Inspection on 18/04/08 for Autism Initiatives Respite Services

This inspection was carried out on 18th April 2008.

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

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

Other inspections for this house

Autism Initiatives Respite... 15/08/07

Autism Initiatives Respite... 13/07/06

Autism Initiatives Respite... 12/01/06

Autism Initiatives Respite... 09/05/05

Autism Initiatives Respite... 13/01/05

Autism Initiatives Respite... 31/08/04

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 Respite Services 8 & 10 Barnsbury Road Walton Liverpool Merseyside L4 9TS Lead Inspector Debbie Corcoran Key Unannounced Inspection 18th April 2008 11:00 Autism Initiatives Respite Services DS0000025222.V362177.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 Respite Services DS0000025222.V362177.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 Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Autism Initiatives Respite Services Address 8 & 10 Barnsbury Road Walton Liverpool Merseyside L4 9TS 0151 226 8604 F/P 0151 226 8604 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) www.peterhouseschool.org Autism Initiatives vacant post Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 5 Date of last inspection 15th August 2007 Brief Description of the Service: 8 and 10 Barnsbury Road is registered to provide a service for up to 5 adults who have a learning disability. No. 8 provides accommodation for 2 service users whilst No. 10 provides accommodation for 3 service users. The service is provided by Autism Initiatives. Autism Initiatives was formerly called the Liverpool and Lancashire Autistic Society and it was established in 1971. The organisation provides a variety of services to adults and children who have autism. These include residential care, day care, supported tenancies, outreach, domiciliary care, respite and educational services. Autism Initiatives is a voluntary organisation with charitable status. The accommodation at Barnsbury Road comprises of two adjoining semidetached properties. Each house offers single bedrooms, a shared bathroom, kitchen, dining and lounge areas. Local amenities include a sports centre and leisure facilities, entertainment complexes, various shops and access to public transport. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection visit was not announced beforehand and was carried out over a period of approximately 5 ½ hours. During the visit there were 3 people staying at the home. Two of the people staying were met and one was spoken with to obtain their views on the home. Two members of the staff team and the manager were also spoken with during the course of the visit. Care plans, staff records, health and safety records and other relevant records were looked at. A tour of the home was carried out and all areas were checked. The manager returned a questionnaire on the service to the Commission and some of the information in this has also been used to inform the findings of the inspection. Before the visit surveys had been sent out to people using the service and to staff to comment on the service provided. However none of these were returned. What the service does well: The service provides respite care or short term care. The service is provided to meet the needs of people who have autism and as such routines and activities are planned with the specific needs of the people using the service in mind. People using the service appear to be well supported with their physical and personal care needs for the duration of their stay. There is a good emphasis on encouraging people who use the service to make choices and to develop their communication skills and their independent living skills. Staff are provided with a good level of training including training in supporting people who have autism. Staff are only recruited when all appropriate checks have been made. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The home has had a number of different managers over the past two years and therefore there has been a lack of stability in the quality of the service provided. A new manager was appointed approximately three months ago. This person must now make an application for registration as manager with the Commission. People who use the service do not appear to be having a great deal of opportunity to go out socially and to use the local community. Staff turnover has been high and the manager must now aim for greater stability in the staff team. There has been a big change to the staff team since the last inspection visit and there are only 2 of an original 11 members of staff still working at the home. Eight new staff have been recruited in a short period of time and this is therefore a time when new staff are learning the needs of the people using the service and are involved in a high level of training. Staff need to be provided with the chance to meet with the manager and talk about their work. This should be on a one to one basis and should also include team meetings. The quality of the service is not being checked. There are no regular visits to the service being made by a person from the organisation and people who use the service and their families are not being asked their views on the service. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 7 The high turnover of staff, the lack of quality assurance and leadership could impact unfavourably upon the people using the service. 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 Respite Services DS0000025222.V362177.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 Respite Services DS0000025222.V362177.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): 1, 2, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information on the services provided at the home is available so that people can make a choice as to whether the home is appropriate for them. An assessment of needs is carried out with new people before they stay so as to make sure their needs can be met at the home. EVIDENCE: A statement of purpose and service user guide are available to current and prospective residents. These describe the services and facilities provided at the home. People who are new to the service are only admitted for a stay following an assessment of their needs. These assessments are carried out so as to ensure that the person’s needs can be met at the home. The assessment tool and the information in these relate specifically to the person’s needs in relation to living with autism and includes areas such as; communication, social interaction, awareness, sexuality, imagination and flexibility of thought, spirituality, family life and environmental issues. Assessments information is also attained from the referring agency for example Social Services or from other relevant professionals. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 10 Along with general assessment information risk assessments are carried out and these identify potential risks to people using the service and include guidelines to inform staff on how to best manage those risks. People have the opportunity to visit the home on numerous occasions, as per the needs of the individual, before deciding whether or not to stay at the home. A current example was given whereby a person new to the service is being given the opportunity to visit the home and get to know the staff and environment before they have an overnight stay. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 11 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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each of the people using the service has an individual support plan. These describe what the person’s needs are and how they should be met. Risks to the safety and well being of people using the service are assessed and plans are put in place to manage these. EVIDENCE: Each of the people using the service has a document entitled ‘about me’ and this describes the support they need in areas such as communicating, understanding, staff support, activities, meals, medication, health and safety. Each person also has a support plan which describes goals for their personal development and how to support the person with these during their stay. This may include supporting the person to develop their independent living skills, their personal care skills or learning new ways of interacting with other people. ‘About me’ information and support plans were looked at for three of the people who stay at the home. These provided a sufficient amount of Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 12 information to inform staff on how to meet the needs of the person and to inform staff of the choices and preferences of the person and of their daily routines. The information was up to date. People using the service are encouraged to make decisions about their daily lives for the duration of their stay. Practices are in place which are aimed at encouraging people who use the service to make decisions about their stay. Picture boards are used for some people where this is appropriate, and this enables people with limited verbal communication skills to make choices about issues such as where they would like to go socially, what activities they would like to be involved in and what they would like to eat. The picture boards use pictures, photographs, and symbols. A notice board is located in the hallway and this includes pictures of the staff on duty and can be used to indicate which staff are due to work and when. Risk assessments are carried out for each of the people using the service. These identify potential hazards to the person’s safety and well being and include detailed guidelines as to how to then manage the risk or prevent the risk from occurring. The risk assessments cover different aspects of the persons support. For example support with communication and expression or support with community access. Those risk assessments, which were looked at, were found to be up to date. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 13 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, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service could be better supported in social and leisure activities for the duration of their stay. People who are staying choose their own meals and are supported to use and develop their skills where appropriate. EVIDENCE: Each of the people using the service has a care plan and these include information on activities that the person likes to be involved in. It was reported that at the start of their stay each person has the opportunity to discuss what activities they would like to be involved in for the duration of their stay and staff then plan for these to take place whenever possible. A daily record is maintained for each of the people using the service and these are designed to include information on what activities the person has had the Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 14 opportunity to be involved in. However, these records do not provide a particularly good quality of information and little reference to the social and leisure opportunities for people staying. This would indicate that people using the service are not supported to be involved in a variety of community activities for the duration of their stay. The manager stated that he is intending to develop this area and provide people with a variety of experiences and opportunities. In assessing the diet and meals available to people using the service menu records were examined, one of the people using the service was spoken with and the availability and storage of food was checked. This indicated that people using the service have a choice of meals and food. Information on the service user’s likes, dislikes and needs with their food and meals is recorded in their personal records. The manager reported that people using the service are supported to shop for their food and meals and prepare their meals where this is appropriate to their needs and wishes. Picture cards are used to aid people to make a choice of meals and food if they have difficulty expressing choices verbally. Autism Initiatives Respite Services DS0000025222.V362177.R01.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, 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using the service are supported with their individual needs and physical and emotional well being for the duration of their stay. Care planning fails to include information on the health care need of the people who use the service. Medication is handled and administered appropriately on the whole but there is room for improvement. EVIDENCE: Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 16 People using the service have a care plan which includes information on how to meet the person’s personal care needs and physical care needs. However, the current care planning does not include a section on health care needs. The manager should address this and ensure that information on people’s health and health care needs are clearly documented. It has been reported that arrangements are made for people using the service to visit a G.Ps or district nurse when this is required. Care plans provide information to staff on how to support people using the service with their emotional well being. When appropriate records include guidelines for support with specific activities. For example there may be detailed guidelines for supporting a person when they are out and about in the community or when they are using public transport, or if they have difficulty in managing social interactions. Polices and procedure used for the receipt, storage, disposal, and documentation of medications within the home are in place. At the time of the visit there was only one person who needed to be administered medication. Medication storage and records were checked in relation to this person. The procedures were appropriate on the whole but one medication was found to be in stock and recorded on the medication administration records but was no longer administered to the person. The manager must address this and ensure that all only currently prescribed medication is in supply and recorded as needing to be administered. Autism Initiatives Respite Services DS0000025222.V362177.R01.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): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place which aim to protect service users against abuse or neglect and systems are in place for dealing with complaints and allegations of abuse. EVIDENCE: The home has a complaints procedure which is time scaled appropriately. There have been no complaints made since the last inspection visit. The home has a ‘service user protection document’. This provides a guideline for staff on how to deal with a potential adult abuse allegation. Staff are provided with adult protection training. The home has further policies and procedures aimed at protecting service users including the management of service users money and financial affairs and a physical intervention policy. A record of key events is maintained for example incident reports and accident reports. These reports were checked and there were no particular issues identified as a result. Autism Initiatives Respite Services DS0000025222.V362177.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): 24, 25, 27, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and generally presented to a satisfactory standard and there have been many improvements to the home environment. EVIDENCE: A tour of the premises was carried out which included all areas. The home is split in to two separate houses each with it’s own front door. One of the houses can accommodate up to 3 people and the other accommodates up to 2 people. There is no direct access through from one to the other. Each side of the home provides a separate lounge, dining room, kitchen and bathroom. The home environment is satisfactory in the main but there are some areas for improvement. The Bathroom tiles need repair in number 10. The room needs redecorating, needs new flooring and the radiator cover needs fixing to the wall. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 19 There have been improvements to the home environment since the last inspection visit. New furniture has been provided in bedrooms. New dinning furniture has been provided and the flooring in the dinning rooms has been replaced. Many areas of the home have been redecorated and there has been some new furniture provided in communal areas. Health and safety practices and procedures are carried out. These aim to ensure the home is safe, clean and free from hazards. Autism Initiatives Respite Services DS0000025222.V362177.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): 32, 33, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are flexible and based around the needs of the people using the service. The staff turnover has been very high. Staff are provided with good training opportunities but the number of staff who hold a relevant qualification is low. Staff are not provided with regular supervision to look at their practice and development needs. EVIDENCE: As the home provides respite care the needs of the service user group change on a regular basis and therefore staffing levels are increased as required in order to meet the needs of the people staying. The staff roster indicates that when appropriate people using the service are supported on a one to one basis. Staff are provided with good training opportunities. One new member of staff who was spoken with reported that they have been provided with training in topics such as health and safety, infection control, risk assessment, supporting people with epilepsy and supporting people who have Aspergers syndrome and autism. Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 21 The manager provided a copy of a staff training matrix which indicates that staff training for the team as a whole is good especially as this is a new team with a high proportion of new staff. There are 11 members of staff on the staff team. Of these 5 have attained an N.V.Q (National Vocational Qualification) level 2 in care. The manager reported that the remaining 6 members of staff are working towards attaining a relevant qualification. The manager should aim to ensure that at least 50 of the staff team hold a relevant qualification. Discussions with one of the people staying at the home and staff indicated that staff are supporting the aims and objectives of the home in encouraging the people to make choices, develop their independent living skills and use their local community. Staff turnover is high. There has been a big change to the staff team since the last inspection visit and there are only 2 of an original 11 members of staff still working at the home. Eight new staff have been recruited in a short period of time and this is therefore a time when new staff are learning the needs of the people using the service and are involved in a high level of training. During discussions with a new member of staff they described being included in a detailed 6 month induction to the service. Staff files were viewed for three newly recruited members of staff in order to assess the staff recruitment and selection practices. These showed that all required pre employment checks are carried out before new staff start working at the home. The only area of concern was in the verification of one of the references for one member of staff as one of these had been hand written and there was no indication that this had been verified and no indication as to the capacity in which the referee knew the applicant. Staff supervision meetings and team meetings are not taking place on a regular basis. The manager reported that some of this work does take place on an informal basis. The manager must ensure that staff have the opportunity of having regular recorded supervision meetings and staff team meetings. Autism Initiatives Respite Services DS0000025222.V362177.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): 37, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has not had the stability of a manager and has been through significant change as a result and this impacts on the service provided to people. The quality of the service provided is not being checked on a regular basis. Health and safety practices and checks are carried out so as to safeguard the health and welfare of people using the service and staff. EVIDENCE: The home has a designated manager, however this person is not registered as manager with the Commission. The manager is new to the home as the previous manager left approximately 3 months ago. The manager has started to introduce new systems and has had introduce an almost completely new staff team. The home has not had a manager who is registered as such for a Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 23 significant period of time. This must be addressed and the home must have a suitably experienced, qualified and registered manager. This was discussed with a senior manager in the organisation. There is currently no evidence that a system for measuring the quality of the service is in use at the home. A quality assurance system should be in place and this should include surveying the people using the service and their representatives on the quality of the service. Feedback from this process should then be published and distributed. It is recommended that an annual development plan is produced which reflects aims and outcomes for people using the service. There was no evidence of monthly unannounced visits taking place under Regulation 26 of the Care Home Regulations 2001. These must take place as they are a valuable means of checking the quality of the service provided. Staff are provided with training in health and safety topics and the home has health and safety policies and procedures. Fire safety and health and safety practices are adopted. A sample of records of fire and health and safety checks were looked at and found to be up to date. A safe working practice risk assessment is in place but some areas of this have not been reviewed for a number of years. It is therefore recommended that the manager reviews this. Autism Initiatives Respite Services DS0000025222.V362177.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 X 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 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 3 36 2 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 2 13 X 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 x 2 X 1 X X 3 x Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 25 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 YA19 Regulation 12 (1) (a) Requirement Service user’s records must include information on how to meet the healthcare needs of the person so as to ensure their healthcare are known and met. Timescale for action 18/05/08 2. YA20 13 (2) Medication must be appropriately 18/05/08 stored, documented and managed so as to safeguard the welfare of people who use the service. Repairs and maintenance work as identified in the report must be completed so as to provide a well maintained and homely environment to people using the service. A system must be established and maintained for reviewing at appropriate intervals and improving the quality of care provided at the care home. This is to include seeking the views of people using the service. An application for the DS0000025222.V362177.R01.S.doc 3. YA24 23 18/07/08 4. YA39 24 26 18/07/08 5 YA37 8 18/06/08 Version 5.2 Page 26 Autism Initiatives Respite Services registration of a manager must be made to the Commission. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA14 Good Practice Recommendations People using the service should be given greater opportunities to participate in social activities and to use community resources. The level of staff turnover should be reduced so as to provide consistency to the people who use the service. Staff recruitment and selection practices should include verifying references and ensuring the capacity in which the candidate is known to the referee. Staff should be provided with regular and recorded supervision meetings. Team meetings should take place on a regular basis. An annual development plan should be developed. This should be linked to outcomes for people using the service. 2. 3. YA33 YA34 4 5. 6. YA36 YA36 YA39 Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way 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. Extracts may not be used or reproduced without the express permission of CSCI Autism Initiatives Respite Services DS0000025222.V362177.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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