Inspection on 25/04/05 for Beck House

This inspection was carried out on 25th April 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beck House 21/11/06

Beck House 26/10/05

Beck House 08/11/04

Beck House 29/04/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Beck House 2 Manor Court Beckspool Road Frenchay South Glos BS16 1NT Lead Inspector Paula Cordell Announced 25 & 26 April 2005 09:30 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 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 Stationary 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. Beck House Version 1.10 Page 3 SERVICE INFORMATION Name of service Beck House Address 2 Manor Court Beckspool Road Frenchay South Glos BS16 1NT 0117 9573177 0117 9566050 mailbox@themanorhouse.org Mrs Marilyn Joan Clarke Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Wendy Elizabeth Newell Care Home for Younger Adults 14 Category(ies) of LD Learning disability registration, with number PD Physical disability of places 14 Beck House Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 14 persons aged 19 - 64 years Date of last inspection 8-Nov-2004 Unannounced Brief Description of the Service: Beck House is located in the village of Frenchay approximately four miles from the centre of Bristol. It is in a semi rural location close to Frenchay Common and there are shops and other community amenities within one mile of the home. The home is one of four within the Manor House Organisation which also provides day care at the Bingham Centre. Beck House is adjacent to The Manor House and shares this site with the day centre and respite care service for children with disabilities, Alice House. The other home Kendall House is in Warmley. Beck House is registered to provide accomodation and personal care to fourteen people with a learning disability. Presently the home has five vacancies, the plan is for the home to only fill one of the vacancies enabling the other rooms to have single occupancy. This is a committment from the home to meet the National Minimum Standards. Presently there are two double rooms. There are plans for an extension of the home that could lead to the provision of all single bedrooms. The philosophy of the home and the organisation is concerned with dignity and respect, independence, particiaption, valueing people, equality, rights and working together. Beck House Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection. The purpose of the visit was to review the progress to the requirements from the inspection in November 2004 and monitor the service provided to the residents living at Beck House. There have been no additional visits during this period. The home has been keeping the Commission for Social Care Inspection informed of incidents that affect the wellbeing of the individuals living at Beck House and the provider has sent monthly appraisals of the service. The inspection was conducted over two days. The inspector had an opportunity to meet with the manager, three staff and eight of the nine residents. Many of the residents accommodated at Beck House are non-verbal and communicate using gestures and sounds. This made it difficult for the inspector to seek the views of the residents living at Beck House. The inspector had an opportunity to tour the building and view a number of records including plans of care for three residents, staff records and records relating to the safety of the home. Views were sought from the pre-inspection questionnaires (3 residents) and the home’s internal quality audit tools including questionnaires completed by residents and/or their relatives. What the service does well: The home has supported residents with a learning disability for many years. A number of residents have lived in the home for the past forty years since childhood. There is a strong commitment to provide residents with an individual life making full use of the community, living within a homely environment. Residents have a wide range of activities available to them. All residents have access to an external day centre in the community five days per week, demonstrating a commitment to providing residents with activities and occupation. There was a strong commitment to ensuring that competent staff from induction to gaining a National Vocational Award supports residents. Beck House Version 1.10 Page 6 What has improved since the last inspection? What they could do better: Residents and their relatives would benefit from clear information in the statement of purpose on the daily staffing levels. Residents could benefit from having a key to their bedroom door and locks on bathrooms to enable them privacy and security. Where it has been assessed that residents would not benefit from a key documentation must be in place to support the decision process and kept under review. Whilst there were good practices relating to finances, this must be extended to the travel tokens and an individual record maintained of expenditure. The home has recently introduced a monitor in one of the bedrooms to monitor an individual’s epilepsy. This must be documented and the reasons behind the decision process and kept under review. Where possible the consultation should include the resident and their representative. Beck House Version 1.10 Page 7 The home must ensure that all documentation required under legislation is in place prior to new staff being employed in the home. This would demonstrate that residents are protected by a robust recruitment procedure. All staff must be provided with training relating to the protection of vulnerable adults. These are outstanding requirements. Residents would benefit if more staff attended training on the ageing process and dementia as a number of individuals are approaching retirement age. Whilst care plans were person centred. Staff and Residents would benefit from having an overview of information in relation to the individuals history and personality in the form of a pen picture. It is recommended that training should include dementia, bereavement and loss, as some of the residents are getting older. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beck House Version 1.10 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Beck House Version 1.10 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 The home was meeting the assessed care needs of the individuals and there is adequate information to enable residents to make a decision about whether to move Beck House. EVIDENCE: The home has reviewed the statement of purpose, service user guide and the contract to ensure that it is accessible to residents. Information seen was available in plain English and the home has used photographs and symbols. Consideration should be taken whether this should be available in an audio or video format to capture a wider audience. The statement of purpose must be expanded to include how the home is staffed on a daily basis. The home has five vacancies. The manager stated that only one would be filled to enable single occupancy of some of the double rooms. This is good practice. The manager was able to describe the process of assessment. This included gathering information from other professionals, relatives and the resident. The residents would be offered a trial period prior to which they would visit the home as often as they liked to enable them to make a decision. It was evident that this time would be taken to ensuring compatibility with the other residents and ensuring the home can meet the care needs and aspirations of the individual. The home has an assessment policy to guide staff and information Beck House Version 1.10 Page 10 is included in the statement of purpose and service user guide for the residents and their family. The home has an established group of residents the last person to move to the home was in 1990. One resident has received a service since childhood, when their first lived at the Manor House. Two relatives commended the support to their siblings over the many years and the warmth of the home and the organisation in providing a nurturing and family environment. Beck House Version 1.10 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9,10 Residents were the focus of the care provision and the home was meeting the changing care needs of the residents involving other professionals in the planning of the care. EVIDENCE: Each resident had a plan of care that was derived from an assessment drawn up by the placing authority and the home. These were being reviewed at appropriate intervals with the resident, their relatives and other agencies involved in the individual’s life. Plans were person centred. This could have benefited from a pen picture, which gives a brief overview of the individual, including personality and history. The home is responding to residents who are getting older and the associated issues. Plans of care were being continually monitored and other professionals were involved in the plan of care. However, staff would benefit from attending training in dementia and bereavement and loss. Assessments and management of risks arising from care plans and safety in and out of the home had been undertaken. The inspector commends the service for the approach to risk assessments, which covered all activities undertaken. Documentation provided evidence that the risk assessment tool Beck House Version 1.10 Page 12 ensured the safety of residents but did not curtail or inhibit residents and encouraged independence and community participation. This is good practice. The manager told the inspector that presently none of the residents benefit from a key to their bedroom door. In addition, it was observed that none of the bathrooms or toilets (except one) had a lock that could be overridden in the case of an emergency. Residents must have keys unless there is documentation to support the decision process and the home must keep this under review. There was no documentation to support the use of a monitor in a service user’s bedroom. This must be undertaken detailing the reasons behind the decisions and keeping it under review. This was used in a share room and affected both residents privacy. Residents had opportunities to influence decision-making in the home through residents’ meetings and a service user questionnaire. The home uses communication aids to enable and encourage discussions in meetings and in the day-to-day activities of the home. The inspector observed staff supporting residents to make decisions on where and what to have for tea and activities. Conversations were inclusive of the residents. Some of the residents have limited verbal communication, staff were patient and showed a willingness to assist residents and spend time to fully understand what was being said. The atmosphere in the home was relaxed and friendly. Beck House Version 1.10 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 Residents have access to active lifestyles based on choice. EVIDENCE: Residents were observed going and returning from their day centres. All the residents have a structured timetable and access to a five-day placement at a variety of day centres. In addition the home organises activities in the home three evenings during the week. Including clubs and aromatherapy. Residents have access to an annual holiday, with three residents recently returning from a trip to Dawlish. Further holidays were planned throughout the year. It was evident that residents were the focus of the planning and were involved in the decision process. The home has available to a number of vehicles to enable residents to access the community. A member of staff was organising a trip to the circus and was organising the vehicles, which are shared with the other two homes on the Manor House site. The home maintains a clear record of activities that are undertaken further demonstrating the commitment to individuals leading active lifestyles. It was Beck House Version 1.10 Page 14 evident from talking with staff and the manager that the home was ensuring the balance of an ordinary home life where residents could relax in their own home and participate in organised activities. Care records demonstrated that the home was advocating for a resident who was being excluded from a day centre due to their changing needs. Activities were being organised in house including outings and attendance at the day centre on the Manor House site. The home was able to demonstrate how it was meeting the social, emotional and independent living skills of individuals. This was via the care planning process. A resident told the inspector that they had been supported to use the telephone to maintain contact with a relative. It was evident from records, conversations with staff and the manager that contact with friends and relatives was seen as a vital component in the provision of care. Residents told the inspector that the home organises parties and friends and relatives are invited. Residents stated that they had recently had a trip in a stretched limousine to celebrate a 60th Birthday party, a meal in a local pub and a party at the Bingham Centre (day centre on the Manor House site). Residents had the freedom to move freely around their home. Where restrictions were imposed for example the stair gate this was clearly documented with the reasons and kept under review. Residents have access to a nutritious and varied menu. The residents have a cooked meal at their day centres during the week so therefore a light meal is served in the evening. There was a range of food choices available. A service user indicated to the inspector that the meals were good. Staff were knowledgeable about any special diets and the likes and dislikes of the residents. Information was included in the plan of care. Regular audits are undertaken in relation to the menu and residents’ involvement was apparent at residents’ meetings. In conclusion all areas of this standard was met. Beck House Version 1.10 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20,21 Resident’s personal and healthcare needs were being met. EVIDENCE: Care plans clearly documented the personal and health care needs of the service users. Systems for monitoring an individual’s wellbeing were in place and concerns about health were quickly addressed. Residents had access to other health professionals including a GP, opticians, chiropody, dentist and the community learning disability team. Staff have attended training in first aid and epilepsy. The home has developed a comprehensive planner for training to ensure that periodic updates are undertaken. Plans of care included individual assessments for manual handling. Training for staff was in place. The home has robust procedures and practices on the administration of medication, including a comprehensive induction and training package for staff. The inspector focused a part of the inspection on the care of the older person. Training records indicated that only three staff out of the fifteen had attended training on the care needs of residents who are getting older, dementia and Beck House Version 1.10 Page 16 only one member of staff on bereavement and loss. The manager stated that they were developing a plan to address the training relating to supporting individuals with dementia and further courses would be planned. This will be followed up at the next inspection. There is a strong commitment from the organisation and the home in providing training to staff. The home has experienced a death since the last inspection. Comments from the relative commended the support both whilst the individual was alive and after death. Policies and procedures were in place to guide staff and information was sought as part of the admission process on how individuals would like to be supported in the event of a death including contacts. Although no formal training has been given to staff on bereavement, the staff stated that support had been given to them from the provider, the manager and colleagues. Consideration should be given to extend this to training in that some of the Residents are getting older. Beck House Version 1.10 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has robust procedures for the protection of Residents and responding to complaints. However, the home must ensure that valuables (travel tokens) are safeguarded and all staff attend abuse training. EVIDENCE: Five staff out of the fifteen have undertaken abuse training. The home was required to ensure that all staff undertake this training at the last inspection by March 2005. The manager stated that further training has been requested for the remainder staff from the local council. The timescales have been extended to enable the home to demonstrate compliance. Finances were checked for three service users. Amounts held in the home corresponded with the records. The home has a robust procedure for safeguarding of finances including obtaining receipts, two signatures and regular checks of the finances. However, this was not extended to the travel tokens that are given to individuals from the local council. The manager devised a form during the inspection to introduce to the home. A requirement was made during the visit. This will be followed up at the next inspection. The home has a policy for dealing with aggressive behaviour towards staff and residents and an in-house policy on bullying. Staff attend annual training in supporting residents with aggression. Certificates were seen. Plans of care included positive ways of supporting individuals with their anger. Beck House Version 1.10 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30 Residents live in a homely, comfortable and safe environment, however, the choice of whether to lock bathroom and bedroom doors must be in place. EVIDENCE: The home was clean, well decorated and looked well maintained. The property was set in its own grounds. Accommodation is on three floors and there were two staircases accessing the second and third floors. The home provides ground floor accommodation for two service users. All communal rooms were on the ground floor and included a lounge, conservatory and spacious kitchen diner. Residents have access to a safe and secure garden to the rear of the property. Resident’s bedrooms were personalised and reflected the individual taste. The home is not registered to support residents with a physical disability. However, there is ground floor accommodation for two residents with access to a bathroom. There is manual handling equipment including a bath chair and Beck House Version 1.10 Page 19 toilet raisers. Some residents have specific seating to improve posture and assist with mobility. There were no locks on bedroom doors or bathrooms. The only toilet to have a lock was a small toilet, which the inspector was informed, was inaccessible to residents. The home must ensure the privacy of residents at all times. Residents should be able to lock their bedroom door if they wish. Where a locking device is not appropriate this must be documented on the reasons why the decision has been made and kept under review. There are three shared bedrooms. One shared room has single occupancy. The manager stated there are plans to extend the home to enable residents to have single bedrooms thereby meeting the National Minimum Standards. In addition the home is planning to increase occupancy to 20 persons. As part of the refurbishment the home is planning to install a lift. The manager stated the plans are not final. The Commission for Social Care Inspection has yet to receive an application for the changes to the premises and the home’s registration. Beck House Version 1.10 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 Sufficient and competent staff meet the care needs of the service users, however recruitment practices do not fully protect residents. EVIDENCE: Evidence at this inspection was that the home had sufficient staff to meet the care needs of the residents living at Beck House. There was evidence that additional staff were rostered to provide residents opportunities to go out socially. The home employs a minimum of two staff in the mornings, three in the afternoon and one waking and one sleep in member of staff on a daily basis. There was a senior carer on duty at all times. Senior carers were responsible to manage the shifts on a daily basis and administer the medication. It was evident from conversations with staff that individuals were clear about their roles and the expectations of the service. Job descriptions were in place to guide staff. Staff spoken with during this inspection described a high level of job satisfaction. Staff described good support mechanisms in place from the manager and the provider enabling them to fulfil their role as carers. Training was in place including an action plan to address shortfalls and future need. This is good practice. This forms part of a quality audit and the home’s business plan identifying key targets for the year. Beck House Version 1.10 Page 21 Staff recruitment did not include all the checks required under legislation to ensure residents are protected. One member of staff has worked in the home for the last six months without any references having been received and another member of staff had only one reference. Information held in staff files was inconsistent in that some staff had photographs and copies of passports/birth certificates and others did not. The manager stated that this was the responsibility of the organisation’s administrator. The provider/manager must ensure that all checks are completed prior to employment in accordance to the legislation and copies are held in the home. Once a member of staff is employed in the home. They complete a comprehensive induction after which they will proceed onto completing an NVQ 2 or 3 in care. The staff have attended training relevant to the care needs of the residents including supporting residents with autism, person centred planning and epilepsy to name a few. Records and conversations with staff confirmed this. Training relating to dementia and the care of the older person has already been discussed in this report. This will be explored further at the next inspection as the manager stated that the plan is for more staff to attend courses in this area. Staff were seen during the inspection supporting residents in a positive manner. Staff were knowledgeable about their roles as carer and the care needs of the individuals living in the home. Beck House Version 1.10 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42 The home is well managed and a safe place for residents to live. EVIDENCE: Mrs Newell has managed the home for the last five years. There was evidence that she has completed her registered managers award and a variety of training relevant to the care setting. Staff spoke positively about her support and guidance. There were good systems of communication between staff including daily handovers, records and meetings both for the staff and the residents. This demonstrated that there was an open culture and support mechanisms both for staff and the service users. The home is commended on the quality assurance systems in place ensuring that Beck House provides a quality service. Beck House Version 1.10 Page 23 Audits were completed on aspects of the home including seeking the views of the residents and their relatives. Comments from relatives and residents were positive. In addition the provider completed a monthly audit on the home in respect of the Care Homes Regulations. The Commission for Social Care Inspection is receiving copies. Health and safety in the home was monitored both by the manager and an external health and safety committee. Where shortfalls were identified these were responded to promptly and appropriately. Health and safety training for staff was in place to ensure that residents are protected and supported by competent staff. The home has an extensive policy file to guide staff and support the residents. It was evident that the residents were the focus of the policies. The home has recently reviewed a significant number of the policies. A recommendation would be to ensure that the information relating to the Commission for Social Care Inspection is correct. 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 CONCERNS AND COMPLAINTS Standard No 1 2 Beck House Score 2 3 Standard No 22 23 Version 1.10 Score 3 2 Page 24 3 4 5 3 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 2 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x Beck House Version 1.10 Page 25 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. Standard 1 Regulation 4, 5 Schedule 1 12 (4) (a) 15 (b) (c) Requirement For the statement of purpose and the service user guide to be expanded to include actual daily staffing. For the home to document the use of the monitor in the plan of care and keep it under review. this should include consultation with the service user and/or their relatives. Service users to have access to a key to their bedroom door and locks on bathrooms. Where this is not possible the decision process must be documented and kept under review. For the home to maintain a record of all financial transactions to include travel tokens. There must be two references obtained before all new staff begin employment. (from the 26th April 2005. The home must ensure that all records relating to 4.6 are held in the home. (Outstanding requirement from the 31.12.04). The registered person is required to ensure that all staff receive up to date training on the protection Version 1.10 Timescale for action 26/7/05 2. 9 1/5/05 3. 9,26,27 12 (4) (a) 26/5/05 4. 23 17 (2) Shedule 4.9 17 (2) Schedule 4.6 (a)-(f) 1/5/05 5. 34 26/5/05 6. 23 13 (6) 26/7/05 Beck House Page 26 of vulnerable adults from abuse that includes local mult-agency interventions. (Outstanding requirement 30.3.05) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 6 21, 35 Good Practice Recommendations For the plan of care to include a brief overview of the individual (pen picture) including personalities and history. For staff to attend training in the needs of the older person including dementia Beck House Version 1.10 Page 27 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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 Beck House Version 1.10 Page 28 - 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. 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