Inspection on 08/05/07 for Avalon Care Home

This inspection was carried out on 8th May 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

Avalon Care Home 15/09/09

Avalon Care Home 21/04/09

Avalon Care Home 14/10/08

Avalon Care Home 12/06/06

Avalon Care Home 06/12/05

Avalon Care Home 15/06/05

Avalon Care Home 22/02/05

Avalon Care Home 08/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Avalon Care Home 24 Duke Street Southport Merseyside PR8 1LW Lead Inspector Mr Paul Kenyon Key Unannounced Inspection 16:15 8th May 2007 X10015.doc Version 1.40 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 Avalon Care Home DS0000061380.V332879.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 Older People. 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. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avalon Care Home Address 24 Duke Street Southport Merseyside PR8 1LW 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) 0151 200 8841 Avalon Residential Homes Ltd Ann Louise Wilson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Twenty (20) places are to be registered in the category of Dementia over 65 years of age (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (1), Old age, not falling within any other category (3) Date of last inspection 12th June 2006 Brief Description of the Service: Avalon Residential Care Homes Ltd purchased Avalon care home in July 2004. Avalon is a Residential Care Home, which provides personal care and support for up to twenty elderly residents. Twenty service users were resident at the time of the inspection. Ann Wilson manages the home. The home is a large detached converted house, set in a residential area, within walking distance of all the amenities of the town of Southport. Access to the town can be made via the local transport services where necessary. A lift provides access to all floors of the home. There is a large dining/ lounge area, a smoking room and gardens to front and rear, which can be accessed via the basement. Fees for the service are currently charged at £355.50 to £420 per week. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection to be held this year. The inspection took place over two days and the home did not have any idea that the inspection was to take place. The inspection included an examination of records relating to the care of residents, discussion with residents, observation of the care provided, interviews with staff, a tour of the building and the sending out of comment cards to relatives. National Minimum Standards for older people were used to measure the care provided at Avalon. What the service does well: Residents benefit from having their needs identified before they come to live at Avalon. Residents benefit from having their needs summarised in a plan of care that is reviewed, clear and includes the contribution of residents and their relatives. Residents benefit from having their health needs met. Residents are treated in a respectful manner and have their privacy upheld. Residents are provided with the opportunity to pursue daily activities, contact with their family and the wider community. Residents are able to have their independence maintained as far as possible. Residents have their nutritional needs met. Residents and their families are provided with the information they need to make a complaint. Residents are protected from abuse. Residents live in an environment that is well maintained, refurbished, comfortable and free from offensive odour. A well-trained staff team supports residents. An experienced individual who provides support to the staff team manages the service. The views of residents and relatives are taken into account. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 6 The health and safety of residents is promoted. 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. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Standard 6 is not applicable to Avalon at present. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All individuals using the service benefit from having their needs identified prior to them coming to live at Avalon EVIDENCE: Four residents have been admitted since the last key inspection. Assessments were in place for all these individuals and had been obtained before the individuals were admitted. All assessments have been provided by funding authorities. These assessments include specific details of the needs of each person. All assessment information is in turn transferred over to care plans. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their needs summarised in a plan of care that is clear and reviewed at appropriate intervals. Residents benefit from having the opportunity to confirm their agreement with this plan. The health needs of residents are met. Medication systems are safe in the main. Residents are treated with respect and have their privacy promoted. EVIDENCE: Care plans were examined for four residents who had come to live in the home since the last key inspection. All residents have a care plan. Care plans are kept secured in a lockable cupboard yet staff observed being able to have access to them. Care plans for all noted to follow a clear format including a pen picture of the individual, contact details, evidence of identifying the preferred name of the individual, their religion, any cultural needs and wishes in the event of their death. Needs outlined also include reference to health Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 10 issues, communication, mobility, risk assessments, nutrition, religious observance, activities, daily routines and social activities, family contact. Risks of falling are included for all residents. All care plans have been reviewed with the exception of one although this person has only just been admitted into the service. For those admitted earlier on, care plan reviews have been consistently done monthly. Evidence available to suggest that the service is also conducting six monthly reviews of care plans with families and is using this as an opportunity to gain views from relatives about the quality of the care being provided. This process has started and there was evidence of reviews themselves as well as invitations to reviews sent to families. Families have agreed all care plans and in one case, a relative had amended details of the care plan relating to their relation. One resident and his family have not confirmed the contents of the report. There is evidence contained within records to suggest that the health needs of individuals are being met. All care plans examined indicated a summary of the health needs of individuals as well as the support needed in respect of personal care. Daily records provide evidence of records of personal care carried out and there are separate records indicating when individuals have been bathed. No individuals have pressure sores at present but evidence of one person having them last year in 2006 and there was evidence of district nurse involvement in the treatment of this person. Evidence in place to suggest that all individuals have been assessed by a continence advisor with the most recent round of assessment completed in May 2007 as evidenced by records. The change in the registration of the home now also indicates that there is a greater need for input from Community Psychiatric Nurse (CPN) services. All care plans viewed had contact details of a CPN and in a sample of care plans viewed evidence was in place that this had occurred through appointments. Evidence was available through the activity programme that individuals are able to take light exercise. Some individuals are independently mobile and are able to access the community with the risks taken into account through assessment. Others are less mobile yet it is a feature of the home that those who have limited mobility and rely on walking aids are able to mobilise through the home independently and observation noted that they are directly encouraged by staff to do so. All individuals are weighed on a monthly basis as evidenced through records. Appointment records also indicated that individuals have access to other medical services as required. Medication is stored in a suitable and lockable cabinet that can be moved throughout the building. All administration records are signed appropriately. Training in medication has been verified through staff interviews. No residents self administered at present given the risks involved in this. Receipting of medication is not consistent and this is raised as a requirement in this report. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 11 The medication round after lunch was indirectly observed. The Staff member explained the reasons for the medication they were taking and its purpose. Administration was done in a thorough and respectful manner. Residents assisted in the taking of medication and had their independence taken into account as far as possible. The preferred names of all service users are included within the sample of care plans examined. In some cases, residents have signed to agree other endearments that may be used as a term of address. There are no shared rooms in the home. All laundry was noted to have discreet marking on it to prevent the mixing up of clothing between residents. One member of staff indirectly observed interacting with a resident who was clearly confused and at one point was becoming quite agitated. Member of staff spoke to the individual in a respectful and calm manner and was able to reassure the person through this approach. Further staff interactions were indirectly observed. At all times staff interacted with residents in a respectful and informal manner. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their daily routines respected, being able to take part in activities if they wish are able to maintain contact with their families. Residents benefit from having their independence promoted and nutritional needs met. EVIDENCE: Comments from two residents indicated that they were able to rise and go to bed when they wished. This was confirmed through daily records, which indicated that residents were able to get up when they wished and go to bed at a flexible time. This was noted in particular for two individuals. Activities are in place as evidenced through activity records. Such activities included: shopping, reading, music, walking, and family links. Specific outings and other group activities such as use of a portable cinema. The home has its own minibus but this cannot be used at present. Other records indicated that the Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 13 religious preferences of individuals are maintained, for example, one person’s receipt of Holy Communion. One senior member of staff acts as an activity coordinator. Residents have the opportunity to make comment about the activities that are on offer through an activity sheet record. The home is located close to the town centre. Some individuals are still able to pursue their own activities yet this is done under the framework of risk assessments. The visitor’s book indicated that residents have contact from their family and this was further evidenced through the level of involvement that relatives have in the agreement with care plans. In addition to this there is evidence that relatives have been invited into a six monthly review meeting on care plan with the staff team and this has commenced. Comment cards were sent to relatives but none were received at the time of the report. No individuals are completely financial independent but families are able to deal with the financial interests of their relations and as a result this means that they are technically independent from the home. Advocacy services information is available and there was evidence that this service has been used in the past. The level of independence for residents was noted for this inspection by the level of independence that people have through mobilising. Two individuals in particular were noted to use walking frames to assist them with mobilising. In those cases, staff did not directly assist them yet used encouragement to them while the individual mobilised. The staff team were present given risks of falling etc. but still the independence of individuals is maintained. A number of rooms were viewed and it was noted that these rooms were personalised and individual items belonging to the individual could be accommodated enabling people to place their identity on their individual accommodation. A menu is available yet a new menu is also being introduced to reflect the change in the season. Care plans indicated that there are three individuals with nutritional needs, identified as having diabetes although not insulin dependent just diet controlled. A Dining room is available and although not all individuals can be accommodated here it is acknowledged that a lounge area has been converted into a dining room where one did not exist previously. The kitchen is available and a cook is employed. The kitchen is well organised and well equipped. Food stocks were noted to be sufficient. A menu is available for reference by residents and all preferences of residents are recorded within records for each meal. One resident commented on the food and said it was ‘alright’ Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives are able to make complaints if they wish and have the information in order to do this. Residents are protected from abuse. EVIDENCE: Complaint records were examined. No complaints have been received since the last key inspection by the home and no complaint received by the Commission for Social Care Inspection during this time. A complaints procedure is available. In respect of the protection of vulnerable adults, three personnel records were examined. In all cases, new staff have signed key policies and procedures to confirm that they are aware of them and the action included in their content. These policies include the action to take in the event of an allegation of abuse being made to a member of staff, the whistle blowing procedure, the staff role in not being involved in the receipt of gifts and involvement in wills as well as action to take in respect of physical/verbal aggression and restraint. This offers an indication that staff have been made aware of these key protection policies. Staff interviews with two members of staff confirmed that they were aware of Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 15 the abuse procedure and knew what action they needed to take in the event of any allegations of abuse. They also confirmed that they had received training in abuse awareness and were aware of the whistle blowing procedure. They were also aware of the limitations staff have in the involvement with gifts/wills/ finances of residents. The home has had experience in the past of referring allegations of abuse to social services. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a pleasantly decorated and hygienic home EVIDENCE: A tour of the premises was undertaken to determine the levels of refurbishment in the home as well as the level of cleanliness. A number of areas have been refurbished since the last inspection. These include the lounge, hallway areas and some bedrooms. All areas have been redecorated and provide a pleasant environment for residents. In addition to this a number of new window frames have been installed and these are made of PVC and include double-glazing. Two newly decorated rooms were viewed. In total ten bedrooms have been redecorated. Re-decoration includes new carpets, wallpaper, the inclusion of vertical blinds etc and is an improvement. This Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 17 improvement will be extended to other areas. A general repairs book is available and this utilises the skills of the directors of the responsible agency to provide repairs and refurbishment. Other examples of refurbishment or the environment have been made linked to the change in the registration of the home. Dementia training provided to all staff earlier in 2007 noted that certain colours can assist with the orientation of residents, as a result certain doors have been painted specific colours in order that residents can be orientated within the home. In addition to this, door alarms have been fitted to alert staff to the possibility that residents have risen in the night and are mobilising within the building. Handrails have also been put into place. Some odours were noted in some area but not all. There was evidence that there is a plentiful supply of continence products available and that the continence advisor is to visit the home in May 2007 to carry out reviews of measures taken to promote the continence of individuals. All areas noted to have soap, towels as well as poster advising staff to wash their hands after certain procedures. The home also has a plentiful supply of protective clothing within the building. The laundry is located in a separate outbuilding and has industrial appliances in place. No cleaner is employed in the home. This is raised as a requirement. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being supported by a staff team who are sufficient in number to meet their needs, qualified to perform the role and receive training linked to the needs of residents. Residents are protected by the recruitment procedure. EVIDENCE: A staff rota is available this includes reference to the staff designation at present. Staff interviews noted that extra staff are available to supplement staffing levels at key times. Staff on duty during inspection included: Manager, Senior Care Assistant, two Care Assistants and cook. It was noted that three staff had left the home since the last inspection yet new staff have been recruited. Information received prior to the inspection noted that 80 of staff had attained NVQ Level 2 and certificates on file confirmed this. Personnel files relating to three new members of staff were examined. All personnel files are kept confidential and secure. Files suggest that all had had initial police checks completed (through POVA First) two references, proof of identity, evidence of induction and a Criminal Records Bureau check. All personnel files are securely stored. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 19 Information provided prior to the inspection suggested that staff had received training in: Manual handling, first aid, food hygiene, abuse awareness, fire training, health and safety, dementia, dealing with challenging behaviour. Training certificates on personnel records reinforced this as well as interviews with staff. An external provider had provided all training. Future training needs had not been formally identified. It is recommended that a training plan for future training needs be identified. An induction process is in place and new staff had received this as demonstrated by personnel files. In addition to this, key policies and procedures identified and signed by staff to confirm that they understand the actions that need to be taken in the event of abuse allegations, whistle blowing, health and safety, infection control, involvement in residents finances etc. Dementia care and challenging behaviour training linked into the new registration of the home in relation to dementia. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a service that is managed by an experienced individual. The views of residents and their families are taken into account through the quality assurance process. The financial interests of residents are not consistently safeguarded. The health and safety of all is promoted. EVIDENCE: The Manager has been approved by the Commission for Social Care Inspection during the past three years. The Manager is familiar with National Minimum Standards for older people and regulations. The Manager has acted appropriately through the recent re-registration of the home and in identifying Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 21 the needs of those who require dementia care. A management structure is in place with Manager and senior staff. The Manager has delegated specific tasks to the senior management team. Manager has NVQ Level 4 and is only responsible for one establishment. The Manager has organised training for herself and staff team. Staff interviews confirmed that the Manager was supportive and approachable. The home uses an independent agency to review the quality of care it provides and this is done on a annual basis. The last quality assurance was done in 2006. This involved a review of the care provided as well as enabling staff, residents and relatives to express their views on the service. Questionnaires for residents were reviewed from 2006 and this enabled their views to be collected. The results of the quality assurance are on display in the home. It is recommended that where there is evidence of dissatisfaction, the home provides evidence of how these issues are resolved. The home has introduced its own quality assurance system within the arena of care plan reviews. All residents and their relatives will be able to attend a six monthly review of care plans and use the review as an opportunity to gain relatives views. This has commenced with other relatives being contacted about the service’s proposals. Staff co-operated throughout the inspection and the Inspector was able to talk to residents and staff in private. The home is able to retain some residents monies for safekeeping. All monies are appropriately stored and all receipts of any transactions are retained. Records are in place yet have not been countersigned by two members of staff. It is required that it is done to ensure that resident monies are entirely safeguarded. Fire alarms tests and drills carried out as well as tests to emergency lighting. Fire extinguishers have also been tested. Training in mandatory subjects have been undertaken by staff as confirmed through certificates as well as staff interviews. Accidents are recorded appropriately. Restrictors have been put on windows and radiators covered. A requirement at the last inspection re a freezer door has been addressed. Water temperatures are tested even though thermostatic valves are in place on sinks. The home is secure and as a result residents are physically safe. Portable appliance tests have been carried out as well as gas soundness test. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 23 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. 1 2 3 Standard OP9 OP27 OP35 Regulation 13 18 13 Requirement All received medications must be recorded to confirm receipt A cleaner must be employed by the home All transactions relating to residents’ monies must include two signatures Timescale for action 05/06/07 30/06/07 05/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP30 OP33 Good Practice Recommendations A plan for future training should be devised Action must be outlined demonstrating how the registered person will address those areas of dissatisfaction that may be identified in the quality assurance process. Avalon Care Home DS0000061380.V332879.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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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