Inspection on 04/04/07 for 138 Bradford Road

This inspection was carried out on 4th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

138 Bradford Road 23/06/09

138 Bradford Road 23/11/05

138 Bradford Road 21/06/05

138 Bradford Road 28/02/05

138 Bradford Road 05/10/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Snydale Care Home

Whitwood House

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

CARE HOME ADULTS 18-65 Bradford Road 138 Bradford Road Pudsey Leeds West Yorkshire LS28 6EP Lead Inspector Valerie Francis Key Unannounced Inspection 4th April 2007 11:15 Bradford Road DS0000001425.V335482.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 Bradford Road DS0000001425.V335482.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. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradford Road Address 138 Bradford Road Pudsey Leeds West Yorkshire LS28 6EP 0113 239 3142 0113 2393142 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.sense.org.uk Sense, The National Deaf blind and Rubella Association Lindsey Harwood Care Home 3 Category(ies) of Learning disability (3), Physical disability (3), registration, with number Sensory impairment (3) of places Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Bradford Road is a service that provides residential care to a maximum of three younger adults with sensory impairment and other disabilities. The house is situated in Stanningley that is well served by public transport and parking is provided within the grounds and on road. The house can be accessed via ramps. Two of the three bedrooms are situated on the ground floor. There are gardens and raised garden beds to the front and a large decked patio area to the rear. Trail rails are fitted to assist service users with orientation around the house and garden. The service is provided by SENSE, a national voluntary organisation that specialises in the care of individuals with sensory loss. Whilst a resident at Bradford Road people who use the service are able to use other local resources provided by SENSE including training and educational opportunities provided within resource centres. Bradford Road is a domestic premise that has been converted to provide care. The fixtures, furnishings and fittings are domestic in style whilst offering equipment in order to meet the needs of the service users. Fees are based on the level of needs people have, the present fees are based on the needs of the people living at the home. £5826.15 the lowest and £6339.37 the highest a month. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered at this first Key unannounced Inspection visit to Bradford Road the 4th April 2007 by one inspector over a period of 5.5 hours. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk The staff advocating for the people living at the home has requested that the term “people who use the service” is used therefore this will be used throughout the report. The registered manager, Mrs Harwood, was available throughout the day to answer questions, supply records and other information. The home completed a pre- inspection questionnaire before the inspection, which was returned to the CSCI area office before the inspection. The document provided information such as, review dates of policies and procedure and rate of fees. During the inspection, records were looked at, care staff were observed carrying out their work, and a tour was made of the building. People who use the service, staff, and the manager were spoken with throughout the day. The two people who use the service were case tracked. Case tracking is the method used to assess whether residents receive good quality care that meets their individual needs. The key standards from the Care Homes for Adults (1865) National Minimum Standards were assessed. Questionnaires for the people who use the service relatives were sent to the home to be forward prior to the inspection. Questionnaires were also sent to other health care professionals before the inspection. These provide an opportunity for people to share their views of the home with the Commission for Social Care Inspection (CSCI. At the time of writing this report the two relatives questionnaires had been returned, all indicating that they were satisfied with the way they were received at the home and that staff were good to their relatives. Those questionnaires from visiting healthcare professionals had not been returned. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 6 I would like to thank the manager the people who use the service and staff for their assistance in the inspection process, and relatives who took the time to complete survey questionnaires and shared their views. Feedback was given to the manager following the inspection. Copies of previous inspection reports are available via the Internet at www.csci.org.uk. What the service does well: What has improved since the last inspection? What they could do better: Information for service users, such as the service user guide and contract of terms and conditions should be in a format and language appropriate to the needs of the people that live in the home, so that everyone has access to understandable information. Staff should be given further training on safe handling of medicine, so that they have access to a more detailed training course. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 7 Liquid soap and paper towel should be placed in all communal areas and bedrooms. Feed back information from quality survey from the organisation should be made to all people taking part in the survey and the CSCI. 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. Bradford Road DS0000001425.V335482.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 Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4. People who use the service experience good quality outcomes in this area. We made this judgment using a range of evidence, including a visit to the service. Prospective people who use the service and their relatives can visit the home and have access to written information. Not all people using the service can understand the home’s information in the present format. The home has a robust assessment process to make sure that the home can meet the person’s assessed needs. EVIDENCE: The manager explained about the home’s assessment process, saying that when a referral is received she always visits the prospective people who use the service. In order to get a full and accurate picture of the person’s needs, she has a discussion with the prospective user, their social worker, family members and any significant health care professionals. During the assessment she takes into account the impact that the environment may have on the person, the needs and abilities of existing people who use the service, and the abilities of the staff group. Decisions are not rushed. The person has the opportunity to have over night stay at the home as part of the assessment process if it is Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 10 appropriate, to give them the opportunity to make sure the home is right for them. The two people have lived at the home for some time. There is a vacant place and the manager said that three people have shown interest in the placement, all of which are going through the assessments process for one of them to have the placement. The inspector saw some good information recorded in the pre-admission assessment. There was evidence that additional assessment information is collected from other agencies involved in the person’s care. This would give staff good information to put together a comprehensive care plan Staff also confirmed that they get enough information about each person before admission. It was also evident that staff are provided with training and information to meet the care and social need of the people who use the service. Relative survey information confirmed that they had plenty of written information about the home before making any decisions. The statement of purpose and service user guide is available in the home with copies given. Whilst both documents are informative, the print size and the format of the written information did not allow people who use the service to access a document easily which they could look and understand with little or no help from others. The manager said that this had been brought to the attention of the organisation by the previous inspector and discussion had taken place to develop suitable documents. Bradford Road DS0000001425.V335482.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. People who use the service experience good outcomes in this area. We made this judgment using a range of evidence, including a visit to the service. People who use the service support plans give staff clear and precise instructions on how to support people in their daily lives. People are supported and encouraged to make decisions and take risks as part of an independent lifestyle. EVIDENCE: Each person who use the service have three files, which have information how they wish their need to be met. One of the files is a health file, which contains information on the health needs of the individual and this is taken to GP’s and hospital visits. Some good information was seen in the PCP (Person centred Plan) inspected, which contains the likes and dislikes in all aspects of the lives of the people who use the service. These were written in the first person. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 12 From observation of staff interaction with people who use the service, support is given in a way that was friendly with out being overly friendly. Each person has a key worker group who looks after their day to day needs, and review their support plans with the manager. Despite this there were no written evidence to indicate that other people such as family are involved in the care planning process. Daily records show that people who use the service have a range of activities available to them, which is documented in the support plan. Support plans include specific information about the level of domestic activity carried out by each person. There is information from risk assessments in the care plan for example, one person’s risk assessment said that staff should be aware of her choking, another, for a person with challenging behaviour, said that staff are aware of triggers and about how they should deal with these situations. The manager explained how people who use the service are encouraged to make decisions, staff do not have a key to the house, keys are only given to the people who use the service, who are supported by staff to unlock the front door to gain entrance. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use the service experience good quality outcomes in this area. We made this judgment using a range of evidence, including a visit to the service. People who use the service are supported and encouraged to enjoy a flexible lifestyle that is based around their choices and interests. Good support is offered where needed to make sure that people’s religious and spiritual needs are met and that contact with family and friends is maintained. EVIDENCE: People who use the service, shop with staff for ingredients and then eventually cook the meal with staff support. They are encouraged to take part in fulfilling activities. On the day of the inspection people were making Easter baskets and buns for their visitors over the Easter. From the information seen in the files it was clear that people who use the service are encouraged to take part in recreational and social activities. There are activity plans in place for both persons, which involve in house and attending outside facilities, where they are able to gain new skills and meet new and old friends. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 14 People who use the service take advantage of local facilities such as shops, pubs and walks. There are good links with the shops in the nearby shopping village and the shopping centre. During the inspection the local community policeman visited the home and it would appear that people using the service and staff have a good relationship with the people living there. The organisation pays £300 per year towards the holiday for the people who use the service. It was apparent that there was always something for people who live at the home to do. Plans were in place for people to plant flowers and scented greenery in the raised garden beds and pots that are to be placed on the deck at the rear of the building. Relatives in their feedback said that the home provide good daytime activities for their relatives. Staff understand the importance of people maintaining contact with family and friends. Evidence from people’s care records, showed that staff positively support people to maintain contact with their families, a relative said that they are always welcome to visit. In each person’s support plan there was a birthday list of their family and friends, so that staff can remind and support them to buy cards. This is good practice. Staff were able to describe the measures they take to make sure that the privacy of people using the service is respected. They said each person is given a personal item, which help people who are blind to recognise members of staff. People have been given a key to their bedroom door with their special item which helps them to recognise their own key. There is a two weeks menu plan in place, which the manager said is made up of meals that people who use the service may have had at the home or when they had eaten out. Discussions are also held with staff at the team meeting where staff work together to make sure that likes and dislikes are always taken into consideration. The inspector was invited to lunch, which was green salad, potato salad quiche and ice cream. Through out the meal staff was observed to give assistance only when needed thus allowing people to be independent. One person was given the opportunity to take as long as she like to eat her meal. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21. People who use the service experience excellent quality outcomes in this area. We made this judgment using a range of evidence, including a visit to the service Personal care is given to the people who use the service in a way that respects their ability and choice. People’s health care needs are met. EVIDENCE: The home has a key worker system, where a named worker is allocated to a specific person. The manager explained how personalities, interests, relationships and gender of the people who use the service are all taken into account when allocating a key worker to people who use the service. Care Plans inspected showed that times for getting up in the morning and going to bed at night are flexible and based around individual choice. People are given the level of support required. One relative said that since her nieces’ admission ,she has improved tremendously and was doing well. She was happy with the care provided and felt that her niece has never had better care. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 16 There was evidence in people’s health care records that their health care needs are met and people’s health are monitored if necessary and yearly health care reviews are carried out. The manager said staff have had training on safe handling of medicine given by her plus a one day course from the dispensing chemist. Staff only administer medication after an assessment carried by the manager to make sure that both the staff and the manager feel that they are confident to carry out the procedure. The medication procedure and records are in line with in the RPS (Royal Pharmaceutical Guidelines for residential homes). It would appear that staff follow the correct procedures when administering medication and the MAR sheet is signed by the person administering the medicine. Although staff have had training on death and dying and people who use the service have indicated their last wishes there was not enough information of a plan to follow. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. We made this judgment using a range of evidence, including a visit to the service. Concerns and complaints are taken seriously and service users are protected by a strict adult abuse policy. EVIDENCE: Staff were able to explain how they would deal with a complaint, and were clear about the different types of abuse and how they would respond to any allegation or suspicion of abuse. The home has policies and procedures in place relating to complaints and adult abuse, and contact details for the adult protection team are available in the office. The manager is a safe guarding trainer for the organisation. Although a copy of the organisation’s complaint procedure is available to prospective users and relatives the format does not allow the people who use the service with the opportunity to use the procedure with out a lot of input from staff, to tell if there was something wrong. Relatives responding to the survey indicated that they would have no hesitation in making a complaint and knew how and who to complain too. One person said I have never had any cause to be concern about the welfare of my relative since she has been at the home. Bradford Road DS0000001425.V335482.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): 24 and 30. People who use the service experience good quality outcomes in this area. We made this judgment using a range of evidence, including a visit to the service. The people who use the service live in an environment that promotes their independence and choice. EVIDENCE: The home is spacious and it is furnished and decorated to a good standard. There is a large dining kitchen and a communal lounge/dining room and area with French windows leading to a large deck area to the rear of the building. There was good signage and an up to date memory board of the staff with brail signs through out for the use of one person. The inspector found the house homely with a relaxed atmosphere through out. However, despite this, some of the furnishing was showing signs of aging i.e. the varnished was scratched off of table legs and marks on tabletops. Although there were liquid soap dispensers in communal bathroom/wc there was no liquid soap and disposable towels holders. Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 19 Staff have had training on infection control and had a good understanding of infection control. There are three bedrooms one on the first floor and two on the ground floor, each has access to an assisted bathroom. The two people using the service had personalised their room with furniture and fitments to meet their needs. The laundry room is equipped with a sluice cycle washing machine. Staff support people on their laundry days to wash their clothing and bedding. Bradford Road DS0000001425.V335482.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): 32, 34 and 35. People who use the service experience good quality outcomes in this area. We made this judgment using a range of evidence, including a visit to the service. Recruitment practices protect people who use the service. Training provided is appropriate to the needs and conditions of the people using the service. EVIDENCE: Throughout the inspection there were sufficient staff on duty to meet the needs of the people using the service. They appeared to have plenty of time to spend with people living at the home. There was a duty rota for each person specifying the precise hours to be worked. There is good communication within the home and staff meetings take place regularly. The manager said a new person has been recruited for 37 hours, but was awaiting employment checks. Training and development are discussed at regular one to one staff supervision. The recruitment files of two recently appointed staff were sampled and both contained completed application forms, 2 written references, photograph, successful criminal record bureau/protection of vulnerable adults disclosures, Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 21 offer of employment and contract of employment and record of the recruitment and selection interview. To make sure the people using the service are safe. All staff had completed an induction programme and then progress to more specialised training. All staff have undertaken basic brail and British sign language course, in order that they can communicate with the people using the service. Information supplied in the pre-inspection questionnaire shows that most staff have undertaken training on food hygiene, health & safety, safe use of medication, moving and handling, first aid, protection of vulnerable adults, challenging behaviour and communication intervention. Despite this there were no written plan in place for training, so that all training needs are identified for the staff group. National Vocational Qualification (NVQ) training is carried out taking into account the elements that would assist them to care for the people who use the service e.g. people with learning disability. The manager is a work base assessor, who said all effort is made for staff to undertake and complete an NVQ qualification. Bradford Road DS0000001425.V335482.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): 37, 39 and 42. People who use the service experience excellent quality outcomes in this area. We made this judgment using a range of evidence, including a visit to the service. The home is well managed and the health and safety of service users is protected. EVIDENCE: The home is well managed by a registered manager who is qualified to carry out her role. She said that she has good support from her line manager and receives a good standard of supervision. She is enthusiastic and confident in her role, and delegates tasks to staff. Staff spoke well about the manager and feels that she listens and responds appropriately when issues are identified. Quality monitoring is carried out through the monthly visits from the line manager for the home, the twice yearly quality audits and quality service, all Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 23 these tools she said are in place to measure the home’s success in meeting its aims and objectives. Weekly health & safety checks are carried out and the pre-inspection questionnaire identified that necessary checks and servicing takes place as required. Fire alarms are tested weekly. PAT testing has not been carried out since 30th January 2005 this test must be done yearly, so that electrical equipments are safe to be used by staff and people who use the service. Bradford Road DS0000001425.V335482.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 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 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 33 34 35 36 4 3 X 3 X X 4 4 X 3 3 3 2 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 2 4 X 3 X X 2 X Version 5.2 Page 25 Bradford Road DS0000001425.V335482.R01.S.doc 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 YA42 Regulation 23 Requirement Annual PAT testing must be carried out, to make sure that people who use the service are safe. Timescale for action 10/05/07 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 YA1 Good Practice Recommendations The service user guide should be in a format and language appropriate to the needs of the people that live in the home, so that everyone has access to understandable information. Staff should have further training on safe handling of medicine, so that they have more information on the matter. There should be clear evidence that the people, who use the service friends and family, are involved in their care if that is wish of the person using the service. Liquid soap and paper towel in a holder must be available. 2. 3. 3. YA20 YA6 YA42 Bradford Road DS0000001425.V335482.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Bradford Road DS0000001425.V335482.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!