Inspection on 27/09/06 for Beaconsfield Road, 39

This inspection was carried out on 27th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beaconsfield Road, 39 07/08/07

Beaconsfield Road, 39 12/07/05

Beaconsfield Road, 39 01/03/05

Beaconsfield Road, 39 27/07/04

Beaconsfield Road, 39 15/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Beaconsfield Road, 39 39 Beaconsfield Road Bootle Liverpool Merseyside L21 1DS Lead Inspector Mrs Janet Marshall Unannounced Inspection 28 September 2006 10:00 th Beaconsfield Road, 39 DS0000005305.V320498.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 Beaconsfield Road, 39 DS0000005305.V320498.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. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beaconsfield Road, 39 Address 39 Beaconsfield Road Bootle Liverpool Merseyside L21 1DS 0151 928 0087 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) Expect Limited Mr Peter John Hornby Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Staffing - One staff day, one staff night, with additional support, and on call, to be reviewed when third person admitted. When three persons are admitted, staff to increase to minimum of two persons. Service users to include up to 3 LD Date of last inspection 12th July 2005 Brief Description of the Service: 39 Beaconsfield Road is a mid-terraced property situated in a residential area of Seaforth.The home is registered to provide residential care for three adults. There are currently two men in residence. The home is owned by Liverpool Housing Trust and operated by Expect, formerly Sefton Support Services. Car parking is available on the road at the front of the house. The home is generally well maintained both internally and externally. The main philosophy of the home is to enable service users to experience an ordinary life as possible within a domestic style environment. Independence of the service users is encouraged and appropriately supported. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The two people that previously lived at Beaconsfield Road have moved to other placements. On the 5th of May 2006 two young men, the staff group and the manager were reallocated to the home from a similar one, which was closed and de-registered by Expect. This was the first inspection visit (site visit) at the home this inspection year. The visit was unannounced and took place over one day for a total of 6 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection visit. The inspection was positive and evidenced that most of the National Minimum standards for the service have been met. Those that have not were discussed with the manager and are identified in the relevant sections of this report. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of residents care plans, daily diaries, medical notes, medication and records, staff rotas and certificates of health and safety checks. One resident was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live at the home and how that person’s needs are being met. A pre - inspection questionnaire, which was sent out to the home was completed in good detail by the manager and returned prior to the inspection. Discussion took place with the manager and two staff. Both residents were met with. The nature of the disability of the residents is such that it was not always possible to obtain direct views about their experiences. Information held at the Commission for Social Care and Inspection office, the pre - inspection questionnaire, comments made during interviews, observations made and records examined during the visit have been used towards measuring standards for the purpose of this report. What the service does well: The service has developed good care plans for each person. Care plans, which are reviewed and updated at regular intervals, provide staff with most of the information that they need to support residents. Residents are encouraged to make choices and decisions as part of an independent lifestyle. The service is good at encouraging and supporting residents to maintain fulfilling lifestyles in and outside of the home. In the main resident’s personal and healthcare support is well monitored and recorded to ensure their physical, mental and emotional well being. Staff are motivated and have a good understanding of the needs of the residents. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 6 Residents and staff benefit from a manager who is open and positive. 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. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 7 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 Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 8 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 good. This judgement has been made using available evidence including a visit to this service. The service ensures that prospective residents needs are fully assessed so that the home can be sure of meeting the person’s needs. EVIDENCE: Available at the home were a number of policies and procedures, which aim to ensure that people make a positive choice about living there. Policies included introductory and trial visits and needs assessments. Discussion with the manager and examination of records evidenced that both residents and their representatives were appropriately consulted and their needs fully assessed prior to them moving into the home. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service encourages residents to make choices and take responsible risks as part of an independent lifestyle. EVIDENCE: An individual care plan was available for both residents. Case tracking showed that they were developed on the basis of assessments made. Both care plans were detailed, well presented and organised into sections that covered all aspects of the person’s personal and social support and healthcare needs including, communication, medication, behaviour management and financial support. There was evidence that both care plans have recently been reviewed and updated. The manager explained that monthly reviews of the persons health and social needs takes place in adittion to six monthly reviews of the whole care plan. Both care plans showed evidence of the involvement of the resident/representative, key workers and social workers. During discussion a member of staff explained in good detail the purpose of care plans and how they use them on a daily basis to support residents. The member of staff said, “care plans are important to know the individual and it is important to look at Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 10 them regularly in case a persons needs have changed”. The member of staff also confirmed that are involved in reviewing residents care plans. Both residents have limited verbal communication skills, however they are supported to communicate by use of other methods for example, body language, gestures and sounds. Information about each persons preferred means of communication was detailed in their care plans. During the visit the manager and a member of staff were seen communicating effectively with residents they were seen offering residents choices and encouraging them to make decisions about things such as activities. Discussion took place with the manager about other methods of communication for one resident. This included the use of picture cards to assist the resident to make more choices about things such as food. This method was used during the visit and found to be effective for one resident. The manager was advised to explore this further with the resident A member of staff said “I encourage residents to do things for themselves such as washing dishes and making beds, this is important to encourage their independence”. For safety reasons there are certain restrictions placed on residents for example access without support to certain parts of the home and outside. There are also instances when some decisions and choices have to be made for residents by others. Restrictions placed upon people and choices, which need to be made by others and the reasons why, were recorded in each person’s plan of care. Risk assessments were part of each persons care plan. They have been carried out for tasks and activities which residents are involved in that are likely to pose a risk to them. Risk assessments that were seen identified potential risks and hazards and the action that staff need to take so that residents are able to take risks safely as part of an independent lifestyle. Risk assessments that were viewed showed that they have recently been reviewed and updated. Case tracking showed that a risk assessment has not been carried out for one resident in relation to a specialist health condition. This was discussed with the manager. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to live active and healthy lifestyles. EVIDENCE: Each persons care plan provided a good amount of information about their preferred activities. Discussion with the manager and staff and information provided in the preinspection questionnaire evidenced that residents are supported to be part of and participate in the local community. Recreational and leisure activities that residents are involved in both inside the home and in the community include TV, drawing and art, puzzles, games, music, pub meals, shopping, holidays and trips out. Music systems, TVs, videos, DVDs and board games were seen around the home. Daily records which are kept for each resident showed that they have been supported to take part in indoor and outdoor activities that they prefer and which are set out in their plans of care. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 12 A three-week menu and records about food, which were looked at, showed that residents are offered and encouraged to eat a balanced and healthily diet. The Lunch was served during the inspection. The manager was observed assisting one resident at lunchtime. Verbal prompting was given in a sensitive and flexible way. The meal was unrushed and relaxed. The manager said that residents are encouraged to take part in choosing and preparing meals information about each person’s level of ability was recorded in their plans of care. A member of staff said, “ I support residents to shop for food, they like to push the shopping trolley around the shop and choose their own food”. Residents like and dislikes with regard to food was also detailed in their care plans. The dining room, which is situated next to the kitchen, was bright and cheery. The kitchen was equipped with domestic style appliances and crockery. On the day of the visit staff were seen offering residents drinks and snacks outside of usual meal times. Food stores that were examined were well stocked with fresh frozen and dried goods. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 13 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. Residents are provided with appropriate personal and healthcare support, which ensures their health and well-being. Information about one resident’s specialist health care condition needs to be recorded in more detail so that staff are able to identify and deal with potential complications. EVIDENCE: Each persons care plan included a section about their health and personal care needs. They provided a good level of information about the type and level of personal and healthcare support that each person requires. They also detailed the persons preferred routines regarding personal care. Information was available in a way, which ensures residents privacy, dignity and independence. During discussion staff showed a good understanding about the main principles of care the following comments supported this: “When assisting residents with personal care I always make sure doors and blinds are shut”. “I think it is important to be courteous so I always say good morning to residents” Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 14 “I encourage residents to do whatever they can for themselves” “I always make sure that residents are covered when receiving personal care”. This section of the care plan showed that residents are offered minimum annual checks and that their health regularly reviewed and monitored and dealt with appropriately. As well as visits to primary healthcare services such as dentist, opticians and doctors residents are also supported to attend specialist services. Records detailing the visits were available in good detail. As part of the case tracking process the health care records for one resident were looked at in detail. This showed that information about a specialist health care condition that the person has needs to be recorded in more detail so that staff are able to identify and deal with potential complications. This was discussed with the manager. The plans also address other health issues, which are important in maintaining the persons physical, mental and emotional well being such as sleeping, moods, exercise and weight. At the last inspection one care plan detailed that the resident should be weighed weekly, however this had only been done monthly. Records showed at this inspection that the persons weight is being monitored and recorded weekly as stated in the plan of care. Health plans provided good information about how residents communicate when they are unwell or in pain. These are particularly important for residents that have limited verbal communication skills. A record of medication received and leaving the home was seen. Medication was stored securly. Medication and medication administration records were examined. They were in good order. A policy for the safe handling and administration of medication was availble at the home. The manager said that medication is only administered by staff that have completed medication awareness training. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 15 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. Residents are protected by the homes procedures for responding to concerns and complaints. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Information provided in the pre-inspection questionnaire and discussion with the manager evidenced that there have been no complaints made at the home in the last 12 months. A complaints procedure which was viewed at the home included good information about the stages and timescales involved in the process so that residents and other people are clear about how to make a complaint if they wish to. Discussion with the manager and staff showed that they are confident about telling somebody if they were uphappy and that something would be done. The following comments supported this: “I know about the complaints procedure and would be confident about talking to somebody if I thought something was wrong” A member of staff described in good detail what they would do if they needed to complain. A copy of the local authorities protection of vulnerable adults procedure was avaialbe at the home. A member of staff spoken with was unable to describe confidently what action they would take if they suspected or evidenced a resident being abused. They confirmed that they had not completed up to date protection of vulnerable Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 16 adults training. The member of staff confirmed that training for them in this subject has been arranged to take place in the near future. Arrangements must be made, by training or by other means, so that all staff that work at the home know how to respond to suspicion or evidence of abuse or neglect. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 17 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. Resident’s benefit from a comfortable and safe environment. EVIDENCE: The pre-inspection questionnaire detailed a number of changes made to the home since the last inspection. The changes were looked at during a tour of the home and evidenced the following improvements: • Carpets in residents bedrooms have been replaced • Furniture and carpets in the lounge, dining room and sitting room have been replaced • Flooring in the shower room has been replaced • The work tops and flooring in the kitchen had been replaced. The pre-inspection questionnaire states that there is an ongoing programme for the redecoration of all parts of the home. Resident’s bedrooms, which were looked at, were furnished and decorated to a good standard. They were personalised and looked comfortable. One resident who provided a tour of his room said that he liked it. The resident was keen to Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 18 show photographs of his friends and family that were displayed around his room. The home offers a number of shared spaces on the ground floor, which are used by residents these rooms were also furnished and decorated to a good standard. All parts of the home were clean and tidy at the time of the visit. The pre inspection questionnaire detailed policies and procedures, which relate to the environment including infection control and cleaning routines. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 19 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, 34 & 35 Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Residents benefit from a staff team that have good qualities and are competent in their work. EVIDENCE: Discussion with the manager and details provided in the pre-inspection questionnaire showed that there has been no new staff employed at the home since the last inspection. An equal opportunities policy and procedures was available at the home. Records viewed and information in the pre - inspection questionnaire show that the home recruit staff based on equal opportunities. At the time of the visit the manager and a support worker were on duty. These staffing levels appeared appropriate to the needs of the residents. Copies of staffing rotas, which were provided with the pre – inspection questionnaire were examined and showed that there are sufficient staff on duty at all, times throughout the day and the night. The manager and a member if staff said that they were happy with the staffing levels at the home. At intervals throughout the visit the manager and a member of staff were seen interacting well with residents. They were flexible and positive in their Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 20 approach and appeared to have a good understanding of the needs of the residents. Discussion with a member of staff showed that they are interested motivated and committed to their work. Comments made by staff which supported this included: “I enjoy the work I do”. “I enjoy training”. “It is important to update your knowledge” “The residents are why we are here” A selection of staff personnel and training files were examined during this visit. They did not include all of the required information to show that the home operates a robust recruitment procedure. For example none of the files contained copies of workers application forms. These must be kept at the home and made available for inspection to show that that the person has the necessary experience and the qualities for the job. During discussion a member of staff described the recruitment process that he went through. It included a completing an application form, an interview and police and reference checks. The member of staff confirmed that he took part in an induction programme during the first part of his employment. The pre inspection questionnaire shows that all staff that work at the home have been police checked. During discussion a member of staff confirmed that they have completed training including fire awareness, food hygiene, first aid, medication awareness and health and safety. Other training completed by staff, which was detailed in the pre- inspection questionnaire includes non-violent crisis intervention and communication skills. Details given of future training includes national vocational qualifications in care level 2 and 3, protection of vulnerable adults, care planning and manual handling. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to the benefit of the residents and staff. EVIDENCE: Examination of records and discussion with the manager, Susan Gallon, showed that she is competent and experienced. The manager has completed the registered managers award. Mrs Gallon showed an open and positive management approach this was observed during the visit and supported by the following comments made by a member of staff: “The manager is wonderful” “The manager always listens” “The manager is very supportive” Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 22 Discussion with Mrs Gallon evidenced that she undertakes regular training and development to update her knowledge, skills and competence while managing the home. As part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations a representative for the home visits the premises monthly. They interview residents and staff, check records and inspect the environment. It is important that this is done to check the standard of care in the home. Following the visit a report detailing the visit is written. Records show that the visits and reports are being carried out each month as required. The health safety and welfare of residents are well protected this was supported by a comprehensive set of policies and procedures, which were detailed in the pre-inspection questionnaire and available at the home. Information provided in the pre-inspection questionnaire and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. A member of staff confirmed that the fire alarm system and water temperatures are tested weekly. Beaconsfield Road, 39 DS0000005305.V320498.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. 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 2 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 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 24 No 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. 2. 3. 4. Standard YA19 YA9 YA23 YA34 Regulation 12(1)(a) 13(4)(c) 13(6) 19(5) Requirement Information about one residents specialist health care condition must be recorded in more detail. A risk assessment must be carried out for the healthcare needs of one resident. Arrangements must be made for all staff to undertake protection of vulnerable adults training. Staff application forms must be kept at the home. Timescale for action 30/11/06 30/11/06 30/11/06 30/11/06 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 YA7 Good Practice Recommendations Other methods of communication should be explored for one resident. Beaconsfield Road, 39 DS0000005305.V320498.R01.S.doc Version 5.2 Page 25 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. Extracts may not be used or reproduced without the express permission of CSCI Beaconsfield Road, 39 DS0000005305.V320498.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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