Inspection on 12/12/07 for Ashview House

This inspection was carried out on 12th December 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashview House 25/01/07

Ashview House 27/06/06

Ashview House 16/01/06

Ashview House 11/05/05

Ashview House 29/10/04

Ashview House 20/05/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Ashview House Riverview High Road Vange Basildon Essex SS16 4TR Lead Inspector Michelle Love Unannounced Inspection 12th December 2007 09:30 Ashview House DS0000018107.V353684.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 Ashview House DS0000018107.V353684.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. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashview House Address 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) Riverview High Road Vange Basildon Essex SS16 4TR 01268 583043 01268 583675 Ashview House Limited Mrs Desiree Wilhelmina Jooste Care Home 13 Category(ies) of Learning disability (13), Physical disability (3) registration, with number of places Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2007 Brief Description of the Service: Ashview House is a care home providing personal care and accommodation for up to thirteen residents who have a learning disability, including up to three people with physical disabilities. The home is a two storey detached house situated in a cul-de-sac, in a residential area and is close to the local amenities. There are parking facilities available to the front and side of the building, and the home has a garden with a bird aviary and chicken coop. Three mini buses are available to transport the residents to their activities and to college. The range of weekly fees charged to residents is currently £954.11 to £1892.00. Additional, charges incurred by residents relate to chiropody, transport, holidays, personal toiletries, hairdressing and some leisure pursuits i.e. cinema/bowling/going to the pub/visiting fast food outlets. There is a Statement of Purpose and Service Users Guide readily available within the home. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection. The visit took place over an eight hour period and all of the key standards and the manager’s progress against previous requirements from the last inspection were inspected. Prior to this inspection, the registered provider had submitted an Annual Quality Assurance Assessment, detailing what they do well, what could be done better and what needs improving. As part of the process a number of records relating to residents, care staff and the general running of the home were examined. Additionally a partial tour of the premises was undertaken, residents and members of staff were spoken with and their comments are used throughout the main text of the report. Following the inspection, relatives were contacted so as to seek their views about the services provided. The inspector was assisted by the manager, senior carer and other members of the staff team. Feedback on the inspection findings were given throughout the day and summarised at the end of the day. The opportunity for discussion and/or clarification was given. What the service does well: Residents were seen to be relaxed and well cared for. Staff, were observed to be knowledgeable and understanding of individual residents’ needs and to have a good rapport with them. The management of the home have an appropriate system in place for assessing the needs of prospective people who wish to live at the care home. Care planning processes at the home ensure that individual’s needs are recorded so that staff know what care is required to be delivered. Residents are actively encouraged and enabled to participate in a range of activities, which meet their social care needs. Visitors to the home are made to feel welcome. Comments relating to food were positive. Resident’s medication is managed well at the home. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 6 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. Ashview House DS0000018107.V353684.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 Ashview House DS0000018107.V353684.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 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their families are given sufficient information about the home. Prospective residents have their needs assessed prior to moving into the care home, so as to ensure that staff working within the care home are able to meet their needs and provide the appropriate care. EVIDENCE: A copy of the Statement of Purpose and Service Users Guide is in place and readily available in both a written and pictorial format. Following the last key inspection, both documents have been reviewed and updated. The Annual Quality Assurance Assessment details that it is envisaged for the future to look at the possibility of presenting both of the above documents as either a CD/audio cassette or DVD. The file of one recently admitted resident was inspected and evidence indicated that the management of the home completed a pre admission assessment prior to admission, so as to ensure that they are able to meet the prospective resident’s needs. Records detailed that a planned transition for the prospective resident was undertaken involving overnight stays/tea visits and the family were fully involved in the process, consulted about the impending move and their views taken into account. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 9 In addition to the formal assessment process, additional information had been provided, by the individual resident’s placing authority. Ashview House DS0000018107.V353684.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care needs are well managed so as to ensure that people have their care needs met. EVIDENCE: As part of this inspection two care files were viewed. Care files were seen to be completed well containing informative and detailed information depicting individual resident’s care needs and staff interventions. Further work is required to ensure that all their personal preferences, likes, dislikes and strengths and weaknesses are recorded making them more person centred. The care file for one person recorded that as a result of their communication needs objects of reference were to be used. However, no information was recorded and this is disappointing as these could enable and enhance staff’s involvement/ability to engage with the resident further and to ensure that the resident does not become frustrated with staff’s inability to communicate effectively with them. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 11 It was positive to note that improvements have been made to involve residents and/or their representatives in the care planning process. One care file examined, evidenced regular involvement of the resident’s family with regards to supporting and attending healthcare visits. Observations and discussion with the manager and care staff demonstrated a good knowledge and understanding of residents’ care needs and how care is to be delivered in a consistent way. Risk assessments were devised for the majority of assessed risk areas and these were seen to be detailed, comprehensive and included management strategies to enable staff to deliver care so as to ensure residents wellbeing and safety. The manager was advised to ensure that risk assessments are devised for all areas of assessed risk and cross-referenced with the individual plan of care. Where restrictions are imposed on individual’s freedom and choice, information had been recorded depicting the rationale behind the decision. Clear information needs to be recorded evidencing that this has been agreed with the resident and/or their representative and other interested parties. Since the last inspection a new format for recording how residents have spent their day has been devised and introduced. In general terms information recorded by staff was seen to be informative and/or useful, however inconsistencies were observed whereby some information recorded was basic/brief. The manager was reminded that daily care records are a good source of information and if completed well should provide evidence of staff interventions and depict how individual residents spend their day. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their social care needs met giving them a good quality of life. Meals provided to residents are of a satisfactory quality and promote a healthy diet and wellbeing for people at the home. EVIDENCE: Residents are actively encouraged and enabled to participate in a range of activities, which provide stimulation and occupation both `in house` and within the local community. Records evidenced activities such as attending local adult education classes (music, communication, computers, cooking, pottery, sensory and glass painting), watching television/DVD’s, drives out in the minibus, attending local evening clubs and enjoying lunch out. The college roster for 2007-2008, was examined and showed that all residents attend at least one college placement during the week. The Annual Quality Assurance Assessment details that it is hoped for more formal day care provision to be explored and provided for individual residents in the future. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 13 There was evidence to indicate that residents are able to follow their own preferred routines and are supported by staff in this. Records detailed that residents are able to have a lie in and can have breakfast later in the day and that they can spend time in their room if they so choose. This was confirmed by two residents and observed to happen in practice by the inspector. Of those residents spoken with, all confirmed that they are enjoying activities currently undertaken. Visiting at the home is open and residents can see their member of family and/or friend at any reasonable time. Information pertaining to advocacy was available and currently an independent advocate visits the home fortnightly. The management of the home operate a four weekly menu. It was positive to note that since the last inspection, the manager has devised and implemented a large pictorial/written menu so as to enable residents to make an informed choice of the meal to be provided/required each day. Menus showed that a varied range of food is offered/provided. Nutritional records for individual residents were examined and evidenced alternative choices to the above menu. Currently four residents have food allergies and information relating to these was highlighted in the kitchen and within individual care plans. Both lunch and the evening meal were observed to look plentiful and appetising for residents. It was positive to note that residents have the choice where they eat their food e.g. conservatory, lounge on the ground floor or the lounge/dining room on the first floor. All residents spoken with made either favourable verbal comments or expressed non-verbal signs of wellbeing about the food provided by staff. In addition to meals provided at the home, residents were noted to enjoy meals/snacks at college, to have takeaways and to enjoy pub outings. Ashview House DS0000018107.V353684.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of resident’s medication and healthcare is good and their needs are met, which provides them with good outcomes. EVIDENCE: Records showed that resident’s healthcare needs are met and that they have access to a range of healthcare professionals and services as and when required e.g. GP, Consultant Psychiatry, Dentist, District Nurse Services, Occupational Therapy etc. The management of the home ensure that residents receive a good level of healthcare and are proactive in addressing areas of concern. Care records for one person evidenced that their family are actively encouraged and involved in their healthcare/wellbeing and attend appointments on a regular basis. As part of this site visit, medication practices and records were checked. Medication at the home is managed in the main through the use of a monitored dosage system (blister pack). The medication round was observed and staff practices were seen to be safe/satisfactory. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 15 In general records were well maintained and managed. The manager was advised to ensure that where Medication Administration Records (MAR) are handwritten these are signed/witnessed by two people to ensure that information recorded is correct and in line with the prescriber’s instructions and to ensure that MAR records are signed and dated to evidence medication has been received and is correct at the time of delivery. Additionally as part of good practice procedures, packets/bottles of medication should be signed and dated when opened. Detailed PRN (as and when required) medication protocols were evident for all residents who require this medication. A list of those staff deemed competent to administer medication was available. On inspection of staff training records, these showed that all but one person has up to date medication training. This must be reviewed to ensure that all staff who administer medication have the necessary skills/up to date training to ensure positive outcomes for resident’s. Ashview House DS0000018107.V353684.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaint management in the home is good and residents are protected by the staff team, being well trained in safeguarding and knowledgeable about adult protection procedures. EVIDENCE: On inspection of the complaints record, no complaints have been received at the home since the last inspection. No safeguarding issues have been highlighted since the last inspection and staff spoken with at this inspection, demonstrated a good awareness and understanding of safeguarding procedures. The training matrix provided to the inspector evidenced that all staff had received training relating to safeguarding and the majority of staff have undertaken training relating to challenging behaviour. Local policies and procedures relating to adult protection procedures were readily available within the home and accessible for staff. Care records evidence where appropriate, proactive measures by the management team to liaise with the local behaviour therapy team for advice and support for individual residents. Ashview House DS0000018107.V353684.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 good. This judgement has been made using available evidence including a visit to this service. Ashview House provides a clean, comfortable and safe environment for residents, which meets their needs. EVIDENCE: On the day of the inspection the home was observed to be clean, odour free and no health and safety issues were highlighted. The home presents as homely and comfortable for residents use and the manager advised the inspector that plans are in hand for the home to be redecorated as it is recognised that some areas are tired and worn. A partial tour of the premises was undertaken and individual residents bedrooms were seen to be individualised and personalised with many personal items on display. Of those residents spoken with, all confirmed that they liked their bedroom. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 18 It was positive to note that following assessments by the occupational therapist for individual residents pertaining to necessary equipment, items were purchased and being used. A random sample of safety and maintenance certificates showed that equipment and services in the home were kept in good order. Water temperatures were checked at random throughout the home and were found to be satisfactory and within acceptable guidelines. The home has a fire safety risk assessment in place and all other fire safety records were seen to be in order. Training records showed that all but one member of staff has received training relating to fire safety, health and safety and infection control. Ashview House DS0000018107.V353684.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, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment procedures do not fully protect residents. Residents at Ashview House can feel assured that the numbers of staff and training undertaken ensure that residents needs, can be met. EVIDENCE: The manager advised that staffing levels at the care home remain at 2 senior and 5 members of care staff throughout the day and 1 senior and 3 members of waking night staff throughout the night. In addition to the above the manager’s hours are supernumerary to the roster and a cleaner is employed for 2 hours, three times a week. Four weeks staff rosters were examined and these evidenced staffing levels as appropriate to meet the needs of existing residents. The manager was advised to ensure that the staff roster clearly identifies those staff, who are providing 1-1 support for individual residents. It was positive on the day of inspection to observe an improvement in staff deployment and staff interaction with residents. On inspection of a completed quality assurance relative’s survey this Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 20 stated, “The staff appear to be more attentive and genuinely interested in the welfare of the clients”. A random sample of staff files, were inspected for those staff newly appointed to Ashview House, since the last key inspection. The majority of records as required by regulation were available, however no file was available for the cleaner, the reason for leaving employment had not always been recorded for some staff and not all gaps in employment had been fully explored. The manager was advised that current recruitment procedures are not as robust as they should be and have the potential to place residents at risk. Staff morale in the home was observed to be good and the Annual Quality Assurance Assessment indicated that it is hoped for the future to introduce staff away days so as to enhance `team building` and self worth. The training matrix was observed to be well maintained and records showed that all but one member of staff has undertaken/attained a significant number of training courses in 2007 relating to fire safety, health and safety, food hygiene, first aid, manual handling, safeguarding, rectal diazepam and infection control. Records also indicate that 7 members of staff have received training relating to care planning and 5 staff have attained training pertaining to inclusive communication. Further training needs to be considered in relation to those conditions associated with physical/learning disabilities. The member of staff who has limited evidence of training needs to receive the above as a matter of priority and urgency. A record of induction was available for those staff newly appointed. The inspector was advised by the manager, that 12 members of staff are due to complete NVQ Level 3 by the end of January 2008. Evidence of dates when staff had undertaken formal supervision were displayed. Records indicated that the majority of staff had received regular supervision. The Annual Quality Assurance Assessment detailed that it is hoped to improve and the existing appraisal system. Ashview House DS0000018107.V353684.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. The home is well managed and provides positive outcomes for those people residing at the care home. EVIDENCE: The manager has been in post since November 2006. The manager has worked with people who have a learning disability and/or mental health disorder over a number of years. Since the last key inspection to the care home, the manager has been formally registered with CSCI (11/9/07) and successfully completed the Registered Manager’s Award. Staff and residents spoke positively about the manager and from inspection of one quality assurance relatives survey, this stated, “I feel since the new manager has come, the home has greatly improved” and “the situation has greatly improved in the last year with everybody seeming a lot happier and a lot more relaxed”. It is clear since the Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 22 manager’s appointment, she has strived very hard to run the home in line with the registered providers aims and objectives and to meet regulatory requirements in line with the Care Homes Regulations. The Commission recognises her efforts to raise the home’s status and to address previous identified shortfalls. Since the last inspection the manager has completed a quality assurance audit so as to seek the views of healthcare professionals, social care professionals and residents relatives/representatives. Comments from healthcare professionals (GP’s) were positive and no adverse comments were raised. It was positive to note that 6 out of 10 relatives responded and comments such as “[Residents name] has excellent care and seems very happy” were recorded and those already highlighted as above. Only one adverse comment was recorded and this was from a social care professional. This detailed that, “no healthcare staff have seen residents care plans” and they are not able to see residents in private and do not always feel that the management/staff at the care home make appropriate decisions. The manager should consider addressing these issues with the social care professional and look to see whether or not there is any validity in the comments made. There is clear evidence to indicate that staff/residents meetings are being conducted on a regular basis. These show that the management team at the home try to obtain feedback from residents about how it is for them living at the care home. Staff meetings are seen as a good source of information gathering/sharing. The home holds monies on behalf of residents and records were seen to be well maintained with appropriate receipts readily available to evidence monies received and expenditure. There is a health and safety policy within the home. Resident’s records pertaining to accident/incident records were seen to be completed in sufficient detail. Ashview House DS0000018107.V353684.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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 Requirement Ensure that robust recruitment procedures are adopted so as to ensure that residents are kept safe. Previous timescale of 14.8.06 and 14.4.07 partially met. Timescale for action 12/12/07 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. 2. 3. Refer to Standard YA7 YA20 YA20 Good Practice Recommendations Ensure that daily care records are detailed and informative and clearly depict staff’s interventions and evidence of how individual resident’s spend their day. Ensure that where bottles and packets of medication are opened these are dated and signed. Where there are handwritten MAR records, these are witnessed and signed by two people. Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Ashview House DS0000018107.V353684.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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