Inspection on 14/07/05 for Aaron Park Care Home

This inspection was carried out on 14th July 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Aaron Park Care Home 30/11/06

Aaron Park Care Home 10/01/06

Aaron Park Care Home 11/03/05

Aaron Park Care Home 01/07/04

Aaron Park Care Home 10/02/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Aaron Park Care Home 115 Poplar Road Cleethorpes North Lincolnshire DN35 8BD Lead Inspector Eileen Engelmann Announced 14 July 2005 at 9:30 am th 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. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Aaron Park Care Home Address 115 Poplar Road Cleethorpes North Lincolnshire DN35 8BD 01472 605685 01472 605685 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) Prime Life Limited Ms Debra Jayne Mogg Care Home 21 Category(ies) of MD Mental Disorder (21) registration, with number of places Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: One service user, CM, who is over the age of 65 with a mental health problem to be accommodated in the home until discharge or in the event of death. Date of last inspection 11th March 2005 Brief Description of the Service: Aaron Park is a 21 bedded home for younger adults who experience mental health problems. The home is a converted two-storey property situated in the seaside town of Cleethorpes. The home is not registered to provide nursing care, however the home has developed good working relationships with local health care professionals and agencies. The home has 14 single rooms and 3 double rooms, privacy screens are provided. In addition the home has a range of communal facilities, which service users and visitors can access. The home has a good-sized courtyard garden complete with barbeque, flowerbed and a grassed area. The home maintains its staffing levels in accordance with levels set as at the 31.3.02. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out with the manager, staff and residents of Aaron Park. The inspection took 6.5 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. Three members of staff and five residents were spoken to in an informal manner; their comments and viewpoints are included within this report. What the service does well: What has improved since the last inspection? Information about the home and what services and facilities it provides for people living there, has all been up dated and made available to the residents. This helps residents to understand what to expect from the home and the service. The home has been repainted and decorated in a number of areas, with new carpets and furniture being provided to create a comfortable and homely environment for the residents. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 6 The homes policies and procedures have been improved and offer the staff guidance around practice, resulting in a safer environment for the residents. 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. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.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 Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.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 and 5. All residents have a full needs assessment carried out and are given enough information about the home and its facilities before admission, for them to be confident that their needs can be met by the service. EVIDENCE: Since the last inspection the home has made adjustments to the statement of purpose and service user guide (in line with agreements made in the 13th January 2005 meeting with Prime Life and the Commission for Social Care and Inspection). These documents are made available to residents on admission, are on display within the home and can be given out to anyone making a request for these. Information within the service user guide is produced in a format suitable for the client group and presented in a colourful and easy to read style, which uses pictures to make the content interesting and understandable for the residents. Three residents spoken to showed good knowledge and understanding of what services and care are on offer at the home and said that the staff/manager gave them a lot of verbal information about the home before they decided to accept the placement. Each resident has their own individual file and all those looked at included a needs assessment completed by the funding authority and also one from the home. Discussion with the manager indicated that she will go out into the community to see any prospective resident, to discuss the home with them and assess the individuals needs. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 9 The home has produced a statement of terms and conditions for private paying residents, which meets the required standard, but this document has not been given to funded individuals. Previous discussion with Louise Hayward from Prime Life Limited indicated that the company is currently working on the development of a suitable format that can be given to all residents on admission. This is an outstanding requirement from previous reports and must be given priority in the home’s action plan for this inspection report. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. The health, personal and social care needs of the residents are clearly documented and are being met by the service and staff. Residents are encouraged to be independent within their daily lives using a risk assessment approach to care EVIDENCE: Individual care plans are in place for all residents and clearly set out the health, personal and social care needs identified for each person. Four of the plans looked at have been evaluated on a monthly basis and any changes to the care being given is documented and implemented by the staff. One recommendation made by the inspector was that the staff completed the resident’s hygiene charts, as they are part of the daily care record. The residents sign their own care plan and those individuals spoken to were aware of the plan content and had input to the way it was written. Five residents talked about attending reviews of their care and demonstrated a good understanding of their health care needs. They said they had good access to their local GP and other community professionals including the diabetic nurse, community psychiatric nurse and district nurse. The residents at Aaron Park are mainly independent and they are able to go out into the community alone (following a risk assessment) or with a member Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 11 of staff, and enjoy visiting the local amenities, pubs, tea dances and the Sunday Market. Discussion with the residents clearly showed that they make a number of decisions and choices regarding their care, and staff respect these and are supportive towards helping individuals achieve independence wherever possible. One resident commented that ‘staff listen to you, they are there for you when you need them and are very approachable’. Two residents said that they like to attend the meetings held by the home. These are available when requested by the people living there and individuals are able to voice opinions and viewpoints, which are listened to and action is taken by the staff where needed. Individuals spoken to felt that they could make changes to the services offered at the home through attendance at the meetings or during one to one talks with their key worker. An example of this is the introduction of daily newspapers following a request at a meeting. Staff enable residents to take responsible risks in their every day lives and information within the care plans includes a number of risk assessments covering activities of daily living and individual ones linked to residents choices and wishes regarding their care. Talking to the residents indicated that they found it important to have the freedom to come and go from the home and each individual had their own interests and hobbies they pursued. All of the residents spoken to enjoy smoking cigarettes and said that the home helped them budget their money so they had enough for twenty a day. Smoking was allowed in their rooms following a risk assessment, but there is also a smoking lounge within the home. Use of kettles in rooms is also a personal choice, but some individuals liked being able to make their own drinks. One individual said he earned extra money from washing cars outside the home, and another enjoyed doing gardening and looking after the hanging baskets and tubs in front of the home. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.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) 12, 13, 14, 16 and 17. Residents are provided with choice and diversity in the meals and activities provided by the home. Relatives and visitors are made welcome at the home and good links to the community enrich the residents social and leisure opportunities. EVIDENCE: Two of the residents do voluntary gardening work through the TUKES project, which is set up by the psychiatric hospital service. It involves individuals going out into the community to do voluntary work and receive training with a view to moving into paid work/training. Individuals have access to educational courses and TUKES will also help residents with computer courses if wished or needed. Five individuals living at the home commented that they enjoy going into the local community and visit the local pubs, beach, arcades, auctions, tea dances, shops and markets. They expressed interest in the local news and events and were able to visit friends and relatives in the area. One female resident said she liked to go to the hairdresser in town for her hair doing and also used the local dentist and optician. Other activities that everyone enjoys doing include Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 13 barbeques, sitting in the garden with drinks and meals, and having a holiday at Centre Parks near Yarmouth. Three residents spoken to said that they all have their own keys to their bedrooms and staff respected their privacy at all times. Mail is given to them unopened and there is a pay phone for their private use. Staff and residents have a good relationship and there was plenty of conversation and lighthearted banter going on during the visit. Verbal feedback from the residents included positive comments about the food provided by the home. One individual said ‘the food is brilliant, we have lots of choice and there is always a main meal or a snack available when we want one’. Residents have use of a large dining area that has a tea/coffee making facility within it. It was noted that the domestic kitchen needs a fly screen for the outer door, which was propped open. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.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 and 20. The health, personal and social care needs of the residents are clearly documented and are being met by the service and staff. The medication at the home is well managed promoting good health. EVIDENCE: Information within the care plans clearly record the wishes and preferences of each resident regarding their personal care, and staff displayed a good understanding of the needs and support required for each individual. All residents spoken to are very happy with the care given and feel that staff help and encourage them to do as much for themselves as possible. One individual said ‘ the care is excellent, the staff recognise when you need to have time alone, but are there when you need someone to assist you’. Discussion with five residents indicated that they have insight into their illnesses and care needs. They talked about visiting the psychiatric consultant at the hospital and were aware of when the Community Psychiatric nurse or district nurse was due to visit them at the home. One individual has diabetes and spoke about how she follows a diet-controlled regime and received regular visits from the diabetic nurse. Good access to local GP’s, dentists, chiropody, opticians and hospital services was evident, with records kept in the care plans of appointments attended and/or booked. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 15 The medication policy for the home says that individuals can self-medicate if they want to and after a risk assessment has been completed and agreed. All five of the residents spoken to prefer to have staff administer their medication and are satisfied with the way this is carried out by the staff. Checks of the medication records and the system used showed that these are up to date, accurate and well managed. One area that could be improved on is the provision of a staff room and somewhere for staff to keep their valuables. At the moment the staff are using the medication cupboard or office, which are both very small areas and not suitable for this use. It is recommended that the provider look at different ways in which staff could be offered suitable facilities. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.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 and 23. Improvements to the recording aspect of the complaint system must be made, although residents are confident that their views are listened to and acted on. Adult protection training and procedures have improved since the last inspection with clear evidence that residents are being protected from abuse. EVIDENCE: The home has a complaints procedure that residents and staff are aware of and are confident of using if needed. One resident said that ‘we can talk to the staff or manager if we have any concerns, the system is good and action is taken quickly’. Complaints are currently recorded in a book, but this does not offer individuals confidentiality because the format means that anyone writing in the book can see previous complaints that have been made by different people. The inspector recommended that a separate complaints form should be developed that can be filled in by the complainant and filed away by the manager once an issue has been investigated and resolved. Staff must also ensure that they fill out all the details when recording a complaint including any investigation, action taken and the outcome. The manager reported that the policies and procedures on Protection of Adults from Abuse (POVA) have been up dated and the No Secrets documentation is now available for staff. Three staff spoken to displayed a good understanding of their role and responsibilities regarding this aspect of care. They said that POVA was discussed during staff meetings and supervision, and that they had received training on POVA issues and handling challenging behaviour (NAPPI). Five residents said that they felt safe and secure at the home and that staff spoke to them about being careful and alert regarding their personal safety when away from the home. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 28 and 30. Residents are provided with a safe, comfortable and clean environment. They are able to personalise their own rooms, and the provision of door locks means that their personal belongings can be kept secure. EVIDENCE: Inspection of the premises showed that some areas have been redecorated and refurbished since the last inspection. The main dining room has been fitted with a vinyl floor covering and the walls have been painted, the smoking lounge has also been redecorated and new comfortable furniture has been provided. The small lounge has been fitted with a new carpet, furniture and decorated and the hallway has also received new paintwork. A number of the bedrooms looked at have been redecorated and received new furniture; door locks and lockable storage space have been provided in all bedrooms. Outside of the home the residents have a lawn and paved area to the front, with new sets of tables, benches and parasols. This area is well used by the people living at the home, and on the day of the visit residents were sat having drinks in the sunshine. Residents spoken to were happy with their personal accommodation, which is provided in a mix of single and double rooms. One individual has an en-suite Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 18 shower, which they feel is very important to their privacy and makes a huge difference to their enjoyment of their personal space. Another person commented that they shared a room with another individual and that the company of someone else was important to their lifestyle. Each resident has added personal items to their room to reflect their tastes and styles; these possessions add a warm and welcoming feel to their bedrooms. The home is clean, warm and comfortable and no malodours were present. Discussion with the care staff indicated that they are responsible for carrying out all domestic cleaning and laundry tasks. Policies and procedures are available for the control of infection. The laundry area has a new washing machine and drier fitted and cleaning materials were locked away in a cupboard. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36. Improvements are needed in the standard of vetting and recruitment of staff to ensure appropriate checks are being carried out; this poor practice is potentially leaving residents at risk. Staffing numbers are sufficient to meet the needs of the residents and carry out activities. EVIDENCE: The staff team at Aaron Park have access to the Prime Life Limited training department and can take part in a range of different learning sessions. Information in their training files indicates that they have sufficient knowledge and skills to meet the needs of the residents. 41 of the care staff have achieved an NVQ 2 or 3, with eleven other staff signed up to do the training. The deputy manager is in the process of completing her Registered Managers Award in care and management and the registered manager has achieved this qualification. The home has a recruitment policy and procedure that the manager understands and uses when taking on new members of staff. Checks of two staff files showed that police/CRB checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. One staff member, whose file was looked at, is relatively new and it was clear that the home had not obtained a CRB check for this individual before Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 20 they started work. The manager assured the inspector that this would be sent for immediately and in future no one would start work without it being in place. Discussion with three members of staff indicated that they are motivated and enthusiastic about their work, and have a relaxed and confident approach to their care of the residents. Staff comments were positive about their access to training and the support they receive from the manager. Individuals receive regular supervision, both formal and informal and feel that this aspect of support is useful and offers them an opportunity to discuss their views and get feedback on their performance. Staff meetings are held every two months or sooner if anyone requests it. These are an open forum for all staff to express ideas and suggestions around the service and any changes needed. Those individuals who spoke to the inspector said that Prime life have good communication channels that they can use to talk to management outside of the home if needed. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40, 41 and 42. The management of the home is satisfactory overall, but the lack of an electrical wiring certificate could potentially place residents at risk. EVIDENCE: Resident meetings are held on a regular basis and minutes are circulated to people living in the home. Staff have meetings with the manager and everyone is encouraged to join in with discussions and voice their opinions. Residents and staff agreed that they are able to express ideas; criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. The home has a Prime Life Limited Quality Assurance system in place and audits of the service are carried out on a regular basis. No annual development plan has been created from the results of these audits and time was spent discussing this with the manager. Policies and procedures are up dated and reviewed as an ongoing practice and action is being taken to ensure the requirements of the inspection reports are met. Discussion with the manager indicated that staff and residents are able to discuss the home’s Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 22 policies and procedures through attending meetings, and as part of the supervision process for staff. Records required for the protection of residents and the running of the business are in place, reviewed and up dated as required. Residents are aware that they can access their personal records as and when they wish to do so. Maintenance certificates are in place and up to date for the utilities and equipment within the building. The only one not seen was an electrical wiring certificate for the home. Previous discussion with Louise Haywood from Prime Life Limited indicated that the company feels that this check is covered by the PAT tests, however the inspector asked that written confirmation of this is sent to the Commission from a qualified electrician. Until this is received the requirement for the electrical wiring certificate will remain on the report. Training records show that staff have attended safe working practice up dates and inspection of the accident books revealed these are completed in full and are up to date. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.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 x x 2 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 3 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 4 3 x 4 3 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aaron Park Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 3 3 2 x 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 24 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 5 Regulation 5 Requirement The registered manager must develop and agree with each prospective resident a written and costed contract/statement of terms and conditions between the home and resident (given timescales of 31/7/04 and 31/5/05 were not met). A record must be kept of all issues raised or complaints made by residents, details of any investigation, action taken and outcome, and this record is to be checked at least three monthly. New staff must only be confirmed in post following completion of a satisfactory police check and a satisfactory check of the protection of vulnerable adults register. There must be an annual development plan for the home, based on a systematic cycle of planning, action and review; reflecting the aims and outcomes for residents. An electrical wiring certificate must be obtained for the home (given timescales of 1/8/04 and 31/5/05 were not met). 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Timescale for action 1/11/05 2. 22 22 1/11/05 3. 34 19 1/11/05 4. 39 24 1/11/05 5. 42 13 1/11/05 Aaron Park Care Home Version 1.40 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 6 17 20 22 Good Practice Recommendations Staff should fill in the daily hygiene charts to ensure the daily record of care is complete. A fly screen should be provided for the external kitchen door. Staff should be provided with suitable facilities for storing valuables, as the current arrangement of using the medication cupboard is not acceptable. A separate complaints form should be developed that can be filled in by the complainant and filed away by the manager once an issue has been investigated and resolved. Aaron Park Care Home 20050713 Aaron Park Care Home IR J54 v221227 s2818.doc Version 1.40 Page 26 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. 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