Inspection on 20/02/08 for Arnold Road

This inspection was carried out on 20th February 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Arnold Road 514 Arnold Road Bestwood Nottingham NG5 5HN Lead Inspector Meryl Bailey Unannounced Inspection 20th February 2008 09:30 Arnold Road DS0000070275.V360283.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 Arnold Road DS0000070275.V360283.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. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arnold Road Address 514 Arnold Road Bestwood Nottingham NG5 5HN TO BE ADVISED 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) londonroad@tiscali.co.uk Milbury Care Services Ltd Mrs Joanne Louise Ollerenshaw Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Learning disability - code LD The maximum number of service users who can be accommodated is 10. 2. Date of last inspection Brief Description of the Service: The premises of 514 Arnold Road have been purpose built as a care home and are situated on the edge of the town of Arnold, just north of Nottingham city. There is spacious accommodation for up 10 young adults. The service provided is aimed at young adults with learning disability and additional physical needs. There are two ground floor self-contained flats within the establishment. Two other bedrooms are located on the ground floor and six others are on the first floor. The communal rooms include a multi sensory room, activities room and separate lounge and dining rooms. Wide, lightweight doors have been used to meet the needs of wheelchair users and fixed hoisting equipment is provided. Staffing is provided according to needs and this can be on a 1:1 basis. Milbury Care Services Ltd provides a detailed guide to the services at Arnold Road and fees are given as commencing at £1645.00 per week. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection involved one inspector. The site visit was unannounced and took place on 20 February 2008. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used at the site visit was ‘case tracking’ which meant three residents were selected and their support was tracked through discussion with them and with staff, checking their care records and observing practice. Altogether four residents and two staff members were spoken with. The manager was available throughout the inspection for discussion and feedback. A sample of staff records were also looked at to make sure staff members are checked before commencing employment and are trained to meet residents’ needs. Information about a home that is collected before the site visit is also used as evidence to make judgements. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. The manager returned the AQAA before the site visit and it was used to plan the site visit and to support judgements made in this report. The registration certificate was displayed and was reviewed as part of this inspection to ensure it was correct. An amendment was necessary to correct the provider name, which is Milbury Care Services Ltd. What the service does well: A comprehensive and detailed Service User Guide and Statement of Purpose were available. Full assessments of needs were carried out before admission. Care is individually planned for people who live at the home and most risks are assessed. The plans were written from the individual’s point of view and showed that each person using the service was put at the centre of their care planning. The service includes a minibus adapted for people with Physical Disability and daily use is made if this. Some people receive 1:1 attention throughout the day to reduce assessed risks of injury. People who live there confirmed that they could choose when to get up and go to bed and that staff supported them as needed. Visits from and to family and friends were also supported. Mealtimes are relaxed and enjoyed. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 6 Records seen during the inspection showed that health care needs of residents are met. A range of mobility aids is available throughout the home to promote the health, wellbeing and independence of the residents with restricted mobility and dexterity. One person spoken with stated that staff were respectful at all times and assisted and supported them, as they needed. People live in a clean, comfortable and homely environment at this home. The premises have been purpose built as a shared home and are fully equipped. 69 of the staff have achieved National Vocational Qualification in care to at least Level 2 and many have some previous experience in supporting people with Learning Disability. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Arnold Road DS0000070275.V360283.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 Arnold Road DS0000070275.V360283.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, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are assured that their needs can be met by the facilities available. EVIDENCE: A comprehensive and detailed Service User Guide and Statement of Purpose were available in the entrance hall at the premises. Milbury Care Services Limited has clarified in the Statement of Purpose that they trade under the name of “Voyage”. There were some pictures in the service user guide and the manager stated that there were plans to develop this further into a more accessible format. People admitted so far have had staff assistance to enable them to receive the information. This was confirmed by one person who gave details of the assessment and admission process that included a transition period. Visits were made to the home before moving in. An Occupational Therapist visited during the inspection to arrange specific equipment in readiness for another person who had visited and plans to move in. We found full assessments of needs carried out before admission and copies of contracts on the files we saw of people who live at the home. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care is individually planned for people who live at the home and risks are assessed, but some further actions may need to be taken to reduce the risk of injury. EVIDENCE: Six people currently live at the home. The records of three of these were inspected. The full assessments of need led to detailed care plans, which were clearly set out. One of the files had a summary at the front which was useful, but the detail of how needs were to be met was important. The plans were written from the individual’s point of view and showed that each person using the service was put at the centre of their care planning. There were also records of how the plans had been reviewed and adjusted. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 10 The manager told us on the AQAA form that “From the point at which service users move in to Arnold Road they are encouraged to develop and express individual needs and choices from simple issues such as how to decorate their rooms to more complex issues, such as choosing a form of medical treatment which may involve issues of capacity to consent.” Examples of this were seen in the three care plans. One person verbally confirmed being fully involved in the planning. This has not been possible with all people who use the service but we observed people being offered choices using concrete objects together with speech. Risk assessments were completed for each individual with respect to their daily activities. The method of assessing risks involved using matrix scores, which take account of severity of the outcome and likelihood of each danger. Action to be taken to reduce risks is given for staff to follow. A second score would show that their actions actually reduce risks. Some people have bed rails in place to prevent falling at night, but the risk of people climbing over these was not assessed, which poses further risk of injury. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Individuals make choices from a limited range of activities. Mealtimes are relaxed and enjoyed by residents, but a healthy, balanced diet is not ensured. EVIDENCE: Three residents were at a day centre during our visit to the home and three were at home. Two arrived home during the afternoon. Individual plans for daily routines and activities were on the files we saw. The service includes a minibus adapted for people with Physical Disability and additional funding for this is via individuals’ Disability Living Allowance. Daily use is made if this. However, the number of staff available restricted the amount of activity during the morning (See more on this under Standard 33.) Some people who live at Arnold Road need 1:1 attention when engaging in activities. One person was observed rocking in a chair in the absence of any other activity. It was Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 12 recorded in the care plan that this person enjoyed this activity, but it only occurred when no other stimulation was offered. During the afternoon there were sufficient staff to give 1:1 attention and the same person was able to go out into the community in the minibus. There is a multi sensory room available on the first floor, but use of this is restricted if sufficient staff are not available. Another person did receive 1:1 attention throughout the morning to reduce assessed risks of injury. This person clearly chose the activity they wished to engage in and staff were patient and respectful of wishes. Another resident confirmed that they could choose when to get up and go to bed and that staff supported them as needed. Visits from and to family and friends were supported. One staff member said that they were aware they needed to improve the activities available within the home. There was an activities room with some materials, board games, keyboard and computer, but the room is used more for meetings and training staff. In the late afternoon one person made use of the music keyboard to play a programmed rhythm. The manager prepared lunch. Residents made some choice about what to eat and tomatoes and sausage were given. Staff gave appropriate assistance according to needs. A picture book of meals and recipes was available for staff to use with residents to aid choice of meals. There were few choices of vegetables included in the menu. Records of the meals taken by residents did not demonstrate a healthy, balanced diet. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People residing at the service are assisted with their personal care needs in a manner, which supports their preferences and meets their needs. They are protected by the medication policies, procedures and practise employed by the staff. EVIDENCE: Records seen during the inspection showed that health care needs of residents are met. They have access to health care services both within the home and in the local community such as a General Practitioners, Dentists, Physiotherapists, Occupational Therapists and Opticians. Records of accidents were clearly written and appropriate medical attention was immediately sought. A range of mobility aids is available throughout the home to promote the health, wellbeing and independence of the residents with restricted mobility and dexterity. There were plate guards and specially designed cutlery in use. An Occupational Therapist visited during the inspection to arrange to have Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 14 specific fixed hoisting equipment fitted for a new resident so that the individual will have appropriate support to maintain personal hygiene. Exercise equipment was also being fitted. The manager stated that further assistance was required to meet the needs of a person with impaired vision and specialist resources were being appropriately sought. One person spoken with stated that staff were respectful at all times and assisted and supported them, as they needed. A physiotherapist visited during the inspection to encourage walking exercise and direct staff in the support required. Medication procedures and practices were observed. Medication was signed for after administration. All medication record charts matched the prescription. There was just one anomaly in the recording of medication that is only given when needed (PRN). Where it was not given some medication record sheets were completed to show it was not given, but one was left blank. Consistent practise would ensure staff are aware of whether or not the medication has been administered and avoid any possible errors in order to fully protect the people they care for. Peoples’ needs and preferences for their medication administration were recorded within their plan of care. One person spoken with confirmed that the staff always give them their tablets, which they felt, was for the best as they would not be able to manage them otherwise. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff try to encourage people who move into the home to give their views. Current procedures and practices employed at the home do not fully protect all people who live there. EVIDENCE: A complaints’ procedure was outlined in the Service User Guide. It was called “Letting us know what you think”. It was detailed and encouraged people to tell someone at the home if they were not happy about something, but the format seen was not suitable for most people at Arnold Road to understand without help. The manager said that she and other staff read and explain this to new people when they move in and whenever needed. There was a file for complaints to be recorded, but none had been received. One person said that they would tell someone if they were unhappy about anything. A more formal complaints procedure is included in the Statement of Purpose and gives stages and timescales for dealing with any complaints. Records of training showed that some staff had been given some awareness training regarding signs of abuse and protection, but had not completed training in the awareness of the Nottinghamshire policy and procedures for Safeguarding Adults. The Policy and procedure file seen in the office was out of date. No concerns or allegations have been brought to the attention of the Commission since the home opened. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 16 The issue of checking on residents during the night was discussed with the manager. Records seen did not give full information of these checks and this was significant where accidental injuries had occurred. Also, as reported under Standard 9, some people have bed rails to prevent injury from falling, but their use can present further risk of injury if any person tries to climb over them. Records are kept of finances and personal belongings kept in the home, including receipts vouchers and records of which member of staff was responsible for each transaction. The manager told us she ensures these are checked regularly to protect people from financial abuse. Arnold Road DS0000070275.V360283.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): 24 and 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People live in a clean, comfortable and homely environment at this home. EVIDENCE: The premises have been purpose built as a shared home. There are two ground floor self-contained flats. We looked at one of these during this inspection. There was an open plan kitchen / diner / lounge and walk way to a bedroom with ensuite bathroom. Two other bedrooms are located on the ground floor and six others are on the first floor. We saw two of these during this inspection. All these eight rooms have ensuite bathrooms. People who live there indicated they were very satisfied with their rooms. The communal rooms included the multi sensory room, which was fully equipped with a range of multi sensory materials and light systems. There was also an activities room, lounge and dining rooms. The kitchen and food storerooms are adjacent to the dining room and have been inspected by an Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 18 Environmental Health Officer on 08/08/07. Since then, ventilation has been installed in a food storeroom to comply with regulations. On the day of this inspection visit we found all areas well maintained and homely throughout offering residents a comfortable and homely environment. There was just one area in need of attention due to continual battering on a wall from a wheelchair. Residents rooms observed were personalised. All areas within the home were accessible to residents in wheelchairs and, as mentioned earlier, equipment to promote independence was available throughout the home. All areas of the home seen were very clean and tidy. Support staff maintain the cleanliness of the home. The laundry was fully equipped and a sluice room was available. There was a storage room and lockers available for staff. Arnold Road DS0000070275.V360283.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): 32, 33, 34 and 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. There are not always sufficient staff available to give people attention with activities, but staff are developing their skills in meeting the needs of the people who live in the home. EVIDENCE: The staff duty rota showed that there were usually at least three staff from 7.30am to 3pm and then five staff from 3pm to 10pm and one staff awake through the night. The manager’s hours are usually in addition to this. However, on the morning of this inspection visit and some other mornings the manager was covering for one support staff. The night staff person continues to work for a further hour after day staff arrive to help with anyone who wants to get up early. On the day of the inspection three people were helped to get ready to attend day centre and the other three rose at different times. This meant that the number of staff was adequate in the early morning, but later the manager was involved for part of the time with this inspection and then Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 20 with visits from other professionals. The manager was also involved in preparing lunch. This meant that there were insufficient staff to attend to all needs of people living in the home. As reported under Standard 12, one person was unable to engage in any meaningful activity when there was no staff available. The staff present were, though, very attentive to those in their care and made sure people were safe at all times. Support staff undertake all cleaning and cooking duties as there are no additional domestic staff. Staffing records support information given by the manager that nine of the thirteen staff have achieved National Vocational Qualification in care to at least Level two, which is over 69 and many have some previous experience in supporting people with Learning Disability. All staff have commenced induction training arranged through the company and two staff confirmed some training they had undertaken including: food hygiene, health and safety, medication administration, PEG feeding, communication, manual handling, fire safety and managing challenging behaviour. The company’s recruitment procedures are followed to ensure people are protected. Recruitment records were complete for those recruited to Arnold Road, but some were recruited by the same employer at another home prior to transfer to this home and there were some gaps in their records. One reference was missing and another reference contained information that needed following up. There was no evidence that this had previously been done. The manager was not aware of these omissions. Also, Criminal Records Bureau disclosures were retained at the company’s head office, with evidence held at the home that the disclosure was obtained, but no indication of whether anything was disclosed. The manager was not aware of any disclosures containing any information of concern. Arnold Road DS0000070275.V360283.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): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a home that is well managed and run in their best interests. Health and safety are promoted to give people a safe environment to live in. EVIDENCE: The registered manager has eight years experience as a manager of residential services for adults with learning disabilities and is activly completing the National Vocational Qualification level 4 Registered Managers Award. The manager stated that quality assurance systems are being developed in formats that are accessible to service users. Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 22 A file contained records of safety checks and risk assessments for the environment and staff spoken with confirmed they have received training in safe working practices. All staff recently undertook fire evacuation training and temporary stretchers for this purpose were seen in place on both floors. The registered manager told us in the AQAA form (Annual Quality Assurance Assessment) that contractors are engaged to ensure the safe maintenance of boilers, central heating systems, electrical systems and equipment, and fire alarm systems and it is the responsibility of the manager to ensure that maintenance is carried out within correct timescales. All radiators were covered and all windows had restricted openings to protect people from harm. There was a passenger lift between floors and the lift controls room was kept locked. Arnold Road DS0000070275.V360283.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 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 2 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 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? THIS IS THE FIRST INSPECTION STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 13 (4) Requirement To ensure that people are safeguarded from injury, record the assessment of the risks of people climbing over bed rails. To ensure service users’ health and wellbeing are promoted supply nutritious, varied and balanced meals To avoid any possible errors ensure consistent practise when recording whether or not medication has been administered. To ensure that people are safeguarded the manager and senior staff must be fully aware of the Nottinghamshire policy and procedures for Safeguarding Adults. To protect individuals from injury the manager must ensure all planned overnight checks are carried out and recorded. To ensure staff are able to attend to the assessed needs of people living in the home the registered person must demonstrate that there are sufficient staff on duty at all times. DS0000070275.V360283.R01.S.doc Timescale for action 01/04/08 2 YA17 16 (2) (i) 01/04/08 3 YA20 13 (2) 01/04/08 4 YA23 13 (6) 01/04/08 5 YA23 13 (4) (c) 01/03/08 6 YA33 18 (1) (a) 01/04/08 Arnold Road Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA9 YA12 YA34 Good Practice Recommendations Within risk assessments reassess risks to give a second score to show that actions taken actually reduce risks. Provide appropriate activities at all times on a 1:1 basis where needed Undertake an audit of all staffing records to ensure all necessary documents are held at the home Arnold Road DS0000070275.V360283.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Arnold Road DS0000070275.V360283.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. 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