Inspection on 26/03/08 for Benjamin House

This inspection was carried out on 26th March 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Benjamin House 05/09/07

Benjamin House 09/05/07

Benjamin House 15/08/06

Benjamin House 15/03/06

Benjamin House 28/07/05

Benjamin House 06/12/04

Benjamin House 27/04/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

Thames House

Creative Support

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

CARE HOME ADULTS 18-65 Benjamin House 41 Ormerod Road Burnley Lancashire BB11 2RU Lead Inspector Mr Jeff Pearson Unannounced Inspection 26th March 2008 09:00 Benjamin House DS0000009525.V358953.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 Benjamin House DS0000009525.V358953.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. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Benjamin House Address 41 Ormerod Road Burnley Lancashire BB11 2RU 01282 835926 01282 414506 healycare@ntlworld.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Bridget Mary Healy Gareth Moore Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home will accommodate up to 10 adults up to the age of 65 years who have mental health problems 5th September 2007 Date of last inspection Brief Description of the Service: Benjamin House is part of Healy Care, which consists of three terraced properties. An additional property is used an office facility. The properties are situated on the same road, in what is primarily a residential area. Benjamin House is close to the resources available in Burnley town centre. It is registered to accommodate 10 adults under the age of 65 with a mental illness. The accommodation available is homely and domestic in style. There is a lounge, a room for smoking and a dining kitchen with conservatory area. There are ten single bedrooms eight with en-suite toilets. Two of the bedrooms are situated on the ground floor. Staff are on duty to provide support 24 hours per day. Transport is occasionally available to enable service users to visit relatives and for outings within the community. Written information about Benjamin House, including the service users’ guide and last inspection report were available in the lounge of the home. At the time of the inspection visit the range of fees was between £437.00 and £1280.00 per week. Toiletries, hairdressing private chiropody was not included in the fees. There were voluntary optional charges for entertainment and transport. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means people using this service experience adequate quality outcomes. A key unannounced inspection, which included a visit to the home, was conducted at Benjamin House on the 26th March 2008. The visit took 8 hours and was carried out over one day by one inspector. A random unannounced inspection had previously been carried out at the home on 29/11/07 and 22/01/08. Letters following these inspections will be made available to members of the public or other enquirers on request from the Commission. Following the inspection of 29/11/07, the Commission had taken enforcement action to require specific appropriate training within a set timescale. It has also been necessary for the Commission to take enforcement action to require to the registered person to provide a completed annual quality assurance assessment (AQAA) on the services provided at Benjamin House. The files/records of two people using the service were examined as part of ‘case tracking’, this being a method of focusing upon a representative group of people living at the home. Discussion took place with people using the service, stand-in manager, home owner and staff. Various documents, including policies, procedures and records were looked at. Some of the accommodation and facilities were viewed. At the time of this inspection visit there were 7 people living in the home. What the service does well: People were being given opportunity to get out into the local community, join in different activities and meet up with families and friends. People spoken with were appreciative of the support provided by the staff team; “the are all nice” commented on person. People spoken with were happy with the meals provided, they explained how they were involved with choosing menus, shopping and cooking. One person explained, “They make some good meals” House meetings were being held each week, so people could voice their opinions and be asked about things which affected them. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 6 Support was being provided to attend hospital and health care appointments and medication. Most parts of the home were comfortable and nicely decorated; people living at the home said they liked their own bedrooms. What has improved since the last inspection? There had been a lot of improvements since the last key (main) inspection; on person told us “everything was fine at the moment” another said life at the home was “fantastic” A manager had registered with the Commission, to take legal responsibility for the day-to-day running of the home. Guidelines for protecting people from abuse had been changed, to make sure managers and staff do the right thing if there is a suspicion or an allegation of abuse. Some progress had been made with individual care plans to help ensure staff know how to support each person. Some improvements had been made with medication practises, including staff training. Action had been taken to provide training in relation to specific medication administration. Individual risk taking was being given further attention, to proved clearer instructions on how to reduce or manage any risks. Better arrangements had been made, to help make sure people living in the home have enough staff support for activities and outings in the community. People spoken with said they had “no complaints” To protect people living in the home, proper checks were being carried out before letting staff start work in the home and new staff were being given initial training. Work had been carried out to improve a number of areas of the home for the well being and safety of the residents. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Benjamin House DS0000009525.V358953.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 Benjamin House DS0000009525.V358953.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. This service must show continual good practice; in ensuring peoples needs and abilities are properly considered and planned for, before they move into the home. EVIDENCE: The Statement of Purpose and Service User Guide had been revised and updated by the Registered Provider to include the required information; copies had been previously made available to the Commission. The stand-in manager said each person living in the home had been given a copy of the updated service user guide; records had been kept in support of this. Previous inspection reports were available in the homes’ lounge. People living in the home indicated in surveys, that they had been involved with their admission into Benjamin House. There had not been any new people admitted to Benjamin House since the last inspection. Therefore the assessment and admission procedures and practices were unable to be fully assessed at this inspection visit. However, the stand-in manager expressed an awareness of the admission process, this was discussed Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 10 further, in terms of ensuring any complex needs are properly considered and planned for, prior to people moving into the home. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Although some progress had been made in planning and responding to peoples’ individual needs and choices, the service must continue to develop in providing appropriate person centred care and support. EVIDENCE: People spoken with, were aware of their individual plans and to some extent, what was written in them. Progress was being made with ensuring people using the service, have their needs identified and responded to in an individual plan of care, the stand-in manager said each person’s plan had been reviewed and updated. A new care plan format was in the process of being introduced which set out identified needs, goals and actions to be taken by staff to respond to and meet people’s needs. The care plans seen, described potential goals and the action to be taken in response. Short-term goals had been recorded separately, for easier staff reference. Much of the wording in the care Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 12 plans was written in ‘professional’ language, one person said, “I had to ask what some of the words meant” it was suggested they be simplified to make them more accessible to people using the service and staff. A system had been introduced to highlight and monitor any changes in peoples’ behaviour. This had helped in ensuring a more consistent approach to providing support for people using the service. Some significant information in relation to peoples mental ill health had not been properly included in care plans seen, the stand-in manager agreed to take action to ensure these needs are identified and responded to in individual care plans. Observations of support practices and information care plans, showed people were being supported to make some choices and decisions in their daily lives. People spoken with made positive comments about their involvement in the home, as individuals and a group. One person completing a survey wrote “I cant believe the progress I have made since being at Benjamin House, I can now make decisions what I do every day which is good” It was suggested strengths and abilities be given more recognition to show peoples’ capacity to be independent, make choices and decisions. Individual strengths could also be better responded to in care plans to provide more positive approach by building upon peoples abilities. Some progress had been made in reviewing and completing peoples’ individual risk assessments to help ensure people are supported as safely as possible, and risk management strategies were being completed in response to behavioural needs. Risk assessments seen identified the specific risks which had been graded between ‘low’ and ‘high’ level risks, it was advised further consideration be to the severity of potential outcomes. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People had opportunity to take part in community activities and keep in touch with relatives and friends. EVIDENCE: Although there was some indication staff shortages had influenced the support available for outings, people living at Benjamin House spoke of the various activities, both in and out of the home they were involved with, including college courses, gardening, shopping, day centres, TV and knitting. One person completing a survey wrote, “I am very lucky because if I want to go shopping during the day I am able to do it, in the evening we can play bingo and watch TV or listen to music” One person explained outings were usually arranged each week, and that there had been two meals out recently. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 14 People spoken with said they were keeping in touch with families and friends, by telephone and visits. House meetings were being held weekly to discuss meals, menus, activities and outings. Independence living skills were being encouraged, people were responsible for tidying their rooms, some laundry, they made drinks and snacks for themselves and said they were involved with shopping and cooking. Those spoken with said they were happy with the food available and confirmed that menus were being agreed each week. Specific diets were being catered for and a member of staff had been given allocated responsibilities in relation to meals, menu planning and shopping, healthy eating was being encouraged. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Most procedures and practices were satisfactory in monitoring and responding to peoples’ health care needs. EVIDENCE: It was apparent from discussion and observation; people were generally being supported to take an interest in their appearance, hairdressing and clothing. Some sensitive prompting of personal hygiene practices had been included as appropriate, in care plans. Routines of daily life were flexible; including what time people got up and went to bed. Some of these daily routines had been agreed and responded to in individual care/support plans, to promote more constructive and focused lifestyles. Care plans also included a ‘health check’ assessment. Records and observations showed people were being supported to keep hospital, and other Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 16 health appointments. Mental health care needs needed to be better identified and responded to within individual care plans. Progress had been made in providing training in relation to specific medication administration, however, changes in one prescribed medication following review, had resolved a specific practice issue. The stand-in manager had recently audited medication practices, and had made some amendments to improve matters for people using the service. Medication administration policies and procedures were available. It was evident verification on any medication changes were being obtained for GPs. Assessments had been carried as appropriate on peoples ability to manage their own medication, consent forms were seen agreeing to any staff support. Individual protocols had been defined on giving ‘when required’ medication, it was recommended these be more explicit to provide clearer guidance for staff. Systems were in place to support people taking medication out of the home on social leave, it was advised the records of this be kept separately to provide a more appropriate, confidential audit trail. There were some gaps in the medication records with no explanations given, which meant it was not clear if medication had been offered or taken, the stand-in manager agreed to address this issue. Staff had received medication management training or this was being arranged. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate 22 and 23 This judgement has been made using available evidence including a visit to this service. Procedures and practices promoted the protection of the people using the service. EVIDENCE: The stand in manager said there were no complaints being processed at the home at present; none had been received at the Commission. A summary of the procedure had been displayed in each bedroom, this provided assurances about making complaints. A more detailed procedure with timescale and contact details, was included in the service user guide, each resident had been given a copy of the guide. People spoke with said they had no concerns or complaints about the service currently provided at Benjamin House. They indicated in surveys that they were aware of the complaints procedure, one person wrote, “I am satisfied with the procedure” another commented, “If we are not happy with anything we can go to a staff member which is very good or tell the owner, she is always available for everything” Protection and abuse safeguarding policies seen to be available, they had been updated to include more appropriate guidance and instructions for staff. Staff spoken with expressed an understanding of how to respond to allegations, incidents and suspicions of abuse. There had been a safeguarding referral at the home; this had been satisfactory dealt with by the registered manager. Records and discussion showed protection of vulnerable adults training to be ongoing. Benjamin House DS0000009525.V358953.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Progress had been made in providing a pleasant and homely environment; this must be sustained for the benefit and well being of the people using the service. EVIDENCE: This inspection showed the home had a satisfactory standard of facilities and accommodation, progress being made in a number of areas. The lounge in particular provided a very comfortable and pleasant room for the residents. Some bedrooms had been redecorated and new flooring and furniture provided; people had been involved with the choice of colour schemes and soft furnishings. Shelving had been fitted in most bedrooms and shortage boxes had been provided. One person explained they were still awaiting shelves for their bedroom, the stand-in manager said this matter was in hand. One bedroom was still in need of redecorating and upgrading, however, it was said Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 19 this matter was soon to be resolved. The residents had recently been shopping to choose new dining room chairs. The steps down into the laundry had been made more even to promote health and safety. The home was found to be generally clean; and mostly odour free, the laundry facilities remained satisfactory, a new washing machine had been provided. Benjamin House DS0000009525.V358953.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, and 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. For the benefit of the people using the service, Benjamin House must show continued good practice in relation to staff recruitment, staffing levels, training and development. EVIDENCE: There had been a number of changes in staff in the staff team; recruitment was ongoing. People using the service made positive comments about the staff team saying they were “nice” one added “they treat me well” The staff rota showed satisfactory staffing levels were in place and sufficient numbers of staff were on duty on the day the home was visited. Senior staff had been recruited to provide leadership in the absence of the manger. Staff spoken with, generally considered staffing levels to be adequate in providing support for the people using the service. Some concern was expressed about the impact staff leaving had upon service users, in terms of a lack of continuity and familiarity. Staffing arrangements and staff turnover was discussed with the stand in Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 21 manager, in terms of promoting sustained continuity of support for the wellbeing and safety of people using the service. Two new support workers had been recruited to work at Benjamin House; recruitment records were readily available in the home. Records showed show that satisfactory checks had been carried out, for the protection of the people using the service. However, dates of education had not been completed on one form and dates of qualifications obtained, had not been entered on another, which suggested these matters had not been properly considered. The induction training records of the new employees were seen; a new more wide-ranging programme had been introduced, however, one record indicated training had not been provided consistently, the stand-in manager agreed to rectify this matter. One member of staff spoken with confirmed her induction training was ongoing. Records and discussion showed progress had been made in ensuring staff receive appropriate training, including NVQs (National Vocational qualifications) Basic courses such as first aid, fire safety, infection control and also more specialised training in ‘approaches to mental health’, ‘schizophrenia’ and ‘epilepsy’. Staff spoken with, confirmed staff meetings were being held and they had opportunity to meet with the manager for one to one supervision. Benjamin House DS0000009525.V358953.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Benjamin House must ensure continued effective leadership and good management practices, for the benefit and well being of the people using the service. EVIDENCE: The Commission for Social Care Inspection has ongoing concerns about the operation and management of Benjamin House. There has been evidence of historical erratic performance at the home, which has lead to a lack of sustained good practice over time. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 23 Following the random unannounced inspection of 29/11/07, the Commission had taken legal action to require specific appropriate training within a set timescale. It has also been necessary for the Commission to take legal action to require to the registered person to provide a completed annual quality assurance assessment (AQAA) on the services provided at Benjamin House. At the time of the inspection visit, the registered manager was not on duty. The home owner arranged for an acting manager from another home in the organisation to attend Benjamin House, to take part in the inspection process. This key inspection showed some progress in the general management of the home, including meeting previously made requirements. However, there were ongoing personnel issues which had resulted in disruption and discord within the management team. Further changes were being proposed, which will again impact upon the management practices at Benjamin House. The need to ensure a consistent management approach in particular, in relation to care plans, risk assessments, staff development and continuity; was discussed with the stand-in manager and home owner. House meetings provided some opportunity for people living at the home to be consulted and voice their opinions. The stand-in manager was not aware of any quality assurance surveys being given to service users or others. An AQAA (Annual Quality Assurance Assessment) had been forwarded to the Commission when asked for. The completed AQAA contained very brief information and indicated several key policies were not available; therefore they needed to be introduced, to help promote a smooth running of the service. Effectively completing the AQAA was discussed with the acting manager. In particular, ensuring sufficient details are noted and utilising the process for ongoing quality assurance. Records showed fire drills and fire equipment tests were being carried out. Fire risk assessments were also available in the home; however, they had not been reviewed and updated for over two years. General health and safety risk assessments had been carried out. The AQAA indicted equipment and installations had been serviced. The training matrix and discussion showed progress had been made in ensuring all staff receive training in safe working practices. The stand-in manager was aware this training needed to continue and be updated accordingly. Benjamin House DS0000009525.V358953.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 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 2 X 2 X X 2 X Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 YA42 Regulation 23 (4)(c) Requirement To ensure the home provides adequate precautions against the risk of fire, arrangements must be made to review and attend to accordingly existing fire safety measures. Timescale for action 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA2 Good Practice Recommendations To make sure the service can effectively meet the needs of people using the service, admission procedures and practices should ensure a full needs and abilities assessment is carried out and appropriate arrangements made to meet and plan for peoples identified needs. Care plans should be written in a style easily understood by people using the service and staff. To make sure people receive proper care and support, service users plans should provide clearer details and instructions for staff, in relation to any diagnosed mental illness. To ensure an appropriate audit trail of medication administration, action needs to be taken to ensure DS0000009525.V358953.R01.S.doc Version 5.2 Page 26 2. 3. YA6 YA6 4. YA20 Benjamin House 5. 6. 7. YA24 YA26 YA32 8. 9. YA32 YA37 10. YA39 medication records are properly completed. To provide a more pleasant environment for the occupant, one bedroom should be decorated and refurbished as soon as practicable. To enable people to store their belongings more efficiently, suitable shelving should be provided in all bedrooms. Staff should continue to be supported to undertake appropriate training, as specified by the National Minimum Standards for Younger Adults, so they have the appropriate skills and knowledge to support people living in the home. To ensure people using the service are effectively, consistently and safely supported, staffing arrangements should continue to be appropriately managed. To ensure people using the service benefit from living in a well run home, every effort must be made to ensure management practices/leadership are efficient and effective. To ensure people using the service (and relevant others) are central to ongoing development in the home, the Annual Quality Assurance Assessment process needs to involve effective consultation. Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Benjamin House DS0000009525.V358953.R01.S.doc Version 5.2 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. 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!