Inspection on 20/02/07 for Bowden Derra Park

This inspection was carried out on 20th 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

Bowden Derra Park 21/03/06

Bowden Derra Park 06/07/05

Bowden Derra Park 26/01/05

Bowden Derra Park 11/05/04

Bowden Derra Park 16/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Bowden Derra Park Polyphant Launceston Cornwall PL15 7PU Lead Inspector Alan Pitts Key Unannounced Inspection 20th February 2007 09:30 Bowden Derra Park DS0000008982.V329967.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 Bowden Derra Park DS0000008982.V329967.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. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bowden Derra Park Address Polyphant Launceston Cornwall PL15 7PU 01566 86230 F/P 01566 86230 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) Bowden Derra Park Limited Mr Maurice Clement d`Entrecasteaux Care Home 46 Category(ies) of Learning disability (46) registration, with number of places Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Total numbers not to exceed 46 of whom up to 20 may have an associated physical disability Service users to include up to 31 adults with a learning disability (LD) to be accommodated in Bowden Derra House (Main House) Service users to include up to 5 adults with a learning disability (LD) to be accommodated in Medrow House Service users to include up to 10 adults with a learning disability (LD) to be accommodated in Orchard House 21st March 2006 Date of last inspection Brief Description of the Service: Bowden Derra Park Ltd is a privately owned company that provides care and accommodation for up to 46 people with a learning disability in one of three houses. The Main House has rooms on the first floor and ground floor where there are also three communal sitting rooms and a large dining room. Orchard House provides care and accommodation for people who may present with challenging behaviour. Medrow House is situated on the limits of the campus and is home to service users who have been identified as people who would benefit from a more independent life style where they could participate in the running and organisation of their home. There are large grounds surrounding the home, which is situated on the outskirts of a village approximately seven miles from Launceston. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over a period of approximately 6.5 hours. Reece d’Entrecasteaux, the registered manager and Jonathon Steed, manager, were present to answer queries and provide information. The inspector toured the premises, reviewed records, met with staff and residents, and discussed issues with the above named personnel. The home celebrated its 25th Anniversary last year. Overall, the management team at Bowden Derra is proactive in tackling problems in order to reach solutions before a crisis occurs, and there is an evident ethos that puts the welfare of the residents first. Whilst there are some requirements and recommendations identified in this report this should not detract from the efforts of the skilled and enthusiastic staff team. What the service does well: What has improved since the last inspection? What they could do better: The programme for the provision of radiator covers now needs to be completed as this has been on going for a considerable time. The registered providers need to continue with their efforts to provide individual bank accounts for residents and to establish consent in the issue of the handling of mobility allowances. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 6 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. Bowden Derra Park DS0000008982.V329967.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 Bowden Derra Park DS0000008982.V329967.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. National Minimum Standards 1 and 2 were inspected. This judgement has been made using available evidence including a visit to this service. The home pride themselves on the efforts made in order to ensure that residents have the information they need, and also in fully assessing the needs of prospective residents prior to admission in order to ensure that their holistic needs can be met by the care home. EVIDENCE: The documentation relating to the most recent admission to the home was inspected, as was the records relating to a potential admission that the home subsequently decided not to accept. All new residents receive a full comprehensive needs assessment before admission this is carried out by staff with skill and sensitivity. Experienced and qualified staff undertake the assessments. The inspector met with a visiting relative who also confirmed that they felt that they had the information they needed, and that the home maintained good communications with residents and their representatives. Information is gathered from a range of sources including other relevant professionals, and with the individuals agreement, carer’s interests are taken into account. Prospective residents and their families are treated as individuals and with dignity and respect for the life changing decisions they need to make. The assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 9 the home meet the holistic needs of the individual. An individual member of staff is allocated to residents to give them information, special attention, help them to feel comfortable in their surroundings, and enable them to ask any questions about life in the home. Information is in a format suitable to the needs of the resident, and their families, for example, widget, pictures. Staff use innovative methods to make the information they give meaningful and interesting, though there is a preference for 1:1 face to face explanation as the most effective method. Bowden Derra Park DS0000008982.V329967.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): Quality in this outcome area is good. National Minimum Standards 6, 7, and 9 were inspected. This judgement has been made using available evidence including a visit to this service. Care plans are available for all residents. Residents are encouraged to be as participative as possible, with risk being assessed as part of this process. Care plans are under regular review. Management and staff understand the importance of residents being supported to take control of their own lives, and to encourage and enable them to exercise their rights and make their own decisions and choices. EVIDENCE: A sample of care plans was seen, and the contents discussed. The home has prepared individual care plans for each service user that it reviews regularly. An Adult Social Care (Social Services) professional is reviewing the care of all the residents. Care plans include details about people’s wishes and choices. Risk assessment forms an important part of this. Care plans are written in plain language, is easy to understand and consider all areas of the individual’s life including health; specialist treatments, personal and social care needs. Staff have the skills and ability to support and encourage residents to be Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 11 involved in the ongoing development of their plan. Management of risk takes into account the age, specialist needs of people who use the service, balanced with their aspirations for independence and choice. Where limitations are in place, the decisions have been made with the resident or their representative. Residents’ finances are currently ‘pooled’ in a central residents’ account, which is managed by Bowden Derra. This is unacceptable as residents may be disadvantaged. The registered manager said that this was already under review with a view to setting up individual accounts, and that this process would now be hastened. The registered provider must make arrangements for each resident to have their own bank accounts. The registered manager assured the inspector that steps to rectify this situation were already in hand. Similarly, in respect of mobility allowances the registered manager is arranging for independent advocates to help in explaining the situation to residents or their representatives so that they may make an informed choice about how best to manage these. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is excellent. National Minimum Standards 12, 13, 15, 16, and 17 were inspected. This judgement has been made using available evidence including a visit to this service. Residents are provided with as many options as possible to encourage independence, further education and interesting leisure opportunities, and opportunities are appropriately tailored for the wide range of capabilities amongst the residents. A flexible lifestyle that provides residents with opportunities is at the heart of the care provided. Care is taken to ensure that meals and mealtimes are enjoyable. EVIDENCE: The home continually seeks situations for education, leisure and social stimulation for its service users; advice is sought from other professionals or relevant people regarding this when needed. It uses facilities offered by a wide range of organisations including Link into learning, Colleges and Leisure Centres. The ‘generic’ activities available are complimented by individual programmes, which reflect the capacity and capabilities of the residents. The staff are aware of the need to arrange activities that are age appropriate, but Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 13 attainable and to this end residents attend a variety of events including college and work experience, as well as practising independent living skills training at the day centre in the local town. The home understands the importance of enabling younger adults to achieve their goals, follow their interests and be integrated into community life and leisure activities. Routines are very flexible and residents can make choices. The routines, activities and plans are resident focused, regularly reviewed, and can be quickly changed to meet individual residents needs. As discussed at the time of the inspection, staff could do more to ensure that the waking day of residents is better described in the daily records. Entries should give a pen picture of the residents’ lifestyle on any given day. Staff were observed to interact with residents in a respectful adult manner, using their preferred form of address, that allows residents to recognise in themselves their rights and responsibilities. Contact with families and other people important to a service user are encouraged. However the home respects a service user’s wishes if contact with a person is not wanted and will protect the service user from unwanted contact. There is a four-week menu in operation, which offers 3 choices at lunch and evening meals. The chef is trained in nutritional needs, and a dietician is involved on an individual basis as needs arise. Discrete assistance with mealsis given where needed. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. National Minimum Standards 18, 19, and 20 were inspected. This judgement has been made using available evidence including a visit to this service. Staff understand the key principles of giving personal support and are responsive to the varied and individual requirements of the residents. The home works to a medication policy, supported by procedures and practice guidance. EVIDENCE: Care documentation is comprehensive, clearly identifying care needs and the means to meet those needs, including the involvement of other healthcare professionals (e.g. Clinical Nurse Specialist Behaviour). Consideration is given to the residents’ wishes and aspirations in determining interventions and the goals of care. All residents are registered with a GP. It is recognised that the delivery of personal care is highly individual and must be flexible, consistent and reliable. Where possible residents are supported and helped to be independent and responsible for their own personal hygiene and personal care. The sample inspected showed that care of the residents is regularly reviewed, with the involvement of the residents’ next of kin. The home makes use of Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 15 Cornwall Advocacy Services as appropriate. A visiting professional confirmed their high opinion of the care provided at Bowden Derra. The medicine policy, and Medicine Administration Records were inspected. Medicines are properly stored, and seen to be dispensed appropriately on the day of the inspection. Regular management checks are recorded to monitor compliance. This does not preclude human error, and an incident occurred on the day prior to the inspection. The staff reported the matter, the relevant professionals were informed, and the home responded appropriately. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 22 and 23 were inspected. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and addressed quickly. Protecting residents from abuse or neglect forms part of the regular training that all staff have to undertake. EVIDENCE: The home and the Commission have received one complaint since the last inspection. The home has responded appropriately and is in the process of changing practices as a result of this complaint. The complaints procedure is produced in a variety of formats to aid understanding. The complaints procedure is on display at the home. The registered manager should ensure that the complaints procedure is reviewed as the current version is dated 2003. A visiting relative and healthcare professional said that they had confidence in the management and staff to deal with any concerns, and that they would feel able to express any concerns. Residents and others associated with the home understand how to make a complaint and they are very clear of what can be expected to happen if a complaint is made. The adult protection procedures in use are dated 2003. The registered manager and deputy manager demonstrated a good understanding of the issues involved with adult protection, and the issue is a key training area for staff. The home has an open culture, which enables residents to express their views, and concerns in a safe and none blame environment. The registered manager should ensure that the home’s adult protection procedure is reviewed and amended to provide clear instruction as to the steps to take in the event of Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 17 an allegation of abuse, including the relevant contact details for the local Adult Social Care office. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 24, and 30 were inspected. This judgement has been made using available evidence including a visit to this service. The home comprises three distinct areas each of which has an identified aim. The home provides a physical environment that is appropriate to the specific needs of the residents who live there. The home is well lit, clean and tidy. EVIDENCE: Footings had been put in for a new building. The work has been done to comply with planning rules, to prevent granted planning permission from lapsing, though it will undoubtedly be of benefit to the home and the residents once a decision is made as to its use. The registered providers are aware of the spatial standards and national minimum standards for any new build. The inspector toured the premises, though on this occasion missing out on Medrow as none of the residents were home at the time. The inspector will make a point of visiting Medrow at the next inspection. There is evidence throughout of residents personalising their rooms and of having their own personal belongings. There is an ongoing maintenance and refurbishment Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 19 programme, including painting, wallpapering, and re-carpeting of areas. Although assured by the registered manager that the programme of fitting radiator guards was almost complete, this had not been achieved at the time of the inspection. This needs to be given priority as it has been drawn to the management’s attention before and has taken an inordinately protracted length of time to complete. The layout and design of the home allows for small clusters of residents to live together in a non-institutional environment, simultaneously providing the space for residents to spend time alone if so desired. Where rooms are shared it is only by agreement, and screens are provided for privacy, residents are given the choice to move into a single room when one becomes vacant. The home was seen to be clean throughout. The laundry is well organised and functional. Laundry for other houses is folded onto trolleys for distribution to the residents. Some residents choose to use the launderette in Launceston. There is an infection control policy and appropriate equipment is provided. The bathrooms and toilets are fitted with appropriate aids and adaptations to meet the needs of the people who use the service, and are in sufficient numbers. The temperature in the home is monitored and recorded. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 32, 34, 35, and 36 were inspected. This judgement has been made using available evidence including a visit to this service. Staff members undertake external qualifications beyond the basic requirements. The service has a good recruitment procedure that clearly defines the process to be followed. Staff are well supported and supervised. EVIDENCE: The home employs approximately 130 people in total – this includes care, administration, housekeeping, and maintenance staff. A sample of personnel files was inspected and all have Criminal Records Bureau applications & POVA checks in place before starting work. Accurate job descriptions and specifications clearly define the roles and responsibilities of staff. The in-house induction programme includes written questionnaires to ensure that information is fully understood, and the home also uses a National Training Organisation compliant induction programme. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 21 Training is afforded priority with National Vocational Qualifications and the Learning Disability Award Framework (LDAF) courses being undertaken by staff. There are three managers within the Bowden Derra campus with their registered manager’s award. Team leaders are encouraged to work towards NVQ Level 4 (two have achieved this and two are undertaking this training). A chart of training qualifications is maintained in the office and a record of completed courses filed in individual staff files. The service uses external providers to deliver training if they have not got the appropriate skills within the organisation. The training can be small scale and individualised if necessary in order to promote the delivery of person centred services. Documented supervision & appraisals are in place. Staff meetings take place regularly. Staff often choose to take breaks with the residents though separate facilities are available, and staff are free to take time out if they wish. Staffing ratios are generally as follows: • Main House - 31 residents: 10 staff (varying according to need or activity) • Orchard House – 10 residents: 8 staff (largely 1:1 ratio) • Medrow – 5 residents: 1 staff (largely independent residents with educational or work placements. Staff support the residents to care for themselves). Rotas show well thought out ways of making sure that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the residents. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 37, 39, and 42 were inspected. This judgement has been made using available evidence including a visit to this service. The residents benefit from clear leadership, and good management in the home. The registered manager and staff are committed to the rights and input of the residents. The health and welfare of residents is protected. EVIDENCE: The Manager has the required qualification/s and experience and is competent to run the home. There is a strong ethos of being open and transparent in all areas of running of the home. With the exception of any specifically mentioned, records within the home are up to date and meet the statutory requirements. Safe working practices are maintained. There is clear definition of responsibility and accountability within the home. Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 23 The service has sound policies and procedures, in line with current thinking and practice, though some are overdue a review. The manager is regarded highly by staff, relatives, and other professionals. As discussed at the time of the inspection, the registered manager should expand quality assurance to include residents’ representatives and health care professionals, publishing a summary of the findings (possibly in the Statement of Purpose). There are systems in place to ensure the health and safety of staff, residents, and visitors. The home has relevant and appropriate insurance cover. The fire warden is responsible for the staff (approximately 120) on the whole complex, not just Bowden Derra Park, and is also a full-time maintenance person. The records of fire training are confusing and it is not clear that all staff are receiving training at the frequency recommended. The fire brigade recommend a fire training frequency of 3-monthly for night staff and 6monthly for day staff. Whilst the inspector does not have any concerns about the safety of residents, there does not seem to be a system for monitoring fire training to ensure that individual staff do not ‘fall through the net’ of sufficient and appropriate training. The registered provider should review the fire training system to ensure its effectiveness. Bowden Derra Park DS0000008982.V329967.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 4 2 4 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 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Bowden Derra Park DS0000008982.V329967.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. 1. Standard YA7 Regulation 20 Requirement The registered provider must make arrangements for each resident to have their own bank accounts. Timescale for action 01/04/07 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 YA23 Good Practice Recommendations The registered manager should ensure that the home’s adult protection procedure is reviewed and amended to provide clear instruction as to the steps to take in the event of an allegation of abuse, including the relevant contact details for the local Adult Social Care office. The registered provider should complete the programme of fitting radiator covers. The registered manager should expand quality assurance to include residents’ representatives and health care professionals, publishing a summary of the findings (possibly in the Statement of Purpose). The registered provider should review the fire training system to ensure its effectiveness. 2. 3. YA24 YA39 4. YA42 Bowden Derra Park DS0000008982.V329967.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bowden Derra Park DS0000008982.V329967.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. 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!