Inspection on 25/11/08 for Ark House

This inspection was carried out on 25th November 2008.

CSCI found this care home to be providing an Excellent service.

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

Other inspections for this house

Ark House 24/11/06

Ark House 03/02/06

Ark House 17/08/05

Ark House 23/12/04

Ark House 15/07/04

Similar services:

Oakmount Hostel

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ark House 15 Valley Road Scarborough North Yorkshire YO11 2LY     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline ORourke     Date: 2 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Ark House 15 Valley Road Scarborough North Yorkshire YO11 2LY 01723371869 01723375678 ark.house@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Bjorn Roswald care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence Additional conditions: Registered for Alcohol Dependence some of whom may also have Drug Dependence Date of last inspection Brief description of the care home Ark House provides accommodation and personal care for a maximum of twenty younger adults who are recovering from alcohol and/or drug dependence. The home does not provide nursing or medical services. The care home is a large detached property located in a residential area of Scarborough. It is conveniently situated for all main community facilities including the public transport network. The home has parking facilities for several vehicles. Time restricted on-road parking is also available. The property has three floors. The main communal rooms, group rooms and classroom are located on the ground floor. The bedrooms are located on the upper floors. The home does not have a passenger lift and consequently is only considered suitable for people who are fully ambulant. People undergo a programme of recovery. This is based on the twelve step programme originally developed by Alcoholics Anonymous. Sobriety is achieved through adherence to the programme, which involves a combination of group and classroom work, assignments and professional and mutual support. On average people will take between ten and twelve weeks to complete the primary programme. During the latter stages of recovery the people are provided with Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 20 Brief description of the care home an opportunity to learn, or re-learn, life skills to enable them to live independently within the community. This is known as extended care. An after care service is available for people who have completed the programme and still require support. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: - information provided by the registered person on an Annual Quality Assurance Assessment. Care Homes for Adults (18-65 years) Page 6 of 30 -A visit to the home by one inspector that lasted for 6 and a half hours. -Information received from surveys from people using the service and professionals involved with Ark House. During the visit ten people using the service three staff members and the manager were spoken with. Care records relating to four people using the service, four members of staff and the management activities of the home were inspected. Care practices were observed, where appropriate and time was also spent watching the general activity in the home. This enabled the inspector to gain an insight of the work done at Ark House. The manager was available throughout the visit. Information about Ark House is available in a Statement of Purpose and Service User Guide and provided on request. The weekly cost for Ark House on 25th Novemebr 2008 was between four hundred and fifty pounds and four hundred and ninty pounds depending on the length of the progamme undertaken. What the care home does well: What has improved since the last inspection? What they could do better: During the inspection several areas were identified as requiring some improvement. Whilst there was no evidence of discrimination on the grounds of gender, sexual orientation, faith, or ethnicity, the Service user Guide could be improved by including an equality and diversity statement clearly stating discrimination is not tolerated. The medication records need to be properly maintained and staff must be more vigilant about signing for medicines given. The Registered Manager should ensure that staff have received accredited training to ensure they do handle medication correctly. Staff should have regular training in the Safeguarding of Adults to ensure they remain vigilant in the protection of people using the service from abuse. The quality assurance system should be extended to include all stakeholders to ensure they get a wider perspective of the service they provide. Care Homes for Adults (18-65 years) Page 8 of 30 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive assessments enable the staff to provide the support required by people entering the recovery programme. Evidence: People looking to be admitted to Ark House undergo a comprehensive pre-admission assessment. Where possible this is done prior to an admission and in carried out on the initial visit. Only in an emergency are people admitted. In these circumstances they can be in a confused state due to their dependencies and an assessment is carried out when they first arrive. The assessments had been undertaken either by the registered manager or the administrator on one-to-one basis with the person concerned. The assessment form covered all aspects of the persons background, including legal and financial concerns, addiction history, criminal history and any pending legal issues. It also identifies their primary health and social care needs, including their mental health status and family situation. Evidence was available to confirm that where necessary further information had been obtained on an individual Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: from social and health care professionals. According to the manager this was particularly important if someone had been referred through the courts/probation service. The registered manager said that time was spent on clarifying any grey areas prior to someones admission such as their motivation and criminal offences. The assessment allows the manager to examine the motivation to achieve recovery. If someone is deemed unsuitable for the programme then discussions are held with the management team and counsellors before a final decision is made. The manager was very clear about the parameters of the service offered and this is outlined in the information provided to people who use the service. People using the service confirmed that they had been through the admissions programme and the recovery programme had been discussed. It is at this time that the restrictions placed on people starting the programme are highlighted. These restrictions are outlined in the information pack given to people, this pack includes the Service User Guide. This document could be further improved by including an equality and diversity statement that outlines the different strands of the larger community whose needs could be met at Ark House. Each person had signed a contract for his or her residency and the restrictions were included in this contract. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Excellent care planning and support on an individual basis underpin each persons care. People are directly involvement with their care plans thereby providing them with a degree of control over their programme of recovery. Evidence: Each person has a care plan, one provided by the placing authority and one developed within the home. This document is reviewed regularly and staff work with the individual concerned to ensure they are fully involved with their plan. The recovery programme is based on the twelve-step programme and this underpins all other care plans developed. The care plans seen were comprehensive and covered areas pertinent to the individuals life. The information held on people in the programme is treated in the strictest confidence by all staff. Daily and weekly records are kept and people are encouraged to keep their own diary or log any changes in their feelings or Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: to highlight any concerns they may have. In addition to their care plans and personal logs people are provided with one-to-one support from an allocated qualified counsellor. A peer group support system has also been introduced to allow for newer people to the programme to ease their initial time at Ark House. Each day is structured to ensure that people in the programme are engaged in their recovery. This means that making decisions about their day-to-day life is limited especially in the early stages of their stay. As people progress through the programme then they are encouraged to make more and more decisions about their life. Several people were spoken with during the inspection understood that the rules and restrictions in place were there to enable them to concentrate on the programme. People in the early stages of their recovery expressed their resentment at the rules but others who were in the later stages of recovery understood the necessity of the rules in their recovery. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has been tailored specifically to meet the assessed needs of people using the service with emphasis being placed on their rehabilitation within the community. Evidence: One of the primary aims of the home is to enable people to develop their personal and life skills so that they can lead independent lives and re-establish links with their communities. People are encouraged to do their own shopping, cleaning and laundry. The plans for each person are personalised and social activities are limited in the early stages of the treatment programme due to the intensive nature of the work being undertaken. The restrictions in first four days of the programme include restricting contact with family and friends. Visitors are allowed to visit each Saturday afternoon and people can go out for some time with them. As people progress through the Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: programme then the restrictions are relaxed. People are allowed an hour a day to go out in to the local community as well as the Saturday afternoon visits. As people progress through out the programme they are given more responsibility and are allowed to go out more often. The structured day includes class work in the morning and group work in the afternoon; they are also expected to undertake evening study to consolidate the information and advice they have received during the day. The day starts with a meditation session, the people using the service lead this and people are encouraged to indicate how they are feeling using a scale of one to ten. They are also encouraged to express any concerns at this time of the day. Staff use this information to monitor how people are feeling and gives them an opportunity to identify and discuss any concerns. A similar session takes place in the evening and it allows people to express any concerns or how the day has gone before they retire to bed. The programme is non-confrontational and the philosophy of the staff is I cant make you do anything-itis entirely up to you. A sense of hunour and a good level of interaction is encouraged between people in theh oem and staff. The interactions observed showed that staff treated people with respect and they were relaced and positive. People spoken with said that the staff were brilliant and always available always someone to talk to if you need to The meals provided take in to account any cultural and dietary needs. There is a fourweek menu provided and people can make suggestions about what they want. One person said, the diet here is very healthy, lots of fresh fruit and vegetables others said the food here is ok, we get our own breakfast and lunch A cooked meal is provided in an evening and people again said this was good. Many of the people in the programme had previously had a poor diet and they said that they felt the benefits of the healthier diet provided at Ark House. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are met through excellent support from the staff and good levels of input from health and social care professionals. Evidence: People in the service are encouraged to maintain a high standard of personal hygiene as part of the rehabilitation programme. It is indicated in their contract that they must have a shower every day. People are admitted to the programme from different backgrounds so personal hygiene vary enormously. They also can have issues with low self esteem consequently their personal appearance has not been important to them. The staff work closely with people in improving their self-image and self esteem. The restrictions placed on people includes being woken at seven in the morning and not going to bed until eleven at night. People are not allowed to lie down during the day unless they are ill and must not put their nightclothes on until they go to bed. In providing these guidelines the aims is to provide structure to peoples lives where it had been previously been missing. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: A zero tolerance rule was in place regarding the use of drugs and alcohol during the recovery programme. Breach of this rule would necessitate immediate exclusion from the programme. Arrangements are, however, in place to ensure that in such circumstances the person concerned involved was provided with appropriate support. People spoken with said that the rules may seem harsh but they needed to be. People go through the rules in a group session each Friday afternoon. Medication is administered directly from the packaging provided by the pharmacist. The records seen did not allow for a full audit to take place. There were recording errors in three of the records seen. The storage of the medication was satisfactory. Staff have received training from BOOTs the Pharmacist but there is no evidence that this is accredited training. On admission the majority of the people in residence had health care needs associated with substance abuse. Consequently they were registered as temporary patients with a local medical practice that, according to the manager, provides excellent support. From correspondence received from Ark House and an examination of the homes records, it was apparent that healthcare needs of people using the service were closely monitored and appropriate and timely action was taken as necessary. People spoken with said they could see the doctor if they needed. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by having access to an appropriate complaints procedure and by the development of good, internal and external, lines of communication. Evidence: There is a complaints procedure in place and this information is included in the pack given to people on arrival. There is a session each morning to allow people to raise any concerns. People spoken with said that they could raise any concerns at any time and staff listened to them and then if possible addressed the concerns. People also use the one-to-one sessions to highlight any concerns they may have. The home has received no formal complaints since the last inspection. A concern was received by the Commission and was not upheld. There is an adult protection policy in place the manager needs to ensure that he has the most recent policy followed by the local authority when they suspect abuse of taking place. Staff spoken with felt that any concerns raised by people in recovery would need to be explored before any formal reporting was carried out. This was because during Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: recovery people can imagine all manner of injustices. However, staff need to be aware of the procedure to be followed where adult abuse is suspected. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with accommodation that is designed to meet their needs in relation to the programme of recovery. Evidence: The accommodation provided is suitable for its stated purpose. The bedrooms are a mixture of shared and single rooms many with ensuite facilities. The shared rooms had a privacy screen provided to allow a modicum of privacy. People spoken with understood the need for shared rooms as it allows for peer support at all times. The rooms were all reasonably decorated, clean and odour free. People in the programme are expected to undertake regular cleaning tasks to ensure the environment remains clean and tidy. There is a policy of openness within the home and subsequently none of the bedroom doors have locks fitted. People spoken with said that the staff respect their right to privacy and always knock to enter the room. Where possible people had personalised their own space with a few personal items such as family photos and their personal belongings. A handyman is employed and he keeps on top of daily repairs and undertakes a major task each month. There are plans to up grade the roof next year and the rear windows. All areas of the home seen were clean and free from offensive odours. Everyone in the Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: home accesses the laundry and people have a rota as to when they can do their own personal laundry. Staff provide assistance with this task in the early stages of recovery to ensure people know what they are doing with the equipment and detergents. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced and competent staff team that enables them to achieve and maintain their aim of sobriety and prepare for rehabilitation within the community supports people. Evidence: The staff employed at Ark House have all been through the recovery programme some at Ark House others at other establishments. This allows them to have a full understanding of the problems and process of people going through the recovery programme. The staff team consists of people trained in integrative psychotherapy, National Vocational Qualification level two in care, first aid, counselling, psychology and teaching. Staff also have training to work with eating disorders, obsessivecompulsive disorders and substance abuse. During business hours there are four trained counsellors on duty as well as administrative staff. At other times there are at least two members of staff on duty. Two senior staff are on call at all times. People spoken with felt that as the staff had been through the recovery programme they could better understand their problems. They also saw staff as an incentive as they are examples of people who continue to be successful in their recovery. Peoples comments relating to the staff included, If there is anything you need you just have to ask and they (staff) will help willingly and The staff are well trained and Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: supportive. It was observed that the staff treated the service users with respect and spoke to them in an appropriate manner. Without exception the people spoken to commended the qualities of the staff. Staff files seen did not all contain information about the recruitment of the individual. The last member of staff employed was over two years ago, there was no application form or references held on file. Whilst there was evidence in other staff files there was usually an application form and two references the manager is reminded of the importance of keeping this information on all files. All staff had a Criminal Records Bureau disclosure check on file and a contract was in place for them. There were no supervision records held in the files and in discussion with the manager it became clear that most supervision is informal in-house. All of the trained counsellors have external supervision in relation to their counselling qualification. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and staff are supported by a competent manager who has clear aims for the future of the service. Evidence: The registered provider and the Registered Manager are both available to people in the recovery programme and staff. They maintain a high visibility by taking part in the day-to-day running of the home, from preparing meals, cleaning, and maintenance and in giving lectures. It was observed that the manager had promoted an environment of openness. People in the recovery programme, for example, did not hesitate to approach him for assistance and advice. It was also noted that, quite correctly, they were given priority over other events, such as the inspection. The manager has completed the Registered Managers Award. It was evident from discussions with the registered manager that his confidence has continued to improve and he has a clear vision of how the service can continue to improve. He presented as having a democratic style of management that was underpinned by excellent Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: standards of professionalism. There is a quality assurance system in place and it is based on information obtained through the morning meetings, one-to-one sessions, staff meetings and questionnaires sent to people in the recovery programme. They do not send questionnaires to other stakeholders although they do have professional relationships with them. It is recommended that the surveys are extended to stakeholders and where appropriate families and friends. The information provided before the inspection highlighted the managers intent to keep up the improvements in the service. The health and safety records were checked and all were found to be up to date. Risk assessments for fire, the environment, COSHH and people who live in the home. All accidents and incidents are recorded and when necessary they are reported to the Commission of Social Care Inspection. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 20 the record keeping must be 01/01/2009 kept up to date. This will allow staff to have a full awareness of who has had their medication. 2 23 13 Staff must have training in Adult protection awareness This means people using the service will be safe. 30/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The Service User Guide and Statement of Purpose should include an equality and diversity statement that outlines the different strands of the larger community whose needs could be met at Ark House. The Registered Manager should ensure that all staff that administer medications have received accredited training. The registered manager should ensure that all records relating to the employment of staff is available for inspection. 2 20 3 34 Care Homes for Adults (18-65 years) Page 28 of 30 4 39 The Registered Manager should extend the quality assurance system to include all the stakeholders involved with Ark House. This will give him a broader perspective on the service provided. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!