Inspection on 30/01/07 for Ayrshire House

This inspection was carried out on 30th January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ayrshire House 09/06/05

Ayrshire House 19/10/04

Ayrshire House 14/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Ayrshire House 24-26 Main Road Long Bennington Newark Notts NG23 5EH Lead Inspector Julie Western Key Unannounced Inspection 30th January 2007 09:30 Ayrshire House DS0000002322.V327894.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 Ayrshire House DS0000002322.V327894.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 and 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. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ayrshire House Address 24-26 Main Road Long Bennington Newark Notts NG23 5EH 01400 281971 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) Ms Sarah Wright Mrs Penelope Susan Whittaker Care Home 15 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (3) of places Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th December 2005 Brief Description of the Service: Ayrshire House is a listed Georgian building with a large garden, situated on the main road running through the village of Long Bennington and in close proximity to the village shops and pubs. There is a church, a village hall and a medical centre and the home has a mini-bus to provide transport for residents, Newark and Grantham being approximately 5 and 8 miles away. The home is registered to provide care and accommodation for up to 15 residents with a defined mental health need, three of these being over 65 years, in two shared and eleven single rooms, on three floors. On the day of the inspection the home was fully occupied. This is a family-run home, with the owner working in the home on a part time basis; a manager has recently been appointed. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by CSCI including the home’s previous inspection reports, its service history, pre-inspection questionnaires completed by the Manager and residents’ questionnaires sent to the home by the Commission prior to the inspection. The site inspection took place over two hours and consisted of case tracking a sample of residents’ records and assessing the care given. Some policies and procedures were examined and some records concerning the safety of the home were also seen. Three residents and two care staff were spoken with. On the day of the inspection a staff member was in charge of the home and was present throughout the inspection. At the time of the inspection the home confirmed that the weekly fees ranged from £392, depending on the assessed needs of the resident. All present residents were charged £392. Additional charges are made for services such as chiropody and hairdressing. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report is available in the reception area or the manager’s office. What the service does well: The home provides a homely, family atmosphere for the residents. The building is decorated and maintained to a good standard internally and the garden provides an attractive setting with plenty of seating for residents to sit out in good weather. Residents made positive comments about the home; one said ‘they look after me well’ and another said ‘I like living here’. Residents were very relaxed with staff members and each other and were able to exercise a lot of choice as to what they wanted to do throughout the day. A feedback letter from a visitor read’ ‘I was impressed by the caring and friendly nature of both residents and staff here – it’s refreshing to visit somewhere with a bright and happy atmosphere’. The staff group is very stable and the resident group has also been stable for many years; this has allowed a beneficial and trusting relationship to develop between staff and residents. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 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 range of accessible information about the service they receive. They are involved in an in-depth assessment process. EVIDENCE: The statement of purpose and the service user guide have been updated and are now in a form easy for residents to understand, with use of pictures and large print. They tell the residents what they can expect from the service. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 9 Assessments prior to admission were in each residents’ care records and showed that residents, their relatives and other professionals were involved and contributed to the care plans. Care plans, risk assessments and reviews were signed and showed that residents were involved in these processes. Personal profiles for each resident provided a detailed account of the residents’ personal history and other essential information. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) 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. The residents benefit from support that allows them to take control of their lives in a safe manner. EVIDENCE: The care plans seen contained details about how residents expressed their needs and showed that they were encouraged to make decisions for themselves wherever they were able. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 11 Care plans were reviewed on a monthly basis by the key worker and resident and were signed where appropriate. Formal reviews, involving families and professionals involved with the resident, were held annually. Policies and procedures were available for risk management and the values of privacy, dignity and choice. These values were referred to throughout the care plans. Residents were very positive about the staff; one said ‘my key worker helps me with all the things I need help for’. Surveys received from residents showed that they were able to make decisions about what they wanted to do from day to day. On the day of the inspection one resident had a birthday and she said she had chosen what she wanted to do that day, including the evening meal for all residents. Throughout the inspection staff were observed communicating with residents with respect and sensitivity and residents demonstrated that they were confident and respectful with staff. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 13 Residents have access to a wide range of work and leisure activities. They are fully supported to maintain and develop their independence. The residents benefit from having a healthy and well balanced diet and they receive the information to help them maintain a healthy lifestyle. EVIDENCE: Likes and dislikes sheets were included in all care plans and clearly show the preferences of residents, including diet, weekday and weekend activity. A care plan from the Social Education Centre attended by most residents also provided full details of the residents’ pastimes and activities; residents also described their wishes and aims. There was evidence in care notes of leisure activity such as coffee mornings, meals out and visits to pubs. There was also evidence of in house activity such as art materials, videos and books. Service users were being encouraged by staff to undertake activities such as shopping, cleaning their rooms and ironing. Residents also accompanied staff on shopping trips to the supermarket. Future events included a trip to the local pantomime and one resident mentioned that several residents would like to go to Butlin’s for their annual holiday this year. Care plans showed that some residents had regular contact with relatives, including trips home at weekends. Relatives were encouraged to take part in events such as the recent Christmas party, to which friends and relatives were invited. Records demonstrated that menus are planned retrospectively and based on residents’ needs and preferences. Residents said they enjoyed the food provided and some assisted with preparing the evening meal. The atmosphere at tea-time was relaxed and informal. The Manager said that staff members were attending a course on diet and nutrition in January. Menus were seen and residents described how they went shopping and cooked meals with assistance where needed. There was evidence of fresh fruit and vegetables in the kitchen. The Environmental Health Officer visited in November 2006 and awarded the home four stars for kitchen hygiene practices. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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 good. This judgement has been made using available evidence including a visit to this service. The home’s records give a clear picture of the personal and health care needs of residents and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. EVIDENCE: All residents in the home were fully mobile; however personal care was given in the form of assistance with bathing and showering and one resident had a Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 15 stoma bag, which was managed by staff. Care plans showed that residents were weighed regularly. Care plans showed that two residents had behavioural needs and would benefit from the inclusion of triggers to behaviours and how to manage challenging behaviour in some residents The local GP visited all residents annually and the district Nurse visited annually to administer the ‘flu vaccine. The pharmacist visited on 13/11/ 06 and all issues from this had been addressed. The home used a wallet system to administer medication and only senior carers were able to carry out this duty. No residents were able to administer their own medication and several residents did not take regular medication. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure to ensure resident’s safety. EVIDENCE: Records showed that the home had received no complaints in the last twelve months. There was a clear adult protection procedure, which was linked to the Local Authority procedures. All staff members spoken with had received training on safeguarding adults and were knowledgeable about complaints. One resident said she would complain to her key worker or the owner if she needed to. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 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 comfortable, pleasant and safe environment with both private and communal space being generally suitable for their needs. EVIDENCE: Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 18 A tour of the premises showed that the building was generally well maintained internally and the gardens and grounds offered a pleasant place for residents to sit out in good weather. The Manager carried out a health and safety check annually; this included a risk assessment of the building. The building is spacious and there is a large activities room, which is used for meetings and indoor entertainment; it contains some keep-fit equipment for the use of residents. Environmental improvements have included one resident moving into a second floor bedroom and his old room being converted into a new office. The old office has been converted into a smoking room and this has left the living room smoke-free. The living room has been redecorated. The garden had raised beds for one of the residents to grow vegetables; he said he enjoyed doing this. The home was clean and tidy and smelled fresh throughout. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent. EVIDENCE: The rota showed that there were sufficient numbers of staff on duty. Additional staff members were available to provide flexibility when needed. Residents and Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 20 staff spoken with confirmed that there were enough staff members to attend to their needs. The owner confirmed that four staff members had achieved the National vocational Qualification at Level 2 and two staff members had achieved NVQ Level 3. The staff member spoken with had recently had training in dementia awareness. Future training included safe handling of medicines and diet and nutrition. The owner said that she was undertaking a training needs analysis for the home on 8/02/07 and this would enable her to plan a programme for the coming year. Staff spoken with said they had regular supervision and records confirmed this. Staff folders were well maintained. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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 good. This judgement has been made using available evidence including a visit to this service. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 22 The home is managed competently and the staff team are supported in carrying out their respective roles. The views of residents are listened to and they are involved in decisions affecting them. EVIDENCE: The registered Manager has the NVQ at Level 3 in caring and Level 4 in management. She has worked in this home for many years and has managed the home for nearly two years. The residents have regular meetings, which are recorded. They also work with the day centres they attend and give regular feedback about the home at reviews. The home has a range of policies and procedures e.g. infection control, health and safety, moving and handling, fire safety and Legionella controls. Risk assessments for the environment were seen and individual service user risk assessments were contained in personal files. Fire records were satisfactory, materials included in Control Of Substances Hazardous to Health regulations were stored appropriately and data sheets were available. Residents spoken with were aware of the right and wrong way to perform many activities. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 2 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ayrshire House Score 3 3 3 X DS0000002322.V327894.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA40 Regulation 37 Requirement Timescale for action 08/02/07 2 YA19 15 The registered person must notify the Commission of any serious injury to a service user in accordance with Regulation 37. Care plans must include 02/04/07 information on triggers to behaviours and how to manage challenging behaviour in some residents. 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 YA35 Good Practice Recommendations Staff members should receive training in challenging behaviour. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Ayrshire House DS0000002322.V327894.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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