Inspection on 17/07/08 for Athelstan House

This inspection was carried out on 17th July 2008.

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 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Athelstan House 18/06/09

Athelstan House 11/09/07

Athelstan House 22/11/06

Athelstan House 27/04/06

Athelstan House 13/12/05

Athelstan House 21/02/05

Athelstan House 13/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 23/11/2008.

CARE HOME ADULTS 18-65 Athelstan House Athelstan House 42 Hanworth Road Feltham Middlesex TW13 5AY Lead Inspector Ms Jean Bovell Key Unannounced Inspection 17th July 2008 09:00 Athelstan House DS0000051552.V366587.R02.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 Athelstan House DS0000051552.V366587.R02.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. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Athelstan House Address Athelstan House 42 Hanworth Road Feltham Middlesex TW13 5AY 020 8890 3957 020 8844 0457 athelstanhouse@talktalk.net 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) Mr Paul Martin Harrington Mrs Rosemary Wairimu Harrington Care Home 5 Category(ies) of Learning disability (5), Physical disability (2) registration, with number of places Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th May 2008 Brief Description of the Service: Athelstan House is a registered care home for five younger adults with learning disabilities. It is situated on a residential street and is within short walking distance to local amenities, buses and trains. There are five bedrooms in the home all fitted with en suite facilities. Two of the bedrooms are on the ground floor and three are on the first floor of the house. There are also separate bathroom facilities on each floor. There is one separate lounge and a lounge/dining area for service users. There is a large garden at the rear of the home. Fees in the home range from £931 to £1158. Athelstan House DS0000051552.V366587.R02.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 ONE STAR. This means the people who use the service experience ADEQUATE quality outcomes. This inspection was carried out between 11:00 am and 3:00 pm on 17th July 2008. One support worker, one ‘trainee’ support worker and one resident was at the home. We were advised by a support worker that the home did not have a Registered Manager and that one was attending a day centre. During the course of the inspection, the home’s records, documents, policies and procedures were viewed. A tour of the building was undertaken and observations were made. A support worker, a ‘trainee’ support worker and one resident were spoken with. Telephone discussions were held with one friend, one relative and a care manager from the placing authority. A completed Annual Quality Assurance Assessment document (AQAA) was considered. Requirements that were made at the last inspection and all key Standards were examined. We received co-operation and appropriate assistance for a support worker throughout the inspection. What the service does well: The home provides a service to people who have different cultural and religious needs. A comprehensive needs led assessment is carried out in relation to prospective residents prior to admission. Residents are regularly supported in participating in activities within the local community. They are escorted to Temples or Churches and are able to maintain cultural interests. Visitors are welcome to the home and residents are in regular weekly contact with relatives and/or friends. Residents are able to handle their own money and are encouraged to make decisions regarding their day-to-day routines. Athelstan House DS0000051552.V366587.R02.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. Athelstan House DS0000051552.V366587.R02.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 Athelstan House DS0000051552.V366587.R02.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. The service user’s guide was in place but required updating. The individual needs and aspirations of prospective residents are appropriately assessed by the home prior to admission. EVIDENCE: A copy of the home’s service user’s guide was viewed but did not include a copy of the most recent inspection report and information such as fees or quality assurance. There were no indicators that copies of the service user’s guide were provided to residents, relatives and/or friends. A relative and also a friend spoken with were unable to confirm receiving access to the service user’s guide or inspection reports. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 9 The personal files relating two residents were examined. Each file contained an assessment which included family background that had been submitted to the home by the placing authority at the point of referral. There was documented evidence that a subsequent needs led assessment was undertaken by the home. Social workers, relatives and/or friends, health care professionals and prospective residents were involved in the process of assessing and determining the capacity of the home to meet separate identified needs and aspirations. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Individual care plans and related risk assessments have been undertaken satisfactorily but have not been reviewed in relation to each resident. Residents are able to make decisions regarding their daily living routines. EVIDENCE: A care plan regarding one resident dated April 2008 was viewed. The changing personal, social and health care needs of the particular individual were identified and action plans and set goals were put into place. An original care plan that was drawn up in relation to another resident in September 2006 had not been reviewed since that date. This has been a repeated requirement for the past three inspections and has not been complied with. Referral to the Regional Enforcement Team has been made. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 11 Risk assessments were undertaken in relation to specific activities within all care plans viewed and included personal care, smoking, vulnerability in the community and aggressive behaviour. A support worker confirmed that residents were able to handle their own money and purchased items of individual choice. They also made decisions regarding daily living routines such as activities, what they wore each day, when they got up on morning and retired at night. There was a designated smoking room for those who wished to use it. People with capacity were able to be independent in the local community. A resident was observed moving freely around the home and individual interests and choices were reflected in personalised bedrooms. Athelstan House DS0000051552.V366587.R02.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, 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 are encouraged and supported in maintaining separate cultural and religious interests. Residents are able to participate in activities within the community. Contact with relatives and/or friends are being maintained. The rights of people are respected. Adequate meals are provided. EVIDENCE: Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 13 It was indicated on separate care plans that people were supported in attending Church or the Temple. A relative confirmed that a resident was accompanied to the Temple by a support worker at least once each week. It was observed during a tour of the building that individual bedrooms contained items which reflected separate cultural interests and religious beliefs. A support worker confirmed that residents were supported during various activities in the local community such as shopping, walks, visiting the cinema and day trips. A resident attended a drop-in centre at the time of the inspection and a shopping trip was planned for another resident following the inspection. A support worker reported that both residents at the home received regular visits and/or were taken out by their respective relatives and/or friends. A friend revealed that he/she previously visited a resident each week at the home but visits currently took place at a drop-in centre. A relative confirmed that he/she maintained regular weekly visits to the home. Different experiences regarding communication between the home and relatives and/or friends were reported. Important information was respectively never or always provided. It was reported, also, that residents were not allowed to use the home’s telephone for making calls and was at all times expected to use personal mobiles. Although telephone calls to the home were frequently redirected to an answering machine, a resident was able to receive a telephone call from a relative at least once each week. Residents occupy single bedrooms which are lockable and contain en suite facilities. A support worker confirmed that private mail would not be opened without people’s agreement. The home has a designated smoking room which residents are able to use. A resident was observed moving freely around the house at the time of the inspection. We were informed by a support worker that weekly benefits were paid directly into people’s personal accounts and that fees were paid by standing orders. The home held responsibility for the financial allowances of one resident and a friend held power of attorney on behalf of another. Set menus were not in place and there were no indicators that varied and nutritional meals were being provided. A support worker reported that meals were flexible. For example a sandwich might be purchased for lunch if people were out in the community. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 14 Apart from containers with pre-prepared cooked meat, there was very little fresh food in the refrigerator. The freezer contained adequate amounts of basic frozen varieties but no juices, fresh vegetables or adequate stocks of food including snacks were seen. These issues were discussed with a support worker and he/she insisted that people who use the service were ‘well fed’. A friend/relative spoken with expressed views that people received adequate amounts of food. Options were not, however, offered and the nutritional value in meals provided, was ‘questionable’. It was also reported that residents were required to ‘buy their own squash’. Lunch options were not offered to a resident at the time of the inspection. However, he/she appeared to be enjoying a substantial helping of a basic meal which included cultural bread. A glass of water was also provided. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 15 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 Adequate. This judgement has been made using available evidence including a visit to this service. It was not evidenced that people receive adequate assistance with personal care routines. The health care needs of residents are being met as required. The home’s policy and procedures on medication are satisfactory. EVIDENCE: We were informed by a support worker that residents required prompting or reminding in relation to their personal care routines but were able to choose what they wore each day. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 16 A resident was observed to be wearing an unclean tee-shirt during the initial stages of the inspection. There was also no soap, towels, toothpaste or toilet paper in an facility within his/her bedroom. It was reported that one of two residents was not taken to the hairdresser or barbers and as a consequence cut his/her own hair. This has been a previous requirement around the need for residents to have appropriate support for their personal care. As a result of this brech of regulations, a referral has been made to the Regional Enforcement Team. There was recorded evidence that the healthcare needs of residents were being met. A care support worker confirmed that people received access to health care professionals as required and were accompanied to medical appointments. A resident drew our attention to a painful blister on his/her leg. This was reported to a support worker and we were given assurances that a resident would be taken to see a General Practitioner regarding the identified problem. Prescribed medication was within blister packs and stored in a locked drawer. The Medication Administration Records were accurately documented and signed. There were no indicators that residents self-administered their medication. This was confirmed by a support worker. The home’s policy and procedures on medication were in place but there was no recorded evidence that staff training on medication had been delivered. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. The complaints procedure is satisfactory. People are being adequately protected from abuse. EVIDENCE: The complaints procedure was clear, concise and accessible to residents, relatives and/or friends. A support worker confirmed that the home had received no complaints since the last inspection. We were informed by a support worker that residents received benefits that were paid directly into their separate bank accounts. The personal allowances of one resident were kept securely at the home and he/she received £5.00 to £8.00 each week for small purchases such as newspapers, drinks and magazines. The financial records relating to a resident were viewed and no discrepancies were identified. A relative reported that he/she was satisfied with the current financial arrangements regarding a resident but may eventually take over these responsibilities. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 18 A person who was granted power of attorney confirmed that he/she provided weekly cash allowances to a resident. Although it was indicated that accidents and incidents had been recorded, no regulation 37 forms had been completed and submitted to the CSCI where appropriate. Policies and procedures on safeguarding issues were in place but there was no recorded evidence that recent staff training on Safeguarding Adults had been delivered. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 19 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 and 30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents’ bedrooms are personalised and contain en suite facilities but hygienic standards are not being maintained. The overall environment does not meet the required standards. EVIDENCE: The home is adequately spacious and suitable for shared and/or individual activity. The furniture in the large lounge was adequate but furnishings in the small lounge were of poor quality. Chair coverings in the dining room and carpets on the stairwell were stained and worn. The en-suite bathroom/toilet on the first floor required refurbishment and contained no toilet paper, soap or towels. Redecoration was needed in all interior and exterior areas of the house. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 20 Cupboards in the laundry room were completely broken and there were large open spaces instead of shelves. The kitchen was clean, hygienic and contained the required equipment. Fitted cupboards and work surfaces were in good order. Residents’ bedrooms contained en-suite facilities and were reflective of personal choices and interests. Nonetheless, all furniture and fittings were of poor quality. Drawers and doors were broken and there were missing knobs. Bed linen required laundering and an unpleasant odour was detected in one bedroom. This has been a requirement of previous inspections. Therefore, referral to the Regional Enforcement Team has been made. Toiletries including soap, toothpaste, towels and toilet paper were not seen in an en-suite facility within one person’s bedroom. These issues were discussed with a support worker and we were informed that a resident failed to purchase these items. The personal allowances of a resident were, in fact, being safeguarded at the home and he/she received limited amounts of cash to cover specific small purchases only. Moreover, it was stated in the service user’s guide that toiletries and clothing were included in the weekly fees and would be provided by the home. A relative and friend spoken with confirmed that residents were required to purchase toiletries from limited personal allowances and a person was asked to provide bed linen including duvet covers on behalf of a resident. Magnetic door closure devices were not in place and alternative methods were being used for holding opened doors. Although, we were informed by a support worker that all interior and exterior areas of the home had been repainted following the inspection, this does not meet all requirements identified and the overall environment remains unsatisfactory. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 21 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. A support worker is qualified and has received adequate staff training. Refresher training specifically on Safeguarding Adults and training specific to meeting the needs of people who use the service such as Mental Health Awareness had not been delivered. The home’s policy and procedures on recruitment are satisfactory. EVIDENCE: It was reflected on documents viewed that a support worker had achieved NVQ level 2 in November 2006 and that modules on Health and Safety, Infection Control, Food Hygiene and Protection of Vulnerable Adults were incorporated within the training. There was no indication that refresher or specific training for meeting the needs of people who receive a service, such as Mental Health Awareness, had been delivered. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 22 This requirement was made at a previous inspection. As a consequence referral has been made to the Regional Enforcement Team. There is one support worker at the home who for the majority of time covers all shifts during waking hours and also sleep-in duty at night. We were, however, informed by a Registered Provider that shifts were also covered by one of two Registered Providers and/or a ‘family member’. Practical tasks such as cleaning and cooking were carried out be a ‘trainee’. The recruitment file of a support worker was viewed and contained all the required documents. There was no evidence of a recruitment file being in place regarding a ‘trainee’ but a CRB disclosure certificate was in place.. We were informed by a support worker that the ‘trainee’ was in fact a school leaver on work experience who would be commencing college in September 2008. This was confirmed by a ‘trainee’ spoken with. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 23 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 adequate. This judgement has been made using available evidence including a visit to this service. The home does not have a Registered Manager. Annual quality assurance has been undertaken. Health and safety checks are satisfactory. EVIDENCE: A Registered Manager was not in post at the time of the Inspection. We were informed by the Registered Provider that a Manager was appointed in March 2008 but resigned two month later. The position is currently being advertised. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 24 An annual quality assurance assessment – self assessment document (AQAA) was satisfactorily completed and returned to the CSCI. Health and safety checks regarding gas maintenance, portable appliances and fire safety had been carried out and were up-to-date. Fire drills were being undertaken and environmental risks assessments were in place. Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 25 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 2 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 2 ENVIRONMENT Standard No Score 24 1 25 3 26 2 27 3 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 2 X 3 X X 3 X Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 26 Yes Are there any outstanding requirements from the last 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. 2. Standard YA1 Regulation 6(a) 15(1) and (2) (b) Requirement The Service User’s Guide/Statement of Purpose must be reviewed. The Registered Person must ensure that after consultation with the service user or their representative, a written plan as to how the service user’s needs in respect of their health and welfare are to be met is drawn up and that this plan is kept under regular and effective review. The Registered Person must make sure that adequate quantities of wholesome and nutritious food including drinks, is provided to residents to ensure that their nutritional needs are being met. The Registered Person must make sure that residents receive appropriate assistance with personal care routines to ensure that they are clean and well presented at all times. This is restated from the last inspection. Previous timescale 30/09/07 The Registered Person must DS0000051552.V366587.R02.S.doc Timescale for action 31/12/08 24/09/08 YA6 3. YA17 16(2)(i) 20/08/08 4. YA18 12(1)(a) 20/08/08 5. YA24 23(2)(d) 24/09/08 Page 27 Athelstan House Version 5.2 make sure that all parts of the care home are kept clean and reasonably decorated. 6. YA24 16(2)(c) The Registered Person must ensure that all service users have adequate furniture, bedding and other furnishings. The Registered Person must ensure that that soap, toilet tissues, toothpaste and towels are at all times available in residents’ en suite facilities to avoid unnecessary risks to their health and welfare. The Registered Person must make sure that bed linen is regularly laundered to avoid unnecessary risks to the health and welfare of residents. The Registered Person must ensure that residents’ bedrooms are free from offensive odours. The Registered Person must make sure that appropriate training for meeting the needs of residents is delivered to a care support worker. This is restated from the last inspection. Previous timescale 30/11/07 The Registered Person must ensure that accredited training on Safeguarding Adults is delivered to all care staff. Appropriate management arrangements must be made for the home. 24/09/08 7. YA24 13(4)(c) 20/08/08 8. YA26 16(2)(e) 20/08/08 9. YA30 16(2)(k) 20/08/08 10. YA35 18(1)(c)(i) 31/10/08 11. YA35 18(1)(c)(i) 31/12/08 12. YA37 8(1) 30/11/08 13. YA37 37(1)(c)(d) The Registered Person must (e) ensure that regulation 37 forms are completed and faxed to the CSCI where appropriate. DS0000051552.V366587.R02.S.doc 20/08/08 Athelstan House Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 29 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Athelstan House DS0000051552.V366587.R02.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!