Inspection on 09/03/07 for Beehive

This inspection was carried out on 9th March 2007.

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

Other inspections for this house

Beehive 06/01/06

Beehive 06/07/05

Beehive 03/03/05

Beehive 07/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Beehive 2b Wycombe Road Gants Hill Ilford Essex IG2 6UT Lead Inspector Jackie Date Unannounced Inspection 9th March 2007 1:00 Beehive DS0000025943.V330046.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 Beehive DS0000025943.V330046.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. Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beehive Address 2b Wycombe Road Gants Hill Ilford Essex IG2 6UT 020 8550 1032 020 8550 2422 beehive@mcch.org.uk perrymans@mcch.org.uk Maidstone Community Care Housing Society Limited (MCCH) Michelle Steward Care Home 6 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) Category(ies) of Learning disability (5) registration, with number of places Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person over the age of 65 years. Date of last inspection 6th January 2006 Brief Description of the Service: Beehive is a home for six people with severe learning disabilities. Residents have little or no verbal communication skills, and limited ability to make decisions about their lives. The home was purpose-built on one level and is accessible to wheelchair users throughout. There is a lounge/dining area leading to a conservatory and the garden. The garden has a patio and is well kept. Some of the residents like to sit in the garden. Each resident has a single bedroom. The house is in a residential area near to public transport and local shops. The residents go to some day activities outside the home on one or two days of each week. Bedrooms are individually decorated and personalised, according to the residents likes. At the time of the visit two ladies and three men were living at the home. The scale of charges is approximately £1,327.00 per week. This information was provided by the service manager shortly after the visit. Information about the service provided is contained in the service users guide. Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit lasted for about five hours and took place during the afternoon. The acting deputy, staff and all of the residents were spoken to. All areas of the house were seen and staff, care and other records were checked. Care staff were asked about the care that residents receive, and were also observed carrying out their duties. Due to the level of their disability the residents were not able to give any direct feedback about the care that they receive. Feedback was received from one relative and a social worker. This was a key inspection and all of the key inspection standards were tested. What the service does well: What has improved since the last inspection? What they could do better: The organisation must make sure that monitoring visits are carried out each month. This requirement is outstanding from the last inspection and must be addressed. Continued failure to meet this requirement may mean that the Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 6 Commission will consider enforcement action as unmet requirements impact on the welfare of residents. Staffing levels need to be sufficient to meet residents’ needs at all times. Although the acting deputy had been doing a good job in running the service there must be a manager in post at the home to manage, monitor and develop the service 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. Beehive DS0000025943.V330046.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 Beehive DS0000025943.V330046.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, 3 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to enable the staff team to meet residents’ needs. If a vacancy arose the required information would be gathered on a prospective resident and they and their relatives could spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home, within their capacity to do so. EVIDENCE: The residents have all lived together for several years and there have not been any new admissions for a few years. It is therefore not possible to directly test Standard 2 with regard to prospective users needs being assessed. However, the organisation has an admissions procedure that includes gathering of information and assessments. It also contains details of how a prospective resident would be introduced to the home. The staff would be able to assess and introduce a new resident to the home if needed. Beehive DS0000025943.V330046.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. Residents’ plans focus on their individual needs and abilities and contain detailed information, including risk assessments and behaviour guidelines, so that staff can meet their needs as safely as possible. EVIDENCE: All of the residents have plans, which cover the necessary areas and include religion, culture, mobility, personal care, eating and drinking. These are very detailed and give clear information about each persons strengths, needs, likes and dislikes. There are also “primary care guidelines” that describe each persons preferred morning routine and also what personal care they need and how they like to have this care. For example “I like a cup of tea first thing, if not I get grumpy and might slap my face; does not wear makeup but likes beaded necklaces and perfume.” The staff team have completed communication passports for all of the residents. The communication passports seen were very good and contained a lot of detailed information that showed that the staff that developed these knew residents well. The degree to Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 10 which residents can be involved in the development of the plan is very limited due to their profound learning and communication difficulties. One of the residents had been in hospital for a few months and had only been discharged a few days before the visit. Although the care plan for this person had not yet been updated there were new guidelines in place for supporting this person. Therefore there is current information available to enable staff to meet residents’ needs. Daily logs are completed for each resident and these contain details of what the person has done, how they have been and progress towards individual goals. Residents’ monthly evaluations are completed by key workers and used to monitor the service provided to residents and also to provide information for the reviews. Copies of the reports were in the residents’ files and they cover all areas of their care. Residents have six monthly reviews and evidence of this was available in files. A relative said that she was invited to reviews every six months and that reports were sent to her. The information in the care plans examined had been updated at the time of the last review. This means that current information is available about residents’ needs and how they should be met. There are risk assessments in place. These identify risks for the residents and indicate ways in which the risks can be reduced to enable the residents needs to be met as safely as possible. Beehive DS0000025943.V330046.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): 11, 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are encouraged to be as independent as possible, to take part in activities and to be part of the local community. Residents are supported to keep in contact with their relatives but unfortunately most residents do not have any family involvement. Residents are given meals that they like and that meet their needs and individual preferences. EVIDENCE: Each resident has goals that have been set for staff to support them to develop their skills. There are also monitoring sheets specifically to record the progress towards these goals. These have been updated and the monitoring sheets are being completed more regularly as required by the previous inspection. Care Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 12 plans also indicate ways in which residents are encouraged to be as independent as possible. For example “with prompts he can put his arms into the sleeves of a garment and can put his feet in his shoes”. Some of the residents go to day services for part of the week. One resident also has one to one support from an outreach worker and visits different places in the community. One of the residents is 85 years old and although she still does some activities she does like to “have a lie in” now. All of the residents, except the residents that has been in hospital, had a holiday last year. All of the residents need support from the staff team when they go out. The residents go out for lunch and go to the local shops and markets and they also do activities in the home. The staff said that it depended on how the residents felt. One of the residents likes to go to church and staff said that she appears to really enjoy this. The home has got a new vehicle and this has been used to take people out. As at previous inspections staff said that the residents have freedom to make choices even though they cant talk and that they all have their own ways of showing what they want. A member of staff said “if he pulls you then he wants something”. “When he is ready for bed he takes himself to his room.” Unfortunately most of the residents do not have any contact with their families. One resident does have visits from her sister. This relative said that the home do keep her informed about what is happening and invite her to reviews. Menus are based on staffs knowledge of residents’ likes and dislikes. One of the residents is Jewish and kosher meals were prepared for him. There is also a separate fridge for his kosher food. However contact has been recently made with this resident’s half sister and she said that his father had not followed a kosher diet and that this really was not necessary. Residents care plans contain information about what they like to eat and how. For example “ can feed himself but needs a plate guard. Likes soft moist food. He will often only eat a little at lunchtime but likes a big dinner. If I don’t like food I spit it out and leave the table.” On the day of the visit a homemade casserole was being prepared for the evening meal. Residents are given meals that meet their needs and individual preferences. Beehive DS0000025943.V330046.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 receive personal care that meets their individual needs and preferences. The staff team support the residents to get the healthcare that they need. Medication is appropriately administered by staff that have been trained to do this. EVIDENCE: The residents require support with their personal care and details of the help that they need and how they prefer to be supported are in their “ primary care” guidelines. The guidelines for one resident states “I like to be changed quickly when wet or if soiled. If not I may slap my head or grab at staff”. For the same resident the care plan says “he enjoys having a shower and likes to hold the shower over the back of his neck”. Residents are encouraged to choose what to wear. When appropriate residents are supported to get up in time to attend their day activities but at other times they get up when they choose. One resident has been incontinent following a long stay in hospital. Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 14 Staff are implementing a regular toileting programme to try to address the problem, as this resident was not incontinent when admitted to hospital. Residents receive personal care that meets their individual needs and preferences. One member of staff said that residents were well groomed and that she “feels proud when she takes them out”. All of the residents go to the local doctor and specialist help is received when needed. Staff take residents to all of their medical appointments. Care plans indicate how individual residents might express pain. Residents’ files have details of health care issues and show that residents have regular access to health care professionals. Records are kept of medical appointments and these show that residents have checks from the optician, dentist and when needed the chiropodist. A relative of the resident that has been in hospital said that the staff genuinely looked out for her sisters welfare and had been keen for her to go back to the home. Residents are supported to get the healthcare that they need and to be as healthy as possible. None of the residents are able to self medicate and medication is administered by staff that have been trained and deemed capable to do this. The organisations medication procedure requires that a second member of staff witnesses medication administration. A relief staff on duty on the day of the visit said that she did not administer medication, as she has not yet had the training. Medication administration records are kept and are up-to-date. The medication file has photographs of each resident and this is good practice. Medication is securely stored in a locked cabinet in the office. Medication is appropriately stored and administered. Beehive DS0000025943.V330046.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. There is a complaints procedure that would be followed in the event of any complaints being made, although residents would not have the capacity to make a complaint without support. Staff have received adult protection training to ensure that they are clear about what constitutes abuse and what to do if abuse is seen or suspected. This gives residents a greater protection from abuse. Residents’ finances are adequately managed and monitored and this lessens the risk of financial abuse. EVIDENCE: There is a complaints procedure that would be used in the event of a complaint being made. However due to the degree of their disability is unlikely that any of the residents would be able to make a complaint without support. There have not been any complaints since the last inspection. The organisation has produced a detailed adult protection policy that tells staff the actions to take in the event of abuse/suspected abuse being discovered. Staff have attended a course on protecting residents from abuse and are aware of their responsibility to residents. A relative said that she felt that her sister was looked after as well as possible and that staff care and do what is in her best interests. Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 16 One of the residents slaps his face and head when he becomes distressed and on occasions this has caused injury to his face. Guidelines are in place for dealing with this behaviour and these were reviewed and updated in October 2006. Therefore systems are in place to minimise the risk of self injury as far as possible. Any significant incidents have been reported to the Commission as required in the previous inspection. All of the residents need help with their finances and have limited capacity to understand about the concept of spending or saving money. Records are kept of financial transactions. Regular checks are made to ensure that these are correct. Residents’ finances checked at the time of the inspection were correct and appropriate receipts were on file. There are safeguards in place where large expenditures of personal money is being spent on behalf of a resident, and where the resident is not able to fully understand or contribute to the decision-making process. Beehive DS0000025943.V330046.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, 25, 26, 27, 28, 29 & 30. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The residents live in a home that is suitable for their needs and work that is in progress will improve the quality of the environment for residents and will give them more usable space in the garden. EVIDENCE: The house is near to the local shops and bus routes. The communal space consists of a large lounge/diner, kitchen, laundry room and a garden. The building is accessible for wheelchair users throughout. Each resident has a single bedroom. These are decorated and furnished to meet individual needs and likes. The office is also used as a sleeping in room with a separate shower for staff. There are enough baths, showers and toilets and these meet the residents’ needs. At the time of the inspection the builders were at the home extending the patio, putting up a new shed and re doing the flowerbeds. The bathroom and shower room are due for redecoration and this will be happening shortly. Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 18 Since the last inspection residents bedrooms and the lounge have all been decorated. The hall carpet was replaced as required by the previous inspection but was quite stained. The acting manager said that it would be cleaned after all of the work had been carried out. One of the bedroom carpets is stained and although it has been cleaned this has not been successful and therefore it does need to be replaced as required in the previous inspection. The home is suitable for residents needs and when the work has been completed the home will be appropriately decorated throughout. At the time of the inspection the home was clean and free from offensive odours Beehive DS0000025943.V330046.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): 31, 32, 33, 34, 35 & 36. Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. Staff are properly recruited and the necessary checks carried out. This helps to protect residents and keep them safe. Staff receive the necessary training, supervision and support, in order to meet residents’ current needs and provide a good service for them. Staffing levels are not consistently sufficient to meet residents’ needs. EVIDENCE: The staff team all have experience of working with people with learning disabilities. As at the previous inspection there are still staff vacancies but regular relief staff and a casual worker cover these. Therefore the residents are receiving a service from a consistent group of staff. Staff on duty said that they had received training since they started work in the home. This has included induction, adult protection, manual handling, and medication and in some cases NVQ. Staff were clear about their duties and responsibilities towards the residents. Three staff have attained NVQ level 2 or above. One member of staff said that she is going to do some training to be a mentor for Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 20 student nurses that have placements at the home. Therefore a competent and appropriately qualified staff team supports the residents. There are three staff on duty for the early shift and the late shift has three people for part of the time and two for the rest. The afternoon arrangement has changed according to the needs of residents. One person with high support needs moved out but the person that has been discharged from hospital now has higher support needs than previously. All of the staff spoken to were clear that three staff on each of the daytime shifts was sufficient to meet residents needs and to carry out the other tasks. However they were concerned that this arrangement does change and that three staff are not always on duty for the bulk of the shift. Staffing levels must be sufficient to meet residents’ needs at all time. At night there is one waking and this is sufficient to meet the assessed needs of the residents. Staff meetings are taking place and staff said that supervision has been taking place regularly. This gives staff the opportunity individually and collectively to discuss problems and to be involved in the development of the service. Staff spoken to say that they receive good support from the acting deputy and from each other. They also said that the staff team work well together and that the residents benefit from this. The staff team receive the support and guidance that they need to carry out their duties. The organisation operates an appropriate recruitment procedure. Jobs are advertised, application forms completed and interviews held. The necessary checks are undertaken prior to staff commencing employment. Staff records are held centrally at the organisations head office in line with an agreement made with the Commission. However the required pro forma information that should be signed by the organisation to confirm that all of the necessary information has been obtained, were not fully completed or in some cases not available at the home. Proformas must be fully completed within the care services in line with the agreement for centralised staff records. Beehive DS0000025943.V330046.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 acting deputy has maintained the service in the absence of the registered manager but arrangements need to be in place for a manager to be running and developing the service. Although the organisation monitors the quality of the service provided the monitoring visits are not carried out frequently enough. The home provides a safe environment for the residents. EVIDENCE: Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 22 The registered manager has been seconded to another home within the organisation. This arrangement was agreed by the Commission until 31st March 2007. In the interim the acting deputy has been running the service with some support from the registered manager and the service manager. This has obviously been a very difficult time for the staff team but they have all worked together with the acting deputy to maintain the service to the residents and they are to be commended for their efforts. At the time of the visit the acting deputy was not aware of what would be happening after 31st March. The service manager was contacted and he said that the organisation had restructured and this had led to a delay in making arrangements. He also said that the situation should be resolved soon as they will be making a decision on the registered managers return to the service. The interim arrangements have been in place for some time and cannot be extended for very much longer. This needs to be addressed as a matter of urgency by the organisation and a manager must be in post and running the service. The quality of the service provided to the residents is monitored by the acting deputy and by the organisation. At the time of the previous inspection the monthly monitoring visits to assess how effectively the home was operating to meet its stated aims and objectives were not taking place regularly. Examination of records held at the home found that these visits are still not taking pace regularly. This is of particular concern as the registered manager has been absent from the service and monitoring needs to be robust to ensure that the quality of the service provided has not deteriorated. These monitoring visits must be carried out each month to ensure that the residents are provided with a good quality service that meets their needs. Ongoing failure to meet this requirement may result in the Commission considering enforcement action as unmet requirements impact on residents’ welfare. All of the necessary health and safety checks are carried out and a safe environment is provided for the residents. Beehive DS0000025943.V330046.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 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 2 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 2 34 2 35 3 36 3 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 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 x Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 24 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. Standard YA26 Regulation 23 Requirement The stained bedroom carpet must be replaced. (Previous timescale of 30/4/06 not met.) Staffing levels must be sufficient to meet residents’ needs at all time. Proforma’s must be fully completed within the care services in line with the agreement for centralised staff records. A representative of the organisation must visit the home unannounced at least once each month to check on the standard of care provided. A written report must be made and a copy of this lodged with the home and a copy sent to the Commission. (Previous timescale of 30/4/06 not met.) A manager must be in post and running the service. Timescale for action 30/06/07 2. 3. YA33 YA34 18 19 30/04/07 30/06/07 4. YA39 26 30/06/07 5. YA37 8 30/04/07 Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beehive DS0000025943.V330046.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beehive DS0000025943.V330046.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!