Inspection on 03/07/07 for 8-10 Richmond Road

This inspection was carried out on 3rd July 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8-10 Richmond Road 19/12/08

8-10 Richmond Road 27/12/07

8-10 Richmond Road 09/01/07

8-10 Richmond Road 01/12/05

8-10 Richmond Road 11/08/05

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ Lead Inspector Doug Tunmore Unannounced Inspection 3rd July 2007 09:30 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 8-10 Richmond Road Address Lincoln Lincolnshire LN1 1LQ 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) 01522 887123 Mrs Jill Ross Mrs Hayley Stephens Sheila Mary Conlon Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for service users of both sexes whose primary needs fall within the following categories:Mental Disorder, excluding learning disability or dementia (MD) - 12 9th January 2007 Date of last inspection Brief Description of the Service: 8-10 Richmond Road is a care home providing personal care and accommodation for 12 younger adults with Mental Health needs. On the day of the inspection the home was fully occupied. The home was opened in 1993 and is owned by Mrs Stephens and managed by the registered manager Mrs Mary Conlon. It is located in a residential area of Lincoln city centre and is within easy walking distance to the city centre and all the amenities the city has to offer. The building consists of a pair of two-storey late Victorian terraced houses connected via an internal corridor. An extension has been added to number 10 to afford more communal space on the ground floor. Accommodation is in 10 single bedrooms and one double room; number 8 accommodating five residents and number ten accommodating seven. Each house has its own kitchen and laundry, but facilities are shared freely between the residents. The home has small frontage gardens and small, steep interconnected rear gardens, which are maintained by the residents. There is no designated car parking area but the home has six residents’ parking permits for visitors. The home has a flat rate of current charge, which is £361.00. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by the Commission for Social Care Inspection (commission) including the homes previous inspection reports, their service history and the homes pre-inspection questionnaire sent to the home by the commission prior to this inspection. The Commission also sent residents survey forms (Have Your say) to the home prior to this inspection and ten were returned. The site inspection consisted of case tracking a sample of three residents records and assessing their care. The inspector spoke with two of the residents who were being case tracked and joined three other residents for a discussion about the care on offer at this home. The inspector also spent time with the manager and a senior carer. A partial tour of the home and a review of a sample of the records were also included. What the service does well: What has improved since the last inspection? What they could do better: 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 6 This inspection found that a senior member of staff had not signed for medication given to one resident. Best practice is to sign for medication given to a resident at the time it has been taken and swallowed. The manager does not carryout pre-admission care needs assessments of prospective residents prior to admission to this home so as to help ensure that their care needs can be met. One care workers personnel file evidenced that she did not have a current Criminal Record Bureau check (CRB) carried out by the provider. CRBs are not transferable from one home to another and it is the responsibility of the manager and provider to carryout these checks to ensure the safety of people in the home. The provider has not undertaken any checks or obtained any references for a domestic worker who had been employed on a temporary basis. 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. The summary of this inspection report can be made available in other formats on request. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager does not carryout out care needs assessments with prospective residents to ensure that they would be suitably placed. All residents have a contract, which informs them of the terms and conditions of their stay. EVIDENCE: Three residents files were seen, one of which one was an emergency admission with the resident being admitted on the 29/06/07. Two other peoples files were seen, with one resident who had been admitted four months ago and the second being a resident of long standing. Those people’s files seen did not evidence that the manager carries out a care needs assessment of residents prior to admission. Evidence was seen that prospective residents are written to by the provider confirming whether they can meet the residents care needs or not. A resident who was recently admitted by their social worker had an assessment undertaken by a psychiatric nurse. A resident at a previous inspection carried out in January 07 confirmed that he had all the information that he wanted to make a decision to live in this home. He also confirmed that the manager and deputy manager came to see him prior to his admission. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 9 Ten surveys returned by people living in the home confirmed that they had information about the home prior to admission and that they had been asked if they wanted to move into the home. One resident stated in the survey that ‘I was given a lot of support and a great deal of care’. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are undertaken with residents to ensure that their needs are met and that they agree with the delivery of care. Risk assessments are undertaken so as to support residents to undertake as independent a lifestyle as possible. EVIDENCE: A review of all information available prior to this inspection and a previous key inspection carried out in January 07 at this home evidenced that residents had an individual detailed care plan. This inspection found that the care plans of two residents had been reviewed on a regular basis and reflected the changing needs of the residents. Both care plans were also signed and dated by the residents. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 11 Peoples risk assessment sheets and daily activities sheets were also found to have been signed to confirm that the resident agreed with the contents of these care plan documents and any restrictions they may place on him. Three people stated that they were aware of their risk assessments and care plans and had been involved in them and were also aware of the risks outlined in their risk assessments. In a previous inspection carried out in January 07, residents stated that their care plans were regularly updated and that they were involved in this process with their key worker. Both residents said at that time that they had signed their care plan, agreeing to the care being provided by the home. An improvement plan sent by the commission to the provider has been returned and evidenced that residents goals and aspirations have been included in their care plans. The provider also stated that residents now sign daily assessment sheets. Residents confirmed that they have keys to the front door and their own rooms and are able to come and go as they wish. They also said that they do inform staff if they are going to be late in. Residents files and any other personal information held by the provider is kept in a safe place. This inspection found that house meetings are held in which residents are empowered to raise any issues and discuss the running of the home. This inspection showed that the last house meeting was undertaken on the 03/01/07 and issues discussed related to the running of the home (chores) and monies raised from a Christmas raffle, which is to be split between cancer UK and the residents social fund. All three residents confirmed that they had a house meeting prior to going on holiday in June 07. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a busy and varied lifestyles, with opportunities to engage in a range of leisure and cultural activities within the home and community. EVIDENCE: Information received by the commission prior to this inspection showed that there is a list of outings for 2007. An array of activities and outings for residents range from trips to the theatre, the east coast, sports quiz and discos. There was a residents annual holiday at Cleethorpes in June 07. Residents also celebrate Halloween and bonfire night. The last inspection report recorded that residents had invited friends, relatives and neighbours to their Halloween party. Photographs seen evidenced that residents go on 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 13 outings and have celebratory parties. One resident confirmed that he did not go on holiday with the home but stayed with his mother for two weeks. Past inspections have evidenced that residents attend the De Wint day centre and on the day of the inspection four residents were awaiting transport to attend the centre. One resident confirmed at this inspection that he works two days a week as a receptionist. Another resident confirmed that he undertakes gardening at the home. All three residents commented that they do chores in the home relating to maintaining their daily living skills and keeping their rooms and the home clean. The manager confirmed that residents have opportunities to attend placements and that on the day of this inspection only three residents were at home with the rest at day centres. This organisation has a policy about promoting contact with families and friends and respecting sexuality and relationships. The manager commented that relatives and friends are encouraged to visit the home and one resident who has a girlfriend, visits her and sometimes stays over. Residents at past inspections confirmed that they visit their relatives. One resident stated that when his father died the staff were really special and were there for him and helped him through it. A member of staff seen at the last inspection was on duty on the day of this inspection and commented that all residents are treated respectfully and she was aware of the core principals in maintaining their dignity and privacy. Residents surveys evidenced that nine of the ten people stated that they receive the care and support they need and one felt that he sometimes does. All ten people felt that they can do what they want during the day, evening and at weekends. Records received prior to this inspection and comments from previous inspections evidenced that menus are based on residents needs and preferences. Those residents who are diabetic and one on a low fat diet have a salad alternative to the main meal, which is held at 5pm. It was also found that those residents who went out all day usually had a pack-up meal of their choice. Three residents stated that the meals are nice and one said that he helps in preparing meals by sometimes peeling the potatoes. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff have undertaken medication training so as to ensure that they are proficient in administering medication. Medication risk assessments are available so as to ensure that there are minimal risks to residents. Residents health care needs are documented and met. EVIDENCE: Previous inspections have shown that there are satisfactory policies and procedures and systems in place relating to the administration of medication. This also includes residents being responsible for their own medication if assessed as being able to do so. One residents file was seen who self medicated; it was found that there was a risk assessment available, which had been signed and dated by the resident and the manager. Three people confirmed that they did not self medicate and stated that they get their medication on time. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 15 The pharmacist visited the home and carried out medication training with staff in May 07 with certificates of competence given which was placed in the training file. The medication cabinet has been lined with metal and a lock fitted to the door to ensure the security of medication. It was also found that medication was kept in a orderly manner with information available to carers regarding medication given to residents. Medications sheets and medication cassettes were seen and it was found that the senior carer had not signed for medication for one resident. The providers improvement plan evidenced that continuous training has been arranged for staff regarding the administration of medication with two carers currently undertaken this course. Residents files seen in January 07 evidenced that their health care needs are met. Daily records showed that residents see the their community psychiatric nurse, visit the local GP, optician and undertake dental appointments. A number of residents also have six monthly psychiatric reviews with the psychiatrist visiting the home to carry out this task. This was confirmed by three residents who also stated that they can make their own appointments to see the GP or the opticians. All residents in the home were fully mobile; however personal care is given in the form of prompts by staff regarding personal hygiene. A senior carer commented that all residents are very able but prompts are sometimes given regarding personal care issues. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Information is readily available to enable residents to make a complaint if they so wish. All staff have received safeguarding vulnerable adults training. Adult protection procedures are not adhered to in protecting vulnerable adults from possible risk of harm. EVIDENCE: Previous inspections of this home have shown that adult protection information was in place for the information of care workers. The homes pre-inspection questionnaire received by the commission also evidenced that no complaints or adult protection investigations have taken place. The homes complaint form was seen and found to have a space for a complainant to sign signifying that they were happy with the way the complaint had been dealt with or not. This inspection found that the provider did not have an up to date copy of the Local Authority Adult Protection Policy. The manager confirmed that she would contact the appropriate authority to obtain the latest policy. People spoken with were aware of the complaints procedure in the home and where to access it. They stated that they had not made any complaints and that they are ‘safe here with the support we get’ and ‘staff are very nice’. The manager has employed a domestic cleaner at the home as a casual worker. It was confirmed by the manager that the cleaner had worked for two weeks and no Criminal Record Bureau checks, Protection Of Vulnerable Adults 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 17 checks or references had been sought for this worker. The manager dismissed this worker on the day of this inspection. A carers personnel file was also seen and it was found that there was not an up to date Criminal Records Bureau check. The Criminal record check on file was from a previous employer, which is not transferable. Residents surveys showed that all residents knew who to speak to if they were unhappy and eight out of ten knew how to make a complaint. The homes training profile evidence that care staff had undertaken training on safeguarding vulnerable adults with an outside agency. A senior carer confirmed that she had undertaken safe guarding vulnerable adults training. The providers improvement plan showed that training had been arranged for staff relating to protecting vulnerable adults. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is clean and tidy and residents take pride in keeping their rooms clean. EVIDENCE: A previous inspection of this home in January 07 found the building was on the whole well maintained internally. The ongoing maintenance programme showed that all the issues relating to the fabric of the home, which needed attention had been carried out. The bath in house number ten requires attention as the side panelling is damaged. A resident showed the inspector around the home and his room, which was found to have been personalised and homely. He stated that ‘I like my room it has everything I need’. He also commented that he keeps it clean and tidy. It was found that all toilets were in working order and bathrooms and showers had non- slip bath mats. The plumber had been called during the inspection to 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 19 fixed a blockage caused by a resident. The home was found to be clean and no offensive odours were detected. Some residents look after their own rooms and carry out some of the cleaning tasks with support required to maintain a good level of cleanliness and maintain their independent living skills. Residents stated that the home is always clean and tidy. The residents survey evidenced that nine felt that the home was always clean and tidy and one felt that it was usually clean and tidy. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate recruitment practices are not in place to ensure the safety of residents. Staffing levels meet the needs of residents. Staff are undertaking training so as to enable them to support resident needs. EVIDENCE: Recruitment practices were not in place with one carers personnel file not containing a relevant Criminal Record Bureau check and another worker not having any checks undertaken. See national minimum standards 22 & 23, concerns, complaints and protection. Workers in the home have been given the General Social Care councils pack relating to the registration of care workers and the philosophy of the Care Council for all social care homes. An Individual training plan for all carers (needs training profile for all staff) was received by the commission in 2006. The training record file identified the two 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 21 members of staff have National Vocation Qualifications (NVQ) training in care level 2. The manager said at this inspection that another carer was currently undertaking NVQ training and three others are starting this course in July 07. This home employs seven carers. In January 2007 one senior carer said that she has NVQ training level 2 and has undertaken first aid, diabetes awareness, moving and handling and induction training. The homes pre-inspection questioner and the provider’s improvement plan evidenced that mental health awareness training is planned for the near future. The manager confirmed that staff undertake the homes induction and Skills for Care foundation training. A previous inspection found that the staff rota showed that there were enough staff numbers according to the staffing matrix. Residents and staff confirmed at that inspection that there were enough staff members on duty to complete their tasks. The manager is currently recruiting another carer due to a shortterm vacancy. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good health and safety procedures protect residents from harm. The home undertakes quality assurance monitoring checks that help to empower residents. EVIDENCE: The registered manager has worked in this home for thirteen years and has a NVQ training specific to mental health level 3. She is also currently completing a diploma in management. Comments made by staff and residents confirmed that the manager is approachable and supportive. The homes pre-inspection questionnaire showed that; gas safety inspections have been carried out, electrical wiring checks, fire precautions checks, and 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 23 portable electrical equipment checks. The manager stated that risk assessments are available relating to the home environment. The home has now undertaken its own in house resident’s quality assurance audits since 2005. The surveys were seen and found to address all environmental issues as well as comments from residents and visitors to the home. The surveys were seen and found to also address all environmental issues. Comments made in a survey by a psychiatric nurse was that; ‘a good standard of care is delivered by staff with an excellent approach to residents’. All residents’ surveys also contained positive comments about all aspects of care delivery. The manager now needs to undertake an analysis of the outcomes of questionnaires and post this on the notice board for the information of residents/relatives and visitors. 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 2 X x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 x 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 3 33 X 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000062565.V345030.R01.S.doc LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 8-10 Richmond Road Score 3 3 2 x 3 x 3 x x 3 x Version 5.2 Page 25 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA3 Regulation 14 Requirement All people assessing this service must have an assessment of care needs undertaken by the provider so as to help ensure that the home can meet their needs and aspirations. The provider must ensure that there are robust staff recruitment procedures. (This requirement has not been met and a new timescale for action has been set.) Timescale for action 24/09/07 2. YA34 YA23 19 1(b) 4 (b) schedule 2 24/08/07 3. YA35 18 (c)(i) The provider must ensure that 24/09/07 carers employed in the home receive training specific to this client group. (This requirement has been partially met and a new timescale for action has been set.) 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 8-10 Richmond Road DS0000062565.V345030.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!