Inspection on 13/07/06 for Bevern View

This inspection was carried out on 13th July 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bevern View 19/12/05

Bevern View 03/06/05

Bevern View 18/01/05

Bevern View 29/09/04

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Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

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Seabourne House

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Dovedale Court

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

CARE HOME ADULTS 18-65 Bevern View The Willows Deans Meadow Barcombe Lewes East Sussex BN8 5DX Lead Inspector Paul Taylor Key Unannounced Inspection 13th July 2006 10:30 Bevern View DS0000013963.V298585.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 Bevern View DS0000013963.V298585.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. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bevern View Address 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) The Willows Deans Meadow Barcombe Lewes East Sussex BN8 5DX 01273-400752 The Bevern Trust Mrs Rosemary Anne Milmine Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is eight (8). Service users must be aged between sixteen (16) and forty (40) years of age on admission. Service users with a learning disability to be accommodated. Service users with additional physical disabilities may also be accommodated. 19th December 2005 Date of last inspection Brief Description of the Service: Bevern View is a purpose built care home that provides support and care for a maximum of eight service users with profound disabilities and complex needs between the age ranges of 16 to 40 years of age. The home provides respite care as well as full time care. The home is situated in the village of Barcombe. The home aims to provide a service to people from within a 15 mile radius. The home aims to involve service users in the local community as much as possible. Families of service users are encouraged to visit and to be actively involved in the decision making processes and care plans of the individuals resident in the home. Referrals to the home are often made by parents who also seek funding from the social services department. Costs of placements are between £243 and £399 per night depending on the package of care needed to support the individual. The home has a Statement of Purpose available to service users and relatives and a copy of the latest Commission for Social Care Inspection report is kept in the entrance foyer. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection of Bevern View took place on Thursday 13th July 2006. The inspection started at 10.30 a.m. and finished at 8 p.m. During the inspection the Inspector met with the registered manager, five members of staff, two members of the board of trustees and spoke on the telephone with a parent of a service user. Additionally the Inspector received eight questionnaires which had been completed by relatives on behalf of service users living in the home and examined a number of records kept in the home including care plans, records of safety checks, staff recruitment records, maintenance records, records of the administration of medication and newsletters written by members of staff working in the home. The Inspector also observed care and support given to service users by the members of staff on duty as well as social interaction. What the service does well: What has improved since the last inspection? The home now provides regular updated training in adult protection and there will be a member of staff who has been trained to be a moving and handling Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 6 trainer and who will be available to the staff for guidance and advice. A fire drill was carried out following a recommendation made at the last inspection and the member of staff responsible for evaluating this exercise has identified issues which will be addressed when the home is visited by a fire officer. Some care plans have been reviewed and updated using Person Centred Planning as the framework and this has led to individual needs and aspirations and preferences of service users being very clearly identified and plans put in place on how to meet their targets. 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. Bevern View DS0000013963.V298585.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 Bevern View DS0000013963.V298585.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a thorough assessment process to ensure that all the service users are appropriately placed and their needs can be met. EVIDENCE: Two pre-admission assessments were examined. Both were very detailed and contained information about family contact, education, physical and mental health care, the need for specialist input, specific information with regards to any particular conditions and methods of communication. The home appreciates the need for very thorough assessments as it caters for service users with complex needs and it is therefore a planned and paced process to ensure compatibility with what Bevern View can provide. Bevern View DS0000013963.V298585.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual needs and choices of the service users are known to the staff working in the home and this ensures that service users can make decisions which affect their lives. EVIDENCE: Two care plans were examined, these were based on information that had been gleaned from the initial pre-admission assessments and had been updated when needed after planned reviews and when care needs had changed. Some parts of care plans were signed and dated when they had been checked however, the Inspector noticed that sometimes the fact that a part of the care plan had been updated was not endorsed or dated as to when this had happened. The Inspector recommends that whoever updates a care plan signs and dates when it has been done. The home is developing care plans which will be based on Person Centred Planning, these will be formulated using a ‘circle of friends’ (people who know the service user best) and the service user will have their needs and wishes seen as paramount. It is envisaged that the care plan will then reflect how this can be achieved. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 10 Service users preferences are recorded in their care plans and the staff are aware of how each service users communicates and expresses their choice. The Inspector saw a document whereby a service user had expressed a wish to be confirmed at a local church. This had followed an opinion from a minister of religion that the service user could not communicate his understanding of the process. The home than arranged a series of questions that showed the service user did understand the process and he was subsequently confirmed. This process had been achieved by the members of staff showing that they knew how he communicated his choice and preferences. The profound disabilities of the service users at Bevern View means that their opportunities for independence and risk taking are limited. However, activities which involve calculated risk are offered to service users if they wish to partake. Examples of this are horse riding, wheelchair ice skating, boating whilst on holiday and abseiling. These activities are achieved after risk assessments have been completed and the home ensures that those supervising the activities are suitably qualified. Bevern View DS0000013963.V298585.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 at least once during a 12 month period. 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. The education programme offers excellent opportunities for the service users to develop skills and life experiences. The home offers flexible and sensitive support to service users to enable them to be part of the community, maintain links with family and friends and eat a healthy diet. EVIDENCE: The home has an education co-ordinator who provides educational activities on site as well as maintaining liaison with educational establishments and developing programmes in which service users can partake. The Inspector saw written records of targets to be achieved by service users as part of their personal development. The Person Centred Planning has created individual education packages which give service users the opportunity to learn as part of a group as well as on an individual basis. Examples of courses and educational activities offered to service users include music, sensory cooking, creativity and environmental studies. These courses will earn certificates of achievement for the service users. The home is developing a two-year course with a local agricultural college which will provide service users the opportunity to partake in activities at the college commensurate with their abilities. The Inspector Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 12 considers the education programme operated at Bevern View to be a strength of the home. The Inspector met with five members of staff during the course of the inspection. All the members of staff showed very good awareness and commitment to the need to achieve a community presence for the service users. Links with the community on a local and more widespread basis are good. Examples of community links include service users attending local clubs, pubs, church, cinema, shopping and going on holiday. On the day of the inspection the service users had the opportunity to go and see a band practice in Lewes; this was because a member of staff had used her contact with this band as a means of achieving the opportunity for the service users. The home is developing a shift system whereby members of staff will work with service users on a ‘long day’ basis. This will mean that they work a continuous long shift with a service user so that opportunities for activities are not compromised by a staff shift system. Additionally the home has two minibuses and these are used on a regular basis to ensure that service users are able to enjoy the variety of activities that the home organises and offers. The home operates an open door policy with regards to visits by family and friends. Important family and friends links are known to the home and service users are encouraged to go out and meet friends as well as having visitors into the home. There is a plan for refurbishing the home and this will include a dedicated visitors room which will also be equipped to accommodate visitors overnight if needed. The Inspector was informed that one service user had plans to go on holiday with his girlfriend and this arrangement will be supported by members of staff from the home. The Inspector spoke with the parent of one service user. The parent said that her son is offered a lot of flexibility and that there is no rigid regime in the home. The Inspector observed interaction between service users and members of staff. The interaction was inclusive and service users were involved in the group dynamics with everyone in the home. The Inspector examined a menu that was being offered in the home. The menu was varied and offered a healthy diet. The dietary needs of the service users and their preferred means of eating and what support they need are clearly outlined in their care plans. Some of the service users are fed via ‘peg’ feeds and the process of this being achieved is also contained in their care plans. The Inspector joined one service user for a sandwich lunch and observed the evening meal. The meal was a well-ordered and social occasion and the staff were seen to be patiently supporting service users. Service users who were not able to eat the food on offer had joined the others at the table to ensure that they were included in the banter and social part of the occasion. The cook for the home had recently left and the cooking had been taken over by members of staff working on a flexible basis. One member of staff who has a catering qualification had undertaken menu planning with the home’s manager and this ensured that the service users dietary needs and food preferences were known and continue to be catered for. Bevern View DS0000013963.V298585.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health needs of service users are known and met by the home ensuring their wellbeing is monitored closely. EVIDENCE: Service users individual needs for support are well known and clearly documented. Service users preferences about how they are guided, moved, supported and transferred are complied with. Personal and intimate care is carried out in private and by members of staff that the service user prefers. Service users are able to choose their own clothes and are able to have a hair cut to the style they wish. One service user has regularly dyed his hair different colours. The Person Centred Planning being implemented in the home includes the views of those important to the service users including their key worker to be included in formulating how the service user can be supported in a manner that they want. The home is well equipped with technical aids to ensure that service users can be supported. Specialist advice and support is available from occupational therapists, speech therapists and physiotherapists to ensure that the members of staff are caring for service users appropriately. The Inspector saw a series of photographs in a service user’s care plan which provided guidance on Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 14 physiotherapy exercises that had been prescribed by his physiotherapist. The home also has a Nurse Consultant who members of staff can approach for help and advice. The healthcare needs of service users at Bevern View are well monitored by the home. Potential complications caused by the complex needs of the service users are well catered for and the home responds promptly to changes in service users health. Specific conditions of each service user and how these conditions are to be managed are outlined in their care plans. The Inspector saw written advice from health professionals contained in the care plans together with records of appointments attended by service users. The Inspector was shown the procedure for administering medication in the home by a member of staff who has been trained in this process. Each service user has a locked metal cabinet in which their medication is stored. Additionally, medication is also stored in a locked cabinet and in a locked refrigerator elsewhere in the home. The record of medication shown to the inspector reflected what had been outlined in the service user’s care plan and the times administered were accurately recorded. The Inspector found some medication in a service user’s secure cabinet that did not have a protocol in place regarding it’s use and which was not included in the medication administration record being used on the day of the inspection. The Inspector saw a record of medication training received by members of staff and saw that further training had been planned for those staff who had not yet completed the training. Bevern View DS0000013963.V298585.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s systems and staff training ensure that service users are kept safe and that complaints are recorded and responded to. EVIDENCE: The home has a written complaints process that states clearly how complaints can be made and to whom. The Inspector examined the complaints record and found that any complaints that had been made had been clearly recorded and responded to by the manager together with how the complaint had been resolved and what learning points were to be gained by the home as a result of the complaint. All the complaints had been responded to and resolved well within twenty-eight days. The majority of the staff group had attended adult protection training in June of this year. The home arranges training on this subject on a regular basis. The manager and her deputy had attended an adult protection course that was focussed on managerial responsibilities in this matter. There have been no referrals to either the social services department or the Commission for Social Care Inspection with regards to issues of adult protection. The home does not involve itself in the administration of service users finances other than small amounts spent on activities or shopping. A record of transactions is kept together with receipts and this information is in turn passed on to the home’s accountant for audit purposes. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 16 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained and there are thorough systems in place to monitor safety and maintenance issues, this ensures that service users live in a clean and safe environment. EVIDENCE: The Inspector undertook a tour of the premises with the manager. The home was clean and well maintained and each service user had been able to decorate their room with personal possessions. The Inspector saw a record of maintenance and this included details of what faults had been reported and how long had been taken to rectify them. The Inspector met with the member of staff responsible for health and safety issues and maintenance. A thorough system was being used by this member of staff and issues that had arisen had follow actions recorded. For example, the home had invited a fire officer into the home to discuss issues raised during a fire drill. This visit was due to take place in the week following the inspection. There was also a record of water temperature monitoring and checks that had been carried out in order to reduce the risks of legionella. The home has a separate laundry and macerator. There is clear written guidance in place for the staff to follow with regards to managing hygiene Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 17 issues. The Inspector saw a record of training that members of staff had attended on hygiene control. During the tour of the premises the Inspector noted that the automatic selfclosing device for the door to the laundry was not working. This is a fire door and the fault needs to be rectified as soon as possible. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 18 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 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are cared for by a well-trained and motivated staff team who have been appropriately vetted by the home prior to being employed. EVIDENCE: Training needs had been identified in a training audit. The Inspector examined a record of training attended and planned for the staff team. Training was varied and examples of training included tissue viability, epilepsy, adult protection, fire training, mouth care, medication administration, moving and handling, health and safety and food and hygiene courses. On the day of the inspection the Inspector met with a member of staff who was attending a course which will qualify him to train members of staff in moving and handling techniques. The home also runs an active N.V.Q. programme and feedback from members of staff was unanimously positive about the variety and amount of training offered to them. Members of staff reported that they had training needs identified via supervision and that the training they attended helped them in the task of caring for the service users in the home. The Inspector examined two recruitment records of the most recently appointed members of staff. These contained all the information required by the National Minimum Standards and included up to date Criminal Records Bureau checks and two references. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 19 The home operates a thorough induction which is based on an internal process and the use of an external provider. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 20 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): 37,38,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by an approachable and experienced manager who monitors all aspects of the service users care and ensures that they live in a safe and caring environment. EVIDENCE: The registered manager is an experienced member of staff. She has over thirty years experience of working in care settings and has a number of different qualifications; the most recent achieved being the Registered Manager’s Award. She is currently undertaking N.V.Q. Level Four in Care. Additionally she attends periodic training to keep herself up to date with developments in care, the Inspector saw a record of her attending recent training in adult protection. The Inspector saw evidence that the registered manager had reviewed policies and procedures and had been actively involved in the review, updating and formulating of care plans with the involvement of families and social work staff where appropriate. The Inspector received unanimous positive feedback about the registered manager’s style of leadership and approachability. This feedback was received Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 21 from members of staff, a parent of a service user, and two members of the board of trustees. It was clear from the examination of the complaints record that representatives of service users are confident to make complaints and that the ethos of the home enables this to happen. Members of staff who met with the Inspector reported that they are confident and comfortable to approach the manager with any comments, concerns and suggestions. The home has a quality assurance audit system in place whereby questionnaires are sent on an annual basis to social workers and service users representatives and relatives. Additionally the views and opinions of service users are recorded especially during the Person Centred Planning process that the home is developing. Goals and targets together with service user preferences are recorded together with service users achievements and aspirations. The vulnerability of service users at Bevern View means that health and safety issues have to be thoroughly monitored and the risk assessments process has to identify and minimise risks. The Inspector examined a number of risk assessments and met with the member of staff responsible for monitoring health and safety and fire safety. There were efficient systems in place for the monitoring process. Examples of safety checks that had been carried out were fire equipment checks, portable electric appliance tests, fire risk assessment, security of premises risk assessment, the risk posed to one service user when he has a hot drink, and the monitoring of hot water temperatures. There had been a fire drill carried out in the home in June and the member of staff responsible had identified some issues relating to this. Subsequently he had made an appointment to meet with a Fire Officer form the local fire brigade to discuss these issues. The care plans make it very clear how and with what equipment each service user is to be moved or assisted in moving, therefore all members of staff who work in the home have received training in moving and handling techniques. As mentioned earlier in this report a member of staff in the home was undergoing training to become a trainer in moving and handling techniques at the time of the inspection. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 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 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X X 3 X Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 23 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 YA19 Regulation 13 (2) Requirement That there is a protocol in place for the use of the PRN medication that the Inspector found in a service user’s medication cabinet. That the automatic self closing door device to the laundry room is repaired. Timescale for action 15/08/06 2 YA24 23 (20 (b) 15/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations That records such as care plans are endorsed and dated when they have been updated or changed. Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Bevern View DS0000013963.V298585.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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