Inspection on 25/01/06 for 7 Blunt Street

This inspection was carried out on 25th January 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 14 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 Blunt Street 12/03/09

7 Blunt Street 07/11/07

7 Blunt Street 14/11/06

7 Blunt Street 06/09/05

7 Blunt Street 17/02/05

7 Blunt Street 22/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Blunt Street (7) Stanley Common Ilkeston Derbyshire DE7 6FZ Lead Inspector Anthony Barker Unannounced Inspection 25th January 2006 09:00 Blunt Street (7) DS0000019941.V273808.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 Blunt Street (7) DS0000019941.V273808.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. Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Blunt Street (7) Address Stanley Common Ilkeston Derbyshire DE7 6FZ (0115) 9323491 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) None United Response Christine Coates Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: 7 Blunt Street is a semi-detached house in a small village development. Service users are provided with adequate accommodation and single rooms. There is a reasonably-sized rear garden. The Home offers personal and social care to people with a severe learning disability with associated conditions that include autism, sensory disability, epilepsy and challenging behaviour. Activities are planned to meet individual needs. Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The time spent on this inspection was 5.5 hours and was a routine unannounced inspection. The last inspection took place in September 2005 and was an unannounced inspection. The Manager, Deputy Manager, one member of staff and one service user were spoken to and records were inspected. There was no tour of the premises. All three service users’ records were examined as part of the case tracking method. The focus of this inspection was on progress made on the requirements and recommendations made, and those standards not assessed, at the last inspection. What the service does well: What has improved since the last inspection? What they could do better: The Homes statement of purpose and service users guide must be fully individualised to the Home. Individual care plans must reflect the full range of service users’ needs. These plans must be reviewed at least every six months and minutes of review meetings must be maintained at the Home for inspection. The care plans must be revised periodically to ensure that staff are working from a current and relevant care plan. All records maintained in respect of each service user must be signed. Handwritten entries on medication records must be signed, countersigned and dated. Staff must be given access to written requirements and guidance on the use of medication. The service users version of the complaints procedure must make reference to the Commission for Social Care Inspection. The Senior Support Worker with Additional Responsibilities must attend training by Derbyshire Social Services in Adult Protection matters. Staff must be provided with a written Policy & Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 6 Procedure on Adult Protection. The floor coverings in the upstairs toilet must be replaced. At least 50 of the care staff must achieve an NVQ in care at level 2. All records required to be maintained in the Home must be kept up to date - including staff training undertaken. 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. Blunt Street (7) DS0000019941.V273808.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 Blunt Street (7) DS0000019941.V273808.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&2 Appropriate information about the Home was not fully available in order for prospective service users and their families to make an informed choice about where to live. Current service users were also not benefiting from this information. EVIDENCE: The Home’s service users’ guide and statement of purpose had not been updated and fully individualised to the Home, ie. the name of the service had not been added to each page and the manager and staff had fictitious names. Reference was made, in the statement of purpose, to the NCSC. The most recent admission to the Home was in August 2004. This service user’s file contained a range of pre-admission assessments although there was no care plan from the admitting care manager. Contracts were in place between United Response and the purchasing authorities with regard to all service users. Other aspects of standard 5 were not assessed on this occasion. Blunt Street (7) DS0000019941.V273808.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&7 Many, but not all, service users’ needs were being reflected in a plan of care. The system of documenting the review of these plans was in need of improvement. Service users were being enabled to make decisions about their lives. EVIDENCE: Service users’ individual care plans comprised sets of Activity Plans. These were useful documents providing guidance for staff, and goals to achieve, in service users’ everyday activities. These were in the process of being updated. However, these Activity Plans were not holistic care plans as they did not reflect the full range of service users’ needs. The Manager was handed a care plan format that addressed these issues. There were notes on the three service users’ files referring to review meetings held during 2005. Most of these notes were from the Home’s staff, or staff from day services, provided to the review meeting – although there were review meeting recommendations on one set of notes. The minutes from the most recent review meetings for two service users were being held at the United Response Area Office and were not available for inspection – one of these was being typed, the other was from October 2005. There was evidence of two of the three service users’ needs being reviewed every six months. One service user’s file contained a Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 10 communication profile, including ‘Moods and Behaviours’ and ‘Likes and Dislikes’, that did reflect a wide range of this service user’s needs. The Manager explained that these documents will be summarised and follow a ‘Life Book’/personal history approach. This exercise will then be repeated for the other two service users. Files contained an information sheet called a ‘Personal details and contact persons’ sheet. This was not at the front of the file, for easy access, and there was no record on file of service users’ preferred name. There was still evidence of some records not being signed by staff although all those examined were had been dated. Staff knowledge of service users’ likes and dislikes helped them to enable service users to make decisions about their lives. The Manager said that the two service users who attend local authority day services use Makaton sign language there and this improves their ability to make choices. One member of the Home’s senior staff was about to attend an advanced course on Makaton, and feedback to her colleagues, so as to widen its use with the service users. Good use was being made of symbols around the Home. The Manager reported how service users are enabled to make decisions regarding the clothes they wear and the food they eat. Staff fully involved one service user in arranging a short coach holiday in Cornwall, last Summer, that reflected this service user’s preferred social activities. Risk assessment documentation was extensive and included written risk assessments relating to the service users’ epilepsy. Other aspects of standard 9 were not assessed on this occasion. Blunt Street (7) DS0000019941.V273808.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): 12 & 16 Service users’ were engaged in valued activities that reflected their personal strengths and needs. Their rights were respected and responsibilities recognised in their daily lives. EVIDENCE: The pre-review meeting notes regarding one service user indicated a good working relationship and standard of communication between the Home and the local authority day services. This included a recent evening ‘shadowing visit’ to the Home by day services staff when they observed the service user in the home environment. There were plans for this to be reciprocated. The Inspector spoke with this service user before transport to the day centre arrived. The Manager described plans for the service user to possible attend college for a course of ‘person-centred learning’ in order to accredit the service user’s existing skills and strengths. The Manager spoke of an improved relationship with a neighbour who had previously expressed concern over the loudness of one service user’s voice at night. The Manager described a programme of day-time occupation that has led to the service user sleeping better at night. This has also led to a reduction Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 12 in the frequency of this service user’s epileptic fits. Other aspects of standard 13 were not assessed on this occasion. The Manager described an improved relationship between one service user and their mother. This was based on the parent’s improved health and the service user’s improved behaviour. The two had gone on holiday together during the week of this inspection – this would not have happened in the past, the Manager said. Other aspects of standard 15 were not assessed on this occasion. The Manager showed awareness of achieving a balance between the routines needed by each service user – each of whom have a degree of autism – and the need for flexibility. She explained that routines in the Home have to be flexible when service users are ill, for example. She also described how one service user likes company and a social life while another can become distressed by crowds. Two service users shop with staff for food – there are plans for the other to be introduced to this activity through an interest in TV magazines. One expectation applies to each of the service users – that they keep their room tidy, the Manager said. Blunt Street (7) DS0000019941.V273808.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): 20 Service users were not being fully protected by the Home’s policies and procedures for dealing with medicines. EVIDENCE: Service users medicines were being stored securely. Medication Administration Record (MAR) charts were examined. There was no signature, date or counter-signature beside handwritten entries, on MAR charts, reflecting changes to doses. There was no ‘signature sheet’ available showing staff names and sample signatures/initials. There was evidence of staff attending accredited ‘Care of Medicines’ training and the Manager said that the Home’s pharmacist periodically attends team meetings. United Response’s ‘Statement of Intent’ regarding medication was examined. There were very brief paragraphs on ‘Medication Administration’ and on ‘Security’. The Company’s Medication Procedures were also examined and found to be more comprehensive although they did not make any reference to expected practice regarding handwritten entries on medicine charts or on administration of medicines straight from the original container, for example. There was no copy of more detailed requirements or guidance available to staff. Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 14 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): 23 Service users were potentially not being fully protected through absence of a Policy & Procedure on Adult Protection. EVIDENCE: The Other People to Contact sheet, accompanying the service users version of the complaints procedure, still made reference to the National Care Standards Commission. Other aspects of standard 22 were not assessed on this occasion. The Manager and one senior support worker had received training by Derbyshire Social Services in Adult Protection matters. The Senior Support Worker with Additional Responsibilities had not. All staff had attended United Response training on adult abuse. The Manager was unable to find any written United Response Policy & Procedure on Adult Protection. However, she was able to describe robust procedures that would be followed in the event of suspicion of an adult abuse occurrence. There were copies of the Derbyshire Report forms and the Manager explained that these would be used as well as the Company’s Accident/Incident Report forms. No staff had been referred for inclusion on the POVA list. Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 15 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): 30 The Home was clean and hygienic. EVIDENCE: The carpets in the lounge, hall, stairs, landing and one front bedroom had been replaced as well as the floor covering in the back bedroom. The floor covering in the upstairs toilet was still badly stained and needed replacement, as cleaning had not removed the staining. Other aspects of standard 24 were not assessed on this occasion. Each of the service users’ bedroom doors has a suitable lock although none of the service users would be able to hold their own door key, the Deputy Manager said. Neither she nor the Manager felt that any service user would benefit from locked space in their bedrooms. Reasons for not providing this facility had not been recorded on care plans. Other aspects of standard 26 were not assessed on this occasion. The Home was clean. Staff described good practice regarding the transfer of incontinence materials within the Home. An appropriate yellow bag is kept outside the Home in its own bin. No communal rooms have to be passed through by staff between bedrooms and the laundry. A written policy on Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 16 Infection Control was eventually found. There was still no written policy & procedure on continence promotion – this was relevant to one service user. Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 17 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, 34, 35 & 36 Service users were not benefiting from an adequately qualified staff group although their needs were being met by staff who were generally well-trained. They were being supported and protected by the Home’s recruitment procedures and benefited from well-supervised staff. EVIDENCE: The staff on duty at the time of this inspection were welcoming. The Manager said that the staff group were increasingly feeling able to develop positive role models for the service users. 43 of the staff group had a National Vocational Qualification (NVQ) at level 2 or above – an improvement on the last inspection. However, this still falls short of the required 50 . The Manager said that the Home was now fully staffed. Only one agency staff was now being employed – at times of staff sickness, holidays or training. Staff members’ surnames were being recorded on the staffing rota. Other aspects of standard 33 were not assessed on this occasion. Documents relating to the most recently appointed member of staff were examined. These met the requirements of the revised Schedule 2 of the Regulations. The staff training matrix was examined. The most recent entry was 15 September 2005 – the Manager thought she had received it from Headquarters Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 18 in October 2005. There was no date on the matrix. Two members of staff had not attended a course on Basic Food Hygiene since, respectively, December 2000 and November 2002. The Manager explained that training on this topic was organised in December 2005 but the trainer was unable to attend. Inhouse fire training was provided in December 2005. The Manager confirmed that staff were being provided with this training every six months. All other mandatory training was satisfactory. Overall, the frequency of training had improved since the last inspection. The Manager explained that staff training and development is covered at staff supervision sessions but there was still no recorded training and development programme for individual staff members. The staff supervision record was examined. The frequency of supervision had improved since the last inspection and was on track to meet the requirement of six times a year. Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 19 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 There was potential for the Home’s reduced management hours to become detrimental to the service users. Service users’ needs were generally underpinning the Home’s services. EVIDENCE: The Home’s Manager had responsibility for managing three care homes situated in close proximity. Her post was full-time. She was supported at this Home by a Senior Support Worker with Additional Responsibilities (SSWAR) whose hours had reduced from full-time to 12 hours a week. United Response had previously made a commitment to provide SSWAR posts in each home where the manager’s duties were split between more than one home and it was understood that these posts would be full-time, so as to ensure adequate management cover and continuity. The Home’s quality assurance measures included… • regular review of care plans, • good communication with local authority day services, Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 20 annual observational visits from a member of the United Response Practice Development Team – whose assessment is discussed with the Manager and her line managers, • a Quality Assurance Manual containing some but not all of the Company’s written policies and procedures. This was one of two places where policies and procedures were kept and this was confusing when trying to find a particular document – for instance the policy on Infection Control, • an Annual Plan including targets but no dates by which to achieve these. There were no surveys of opinion from service user representatives or other interested parties. Evidence of business planning and acountability was still not being held within the Home, as at previous inspections. The Manager was not aware of any business plan being in place. Other aspects of standard 43 were not assessed on this occasion. • Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 21 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 X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blunt Street (7) Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000019941.V273808.R01.S.doc Version 5.0 Page 22 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 YA1 Regulation 4(1)5(1) Requirement The Company must ensure that the Homes statement of purpose and service users guide are fully individualised to the Home. (Previous timescale was 01/01/06). Individual care plans must be holistic and reflect the full range of service users’ needs. Service users care plans must be reviewed at least every six months.(Previous timescale was 01/01/06). Service users’ care plan review minutes must be maintained at the Home for inspection at any time. Service users care plans must be revised periodically to ensure that staff are working from a current and relevant care plan. (Previous timescale was 01/01/06). All records maintained in respect of each service user must be signed. (Previous timescale was 01/12/05). Handwritten entries on the Medication Administration Record sheets must be signed, DS0000019941.V273808.R01.S.doc Timescale for action 01/05/06 2. 3. YA6 YA6 15(1) 15(2b) 01/05/06 01/04/06 4. YA6 15(2b) 17(3) 15(2)(c) 01/03/06 5. YA6 01/05/06 6. YA6 17 01/03/06 7. YA20 13(2) 01/03/06 Blunt Street (7) Version 5.0 Page 23 countersigned and dated. 8. YA20 13(2) Staff must be given access to written requirements and guidance such as the Medicines Act 1968 and guidelines from the Royal Pharmaceutical Society of Great Britain. The Other People to Contact sheet, accompanying the service users version of the complaints procedure, must make reference to the Commission for Social Care Inspection. (Previous timescale was 01/12/05). The Senior Support Worker with Additional Responsibilities must attend training by Derbyshire Social Services in Adult Protection matters. The registered person must provide staff with a written Policy & Procedure on Adult Protection. The floor coverings in the upstairs toilet must be replaced.(Previous timescale was 31/3/04). At least 50 of the care staff must achieve an NVQ in care at level 2. All records required to be maintained in the Home must be kept up to date - including staff training undertaken. 01/04/06 9. YA22 22(7) 01/05/06 10. YA23 13(6) 01/05/06 11. 12. YA23 YA24 No Secrets Sec 6.5 162c 01/05/06 01/04/06 13. 14. YA32 YA35 181a 172 Sch 4 01/06/06 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA2 Good Practice Recommendations The registered person should ensure that a care plan is obtained from the admitting care manager prior to admission of a new service user. DS0000019941.V273808.R01.S.doc Version 5.0 Page 24 Blunt Street (7) 2. YA6 3. YA6 4. 5. YA20 YA26 6. 7. 8. 9. 10. YA30 YA35 YA37 YA39 YA43 Individual care records should contain a background history of the service users lives from before they lived at the home.(This was a recommendation from 22 June 2004) Information sheets, setting out all relevant service user information, should be kept at the front of individual files for ease of access and should include the service users’ preferred names. ‘Signature sheets’ should be provided showing the names of staff who administer medication and their sample signatures/initials. Service users should be provided with lockable space in their bedroom or the reason for not providing this facility should be recorded on their care plan.(This was a recommendation from 6 September 2005) A written policy & procedure on continence promotion should be developed.(This was a recommendation from 6 September 2005) All staff should benefit from a training and development programme that is laid out in an individual plan.(This was a recommendation from 22 June 2004) The registered provider should provide a full-time Senior Support Worker with Additional Responsibilities (SSWAR) post at this Home. The registered persons should consider surveys of opinion from service user representatives and other interested parties. A copy of the financial plan for the home should be available for inspection.(This was a recommendation from 22 June 2004) Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Blunt Street (7) DS0000019941.V273808.R01.S.doc Version 5.0 Page 26 - 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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