Inspection on 26/02/07 for Boscobel

This inspection was carried out on 26th February 2007.

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

Other inspections for this house

Boscobel 18/01/08

Boscobel 17/01/06

Boscobel 11/10/05

Boscobel 09/03/05

Boscobel 09/12/04

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 Boscobel 1 Preston Road Southport Merseyside PR9 9EG Lead Inspector Ms Lorraine Farrar Unannounced Inspection 26th February 2007 12:45 Boscobel DS0000005357.V304812.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 Boscobel DS0000005357.V304812.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. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Boscobel Address 1 Preston Road Southport Merseyside PR9 9EG 01704 537611 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) Mr Derek Ellison Mrs M Ellison Mrs Marjorie Ismay Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 20 LD One named out of category service user, Physical Disability (PD), as defined in letter dated 19/04/90. 17th January 2006 Date of last inspection Brief Description of the Service: Boscobel is owned by Mr and Mrs Ellison and is managed by Mrs Marjorie Ismay. It provides accommodation, personal care and support for up to 20 adults who have a learning disability. Staff are available 24 hours a day to support the people living there. Located in Southport, the home has easy access to public transport going to Southport & Liverpool, with Southport town centre approximately ten minutes bus journey from the home. There are local shops & facilities nearby, with a wider range available in the town centre. The property is a detached four-storey house in a wide, tree-lined street. There is plenty of parking available outside the home and some on its grounds. Accommodation is available on three floors. On the ground floor there are two shared lounges with the dining room in the basement. No passenger lift is available, however Residents can eat in the lounge if they choose and there are some bedrooms on the ground floor. There is a large, enclosed garden to the rear of the property. Fees for living in the home range from £355.00 to £399.50 per week. Boscobel DS0000005357.V304812.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. An unannounced site visit took place for six hours on 26th February 2006. This included reading records and looking at the building. ‘Case tracking’ was used as part of the visit, this involves looking at the support a person gets from the home including their care plans, medication, money and bedroom. Time is also spent talking with the person and with staff about how they meet the person’s needs. During the site visit, 3 Residents were case tracked, discussion took place with 12 people living in the home, 5 members of Staff and the Manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last inspection about the home is also taken into account in writing this report. This includes information provided by the Manager on a pre-inspection questionnaire and comment cards sent to Residents and their Representatives. A total of five comment cards were sent to the CSCI from people living in the home. What the service does well: Before people decide whether to move into Boscobel or not they are provided with information about what the home is like, its polices and procedures and how it operates. Staff also meet with the person and they carry out an assessment of the persons needs and choices as well as obtaining a copy of the persons Social Services assessment. This exchange of information helps everyone to decide whether the home is a suitable place for the person to live and whether Staff and the environment can meet their needs and choices. Up to date care plans are in place for each Resident, which include information about the support they need and the things they do and do not like. Residents are included in the writing of these plans and they provide a good basis for informing Staff about the support people need and choose. Residents are able to engage in hobbies and activities of they like both within and outside of the home. Residents said that they can do the things they want to do, make their own decisions and that Staff listen to them. There are good practices within the home for encouraging Residents to air their views and learn about their rights. This includes lively Residents meetings Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 6 where people can discuss things they want to do, places they want to go, current affairs and polices such as dealing with fire and reporting abuse. There is a stable Staff team working in the home who have a good knowledge of each Resident and the support they require. Residents were positive about the Staff, saying that there is always enough Staff available to support them. One Resident explained, “We get the care we need, go out on day trips, staff are brilliant they really are good”. The home is well managed with systems in place to check the quality of the service provided and plan for future improvements. Regular health and safety checks are carried out to make sure that the environment is safe for people to live in. What has improved since the last inspection? 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. Boscobel DS0000005357.V304812.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 Boscobel DS0000005357.V304812.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): 1&2 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Enough information is given to and obtained about, future Residents to ensure that their needs and choices can be met by the home. EVIDENCE: In their comment cards all Residents said that they had been given enough information about the home before they moved in. A ‘Service User Guide’ is given to new Residents, which, gives information about different things including, how to complain, the environment, staff and the policies on visitors and smoking. The Guide says that the information can also be made available in large print and in different languages if needed. This information helps people to decide if the home offers the things they want to meet their needs and choices. A care plan for one Resident, showed that before they moved in, Staff obtained a copy of their Social Worker’s assessment and carried out their own assessment of the persons needs and choices. These assessments helped Staff and the person to make sure that the home was a suitable place for the person to live in. Boscobel DS0000005357.V304812.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 8 & 9 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents individual needs, choices and views are generally identified and met within the home. EVIDENCE: Individual care plans are in place for all Residents, these had all been updated regularly and as the persons needs changed. Plans give information about the things the person likes and doesn’t like and the support they need with their personal and healthcare. Residents are involved in their care plan, which includes a section on their views of the care they need. This ensures that Residents views are taken into account and that Staff have up to date information about the support the person needs. Parts of one care plan were brief, stating that the person ‘needs support’ to have a bath. However it did not give detailed information about the type of support needed. This could lead to the person not receiving the correct level of support in this area. Risk assessments are also included in the persons care plan, these identify any risks to the person and give guidelines on how these can be safely managed. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 10 Residents meetings are held monthly in the home. These cover a large variety of subjects, ranging from Protection of Vulnerable Adults, Key Workers, infection control, current news and planned outings. Staff use a series of booklets written by people with a learning disability to help Residents understand the subjects discussed. ‘ One Resident explained, ‘we have our say, they put it into the minutes’ and other Residents spoken with explained that they are involved in making decisions within the home. It was evident through talking with Residents that these meetings have helped them to gain a good understanding of their rights and of how the home runs on a daily basis. Only one of the people living in the home manages their own benefits money and none are supported by their family to do so. For other Residents the Home Owners act as appointee. There is no assessment or information on Residents files regarding their ability to manage their own money or be supported by family to do so. This may limit Residents ability to develop their independent skills in managing their money. Boscobel DS0000005357.V304812.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): 12,13,14,15,16 & 17 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are supported to live a lifestyle of their choice. EVIDENCE: During the site visit Residents were engaged in a number of different activities of their choice throughout the day. Two people were sat in the back lounge with Staff, enjoying quiet time with their books and building models. One lady was knitting, other people were engaged in group activities including watching TV, chatting and playing softball. One gentleman did not feel well and was receiving 1-1 support from Staff, who spent time with him, singing and sitting quietly engaging him in conversation. The different activities and support provided showed that Residents are able to choose how to spend their time and that staff are flexible if peoples needs change. One lady explained ‘I like it here’ and that she had a part time job and did her own household tasks. Another explained that she liked to keep busy and went out to social clubs, sports and drama class. In discussion with a group of Residents they explained, that Staff will support them to go out if they want, Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 12 and that they can go to church or attend an in-house communion service once a week. Care plans contain information about the ways in which people like to spend their time. It was evident in discussion with Residents that Staff provide them with support to take part in the activities they enjoy, including seeing their families. One care plan stated that it was important to the person that she kept in contact with her family. In discussion with her, she explained that Staff help her to ring her family and to see them regularly. Residents meetings have included discussion about appropriate relationships with topics including ‘hold me, hug me’ and ‘appropriate behaviour’. This provides people with a safe environment in which to ask questions or discuss any issues they have around building relationships with others. Throughout the site visit Residents were spending their time as they chose, either alone or in groups and making full use of all the communal areas. Staff spent a lot of time with Residents engaging in activities and chatting with them. All Residents spoken with said that routines in the home are flexible and that they decide what to do and when to get up or go to bed. Meals are served in the downstairs dining room. This is located in the basement and does not have a lift for access. However several people with limited mobility were able to eat their meals with staff support in the lounge. Staff were observed to provide this support on a 1-1 basis sitting and talking with the person as they ate their meal and ensuring it was not a rushed occasion. Records of meals provided showed that there is a choice of meals offered at each mealtime and the Cook explained that she currently caters for low cholesterol and diabetic diets. Several Residents spoken with said that they have a choice of meals and enjoy the food. There is limited opportunity for Residents to be involved in the shopping and preparation of meal times as the main kitchen is used by the cook and many of the supplies are delivered to the home. There is a small kitchen in the home that is not fully used at present. This could be used to support small groups of people to plan and prepare their meals. Boscobel DS0000005357.V304812.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 & 20 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Residents health and personal care needs are identified and Staff provide support where needed, to meet these. EVIDENCE: Information about the type of personal care the person prefers and the support they need is recorded in their care plan. All of the Residents spoken with said that there are enough staff to support them when they need it and that routines are flexible depending on what they have planned for the day. Care plans and records showed that Staff respond quickly to any health issues a Resident may have and that they are supported to make and attend health appointments. For example one Resident had recently developed issues with his mental health. Staff had responded by updating his care plan, seeking specialist advice and providing him with 1-1 support. This helped to ensure that he was as comfortable as possible and got the support he needed quickly. One lady explained that her eyesight is limited and that Staff had supported her to maintained her mobility by painting white lines on to the steps so she could see more easily. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 14 Records also showed that Residents are supported to maintain their health, with regular visits to Chiropodists, Opticians and Dentists and support to monitor their weight. Daily records are kept for each Resident, however these are not always followed up. One record indicated a possible problem with the person’s healthcare and asked Staff to ‘please observe’. However no further entries regarding this had been made. This could lead to health issues not being quickly addressed. Residents’ medication is stored safely in a locked cabinet and is only given out by Senior Staff. Records showed that Senior Staff have all received training in dealing with medication so that they are aware of the correct procedures to follow. A fridge is provided for storing medication that needs to be kept refrigerated. However no record of the temperature of this fridge is kept, which could lead to the medication not being stored correctly and therefore not being effective. Where medication has been prescribed and handwritten on to the medication sheet, this had not been signed by two Staff, which could lead to the medication not being recorded and given correctly. Some medication was prescribed ‘as required’, however no guidelines were in place for the use of this or the reason it was prescribed. This could lead to the person not being given their medication appropriately. Medication records had been completed correctly and there was a clear system in place for medication returned to the Pharmacist. This helps to ensure that all medication in the home can be easily accounted for. . Boscobel DS0000005357.V304812.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 & 23 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Residents feel safe and protected and that their views are listened to. However further development of practices is needed to ensure they are financially protected. EVIDENCE: Residents said in their comment cards and in discussion during the site visit that they know who to talk to if they were not happy. One Resident explained,’ Staff sort it out if you are upset’. In Residents meetings Residents have discussed adult protection polices and what to do if they are not happy with how someone treats them. This helps to make sure that Residents are aware of their rights and of the action they can take if someone upsets them. There are polices in the home for dealing with complaints and adult protection issues, these are made available to Residents and their Representatives in the ‘Service User Guide’ and a member of staff confirmed that he had access to these polices along with a copy of the homes whistle blowing policy. Records showed that Staff have received training in adult protection issues. The access to polices and training helps to ensure that Staff can identify issues and take appropriate action if they arise. In the pre inspection questionnaire the Manager recorded that there have been two complaints made to the home within the past year, both were investigated and responded to quickly. As previously stated in this report the owners act as appointee for most of the Residents benefit money. The money is paid into a company account and computer records are kept in the home of the amount owning to each person. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 16 However the money remains in the company account until spent by the Resident. Money for everyday use is taken from a petty cash tin and later debited from the persons account via the computer system. Receipts for expenditures are kept and can be audited. However the fact that Residents monies are held in a company account means that they may not receive interest on their savings and the money may be seen as part of the company assets. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents have a safe, comfortable home to live in, which meets their needs and choices. EVIDENCE: Boscobel is a large detached house in a Residential area of Southport. It fits in well with other, domestic houses in the area and does not stand out as a care home. To the front there is a garden with parking and a ramp and steps leading to the front door. There is additional parking available on the road outside. At the back of the house is a large enclosed garden with seating available. Shared areas of the home include, two lounges and a dining room in addition to which there is a ‘flat’, which provides a small kitchen and lounge. There are bedrooms on the ground and first floor, of which, four are twin rooms, with the others providing single accommodation. Where two people share a room this is documented in their care plan and a Resident confirmed that she had chosen to share with a friend. Bedrooms are not en-suite but provide washbasins and there are four bathrooms throughout the home. A walk-in shower is available in one Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 18 bathroom and the Manager advised that they plan to add a second walk-in shower on the ground floor. Residents said in their comment cards that the home is always fresh and clean and this was observed during the site visit. All areas of the home appeared comfortable, with rooms that had been recently decorated appearing bright and welcoming. The homes business plan states that 6 bedrooms will be decorated within the next year and a Resident explained that she has chosen the décor for her room and the decorating is starting shortly. A separate laundry room is provided, this was well organised with systems in place to prevent the spread of infection. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are supported by an experienced Staff Team who can identify and meet their needs and choices. EVIDENCE: One Resident described the Staff as, “ pleasant and caring” explaining that, “we get the care we need, go out on day trips, staff are brilliant they really are good”. Another explained, “they talk to you, ask you what you want, they take you out”. All of the Residents spoken with said that they had a keyworker who supported them and that they think there are enough Staff to support them with their personal care needs and to get out and about. Throughout the site visit Staff were observed making time to sit and chat and engage in activities with Residents. They also showed a good level of understanding and empathy in supporting one Resident who was feeling unwell. A newer member of Staff explained that she spent her first couple of weeks getting to know the people living at Boscobel and got their agreement to helping them with their personal care. This is good practice and indicates that Residents views are taken into account and acted upon within the home. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 20 Over half of the Staff team have gained a national qualification in care and records showed that they undertake regular training. Training is arranged in basic areas of care such as infection control and fire and in more specialist areas such as management and healthcare issues. This training helps to ensure Staff have the skills and knowledge to identify and meet Residents individual needs and choices and ensure that they are safe. Staff files contained evidence that before a new member of staff works in the home appropriate checks are carried out, this includes a full interview, obtaining references and CRB checks. These checks help to ensure that they are suitable to work with vulnerable adults. Residents are not formally involved in the interviewing of new Staff, however the Manager advised that they are introduced to people before interview and their interactions taken into account. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents live in a home that is safe, well managed and involves them in decision making and planning for the future. EVIDENCE: Mrs Marjorie Ismay is the Registered Manager of the home. She is an experienced Manager who holds qualifications in both care and management and is currently studying to obtain a higher level management qualification. There are several systems in place within the home for checking that they are offering a good service. A recent quality audit of the service by an external company awarded them a 5 star rating, this included seeking the views of Residents and their Representatives. In addition there is a business plan in place, which sets out their aims and objectives over the next year and covers areas as diverse as supporting Residents, communication, staff training and plans to improve the environment. Monthly audits are carried out on the Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 22 building which identity any areas that need improvement. These systems enable the home to check that they are providing a good quality service and identify and plan for further improvements. Health and safety records are up to date and satisfactory, showing that the building and equipment is safe for people living, working and visiting the home. Residents are encouraged to be aware of health and safety risks via discussions in their Residents meetings. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 3 2 3 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA23 Regulation 20 Requirement Money belonging to Residents must not be held in a company account. This will ensure that Residents monies are safe from potential misuse. Timescale for action 30/06/07 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 YA7 Good Practice Recommendations The Registered Person should include a section in everyone care plan regarding how their finances are managed and the support they need with this. This will support Residents to manage their money more independently, where possible. The Registered Person should look at ways to support Residents to become more involved in planning and preparing meals. This will increase the input Residents have into the running of their day to day lives. Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 25 2 YA17 3 YA19 The Registered Person should provide a system for ensuring unusual occurrences that are documented in daily records are followed up. This will help to ensure that any issues affecting Residents are quickly identified and dealt with. The Registered Person should Ensure that handwritten entries in medication sheets are signed by two members of Staff. Ensure that records of fridge temperatures are recorded daily where they are used to store medication. Provide written guidelines for the use of ‘as required medication. This will help to ensure that medication is managed safely within the home. The Registered Person should look at ways to further involve Residents in the recruitment of new Staff. This will provide more opportunities for Residents to become involved in the running of the home. 4. YA20 5. YA34 Boscobel DS0000005357.V304812.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Boscobel DS0000005357.V304812.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. 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