Inspection on 26/07/07 for Autism Initiatives

This inspection was carried out on 26th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Autism Initiatives 11/06/09

Autism Initiatives 13/07/06

Autism Initiatives 25/01/06

Autism Initiatives 31/05/05

Autism Initiatives 23/08/04

Autism Initiatives 24/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Autism Initiatives 90 All Hallows Road Bispham Blackpool Lancashire FY2 0AY Lead Inspector Christopher Bond Unannounced Inspection 26th July 10:00 Autism Initiatives DS0000009968.V342606.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 Autism Initiatives DS0000009968.V342606.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. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Autism Initiatives Address 90 All Hallows Road Bispham Blackpool Lancashire FY2 0AY 01253 592284 01253 352302 allhallows@autisminitiatives.org 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) Autism Initiatives Miss Jeanette Kenworthy Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 6 service users to include: Up to 5 service users in the category of LD (Learning Disability) aged 18 to 65 years One named service user in the category of LD (Learning Disability) aged 17 years and above. 13th July 2006 Date of last inspection Brief Description of the Service: The home is registered for six adults who have Autism and a Learning Disability. It is situated in the Bispham area of Blackpool, within walking distance of Bispham Village. The home is in a residential area with shops and other community resources in the close vicinity. Regular bus services into Blackpool run from close by, and public transport to a number of locations runs from the village. The house itself is situated next to All Hallows church and the exterior is completed in the similar stone fascia as the church. The house is set back from the road and has a parking area to the front. The grounds are tidy and well maintained and offer a good deal of privacy for the people who live there. There are six registered single rooms within the home. There are also two main bathrooms and a separate shower facility on the first floor. One of the bedrooms is situated on the ground floor and has en-suite facilities. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (26/07/07) the information given to the Commission showed that the fees for care at the home are from £1,354.78 to £3,321.71 per week. Autism Initiatives DS0000009968.V342606.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 inspection and included a site visit to the service, which took place over a period of 3.5 hours. The residents support plans, staff files and safety certificates were all looked at during the inspection. The Manager, Assistant Manger, Senior Support Worker and one support worker were spoken to during, or after the inspection. Some of the residents were at home during this inspection. Because of communication difficulties the residents chose not to be involved in the inspection process. A tour of the home was undertaken. What the service does well: This service provides an autism specific service for five adults and one person who is under the age of 18. The support staff are well trained and familiar with skills needed to support people who have autism. There are day services available specifically for those who have autism. Each person enjoys one- toone support one a regular basis and has a choice of activities and daytime occupation. There is a strong emphasis on care planning. The plans describe each person in a positive way (for example what people like and admire about them, and their skills and abilities). There is also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. All of the people who live at All Hallows Road have lots of information written down about them. This information includes a detailed description of their current needs and abilities. This is important because it enables all of the support workers to be aware of the residents’ specific requirements, and how to support them properly and professionally. The building itself is well appointed and homely, with a large garden. The rooms are large and there is plenty of space for people to be alone if they wish. The support workers were working hard to ensure that the residents were part of the local community and used lots of community based activities. The service users have community- based activities during the day. They are valued members of the local community and use shops and services in the vicinity of the home. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: A more structured approach to the administration of controlled medication is needed. This will help to protect the residents and staff. A register needs to be purchased to help ensure accurate administration. There were residents that lived at this home who occasionally challenged the service. Each person has an individual positive intervention support plan to ensure that the care staff can make decisions as to what action to take should an incident occur. These instructions are clear and concise and form part of the individual plan and are reviewed on a regular basis. It is important that regular training is available for all staff to help ensure that these procedures are followed accurately and professionally with the interests of individual residents at heart. The manager needs to complete the training that is required of her to manage the home more effectively. A decision needs to be made as to what should happen to the relaxation room. This should either be refurbished with new equipment or turned into an ordinary lounge with the old equipment removed. The manager needs to ensure that both service users and support workers are adequately protected when undertaking decoration work in individual bedrooms. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 7 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. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 8 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 Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 9 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): Standard 1, 2, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed, ensuring that the support workers have the skills to address their needs properly and professionally. EVIDENCE: One person had been admitted to the home since the last inspection. The manager had made sure that this person was admitted properly and that visits were made to the home prior to admittance. This gradual process helped to make sure that the person was happy about living at All Hallows Road and that the other residents had a say about who lived in their home. Information about the home was available for prospective residents and their families in the form of a Service User Guide. This helped people to make a decision about whether the home could meet their particular needs. Each resident had a detailed assessment available about his or her specific needs. There are autism specific, and concentrate on the precise needs of people who have autism. The resident that had been recently admitted had been assessed prior to moving in to ensure that the home could meet his individual needs. Autism Initiatives DS0000009968.V342606.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): Standards 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. People are encouraged to maintain a positive and inclusive lifestyle through good ‘person centred’ planning and a thorough review process. EVIDENCE: Several support plans were looked at during the inspection. It was clear that the residents were achieving goals and improving their skills through careful planning and good support. There was evidence that people were making choices and being involved in their support and the way they lived their lives. Each support plan was reviewed by the support workers on a monthly basis and a more through review took place every three months. This made sure that people’s plans were updated and adjusted to meet their changing needs and aspirations. There is a need to ensure that all of the information that is written down in the plans is accessible to the residents wherever possible. This would mean using Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 11 more photographs, illustrations and other easily accessible media, such as DVD’s, digital camera movies, slide shows etc. These can either be shown on a computer screen or a TV and involve the residents more. In this way they can be more involved in their own planning and have more of a say. It was clear that the service users were being encouraged to take part in all aspects of running the home. The support workers confirmed that the service users were helped to shop for food etc, prepare meals, clear up after meals, clean their rooms and help clean the house. Risk assessments had been completed to help ensure that people were safe whilst undertaking these tasks. A measured amount of risk is good as it helps to ensure that people develop and fulfil an active lifestyle. It is important that the people living in the house take part in such activities because this helps build confidence and maintain important self-help skills. Autism Initiatives DS0000009968.V342606.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): Standards 11, 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. The service users lead full and active lives due to good support and effective planning and assessment. EVIDENCE: The level of support that was available for the people who lived at this home was very good. Many of the residents were enjoying one-to-one support during the day. Some of the residents attended a day centre that was run by the caring organisation. This specialised in providing daytime activity for those people who have Autism and Asperger Syndrome. One person worked on a local farm and helped out with the animals on a regular basis. Other activities included gardening, swimming, dog walking, cookery, walking, trampolining and rambling. One person had sampled playing golf at the local driving range. Information regarding activities was clearly written in each person’s plan and continuity in each person’s activity plan was evidence. There Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 13 was a move to ensure that public transport was used wherever possible to ensure increased community involvement. There was evidence available to show that some of the residents enjoyed individual holidays with good staff support. The Senior Support Worker confirmed that people are involved in choosing the venue for their holidays. There was a set menu available for the home, however the residents usually chose what they would like to eat on a given day. It was confirmed that the resident’s help with the food shopping and a healthy diet was encouraged for everyone. It was clear that friends and families were encouraged, wherever possible, to visit the home and be involved in decisions made about the residents. Social occasions had been arranged within the home for friends and families to attend to help maintain positive relationships. There were no visitors to the home during the inspection. Autism Initiatives DS0000009968.V342606.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): Standards 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. Personal and health care issues were dealt with properly and professionally in a way that the service users preferred. EVIDENCE: There was lots of evidence within the home to show that individual health matters were being dealt with appropriately and properly. There were sections in each person’s individual plan to record health issues and visits to healthcare professionals. Nobody who lived at the home was able to control his or her own medication. There were systems within place at the home to ensure that medication was dealt with correctly. The medication record sheets for regular medication were seen and were found to be in order. There was also prescribed controlled medication held within the home. This is medication that is carefully monitored because of its content or strength and it is recommended that a register is used in the home to show who had administered the drug, how many tablets had been given and how many should be left. It is advised that the manager contacts the pharmacist responsible for supplying the medication for the home for their advice regarding this matter. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 15 There is also a need for medication record sheets to have a photograph of the person whose medication is being administered. This helps to identify the person and help ensure that mistakes are not made. There had been training in the safe handling of medication and it was the Senior Support Workers’ responsibility to ensure that medication was administered correctly. Regular weekly checks are made by the manager to ensure that the medication is being handled and administered properly and professionally. It was clear that throughout the inspection the residents were being spoken to politely and respectfully. Each person had one-to-one support throughout the day. Some of the residents were at home during the inspection and the support workers were observed dealing with the persons day -to -day needs properly and professionally. There was evidence within the information written down at the home that showed that all of the support workers had access to the persons preferred communication methods. Personal care was available for some of the residents and the manager confirmed that same sex support was used whenever required. Most of the residents were enabled and supported to maintain their own personal care. Clear guidance was available within the files for support workers to give support at an agreed and appropriate level. There were occasions when a resident occasionally challenged the service. Positive intervention support plans were available to ensure that all of the care staff knew what to do should this occur and what action they should, and should not, take. These plans were regularly updated and assessed. It is important that regular training is available for all staff to help ensure that these procedures are followed accurately and professionally with the interests of the resident at heart. One person who recently came to live within this service used ‘sign-a-long’ which is a form of sign language for people who have hearing difficulties. The support workers had received training in this and were able to communicate effectively with him. Autism Initiatives DS0000009968.V342606.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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good policies and procedures within the service helped to ensure that people were listened to and protected from harm. EVIDENCE: The home had a clear and robust complaints procedure. Families and friends were encouraged to give their views about the support offered by the home. The residents were also enabled to air their views and express their feelings during key-worker and review meetings. The support workers had received training in safeguarding people. Two of the support workers were spoken to and both demonstrated that they had a good knowledge of protection issues and what they should do if they were worried about how people were being treated. The manager is aware of her responsibilities in ensuring that people lived in a safe home and that safeguarding issues are dealt with in the proper manner. There were residents that lived at this home who occasionally challenged the service. Each person had an individual positive intervention support plan to ensure that the care staff could make decisions as to what action to take should an incident occur. These instructions were clear and concise and formed part of the individual plan and were reviewed on a regular basis. It is important that regular training is available for all staff to help ensure that these procedures are followed accurately and professionally with the interests of individual residents at heart. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 17 One person who recently came to live at All Hallows Road was under the age of 18. The manager has ensured that all staff have had the proper checks to work with both children and vulnerable adults. The necessary guidance for child protection was available within the home and support workers had received direction in this area. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 18 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): Standards 24, 25, 26, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a homely and clean environment. EVIDENCE: The home was owned by a housing association that was responsible for the upkeep and decoration of the communal areas of the house. This excluded the decoration of the resident’s bedrooms. The support workers usually helped the residents to decorate their rooms in a style and colour scheme of their choice. The manager must ensure that each support worker is fully aware of the health and safety aspects associated with this task and that this falls within their job description. If so, training should be available. The manager must also be aware of the responsibilities of the organisation in ensuring that the support workers are insured to undertake such tasks. The safety of the residents is also an issue that needs to be fully explored when helping to decorate and risk assessments should be available to support this. The possibility of bringing in external decorators should be fully considered if these issues cannot be resolved. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 19 There had been an improvement in the way that the maintenance of the building was handled. There was a much better relationship with the housing association that owned the home and a more structured approach was now used to ensure that maintenance was undertaken quickly and efficiently. This home was very clean. There was a domestic who was employed on a 5day per week basis. There were lots of personal possessions around and each room was individual and well appointed. The communal areas were pleasant and there was a large garden area at the side of the house, which was well maintained, and people could sit out when the weather was good. One of the rooms of the ground floor had en-suite facilities. There were bathrooms and toilets on the first floor that had been redecorated and properly tiled. There was a dining room where the residents could enjoy their meals together if they wished to do so and a spacious kitchen. The Senior Support Worker confirmed that the kitchen was to be refurbished in the near future and that the residents used the kitchen when helping to prepare meals. At the front of the building there was a room that was being used as a small lounge area. This had, in the past, been used as a relaxation room, but had fallen into disrepair. There was equipment, such as old projectors etc attached to the upper walls. The manager has said that to replace the equipment and revert the room into a relaxation facility was expensive and the funds would not be provided by the caring organisation. The home was left to organise charitable events in a hope that money could be raised to refurbish the room and provide equipment. This problem is now long standing and a decision should be made as to whether the room should be refurbished as a valuable relaxation facility, or the equipment removed and the room turned back into a proper lounge. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 20 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): Standards 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well -trained and competent staff team support the residents of the home. People are protected by good recruitment procedures. EVIDENCE: There were several support workers on duty on the day of the inspection. Everyone at home had one-to-one support. This helped to ensure that the assessed needs of each of the people who lived at the home were appropriately dealt with and that they were looked after properly. The staffing rota was looked at and the staffing levels were consistently good. Over half of the care staff had a recognised award in care (National Vocational Qualification level 2 or 3). Other care staff were working towards this qualification. There was a training programme to ensure that each of the staff had instruction in care and safety issues. This meant that they were able to do their jobs properly and professionally. Two of the support team were spoken to at length. Both were able to confirm that they had received training and that they had the ability to do their jobs Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 21 competently. It was clear that teamwork was a strong factor in the house and the service users benefited from clear roles and responsibilities. Proper checks were carried out prior to people being employed to ensure that the service users were protected from unsuitable staff. The staff files were looked at and were found to be in order. The support workers received plenty of individual support from the manager. Both people who were spoken to said that they received regular support and records were available to confirm this. Good support means that the staff can do their jobs more effectively and that their individual needs are addressed properly. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 22 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): Standards 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. Strong values and management approach means that this is a good home, which is run in the best interests of the service users. EVIDENCE: There were certificates to show that competent people had checked the fire alarm, gas systems, electrical installations and lifting equipment. There were also yearly checks to the fire safety equipment and water supply. This helped to ensure that the residents lived in a safe environment. There had been recent training for the support workers in moving and handling, first aid and food hygiene, which made their practices safer and more professional. There were regular health and safety checks within the building and this helped to make the home safer. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 23 The manager had still not achieved a nationally recognised qualification in management and care. This should be completed as soon as possible. Each person had a small amount of money kept within the house for personal shopping. This money was checked and audited properly by the manager on a weekly basis. General finances were administered by the caring organisation. There were robust policies and procedures for the care staff to refer to, to guide them within their job role. The manager was available in an ‘on-call’ role when not on duty to ensure that support workers had advice and support at all times, should this be required. Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 24 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 3 4 3 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 3 26 3 27 3 28 3 29 2 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 YA20 YA37 YA29 Good Practice Recommendations A controlled drug register should be available to accurately record the administration of controlled medication. The Registered Manager should hold an NVQ 4 qualification in Management and Care. Consideration should be given to re-furnishing the relaxation room and adding appropriate sensory equipment. This would help the residents to develop their sensory awareness and improve their quality of life. Consideration should be given to the way that the residents’ rooms are decorated and whether professional contractors should be employed to complete this work. Positive intervention training should be available for all of the support workers. This should be provided with the individual needs of each resident in mind. 4 5 YA24 YA23 Autism Initiatives DS0000009968.V342606.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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