Inspection on 05/03/07 for Aldwick Residential Care Home

This inspection was carried out on 5th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Aldwick Residential Care Home 28/01/09

Aldwick Residential Care Home 26/02/08

Aldwick Residential Care Home 06/01/06

Aldwick Residential Care Home 03/08/05

Aldwick Residential Care Home 29/09/04

Aldwick Residential Care Home 17/06/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Aldwick Residential Care Home 92-94 Aldwick Road Bognor Regis West Sussex PO21 2PD Lead Inspector Mrs M McCourt Unannounced Inspection 5th March 2007 09:30 Aldwick Residential Care Home DS0000014352.V332253.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 Aldwick Residential Care Home DS0000014352.V332253.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. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldwick Residential Care Home Address 92-94 Aldwick Road Bognor Regis West Sussex PO21 2PD 01243 865569 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) Mr Ashok Kumar Sewpaul Mrs Premila Sewpaul Mr Ashok Kumar Sewpaul Care Home 27 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (27), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (27) Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only services users aged 40-65 years of age may be admitted in the category mental disorder, excluding learning disability or dementia (MD). 6th January 2006 Date of last inspection Brief Description of the Service: Aldwick Residential Care Home is a care home registered to accommodate up to twenty-seven service users who have a mental disorder, eleven of whom may be over the age of sixty-five years. The registered providers are Mr Ashok Sewpaul and Mrs Premila Sewpaul. Mr Sewpaul is also the registered manager. The property consists of two terraced houses, which have been joined together internally and extended for its current use. The accommodation consists of eleven single and eight double bedrooms located on the ground, first and second floors. Communal areas include, a dining room and a lounge on the ground floor, whilst a second lounge, a hairdressing room and small smoking room are located on the first floor. The home is located in the town of Bognor Regis close to the seafront and local shops and amenities, with easy access to local rail and bus stations. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by one Inspector on Monday 5th March 2007 and lasted a total of nine hours. Pre-inspection planning took approximately three days, consisting of the review of previous inspection reports, information received from other relevant professional bodies and regulatory information received by the Commission for Social Care Inspection (CSCI). A full tour of the building took place and included the observation of Health and Safety matters, hygiene issues, decorative order and a general overview of the atmosphere created within the home. Four staff members, the Registered Manager, and a NVQ assessor from West Sussex County Council were spoken to at the time of inspection. Case tracking was carried out by examination of relevant records and information held on the staff and residents. The Inspector also spoke with five Service Users accommodated at the home. Following the site visit, the inspector spoke with Mr Stuart Beddoe, fire officer from the West Sussex Fire and Rescue Service. The current scale of monthly charges ranges from £303 to £389 per week. The Registered Manager provided this information. Additional charges are made for personal items, such as; clothing, magazines, hairdressing, chiropody and so on. Policies and procedures were examined during the site visit. The Commission has received no complaints in respect of the service. What the service does well: The inspector observed a good relationship between staff members and residents, with staff demonstrating a sensitive and understanding approach towards the complex needs of service users. A large activity board, fixed to the office wall, documented activities planned throughout the week. It also showed the dates of future residents meetings and staff meetings. The home does provide some activities within the home, such as; bingo, art/craft lessons, exercise classes and so on. Once every four and six weeks, music groups visit the home to entertain the residents. In addition a theatre company puts on a production three or four times a year. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 6 Services users spoken with were complimentary of the home, with one resident telling the inspector that they think the home is the right place for their needs, and that staff help to develop their personal independence. 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 Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Aldwick Residential Care Home DS0000014352.V332253.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 Aldwick Residential Care Home DS0000014352.V332253.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, 3 and 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users needs must be assessed prior to admission. Individual, signed contracts between the home and the Service User must be in place on admission. EVIDENCE: A Statement of Purpose was in place, but did not cover all aspects of schedule 1 and is in need of updating. The Service Users Guide is also in need of updating and there were no available spare copies. Out of three files looked at only one had a care management assessment in place. The Inspector advised the Registered Manager to ensure that proper assessments be carried out prior to admission. Care plans implemented from an assessment did not bear any relation to identified needs, and only one care plan sampled had been signed by the Service User. The assessment of need is called ‘Risk Screening’ and is not as thorough as the standards recommend. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 10 Although risks are documented, they are not reviewed as regularly as stated. For example; a specific health issue for one resident should have been reviewed in April 2006, but had not been. It was next reviewed in September, by which time the service user’s condition had deteriorated again. Two out of three files sampled did not contain a Service Users contract. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 11 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 adequate. This judgement has been made using available evidence including a visit to this service. The assessed and changing needs of Service Users must be reviewed and monitored on a regular basis, to ensure continuity of care. Although the majority of residents are able to voice any concerns they have, it should be remembered that they are at times vulnerable and would therefore benefit from independent advocacy services. EVIDENCE: Service user plans are in place, but only in a basic format, partly due to the Standex system used by the home. The inspector sampled three care files and found that they are not being reviewed on a regular basis, and only one had been signed by the Service User. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 12 Evidence of specialist care needs were seen, with records of ongoing treatment, although records are not always clearly laid out, and therefore, difficult to follow. The Inspector asked the Registered Manager whether Service Users had access to advocacy services, and was told that they do not because of the cost implication. A large activity board, fixed to the office wall, documented activities planned throughout the week. It also showed the dates of future residents meetings and staff meetings. Although risks are identified, they are not followed through and/or monitored routinely. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 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. The home endeavours to provide in-house activities for service users. Service users have appropriate personal and family relationships. Service Users are offered a varied, nutritional menu, but thought should be given to how meals are presented for those who need their food liquidised. EVIDENCE: The home is registered with the Commission to provide care for younger adults, although many of the service users currently accommodated are of an older age. Staff spoken with confirmed that due to their age, and for some, their health, it was difficult to motivate service users to gain employment or to access educational interests. The home does however provide some activities Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 14 within the home, such as; bingo, art/craft lessons, exercise classes and so on. Once every four and six weeks music groups visit the home and in addition a theatre company puts on a production three or four times a year. The Inspector saw bookings, paid in advance, for the theatre company. The activities board in the office lists activities planned for the forthcoming week. One resident does attend computer classes weekly, and they told the inspector that they really enjoy the course. Services users spoken with were complimentary of the home, with one resident telling the inspector that they think the home is the right place for their needs, with staff helping to develop independence. Visitors can be seen in private, and discussions with Service Users confirmed this to be true. One service user told the inspector that family members visit regularly and that they are able to talk to other family members on the phone. Some Service Users have keys to their own room, however, because some fire exits are through Service Users’ bedrooms, and because one room is beyond another Service User’s room, it is not possible for there to be locks on these particular rooms. The Inspector spoke to the head chef who works five days each week, Monday to Friday. There is a ten-week rota in place. Service Users can choose an alternative meal if they give the chef notice in the morning. Meals are put together at residents meetings and any changes to the menu are noted in a book. Changes take place due to lack of stock or as a request from the Service Users. The Inspector observed meals being served at lunchtime. Two meals had been liquidised, and it was noted that instead of liquidising individual food items, the whole meal had been liquidised, creating an unpleasant, unappetising looking meal. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 15 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 adequate. This judgement has been made using available evidence including a visit to this service. Written assessments and care plans are in need of reviewing and updating to ensure all care requirements are accurately documented. Medication policies and procedures are in need of immediate reviewing, particularly staff training and written records. EVIDENCE: Where required, Service Users are encouraged and supported with personal care. Staff said there were only three or four people who needed such assistance. There is no key worker system in place. The Registered Manager said that all staff support and assist all of the service users, and that to have a key worker system would create dependencies on particular staff members. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 16 The home uses a Standex Notes system to record health and care plan issues. It is basic in detail and does not thoroughly cover care issues as expected in a residential care setting. The manager agreed, and will look into updating the home’s paperwork to a more relevant system of recording. There was no evidence of specific assessments carried out for specialist needs and in addition, identified needs are not always carried forward onto care plans. For example; one service user’s assessment of need, documented in 2000, stated that they had asthma, but this (along with other care needs) was not transferred on to their care plan. The inspector noted that the same service user was diagnosed ‘again’ as having asthma approximately two weeks ago. It was likely therefore, that the condition had been either dormant or well managed over the past few years. However, because it was not monitored, there is no way of knowing this. Storage of medicines was fine, and they were stored securely within a metal cabinet. Controlled drugs were also stored correctly and the controlled drugs book was accurate and up-to-date. On inspection of MAR sheets there were many signature gaps and it was difficult to know whether the medicines had been given or not. In some cases there were tablets still in the blister pack, but they had been signed as given and in other cases there were neither tablets nor signatures. The inspector also found that where some residents were self-medicating, there were no records of the medication having been handed over to them, or signatures to confirm that they had taken their prescribed dose. There were many other anomalies surrounding the medication, and concerns had been previously raised by the NVQ assessor; Nicky Stringer, who said she had raised issues with the deputy some weeks earlier. On the day of inspection, both Ms Stringer and the inspector observed a member of staff handing out medication inappropriately. On checking the training records, it was found that the staff member had not received any training in medication administration. The registered provider must ensure that appropriate steps are taken to remedy this situation and a requirement has been made in respect of this. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. The home should ensure that service users views and concerns are listened to and any complaints made must be dealt with appropriately. Staff knowledge of AP procedures would be improved by ensuring all staff have attended the relevant training. EVIDENCE: The home does have a complaints policy, although the inspector was of the opinion that it should be in a format suitable for the client group. A book is kept to record concerns and compliments, although, the last complaint logged in the book was dated 28.11.05 and the inspector was of the opinion that there must have been some since then, particularly given the client group, who are very capable of verbalising their concerns. On discussion with service users, two people gave examples of complaints they said that they had raised. The registered manager confirmed one of the complaints, but there were no records of either complaint. The inspector explained to the registered manager that because they had not been documented, it suggested that the home does not take complaints seriously. It was noted that when complaints have been recorded there is often no date on the complaint and no follow-up action or outcome documented. The registered provider must ensure that appropriate Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 18 steps are taken to remedy this situation and a requirement has been made in respect of this. Adult abuse policies and procedures are in place, including; aggression, flow charts on procedures, different types of abuse and a whistle blowing policy. However, the West Sussex County Council AP procedures were not available. The registered manager said that the deputy manager had removed it for her NVQ study purposes. Not all staff have attended adult protection training and the inspector was of the opinion that the staff team’s understanding was not as good as it could be. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 19 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, 26 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are some issues around fire safety that must be properly risk assessed. EVIDENCE: The property consists of two terraced houses, which have been joined together internally and extended for its current use. The accommodation consists of eleven single and eight double bedrooms located on the ground, first and second floors. Communal areas include, a dining room and a lounge on the ground floor, whilst a second lounge, a hairdressing room and small smoking room are located on the first floor. The entrance and hallway have recently had new carpet fitted. The inspector was pleased to see art work done by residents on display around the home. The lounge was decorated to a good standard and was bright and homely. A separate dining room accommodates the majority of residents eating at meal times. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 20 The kitchen is functional and fitted with industrial appliances. There are two cooks employed, covering week days and weekends. On examination of fridges the inspector found some food items that had not been dated on opening. The head cook said that because he worked on a daily basis, he was aware of when food needed to be disposed of. The inspector also noted that the hand washbasin was grubby and there was no soap or hand towel in place. A designated smoking room is situated on one side of a service user’s bedroom, and the bedroom itself is also a fire escape. This means that the service user cannot lock her bedroom door and in addition, she has asthma, and although the door between her room and the smoking room is a fire door, the smell of smoke is still present. The vanity unit in this particular service user’s bedroom needs replacing as it has started to rot around the edges. Another bedroom, accommodating two service users, is also a fire exit, from both sides of the house (it has two doors on either side leading into hallways, with the fire escape leading from a third door out to the rear of the building). Again, this room cannot be locked. Fire reports from 2003 and 2006 both highlight the fire escape situation as a problem. The inspector spoke with the fire officer; Stuart Beddoe, who conducted the fire inspections. He acknowledged that it was a difficult issue, and confirmed that the home must however have clear, robust risk assessments in place to cover all eventualities. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are not supported or protected by the home’s recruitment policy and practices. The home must ensure that all staff are appropriately trained to carry out their duties. EVIDENCE: The rota shows that four staff work on morning shifts (three at weekends), three staff on the afternoon shift, two on evening shifts and two on waking night. Five staff have NVQ’s and nine are currently studying for their NVQ. Staff meetings are held, although records demonstrated that only two held during 2006. The inspector advised that the home should aim for at least six per year. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 22 Staff recruitment records found some gaps in the process. Three files were sampled, and out of these, only two had an application form. None of the three had two written references and only one had a full CRB check in place. The inspector was told that one staff member had lost their CRB check, although the inspector was of the opinion that the home should have a record that the check had been carried out in their own files. In addition there is no formal induction process and no supervisions sessions. A different staff file was shown to the inspector and this did hold supervision notes for one session, dated in December 2006. Two staff had received some training, but this did not cover all of the mandatory subjects required and for one staff member there was no training evidence. The inspector also noted that a staff member who had been administering medication had not received any formal training. Individual training records were present, but very sparse, and there was no evidence of induction or foundation training. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 23 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, 41 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The frequency of quality assurance should be reviewed and views sought from staff, relatives and other professionals. Health and safety policies and practices are in need of reviewing and improving to ensure safety is promoted for service users and staff. EVIDENCE: Mr Sewpaul is the owner and registered manager of the home, and has been for 18 years. He qualified as a RMN prior to buying the home. He told the inspector that he does have the RMA qualification, but no certificate. He has Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 24 trained in 1st aid, medication administration and manual handling, although there is no evidence of this. Annual questionnaires are given to service users, covering; food, personal care, daily living, premises and management. In addition, residents meetings are held every month. The manager said that it is a verbal group who will complain if they need to. There is no feedback sought from community, friends, family or other professionals. Although stored in lockable filing cabinets, the office is a thorough-fare for service users to access a shower room or to exit the property via the back door. This was observed during the course of the site visit and raises questions about the security of confidential information. As previously highlighted, mandatory training is not being provided for all staff. Health and safety policies and procedures are in place, but are in need of reviewing and updating. Maintenance and testing of electrical equipment is carried out regularly. Fire checks and records are in place, with regular testing of alarms and emergency lighting carried out weekly. Accident records are kept and monitored regularly and Regulation 37 incidents are sent through to CSCI as required. The environmental health department visited on 26/1/06 and made four requirements and one recommendation. Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 25 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 1 3 2 4 X 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 1 23 1 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 1 33 X 34 1 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 2 12 2 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 1 x 3 X 2 X 2 2 x Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 26 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 YA2 Regulation 14 Requirement The needs of service users must be assessed by a suitably qualified person prior to admission. The assessment must be kept under review and revised when necessary. The home must provide service users with a contract for the provision of services and facilities. Written assessments and care plans are in need of reviewing and updating to ensure all care requirements are accurately documented. Medication policies and procedures are in need of immediate review, particularly staff training and written records. The home shall ensure that any complaint made under the complaints procedure is fully investigated. The registered provider must ensure that staff receive training appropriate to the work they are to perform. DS0000014352.V332253.R01.S.doc Timescale for action 31/05/07 2 YA5 5 31/05/07 3 YA6 15 31/05/07 4 YA20 13(2) 31/05/07 5 YA22 22 31/05/07 6 YA32 18 31/05/07 Aldwick Residential Care Home Version 5.2 Page 27 7 YA34 19 The registered provider must ensure that a thorough recruitment process is in place, including; CRB checks, two written references and a documented probation period. 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Aldwick Residential Care Home DS0000014352.V332253.R01.S.doc Version 5.2 Page 29 - 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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