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Inspection on 26/09/06 for Beech Spinney

Also see our care home review for Beech Spinney for more information

This inspection was carried out on 26th September 2006.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Beech Spinney is a purpose built home for people with complex needs. Facilities on site are excellent and enable service users to live full and active lives with the physical support they need. The atmosphere at the home is warm and welcoming. Staff were enthusiastic and knowledgeable during conversations and interactions with service users were positive. One service user, at home during the inspection, spoke very highly of the staff team and said she enjoyed her visits to Thistle Lodge. Care plans are written in a person centred way with attention to detail ensuring that service users receive the support they need in a way that they prefer. Staff receive good support and excellent training opportunities.

What has improved since the last inspection?

At the time of the last inspection of the home it was considered that the home was performing well in relation to meeting the national minimum standards of care for younger adults. Since that inspection the manager and staff team have continued to provide a good quality service and have made further improvements to records and procedures in line with current good practice. Staff and mangers felt that communication is the area in which most improvements have been made. Observations of records support this. The manager reported that the respite facility is now being well used with bookings been taken for next year.

What the care home could do better:

The manager has not yet applied for registration with the Commission for Social Care Inspection despite numerous approaches to do so. It is positive to note that he will be submitting his application in the forthcoming week. The home obtains CRB disclosures for staff prior to them starting work however on one occasion this practice cannot be demonstrated. The manager has not taken the opportunity to destroy disclosures after they have fulfilled their purpose. A recommendation was made to ensure confidential records in relation to accident reporting are stored appropriately.

CARE HOME ADULTS 18-65 Beech Spinney Ironbridge Telford Shropshire TF8 7NE Lead Inspector Sue Woods Key Unannounced Inspection 26th September 2006 10:00 Beech Spinney DS0000063123.V292567.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 Beech Spinney DS0000063123.V292567.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. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Spinney Address Ironbridge Telford Shropshire TF8 7NE 01952 432065 01952 432209 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) www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. Pre-admission assessments must be undertaken on all individuals admitted to the home. An Occupational Therapist report must be produced and forwarded to the Commission within six months from the date of registration. All service users must have a Person Centered Plan initiated within three months from the date of registration. There must be a minimum of three care staff on duty from 7 am - 10 pm in the five-bedded residential unit and two staff in the respite unit. There must be a minimum of two waking staff on duty throughout the night and formal on-call arrangements in case of emergency. All new staff must complete the LDAF induction. LDAF foundation training must commence/continue at the earliest opportunity. Service users on respite/emergency placements and those in long term placements must occupy separate premises including day space, facilities and equipment, unless benefits for both groups can be demonstrated. 27th February 2006 Date of last inspection Brief Description of the Service: Beech Spinney is registered with the Commission for Social Care Inspection as a residential Care Home for a maximum of seven adults with learning disabilities and additional complex needs. The registration consists of a five bedroomed house for five people and an adjoining two bedroomed respite facility. The respite home (Thistle Lodge) has a dedicated staff team and runs independently from Honeysuckle House. All bedrooms have spacious en suite bathrooms and have access (via a tracking hoist if required) to large assisted bathing and showering facilities. Communal space at Honeysuckle House comprises of a large kitchen, dining room and lounge. The gardens are landscaped and easily accessible. Beech Spinney also has use of a resource centre that boasts an indoor pool and a fully equipped sensory room. Beech Spinney is managed by Cottage and Rural Enterprises Ironbridge. The responsible individual is Mr Michael Keighley. Mr Barry Lord is the manager of the home and is currently in the process of applying for registration with CSCI. Information is shared with service users in the service user guide and due to Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 5 the complex needs of service users quality is monitored by positive outcomes for service users and formal and informal liaisons with family members and health care professionals. Fees are based on a block contract arrangement and average £1855 a week. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Beech Spinney was carried out on 26th September between 10.00 am and 3.00 pm. The inspection reviewed all 22 key standards and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity. As part of the fieldwork activity inspectors spoke with service users and staff and reviewed records including care plans (two in detail), rotas and health and safety information. Four staff files were also reviewed. The manager of Beech Spinney was not on duty at the time of the inspection but the deputy manager was available throughout and was supportive and knowledgeable. The manager visited the home briefly during the inspection and spoke with the inspector. What the service does well: Beech Spinney is a purpose built home for people with complex needs. Facilities on site are excellent and enable service users to live full and active lives with the physical support they need. The atmosphere at the home is warm and welcoming. Staff were enthusiastic and knowledgeable during conversations and interactions with service users were positive. One service user, at home during the inspection, spoke very highly of the staff team and said she enjoyed her visits to Thistle Lodge. Care plans are written in a person centred way with attention to detail ensuring that service users receive the support they need in a way that they prefer. Staff receive good support and excellent training opportunities. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 7 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. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 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 the following standard(s): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed admissions process ensures that service users will know that their assessed needs can be met when they stay at Thistle lodge and Honeysuckle House. EVIDENCE: It was stated that all service users who visit the home for respite are supported by an overview assessment completed prior to their admission. This arrangement was reflected in the care file reviewed of one of the two service users currently visiting Thistle Lodge. Overview assessments and input from families form the basis of the home’s care plan that is started during visits to service user’s homes prior to admission and then updated and reviewed as the person uses the service. Senior staff on duty at the time of the inspection stated that as well as formal assessments service users are invited to visit the home before they decide to stay allowing them the opportunity to see if they will like it and also give staff the opportunity to ensure that they will be able to meet their support needs. There have been no new admissions to Honeysuckle House since the time of the last inspection of the home and there are no vacancies. The service user guide for Beech Spinney is readily available and contained essential information to inform service users about the home. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including information taken from a previous visit to this service. Care plans detail individual needs and goals to enable service users to lead full and active lives while receiving the support they need. EVIDENCE: Two care plans were reviewed in detail as part of this inspection. One for a service user living at Honeysuckle House and one for a service using the respite house next door. Both care plans reflected a very person centred approach to care delivery. Attention to detail was again noted. Where needs assessments identified that certain information is recorded and monitored there is evidence that this takes place. Records had been completed appropriately. All staff have either attended or are due to attend person centred planning training. This will enable the plans to be developed further in the future and include essential lifestyle plans and other documents that are currently used within other CARE services. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 11 Given the complex needs of service users living at Beech Spinney the care plans are crucial to ensure that staff work consistently to achieve outcomes. At the time of the inspection the service user staying at Thistle Lodge had decided what she wanted to do and had arranged it with the staff member on duty. Other decisions in relation to the day’s activities were also made spontaneously. For example the service user had yet to decide what she wanted for lunch. The staff member on duty stated that they had the one to one staffing and the financial resources to do whatever she decided. At Honeysuckle House arrangements are a bit more structured to meet the needs of the service users. One service user was waiting for the minibus to return before he could go out. Staff stated that another service user was making the decision as to where they were going that day and that the service user at home was happy with this arrangement. Staff spoke of being able to respond to ideas for activities. Preferred routines could also be supported. Risk assessments were seen on all files reviewed. It was said that all staff contribute to the development of risk assessments. Those reviewed were seen to be very detailed yet easy to understand. The key workers and the managers review risk assessments on a regular basis. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 12 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 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 information taken from a previous visit to this service. Service users lead full and active lives with opportunities to participate in group and individual activities of their choice. Service users benefit from a balanced and varied diet developed to meet individual needs. EVIDENCE: On the day of the inspection four of the five service users living at Honeysuckle House had gone to college. At Thistle Lodge one service user had gone to school. Service users can access the excellent facilities at The Dingle, which is a day facility across the car park from the home. They do so on a planned basis. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 13 Service users had enjoyed a holiday to Blackpool earlier this year and from conversations and photos it was evident that everyone had a good time. The home is planning to return later this year for the Illuminations. There were board games, a karaoke machine and videos and DVDs seen at Thistle Lodge for general use. One service user currently staying at the home told the inspector that she liked to go for walks and requested staff take her to a local beer festival. The inspector spent time talking to the cook who detailed how she has developed a knowledge of foods that service users like and dislike and can and cannot eat. She was aware of the dietary needs of all service users and explained how she incorporates these requirements into her menus. The cook stated she does her own shopping and works flexibly around the activities of the day. For example in the summer she regularly made up picnic lunches to support days out. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users benefit from a knowledgeable staff team who support them in ways that they prefer. Service users are protected by effective systems for the storage and recording of medication EVIDENCE: Service users’ at home at the time of the inspection’ were seen to be supported sensitively by the staff team. The atmosphere in both houses was relaxed. Staff who spoke with the inspector were knowledgeable about individual support needs in relation to personal care and health care. The file reviewed at Honeysuckle House contained detailed information in relation to the health care support needs of the service user and all appointments and outcomes were recorded. The deputy manager showed the inspector how health care appointments will be recorded in the future to improve communication. There was evidence that service users receive support from the community district nurse and that regular appointments are made with other health care professionals. A medication review had taken place for the service user case Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 15 tracked as part of this inspection. Protocols were available to support service users with named medications and these had been signed by an appropriate health care professional as well as representatives from the home. Medication arrangements at Honeysuckle House were reviewed and arrangements were in place for the safe storage, administration and disposal of medication. Recent medication errors had been recorded and managed appropriately within the homes disciplinary procedures. Service users staying at Thistle Lodge are encouraged to manage their own medication. Flexible support is available. The homes Service User Guide details how medication must be packaged when service users come into the home for respite. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users are protected by staff being aware of complaints and adult protection procedures and by operating an open and accountable system of supporting service users to manage their money. An effective use of the multi agency adult protection procedures ensures that the agency operates in the best interests of service users. EVIDENCE: Each house has its own complaints book. The book for Thistle Lodge was seen by the inspector. The book for Honeysuckle House was not on site and it was reported that the manager was updating it. Two complaints were recorded in the Thistle Lodge complaint book. One had been referred to Adult Protection and had then been resolved and the other had been upheld and the manager had taken action in relation to the staff member involved. There is evidence that the home refers adult protection issues appropriately and participates openly in the process. A new adult protection referral is scheduled for the day after the inspection therefore reference will be made to the outcome of this at the time of the next inspection of the home. Staff were aware of the homes complaints procedure. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 17 The money kept on site for one service user was seen by the inspector. Money in the tin reflected the total identified on the monitoring record. Staff told the inspector that the system of recoding money in and out was straightforward and the bursar is responsible for topping up the tin and monitoring spends. This was seen as an additional safeguard. Only senior staff have access to the money tins and they are checked at each handover. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 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 the following standard(s): 24, 25, 27, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users benefit from living in a home that is well equipped and maintained, safe, clean and hygienic. EVIDENCE: Beech Spinney is purpose built to meet the needs of people with complex needs and specialist moving and handling requirements. At the time of the inspection all areas of the home was very clean and tidy. The home employs a housekeeper five days a week and she spoke with the inspector about her role within the home. She stated that she has COSHH data sheets for all products that she uses and a risk assessment supports their use She stated that she always has a supply of personal protective equipment. Bedrooms were seen to be very personalised using a range of decorative lighting and colour coordinated curtains and bedding. Communal areas were well decorated. The living reef plasma screen in the lounge has been a popular addition to the home. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 19 Bathrooms were clean and records of water safety checks were on the wall and had been completed on the day of the inspection reflecting that the water temperature is safely regulated. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users benefit from being supported by well-trained and competent staff. Service users are protected by satisfactory recruitment and selection procedures however they may be vulnerable if CRB checks are not carried out by the organisation. EVIDENCE: Staff on duty at the time of the inspection were professional and courteous in their interactions with service users. Staff who spoke with the inspector were very positive about the support they received from the manager and were fully aware of their job roles. One staff member, who works nights, felt well supported by the manager. Staff also spoke positively about training opportunities. Both senior support staff on duty at the time of the inspection were working towards their NVQ level 4 in Care. Training opportunities for September and October had been sent to the home Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 21 from the organisation’s local training coordinator. Training courses were noted on the rota. The service currently has three staff vacancies and the manager stated that recruitment is currently taking place. It was positive to note that the home is to be over recruited by 30 hours if all vacancies are filled. An investigation into a recent medication error was seen on the staff members file. Outcomes were well recorded. Other staff files reviewed identified that the home has good recruiting procedures however CRB disclosures that have served their purpose have still not been destroyed and one file only had a photocopy of a disclosure from a previous employer. References had been taken up appropriately and staff who spoke with the inspector were aware that new staff do not commence employment until their CRB has been received. The deputy manager spoke of the impact of being short staffed although stated that they use one agency in particular who is able to supply them with regular staff who know the home and the service users. The staff rota reflected actual staff on duty. The communication book was seen by the inspector and contained general information. It was reported that communication is an area within the home that is improving. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. 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 information taken from a previous visit to this service. The home is managed by a competent manager and staff team who have implemented and maintained systems to safeguard service users. EVIDENCE: The deputy manager was on duty at the time of the inspection. She was knowledgeable about the service and had access to all required paperwork. She spoke positively about improvements to the service since it first opened and the positive impact this was having on the staff team. The deputy manager felt well supported by the manager of the home. She receives regular formal supervision and an annual appraisal for which a new format has recently been implemented. Records seen by the inspector were well organised and managed. Risk assessments were seen on files reviewed and there was evidence to suggest that regular safety checks take place within the home. For example Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 23 stickers on equipment demonstrated that they had been tested and records were prominently displayed to demonstrate water temperature checks are carried out. Records seen reflected that all relevant checks to ensure fire safety are carried out as required. The accident book was reviewed and details were well recorded however the records were not been stored according to policy. Completed forms were being retained in the book after being ripped out. It is recommended that these copies be kept on individual’s files for monitoring and to ensure the confidentiality of information. The manager has not yet applied for registration with CSCI. A letter has been sent to the responsible individual detailing the situation and the manager stated that he is submitting the application next week. The manager is currently working towards the Registered Managers Award and stated that he undertakes all client related training. He has recently attended adult protection training and has made two referrals to the adult protection team since the time of the last inspection. He has also received support in developing his skills in relation to employment law and disciplinary and grievance procedures to assist him to deal with recent incidents at the home. The visitor’s book demonstrated that there are regular visitors to the home and CARE has recently carried out a staff satisfaction survey that asks staff to comment on a series of issues. The surveys have only just been circulated and outcomes are, as yet, unavailable. Information is shared with service users in the service user guide and due to the complex needs of service users quality is monitored by positive outcomes for service users and formal and informal liaisons with family members and health care professionals. Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 4 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 4 3 3 X 2 X 3 X X 3 X Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 25 Yes 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 Standard YA34 YA37 Regulation 19 (1) (b) 8,9 Requirement The home must obtain CRB disclosures for all staff working at the home. The Manager must apply for registration with CSCI Timescale for action 17/10/06 17/10/06 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 2 Refer to Standard YA34 YA41 Good Practice Recommendations CRB disclosures should be destroyed after they have served their purpose. Accident records should be stored on individual service user or staff members files to ensure confidentiality of information Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Beech Spinney DS0000063123.V292567.R01.S.doc Version 5.2 Page 27 - 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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