Inspection on 07/08/05 for 9 Perrys Close

This inspection was carried out on 7th August 2005.

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 no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

9 Perrys Close 08/11/05

9 Perrys Close 03/08/04

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Insight - Eastchurch

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

CARE HOME ADULTS 18-65 9 Perrys Close 9 Perrys Close Faversham Kent ME13 7BX Lead Inspector Kim Rogers Unannounced 07/08/05 at 09:45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 9 Perrys Close Address Perrys Close, Faversham, Kent, ME13 7BX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01634 405168 The Kent Autistic Trust Registered Care Home 6 Category(ies) of Learning Difficulties x 6 registration, with number of places 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: This home provides personal care and support to up to 6 adults from 18 years to 65 years who have a learning disability. Date of last inspection 3/08/04 Brief Description of the Service: 9 Perry’s Close is a detached purpose built modern property situated in a no through road in Faversham. The property was completed in June 2004. Service users and staff formally lived and worked at 1&2 New Houses, South Street, Faversham.The Home is registered to provide personal care and support to 6 younger adults (under 65 years) who have learning disabilities. The Kent Autistic Trust runs the Home. All six bedrooms are for single occupancy and have en suite shower and WC facilities. Accommodation is set over two floors accessed by stairs. There is a large reception area, lounge, dining room, kitchen, laundry room and private meeting room. There is a garden to the side and rear of the property accessed from the lounge and dining room. There is parking to the rear and front of the property.The M2/A2 motorways can access Faversham. There are local shops and a pub nearby as well as a train station and bus stops. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home is run by the Kent Autistic Trust (KAT) this inspection was unannounced and carried out on a Sunday morning by Kim Rogers from 09.45 to 13.30. All four service users were at home with two staff. A third member of staff arrived at 11.00. One staff was from an agency and the other 2 staff were casual relief KAT staff. The new manager, Emma Cavender was not at the home for this visit. The Inspector spoke to staff and service users, looked around the home and looked at records. Staff assisted the Inspector. One service user was having a lay in, as it was Sunday. Service users enjoyed a cooked full English breakfast. The atmosphere was happy and relaxed, which suited service users. All appeared happy and calm. One service user said he was ‘chilling out’ today. Some service users were watching the world athletics championships on the television. The home was clean and orderly. Staff on duty although not part of the permanent staff team are long standing, experienced casual KAT staff. The agency staff has previously worked for KAT and has known the service users for a number of years. The 2 other staff on duty have worked for the KAT for several years, one currently works at the KAT day centre in Medway. Staff spoke with knowledge and understanding of service users needs. Staff were interacting with service users in a positive, respectful manner. Staff assisted the Inspector. Because the home was registered after 1/04/04 only one inspection was carried out last year on 3/08/04. What the service does well: What has improved since the last inspection? 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 6 The Trust has recruited a permanent full time manager since the last inspection. Previously an acting manager from another KAT home was overseeing the day-to-day management. Staff said there are more staff meetings now, which they as casual staff are invited to. Service users have contracts detailing the terms and conditions of their stay. A Statement and Purpose and Service user guide has been produced with pictures, photographs and symbols. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,5 Prospective service users have the information they need to help them make a decision about this home. Service users know their needs will be assessed. Service users know this home will meet their needs. Service users are aware of the terms and conditions of their stay. EVIDENCE: The home has a Statement of Purpose and Service User Guide, which are suitably detailed. The Standards and Regulations set out in detail what is to be included in the Statement of Purpose and Service User Guide. This ensures that Service Users have the information they need, in a suitable format, to enable then to make an informed choice about the home. Both of the documents have colour photographs, pictures and symbols and are displayed on a communal notice board by the office. The home should be commended on producing these documents in a suitable format for service users. The Inspector sampled service user plans looking at one in detail. Most of the service users at this home have been supported by the KAT for a number of years. Initial assessments were included in service user plans. This home has been purpose built so the environment is suitable for the needs of the service users. Rooms are light and spacious. The garden is secure and not overlooked. The home is intended for long-term care and support. Staff spoke with knowledge and understanding about supporting service users with 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 9 autistic spectrum disorders. KAT provides extra staff support where necessary to ensure the home continues to meet service users needs. Staff spoke of accessing specialist support and guidance when necessary. Staff were observed communicating positively and effectively with service users. The Inspector saw some information about independent advocacy services on a notice board. As required at the last inspection service users have been issued with a contract detailing the terms and conditions of their stay. A representative of KAT had signed the contracts, which were read and explained to service users. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9,10 Service users cannot be sure their changing needs will be identified and supported. Service users cannot be sure that all potential risks will be assessed and kept under review. Service users know they will be supported to make decisions. Not all information about service users is kept confidentially. EVIDENCE: Each service user has a service user plan or care plan. This is developed from the initial assessment. The Inspector sampled service user plans and looked at one in detail. Some parts of this plan were dated 1991. Some recorded the service users previous address as current. Some service users have limited verbal communication but no communication guidelines were seen. Needs were recorded with actions by staff to meet the needs. However there was limited review evident so any changes in need may not be identified, recorded and supported. It was evident that service users and their representatives have been involved in the care planning process. Some risk assessments were out of date and had not been reviewed for a while. One service user plan stated that a service user would not always say when he is in pain. There was no risk assessment for this. Although formal reviews are held six monthly or 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 11 yearly, the Inspector made a requirement that all service users plans and risk assessments are updated and reviewed regularly, that is at least monthly. All potential risks to service users must be identified and assessed and where possible eliminated. The Inspector read that the manager plans to introduce ‘essential lifestyle planning’. The Inspector welcomed this as this model encourages much more detail than currently present. The Inspector noted that most information about service users is held separately and securely, however the home has one file with personal care information about all service users. There was also some confidential information about a service users ‘drinks plan’ on a communal notice board. The Inspector required that individual information about service users be held separately and securely to ensure confidentiality and compliance with the Data Protection Act 1998. The Inspector observed service users making decisions about all aspects of daily life from choosing what to wear to what to do and what to eat. Staff were supporting this decision making process. All service users have a named key worker. The Inspector saw information about independent advocacy services on a communal notice board. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 Service users activities. Service users leisure. Service users Service users Service users EVIDENCE: have opportunities for personal development and suitable feel part of the local community and have opportunities for know their relationships will be supported. know their rights will be respected. enjoy a healthy diet. Staff said that service users are supported with all aspects of daily living skills depending on their need. The Inspector observed this during the visit. The Inspector saw individual activity planners, which included designated support for personal shopping, household chores and laundry. Staff said service users have had support to access the facilities in the local community including the local pub and restaurants. There was information about local events on the notice board. Most service users attend the KAT day service in Medway. Service users have friends at the day centre and have known each other for several years. Weekly planners were seen which included time and support for 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 13 developing life skills. During the visit service users went shopping with staff for food. Service users helped unload the car and unpack the shopping. Most of the service users at the home communicate verbally. Spiritual needs are recorded in service user plans, however due to the need for review and update of service user plans there was no evidence of these needs being met. Some plans recorded that service users had goals like making coffee. One was dated 2/2/04. This goal was broken into small steps but without any review since 2/2/04 the Inspector could not tell if this goal was achieved or if support given was effective. Service users have opportunities to participate in a variety of activities. Service users hobbies are supported. Some service users who like trains visited a steam railway recently. Staff said that activities are planned to meet service users needs. The home is in keeping with the other new homes in the close. Service users access local events with staff support. Staff said that extra staff could be called on if necessary for outings and activities. There is a mini bus that staff can use to access community facilities. Local pubs, shops and restaurants are accessed. Service users have support to keep in touch with their families and friends. One service user plan detailed that staff support a service user to telephone his family weekly. Families are involved in care planning and are invited to formal reviews. The Inspector observed the Sunday morning routine. The atmosphere was relaxed with service users getting up in their own time and choosing how to spend their day. The pace of life suits service users needs. Staff said it was a ‘typical Sunday’. Staff prepared a cooked breakfast then lunch of French bread or rolls with a choice of fillings. The evening meal was to be a roast dinner with fresh vegetables. Staff eat with service users. The week’s menu is displayed on the notice board. The menu is planned after talking to service users. Service users eat out twice a week. The dining room is spacious and attractive. The mealtime was relaxed with service users given the time they need. Staff cater for special diets and showed understanding of this. Preferred forms of address are recorded. Service users have access to the communal parts of the home. Service users are registered to vote. There was some information from the Disability Rights Commission about how to vote. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 Service users know their personal care needs will be met. Service users health needs are met. EVIDENCE: Service user preferences about how they are supported with personal care needs were not detailed in service user plans. Each service user had a record sheet showing personal care support. This was in the form of a tick chart, which staff tick when they have provided support. One sheet stated ‘wet shave’. This need should be detailed showing the support needed with intervention by staff to meet this need. There should also be some sort of evaluation record relating directly to the identified need evidencing whether the staff support is effective. The Inspector required that personal care needs must be more detailed in service user plans with evidence that the home is supporting and regularly reviewing the needs. Service users appeared to be dressed in their own clothes and had individual styles. Staff said that at weekends times for getting up are flexible. Staff said service users have to get up earlier during the week because of their social and work commitments. Service users have designated key workers and the Inspector information about local independent advocacy schemes on a notice board. The Inspector saw evidence that service users are consulted about who they want as their key worker. All service users are registered with a GP. There were records of regular checks with health care professionals including dentists and chiropodists. A referral 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 15 had been made for one service user to have support from a speech and language therapist. The Inspector viewed the report from the therapist with recommendations. It was unclear if the recommendations had been implemented as staff were not aware. Medication was not fully inspected. A visit was made to the home by a pharmacy Inspector on 23/6/05 following the loss of some medication. Some requirements and recommendation were made which the home has addressed. The Inspector saw medication administration records (MAR). The Inspector required that any known allergies be added to MAR. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users know they will be supported to complain and that any complaint will be listened to. EVIDENCE: The Inspector understands that the home has received no complaints since the last inspection. The Commission has received no complaints in respect of the home. The home has a complaints policy and procedure. A copy of this is included in the home’s Statement of Purpose and Service user guide. A complaints leaflet is displayed on the notice board. The leaflet is produced in a suitable format for service users. Service users have named key workers who are available for service users to talk to. As mentioned service users have information about local advocacy schemes. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,27,28,30 Service users benefit from a homelike, safe environment. There are good bathroom and toilet facilities. Service users benefit from sufficient communal space. This home is clean and hygienic. EVIDENCE: The premises are new and purpose built. It is light and spacious with sufficient heating and ventilation. The home was clean and suitably fragranced on the day of the inspection. The new premises were registered as a residential home with the Commission for Social Care Inspection in June 2004. Because it is new the premises is safe and well maintained. The Inspector noted that the garden needs some attention. There is attractive patio and seating areas and a vegetable patch. Service users are growing a variety of vegetables. Some parts of the garden are overgrown with weeds. Staff said the manager is trying to address this. There is sufficient living space to meet the National Minimum Standards. The home is sited close to local amenities and is in keeping with the local community. New furniture has been provided throughout the home from sofas to beds and wardrobes. All was of good quality and domestic in nature. The house has a homelike feel with pictures and ornaments helping to support this. The Inspector understands that the home meets the requirements of the local fire service and environmental health department. The home has a 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 18 separate laundry, which is of a good standard. All bedrooms are single and have en suite facilities. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35 Service users are supported by experienced competent staff who are aware of their role and responsibilities. The staff team will be more effective when permanent staff are recruited. Staff are well trained and communicate with each other. EVIDENCE: Staff spoke with knowledge and understanding of service users needs. Staff were aware of their role and responsibilities when asked. The line management is clear. There was one staff on duty from an agency. This staff had previously worked for the KAT and knows the service users well. The agency staff is currently working full time hours at this home due to staff vacancies. The other two staff on duty are employed by the KAT as relief or casual staff. Between them the staff have several years experienced. Although the staff on duty are not part of the permanent staff team the Inspector concluded that this is not detrimental to the consistency in care offered to service users. Staff felt it would be beneficial for service users when permanent staff are recruited. The Inspector understands that recruitment is ongoing with one staff due to start at the end of the month. The Inspector looked at training records for staff. Staff have access to regular courses offered on a rolling programme. For example offered in August 2005 was manual handling, infection control and medication. Advertised for September 2005 was Signalong, food hygiene, health and safety, medication, infection control and food hygiene. One staff record showed that all statutory training had been attended and was up to 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 20 date. Autism training has been attended. Staff said the training offered by KAT ‘was very good’ There were 2 staff on duty with 4 service users. A third member of staff joined the home at 11am to support a service user on a one to one basis. At night there is one waking staff and a sleep in staff. Staff said the home is using agency staff to cover some waking night shifts. Staff at this home work split shifts during the week. This ensures effective staff deployment to meet service users needs. The Inspector concluded there are sufficient competent staff on duty to meet service users needs. The Inspector saw minutes from staff meetings, which are held regularly. Staff said the new manager has organised more regular staff meetings that they are invited to. Staff use a communication book and a handover file to aid communication. Both were well recorded and well used. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Service users know their health and safety will be protected. EVIDENCE: The home has a new permanent manager since the last inspection. The manager was on leave so not present during this visit. The Inspector met the manager at a previous visit on 23/6/05 when a medication incident was discussed. The manager investigated and addressed the issues raised and kept the Commission informed. Some improvements have been noted since the last inspection. The previous acting manager sent the updated Statement of Purpose and Service User Guide to the Commission. Both documents were commended for being suitable for service users. The manager has support from an area manager. The Inspector noted that the area manager attends some staff meetings. Staff have access to support and advice from a health and safety manager. Staff said that any maintenance problems are reported and addressed promptly. The home is safe and well maintained. An environmental risk assessment and fire risk assessment has been completed. Staff attend training relating to all areas of health and safety. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 22 The Inspector noted that the fire logbook is well recorded with records of regular teats and of monthly evacuations. The Inspector understands that the home is financially viable. The Inspector noted that the home has sufficient public liability insurance. The Inspector noted that no report has been received under Regulation 26 since February 2005. A responsible person who is not in day-to-day charge must make at least monthly unannounced visits to the home and speak to service users and staff then produce a report. A copy of the report must be sent to the Commission. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 2 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 2 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 9 Perrys Close Score 2 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 2 H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. 4. Standard YA6 YA9 YA10 YA6 12 Regulation 15 13(4) Requirement Service user plans must be updated and regularly reviewed. Risk assessments must be updated and regularly reviewed. Information about service users must be held separately and confidentially. Personal care needs and preferences must be detailed and reviewed regularly in service user plans. Any known allergies must be added to MAR. Service Users plans must contain individual medication protocols. Service Users consent to medication must be obtained and recorded in Service User plans. NOT INSPECTED Monthly visits must be carried out by a responsible individual and a report sent to the Commission. Timescale for action 30/09/05 30/09/05 30/08/05 30/09/05 5. 6. YA20 YA20 13(2) 13(2) 30/08/05 1/10/04 7. YA43 26 30/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 25 No. 1. 2. 3. 4. Refer to Standard YA28 YA33 YA31 YA37 Good Practice Recommendations The garden needs attention. Staff vacancies should be recruited to. 50 of staff, including agency staff should be qualified to at least level 2 NVQ by 31/12/05. The manager should be qualified to NVQ 4 in care and NVQ 4 in management by 31/12/05. 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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 9 Perrys Close H56-H05 S61748 9 Perrys Close V235415 070805 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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