CARE HOME ADULTS 18-65
56 Oakwood Road Horley Surrey RH6 7BU Lead Inspector
Ms P Calthrop Unannounced Inspection 09 June 2005 10:00am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service 56 Oakwood Road Address Horley Surrey RH6 7BU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01293 775132 01999 999999 www.theavenuestrust.co.uk The Avenues Trust Limited To be confirmed CRH (PC) 6 Category(ies) of Learning Disability (LD) 6 Male. registration, with number of places 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 39 - 65 YEARS. Date of last inspection 29 September 2004 Brief Description of the Service: The home is run by The Avenues Trust, who have a number of similar homes in the area. Care is provided to six male adults who have a moderate to severe learning disability. The home is a well maintained converted detached property in a residential area, close to the facilities of Horley town centre. All six bedrooms are situated upstairs and are individually decorated to the specific taste of each service user. Communal space consists of a kitchen, open plan dining area leading to a good size lounge, small laundry room, two good size bathrooms/toilets upstairs and a separate downstairs toilet. The home benefits from a particularly spacious enclosed rear garden, with a summer house fitted with comfortable chairs and a music centre for service users to enjoy. Car parking space is available outside the home or in the road outside. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on one day, over a period of five and three quarter hours. The manager was not on duty in the home at the time and a support worker and senior support worker ably assisted with the inspection process. The service manager was also present for part of the inspection. All six service users were seen during the visit and the views of four members of staff were obtained. Records were sampled as part of the inspection process and a full tour of the premises took place. Due to the communication difficulties of the service users living in this home, their direct views could not be obtained. Therefore observations of interaction between individuals and staff formed part of the inspection process. Please see comments made under ‘What the service does well’ below. Within this report ‘person centred plans’ will be referred to as ‘care plans’ to save abbreviation. What the service does well:
The home benefits from a stable staff team that understand the service users and their needs well. This is particularly important in this home, as the service users are very limited in speech and being able to say what they want. Although communication is mainly through non-verbal means, individuals were observed to confidently approach staff and make their wishes known to them. The manager is new to the post, although knows the home well. Evidence seen was that the home is being competently managed, with good support provided by the two senior support workers. The home environment is generally well maintained and decorated, with evidence seen of redecoration of some communal areas and bedrooms since the last inspection. The summerhouse provides additional space for service users to relax in and listen to music or play table football. Attention is being given to improve some overgrown areas of the back garden, which will help provide a very pleasant area for service users to enjoy. There is attention to a healthy diet for individuals at the home, with a dietician being involved and providing advice for staff where this was needed. A member of staff spoken with reported a good team spirit within the home and that they felt that the service users are well looked after. Another staff member reported that The Avenues are responsive to training needs and that supervision is given priority. Both reported the ‘team day’, where the whole staff team spent a day away from the home to look at how they and the home were working and also staff meetings, as having been useful. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better:
The home needs to complete the transition to the full use of person centred care plans. This should enable better organisation and storage of all information held on each service user, which is currently held in separate files and is difficult to negotiate around. The impact of this will be a more accessible system for staff to use and update, with a positive outcome for service users. It was recommended this be completed as soon as possible. A recommendation was also made that service users emotional needs are clearly identified, particularly due to their lack of verbal communication. There must be adherence to the safe storage of substances potentially harmful to the health of service users. During the visit, bleach and dishwasher tablets were found in an unlocked cupboard in the kitchen. All staff must be reminded of their responsibilities with regard to the welfare and safety of individuals, in order to minimise the risk to service users of accidentally ingesting a harmful substance. An immediate requirement was made in respect of this and also in respect of foodstuffs that had been opened, but had no date on them that were seen in the fridge.
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 7 The number of staff with NVQ qualifications must be increased for this home, in line with government requirements. This was discussed with the service manager for the home and there is evidence The Avenues are working to address this, with more staff enrolling for NVQ training. This will result in a minimum level of training for staff working with service users in this home, with the aim of ensuring that good practice is adhered to and the reasons for this understood. This will ultimately benefit the service users living in the home. Service user contracts must have the bedroom they occupy identified on them. This is a simply remedied requirement previously made, which was made again following this inspection. The environment needs attention in a couple of areas, with a bathroom lock replacement and redecoration of the kitchen ceiling after a water leak from the same bathroom above. 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. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 & 5. Information is available to inform interested parties about the home. Assessment documentation is in place, but additions need to be made to service user contracts. EVIDENCE: The home has a statement of purpose and service user guide in place. It was pleasing to see that effort had been made to make these documents more accessible to service users, by producing a simplified pictorial document. Each individual has their own copy of this. The statement of purpose viewed made reference to appendices, however these were not present. These need to be added or reference to them removed, in order to make sense of the document. Efforts had been made to meet a requirement previously made, regarding having original assessment documents in place at the home. This was as these were absent from service users files. Assessments were seen to have been obtained for the majority of individuals and staff advised were being used to assist in building a picture of each service user for person centred planning. Where no full original assessment is present, it has been concluded none was undertaken prior to transfer from long stay hospital. However, some original information is now present on each service users file. A requirement regarding identifying the room each individual occupies on their contract remains and has now been outstanding for the last two inspection reports. This must be complied with and remains a requirement of this report.
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 10 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9. The home is part way through changing to person centred plans. Risk assessments were in place, enabling support for service users to safely participate in all areas of life. Individuals were encouraged to make daily decisions, with support where needed. EVIDENCE: The home has lots of information about each service user held on file. Due to being part way through changing their system of care plans, some of this information was ‘in progress’ and not always easy to find. Recommendations are made in respect of ensuring that emotional needs are clearly identified as a section in their own right and that skills building is clearly identified within the care plan. Staff at the home are due to have a ‘team day’ to work on completing care plans and training in care planning is planned for new staff. There was evidence of regular reviews of care plans including risk assessments taking place. Each service user now has a key worker, enabled by the increase in staffing numbers. Good and informative daily records were seen, with each staff shift recording service users well being during the time they are working with them. All individuals except one have no verbal communication. However they are able to make some of their wishes clear to staff by gesticulation, or leading
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 12 them to what they want. This was observed during the inspection visit; with service users confident in the way they approached staff. Individuals living in this home are therefore particularly reliant on staff who know them well, as one staff member described how facial expressions or behaviours will often inform staff who know them what an individual wants or may be feeling. Staff explained how service users right to make decisions is encouraged. Due to their needs, individuals require support but can make daily decisions about what to wear, choosing a drink and some food choices. They also choose what they do and are not forced to participate in activities if they do not wish to. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 & 17. Organising a variety of activities that are both appropriate and developmental can be a challenge for this home, due to the needs of the service users who live there. Rights were seen to be respected in their daily lives. EVIDENCE: Each service user has an activities schedule. In addition, there is a record kept of any unplanned activities like walks, pub trips, drives out, or trips to the coast if the weather is nice. Due to the concentration levels of those living at the home, activities have to be carefully considered as to their appropriateness for individual service users. Each individual living at the home will have a holiday or shorter breaks during this year, depending on their needs and wishes. Local facilities within the community are used and a staff member reported how positive the welcome at the local pub was when they visit. Local shops, the park and cafes are places frequently visited by service users. Four individuals are able to make use of public transport if accompanied by staff, which reduces reliance on having a driver on duty to get out and about. There was evidence that staff are working on skills building with individuals on a daily basis, although this needs clearly identifying and recording as part of
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 14 the care plan. Meal times are communal, with everyone sitting to eat in the dining room. Staff support is needed and was seen to be provided in a sensitive manner. A named staff member takes responsibility for the menus as they enjoy cooking, favourite meals of the service users are included. A dietician has checked menus and for two individuals in particular, advice has been provided which staff can follow. Individuals who can do so will assist with some tasks in the kitchen such as mixing things or washing salad vegetables. Access to communal areas is unrestricted for those living in the home, apart from the kitchen, which has a bolted door. This is because of the risk from two service users being in the kitchen, which is documented on their care plans. Other individuals do use the kitchen, although all need staff support to do so. Staff described how they respect service users privacy and maintain their dignity, in the way they assist with their personal care needs. Only one staff member accompanies an individual into the bathroom and attention is given to ensuring the door is closed. Where possible, service users are left in their own rooms to dress in private. All those living in the home have some family involvement, apart from one. Staff reported that they support service users to maintain contact with their relatives by phone calls, invitations to visit and sending cards at Xmas or birthdays. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 &19. There is evidence that service users personal and health care needs are met. EVIDENCE: Staff explained that all the service users living in the home require some assistance with their personal care needs. When on duty, key workers will tend to provide care to the individual that they take particular responsibility for, although service users can choose who they want to assist them. One individual always wants help from a female carer. The level and type of assistance required was seen to be documented in individuals care plans. Service users were reported to be encouraged to do what they can for themselves, with the staff being mindful of their need for some privacy where possible. It was reported by staff that no more than one carer would normally enter, or be present in a bathroom with a service user. Service users health care needs were clearly recorded on their care plan. There was evidence of attendance to routine health care matters, such as visits to the dentist, chiropodist and optician. Visits to the GP and other medical personnel were clearly recorded with the outcome. At the time of this visit, one individual was being monitored closely as he had a health related problem. The GP had been consulted and his advice complied with, daily records gave a clear update on this service user’s welfare. Some individuals in the home have particular needs in relation to their health and staff have training on these. There was evidence of some forward planning in regard to training needs
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 16 related to the health of service users. There was some reference to emotional health in care plans within ‘cultural needs’, although this was not formalised as a section in its own right. It was recommended that there be a separate part that looks at emotional needs and how these can be met. This was judged to be particularly important, as the service users at this home have little speech and cannot say how they feel. Issues of diversity were considered, such as race, gender and disability, which show awareness of these issues within the organisation, which through training are passed to home staff. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23. Service users in this home are adequately protected by the systems that are in place in respect of protection from abuse, neglect and self harm. EVIDENCE: Staff at the home access in -house vulnerable adults training provided by The Avenues Trust. The service manager advised that they are also commencing a two-day course for all their home managers. The manager of this home has previously attended the Multi Agency training, but it was recommended following the last inspection that she update this training. This is planned, but to date the manager has not been successful in obtaining a place. She will attend the new in house training in the meantime. There are robust procedures and policies in place with regard to service users finances. All individuals require some assistance in managing their money and The Avenues Trust has appointeeships in place. Service users have individual accounts and there is a system of individually held and managed bags where money is held for daily needs/wants of service users. Checks of the balance held for each individual is made at each change of shift by two staff, who sign that they have completed this. An additional monthly check of account balances is undertaken by head office, with the home supplying all transactions undertaken in the previous month with receipts. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 30. The environment is generally comfortable, clean, well maintained and appropriate for the needs of the service users. Where specific changes have been made to the facilities for service users, these have been agreed with the CSCI. EVIDENCE: Redecoration of bedrooms and some communal areas have taken place since the last inspection and the home was looking light, bright and clean. Some repainting of the lounge and hallways are also due to take place. One of the service users bedrooms has had new floor covering put down that is appropriate to his needs. The sink unit in the same room has been removed and the pipe work boxed in with the agreement of CSCI. The kitchen units are to be replaced this year, they are looking dated and there is a mismatched cupboard in this room and a cupboard door that does not close properly. There is also a new patch of water discolouration to the kitchen ceiling, thought to come from the bathroom above. A requirement was made with regard to this and that the cause of the leak is identified. Bleach and dishwasher tablets were found to be in an unsecured cupboard under the kitchen sink. An immediate requirement was made that these be removed and
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 19 placed in a locked facility. The lock to the upstairs bathroom was found to be broken and a requirement was made that this is replaced. On the day of the visit, some community workers were working in the back garden and are reported to be visiting once a week at present. The flowerbeds were being cleared and various maintenance jobs undertaken. A marked improvement to this area could be seen, as it had been overgrown. The home was clean on the day of the inspection and there were no unpleasant odours. An alternative system to the paper towel dispenser needs to be found for the upstairs bathroom/toilet, in view of the behaviours of one service user. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 & 36. The staff team at the home are competent to meet the needs of the service users and the number of staff on duty was adequate. The home has benefited from recruitment to vacant posts and the appointment of two senior support workers since the last inspection. Staff receive regular formal and informal supervision. Recruitment practice will be more fully assessed at the next inspection, although it was noted that a procedure whereby CSCI inspectors can make necessary checks is being put in place. EVIDENCE: The home has a core of experienced staff, some of whom have cared for the service users for many years and understand their needs well. They are supported by others, some of who have been recruited since the last inspection and are nearing the end of their probationary period at the home. Some of these are also car drivers, recruited to assist in ensuring that regular activities can be accessed. The home currently has two staff vacancies, which are covered by the use of regular bank staff. There was evidence that the appointment of two senior support workers has been of benefit, as they have taken lead responsibility for some management tasks. Staff reported that they have regular formal supervision every 4-6 weeks with records kept. These could not be evidenced as being in place due to the manager’s absence, as the cabinet containing these was locked. All staff have an annual appraisal.
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 21 Some progress was reported by the service manager for the home, in enrolling staff for NVQ training. Currently, three staff are qualified to NVQ Level two or above, with another three who are enrolling for NVQ Level three. This will ensure the home are close to complying with the 2005 minimum training requirements. Some staff recruitment records were supplied to CSCI following a requirement made at the time of the last inspection. There is now a procedure whereby the CSCI inspector can check that recruitment records are in place, although the bulk of these are held at The Avenues head office. In the manager’s absence on this visit, the recruitment standard will need to be fully assessed at the time of the second inspection later this year. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42. There was evidence of general attention to the health, safety and welfare of service users in this home. However the immediate requirements made in relation to this area, mean that greater effort to promote service users well being at all times is needed. EVIDENCE: The home carries out a monthly health and safety audit and the assessment for May ’05 was viewed. Health and Safety representatives are sent on comprehensive training by The Avenues as an organisation. The fire safety officer had visited last November and the requirements he made had been met. There was evidence of attention to safety checks and servicing of equipment such as the home’s vehicle and fire extinguishers. The home’s fire procedure had been discussed at a team day in April ’05. Regular fire alarm tests are undertaken, with full evacuations every three months. Staff spoken with reported they had attended training in recent months in moving and handling, food hygiene, fire safety and first aid.
56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 23 During the tour of the environment, substances were found in an unlocked cupboard in the kitchen that should be secured in line with the Containment of Substances Harmful to Health (COSHH). An immediate requirement was made in relation to this. Some newly opened foodstuffs in the fridge had not been dated on opening, although others were and there was a notice on the door of the fridge reminding staff to do this. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x 1 Standard No 22 23
ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 2 3 3 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
56 Oakwood Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 25 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 5 Regulation 4 Requirement That the requirements of standard 5 regarding the identity of the room occupied on service users contracts, are met. Timescale of 19/6/04 not met. Repairs and redecoration to the water damaged area of the kitchen ceiling must be completed. The lock to the upstairs bathroom door must be repaired or replaced. All substances hazardous to health must be securely locked away,including bleach and dishwasher tablets. All foodstuffs must be labelled with the date on opening, if storing in the fridge. Timescale for action 30/7/05 2. 24 23(2)(b) 9/9/05 3. 4. 24 42 23(2)(b) 13(4)(c) 30/7/05 Immediate 9/6/05. Immediate 9/6/05. 5. 42 13(4)(c) 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 6 Good Practice Recommendations Person centred plans should be completed as soon as possible and ensure that sections such as skills building
H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 26 56 Oakwood Road 2. 3. 23 24 and emotional needs are clearly identified within these. The manager should attend the multi agency vulnerable adults training. Consideration of the two senior support workers attending this should be made. An alternative to the current system of paper towel dispenser should be found, as discussed on the visit. 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 27 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 56 Oakwood Road H58 H09 s13521 56Oakwood Road v232554 090605 Stage 4 ann.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
