Inspection on 05/04/06 for 9-10 Jutland Place

This inspection was carried out on 5th April 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

9-10 Jutland Place 22/08/07

9-10 Jutland Place 10/10/05

9-10 Jutland Place 12/04/05

9-10 Jutland Place 03/11/04

9-10 Jutland Place 10/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Jutland Place (9/10) 9/10 Jutland Place Pooley Green Egham Surrey TW20 8ET Lead Inspector Vera Bulbeck Key Inspection 04/04/06 14:20 Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jutland Place (9/10) Address 9/10 Jutland Place Pooley Green Egham Surrey TW20 8ET 01784 436647 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) www.mencap.org.uk Royal Mencap Society Care Home 8 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: UNDER 65 YEARS OF AGE One named service user, who is over the age of 65 years, may be accommodated in the home. Date of last inspection Brief Description of the Service: Jutland Place is situated close to Egham town centre, in a quiet residential cul de sac. The home is a detached property formed from two semi-detached houses and in keeping with the surrounding area. The home is within walking distance of local amenities. The premises provide accommodation and care for 8 residents, male and female, with learning disabilities. Single bedrooms are situated on the first and ground floor. Communal facilities such as the Lounge, kitchen and conservatory/dining area are on the ground floor and the home has its own private garden to the rear. There is ample car parking at the side of the property. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit to be undertaken by the Commission for Social Care Inspection for the year April 2006 to March 2007. The site visit was over a period of five hours. For details of how each standard was met please refer to the main body of the report. It was disappointing to note that a number of requirements made at the previous inspection had not been met. Out of the nine requirements five were still outstanding, some of these requirements have been carried over from previous inspections 29/06/04 and 13/12/04. It was necessary on the day of the visit to make an immediate requirement regarding eight tins of paint, a container of white spirit and cleaning materials left on the work surface of the unlocked laundry. All items were removed before the inspector left the premises. The Pharmacy Inspector visited the home on 1st December 2005 to undertake a pharmacy inspection. It was noted that eight requirements were made and six recommendations. Three of the requirements had not been met and three recommendations. The site visit was unannounced, which meant that visitors, staff and residents were not aware of the visit prior to it commencing. The inspector had the opportunity to speak with all the residents who live at the home. The majority were very complimentary about the home and staff. A full tour of the premises was undertaken. Three care plans were observed. There was only one member of staff on duty with five residents in the home at the time of arrival, and at 16.00 another member of staff came on duty that was undertaking the sleeping in night duty. Both members of staff were spoken with during the visit as well as seven residents. A number of comment cards were left for residents, care managers and professional staff to be completed and returned to Commission for Social Care Inspection (CSCI). Mrs V Bulbeck, Lead Inspector for the service carried out the site visit. Mrs M Kelly the manager of the home was not available. The home is registered for eight places. There are currently seven residents living in the home. The staff were observed to be courteous and the atmosphere within the home was relaxed and friendly. The inspector would like to thank the residents and staff for their co-operation and hospitality during the inspection. The residents living in the home wish to be called residents, therefore service users will be referred to as residents throughout the report. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 6 An action plan must be submitted to the Commission for Social Care Inspection (CSCI) with dates and timescales regarding the requirements made at the site visit on 05/04/06 and the outstanding requirements from previous inspections. What the service does well: What has improved since the last inspection? What they could do better: The management of the home needs to review the staffing levels. In the event of an emergency it is unsafe for one member of staff to be in the home with five residents. All staff require appropriate training particularly regarding the protection of vulnerable adults. Any changes regarding residents meals served different to the daily menu must be recorded. A meat probe to be used and a record of the temperature of cooked meat must be recorded to ensue the health and safety of all residents. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 7 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. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 8 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 Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. A resident’s (service user’s) guide is available but needs to be reviewed. The needs of prospective residents are assessed, but the format needs to be reviewed. EVIDENCE: The homes statement of purpose needs to be up dated and should include details as specified in Schedule 1 of the Care Homes Regulations. A resident’s guide to the home and the services it offers has been drawn up and was shown to the inspector. This document also needs to be updated on a regular basis. Both documents need to be service user friendly. The manager was not available at the time of the visit and the staff on duty were not aware of the procedure regarding a pre-admission assessment of prospective residents, to ensure that the home can meet their needs. The residents have been living in the home for some considerable time and therefore assessments were not available. It is required, that assessments are only carried out by staff that are suitably qualified or suitably trained. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. The resident’s individual plans need to be updated and more input from the resident’s. Clear and comprehensive details of needs and goals required. They also need to incorporate known or indicated preferences and choices, and include in depth risk assessments. EVIDENCE: Residents are involved in the day-to-day running of the home. Residents commented they assist with household shopping, with menu-planning, cooking and household tasks. Residents were observed to be supported when cooking the evening meal; one resident is able to make refreshments for herself and visitors. Residents meetings are held and an agenda was displayed on a notice board. A number of risk assessments on residents need to be undertaken as the inspector was informed that residents will be undertaking more jobs around the house. There is a key worker system in operation in the home and residents commented they like having a key worker. All residents have a diary completed twice a day by staff with up to date information regarding the Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 11 resident. Each resident has a weekly activity programme, which is displayed on the office door. This system also helps the staff with regards to preparing lunch boxes. The notice board displays the weekly residents meeting, and an information sheet and newsletter. All residents except one were able to communicate and stated they like living in the home and would not want to move anywhere else. There were positive comments about staff and it was very clear that residents have a good rapport with the staff. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. The residents have opportunities for personal development and to take part in appropriate activities within the home and in the local community. They are supported and enabled to maintain and develop appropriate personal and family relationships. Systems are in place to ensure that residents’ rights are respected. EVIDENCE: Residents are supported to make choices in their everyday lives as far as they are able. Families of residents are consulted and encouraged to be involved in the decision making process. The inspector advised the staff on duty to involve an advocate for those residents who do not have any family or friends. The majority of residents are involved with Adult Education courses; one resident attends a course on computer skills and has a computer in his bedroom. The resident informed the inspector he spends time on the computer every day. Other residents undertake flower arranging and arts and craft, a resident was busy working in her bedroom on the day of inspection with arts and craft, she informed the inspector that she enjoys it so much that she likes working at home. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 13 Some residents go to a day centre. It was noted that some residents are able to go home to their parents for the weekend and last year one resident went on holiday with a member of her family. Residents are able to use public transport with a member of staff and regular shopping trips are organised. There is considerable involvement with the local community. The residents like to go ten pin bowling as well as various other activities. Including going to the local church when they choose to do so. All residents have a key to their bedroom and when they go out they lock their bedroom door. Residents informed the inspector that they are involved with the menu planning and eat healthily. Food intake and nutritional content is monitored and all residents are weighed monthly. Comments from residents regarding food were very positive and all stated they enjoy the food; residents are involved with the cooking. Any changes to the menu need to be recorded and cooked meat needs to be temperature tested and recorded. The home has a quality assurance system in place to gain feedback from residents and their families. All members of staff receive training at induction on respecting and promoting the rights of residents and all residents are registered to vote. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Personal support is provided appropriately and resident’s healthcare needs are well met. However, medication procedures need to be reviewed, any changes to medication must be undertaken by the doctor or pharmacist. EVIDENCE: It was evident from observation, that residents are supported with their personal care in a manner that promotes their choice, privacy and dignity. Individual wishes regarding the gender of staff giving personal support is recorded in individual plans. A key-worker system is in place to ensure continuity and consistency of support and most residents were able to name their key-worker. Healthcare needs are met by a number of healthcare professionals, including general practitioners (G.P.’s), district nurses, community psychiatric nurses (CPN’s), speech and language therapists and psychologists. Contact with these professionals is recorded in individual plans. The Pharmacy Inspector visited the home on 1st December 2005 to undertake a pharmacy inspection. It was noted that eight requirements were made and six recommendations. Three of the requirements had not been met and three recommendations had not been met. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 15 There are only three residents on medication and all require support. It was noted in the medication cabinet that one packet of tablets medication was without the name of the person intended for and was without instructions of administration. It was also noted that the dose on a residents eye drops had been changed from two to once daily. There was no record to indicate the correct dose for the eye drops. The other medication sheets were well documented and signed for appropriately. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Policies are in place to protect residents from abuse and neglect but lack of staff training is placing residents at possible risk of harm and abuse. EVIDENCE: The records indicated the home has not received any recorded complaints since the previous inspection. Copies of a complaint form were seen to be hanging in a plastic wallet inside the front door. There is also a copy of how to make a complaint in picture format for the residents, this was observed in a residents care notes. When asking a resident if she had been given a copy of the complaints form, the answer was no. All residents should be provided with a copy. Further to speaking with the staff, it was clear they require training in the protection of vulnerable adults and whistle blowing. The home holds a copy of the Surrey Multi Agency Procedure for the Protection Of Vulnerable Adults. This procedure should be followed in the event of concerns being raised about residents being, or at risk of being abused in any way. Both members of staff on duty have been working in the home for over a year, and one member of staff had been left in charge of the home. Either member of staff was not aware of the procedures regarding the protection of vulnerable adults. On the day of the visit the training plan was not available. Staff commented they are aware of their responsibility to report any concerns they have and stated that they would report any concerns to the manager. It is recommended that training for all staff in the protection of vulnerable adults be carried out on a regular basis. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 17 Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to meet residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: The premises were found to be clean and hygienic and staff to be congratulated on the cleanliness of the home. The inspector would recommend that all bathrooms, toilets and kitchen have paper towels to ensure the risk of cross infection is eliminated. Staff stated that each resident has their own bedroom and these had been made personal with pictures and posters, televisions, music and radio facilities and individual bedding and soft furnishings. Bedrooms were seen to be of a good size and some residents had personal computers and desks fitted in their bedrooms. A number of residents showed their bedrooms, of which they were justifiably proud. It is pleasing to see that each room is individually decorated and residents are supported to choose the colour schemes to suit their preferences Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 19 One resident had recently changed rooms, to a preferred position, as a room became vacant. It had been re-decorated in her choice of colours. A large lounge, which is open plan to a dining room in the conservatory, forms the main communal area of the home. The house is furnished to a good standard to suit the needs of the residents. French doors from the conservatory open onto an enclosed garden to the back of the house. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35 and 36. All interactions observed between staff and residents evidenced a high degree of respect and skill in working with the individual residents at the home. Action must be taken to improve the staff training. EVIDENCE: It was observed on the day of the visit there was only one member of staff on duty until 16.00 with five residents. The rota also indicated that at times there is only one member of staff on duty. This practice is unsafe and must be reviewed immediately. Staff undertake the cleaning and cooking in the home, as well as care for the residents. Recruitment records were not available on the day of the visit, as the manager was not on duty. However, the staff member in charge informed the inspector that when she started work in the home April 2005 a criminal record bureau (CRB) check was undertaken and all new staff complete an induction programme. All staff should be provided with a copy of General Social Council code of conduct document. A number of courses have been undertaken by staff some certificates were seen, however, the management of the homes needs to implement a training plan to enable to view at a glance where there are shortfalls in training. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 21 Staff supervision needs to be undertaken on a regular basis at least six times a year. A member of staff informed the inspector, the last supervision she had received was about Christmas time. These records were not available. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. The resident’s benefit from an open, positive and inclusive atmosphere. The systems for resident’s consultation are varied and have been devised specifically to enable the residents to make their views known. Action must be taken to ensure the health, safety and welfare of residents is covered at all times. EVIDENCE: A number of records were not available and some records need to be reviewed and streamlined. Particularly, where staff should be familiar with the Care Homes for Younger Adults, National Minimum Standards and be responsible for ensuring the home is meeting all the standards. Staff should also be aware of how often a fire drill needs to be undertaken. A risk assessment needs to be undertaken on the whole house, and an emergency plan needs to be in place. The accident book was not available therefore the inspector was unable to trail the record of which resident has had an accident in the house. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 23 In the laundry it was noted that several large tins of paint were stored as well as white spirit. There was also cleaning materials. These items were removed immediately. All hazardous substances must be stored in a locked cupboard at all times. The registered manager must ensure that staff left in charge of the home must be suitably qualified. On the day of the visit the member of staff on duty had not received sufficient training, for example had not received the Protection of Vulnerable Adults training and was not aware of the whistle blowing policy. All communal kitchen, bathrooms and toilets require paper hand towels, this is to ensure the risk of cross infection. Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 3 X 2 2 X Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 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 YA21 Regulation 18(1)(c )(i) Timescale for action The requirement that staff 31/05/06 should receive training in ageing and death is outstanding from 2 previous reports. (Timescale (29/06/04) (13/12/04) and (18/10/05 not met). The home must review its use of communal towels in the shower/toilet downstairs and carry out a risk assessment with regard to cross infection hazards. (Timescale 11/10/05 not met). The home should keep under review the ‘staff to resident’ ratio and calculate the numbers of staff required using the Residential Forum matrix. This calculation should be sent to CSCI. (Timescale 10/12/05 not met). The home must devise a written training and DS0000013538.V288416.R02.S.doc Requirement 2. YA30 13(3) 31/05/06 3. YA33 18(1)(a) 31/05/06 4. YA35 18(1)(a) 31/05/06 Jutland Place (9/10) Version 5.1 Page 26 development plan for all staff as outlined in the report. (Timescale 10/12/05 not met) 5. YA42 13(4)(a)(b)(c) The home must carry out 31/05/06 risk assessments on the hot water accessible to residents in the kitchen, and the use of the community punishment team for the gardening. The home must also make arrangements for the electrical wiring to be inspected; Legionella tests to be carried out, and they must take advice from the environmental health officer on the new kitchen. (Timescale 18/10/05 not met). Risk assessments to be undertaken on all residents. Medication procedures to be reviewed including changes to instructions on medication must only be changed by the pharmacist or G.P. Eye drops dispensed for one service user dosage had been changed on the label from twice daily to once daily. (Timescale 02/12/05 not met). All staff to receive the protection of vulnerable adult training and must be aware of the whistle blowing policy. The use of paper towels should be used in all hand washing communal areas. The registered person to DS0000013538.V288416.R02.S.doc 6 7 YA9 YA20 13 13 31/05/06 28/04/06 8 YA23 13 31/05/06 9 10 YA30 YA35 16 13 31/05/06 31/05/06 Page 27 Jutland Place (9/10) Version 5.1 11 YA36 18 12 YA41 17 13 14. YA42 YA42 13 13 15 YA42 13 ensure that staff training and development programme meets the Sector Skills Council Workforce training and staff fulfil the aims of the home and meet the needs of the service users. Staff must receive regular supervision to enable them to carry out their jobs. Records required by regulation for the protection of service users and available must be well maintained, up to date and accurate. All hazardous substances are kept in a locked facility. A meat probe to be used and a record of the temperature of cooked meat must be recorded. A fire risk assessment to be undertaken on the whole house including all areas. 31/05/06 28/04/06 05/04/06 28/04/06 28/04/06 Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 28 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 YA1 Good Practice Recommendations The home should consider providing the service user guide and statement of purpose in a format more accessible to residents. (Carried forward from the previous inspection). MENCAP should reconsider their decision not to allow residents to have an optional funded 7-day holiday this year as recommended in the NMS. (Carried forward from the previous inspection) The frequency of staff supervision should be kept under review to ensure there are no significant time lapses between supervision sessions, and the 6-8 sessions per year are fairly evenly spread. (Carried forward from the previous inspection). 2. YA14 3. YA36 Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 29 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Jutland Place (9/10) DS0000013538.V288416.R02.S.doc Version 5.1 Page 30 - 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!