Inspection on 31/08/07 for Aytun Care Home

This inspection was carried out on 31st August 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 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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aytun Care Home 27/06/06

Aytun Care Home 22/02/06

Aytun Care Home 13/10/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Aytun Care Home 33 Strode Road Forest Gate London E7 0DU Lead Inspector Lea Alexander Unannounced Inspection 31 August 2007 12:30 st Aytun Care Home DS0000062024.V347277.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 Aytun Care Home DS0000062024.V347277.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. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aytun Care Home Address 33 Strode Road Forest Gate London E7 0DU 020 8555 6097 020 8555 6133 yetundemajek@aol.com 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) FBP Ventures Ltd Mrs Yetunde Majekodunmi Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration is for 3 adults with a mild/moderate learning disability, either sex, in the category of LD, 1 of whom may have both a learning and physical disability. 27th June 2006 Date of last inspection Brief Description of the Service: Aytun Care home is a three bed roomed house in a residential area of Forest Gate that registered to operate as a care home in January 2005. The home accommodates three adult service users with learning difficulties. The home is situated close to the local shopping facilities at Forest Gate and nearby Stratford. There is good access to public transport with train, tube and bus routes nearby. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector carried out this inspection over the course of two half days. The Inspector had previously inspected this service on a number of occasions. The last key inspection took place on the 27th June 2006, and a random unannounced inspection was carried out on the 13th February 2007. The findings of this random inspection are included in this report. During the course of the inspection the Inspector met with the Registered Manager and the Deputy Manager. Both people who use the service were away from the home on community activities during the Inspectors visit, however, detailed feedback surveys were subsequently obtained from both. The Inspector also sampled a range of records relating to the running of the home. An Inspector visited the home to find out more about what it was like to live there. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 6 What the service does well: People who live in the home said that they like living here and that the staff care for them and treat them well. The home has qualified and experienced Manager. The home is clean and comfortable and each resident has his or her own room. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 7 Staff can support residents to look after their money. People who live in the home can learn daily living skills like cooking. The home supports residents to take part in activities and visits they enjoy. Residents are supported to stay in contact with their families. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 8 People who use the service said that they liked the food. Residents are supported to keep regular health appointments like the Doctor and Dentist. Staffs are well qualified to do their jobs. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 9 The home keeps people who use the service safe and well. The home asks residents what they think of the home and what could be done better. What has improved since the last inspection? The home asks people who want to live there what help they need. Every resident has their own plan and this says what kind of support they need with personal and social care. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 10 The home properly looks after resident’s medication and keeps proper records about medication. Residents who need support with special exercises get this help from care staff. The home has improved the way it tells the Commission about safeguarding adults. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 11 Minor repairs in the lounge and kitchen have been completed. Staffs receive regular supervision to support them to do their job. Foods stored in the freezer were all correctly labelled. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 12 What they could do better: When a new person plans to move in, the home must make sure it gets information from their nurse or social worker. Resident’s plans must be looked at every six months, or when there is a change in the support they need. People who live in the home must be involved in the decision to have students on placement. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 13 When people who use the service need support with moving or transferring, this should be part of a risk assessment. Individual plans should say how the resident likes to be helped. The bathroom needs some repairs. The staffing rota must be up to date. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 14 When the home recruits staff it must carry out checks to keep residents safe. Care workers must receive regular training. 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. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 15 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 Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 16 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): 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home carries out its own assessment of people who wish to use the service. However, it does not obtain relevant information from the health authority or Social Services Department on the needs of people who want to use the service. EVIDENCE: There have been no new admissions to the home since the last inspection. The inspection on the 27th June 2006 had required the home to evidence that both people who use the service had been assessed by the home prior to their admission. At a subsequent inspection on the 13th February 2007 sampling of the personal files of both residents evidenced that both people who use the service had been assessed by the home prior to their moving in. The home had also previously been required to obtain copies of the Health Authority or Social Services Care Management assessment as part of the referral process. Sampling of the personal files of people who use the service evidenced that this remains outstanding. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 17 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, 8 & 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each person who uses the service has an individual plan, but this is not person centred. It is not clearly evidenced how frequently plans are reviewed, and the risk assessment tool is basic and does not adequately address moving and transferring. EVIDENCE: Previous inspections had required the home to ensure that all aspects of personal and social support were included in the individual plan. The Inspector sampled the available plans for the homes two residents. These evidenced that plans addressing a range of social and personal needs had been developed including, personal care, communication, challenging behaviour, activities and mobility. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 18 Sampling of plans also evidenced that these had been reviewed for both people who use the service in July 2007, and that both people who use the service had been involved in this process. However, copies of previous plans were not available, and the Inspector was therefore unable to evidence whether plans are reviewed on a six monthly basis or as needs change. The Inspector noted that the plans produced by the home do not reflect significant past events or people, or previous interests or activities, and recommended that the home look at developing more person centred plans with people who use the service. The Registered Manager advised the Inspector that people who use the service are supported to make their own decisions. They described a process whereby staff will give people who use the service relevant information and then support them to make a decision. An example given was how people who use the service are encouraged and supported to choose the meals provided. One person who uses the service has an external financial advocate who manages their finances. They receive a weekly allowance that is documented by the home along with the date, amount, purpose and staff signature for each withdrawal. A second service user requires assistance to manage their finances and this is detailed in their individual plan. A written record of the date, amount and purpose of each transaction is recorded along with a staff signature. During the course of their visit the Inspector observed that students were on placement within the home. This was raised with the Registered Manager who advised that the home regularly accepts students on placement, usually one at a time for a period of three of four days. The Inspector enquired whether this had been discussed and agreed with people who use the service, and they were advised that whilst no objections had been raised by residents the issue had not been discussed or agreed with them in advance. Each of the personal files sampled contained a generic risk assessment that addressed use of the kitchen, mobility and challenging behaviour. Previous inspections had required the home to carry out regular manual handling risk assessments for one person who uses the service. Sampling of their personal file evidenced that such an assessment had been completed since the last inspection, however, in view of the residents complex mobility needs including assistance with all transfers using specialist equipment, the Inspector was of the view that the assessment was not sufficiently comprehensive. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 19 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): 11, 12, 13, 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 who use the service are involved in meaningful daytime activities of their choice that reflect their abilities. Residents are also supported to maintain family relationships and where possible, to develop independent living skills. EVIDENCE: Discussion with the Registered Manager evidenced that the home have explored the spiritual needs of people who use the service and enabled them to attend the religious service of their choice. Sampling of personal files and daily logs evidenced that one service user is currently receiving input from an Occupational Therapist, and to supplement this staff are supporting the person to develop cooking skills and gardening skills. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 20 One person who uses the service expressed an interest in developing their sewing skills. The Registered Manager advised the Inspector that the home supported them to find an appropriate course, and they have recently completed their initial training and have the opportunity to take a follow on course should they wish. Both people who use the service have been supported to engage in appropriate community activities. Sampling of the homes activity log evidenced that recently people who use the service had been supported to engage in shopping trips, a visit to the library, walks in the locality and visits to the local cinema. From discussion with the Registered Manager and by sampling the plans of people who use the service it was evidenced that the home supports residents to maintain contact with their family members. Previous inspections have evidenced that staff interact with people who use the service, and that residents choose when to join in an activity or when to be alone or in company. The Inspector viewed the homes log of meals provided. This evidenced that a range of nutritious and varied meals are provided, and that people who use the service are involved in the selection of the meals provided. Both residents commented in their feedback surveys that they liked the food that was provided. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. People who use the service are supported to access appropriate healthcare services and the home has sound medication administration and recording practises. EVIDENCE: Sampling of individual plans and discussion with the Registered Manager evidenced that one service user requires prompts, but is otherwise independent for their personal care. A second service user has mobility issues and requires assistance with all aspects of personal care. Sampling of this residents individual plans evidenced that detailed information relating to their support needs was recorded. However, information relating to the preferences of this service user in receiving personal care was not reflected in the individual plan. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 22 Previous inspections have evidenced that the appearance of people who use the service reflects their personality, and that daily routines such as getting up, baths, meals and other activities are flexible. Sampling of the personal files of both service users evidenced that records of all healthcare appointments are maintained. In recent months residents have been supported to attend appointments with their GP, Dentist, Optician and hospital outpatient appointment. A previous inspection had required the home to support one service user to undertake regular physiotherapy exercises. Sampling of the individual plan for this service user evidenced that these exercises are now included within the plan. The Inspector viewed the homes medication policy. This includes the procedure for storing and administering medicines, including controlled drugs and guidance for self-medicating service users. At the time of this inspection no residents were self-medicating. The Inspector sampled the medication available for one service user. All of the available medication corresponded to that recorded on the Medication Administration Record. The Medication Administration Record was noted to be correctly completed and in good order. An inspection in February 2007 evidenced that medication is being correctly administered and that dossett boxes were correctly loaded and labelled. Discontinued medications were appropriately disposed of correction fluid was not used on Medication Administration Records. Medication administration refresher training was provided to care staff in November 2006. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 23 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. The service has a complaints procedure that is clearly written and easy to understand. The home has developed a safeguarding adults policy and procedure and attends adult protection meetings. EVIDENCE: The home has developed a complaints procedure and this gives information on the timescales within which the home aims to deal with complaints and contact details for the Commission for Social Care Inspection. The Registered Manager advised the Inspector that no complaints had been received since the last inspection. The home has developed an adult protection policy; this includes information for staff on possible indicators of adult abuse and makes appropriate reference to local multi agency adult protection protocols. The inspection in June 2006 had required the home to supply information relating to an adult protection matter raised by one service user. These documents were available for inspection in February 2007 and were found to be in order. No adult protection concerns have been raised since June 2006. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 24 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 & 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 a pleasant, safe place to live and specialist aids and equipment are in place for residents who require them. Each person who uses the service has his or her own bedroom and there is a choice of communal space. The home is clean, tidy and smells fresh. EVIDENCE: The home is located in a Victorian terraced house in a residential area in Forest Gate. On the ground floor there is a service users bedroom, a large wheelchair adapted bathroom and a communal lounge with satellite TV, stereo and a range of comfortable seating. There is a kitchen to the rear with patio doors to a small lawned garden. Access to the first floor is via a staircase and a staff office, small shower room with WC and a further two service users bedrooms are located on this level. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 25 The premises were noted to be clean and hygienic, and free from offensive odours. The homes current registration and insurance certificates were displayed. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 26 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. People using the service are happy with the support that they receive, and the home employs sufficient numbers of suitably qualified staff. However, the home must ensure that staff receives regular training and that comprehensive pre employment checks are carried out. EVIDENCE: In addition to the Registered Manager, a Deputy Manager and four care workers are employed within the home. The Deputy Manager has obtained NVQ level 4 and all of the care workers have obtained NVQ level 3. The Inspector viewed the homes staffing rota on the second day of the inspection. This indicated that only the Registered and Deputy Managers were on duty. However, a care worker who was annotated as being on their day off was in fact on duty and was accompanying the residents on a community outing. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 27 The Inspector viewed the personnel files for two staff members. This evidenced that each staff member had completed an application form and received a job description, and a letter with their employment terms and conditions as part of the recruitment process. The home had obtained two satisfactory references for each and established their entitlement to work. The home had also obtained an Enhanced Criminal Records Bureau (CRB) check for each, however the Inspector noted that information relating to children (Protection of Children and List 42) had not been requested as part of the CRB check. The Registered Manager advised the Inspector that since the inspection in June 2006 one formal training session addressing medication had been provided for care staff. They advised that other training had been provided on a one to one basis in supervision sessions, however no training log was available to evidence what training had been provided in this format, or that a minimum of five days training had been provided to staff in the last year. The Inspector also asked to view training certificates to evidence that all care workers had received initial and refresher manual handling training, and was advised that these were not currently available as they were in staff NVQ portfolio’s. The Inspector sampled the supervision records for two staff members. These evidenced that both staff members had received three supervisions in the current year, and are on target to receive a minimum of six supervisions in a twelve-month period. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 28 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, 40, 41 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home benefits from a qualified, competent Registered Manager. The home has developed and implemented a range of policies and procedures, and there are sound health and safety practises. EVIDENCE: The Registered Manager has obtained NVQ level 4 and has several years experience in running a care home. The home has developed a quality assurance process that includes obtaining the views of people who use the service. The outcomes of the most recent exercise were collated, published and made available to interested parties in April 2007. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 29 The Inspector noted that an up to date copy of the homes policies and procedures was available for inspection. The range of records sampled by the Inspector were appropriately signed and dated. The Inspector sampled a range of health and safety records. Viewing of the contents of the homes fridge and freezer evidenced that started and prepared food items were appropriately labelled. A daily record of fridge and freezer temperatures was maintained, and these were evidenced as being within acceptable parameters. All potentially hazardous cleaning materials were stored in a locked cupboard. A record of the actual water temperature was recorded on a weekly basis and found to be within acceptable limits. During the course of the inspection fire doors were properly shut, and logbooks evidenced weekly fire alarm call point tests and regular fire evacuation drills with times. Maintenance records for the homes hoist were also viewed, and these evidenced regular servicing, most recently in February 2007. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 30 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 X 2 2 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 2 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 3 3 3 3 X Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 31 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 YA2 Regulation 14 & Sch 3 Requirement The home must ensure that it obtains a copy of the Health or Social Services Care Management assessment as part of the referral process. This is a restated requirement. The previous target of the 30/09/06 was not met. The home must evidence that individual plans are reviewed at least every six months or as needs change. The home must ensure that people who use the home are involved in key decision making processes such as the placement of students, and that appropriate external, advocacy support is provided. The home must ensure that an appropriate manual handling risk assessment that reflects the complexity of need is completed for people who use the service who require assistance with mobility and transfers. Individual plans should reflect service users preferences in how their personal care is provided DS0000062024.V347277.R01.S.doc Timescale for action 30/01/08 2. YA6 15 30/01/08 3. YA8 24 30/01/08 4. YA9 13 30/01/08 5. YA18 12 30/01/08 Aytun Care Home Version 5.2 Page 32 6. YA24 13 & 23 and how they are guided and moved. In the ground floor bathroom mouldy grout around the bath must be replaced. The home must ensure that the bathroom doors are fully lockable. The home must ensure that an up to date staffing rota that accurately reflects staffing levels within the home is available at all times. The home must ensure that CRB checks request information from all available sources. The Registered Person must ensure that there is a staff training and development programme and that all staff receives a minimum of five days training per annum. The home must evidence that all staff have received manual handling initial and refresher training. 30/01/08 7. YA33 18 30/01/08 8. 9. YA34 YA35 19 & Sch2 18 30/01/08 30/01/08 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 YA6 Good Practice Recommendations The home should consider developing more person centred plans that reflect individual histories including significant events and persons and interests and activities. Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 33 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Aytun Care Home DS0000062024.V347277.R01.S.doc Version 5.2 Page 34 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!