Inspection on 23/01/07 for Arthur Court Residential Care Home

This inspection was carried out on 23rd January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Arthur Court Residential Care... 24/01/06

Arthur Court Residential Care... 12/09/05

Arthur Court Residential Care... 21/12/04

Arthur Court Residential Care... 27/09/04

Arthur Court Residential Care... 10/02/04

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1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Arthur Court Residential Care Home 22/24 Christchurch Road Folkestone Kent CT20 2SL Lead Inspector Sally Gill Key Unannounced Inspection 23rd January 2007 10:10 Arthur Court Residential Care Home DS0000023340.V328227.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 Arthur Court Residential Care Home DS0000023340.V328227.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. Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arthur Court Residential Care Home Address 22/24 Christchurch Road Folkestone Kent CT20 2SL 01303 254906 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) ACL Care Homes Limited Ms Pauline Joy Walledge Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (17), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Arthur Court is registered to provide accommodation for up to 20 adults with mental health issues focused on those with a history of forensic psychiatric needs. Currently the mental health needs of those living at Arthur Court are stable therefore the dependency is low. The directors of ACL Care Homes Ltd have a daily presence within the home and support the registered manager, Ms Pauline Walledge who has day-to-day control. A smaller sister home is located on the opposite side of the road. The organisation has developed a website and online learning tools accessible to all. The home aims to work positively with service users facilitating greater independence and empowerment. The home is arranged over four floors and continues to undergo redevelopment and modernisation on an on going basis. Bedrooms are situated in the basement, on the ground, first and second floors. There is a shaft lift. Two bedrooms are shared and 16 are singles. Three have ensuite facilities and there are three bathrooms. In addition service users have access to two lounges, the sun lounge (internet café), kitchenette for independent cooking and two dining areas. There is a rear-enclosed garden, which has borders, paved and lawn areas, a fishpond and an outbuilding for smoking. The premise is set in a residential area of Folkestone approximately half a mile from the town centre but close to local shops and amenities. On street parking can be limited. The current fees range from £380.07 to £733.36 per week. Additional charges are made for hairdressing, chiropody, toiletries, some activities, newspapers and magazine, transport and some holiday costs. A copy of the latest inspection report is available on request at the home. Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was carried out over a period of time and concluded with an unannounced site visit to the home between 10.10am and 5.35pm. The inspector spoke to service users, staff, the directors and registered manager. Observations included interactions between the service users and staff. The inspection process consisted of information collected before, during and after the visit to the home. Feedback was received from social and health care professionals who were satisfied with the home and care provided. One professional recognised that the home is very good but felt it still has further to develop in order to truly reflect their statement of purpose. Various records were viewed during the inspection. The inspector accessed most parts of the home. What the service does well: Service users like living here, feel their views count and they have a say in how the home is run. Comments include “its very good”, “the rehabilitation is good”, “I’m happy here, things get done”, “its very nice and everybody is helpful and pleasant, we try to help each other and staff sort out any problems”. The home has a well planned and thorough pre-admission process, which can span several months to ensure the home, is right for the service user. The home has built good relationships with professionals involved in service users care and works in partnership with them. Excellent feedback comments were received “Arthur Court provide an excellent service with the clients placed there by the X team. They communicate extremely well, and can be relied on to liaise appropriately. There are sufficient staff for the number of residents and staff are always in resident areas and chatting to residents. They are therefore in a position to observe and monitor what is going on and deal with any situations as they arise. They show an interest in residents and are interested in encouraging residents to develop and maintain interests outside of the home. If this involves taking residents out, they are happy and able to do this”, “My clients mental and physical health has improved greatly since being at Arthur Court and X has benefited from the various activities provided by the staff team” and “I have found staff at Arthur Court to be exceptionally helpful and very aware of the clients needs and changes in those needs. I have not had previous experience of this home but have been very impressed with how the resident I placed there has been managed”. Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 6 Everyone works as a team to improve outcomes for service users but the emphasis is on independence and empowerment not doing for. This reflects the homes aim, which is followed through into day-to-day practice. The home works hard to continually develop new ideas and opportunities for service users but also to quality assure current practice to inform and improve. 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. Arthur Court Residential Care Home DS0000023340.V328227.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 Arthur Court Residential Care Home DS0000023340.V328227.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 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users have all the information they need in order to make a choice about whether to live at Arthur Court. Service users have their individual aspirations and needs assessed prior to admission. There are plenty of opportunities to visit the home prior to deciding whether to move in. Service users generally receive a statement of terms and conditions of residency. EVIDENCE: Prospective service users have an individual service user guide which is developed from the point of referral. Service user satisfaction questionnaires are included and copies of the guide and brochure are given to prospective service users prior to admission. The organisation also has a website where these documents can be viewed and downloaded prior to individualisation. Service users confirmed that the home has a long and well-planned admission process. This includes planned visits to the prospective service user and the Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 9 service user is able to visit the home several times. This time is used to undertake assessments of the service users skills and needs. The home has strong links with the local community mental health services and obtains detailed information from those involved with service users. In addition there are regular meetings to monitor and exchange information. Statement of terms and conditions were seen on file. However one service users file did not contain one. Management stated this was an over sight and agreed to rectify it. Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users assessed needs and aspirations are reflected in their individual care plans. Service users are enabled to make decisions; they are consulted and participate in all aspects of their day-to-day lives. Risk assessments support an independent lifestyle but these should evidence review. Confidentiality could be compromised when rooms are out of action and meetings are not planned. EVIDENCE: All service users have a detailed care plan, which identifies their needs, aims and goals. Care plans are reviewed monthly and are linked to detailed Care Programme Approach documentation. Service users confirmed that they are Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 11 involved in the development of their care plans, setting their own goals and monitoring their progress. The management team is committed to continued improvements to the care planning process, which is mainly electronic. This system allows some good tracking and monitoring of care needs and trends. Daily reports generally did not contain much detail and there did not seem to be a way to look at a glance of an overview of recent key events. It is suggested improvements could be made here. Staff are aware of the content of service users care plans and their current aims and goals. Service users know who their key worker is and often work closely on a one to one basis with them. Service users confirmed that the ethos of the home is practiced promoting the independence and empowering service users giving them choices. Many are working towards independent living with staff working individually with service users to assist them in achieving this aim. Service users are supported to manage their own finances. Service users hold their own meetings with one service user elected as chair. Surveys are used to gain feedback from service users and improve life within the home. Recently one has informed improving meals/diets. Risk assessments are in place with clear strategies to minimise that risk. However these do not at present evidence review, which they should. On the day of the site visit a review was being held in the dining area, which does not appear to uphold confidentiality. The Registered Manager advised this was due to two visits being unannounced and current building works and would not normally happen. The home should ensure that the workings of the home maintain confidentiality. Arthur Court Residential Care Home DS0000023340.V328227.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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have good links with the community and participate in a wide range of educational, work and leisure activities with plenty of opportunities for individual personal development. Friends and family contact is encouraged and supported. Service users responsibilities for their daily lives are recognised and their rights are respected. Service users enjoy a variety of meals at flexible times. EVIDENCE: The ethos of the home is to enable service users to develop their independent living skills. All service users have a plan towards further independence and these are followed with service users determining their own daily routines. For Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 13 some this involves job or work experience, others attend courses at the local college. All service users access and are part of the local and wider community and are developing and maintaining daily living skills within the home. Staff are very aware of what opportunities that are available and are proactive in creating and looking for further opportunities to aid development of individuals and small groups. A small-dedicated team of staff is in place with the aim to motivate service users. Community links are good. Service users use the local library, attend groups and clubs and use support networks. A project has recently been set up with a local smallholding where service users can get involved with animals and also mix with other people. Independent travel is encouraged using public transport. Service users hobbies and interests are varied. Internet access is available to service users on several computers within the sun lounge. Activities are mainly individual although there are some small group activities. Service users have the opportunity to go on holiday each year aboard. Day trips are also organised. Service users confirmed that the home encourages the continuing support and involvement of families and a variety of friends. Service users said the food is good and there is a good choice. Mealtimes are over a period of time. Breakfast and lunch is help yourself. Lunch is a choice of light hot meals with service users helping themselves from a hot cabinet. The main meal is in the evening with an alternative available. Programmes and facilities are in place to enable some service users to plan, shop, prep and cook for themselves as preparation for independent living. Special diets are catered. Arthur Court Residential Care Home DS0000023340.V328227.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): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users receive personal support, as they prefer and when require. Service users are encouraged to manage their own healthcare and needs are met. Medication systems are safe but could be more robust. EVIDENCE: Most service users do not require help with personal care. Although encouragement and motivation is offered where appropriate by a dedicated team. The staff team is balanced (male/female) to enable choice of support and service users said they are able to choose their own key worker. Service users confirmed that times for getting up and going to bed are flexible. Service users are encouraged to be independent and take responsibility for their own healthcare. Staff give appropriate advice and guidance. Staff are alert to warning signs of health concerns and any issues are closely monitored Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 15 and recorded. The home has developed excellent links with local and specialist mental health services that provide advice, input and support as necessary. Currently no service users are fully self-medicating. Risk assessments are in place for part self-administration. Medication is supplied mainly in a monitored dosage system, which is stored securely. It is recommended that confirmation of a change in medication dose, given over the telephone be obtained in writing. Medication administration records were in order. It is recommended that both the home and the pharmacy have a record of any returned medication. Staff have received medication training. Where medication is supplied ‘as and when’ (PRN) it is recommended there be written instruction for staff administering (what, why, when & authorisation) to ensure the medication is given consistently. . Arthur Court Residential Care Home DS0000023340.V328227.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): 22 & 23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users are confident their views and concerns will be listened to and acted upon and could not think of any complaints. Service users are protected from abuse. But incidents/accidents are not always reported to the commission. EVIDENCE: No complaints have been received since the last inspection. Service users receive a copy of the complaints procedure within their service user guide. The home tries to resolve all issues at an early informal stage. Service users are encouraged to air their views and any grumbles by the open culture of the home, at regular service user meetings and during one to one time. Service users were confident that any issues would be resolved by management but could not think of anything they would complain about. The home has robust policies and procedures relating to the protection of vulnerable adults from abuse. Staff demonstrated a good knowledge of adult protection and the routes to report any abuse. Staff have received training in adult protection which they are able to access on line. There are a low number of incidents, which are well managed. However the home must report incidents/accidents in conjunction with regulation 37. Arthur Court Residential Care Home DS0000023340.V328227.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, 25, 26, 27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from ongoing refurbishment and redecoration within the home, which is, clean, comfortable and homely. EVIDENCE: The premises are comfortable and generally homely. The home continues to make environmental improvements. A bedroom was being redecorated and radiator covers were waiting to be fitted. CCTV cameras are restricted to entrances and hallways for security purposes only. Regular maintenance is carried out. The home is situated close to the town centre, which is convenient for service users. There is sufficient communal space with two lounges, two dining areas and a sun lounge, which houses four computers for service users and staff use. There is also a kitchenette to promote independent living skills. Furnishings and fittings are of adequate quality and the home is bright, airy, clean and free from offensive odours. Bathrooms are basic and consideration could be given Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 18 to making them more homely. There is a rear-enclosed garden with a shed for smoking and another outbuilding for the laundry. The service users were proud to say they maintain the garden, which was well kept. Service users are happy with their bedrooms and have personalised these reflecting interest and hobbies. Service users all have a key to their rooms and new locks are in use using new technology. Arthur Court Residential Care Home DS0000023340.V328227.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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent, trained and qualified staff support service users. Recruitment procedures should be strengthened to fully protect service users. EVIDENCE: Staff have a clear understanding of the ethos of the home and their day-to-day practice is in tune with the aims. There is a good induction process in place, which is to Skills for Care specification. The target of 50 of staff qualified to National Vocational Qualification (NVQ) level 2 has been more than exceeded. It was evident that staff have develop good relationships with service users and work as a team to achieve service users goals. Staff confirmed that there is a minimum of five staff on duty am and three pm. These staffing levels allow programmes to be implemented and a good deal of 1 to 1 working with service users. There are two waking staff throughout the night. In addition to the care staff the registered manager and owners are on duty during the day. There are also a cook, housekeeping and maintenance staff. Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 20 Staff files were viewed. The application form does not lend itself to obtaining the full employment history as per the amended Care Homes Regulations 2002. It is recommended the form be reviewed. Any gaps in employment history also need to be explored and the reasons recorded. Reference checks were not always clear where they were from. Criminal Records Bureau (CRB) checks are taking a long time and it is suggested the home look into any delay outside of the CBR stated time target. Staff felt well supported by management. Arthur Court Residential Care Home DS0000023340.V328227.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, 38, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home where their views and opinions count. The management team work hard to create an open, positive and inclusive home. The health, safety and welfare of service users are protected. EVIDENCE: The registered manager has been in post for a number of years and has a good understanding and experience of people with mental health issues. She has achieved her Registered Manager Award (RMA) NVQ level 4. Staff said, “the Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 22 manager is supportive and always there for us” and “she will always come in what ever time of day”. The owners, a deputy and stable staff team support her. Service users and staff were very positive about the management team and the support they receive. Service users and staff felt that their opinions and views were sought and taken on board. The management team adopt an open culture and constantly look for ways to improve the service and outcomes for service users. Quality assurance is a priority within the home. Service users have been surveyed regarding the food and meals and changes implemented. An annual quality assurance survey is undertaken involving service users, professionals and families. Service users hold their own user meetings with one service user elected as chair. Regular staff supervision and team meetings are in place. Records indicated that regular servicing and maintenance of equipment and services is carried out. Staff have received training in health and safety matters. Arthur Court Residential Care Home DS0000023340.V328227.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 4 3 X 4 4 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 2 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 X 3 4 4 X X 3 X Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NA 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 YA5 Regulation 5(1)c Requirement Each service user must have a contract of terms and conditions which are agreed and signed by both parties The home must report all appropriate incidents/accidents A full employment history must be obtained for prospective employees. Any gaps must be check and a record made. It must be clear who has written /supplied references for prospective employees Timescale for action 23/02/07 2 YA23 37 08/02/07 2 YA34 19 & Schedule 2 19 & Schedule 2 30/01/07 3 YA34 30/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA9 Good Practice Recommendations Risk assessments must be reviewed at least six monthly Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 25 2 3 4 YA20 YA20 YA20 There should be written instructions for staff administering PRN medication The home and the pharmacist should have a record of returned medication Confirmation should be obtain of changes in doses of medication Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 26 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 Arthur Court Residential Care Home DS0000023340.V328227.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!