Inspection on 18/10/07 for Allington House

This inspection was carried out on 18th October 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Allington House 18/10/06

Allington House 17/10/05

Allington House 10/05/05

Allington House 12/10/04

Allington House 05/05/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Allington House 46 Dean Park Road Bournemouth Dorset BH1 1QA Lead Inspector Martin Bayne Key Unannounced Inspection 18th October 2007 09:15 Allington House DS0000003910.V353258.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 Allington House DS0000003910.V353258.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. Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allington House Address 46 Dean Park Road Bournemouth Dorset BH1 1QA 01202 551254 01202 293660 patrick@streetscener.org.uk www.streetscene.org.uk Streetscene 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) Mrs Karen Mary Mills Care Home 16 Category(ies) of Past or present alcohol dependence (16), Past or registration, with number present drug dependence (16) of places Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2006 Brief Description of the Service: Allington House is a residential unit run by streetscene, a registered charity that operates a total of three residential units, two of which are situated in Dorset the other Hampshire. Allington House provides primary care and support for people recovering from dependence on drugs or alcohol. The home is registered to accommodate up to 16 residents. There are 10 single bedrooms and 3 shared bedrooms, none are en-suite. The duration of stay at the home is 12 weeks, the service users can then move to the secondary care house a short distance away (Anderson House) where the stay would be a further 12 weeks. If accepted on to the treatment programme, service users must agree to abide by the treatment philosophy of the house and the necessary restrictions that are imposed. Allington House is situated within easy walk of Bournemouth town centre. There is also good access to local and national bus, coach and train routes. The property was originally built as a family house, it is detached and in a residential area of the town. The home has a lovely large garden, which this year won 2nd place in the Bournemouth in Bloom competition. There is garden furniture and a wooden framed shelter where service users are able to smoke. Volunteers assist in maintaining the pretty grounds and considerable effort is made by staff and the registered manager to create a positive, welcoming environment. The fees for the home are £555 per week. Addition charges are detailed within the Service User Guide for the home. The Service User Guide also informs that service users can obtain a copy of CSCI reports through the Registered Manager. Further useful information about the fair terms in contracts can be obtained through the following web link www.oft.gov.uk . Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key inspection of Allington House was carried out on the 18th of October 2007, between 9.15 am and 4.30 pm. The aim of the inspection was to evaluate the home against the key National Minimum Standards and to follow up on the one a recommendation made at the last key inspection in October 2006. The Chief House Manager assisted throughout the inspection, as the Registered Manager was not available. A small group of residents were spoken with in the kitchen and also a group of residents in the main lounge. Over the lunchtime period the inspector met with the staff on duty that day. Records required to be maintained by Regulation were viewed during the inspection and a tour of the premises was also made. What the service does well: What has improved since the last inspection? The full treatment programme is now offered at Allington House rather than residents moving to anther unit for the second stage of treatment. Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 6 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. Allington House DS0000003910.V353258.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Allington House DS0000003910.V353258.R01.S.doc Version 5.2 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. 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. Residents benefit from their needs being assessed prior to being offered a place at the home and by being provided with good information about the way the home is run. EVIDENCE: The personal files of three residents were used throughout the inspection to track the paperwork and records that the home must keep as evidence of the care provided at the home. The Chief House Manager informed that the home was currently full and that there was a waiting list of people wanting to move to the home for treatment. At the time of the inspection Councils outside of Dorset were funding all of the residents and there were no privately funded residents. The home does accept privately funded residents, however the majority of residents are funded through block contract or spot contract arrangements through Local Authority care management. Usual practice is for a person referred to be invited to the home to assist them in their decision of choosing a treatment centre. The visit also provides an opportunity for the home to carry out their own assessment of the person’s needs, to ensure that these can be met at the home. Prospective residents can be accompanied by Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 9 their care manager or friends or family members if they choose. Where people are funded through care management arrangements, the home requests a copy of the care management assessment and care plan. At the time of the visit the prospective resident is given a copy of the home’s Service User Guide and the person is also informed about rules and restrictions that form part of the terms and conditions of residence. The organisation also has a web site that provides full information about the organisation, the home and the treatment programme. In some instances it is not possible for a person to make an introductory visit to the home. This may be in cases where people are referred from prison or from the north of the country. In these cases an assessment is be carried out with the person over the telephone. Within the files of the three residents tracked through the inspection, there were copies of the assessment of need that the home had carried out. The assessments were detailed and covered all the headings of need detailed within the National Minimum Standards. Allington House DS0000003910.V353258.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 & 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 being involved in developing their care plan and being able to make decisions about their life within the confines of the treatment rules agreed prior to their admission. Residents are encouraged to take control of their lives within a structured programme. EVIDENCE: When a person moves into the home there is an initial four-week assessment period that forms part of the first phase of treatment. During this time a plan of care is developed using four main assessment tools; a dependency questionnaire, the person writing their life story, a questionnaire about what the person wants from their treatment and a relationship questionnaire. It was found that for each resident tracked through the inspection there were detailed care plans and copies of the assessment tools. Residents had signed their care plans providing evidence that they had been involved in this process. At the Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 11 front of each person’s file was a key information sheet together with a photograph of the resident. Care plans were found to link with risk assessments that had been carried out and informed of how risk of harm was to be minimised. Since the last inspection there has been a change to the way treatment is managed throughout the organisation. At the time of the last inspection Allington House provided the first stage of treatment provided by Streetscene and after 12 weeks residents would move to second stage treatment provided in another registered home of the organisation within the Bournemouth area. Allington House now provides the full treatment programme that usually lasts for 24 weeks. In the initial phases of treatment restrictions placed upon residents, such as restrictions in going out of the home alone and receiving visitors but as time progresses people are given more responsibility for taking control over their lives. During the later stages of treatment residents are able to go on home visits, to go out unescorted and be more involved in community activities. The rules that govern the treatment programme are clearly detailed within the Service User Guide and people are fully informed before they enter the home on what treatment entails. The model of treatment adopted by Streetscene is eclectic, using evidence based outcomes, such as 12-step facilitation, cognitive behavioural therapy techniques, anger management, relapse prevention strategies and motivation enhancement therapy. Residents are expected to take part in daily groups in which they set goals linked to their care plans. Weekly service user meetings are also held where residents can voice their views on issues that affect the running of the home. All of the residents spoken with made positive comments about the treatment programme. Allington House DS0000003910.V353258.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, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a structured treatment programme that supports residents to develop a meaningful, drug and alcohol free lifestyle within confines of rules agreed prior to admission. Residents also benefit from a good standard of food being provided in the home. EVIDENCE: The treatment program places a strong emphasis on personal development and is designed to bring some structure into people’s daily lives. Residents are therefore expected to get up at 7.30 am, have breakfast together at 8.00 am followed by a short morning meditation with readings providing a positive reflection for the day ahead. Residents are also expected to take part in cleaning the home each morning prior to groups held before lunchtime. In the afternoons further groups take place until 3.00 pm, at which time a group of Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 13 residents go out for the daily shopping. Further groups are held before the evening meal at 6.00 pm. In the evening some residents go to meetings in the community. At 10.00 pm residents are asked to write up their daily diary before going to bed at 11.00 pm. On Friday nights residents can watch a DVD that they choose. By the end stages of treatment, residents should be established in support groups meetings in the community, (either cocaine, narcotics or alcoholics anonymous support groups) and also have a sponsor. They should also be established in some voluntary work, (either the Brownsea Island Nature Reserve, charity shops or Dorset Reclaim). Residents should also be enrolled at college. The college runs a specific course, ‘Progressive Outreach’, that focuses on IT knowledge, esteem building, goal planning, learning styles and future career building. Individual needs and choices are also catered for, examples being some residents attending adult literacy and numeracy or attending courses in English for people whose first language is not English. Once a month outings are arranged. Residents informed that they have recently been on an outing to Corfe Castle and Lulworth Cove and the month before a visit to the New Forest. An outing to the Russell Cotes museum was being arranged for later in the week. The residents spoken with acknowledged that funds for such outings were limited but they would like to see more outings if this were possible. Residents are encouraged to take care of their physical health by being able to use the gym at the local YMCA or taking part in the local football recovery team, or playing volleyball. Other leisure activities include a fishing club and weekly relaxation and stress management technique classes. Residents are allowed to have visitors after a four-week period of settling into the home. As mentioned earlier in the report, residents can arrange home visits later in their treatment. On the day of inspection a family conference was being arranged for one resident with the objective of maintaining and rebuilding relationships with their family. Part of the agreed treatment guidelines that residents sign up to, is that they do not form special or sexual relationships with the other residents as this can be divisive in group work and detracts from treatment objectives. Streetscene has a policy on handling mail and residents must open their mail in the presence of staff. All of the residents spoken with said that the food was of a good standard. On the morning of the inspection a group of residents were assisting in preparing the lunchtime meal. At the time of the inspection two Muslim residents were accommodated and they informed that a Halal diet was catered for. A vegetarian option is also provided each meal. Two of the residents spoken with requested that more fresh vegetables be used. This was discussed with the Chief House Manager who informed that they had tried to comply with this request in the past, however it was found that residents when cooking Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 14 preferred to use frozen vegetables, as these were easier to prepare and very often fresh vegetables were left to go to waste. Records of food were seen these reflected a varied and wholesome diet being provided. Allington House DS0000003910.V353258.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their physical and emotional health needs being met, however some improvements to the way medication administration record are completed would ensure greater safety. EVIDENCE: All of the residents spoken with said that the staff team were very supportive. Residents said that they were treated with respect and made to feel valued as individuals. Each resident is allocated a key worker with whom they have individual counselling in addition to the group work. The inspector was told that the home has good relationships with the Community Mental Health team should any resident have mental health needs. The assessment process takes into account people’s emotional and mental health needs. Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 16 The home has a contract with a GP practice that has a special interest in addiction. The Chief House Manager informed that the home received good medical support. On the day of inspection one resident was going out to attend a dental appointment. An optician visits the home should residents have a need. With the exception of creams and inhalers, all residents have their medication administered by the staff. Risk assessments were seen for those residents who could manage creams and inhales. The medication cabinet is kept locked with one person having accountability for the key to the cabinet each shift. The procedure of the home is for residents to go to the office for medication administration. The medication administration records for all of the residents were seen. In general terms it was found that there were no gaps in the records and that the sheets were being recorded correctly. It was found however that there were some minor areas that could be improved upon. Firstly, it was found on some of the medication administration sheets where hand entries were being made, that a second person had not signed to check that the entries were entered correctly. It was also found that on some medication administration records and there was no record of whether a person had any allergies. It was also found on another sheet that a person prescribed Paracetemol three times a day this was being signed for as if it had been prescribed on an as and when required basis. The home week uses a unit dosage system and the local pharmacist delivers medication to the home. The medication cabinet was seen and it was found that medications were being stored correctly. There was the facility of an inner lockable area for the storing of controlled drugs and also a controlled drugs register should a person be prescribed these medicines. Allington House DS0000003910.V353258.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure needs updating, however residents are well informed on how to make a complaint. EVIDENCE: Since the time of the last inspection there have been no complaints referred to the management of the home and none have been brought to the attention of the Commission. The complaints procedure is detailed within the Service User Guide and it was noted that a copy of this document was on display in a quiet lounge. Residents are also given a copy of the complaints procedure when they are admitted to the home and they sign that they have received this. Residents are therefore well informed of how to make a complaint. It was noted however, that within all three residents’ files tracked through the inspection, the complaints procedure that residents had signed was outdated, as it referred to Anderson House, (which has now closed) and also referred to an inspector who no longer works for the Commission. It is recommended that the complaints procedure be reviewed and updated. The home has copies of all the relevant adult protection policies and procedures. All of the staff receive training in adult protection. Allington House DS0000003910.V353258.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a ‘homely’, clean and well maintained environment. EVIDENCE: The home is located in a quiet residential area, has a ‘homely’ ambience and is well suited to meet its aims and objectives. The home has well maintained gardens to the rear and side of the property with some car parking spaces to the front of the home. On the day of inspection the home was found to be clean and in good decorative order, providing a valuing and comfortable environment. The home has a separate laundry area that is fitted with commercial machines suitable for meeting the laundry needs of the home. All staff receive training in infection control and protective clothing and equipment are provided for the staff. Bathrooms were found to have soap dispensers and paper towels. Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 19 At the time of inspection some of the offices at the top of the building were in the process of being redecorated and refurbished. Allington House DS0000003910.V353258.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): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a motivated, well trained staff team, however recruitment procedures could be improved. EVIDENCE: The Chief House Manager informed that staffing levels were slightly increased since the time of the last inspection. On weekdays there are three councillors on duty each day. On three of the weekdays there are two support workers on duty and on the other two days one support worker. The Registered Manager also works weekdays, office hours. At the weekends and there is one residential care officer on duty and on Saturdays an additional support worker. At the weekends the home is also supported by some of the volunteers who work for Streetscene. During the night-time period there is one member of staff who carries out a sleep-in duty with the backup of an on-call duty manager. The residents spoken with and also the Chief House Manager informed that the staffing levels were sufficient to meet the needs of the residents. Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 21 Since the time of the last inspection there have been two new members of staff who have started work at the home and their recruitment records were seen. In both cases there were some minor omissions in the recruitment checks. In the case of one person, only one written reference could be located and in the case of a second person, they had not completed an application form and therefore had not signed a health declaration or supplied a full employment history. It was noted that due to the refurbishment of the offices at the top of the building, records were being temporarily stored in the loft area, which may have accounted for not being able to find one reference. A requirement was made that the requirements of Schedule 2 be complied with concerning recruitment of staff. As mentioned earlier in the report Streetscene has a team of volunteers all of whom are subject to criminal record bureau checks. As detailed in the last inspection report, the NVQ 2 qualification does not meet the needs of care workers in the field of drug and alcohol treatment and the staff at Allington House have therefore been trained to NVQ level 3. The home has achieved a level of about 50 of the staff trained to level 3. In general it was found that the staff are well trained with all of the counsellors being trained in addiction counselling, with many having diplomas or degrees in the field. All staff receive core training in First Aid, basic food hygiene, moving and handling, fire safety, infection control, health and safety and adult protection. Allington House DS0000003910.V353258.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, 41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the interests of the residents, however record keeping and procedures for safekeeping residents money could be improved to ensure full accountability EVIDENCE: Mrs Mills, the Registered Manager, has completed the Registered Manager’s award and NVQ level 4. The home was found to be well-managed through her leadership and through the supporting structure of the organisation. The home regularly reviews the treatment programme through quality assurance surveys and best practice guidance. Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 23 There were no hazards identified during the inspection. The Annual Quality Assurance Assessment submitted prior to the inspection, informed that all tests of fire safety system and other equipment in the home was being serviced and tested within recognised timescales. On the day of inspection the fire safety system was tested. Small sums of money can be deposited with the staff for safe keeping by the residents. The records and money held for two residents was checked. It was found that the records had some errors. It was recommended that the procedures could be tightened to provide better accountability through staff signing as well as residents when transactions are made. There should also be more accountability for the money as all staff who have access to the downstairs office had access to money. Better safety would be afforded by one member of staff each shift having accountability for the money held. Allington House DS0000003910.V353258.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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X 2 3 X Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA34 Regulation Schedule 2 Requirement You are required to ensure that when recruiting new staff all stipulations of Schedule 2 are complied with. Timescale for action 05/11/07 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. Refer to Standard YA20 Good Practice Recommendations It is recommended that: • Any allergies of residents are recorded on their medication administration record. • Where hand entries are made on medication administration records, a second staff member checks and signs that the record has been completed correctly. • An entry is made on the record for all medicines prescribed to residents. It is recommended that the complaints procedure be reviewed and updated. It is recommended that the procedures for safe keeping residents monies be reviewed to ensure greater accountability. 2. 3. YA22 YA41 Allington House DS0000003910.V353258.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Allington House DS0000003910.V353258.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!