Inspection on 09/01/07 for 8-10 Richmond Road

This inspection was carried out on 9th January 2007.

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 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 11 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 03/07/07

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 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ Lead Inspector Mr Doug Tunmore Key Unannounced Inspection 9th January 2007 09:15 8-10 Richmond Road DS0000062565.V324341.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.V324341.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.V324341.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 8-10 Richmond Road Address 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ 01522 887123 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) 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.V324341.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 1st December 2005 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 £348.00. 8-10 Richmond Road DS0000062565.V324341.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 site inspection consisted of case tracking a sample of two 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 lunch. The inspector also spent time with the manager and a senior carer. The pharmacist was contacted during this inspection. 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: Not all residents have care plans, which set out their goals and aspirations for their future. One resident had not signed his risk assessments or daily activities sheets to signify that he agrees with them and any restrictions that they may place upon him. 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 6 The homes medication cabinet was found to be not fit for purpose at this inspection and the pharmacist inspection. Medication was also found loose in the staff room/sleeping in room and medication had been taken from the wrong days from the blister pack. Other medication was stored in a filing cabinet, with other items unconnected with the administration of medication. One resident who self medicates did not have a risk assessment drawn up by the provider to ensure that risks are kept to a minimum. Complaints forms seen did not empower residents in the complaints process. Care workers training needs must be undertaken by an outside training agency to ensure that the quality of training meets the residents and care staff’s needs. Training must be provided relating to the specific needs of this client group, including safe guarding vulnerable adults training. The provider must undertake quality assurance checks to ensure that the home is providing adequate care for residents and thus enabling them to have a say in the care being provided. Personnel files seen evidenced that one carer who started work on the 05/01/07 did not have the required documentation required by regulation. 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.V324341.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.V324341.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): 1, 2 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a comprehensive care needs admission assessment, which helps to ensure that a residents needs would be met. Residents are given a copy of the providers’ service users guide. EVIDENCE: A review of all information available prior to this inspection and evidence seen at a previous inspection carried out in December 05 demonstrates that the home would admit residents only after a care needs assessment has been undertaken with other health care agencies. Information sent by the provider evidenced that a letter confirming that the home could meet residents needs is sent prior to a placement taking place. A contract was also seen setting out the terms and conditions of this placement. A prospective residents pre-admission visits list was seen and recorded visits to the home. These visits included a meal with other residents and then tea and an overnight stay. Evidence was also available that a community psychiatric nurse was involved in the care needs assessment process. 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 9 The service user guide is comprehensive and contains information for residents, especially on the availability of various support groups for mental illnesses in the area. House rules are also included as well as information about the daily routines of the home. The manager confirmed that the last resident to be admitted had a preadmission visit accompanied by a relative and a community psychiatric nurse. Two residents, one of whom was being case tracked, stated that they had received a service users guide and had visited the home before moving in. 8-10 Richmond Road DS0000062565.V324341.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 adequate. This judgement has been made using available evidence including a visit to this service. Not all residents have been actively involved in their care plans relating to risks and activities. Residents feel that they have the freedom to come and go as they wish. EVIDENCE: A review of all information available prior to this inspection and a previous key inspection carried out in December 05 at this home evidenced that residents had an individual detailed care plan. This inspection found that those 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. However, one residents assessment sheet and daily activities sheet had not been signed to confirm that the resident agreed with the contents of these care plan documents and any restrictions they may place on him. Also no 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 11 assessment had been made relating to any goals or aspirations that one resident might have. Two residents stated that their care plans were regularly updated and that they were involved in this process with their key worker. Both residents said that they had signed their care plan, agreeing to the care being provided by the home. Both residents stated 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. Resident’s files and any other personal information held by the provider is kept in a safe place. This inspection found that regular 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. 8-10 Richmond Road DS0000062565.V324341.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. Service users had 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 2006 and planned 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 Mablethorpe and boat trips out to a Lincolnshire pub. 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 outings and have celebratory parties. 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 13 Past inspections have evidenced that residents attend the De Wint day centre, one resident who is over 65 attends a day centre for older people, one was at an outreach centre and one resident was undertaking voluntary work at a local Healthy Living group. Two residents seen confirmed that they had undertaken a holiday to the Lincolnshire coast. One also said that he goes to the contact club for activities and that he has a voluntary job at a computer centre as a receptionist and doing computing work for two and a half days a week. He also confirmed that he has gone on holidays to the east coast and Norfolk. Both 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 the opportunities to attend placements and that on the day of this inspection only three residents were in house with the rest at day centres, shopping or at the contact club. 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. Both residents confirmed that they visit their relatives and one said that he offers support to his father. 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 said that all residents are treated respectfully and she was aware of the core principals in maintaining their dignity and privacy. 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. The regulator joined three residents for lunch who said that the meals were good at this home and they have their main meal in the evening where there are choices. One resident stated that he looks forward to Sunday lunch especially if it is roast beef. 8-10 Richmond Road DS0000062565.V324341.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 poor. This judgement has been made using available evidence including a visit to this service. Staff are not proficient in administering medication. Medication risk assessments are not available so as to ensure that there are minimal risks to residents. Medication is not kept in a safe place. Residents health care needs are 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 able to do so. However, one residents file was seen who self medicated, it was found that there was no risk assessment available to ensure that risks regarding medication are kept to a minimum. A resident confirmed that he self medicated and kept his medication in his room. 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 15 The pharmacist visited on 21/11/06 and the report showed that the administration of records and storage and stock control was undertaken. The wooden medication cabinet was seen as not being ‘well fixed to the wall and easy to take off’. Also ‘the medication draws, at least one of them does not fully close’. This inspection found that the provider had not addressed these issues. The pharmacist was contacted at the time of the inspection and confirmed that medication is not stored satisfactorily. It was also found that medication belonging to a resident was loose on a bed in the office/sleep-in room. This residents medication pack was seen and it was found that on the 05/01/07 medication was missing and was supplemented by Sunday the 14/01/07 medication. The manager confirmed that this had taken place and appropriately recorded this problem. Only senior members of staff should administer medications and training now needs to be implemented for all carers by an outside agency on the administration of medication. The manager stated that she would take advice from the pharmacist regarding the storage of medication. Those residents files seen showed that residents health care needs are met. Daily records show 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. Two residents confirmed that they receive the medical care they need. All residents in the home were fully mobile; however personal care is given in the form of assistance and 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.V324341.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 adequate. This judgement has been made using available evidence including a visit to this service. The home provides a safe environment in which residents are protected from abuse. The providers complaint form does not empower residents. Not all staff have received safeguarding vulnerable adults training. 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 not to have a space for a complaint to sign signifying that they were happy with the way the complaint had been dealt with or not. This inspection found that the provider had an up to date copy of the Local Authority Adult Protection Policy. Residents 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 ‘the home is well run and they (the staff) care about us’. ‘Best place we have been’. The homes training profile did not evidence that care staff had undertaken training on safeguarding vulnerable adults outside of the homes in house training. A senior carer confirmed that she had not undertaken safe guarding vulnerable adults training. 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 17 Residents seen confirmed that they felt safe in this home and that ‘staff were easy going and good and they are excellent - couldn’t hope for a better crew’. 8-10 Richmond Road DS0000062565.V324341.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 adequate. 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. Maintenance requirements from 2005 have not been fully carried out. EVIDENCE: A previous inspection of this home in December 05 found the building was on the whole well maintained internally. The ongoing maintenance programme showed that not all the issues relating to the fabric of the home which needed attention had been carried out. One stiff door in number 8 had not been fixed and remained stiff and difficult to open or close. Residents commented that the door had been like that for a long time. A resident showed the inspector around the home and his room, which was found to have been personalised and homely. He stated that ‘I help in daily chores to keep my room clean and tidy’. It was found that all toilets were in working order and bathrooms and showers had stained non- slip bath mats. 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 19 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. At the time of this inspection workmen were installing a damp course throughout the home. 8-10 Richmond Road DS0000062565.V324341.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 poor. This judgement has been made using available evidence including a visit to this service. Appropriate recruitment practices are not in place. Staffing level meets the needs of residents. Staff are not trained to carryout their care tasks. EVIDENCE: Recruitment practices were not in place with one staff personnel file not containing references relating to the character or previous work record of a carer. Another personal file did not contain a carers photograph. None of the 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. The manager took details of this organisation and confirmed she would contact them as soon as possible. An Individual training plan (needs training profile for all staff) was received by the commission. The training record file identified the two members of staff have National Vocation Qualifications (NVQ) training in care level 2. The manager said that another carer was currently undertaking NVQ training and 8-10 Richmond Road DS0000062565.V324341.R01.S.doc Version 5.2 Page 21 two others were awaiting a date to start this course. This home employs seven carers. 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 manager confirmed that staff undertake the homes induction and Skills for Care foundation training. The manager confirmed that none of the carers had undertaken training specific to this client group. 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. 8-10 Richmond Road DS0000062565.V324341.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents are protected by good health and safety procedures. The home does not undertake regular quality assurance monitoring checks. Residents who live in this home benefit from the leadership and management of the home. EVIDENCE: The registered manager has worked in this home fro 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.V324341.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 not undertaken its own in house resident’s quality assurance audits since 2005. The manager showed the inspector questionnaires, which may be amended in 2007. The home must carryout an audit of resident’s views using user-friendly questionnaires, which over a period of time gains residents comments on all aspects of the running of the home. The manager said that an analysis is not undertaken of the outcome of questionnaires nor is information posted for the information of relatives and visitors. Residents confirmed that meetings are held and comments indicated that they felt able to raise concerns with staff if they had any. 8-10 Richmond Road DS0000062565.V324341.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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 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 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 x LIFESTYLES Standard No Score 11 X 12 4 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 2 x x 3 x 8-10 Richmond Road DS0000062565.V324341.R01.S.doc 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. 2. Standard YA6 YA6 Regulation 15 15 Requirement The provider must ensure that that care plans include the goals and aspirations of residents. The provider must ensure that the service user or their representative have signed their assessments and daily activities sheets to demonstrate that they agree with the content. The provider must ensure that there is appropriate and safe storage for medication. The provider must ensure that there is safe handling of medication and medication is not left on beds or the floor. The provider must ensure that those service users who self medicate are risk assessed and service users signs the risk assessment agreeing to its conditions. The provider must ensure that only senior carers administer medication and that all staff undertaken appropriate medication training. The provider must ensure that all staff receive training in all aspects of safe guarding DS0000062565.V324341.R01.S.doc Timescale for action 24/03/07 24/03/07 3. 4. YA20 YA20 13 (2) 13 (2) 24/03/07 24/03/07 5. YA20 13 24/03/07 6. YA20 13 24/03/07 7. YA23 13(6) 24/03/07 8-10 Richmond Road Version 5.2 Page 26 vulnerable adults. 8. YA24 23(2)(b) The registered person must make the following repairs to number 8; the door closer to the lounge is stiff and difficult to open. (The timescale of the 26/01/06 has not been met and a new timescale has been given) The provider must ensure that there are robust staff recruitment procedures. The provider must ensure that carers employed in the home receive training specific to this client group. The provider must undertake reviews at regular intervals of the quality of care at the home and inform service users, relatives and visitors of any survey undertaken. 24/03/07 9. 10. YA34 YA35 19 18 (c)(i) 24/03/07 24/03/07 11. YA39 24(a)(b) 24/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA22 Good Practice Recommendations The provider should produce a complaints form, which empowers service users by including them in the complaints process. 8-10 Richmond Road DS0000062565.V324341.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.V324341.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. 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