Inspection on 19/06/07 for Abingdon

This inspection was carried out on 19th June 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Abingdon 03/03/09

Abingdon 24/08/06

Abingdon 14/12/05

Abingdon 19/05/05

Abingdon 29/11/04

Abingdon 27/04/04

Abingdon 27/10/03

Abingdon 27/05/03

Abingdon 20/06/02

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

CARE HOME ADULTS 18-65 Abingdon 48 Alexandra Road Southport Merseyside PR9 9HH Lead Inspector Mr Paul Kenyon Key Unannounced Inspection 19th June 2007 09:00 Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abingdon Address 48 Alexandra Road Southport Merseyside PR9 9HH 01704 533135 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) Raglin Care Limited Miss Gillian F Trickett Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 9 LD Date of last inspection 24th August 2006 Brief Description of the Service: Abingdon is a care home offering a service to nine individuals with a Learning Disability. The home is run by a local company, which provides a number of services in the Merseyside area. The service is managed by Gill Trickett and owned by Raglin Care Ltd. The home is located in a residential area of Southport and is located within easy reach of Southports main shopping centre. It is close to local amenities. The service operated from a converted detached house with facilities spread over three floors. A large garden is located at the back of the house. There are a number of communal rooms and these are generous in size and number given the number of service users living in the home at present. There is a passenger lift available yet the needs of service users at present do not warrant the inclusion of any specialist aids or adaptations at present. Current fees in the home are £1200 a week. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection this inspection year (April 2007 to March 2008) and was unannounced. The inspection used national minimum standards for younger adults to assess the standard of care provided. The inspection included an examination of documents related to the support provided, interviews with three residents, observation of care practice, a tour of the premises and interviews with two staff members. All comments made are included in this report. Three surveys were sent to relatives yet have not been received at the time of this report yet these will be retained when returned as ongoing evidence. What the service does well: Residents benefit from having their needs anticipated through the assessment process. Residents benefit from having their needs identified in a plan of care, which reflects their individual needs and is reviewed regularly Residents are enabled to make decisions about their lives and have any risks associated with independent living taken into account. Residents are able to make decisions about their education or occupation through the day and have significant access to the community. All are able to maintain links with their families and friends and are supported in their personal relationships. The nutritional needs of residents are met and residents are able to be involved in the planning of menus and the preparation of meals with staff supervision if applicable. Residents are supported in the manner they wish and have their health needs met. Residents have the information they need to make a complaint and are protected from abuse through staff training, the home’s procedures and the recruitment procedure. Residents benefit from living in a clean and hygienic home. Residents are supported by a well-trained staff team who in turn are managed by an experienced and qualified individual. The views of residents are taken into account and their health and safety is promoted. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 6 ‘I am aware of the protection of vulnerable adults procedure and have had training and I am aware of whistle blowing procedure’ ‘I have received managing physical aggression training with restraint as a last resort, it is more about diffusing the situation’ ‘I have had had loads of training mandatory training-best thing about the place I just enjoy it’ ‘The manager is supportive’ ‘I have had a lot of training and I am doing NVQ 4’ ‘I like the client group and there is job satisfaction, nothing to improve the service comes to mind. The Manager is supportive and approachable’ I am enjoying it but I will want to move on, if I had any complaints I would see the Manager’ ‘I am keeping well’ ‘Staff are helping me, I am able to get my money, I get the chance to cook, food is very, very good, am able to get into Southport, I hope to go to college to do computers, horticulture’ ‘I am able to make my own decisions-I decided I wanted to go to college-I feel safe but I want to move on’ ‘I enjoy it here, if I had a complaint would go to the staff’ ‘I am feeling well, but if not I would go to the doctor’ ‘Staff help me, they support me, I love the food-I can make my own food but staff help me-can go out with staff-am going to mum’s at the weekend-staff listen all the time-I feel safe and secure’ ‘I am keeping well, I am just sorting my washing out and will hoover my room’ Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 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 Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents benefit from having their needs identified prior to them coming to live at Abingdon and staff receive extra training and support in situations where needs of individuals are complex. EVIDENCE: Assessment information for one new admission since the last inspection was examined. Information had been gained from the funding authority as well as a previous placement. The service has also carried out a variety of assessments including a functional assessment of the individual’s abilities and a behavioural assessment. These assessments have been completed for all individuals living at Abingdon. In addition to this, a new admission anticipated in August 2007 and evidence was available to suggest that all staff will have a training day to anticipate the complex needs of this individual in preparation for admission. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their individual needs outlined in a plan of care, which is reviewed, on a regular basis. Residents benefit from being given the opportunity to make decisions about their lives and have any risks they face through daily living identified. EVIDENCE: Three care plans were examined, one of which related to a new admission since the last inspection. For one person, a functional assessment is in place as well as a behavioural assessment. This care plan devised in January 2007. The care plan includes evidence of those needs that are individual to e.g. healthy eating, cooking skills, support with domestic tasks, budgeting, community presence and all care plans are subject to regular evaluation and this forms part of the review process. All care plan elements have been reviewed in May 2007. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 11 Another care plan was in the same format but the elements of the care plan are different reflecting this person’s needs. All elements of the care plan have been reviewed in May 2007. The third care plan examined again was in a similar format but again reflected the needs of that person In respect of decision-making, two residents interviewed both stated that they have meetings with staff on a regular basis and that their views are taken into account. One resident stated that he had made a decision to go to college in the autumn and the staff team had supported this. The other resident said that the staff team respected any decisions she made. All residents have access to monies although in some cases, relatives act as appointees and this is clearly outlined within the care plans. Advocacy services are available if needed. Quotes from residents included: ‘yes I can make decisions’ and; they listen to me all of the time’ Observations during the inspection noted that one resident had decided to go out and then did not want to go out with staff support and this was respected. Also the same person decided that she did not want her medication at that time and again this was respected. Three risk assessments were viewed. One included reference to environmental risks outside and in the home as well as other specific risks relating to him such as injury to self and others. This assessment was dated in November 2006. Another risk assessment was in contract to this and reflected the different risks for this person. This was last reviewed in May 2007. The other risk assessment last reviewed in February 2007 includes reference to risks in all aspects of daily living. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to pursue any educational wishes they have and are able to plan activities they wish to pursue. Residents have significant access to the community and receive staff support when needed to achieve this or are able to go out independently. Residents benefit from being able to maintain contact with family and friends and are supported to maintain personal relationships. Residents have their rights and responsibilities respected and food meets the nutritional needs of residents. EVIDENCE: Each person has a different level of involvement in education or occupation. One person stated that they had been to college yet this had finished. Another person stated that it had been his decision to go to college and that this was to occur this autumn. He stated that it had been his decision and that staff had supported him with it. Activities are agreed by residents each week and form a daily planner for all. These are put on display within a communal area for Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 13 reference. Such activities may include the need for domestic activities such as laundry/vacuuming, appointments, contact with family, meals out etc. and there was evidence throughout the inspection of the staff team striving to ensure that all residents are able to go out through the day either with or without staff support as determined by risk assessments. The home is close to local facilities and residents confirmed that they are aware of the local facilities within Southport and are able to access them easily. Two residents confirmed that they maintain links with their family. Other evidence suggested that links with families continue for all as well as personal relationships and where personal relationships are maintained, advice is given to residents about this in terms of health promotion and this is recognised within care plans. One resident confirmed that she stays with her family from time to time and that such a visit was to occur that weekend. Another resident had gone out with a member of his family as well. Surveys were sent to three family members but were not available at the time of writing this record yet these will be used as part of continual assessment of the service. There is an expectation that residents are involved in the domestic tasks within the home there is evidence that this occurs through the activities board, kitchen rota and laundry rota. Three residents confirmed that this was the case. Keys are also available to residents for their rooms to ensure privacy. Throughout the inspection it was noted that staff are a central link to residents and there were numerous examples of the staff team being able to provide advice or support to individuals throughout. Residents were noted in all cases to be treated in a respectful manner. There are no individuals who have special dietary needs although a consistent feature of care plans was an emphasis on healthy eating. Menus are available but are being re devised at present. A dining area is available and mealtimes are flexible. Two residents confirmed that they are able to be involved with cooking and shopping and were complimentary about the food provided. No residents need any assistance with eating at present and all are able to have access to drinks when they want them. The kitchen is domestic in scale and there were sufficient stocks of food in place during the inspection. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported in a manner they are satisfied with. The health needs of residents are met. Medication systems in the main are safe yet attention needs to be paid to risk assessment where partially self-administration occurs. EVIDENCE: Two residents were asked about the support they received. Both were complimentary about the staff team and considered that they assisted them. Care plans reveal that levels of prompting required ensuring personal care needs are met. Personal support involves prompting rather than intimate personal care. No residents require moving and handling at present. Residents confirmed that they are able to get up and go to bed when they wish. Two individuals have intensive multi disciplinary team input in respect of care plans, risk assessments and general progress. This includes care managers, community nurses, and consultant psychiatrists. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 15 Interviews with two residents confirmed that they were feeling well at the moment but if there was a time when they did not, they would visit the Doctor or any other medical professional as applicable. Records of medical appointments are maintained and these evidenced a variety of appointments in relation to individuals own health needs ranging from routines appointments such as dentists, chiropody more regular nursing involvement. Others require reviews by a consultant psychiatrist and these occur when necessary for review of medication and general progress. Medication is stored in a locked cupboard. Controlled medication has been prescribed and this is stored separately and is subject to stock control through records (controlled medication book). All medication received and disposed of is recorded. Staff interviews and training records confirmed that medication awareness training had been received. All medication administration forms are appropriately signed. No one fully self-administers at present although one person does when they visit their relation but there is no evidence that this has been risk assessed. This is raised as a requirement in this report. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the information they need to make a complaint about the service. Residents are protected from abuse. EVIDENCE: A complaints procedure is available and this includes reference to the Commission for Social Care Inspection. No complaints about the service have been received by the Commission for Social Care Inspection. Complaints have been received by the service and these have tended to be one resident complaining about other residents rather than about the service. Evidence is available to suggest that the service takes these complaints seriously and aims to investigate them and there was evidence that these are investigated as evidenced through letters sent to those concerned. Residents were asked about making a complaint. They were aware of what to do and had confidence in the manager to assist in this. Two residents were asked if they felt safe in the home and both confirmed that they did although one did say that he wanted to move on, although this was down to personal aspirations rather than any safety issues. Staff interviews confirmed that they were aware of the whistle blowing procedure and had received protection of vulnerable adults awareness. This training is ongoing and training records confirmed this. The home specialises in dealing with challenging behaviour although this manifests itself in other forms at present rather than physical aggression. Staff confirmed that they had received Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 17 management of challenging behaviour training but this had focused on techniques for diffusing this rather than direct physical restraint. The home is aware of procedures for referring allegations of abuse to Social Services and has done this is recent years. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents do not benefit from an environment that is maintained in a responsive manner. Residents do benefit from an environment, which is clean and hygienic EVIDENCE: The home was refurbished a while ago and this involved a substantial internal renewal of decoration and furniture. A tour of the building noted that some decoration appears to be tired in appearance and in need of some redecoration. The manager confirmed that there was no refurbishment plan in place. It is recommended that this be produced by the organisation managing the service. The environment provides significant space to the numbers of people it provides accommodation for. There are communal areas, which are large, and in general a home like environment is strived for. A garden area is available to the rear of the building and this is well maintained. The home blends in with the local community and cannot be identified as a care home. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 19 Maintenance records were viewed. The organisation employs maintenance staff who attend to repairs throughout the organisation. Maintenance records confirmed that there had been no response to some repairs reported by the home of late. No repairs reported for the period between May and June 2007 had been actioned. These involved repairs to a shower and a window restrictor for example. It is required that response to repairs is more responsive. The home is free of odour and domestic staff are available to achieve this. A laundry is available yet this is not located near any food storage or preparation areas. Training files noted that staff had received training in infection control. While there is no suggestion of incontinence from residents, there are, however, issues of occasional self harm and in these instances arrangements are in place to ensure that infection control guidelines are maintained and that appropriate gloves and aprons are used. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected through the recruitment process. Residents benefit form a well-trained staff team who receive training linked to their needs. EVIDENCE: Three personnel records viewed for new staff and all information met national minimum standards and regulations. Training files are maintained and split into mandatory training and specialist training with certificates being retained. Specialist training takes place and is linked to the needs of service users. The Organisation has its own training department, budget and officer and a training programme is devised. Mandatory training includes: health and safety, manual handling, first aid, food hygiene and fire awareness. Specialist training includes autism, Protection of vulnerable adults awareness, self-harm, epilepsy, communication difficulties and managing challenging behaviour. Interviews with two staff members confirmed that they have had mandatory training as well as training in more specialist topics. Evidence was in place of advertising for future training events made available to staff team. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 21 Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive support from a service that is managed by an experienced and qualified individual. The views of residents are taken into account. The health and safety of all is promoted. EVIDENCE: The Manager has been in post for four years and she has the experience and qualifications for the role. A management team and deputy manager as well as team leaders assist her. The Manager also receives support from her Line Manager within the organisation. The Manager has received the same training as per the training programme since the last inspection and this includes: mandatory training, adult protection and mental health awareness. Staff Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 23 interviews confirmed that the staff team consider her as supportive and approachable. A senior manager who reports on all aspects of the service visits the home on a monthly basis and these reports are made available to the manager with clear points of action as necessary. The last visit was held in June 2007. Staff meetings are held as well as resident’s meetings. In these, policies are discussed with staff and residents meetings seek to gain views on the service offered and these occur on a monthly basis. The home does not at present use its own survey system to gain the views of staff and relatives. It is recommended that this occurs. The service remains responsive to requirements and issues raised through Commission for Social Care Inspection visits and enabled the Inspector to speak with residents and staff in private through the visit. A designated team leader completes a health and safety checklist weekly. Checks cover a whole host of issues concerning health and safety in the home and identify any issues that arise. Mandatory training continues as outlined in Standard 35 of this record. A fire risk assessment was completed in June 2007 and the last fire drills were in March 2007. Emergency lights are tested weekly, fire appliances tested annually and detection systems checked weekly. Information is in place in respect of the reporting of incidents and the home is aware of its responsibilities under regulations of notifying the Commission for Social Care Inspection of any significant event. A Certificate of liability is in place as well as registration certificate. Water temperatures are checked weekly, radiator covers are in place and there are no records of restraint given that none have occurred. Accidents are recorded appropriately but show no obvious patterns to prevent re-occurrence. Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 2 X 3 X 3 X X 3 X Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 25 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 Standard YA20 YA24 Regulation 13 23 Requirement Any partial self administer of medication must be reinforced by a risk assessment Responses to maintenance repairs must be improved Timescale for action 31/07/07 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA24 YA39 Good Practice Recommendations A plan of proposed future refurbishment should be produced The service should produce its own surveys to gain the views of staff and relatives Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Abingdon DS0000005355.V332965.R01.S.doc Version 5.2 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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