Inspection on 20/07/06 for Blisworth Close (Royal Mencap Society)

This inspection was carried out on 20th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Blisworth Close (Royal Mencap... 14/07/08

Blisworth Close (Royal Mencap... 14/11/05

Blisworth Close (Royal Mencap... 27/07/05

Blisworth Close (Royal Mencap... 28/02/05

Blisworth Close (Royal Mencap... 29/05/04

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Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Blisworth Close (Royal Mencap Society) 1 Blisworth Close Northampton Northants NN4 8ND Lead Inspector Mrs Kathy Jones Unannounced Inspection 20th July 2006 08:00 Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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 Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blisworth Close (Royal Mencap Society) Address 1 Blisworth Close Northampton Northants NN4 8ND 01604 676066 01604 676066 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) Royal Mencap Society Ms Sharon Theresa McKinney Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range is 18 years - 65 years. Date of last inspection 14th November 2005 Brief Description of the Service: Blisworth Close is a care home providing personal care and accommodation for 6 younger adults with a learning disability The Premises are owned by a housing association with each service user having a tenancy agreement. Mencap provides the care service. The home is purpose built and is located on a housing development on the outskirts of Northampton. The home is two storey with four bedrooms located on the ground floor. All of the bedrooms are single with en-suite facilities. There is a well-maintained and enclosed garden with water features and raised flower borders. Information about fees was given as being current at the time of the inspection, however the registered manager advised that changes to funding arrangements were being planned. The fee per resident per week is currently £243.26. In addition to the fees, local authorities provide a grant to Mencap for provision of the services in the county. Residents pay £62.35 per week from their benefits. The fees include personal care, staff support, accommodation, meals, laundry and a contribution towards a holiday. Additional charges residents’ will need to pay include chiropody, toiletries, clothing, leisure activities and a contribution towards a holiday. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. All standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for people living in the home. Inspection of the standards was achieved through review of existing evidence, preinspection planning, an unannounced inspection visit to the home and drawing together all of the evidence gathered. The review of evidence and pre-inspection planning was carried out over the period of half a day and involved reviewing the reports of the last two statutory inspections, the latest carried out in November 2005. The service history was reviewed, which details all contact with the home including notifications of events reported by the home, any complaints and telephone calls. A preinspection questionnaire submitted by the registered manager and completed questionnaires from four people living in the home, four relatives and two health professionals were also reviewed. All of the information gathered assisted with planning the particular areas to be inspected during the visit and has informed the findings in this report. The unannounced inspection visit covered the morning and early afternoon of a weekday. The inspection was carried out by ‘case tracking’ which involves selecting a sample of people and tracking their care and experiences through review of their records, observation of interactions with care staff and care practices. The inspector observed the early morning routine and talked to people before they left for their day placements. A sample check of the findings of a service review carried out by the organisation was looked at, discussed with the manager and linked to the evidence in the home to test the adequacy of the quality assurance programme. The management of residents’ medication was reviewed and two files for newly recruited staff were reviewed to check the adequacy of the recruitment process. Discussion took place with the registered manager throughout the inspection and feedback given. The use of the term ‘service users’ was discussed with the registered manager during the inspection. She felt that they would prefer to be called ‘people living in the house’, but plans to discuss their preferences at the next meeting with them. It was agreed that the term ‘people living in the house’ would be used in the body of the report however due to using a standard report template, which refers to National Minimum Standards, it has not been possible to remove the term service users completely. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Recommendations made at the last inspection have been implemented. These were that care plans should be reviewed at least every six months, risk assessments should be signed by the author and that the complaint procedure should contain contact details for the Commission for Social Care Inspection. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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 Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 5 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The admission process provides assurances that the needs of people entering the home can be met and information is available to enable them to make an informed choice about admission to the home. EVIDENCE: The home has a statement of purpose and service user guide that gives information about the services the home provides. The documents contain pictures to aid discussion with people who either live in the house or would like to. Discussion with the registered manager identified that they have purchased a tape recorder and plan to put information on an audiotape as they feel this will be an accessible format for the residents’ at Blisworth Close. Blisworth Close has a stable resident group with no new admissions and no vacancies at the time of this inspection. Documentation relating to the original assessment of peoples’ needs was not available on the files reviewed. While it is accepted that since admission their needs may have changed, it is important that all records identifying needs are kept to ensure that all needs are known and met. A sample check of care files did show that any information relating to medical histories were being kept. No concerns about how peoples’ needs were being met were identified during the inspection. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 10 As it was not possible to check the adequacy of the assessment process through records of a new admission, the process was discussed with the registered manager. The registered manager confirmed that Mencap have an assessment tool and a clear admission procedure which includes obtaining copies of all relevant assessments. The process also includes the opportunity for people to make several visits to the home prior to making a decision to move in. Visits would start with a short visit for tea and build up to a weekend visit. This was confirmed in four questionnaires received from people living in the house prior to inspection. They all said that they had enough information before moving in to make a decision. Three said that they had visited the home while it was being built and had chosen the décor for their rooms. Review of the care file of someone living in the house identified that there was a copy of a licence agreement however there were no terms and conditions in place relating to the actual care and services provided by Mencap. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The overall care provided is good however the absence of systems to identify people’s goals and aspirations may limit their opportunities. EVIDENCE: Four people who live in the home, spoken to during the inspection said they were happy with the support that they get from staff. Four comment cards were received from relatives/visitors and two from health professionals, all comments were very positive about the care provided. The need to improve the care planning and risk assessment processes has already been identified as an area for development by the registered manager and through a service review carried out by Mencap. Care plans are important tools to instruct staff in the care and support required to meet residents’ needs. The service review identified that currently the care planning process does not identify residents’ goals and aspirations and consider how they can be supported in achieving them. How residents’ are encouraged and supported to Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 12 make decisions was not clearly evidenced and care plans were not always reviewed as needs changed. The inspector was informed that a more person centred approach to care planning is going to be introduced with people who live in the home being fully involved in the development of the plans. The registered manager had identified October 2006 as the timescale for completion of the work on care plans and risk assessments. Advice has been given to prioritise areas of care planning and risk assessment based on the level of risk and to ensure they are updated as soon as needs changed. For example it was expected that a care plan would have been drawn up for a resident who had returned from hospital the day before the inspection with a catheter in situ to guide staff in providing appropriate care. Some of the care plans in place provided quite detailed information about residents’ needs and preferences in some areas. Advice was given to ensure that all relevant information is transferred to the new care planning format. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. People have a lifestyle, which appears to meet with their expectations, they are able to make decisions about their day and efforts are made to ensure they are able to take part in their chosen activities. EVIDENCE: Completed questionnaires were received from four of the people living in the house prior to the inspection. Comments confirm that they are able to make decisions about what they do each day and are able to do what they want providing staffing levels are sufficient. However people confirmed that if an activity is arranged in advance then additional staff will be provided to support the activity or if someone wants to do something, which isn’t possible, it will be arranged for another day. Records show that activities have included carpet bowls and going to a music festival. The inspector was told that there had been several parties recently that people living in the house had attended. One of the parties had been held at the Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 14 house for someone’s birthday. His friend’s and family and all the people living in the house had enjoyed a barbeque. Contact and relationships with friends and families is encouraged and supported by staff and relatives confirm that they are made welcome in the home at any time. All the people living in the house attend various day service activities out of the home organised by the local authority. One of the older people has chosen to reduce the number of days he attends to two. On the day of the inspection there were two residents staying at home, which included one person who returned from hospital following an operation the day before. Routines appear flexible and the early morning routine was based around assisting people where necessary to get ready for when the transport arrived to collect them for their day placements. People are encouraged to be as independent as possible and to treat the house as their home. On arrival one person living in the home invited the inspector to have a cup of tea, which she made. Later she was seen cleaning up some budgerigar feathers from the lounge carpet before she went to day activities. Someone else was enjoying some music before she left and one person not going out to day activities had a lie in. While people living in the house appear to lead a lifestyle which meets with their expectations the implementation of person centred planning and consideration of individual aspirations may increase opportunities for some people. Residents’ said they were happy with the meals and could decide what they wanted to eat. One of the residents’ who were staying at home said he would like some rolls, he also said that he would like to go out to the shops. Arrangements were made for the residents to go to the shops and choose what they wanted for lunch. The manager confirmed that as part of the review of care plans individual needs and preferences would be taken into account with consideration being given to the encouragement of healthy eating. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. People living in the home receive a good level of care and support with health care services accessed as required. EVIDENCE: People confirmed that they were getting the personal support that they needed. Care plans for personal care were quite detailed and demonstrated that consideration had been given to the importance of independence with staff supporting residents’ with their care rather than doing everything for them. Assistance with personal care was given in privacy and staff were observed to assist residents’ in maintaining their dignity. Records show that regular health care checks are accessed for residents’. For example: chiropody, optician and ‘well man’ clinics. Staff are working with residents’ to complete a document that looks at their health care needs and contains an action plan detailing any additional support required. A resident had returned from hospital following an operation the day before the inspection. Discussion with the resident and staff highlighted that staff had supported him in hospital throughout his stay. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 16 Completed questionnaires were received from two health professionals, which confirmed that staff communicate clearly with them and have a good understanding of residents’ needs. They also confirmed that they felt medication is appropriately managed. Medication training for staff has been highlighted within the organisation’s service review as a training need. Only small amounts of medication are kept in the home. Good systems are in tablets received and administered to one resident was found to be correct. The service review had recommended that additional guidance be sought regarding the monitoring of a residents’ blood pressure. There was evidence that guidance had been sought from the General Practitioner. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. People who live in the house and their relatives feel that they are treated well and know who to talk to if they have any concerns. EVIDENCE: The Commission for Social Care Inspection have received no complaints about the service since the last inspection. The Registered Manager has confirmed in the pre-inspection questionnaire that no complaints have been received by the home. There is a complaint procedure in place, which relatives confirm they are aware of. A recommendation was made following the last inspection that contact details for the Commission for Social Care Inspection were included and this has been done. People living in the house confirmed in the questionnaires and in discussion during the inspection that staff treat them well and that they are able to talk to someone if they have any concerns. Training in protection of vulnerable adults is being planned for staff. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The standard of the environment is good providing people with a clean, comfortable and homely place to live appropriate to their needs. EVIDENCE: The home is two storeys and communal areas that consist of a through lounge and dining room and kitchen are located on the ground floor. Four bedrooms are located on the ground floor; all have en-suites and are single rooms. The home was purpose built and has wheelchair access from the adjacent car park and pavement. All areas of the ground floor including the garden are accessible to wheelchair users and those people with limited mobility requiring walking aids. People were observed to move around the home freely. There is a large bathroom with assisted bathing facilities and sufficient room for staff to assist. The inspector spoke to two people in their rooms and another took the inspector to see her room. All were happy with their rooms, which were all a Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 19 good size, clean and reflective of their different personalities in relation to décor and personal possessions. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. People are cared for by staff that are committed to them and systems are in place to identify training to provide them with the necessary knowledge and skills to meet people’s needs. EVIDENCE: Comments received from relatives and people who live in the house and observations indicate that there is a small but committed staff team who care about the residents. One relative described the staff as “Excellent”. The registered manager advised that there are currently staff vacancies in the home, which they are working to fill. Additional shifts are covered by the registered manager, staff working additional hours and as a last resort through using agency staff. Comments from relatives and people living in the home indicate that there are sufficient staff to meet the needs of residents’. Currently five staff excluding the registered manager are employed in the home. Of these two have a National Vocational Qualification (NVQ) at level two or above. NVQ 2 provides staff with a basic understanding of care practices. One member of staff informed the inspector that he had achieved Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 21 NVQ level 3. The percentage of staff currently holding a qualification in care is slightly below the target of 50 recommended in the National Minimum Standards. Staff records were in the process of being re-organised into files with an index and dividers to assist in locating relevant information. No new staff have been employed since the last inspection and in fact the staff members file reviewed as being one of the most recent recruits showed that they had been working in the home for two years. Criminal record bureau checks had been obtained for the two staff whose files were checked. References for the member of staff who started two years ago could not be located on file to confirm that these had been taken up prior to working in the home. The registered manager confirmed that references and satisfactory criminal record bureau clearances would be obtained prior to new staff starting work in order to protect people living in the house. Records show that staff have received recent one to one supervision sessions with the registered manager, which consider how they are meeting peoples’ needs and any training needs. Training needs for staff have also been identified as part of the organisation’s service review. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The home is managed in the best interests of people living there. EVIDENCE: There is an experienced registered manager in post who has achieved a National Vocational Qualification (NVQ) level 4 in management. Discussion with the registered manager identified that most of her working hours are at present used working on shift to cover staff shortages. The registered manager felt this was a temporary problem and would hopefully be resolved once new staff have been recruited. Advice was given to the registered manager to keep under review the impact of this on her management responsibilities and to clarify on the staff rota which hours she works on shift and which are allocated to management duties. Good quality assurance systems have been implemented. A full service review has recently been completed as part of the quality assurance programme. A Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 23 sample check of this review indicated that this was a thorough and honest review of the service, which focussed on the experiences of people living in the home and was consistent with the inspection findings. The registered manager was very positive about the review and felt that it provided her with a good tool and guidance to make improvements. The pre-inspection questionnaire submitted by the registered manager confirmed that regular maintenance checks and servicing is carried out on equipment such as fire equipment, electrical appliances and the central heating boiler. Staff training includes training in safe working practices. No health and safety concerns were identified during the inspection. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 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 3 3 X 3 X 3 X X 3 X Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 25 No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA5 Good Practice Recommendations People living in the house should have copies of the terms and conditions of the service provided signed by them and or their representative. Care plans and risk assessments should be kept up to date and be reflective of all residents’ current needs and the actions required of staff to meet them. Care plans should include personal goals and opportunities for personal development and decision making. YA6 YA9 YA6 YA7 3. Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Blisworth Close (Royal Mencap Society) DS0000012713.V304395.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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