Inspection on 19/03/07 for Applelea

This inspection was carried out on 19th March 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Applelea 16/10/07

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Dalewood Respite Care

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

CARE HOME ADULTS 18-65 Applelea The Harrow Way Basingstoke Hampshire RG22 4BB Lead Inspector Jenny McGookin Key Unannounced Inspection 19th March 2007 09:30 Applelea DS0000068254.V331794.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 Applelea DS0000068254.V331794.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. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Applelea Address The Harrow Way Basingstoke Hampshire RG22 4BB 01256 316555 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) Liaise Loddon Ltd Amanda Kim Rayner Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be accommodated from the age of 16 years. Date of last inspection N/A Brief Description of the Service: Applelea is registered to provide accommodation and personal care for four adults (18-64 years, both genders) with severe learning disabilities and complex restrictive behaviours, including life threatening self-injury usually associated with autism. It is designed for individuals who require 1:1 support to access the community, and who may have additional needs associated with epilepsy and sensory impairment. The registered provider is Liaise Loddon Ltd., which operates a number of other homes for people with learning disabilities and challenging behaviour usually associated with autism. The property comprises a detached two-storey house, on Harrow Way just outside Basingstoke centre, with all the community and transport links that implies, including a main line train station and bus routes. The home also has its own transport. This home first registered in October 2006 and is a two-storey detached building, set back from the Harrow way. It comprises four single bedrooms one on the ground floor, and the other three on the first floor. All four bedrooms exceed the National Minimum spatial Standard, and three of them have full en suite facilities. The fourth has exclusive use of an adjacent bathroom / WC facility. The home also has a communal lounge and kitchen/dining room, another WC/bathroom and laundry. There is space for up to eight vehicles on site and there is unrestricted kerbside parking on a nearby lay-by. The current fees for the service at the time of the visit range from £2,800 £3,500 per week. Information on the Home’s services and the CSCI reports for prospective service users should be detailed in the Statement of Purpose / Service User Guide. The e-mail address for this home is: a.rayner@liaise.co.uk Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was this home’s first inspection since registration. This took the form of an unannounced site visit carried out by a member of the Maidstone team, on behalf of the Southampton team, as part of the Commission’s key inspection activities. The fieldwork associated with this site visit took just under nine and half hours, spread over one day. It involved meetings with staff representing the range of functions of this service: a visiting Area Director, the manager, the chef, the Life Skills Tutor - as well as the observation of one service user’s first review, involving his parents, social worker and Liaise Loddon Ltd’s management team. The fieldwork also included the selection of two service users’ files for case tracking, and three personnel files for auditing against the provisions of the regulations. This inspection visit also necessarily involved the assessment of a range of key records and policies and a tour of the building. Interactions between staff and residents were observed throughout the day. Feedback questionnaires were issued by the Maidstone team for distribution to service users and other stakeholders, but their responses had not been submitted by the time of issue of this draft and there were no home visits carried out on this occasion. Any responses received after the final publication of this report will, therefore, be assimilated into the Commission’s own intelligence, for future reference. What the service does well: What has improved since the last inspection? Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 6 Not applicable, as this was this home’s first inspection visit. 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. Applelea DS0000068254.V331794.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 Applelea DS0000068254.V331794.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): 1, 2, 3, 4, 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives have the information they need to decide whether this home will meet their needs. Prospective service users have their needs assessed and their placement is subject to a contract / terms and conditions, which clearly define the service the will receive. EVIDENCE: A copy of the most recent Statement of Purpose was supplied for inspection, and will require only minor amendments to obtain full compliance with the elements of the National Minimum Standard. These amendments have been reported back separately. A master copy of the Service User Guide was not supplied for assessment against the National Minimum Standard on this occasion, but the manager did supply a document which was drawn up for one service user, listing all the facilities of the home and activities he could expect to engage in on and off site, as well as local community resources at Basingstoke. The document was adapted with photographs and symbols to make it as accessible as possible, so Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 9 that the service user could know what to expect, as far as he was able. This is judged careful and sensitive practice. None of the current residents had any choice about their transfer from previous placements, but the Area Director said that in three cases (at another home in the group) the setting up of this home was purposefully led by an interpretation of their future needs. And although the decision to place the fourth service user at this home was led by his funding authority, his parents clearly had already had enough contact with Liaise Loddon staff to feel confident that this placement would be in their daughter’s best interests. Liaise Loddon has a careful step-by-step “transition” process, based on multi disciplinary assessments and meetings, and which is inclusive of the resident’s responses (as far as they are able, through observation) at every stage. This process includes preadmission visits to the home. The home is able to demonstrate its capacity to meet the special needs of these residents. Examples are detailed throughout this report. Each placement is subject to the terms of the funding authority’s contract, which is supplemented by the terms and conditions contained within Liaise Loddon’s “Placement Proposal” for each of them. There is as yet no prospect of a much simplified picture / symbol assisted version of the contract for the service users. Applelea DS0000068254.V331794.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 6, 7, 8, 9, 10 Individuals are as involved in decisions about their lives as much as they are able, and play a central role in the way this home plans the care and support they receive. EVIDENCE: The format of the care planning process is a comprehensive person-centred one, clearly designed to address the health and social care needs of the service users on a 24 hour basis. This properly includes detailed observations and specialist input. See also sections on “Personal and Healthcare Support” for more detail. There was good evidence of the home summarising and keeping track of emerging trends. Each service user has a “Circle of Support” worker, who coordinates the assessments, planning and reviewing processes. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 11 And there are practical guidelines on positive behaviour support as well as lastresort interventions (based on the PROACT-SCIPr-UKr model - established by Liaise Loddon’s own Managing Director and Chairperson of the Board of Directors, Marion Cornick). There was good evidence of risk assessments in respect of each service user, their activities and the environments he uses, on and off site. Liaise Loddon’s arrangements for record keeping, their safe retention and disposal are judged satisfactory. The home keeps hard copy and electronic records. Cabinets, computers and office facilities are all properly secured. Each resident has access to a lockable facility to store money and valuables in, although access is supervised by staff in each case. Applelea DS0000068254.V331794.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 11, 12, 13, 14, 15, 16, 17 Service users are supported to make choices about their life style, and to develop their life skills. Social, educational, cultural and recreational activities are tailored to what each service user enjoys doing and can be motivated to learn. EVIDENCE: Abilities, activities and personal preferences are established as part of the preadmission assessment process, and confirmed or developed by care planning, day-to-day observations and consultation thereon. This home offers support to residents in maintaining or developing their practical life skills (loading and unloading washing or drying machines, folding laundry, recycling, shopping), as well as recreational pursuits such as sports, Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 13 pubs, cafes, walks and trips to the countryside i.e. mainstream community activities not confined to or identifiable with disabilities. There is a dedicated vehicle but residents are also supported to use public transport (buses, trains) and to walk. This is in each case underpinned by a comprehensive range of risk assessments and specialist input as appropriate. Residents were observed being supported to make some decisions and choices during the inspection visit, and one outburst was managed effectively. The home maintains records of activities for each individual, and celebrates any accomplishment if it can be sustained on five consecutive occasions or more, with certificates issued by the Assessment and Qualifications Alliance (AQA), with whom Liaise Loddon has working links. This system is likely to be more meaningful to families or representatives but does provide useful tools for measuring progress. There are open visiting arrangements, and there was anecdotal information on the extent to which staff support service users to maintain family links. There is a telephone line for the service users’ use in the kitchen and office, and two service users have mobile phones for incoming phone-calls. Dietary needs and preferences are also established as part of the preadmission assessment process, and confirmed by the care plan and day-to-day consultation. There was anecdotal information to confirm that individual needs and preferences were being catered for. See also section on “Individual Needs and Choices” for further details. The dining area is a congenial setting at one end of the kitchen, although the plan is to build a conservatory as a discrete dining facility. No special feeding equipment or adaptations are currently warranted, but the home has been able to cater for a diverse range of dietary needs and preferences. There is a 4week cycle of menus, which is applied flexibly. The inspector met with the home’s chef, and sampled the lunch, and judged the meal well prepared and presented. Records are kept of options actually chosen by individuals, as required. Applelea DS0000068254.V331794.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 18, 19, 20 The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The preadmission and care planning processes assess the extent to which each service user requires assistance with their own personal care, and their choice and control is actively promoted by staff as far as possible. All the bedrooms are single occupancy and there are enough toilet and personal care facilities to guarantee their availability and privacy. Staff are available on a 24 hour basis to assist service users, but wait at a discreet distance to do so (e.g. outside bathroom doors), to accord them privacy and dignity. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 15 The care planning process routinely addresses a range of standard healthcare needs (opticians, dentist, chiropodists as well as osteopathy) as well as access to therapeutic services such as drama therapy, speech and language therapy, aromatherapy, and support from a consultant clinical psychologist). All service users are registered with a local GP. The medication arrangements (storage and record keeping) were judged compliant with National Minimum Standards, but the manager was advised to keep a copy of the Royal Pharmaceutical Guidance and to update her copy of the British National Formulary to underpin knowledge and practice. Applelea DS0000068254.V331794.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 22, 23 Service users are supported to express any dissatisfaction appropriately, and Liaise Loddon has a complaints procedure in place. Service users are protected from abuse, and have their rights protected. EVIDENCE: Liaise Loddon has policies on complaints and whistle-bowing, which were judged comprehensive, although the policy on complaints will need to be updated to take the new arrangements into account, once these become operative. There is also a more accessible version for service users, though it still showed the Commission’s former title. There was only one complaint since the last inspection, which did not in the event implicate the home. However, the absence of recorded complaints is not judged a realistic reflection of day-to-day life, given the special needs and interactions of the residents. It is accepted that a lot of work has been done to draw up communication tools - the challenge will be to find ways of translating expressions of dissatisfaction into recordable events, so that anyone authorised to inspect the records can evaluate the extent to which their responses are listened to and acted on. There has been some input from independent advocacy services, in respect of the latest admission. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 24, 25, 27, 28, 29, 30 The physical design and layout of the home enable service users to live in safety. This is well-maintained and comfortable environment. EVIDENCE: The location (i.e. access to Basingstoke) and layout of this home are generally suitable for its registered purpose, and measures are in place to minimise the hazards of the busy Harrow Way running along the front of the site. All areas of the home were inspected and found to be homely, comfortable and clean. The furniture tends to be domestic in style and there were homely touches throughout. Only a few minor matters were raised for attention. See schedule. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 18 The grounds are reasonably flat and there are focal points to draw the attention to, and to sit in, but there are no paths across it, for use when the ground is wet. The home has a “No Smoking” policy. The communal areas (lounge and kitchen) of this home are spacious. Most windows offer pleasant views of the gardens. The seating in the dining and lounge areas are uniform in style, but this is appropriate for the residents who use them. The kitchen is light, airy, clean and well maintained. No matters were raised for attention. There is one communal bathroom / WC on the ground floor and each bedroom has exclusive use of a bathroom / WC (en-suite or, in one case, adjacent) i.e. reasonably accessible to bedrooms and communal areas. No special equipment is warranted other than a non-slip mat for use in baths, and in one case, the taps are push-down to operate because of a risk of flooding by a service user. No matters were raised for attention. All four bedrooms are single occupancy and clearly exceed the national minimum spatial standard. All the bedrooms were inspected and found to be well maintained. In terms of their furniture and fittings, they were, however, generally not fully compliant with the provisions of the National Minimum Standards, but non-provision is in the process of being justified by fully documented consultation and risk assessment. Each bedroom was personalised, and three had their own TV. No matters were raised for attention. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 31, 32, 33, 34, 35, 36 Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, and to support the smooth running of the service. EVIDENCE: Staffing levels are designed to offer service users 1:1 support during the waking day, and although this usually means a minimum of four, staffing levels can fluctuate between three (e.g. due to sickness) and six (to cover breaks or 2:1 support out in the community). At night there are two waking staff. This was judged an appropriate level of staffing, in the light of information on the assessed needs of the residents, and staffing levels complied with this on the day of this inspection visit. Records confirm a systematic recruitment process, subject to police checks, references, identification and health checks. Post are recruited against job descriptions to ensure clarity of roles from the outset. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 20 There is a process in place to require staff to countersign policies as evidence of having read, understood and agreed to comply with their provisions, to ensure a consistent and co-ordinated approach. Staff are issued a copy of the General Social Care Council standards of conduct and practice as part of their induction pack. This is judged sound practice. Circle of Support workers are used to evaluate the effectiveness of the care planning process. One member of staff confirmed that she had supervision sessions, usually sixweekly, and that these sessions covered all those elements prescribed by the standard: specifically, the translation of the home’s philosophy and aims into work with individuals; monitoring or work with individual service users; support and professional guidance; and the identification of training and development needs. Staff training /competencies were inspected on this occasion, which confirmed that there is a satisfactory level of investment in mandatory and specialised training, though currently only 29 of the staff group is reported to be accredited to NVQ Level 2 or above. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 37, 38, 39, 40, 41, 42, 43 The management and administration of the home are based on openness and respect for its service objectives. There are some quality assurance systems in place but these require further development. The manager is qualified, and competent. EVIDENCE: The Commission’s registration processes have established that the manager’s qualifications and experience are appropriate to her role. The processes for managing the home are accessible, transparent and there are clear lines of accountability within the home and on a larger scale within Liaise Loddon Ltd. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 22 As part of the Commission’s registration process, Liaise Loddon Ltd produced a business plan, which usefully summarises its place in the market, the scope of its organisation, its deployment of resources and financial standing. It set key action for each strand of its operation for the then current year. Although this will require updating year on year, it indicates a business like approach. The home clearly places its service users at the centre of its own operations. See section on “Individual Needs and Choices” for details on the way this principle is being applied on a daily basis, and there are opportunities for families, funding authorities and other stakeholders to give feedback at individual reviews. However, it is too soon to judge the scope and effectiveness of its quality assurance systems on a larger scale. Over this inspection visit, six key policies were selected for closer examination, and were judged comprehensive in their scope. As reported earlier (see “Staffing” section) staff are required to sign checklists as evidence of their compliance with policies, which is judged diligent. Liaise Loddon has a range of policies governing health and safety matters, which are underpinned by a robust level of investment in training and risk assessment, and the home has the requisite insurance cover arrangements. One service user is not British, and there was some anecdotal information about the ways in which her culture is celebrated. The rest are white British. The service user group is evenly split in terms of gender. The care staff group is more culturally diverse (Polish, German, South African) – indicating a commitment to Equal Opportunities in the larger organisation, though it is predominantly White British, and it comprises three males (one of whom is routinely on night duty) so that same gender care can be guaranteed for the female service users, and is likely for male service users. Access to activities not necessarily confined to this client group and community presence are central features of the care planning processes and have been reported on elsewhere in this report. Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 3 Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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 YA22 Good Practice Recommendations Complaints procedure. The procedure should be updated to take the new arrangements (i.e. the role of the CSCI) into account once they become operative. The challenge will be to find ways of translating expressions of dissatisfaction into recordable events, so that anyone authorised to inspect the records can evaluate the extent to which the service users’ responses are listened to and acted on. 2 YA24 • • • • External kitchen windows should have fly screens or there should be an insectocutor Lime-scale residue in two WCs should be removed Fabric towels in communal WC should be replaced by paper towels The bedrooms should be checked for compliance with the provisions of the NMS and non provision should be justified by documented risk assessment or consultation DS0000068254.V331794.R01.S.doc Version 5.2 Page 25 Applelea Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Applelea DS0000068254.V331794.R01.S.doc Version 5.2 Page 26 - 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!