Inspection on 19/04/07 for Birwood

This inspection was carried out on 19th April 2007.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Birwood 19/08/09

Birwood 05/08/08

Birwood 23/02/06

Birwood 11/08/05

Birwood 21/01/05

Birwood 15/04/04

Birwood 04/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Birwood Wheathills Road Huyton Knowsley Merseyside L36 5UR Lead Inspector Miss Diane Sharrock Key Unannounced Inspection 19th April 2007 10:00 Birwood DS0000021516.V295263.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 Birwood DS0000021516.V295263.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. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Birwood Address Wheathills Road Huyton Knowsley Merseyside L36 5UR 0151-449-3758 0151 449 3758 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/ Company (if applicable) Name of registered Manager (if applicable) Type of registration No. of places registered (if applicable) www.c-i-c.co.uk Community Integrated Care Mr Ian Campbell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents to Include up to 3 (LD) Date of last inspection Brief Description of the Service: The home is a 3 bedded bungalow currently registered as a care home for Younger Adults with Learning Disabilities offering Residential Personal Care. The Bungalow is situated in Wheathills Road, Huyton close to local amenities. Community Integrated Care is the named Company. The Registered Manager is Mr Ian Campbell. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. This included reading records and looking at the building. ‘Case tracking’ was used as part of the visit to the home. This involves looking at the support a person gets from the home including their care plans, medication, money and bedroom, time is also spent meeting Residents and Staff. Two of the people living in the home were case tracked as part of this inspection. Inspections involve measuring a number of standards considered as important by the Commission. A selection of comment cards were also left in the home to offer people further opportunity to give their opinions. There has been no cause for any visits to the home since its last routine inspection. Any information the Commission for Social Care Inspection(“The Commission”) has received since the last inspection about the home is also taken into account. The home are requested to contribute information to the inspection by completing a pre-inspection questionnaire. Unfortunately this had not been received by the Commission, however the Manager was able to provide necessary information during this visit. The fees for the home are listed in the homes Statement of Purpose as follows, Residents are assessed as paying from £60.16 to £81.35 each week, Social services pay £330.50 per week. The Company have published an agreement to pay £300 a year for clothes for each Resident, £350 a year for amenities and £500 each per year for a holiday. What the service does well: Birwood Road is a small home, which works on the principles of ordinary community living. The home offers a small and homely environment, which always presents as being welcoming and friendly. The home continues to employ long-standing members of Staff who offer great stability to the home. The home consistently meets a lot of the standards and offers a very good standard of care to its residents. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 6 The Residents have detailed care plans. The care plans include information on the Residents likes and dislikes and Staff have a good understanding of Residents needs including their personal and health care and provide support to meet these. Individual risk assessments are in place for Residents including ones for new equipment that has been bought. Staff were able to explain the risks and the action they take to reduce these risks. The Residents are supported to remain healthy and Staff are support the residents to attend health appointments on a regular basis if required. Members of the Staff team appear to know the Residents well and have formed good relationships. Residents receive a variety of meals and the support they require at mealtimes. What has improved since the last inspection? What they could do better: Full feedback was given to the Manager during and on conclusion of this site visit. Some areas were noted to require further action to be taken and further evidence to be in place to meet some standards. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 7 Finances should continue to be developed and actions taken to provide clear and accurate information for all Residents regarding the management of their monies, this will give Residents added safety in showing how their funds are managed in their best interest. In developing the environment, the company should provide dates for everyone so they are informed of the plans to install a fully adapted kitchen, an adapted and accessible landscaped garden and the replacement of the kitchen flooring. This will help provide facilities tailored to the Residents needs, safety and choices. A review of the current practice of handwritten records on medication sheets is advised and it is recommended that 2 Staff signatures are obtained. This will provide an added safety procedure to reduce any potential risks of error. 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. Birwood DS0000021516.V295263.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 Birwood DS0000021516.V295263.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): 2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Policies are in place for the assessment of needs of a new Resident. EVIDENCE: As identified at the previous inspections, Standard 2 is a key standard to be assessed in the home, however there have been no new Residents to the home for a number of years and it therefore could not be practically assessed. The Company do have assessment policies and procedures and these show that an assessment of the needs is carried out with the person identified to move to the home before they move in. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6/7/9 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. There are care plans and risk assessments in place for Residents covering all aspects of their daily life. Staff in the home are aware of Residents choices and support them in daily decision making. Not all records of Residents monies managed by the organisation are made available for auditing by the Residents, Representatives or the Commission. EVIDENCE: The Residents care, support plan is clear, informative and easy to follow. The plan includes information on the person’s needs, daily routines, likes and dislikes, health, activities, communication skills and needs. When appropriate the plans include detailed guidelines as to how to support the person with aspects of their physical and emotional health and well-being. Staff described a recent incident were they involved a lot of members of the multi disciplinary team like the speech therapists to help improve the Residents Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 11 health needs. This was also seen in the care plan, which has helped to improve the person’s care and support for a better quality of life. Staff were able to give examples of how they communicate with all of the Residents to find out what they want and do not want to do, and had a good understanding of individuals likes, dislikes and choices. The opportunity for Residents to make decisions and their needs known, relies to some extent on the Staff team understanding and responding to their nonverbal communications. This was observed during this visit and care plans reflected the Staffs understanding and knowledge and rapport with the Residents. Residents were seen to be supported in their own individual routine for the day by each of the Staff especially in when they wanted to get up and at what time they wanted their meal. The management and access to Residents finances has made some improvements especially with regular statements sent from head office to the home giving clear and open records on all monies stored at the main office. The Manager explained that the process will be much improved when all of the Residents monies are paid into their own bank account, however the company have still to give a date for this to be implemented. This is despite Representatives of the company meeting with the Commission following previous visits and accepting that the management of finances needed to be reviewed to provide the best interests of Residents. It was difficult to audit trail the records for monies kept in the Residents own bank accounts, withdrawal receipts were found which had no description of what purchases were made. The transfer of money from head office in June 2005 for one Resident to their own personal bank account did not relate to the current bank statement of October 2006. There was no audit trail or finance record to show what purchases had been made or to explain the current balance. Discussion followed were the Manager explained that all finance records are kept together and he acknowledged the records needed to be audited and put in order to show an accurate, simple and clear record of monies managed for all of the Residents. The Manager explained that head office send a monthly cheque which is cashed and shared between the 3 Residents so they have access to their money at all times. Receipts were kept for all transactions seen and showed an audit of how the Residents monies are managed. It wasn’t clear each month on these records as to when the monthly cash transfer was recorded on these sheets; they must be reviewed to show simple, accurate and clear records. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 12 It was noted in reviewing monthly reports, one dated 29/3/07 that finance records were being audited on a monthly basis by the homes Regional Manager. The Manager explained that the Company had also carried out a detailed internal audit. The Manager gave some verbal information on this audit however the Company have not yet produced a report of the findings regarding whether any developments were needed following this visit. In discussion with the Manager it was acknowledged that the Company had recently purchased 2 electric beds for the use of the Residents. One Residents statement held at head office showed that the money for one bed was initially taken from the Residents account. The Manager was confident that the Company did pay the funds back to the Resident but the balance sheet could not be found to show this. There was no evidence that Residents gave permission for transfer of their money from their account for such transaction. Residents rights must be protected and procedures for managing Residents money must be clear to help safeguard them and to evidence good practice in promoting their rights. This highlights an area for the Company to review their practice of taking monies out of Residents accounts without their knowledge or permission. Procedures must be clear for those Residents who do not have the capacity to give consent. Birwood DS0000021516.V295263.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): 12/13/15/16/17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home supports Residents to access the local community and leisure facilities in accordance with their choices, and to maintain relationships and to eat a balanced diet with support at mealtimes when needed. EVIDENCE: Staff were observed to have a good rapport with Residents and were observed to assist Residents in various choices. Resident’s rights, likes, dislikes and choices are respected. The Residents have a care plan, support plan and this includes a good level of information on how to support the person. Residents and Staff have regular ‘house meetings’ to discuss the running of the home. Minutes of these meetings were seen and showed good discussions on Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 14 everything at the home keeping everyone informed and included in the developments. Records in the home showed that Residents Relatives are able to visit at any time. The home are sending regular updates to the Relative to make sure they are involved and updated regarding the Residents lifestyle. The home holds a budget for food shopping and uses local shops and supermarkets. During this visit one Resident went out shopping with a Staff member to purchase some food for the evening meal. The Residents choose their own food and meals and Staff were seen supporting Residents in choosing what they wanted, and when they wanted their meal. Birwood DS0000021516.V295263.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): 18/19/20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff have a good understanding of Residents support needs and personal care is provided in keeping with their needs and choices. The home supports Residents’ to access regular and specialist health care checks and appointments. Medication is well managed within the home. EVIDENCE: Care plans contain clear information about the support the person needs with their health and personal care and Staff were able to explain the support they provide to each person. The “My Health” documents that Staff had introduced were noted to be detailed and individualised to each Residents needs. Most just needed updating as they did give good information around each persons health needs and how Staff support Residents with these needs. Records showed that the home provides a good level of support to Residents in accessing healthcare. This includes regular healthcare and visits to the doctor and district nurses and more specialist appointments to speech therapy. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 16 Medication is stored in a locked cabinet which was seen to be well organised with clear systems in place and records kept of stock checks and medication given. Medication records and storage were checked. These were found to be appropriate and safely managed. One medication sheet had a handwritten record for Ibufron. The Manager stated it was a prescribed drug, however they had a had problems with the pharmacy inputting the sheets sometimes without the typed details of the drugs. The current practice of handwritten records on medication sheets should be reviewed, while this situation is resolved with the Pharmacist . It is recommended that 2 Staff signatures are used for any handwritten entries. This will provide an added safety procedure to reduce any potential risks of error. Birwood DS0000021516.V295263.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): 22/23 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and which aim to protect Residents against abuse or neglect. The management of residents finances is not satisfactory. EVIDENCE: The home has a complaints procedure, which is time scaled appropriately and includes contact details for the Commission. A copy of the complaints procedure is available in each persons care file and in the homes Statement of Purpose. There is a book in the home for recording complaints received about the service, although none had been received. Information about how to make a complaint is made available in the Resident guide and statement of purpose. During Staff interviews, Staff had attended some of the mandatory training and were happy with the training on offer. Staff explained that the Crisis Intervention training includes abuse awareness. Staff say they had received abuse awareness training. Staff are trained and experienced to support and protect Residents. Two Staff files seen showed good evidenced that the home carries out suitable checks prior to appointing members of Staff and at regular intervals. An outstanding issue concerns how finances are managed which has been detailed in this report under standards “individual needs and choices.” Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 18 The home does have the added protection of regular reviews from head office personnel and these checks should help maintain good accurate records and procedures as advised in the homes policies on the management of Residents finances. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 19 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): 24/25/30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The environment is generally well managed and provides a pleasant environment for Residents to live in. EVIDENCE: Birwood is well placed for accessing local amenities. The home is based in a Residential area of Huyton. Accommodation is in a 3-bedroom bungalow, which fits in well with other domestic homes in the area. The home was warm, clean and nicely decorated with a homely atmosphere. Shared space within the home consists of a lounge, open dining room and kitchen, office, laundry and enclosed back garden. These rooms are comfortably furnished and decorated and have a homely atmosphere apart from the kitchen area which is in need of redecoration and modernisation. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 20 The Manager advised that the landlord has agreed for the refurbishment of the kitchen this financial year although no date has been given. The refurbishment of this area will eventually benefit the Residents living at the home, especially if the new kitchen units are fully adapted residents can access the units from their wheelchair. The kitchen flooring is also planned for replacement and a date should be given so that this area is safe and offers a better standard of decoration similar to the standard seen in other areas of the home. The maintenance and decorating plan should still continue to include all other areas that have not yet been redecorated including the kitchen and garden area. This will be able to be shared with Residents and Staff and help keep them fully informed and up to date. The Manager explained that the gardens to the rear of the home are to be landscaped and made safe and fully accessible but as yet there is no date for starting this work. This development is being funded by the Company, a charity called “helter skelter” and the Residents. All procedures around the management of Residents finances must be made in the best interests of Residents at the home so their rights are always protected and their own choices are supported were able. The plans for the garden were seen during this visit and look like they will really benefit the Residents once carried out, making this area much more accessible and safe to use. Each of the people living at the home has their own room and these were found to be personalised with the person’s own belongings. The home has health and safety practices and procedures, which are aimed at ensuring the home is safe and clean and free from hazards to the health and safety of Residents and Staff. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 21 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): 32/34/35/ Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff appear to have a good understanding of the needs of the Residents. The Residents are supported by a well-established Staff team who have been provided with training. Staff are supported through regular supervision and team meetings. EVIDENCE: Observation of Staff and discussions with them indicate that the Staff know the needs of the Residents well and know their likes and dislikes. It was evident they had a good understanding of how to support Residents and how to ensure their needs are met and their individuality respected and catered for. The Staff rota showed that the home provides 2 members of Staff during the day with one Staff available at night times. Many of the Staff working in the home have been there for several years or more and provide a stable team for Residents. The Manager stated that nearly all of the Staff except for one person had obtained their national care qualification, which helps the home exceed the Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 22 basic guideline for at least 50 of the workforce to have their care qualification. Some individual training records had not been updated but discussions with Staff and review of the training plan for the home showed that training had taken place and included a range of courses to help Staff support Residents diverse needs. It is recommended that an up to date training plan is completed and available in the home for all members of Staff and for the team as a whole. This will help to make sure Staff are up to date with current practice and that they receive training to help them meet Residents individual needs. One member of Staff reported that they have regular and recorded supervision with the Manager and daily open discussions. Staff also reported that they attend regular team meetings. This was confirmed, as the minutes of some of these meetings were available. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 23 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): 37/39/40/41/42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is generally well organised, and the health, welfare and safety of Residents and Staff is promoted and protected Residents have support to identify their views. Residents finances must be managed in their best interests, as currently they do not all have clear records. EVIDENCE: The and one this Manager has been at the home for many years, offering a great stability rapport to all the Residents. The Manager explained that he has at least day a week supernumerary to carry out his management role and he felt was adequate. The home is visited on a regular basis by a representative of the organisation. In line with quality assurance processes the home is visited at least once per Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 24 month and a report is produced with the findings of the visit. These visits form part of the quality assurance process and form an opinion on the standard of care provided. The Company have various procedures in place to show how the home is being managed e.g. the Inspector looked at a sample of maintenance certificates, fire safety checks, which showed what actions were taken to ensure the safety of everyone at the home. The Company policies around the management of Residents finances must be reviewed and the Company should audit the finance records to assist in evidencing clear, accurate and simple management of finances. Current practices for accessing Resident monies for equipment without evidencing the residents permission has been obtained can be considered a breach of the Residents rights. Policies, procedures and practices must be in place to evidence how the Company will safeguard the Residents. Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 25 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 2 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 1 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTH3ARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 1 X X 3 x Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 26 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 YA7 Regulation 20 Requirement The management of finances for Residents must be clear and accurate and show that they are managed in the best interest of Residents. All transactions must be open, transparent and in agreement with each Resident/Representative. Timescale for action 05/06/07 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 YA24 Good Practice Recommendations To provide an updated written maintenance/decorating/refurbishment programme including dates for the replacement of the kitchen flooring and landscaping of the gardens To update the Staff training plan and arrange dates for training identified for Staff. 2 YA32 Birwood DS0000021516.V295263.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@the Commission.gsi.gov.uk Web: www.the Commission.org.uk © This report is copyright Commission for Social Care Inspection (THE COMMISSION) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of THE COMMISSION Birwood DS0000021516.V295263.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!