Inspection on 08/05/06 for 7 The Mead

This inspection was carried out on 8th May 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 The Mead 12/09/05

7 The Mead 16/05/05

7 The Mead 11/11/04

7 The Mead 16/04/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Mead (7 The) 7 The Mead Warminster Wiltshire BA12 8RB Lead Inspector Alyson Fairweather Key Inspection 8th May 2006 11:00 Mead (7 The) DS0000028265.V293123.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 Mead (7 The) DS0000028265.V293123.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. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mead (7 The) Address 7 The Mead Warminster Wiltshire BA12 8RB 01985 215800 01985 218543 themead@rethink.org www.rethink.org Rethink 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) Sharon Morris Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: The Mead is a care home for six adults in mental health recovery, provided by the Rethink organisation. The building itself is owned by Kennet Housing Association and is made up of two semi-detached houses which have been connected into one larger house. There are six individual bedrooms upstairs and a smoking room, a lounge and a large dining room downstairs. The home is situated at the end of a quiet residential cul-de-sac within short walking distance of Warminster town centre and public transport facilities. There is a large, secluded garden to the rear of the house and a small lawned area to the front, with some parking available. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day in May, when three residents and three staff members were spoken to. Four residents, one family member, and two members of the CMHT sent their comments about the home in writing. The team leader at the Mead is currently acting service manager whilst the registered manager is seconded to work at another Rethink service. She has a great deal of experience of working with people with mental health problems, and has worked at the Mead for several years. It is envisaged that this situation is a temporary measure until July. Various documents and files were examined, including care plans, health & safety procedures, risk assessments, staff files and medication records. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the service does well: The assessment information which is received about an individual resident before they come to The Mead is good, and helps staff to understand how they can best support them. A great deal of work had been done on residents’ care plans. They contained a wealth of information about people’s likes and dislikes and how their needs could best be met, as well as detailed information about their physical and mental health, their activities, their family contacts and any personal care needs. These care plans are reviewed on a regular basis and signed by the keyworker and the resident. One relative commented “Staff do a very good job and are easily accessible”. Residents are encouraged to maintain their independence, and supported in this by a dedicated staff group. People are encouraged to take responsibility for themselves, and to do as much as possible for themselves, subject to their abilities. One CMHT members said “I have found the home to be helpful and very supportive towards my client”. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 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 Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 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): 2 and 4 Prospective residents have their individual needs and aspirations assessed over a period of time prior to admission to the home so that staff know how to support them. They have the opportunity to visit the home in advance of moving in to see if it will meet their needs. Quality in this outcome area is good. This judgement has been made from evidence gathered both before and during the visit to this service. EVIDENCE: Considerable information from involved mental health teams is sent to the home when a new resident is planning to move in. The files of one recently admitted resident showed that this assessment material included details of prescribed medication and any medication reviews. Information gathered from individual residents about their hopes for the future and what they would like to do with their daily routine was recorded before they moved in, during the trial visits. The referring mental health teams provide a copy of the most recent Care Programme Approach (CPA) plan, which gives details of how the potential resident can best be supported with their mental health needs. All prospective residents are invited to visit the home before they come to stay permanently. They are invited for meals and over-night stays, which gives them a chance to meet other residents and the staff, and to decide whether they feel that the Mead will meet their needs. These visits also give staff a Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 9 chance to obtain more information about the resident, and to start developing a care plan which will support the resident in meeting their goals for the future. One potential resident is currently in hospital, but hopes to come to stay soon. He has been visited in hospital by the acting manager, and has visited the home on several occasions. It is planned to build up his visits, and he may be able to stay on a weekly basis returning to the hospital at weekends. He will be supported during these visits by the Community Mental Health Team (CMHT) and ward staff from the hospital. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Care plans reflect the needs and personal goals of residents, which means that staff are able to support them in the way they wish. They are supported and encouraged to make their own decisions. Residents are supported to take risks where appropriate, and encouraged to be as independent as possible. Quality in this outcome area is good. This judgement has been made from evidence gathered both before and during the visit to this service EVIDENCE: Each person has a care plan, known as a recovery plan, which looks at what they want to achieve and how they can best be supported to reach these goals. One resident wants to learn to cook, and is being given weekly cookery lessons, as well as making lists of ingredients needed and going food shopping. The daily diary sheets, which used to be completed by staff, are now completed by individual residents. They record the activities they have taken part in that day as well as noting how they have felt during the day. The file layout has improved, with sections for the most recent Care Programme Approach (CPA) reports, risk assessments, recovery plans, correspondence and the assessment information collected before the resident moves in. All plans had been recently reviewed and were all signed by the residents. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 11 Most residents take responsibility for their own money. Three residents have chosen to self cater, and are supported by staff with shopping and cooking. Two have chosen not to, although they are hoping to do so in the future. There are weekly residents’ meetings, with an agenda devised by the residents. Two of the residents have been involved in producing minutes of these meetings on the computer. Risk assessments were on file, and ways of minimising risks were identified. Some risks identified included sleepwalking, the possible factors which would trigger this, and how the situation would be managed. Other risks identified included abuse of alcohol (becoming unwell) and the potential danger of fire from people smoking. All these risks are recorded in individual’s files. Residents are, however, supported to take acceptable risks as part of encouraging an independent lifestyle. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Social and leisure activities are varied and tailored to individual need, with residents choosing what they wish to do. Contact with family and friends is encouraged and supported, and people’s rights and responsibilities are recognised in their daily lives. Mealtimes are an enjoyable time, and residents are offered a healthy diet. Quality in this outcome area is good. This judgement has been made from evidence gathered both before and during the visit to this service EVIDENCE: There are a number of activities which residents are involved with. One has an exercise prescription from the GP and goes to the gymnasium, and another attends Greenacres. One works for the Shaw Trust, and is involved in organic gardening. Another is a qualified horticulturalist, and is hoping to further his skills by attending a college course. A member of staff is currently trying to secure funding to help him with this objective. Another resident likes to go walking with a friend and the dog. There is an activities budget for cinema and outings, and people often go out for a meal or to the pub. In-house people Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 13 watch DVDs, or use play-station games. The house has broadband internet for those who wish to use the internet. Staff encourage and support links between residents and their families, although the frequency of contact varies depending on individual circumstances. One resident visits his family on a weekly basis, and others phone regularly. Individual friendships are encouraged, both inside and outside of the home, and visitors are made welcome. All residents have keys for the house and can come and go whenever they like, although they are encouraged to say when they go out. All share responsibility for domestic chores. A rota of tasks is compiled on a Wednesday at the residents’ meeting. Two residents do not self cater as yet. They compile the shopping list for the week, do the shopping and cook for each other, with support from staff. There are certain rules re smoking, illicit drugs, and alcohol. Smoking is allowed in bedrooms and outside. The home’s alcohol policy is given to all residents, and a copy is kept in the house for all to see. Individual’s support plans detail any restrictions agreed with residents about how much alcohol they feel they should consume. It is made clear to residents that illicit drugs will not be tolerated, and that the police will be called and their tenancy will be at risk. The food provided in the home was of a good quality, with several residents doing their own shopping and cooking. All residents who self cater have kitchen induction training, including hygiene control and safe handling of foods. There is ready access to the kitchen, and people can have snacks if they want to. A good supply of fruit and vegetables was available and healthy eating options are encouraged. One resident made a delicious looking flan in the afternoon, supported by a staff member, and this was to be shared with the others later in the evening. There are weekly cookery lessons for residents who cook for themselves, and they sometimes make two or three meals and freeze them, so that if they are unwell or too busy they do not have to cook from scratch every evening. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Healthcare needs of residents are written in care plans so that they can receive support in the way they need and prefer. Self-medication is encouraged and supported as much as possible, and residents are protected by the home’s policies and procedures for dealing with medicines. No residents need personal care. Quality in this outcome area is good. This judgement has been made from evidence gathered both before and during the visit to this service EVIDENCE: All residents are registered with a GP and there is input from other health professionals as required. All residents attend mental health reviews on a regular basis, and the care plan may be amended at this time. One potential new resident was in hospital, and staff had visited him there. Medication policies and practice had been greatly improved since the last inspection. Although no one totally self medicates, support and encouragement is given to those residents who want to try, and this is done on a daily or weekly basis. Procedures are now in place for Clozaril management, both in boxes and in blister packs, and medication support plans are now in place for all residents. One person collects her Clozapine along with a staff member. She has a dossette box and self medicates from there. There is induction training in Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 15 medication administration for all new staff, and this is assessed after six months or if an error is made by staff. The Monitored Dose System is in use, which means that most medicines come supplied from the pharmacy ready made up in dossette boxes or blister packs. The acting manager is also investigating the use of a dossette box for one resident’s medication which is stored in boxes currently. When examining these boxes, some of the dates on the front, the number prescribed, and the amount left in the box did not tally. This usually occurs when several boxes have been delivered, and not opened for some time. The home has been asked to make sure that if boxes of medication continue to be used, whenever it is opened, the date must be recorded on the box. This means that it will be easier for staff to keep count of the stock which should be in the cupboard. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Each resident has a copy of the home’s complaints procedure, and have their views listened to and acted on. The policies and procedures the home has in place try to ensure that residents are safeguarded from abuse and harm. Quality in this outcome area is good. This judgement has been made from evidence gathered both before and during the visit to this service. EVIDENCE: The home has a complaints procedure which gives details of the time in which complaints will be investigated, and who will be responsible for making sure it happens. It also gives details of how to contact the Commission for Social Care Inspection (CSCI). All residents are given a copy of the home’s complaints procedure when they come to live there. The manager and staff take all complaints seriously, and record the nature of the complaint, any action taken and the outcome. No complaints have been received either by the home nr about the home by the CSCI. The home has copies of the “No Secrets” document, as well as the organisational policy and procedure on responding to allegations of abuse. Rethink provide Vulnerable Adults training and all staff have done this. A “Whistle Blowing” procedure is also available for all staff, and risk assessments are in place for all residents. All staff have Criminal Records Bureau (CRB) checks and are checked against the Protection of Vulnerable Adults (POVA) register. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 17 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 and 30 The care which residents and staff take to maintain the home means that residents live in a homely, comfortable safe environment, which is clean and hygienic. Quality in this outcome area is good. This judgement has been made from evidence gathered both before and during the visit to this service EVIDENCE: The Mead is a care home for six adults in mental health recovery, provided by the Rethink organisation. The building itself is owned by Kennet Housing Association and is made up of two semi-detached houses which have been connected into one larger house. There are six individual bedrooms upstairs and a lounge and a large dining room downstairs. There is a large, secluded garden to the rear of the house and a small lawned area to the front, with some parking available. The Mead is a comfortably furnished home, with residents’ bedrooms decorated in a homely way and each containing individual personal items. Residents have a rota for their household chores, and there is an expectation that each person will keep their own room clean and tidy, although people are still supported by staff when necessary. It was clean and hygienic, with policies and procedures in place for the maintenance of the building. One room has had a change of use, from smoking room to a room Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 18 where service users can have their keyworker or review meetings. Residents can also use the room’s computer, which has internet facilities. No confidential information is kept in the room, but copies of Rethinks policies and procedures are available for residents to read. The room has been fitted with modern laminate flooring, and has French doors which lead into the garden. There are plans for the housing association to further improve the house by fitting a new kitchen and decorating throughout. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 19 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 and 35 Residents are supported by competent staff, although few staff have formal qualifications. Residents’ needs are met by staff who have appropriate training. They are supported & protected by the home’s recruitment policy and practices, although they would benefit from larger, permanent staff team. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both before and during the visit to this service. EVIDENCE: Currently there is only one member of staff with NVQ Level 2, although two staff members are expected to do NVQ Level 3. Two staff members who had already completed NVQ Level 2 have since left. Staff were seen to display good understanding of residents’ mental health needs when working with them. One Staff member has done a counselling course, and another who started in post last year has done induction training as well as Professional Boundaries training, Stress Management, Suicide Awareness, Race Equality, and Substance Misuse. All certificates for these courses were on file. One staff member who only started a month ago has still to do his induction training. The home is currently trying to recruit two new staff members. They have a high use of agency staff, and during the inspection, one was on duty all day. At one stage there was a phone call from the agency cancelling the arranged Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 20 sleep-in member of staff. The acting manager and staff tried several bank & agency options, without success. The acting manager decided she would do the sleep-in shift herself as last resort. This means that she would have been on duty all day and doing a sleep-in all night. Whilst this situation was an emergency, and was covered by the home, the recruitment of staff should take urgent priority, given the small number of permanent staff and their lack of qualifications. Staff recruitment is assisted by Rethink’s human resources department. All potential staff members meet with residents informally and it is hoped that one will become more involved in the formal interview. Staff are interviewed using a standardised set of questions and a scoring system. All staff have Criminal Records Bureau (CRB) checks and are checked against the Protection of Vulnerable Adults (POVA) register. Two written references are also required. There is a six-month probationary period, and the manager meets with staff half way through this period to review progress. All the staff files looked at contained the appropriate documentation. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 21 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 and 42 Residents benefit from a well run home. They know that their views underpin the monitoring and review of care practice. The home’s policies and procedures, and the health and safety checks carried out, mean that residents live in a safe environment. Quality in this outcome area is good. This judgement has been made from evidence gathered both before and during the visit to this service. EVIDENCE: The team leader at the Mead is currently acting service manager whilst the registered manager is seconded to work at another Rethink service. She has a great deal of experience of working with people with mental health problems, and has worked at the Mead for several years. It is envisaged that this situation is a temporary measure until July. She has no NVQ yet, but is expected by Rethink, as team leader, to do NVQ Level 4. She has done a twoday managers’ induction, and had training in supervision skills. She is also due to do finance training. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 22 There are various quality assurance methods used in the home, including regular monthly visits to the home by the provider’ representative. House meetings are held weekly and the organisation conducts its own quality assurance internal audit. This was done recently, and proved to be very successful. The outcome was that they were assessed as “Green” meaning this was good service. The home has its own resident questionnaire, and this had recently been extended to seek the views of family members. Four families responded, three of whom said that they were happy with the way the service is provided but would like to see more individual activities for their family member. It is recommended that this survey continues to develop, in order to include the views of outside professionals who have involvement with the home. There were good health & safety records in place, and the acting service manager has had infection control training. Rethink also undertakes a regular Health and Safety Audit of the home. The fire log was examined, and it was seen that fire alarms are checked weekly by staff, emergency lighting is checked monthly, as is fire-fighting equipment. The home’s fire extinguishers are serviced on a contractual basis, and fire drills are done quarterly, with details recorded of how long evacuation takes. Some initials of attendees were recorded, but not all. It is recommended that the initials of all staff and residents attending fire drills should be recorded. Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 23 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 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score N/A 3 2 x 3 X 3 X X 3 X Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13(2) Requirement The date when medication boxes are opened and medication is first used must be recorded on medication boxes. Timescale for action 08/05/06 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. 2 Refer to Standard YA33 YA39 Good Practice Recommendations The recruitment of staff should take urgent priority, given the small number of permanent staff and their lack of appropriate qualifications. The homes quality assurance programme should be further developed to include the views of families and outside professionals who have involvement with the home. The initials of all staff and residents attending fire drills should be recorded. 3. YA42 Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Mead (7 The) DS0000028265.V293123.R01.S.doc Version 5.1 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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