal with a clearly deteriorating staffing situation. It was reported that 9 out of the 10 care staff have achieved NVQ2 standard or above. Statutory staff training has been provided for existing staff. Good engagement and rapport between staff and residents was evidenced during the inspection. Staff spoken to had detailed knowledge of the physical, emotional and social needs of all 3 residents. The inspector understood the need for resident to know and be involved in the future of the home and seemingly planned closure. There was anxiety and insecurity for both staff and residents in this unsatisfactory situation. Nevertheless, staff should be mindful that daily and repetitive discussion of this negative situation can promote and fuel the ongoing anxieties of the resident group. The Manager is aware of the need to balance the right to know against the insecurity created for residents. –This is not an easy situation to manage. Supervision is regularly provided by the homes manager every 4 - 5 weeks. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 20 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, 41 and 42 There is positive leadership in the home. A new Registered Manager has been approved by the Commission. Recording of information was to a good standard. Two aspects relating to Safe Working Practices required attention: Electric cables in bathroom made secure and matters affecting resident care to be reported to the Commission. EVIDENCE: Mrs Julie Hawley was appointed Manager of the home in September 2004 after transfer of the former manager to another Mencap home locally. Julie has recently been interviewed and approved as the Registered Manager of Drubbery Lane, she has the required experience in the service type and presently studying the Registered Managers award. The Manager presents a positive lead in the home and attempting to support both residents and staff in a difficult situation or insecurity. She does provide the lead and continuity required in the home at this time. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 21 Policies and procedures and quality assurance measures were not sampled on this visit. Records inspected impressed being concise, adequate and to a good professional standard. Safe working practices were inspected. Risk assessments were in place as required and had been reviewed. Fire safety records showed regular checks of the system and equipment. Staff have received first aid and food hygiene training. COSHH was inspected, data sheets are available for all used items, COSHH materials kept in locked cupboard in the garage area of the home, and the Manager assured the inspector that residents would not have access to that area. Materials are used only by the domestic assistant. Bleach is used but only by the domestic assistant who ensures it is kept in locked cupboard. Areas of non-compliance in relation to health and safety are: An electric cable at the side of the bath in the main bathing area must be suitably protected to ensure safety. This must be done immediately. All matters affecting the safety and wellbeing of residents must be reported to the Commission under Regulation 37. This had not been done in relation to action taken regarding a member of staff. All such incidents must be reported. 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 22 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 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 55 Drubbery Lane Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 2 x DS0000008245.V252866.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA42 YA20 Regulation 37(1)(e) 13(2) Requirement All events affecting the lives of residents must be reported to the Commission. Training for staff must be provided for staff in administration of rectal diazepam with agreed written protocol for use. All prescribed medication must be administered. Electric cables at side of bath must be protected to ensure safety. Secure electric wheelchair of resident identified to promote independence. Timescale for action 23/09/05 23/09/05 3 4 YA42 YA29 13(4) 23(2)(n) 23/09/05 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 55 Drubbery Lane DS0000008245.V252866.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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