Inspection on 08/09/05 for 74 Cossington Road (Homefield College)

This inspection was carried out on 8th September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

74 Cossington Road (Homefield... 02/11/07

74 Cossington Road (Homefield... 05/05/06

74 Cossington Road (Homefield... 10/01/06

74 Cossington Road (Homefield... 10/01/05

74 Cossington Road (Homefield... 28/09/04

Similar services:

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

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

CARE HOME ADULTS 18-65 74 Cossington Road (Homefield College Limited) 74 Cossington Road Sileby Loughborough LE12 7RS Lead Inspector Sharon Treadwell Unannounced Inspection Thursday, 08 September 2005 13.00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 74 Cossington Road (Homefield College Limited) Address 74 Cossington Road Sileby Loughborough LE12 7RS 01509 815569 01509 815569 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Homefield College Limited Mrs Lynne Robinson Care Home for Younger Adults (CRH) 3 Category(ies) of Learning Disability (LD) - 3 registration, with number of places 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions apply at the time of this report Date of last inspection Monday, 10 January 2005 Brief Description of the Service: 74 Cossington Road is a 4 bedroomed, semi detached property, situated on a busy thoroughfare in Sileby. The home does not stand out from its neighbours The home is clean, comfortable and homely and accommodates three young people in single rooms, one on the ground floor and two on the first floor. Shared accommodation consists of a lounge, dining kitchen, small patio area and large enclosed rear garden. The home is one of seven, which are annexed to Homefield College. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence in a longer term placement. Young people at the college have been placed by the Learning Skills Council. These placements are generally term time only and limited to 2 or 3 years. However, some young people receive continued funding from Social Services Departments and their placements progress to become long term. The college (and implicitly the seven houses) provide placements for adults with learning disabilities and those who have autistic spectrum disorder and some challenging behaviours. The college does not provide for students who require nursing care.The three young men accommodated at this home are all full time students funded by Social Services and all have now been accommodated long term within the Homefield network. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out at 1pm on a weekday afternoon. Prior to the inspection the inspector had received a completed pre inspection questionnaire from the manager and also a completed comment card from one relative. At the time of this inspection 74 Cossington Road was closed as two of the young people were away on holiday in Majorca with the manager of this home and staff and young people from other Homefield houses. However Homefield College Limited has another property next door at 76 Cossington Road. The staff work between the two homes so the inspector was able to speak with staff and access records. Additionally one of the young people normally accommodated at 74 Cossington Road was staying at 76 Cossington Road and the inspector was able to speak with this young person. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this inspection was that of case tracking, which involved selecting two of the young people currently accommodated at the home and tracking the care they received through looking at their records and observation and discussion with young people and staff at the home. This inspection took place across two homes (74 and 76 Cossington Road) and took four and a half hours, during which the inspector spoke with three young people and with three members of staff. All are commended for their warm welcome and for the ease with which they facilitated this inspection. What the service does well: What has improved since the last inspection? Recommendations were made during the previous inspection relating to a number of priority areas, which should be included in induction training for staff expected to work lone shifts at this home. These areas included first aid, food hygiene, risk assessment and complaints. Homefield College has begun to address this shortfall. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 6 Staff numbers have increased since the previous inspection with a team of nine staff now working across these two houses. A requirement was identified during the previous inspection for the home to ensure that staff received appropriate supervision and performance appraisal. During this inspection the members of staff spoken to confirmed that they had individual sessions with the acting manager but there was clearly some confusion about these. The home has an ongoing programme of refurbishment and redecoration. Since the previous inspection two bedrooms have been redecorated. 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. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 standard(s) 2, 5. The home ensures prior to admission, that it is able to fully meet the identified needs of any service user admitted and places heavy emphasis on compatibility with young people already in placement. EVIDENCE: The inspector is aware from previous inspections of all of the Homefield homes that the process of initial assessment at the point of admission to the college is an extremely comprehensive one. Admission is after an assessment process involving an interview, an initial assessment day and a two-day residential assessment. Subsequently, during the young person’s first term a thorough assessment is undertaken in four main areas of Independent Living, Basic Skills, Vocational Learning and Social and Personal Development. Learning goals are then identified and a comprehensive personal programme compiled. The accommodation provided by the college has a clear route of progression for young people whose placements are long term, the final stage of which is one of the Homefield houses. The inspector’s judgement here is based on knowledge of the home’s operational practices and on discussions with staff and young people. However, a young person was admitted to 74 Cossington Road early in August of this year from another of the Homefield Houses. That young person’s file was examined during this inspection and contained no evidence of consultation with the young person, his family or his placing authority regarding the move and 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 9 no indication of the grounds for a decision that this home was better able to meet his needs. This issue has been raised separately with the Registered Persons and a requirement made for the appropriate documentation to be placed on the young person’s file. One of the young people accommodated at 74 Cossington Road confirmed that he had known ‘for a while’ that this young person was moving into the home and that he had been ‘very happy about it’. The staff spoken to during this inspection confirmed that it had been a positive move for all three young people and that there were good relationships between the three. The other two young people accommodated at this home have been in placement long term and there are no current plans for changes to their placements. At the time of the previous inspection the home was required to evidence on young people’s files that a written contract was in place with each of the service users detailing the terms and conditions of their placement. The files examined still do not contain this document. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9. Young people are actively involved in decision making. Young people’s written records are not reflective of appropriate care planning and review by the home. EVIDENCE: The young person spoken to during this inspection told the inspector that a house meeting was held at the home every Saturday. He also said that the three young people were ‘good friends’ and got on well together and with the staff. He said he felt that he was listened to by the staff. The care plan format utilised by all of the Homefield houses is of a commendable standard detailing the young person’s functional capacity and support needs in a wide range of areas. However the care plans examined on the files of two of the young people accommodated at the home were not both current. One of the care plans examined related to a young person recently admitted to the home. The plan was undated but recorded the last review as 08/2001. This plan detailed the young person as accommodated at the college site and the inspector is aware that the move to this home is his second since leaving the college site. This young person’s file contains no written evidence 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 11 of any reviews of the Homefield Care Plan but does however contain evidence of review by the placing authority in September 2004. The other young person’s file, tracked during this inspection contained an up to date care plan (03/2005) but no minutes of the review resulting in the issue of this care plan were available on file. There is evidence on this file of consultation between the manager of the home and the young person’s family, prior to the review date, seeking their views on his placement. The care plan format, where the care plan is current, comprises a comprehensive risk assessment tool. In the case of the two young people tracked therefore one risk assessment was wholly appropriate whilst the other was potentially four years old. Risk assessment within the care plan fully addresses young people’s functional capacities in a wide range of areas, with and without staff support and clearly identifies any restrictions imposed on choice, freedom and access to services and facilities. Both young people’s files contained copies of their activity/educational programme for 2004/2005 but this year’s programmes have not yet been inserted. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 16, 17. Young people are encouraged and facilitated to make full use of community facilities and to participate in a wide range of social, leisure and educational activities of their choice. EVIDENCE: During term time all of the young people accommodated attend local colleges of further education for programmes, which are either education or skill based. Although the inspector was unable to examine the young people’s programmes for the coming year last year’s programmes for both young people evidenced good access to a wide range of learning and leisure opportunities including essential skills, music, sport and woodwork. One of the young people has been provided with work experience opportunities with the Homefield College maintenance team. All three of the young people have recently taken part in a three week summer sports scheme at Countesthorpe College. Young people at this home are able to access a range of leisure opportunities, which are available to all Homefield students such as a Tuesday evening club and regular day trips as well as annual holidays. Two of the young people 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 13 accommodated at the home are currently on holiday with staff and young people from other Homefield houses in Majorca. The files examined during this inspection evidenced the involvement of those young people in a commendable range of leisure activities such as visits to the cinema, swimming, meals out, picnics and attendance at church services. One young person’s file records his participation in a church service. The young person spoken to during the inspection from this home was actively involved during the inspection in selecting what would be served for tea at 76 Cossington Road and in preparing the meal with staff. This young person was noted to consult well with the other young people at the home to ensure that they were happy with his choice. Young people’s files and discussions with staff and young people confirmed that all three young people at this home have good contact with families. One young person’s file evidenced good support and guidance given by staff following a recent dispute with a member of his family. Young people are actively encouraged to develop independence skills. One young person has been supported to develop the capacity to travel independently to his parent’s home abroad. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 standard(s) 18, 19. Young people’s individual health and personal support needs are clarified within the care planning process and medical interventions are appropriately recorded. EVIDENCE: The files examined contained a full record of all medical appointments and prescribed treatments. A standard pro forma is completed by staff in respect of each medical appointment attended by a young person at the home, which details the reason for the appointment and the action resulting from it. These forms were examined in relation to the young people tracked. The inspector noted that where communications were received from medical professionals subsequent to an appointment that these were attached to the record of the appointment for clarity. The files examined evidence the involvement of specialist medical professionals where this is appropriate for example one young person is currently undergoing a professional assessment. The home is particularly commended on having obtained the young person’s written consent for the sharing of information in respect of this assessment. The managers of all of the Homefield houses have undertaken training on the storage and administration of medication with the local pharmacist. The 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 15 managers cascade this training to care staff in the homes. The home’s policy requires that twenty administrations are observed to be appropriately completed by a new member of staff before they are deemed competent. Whilst the inspector notes that this is good practice, none of the current training is accredited. The home is reminded that the care plan for each young person accommodated currently constitutes the primary source of health information in respect of young people accommodated. If care planning is not current then neither is health information. Each young person has an allocated support worker at the home and individual sessions are held weekly and are recorded. A weekly checklist is also completed by the support worker, covering the fulfilment of the young person’s personal care and health needs. In the two files examined these records were fully up to date. The care plan of one young person had been updated to reflect concerns regarding weight gain and appropriate strategies had been identified to address this. Medication records were not examined during this inspection. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 standard(s) N/A EVIDENCE: No standards were inspected. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 standard(s) 24, 25, 26, 30. The home is decorated and furnished to a good standard and service users are provided with well equipped personal and shared space. EVIDENCE: All three of thee young people’s bedrooms were viewed during this inspection. Young people are encouraged and assisted to tidy and clean their own bedrooms on a weekly basis. All three bedrooms were clean and one was commendably tidy. All bedrooms were highly personalised and young people are encouraged to bring personal belongings, to put up posters and to display certificates and medals evidencing personal achievements. Two of the young people’s bedrooms have been decorated since the previous inspection. Shared areas of the home were found during the inspection to be clean and comfortable. Staff spoken to during the inspection spoke of the importance of ‘keeping the house nicely decorated and clean and tidy’ because it was ‘the young people’s home’. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 18 Some work has been undertaken since the previous inspection to tidy the garden. Whilst it remains somewhat overgrown with weeds around the edges the central area is now useable. All young people have keys to their bedroom doors and one young person has a key to the front door of the home and has in fact been permitted to remain in the house alone overnight, monitored by staff at 76 Cossington Road, with full consultation with family and completion of appropriate risk assessments. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35. Young people have good relationships with staff who offer advice, support and encouragement to promote their growth and development. EVIDENCE: One young person spoke positively of his relationships with all of the staff team. Records of support worker sessions with young people evidence that staff work closely with the young people to develop their skill levels and functional capacities, and to broaden their leisure experiences. Staff spoken to also demonstrated a strong commitment to the young people they work with and a good knowledge of their capabilities. During the previous inspection the inspector recommended, in light of the lone working situation within the Homefield houses, that certificated training in certain areas (for example first aid, food hygiene and restraint) was crucial to the health, safety and welfare of the young people and should therefore form an integral part of induction/foundation training for support staff employed in the houses. Homefield College Limited has begun to implement this. In her pre-inspection questionnaire the manager details that, during the last twelve months, staff have undertaken training relating to fire safety, health and safety, protection of vulnerable adults, autism and aspergers, challenging 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 20 behaviour, makaton, report writing and epilepsy and that training is planned on first aid and restraint. The college operates a programme of National Vocational Qualification (NVQ) training for all staff and all new staff receive induction and foundation training within the Learning Disability Award Framework (LDAF). The manager details in her pre-inspection questionnaire that currently only two members out of the staff team of nine are qualified to NVQ level 2 or above and the home needs to retain an awareness of the 50 target detailed under Standard 32, since currently it is well below this target. The manager is currently studying for the Registered Managers Award. Rotas supplied by the manager prior to this inspection indicate that appropriate cover is provided to meet young people’s needs. During the previous inspection a requirement was identified in relation to appropriate staff supervision and performance appraisal. The inspector was unable to examine these records during this inspection, as the manager of the home was not present. The members of staff on duty spoke highly of the accessibility of the manager and of her invaluable informal support. They confirmed that they did have individual meetings with the manager but these were not regular and there was some lack of clarity between individual supervision sessions and appraisals. One staff member indicated that you knew if you had had an appraisal because ‘you would have signed something’. The manager should ensure that staff at the home are fully aware of what their expectations should be in relation to formal support and that these are in line with standard 36. The Home should address the limited knowledge of staff of the Care Standards Act and of the National Minimum Standards and of the their implications for care practice. A copy of the Care Standards Act and the National Minimum Standards should be available at the home. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41. The manager and staff team of this home have a commitment to operating it in a manner which best serves the interests of the young people accommodated. EVIDENCE: The home has a wide range of Quality Assurance systems to enable appropriate monitoring of service provision. A quality assurance checklist is issued to the manager of the home detailing records and practices to be monitored and a weekly report sheet is completed by the manager in line with this checklist and submitted to the Homefield Directors. The manager is additionally required to complete a weekly house maintenance report, which is also forwarded to the directors. Provider monitoring visits under Regulation 26 of the Care Homes Regulations are taking place and reports of these visits are comprehensive, are available at the home and have been forwarded to the Commission for Social Care Inspection as required under Regulation 26. The visits are not always being made at the required frequency (once a month) 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 22 Young people’s individual records are securely stored. As detailed earlier in this report, some of the information contained in these records is not current (care plans) or appropriate (risk assessments). 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 x x 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 74 Cossington Road (Homefield College Limited) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x 2 x x C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 24 No 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 6, 9. Regulation 15 Requirement The Registered Persons must ensure that young people’s records contain a current care plan as well as written evidence of appropriate review of that plan. Care planning reviews should be inclusive of an updating of young peoples individual risk assessments. Timescale for action October 31st 2005 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 5 20 39 35 Good Practice Recommendations The home should develop a contractual agreement with each service user detailing the terms and conditions of placement. The home is recommended to implement accredited training for all staff responsible for administering medication. The home is recommended to ensure that monitoring visits by the provider are undertaken at a minimum frequency of one per month. The home is recommended to develop staff awareness of the role of the Commission for Social Care inspection and of the implications of the Care Standards Act and the C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 25 74 Cossington Road (Homefield College Limited) 5. 42,33 National Minimum Standards for care practice. A copy of the Care Standards Act and the National Minimum Standards should be available at the home. The home is recommended within this report to complete a written risk assessment in relation to lone-working, which should be shared with all staff. 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 26 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park, Enderby LEICESTER LE19 1SX 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 74 Cossington Road (Homefield College Limited) C51 C01 S1798 74 Cossington Road (Homefield College) V247381 080905 STAGE 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!