Inspection on 04/07/06 for 59 & 61 Whipton Barton Road

This inspection was carried out on 4th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

59 & 61 Whipton Barton Road 29/08/08

59 & 61 Whipton Barton Road 13/09/07

59 & 61 Whipton Barton Road 30/01/06

59 & 61 Whipton Barton Road 06/09/05

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 59 & 61 Whipton Barton Road 59 & 61 Whipton Barton Road Exeter Devon EX1 3NE Lead Inspector Susan Lyons Unannounced Inspection 4th July 2006 09:00 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 59 & 61 Whipton Barton Road Address 59 & 61 Whipton Barton Road Exeter Devon EX1 3NE 01392 462512 01392 873233 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) Devon Partnership NHS Trust Mr Colin George John McDill Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: The home was originally two semi-detached modern bungalows, now converted into one property, which is registered as a whole, with the option to be two separate units. The home provides personal care for younger adults who have a learning disability. Accommodation for residents is provided in four single bedrooms. There are two lounge/dining rooms, two kitchens and two bathrooms. There is a garden to the rear and front of the property. The home is situated in a residential area of Exeter close to some local shops and it has nothing to distinguish it as a residential home. Current fees at the time of the inspection are up to £5,632 per week. This does not include purchase of toiletries, chiropody, personal clothing and hairdressing. The inspector was told that relatives and residents will be informed by the home of how they can access the CSCI inspection reports. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection started at 09.00 but took place over two days due to circumstances within the home. The total amount of time spent at the home was 8 hours. As part of the inspection process survey forms were sent out as follows. Surveys Sent To Staff members Relatives Residents Care Managers GPs Specialist Health Care Professional How Many Sent 15 2 1 1 1 2 How Many Returned 0 2 0 0 0 1 In addition to the surveys telephone contact was made with a health care specialist who knows the home and a pre inspection questionnaire, completed by the home. which contained details of records held, of policies and procedures and of residents at he home. Residents have expressed concern in relation to staffing levels being reduced in the future. These have been discussed with them by senior managers and the deputy of the home. The majority of the residents at the home have limited verbal communication and/or were unable to understand questions asked by the inspector. Therefore although the inspector spent time with the residents information had to be gained by the views of others who visit the home, discussion with staff, looking at records, a tour of the premises and direct observation of staff and resident interaction. When the Pre Inspection Questionnaire was returned to the Commission there was only one resident living at the home. However when the inspection took place three other residents had moved into the home from another service provided by TRS (Trust Residential Services.) These residents are living in one part of the home, which is 61 Whipton Barton Road and only moved into the home a short while before the inspection. Residents appeared relaxed and happy at the home, they were seen to make use of all communal areas and although some residents had only moved in a week previously the staff had worked hard to make the building homely and familiar to residents. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? On the last inspection it was noted that some medication had not been signed for at the time it was administered. On this occasion medication was seen to be signed for at the time of administration and designated fire doors are now held open by a means, which will close them when the fire alarm is sounded. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 7 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. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 the following standard(s): 2&4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have information to meet residents’ needs. Recognition of resident’s needs to get on with each other are recognised and will be acted upon. EVIDENCE: Although the majority of the residents at the home have not lived there for sometime they have transferred from another establishment of the same provider where they lived for many years. They therefore do not have a copy of the shared assessment. Whilst all the staff working with the residents who have recently moved to the home have not necessarily worked directly with them all before, they did know them all and in discussion demonstrated a clear understanding of their individual needs. It was of concern to note that in one of the resident’s files minutes of a meeting stated that one resident had said that he did not want to live with one of the other residents. However it had been decided that they should be slowly integrated together. During the inspection some friction was noted between these two residents. However all the staff who were working with the residents felt that they were settling down well together. The manager said that she was monitoring the situation closely and if it was felt that the residents were not compatible then she would ensure that appropriate action was taken to make things better for all the residents. Although the inspector asked the residents if they were happy living in their new home and one resident answered ‘Yes’ it 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 10 was not possible to be sure that the resident had understood the question fully and it has been such a short period of time since the residents moved in to the home. Staff said that residents were able to visit the home prior to moving in. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are provided with good information to meet residents’ needs safely. Small improvements are needed to ensure this information is up to date. However improvements are needed to ensure that staff are aware of and use the plans effectively. Residents are involved in daily decision making which affects their lives. EVIDENCE: There were two staff on duty at No 61 Whipton Barton Road. One of them was a TRS agency member of staff and had not worked at the home before and had not met any of the residents before. The other member of staff said that it was only his second shift at the home and although he had known one of the residents before he had not worked with the other two. Neither of the staff had been able to look at the care plans or guidance for supporting residents, as they did not know where they were. This has the potential to put residents at risk. After the first day at the home the inspector spoke to the provider about this concern. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 12 Eventually the care plans were found. They all three contained good details of how residents’ needs are to be met not only in personal care but also in relation to anxieties and behaviour which they may have. The care plans give a clear picture of the support which each individual resident needs ensuring that staff all work in the same way with each resident. However on the second day that the inspector was in the home staff said they had not had time due to the move to look at the care plans for the residents they were unfamiliar with. For one of the care plans it was not possible to say when they were last reviewed, therefore it was not possible to be sure as to whether they were still relevant. In 59 Whipton Barton Road the care plan is very detailed and gives very clear guidance in relation to the way in which support is offered. There are specific guidelines in place for staff to follow when a resident asks certain questions. This ensures that staff will all give the same answer and thus reduce the risk of the resident becoming confused or anxious. An agency member of staff who was on duty and had not been at the home before, said that he had found it useful looking at the care plan. Once again there were some areas of the care plan where it was not clear when it had last been reviewed. It is difficult to involve residents in the completion of their care plans and it was not possible for the inspector to ascertain how much they understood about them. During the inspection staff were heard to offer choice to residents. Staff described taking resident out shopping to buy their own clothes and how, over a period of time it has been possible to interest one resident in this activity a little more. Generally residents need a great deal of support from staff to make choices within their own lives and staff described how it has been a gradual process to introduce new experiences to a resident thus expanding the area of choice on offer to them. Detailed risk assessments were seen to be available for individual residents, these are included with the care plans and for some it was difficult to see when they were last reviewed. For the residents who recently moved to the home the manager is aware that some of the care plans need to be changed because they refer to the old home but she has started to make changes to some of them. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from excellent arrangements to help them maintain relative relationships. Expanding activities, community contact and staff who are respectful enhance residents’ lives Meals are varied and nutritious meeting residents’ individual tastes. EVIDENCE: Activities are very much based on the needs of the individual resident and in one case the expanding of the activities within the community has been a very slow process. But the inspector was able to notice the progress made during the last year. This progress has also been acknowledged by the Consultant Clinical Psychologist and a relative. For the residents who have so recently moved to the home they need to settle in and establish what activities and community facilities they wish to make use of in the area. Two of the residents undertake therapeutic work around the next door hospital site, with staff support. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 14 The inspector was informed that there are no restrictions on relatives and friends visiting although some relatives do phone first to ensure that it is a good time for their relative to have visitors. If needed the home will assist with the transport of residents to visit their relatives and arrangements are being made to maintain contact with people residents have previously lived with, if they wish to do so. Staff were seen to knock on residents doors before entering and to tell residents that the inspector was visiting and did they mind them explaining about personal things to the inspector. Staff were seen to encourage residents to make use of all parts of the home and grounds. Keypads are fitted to the outer doors but where it poses no risk residents are aware of the number and one resident demonstrated this. It was noticed that one member of staff asked a resident about personal hygiene in a loud voice which did not protect residents’ privacy and dignity. Another member of staff was able to describe appropriately how they would ensure that privacy and dignity was met. As well as ensuring that meals are nutritious and healthy staff are in individual ways assisting residents to make choices in what they eat. One resident was seen to be compiling a shopping list for the meals with a member of staff and then went out to the supermarket to buy the food. Staff said that the types of food one resident likes to eat is slowly expanding. The manager is planning to reintroduce the use of pictures for residents to assist them with choosing and planning their meals. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from staff who understand their support and medical needs and are protected by the medication procedures within the home. EVIDENCE: In one resident’s care plan it stated that he used a total communication system, which included Makaton signs, photographs and symbols. The manager said that the photographs and symbols, which were used, were waiting to go up on the wall. Staff who spoke to the inspector had not had any recent Makaton training although the agency staff said that he did know some signs. Staff felt that the amount of signs, which the resident used, was limited and they were able to understand what he wanted to say. Staff were able to describe in detail how they supported individual residents in the provision of personal care and how at the same time they try to encourage independence. They all demonstrated that they have a good understanding of needs in relation to the provision of personal support. For some residents’ provision is made for same gender care to be provided in relation to personal care this means that their dignity and is maintained. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 16 Residents are registered with a GP. For the residents who have recently moved they are going to register with a local GP but whilst this is being completed will visit their previous GP. They will retain their previous dental, optical and chiropody arrangements. Staff were aware of residents specific medical conditions and there are clear guidelines on the care plans in relation to them. Staff were able to describe the procedure they follow before administering PRN (when required) medication. Specialist healthcare needs are met through the provision of specialist services, ensuring that residents’ health care needs are well met. The home uses a monitored medication system from a local pharmacy. Storage and administration records were seen to be appropriate and staff were aware of residents medical needs. However staff have not received any recent training and some staff are booked for training in the administration of invasive medication in September. Staff who require this training were able to tell the inspector what they would do if the medication was required before they received the training. Therefore protecting residents’ welfare needs. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are listened to and protected from abuse. EVIDENCE: There is a complaints procedure for the home. For the residents who have just moved in their complaints procedure is a few years out of date in relation to the staff they should contact. One resident was asked who they would speak to if they were unhappy about anything and they did not know. The inspector did not feel that this was due to residents not having been told about the complaints procedure. Staff were vague about where they would officially record a complaint if one was received. (See Standard 41) Although not all staff said they had received training in relation to Adult Protection they were able to tell the inspector what they would do if they saw a resident being ill treated and were also able to appreciate what was abusive behaviour. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, well maintained and clean home. EVIDENCE: In 59 Whipton Barton Road a lot of attention was paid to decorating a resident’s bedroom so that it closely resembled the bedroom the resident had had at his previous home. In 61 Whipton Barton Road the staff said that due to specific reasons around size and needs, residents were not able to choose their own rooms. Staff were also unsure whether residents had been involved in the choice of décor. Furniture within the home is domestic in nature and appears to be in a good state of repair. In view of the fact that the residents in 61 Whipton Barton Road have only been in the home for a week the staff have worked hard to ensure that things are unpacked and that it feels homely. There are two laundries at the home, one at either end of the building. On the day of the inspection the home was clean and there were no unpleasant odours. Staff said that they have disposable gloves available for use if required to prevent the risk of infection. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 19 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Assurance that full recruitment checks have been completed would protect residents. Residents are supported by a sufficient number of staff. Some improvements are needed in relation to staff qualifications and training update as well as regularity of staff supervision. EVIDENCE: It was not possible to accurately establish how many staff already have or are undertaking NVQ qualifications, as there was nobody on duty who has an overview of the two staff teams. However through discussion with staff it would appear that the home will not have reached the target of 50 of their staff trained to NVQ level 2 or above. On the day of the inspection there were five members of staff on duty. A relative has expressed concerns about the staffing levels being reduced in the future. However at the time of the inspection there were sufficient staff on duty to meet the needs of the residents. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 21 Recruitment records are not kept on the premises and arrangements were made for files for staff employed by TRS, to be brought to the home. However the files for staff employed by health were not made available. On past inspections CRB (Criminal Record Bureau) checks for some of the health staff have not been available although the inspector was told by the previous manager that he thought they had been undertaken. A requirement had been made in relation to this but it was not possible to check whether it had been complied with. On this inspection, due to the lack of files. The inspector has spoken to the provider’s representative and asked for confirmation that they have been received. In relation to the files which were seen they contained the correct information apart from one member of staff where the CRB did not appear to be on the file. Some of the staff said that they needed to be updated in relation to several areas of their training. They have received all the training, which they need to support residents at some time but in some cases this is a few years ago. Staff felt that their training needs were met but did say that sometimes it is difficult to get on a course as it is oversubscribed. Some staff who are employed by Health are not directly line managed by the manager at the home. Staff who were spoken to did not feel that this was a problem. However some staff reported that they have not had supervision where care practices are discussed with the manager and training needs are identified, for a considerable time. When staff have had it they felt that it met their needs and the required areas were covered. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 Quality in this outcome area is adequate. The inspector did however find two examples of poor care practice that put residents at risk. This judgement has been made using available evidence including a visit to this service. Generally the home is run in the best interests of residents. Systems to review, develop and improve the home need to be extended. EVIDENCE: The registered manager from the home has moved to another home and a new manager is to be registered. A decision in relation to this should be made later in the month. Staff felt that they were supported and that there were mechanisms in place for them to receive extra support at specific times, if required. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 23 Although there are systems in place to monitor individual aspects of care there is no formalised method, as the home has not completed a Quality Assurance exercise to monitor the quality of the care provided. Therefore residents and their representatives have not had the opportunity to respond with their views. Records which are required to be in the home were not generally checked. However staff were not aware of a format in which to record complaints. They said they would record a complaint made in the communication book. This may mean that there was no clear record to follow of what action was taken and the outcome. Although there have been no complaints a formal recording system which staff are aware of needs to be in place. Records supplied by the home indicate that Trust Estates are responsible for ensuring that regular servicing of the gas and electrical services take place. The fire safety checks were looked at and it was not possible to see that all staff have received fire safety training twice in a twelve-month period. An immediate requirement was issued in respect of this. An immediate requirement was issued at the last inspection also. It was also noted that none of the staff who had recently moved to the home were aware of the fire procedures, did not know where all the alarms and fire fighting equipment were or where to evacuate to in the event of a fire although one member of staff knew where one of the fire extinguishers was. As two teams of staff have come together to work it needs to be established that there is at least one member of staff on a shift who is up to date in First Aid training several of the staff said that there training was out of date. 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 1 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X 2 1 X 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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 YA34 Regulation 19 (b) Requirement You are required to ensure that in respect of all staff working at the home a Criminal Records Bureau check has been undertaken. (Previous timescale of 28/02/06 not met) You are required to ensure that staff receive formal supervision (Previous timescale of 28/02/06 not met) You are required to ensure that the quality of the service provided is monitored and a report produced. You are required to ensure that staff have fire safety training twice in a twelve-month period. (Previous timescale of 15/02/06 not met) You are required to ensure that all staff are familiar with fire safety procedures of the home Timescale for action 07/08/06 2 YA36 18(2) 07/09/06 3 YA39 24 (1) (2) (3) 31/07/06 4 YA42 23 (4) (d) 15/07/06 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 26 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. 2. 3 4 Refer to Standard YA6 YA9 YA32 YA35 Good Practice Recommendations It is recommended that care plans are reviewed It is recommended that risk assessments are reviewed It is recommended that staff commence NVQ training. It is recommended that you ensure that all staff are up to date with training. This includes statutory training and Adult Protection Training, Makaton, First Aid and the administration of medication It is recommended that a means by which complaints maybe recorded is available in the home. 5 YA41 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 59 & 61 Whipton Barton Road DS0000064093.V292039.R01.S.doc Version 5.1 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. 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