Inspection on 11/10/06 for Broad Oaks

This inspection was carried out on 11th October 2006.

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

Other inspections for this house

Broad Oaks 16/11/09

Broad Oaks 12/11/07

Broad Oaks 20/01/06

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Broad Oaks 30 Gaul Road March Cambridgeshire PE15 9RQ Lead Inspector Nicky Hone Key Unannounced Inspection 11th October 2006 11:00 Broad Oaks DS0000063390.V316673.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 Broad Oaks DS0000063390.V316673.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. Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broad Oaks Address 30 Gaul Road March Cambridgeshire PE15 9RQ 01354 656022 01354 656934 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) Not available Active Care Partnerships Ltd Mrs Melissa Renee Whymark Care Home 38 Category(ies) of Learning disability (38), Learning disability over registration, with number 65 years of age (15) of places Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2006 Brief Description of the Service: Broad Oaks is a care service for people with learning disabilities. The service consists of four bungalows, two blocks of four flats, and a resource centre. The home has accepted groups of people with a wide range of needs, and covering a great age range: two of the bungalows have groups of much older service users, several of whom are over 65 years of age and one bungalow offers a home to young service users who are between 19 and 25 years of age. Built around a central courtyard, and backing onto a small estate of new houses in a residential area of March, the bungalows and flats blend in well with neighbouring properties. Each bungalow consists of single bedrooms all with ensuite toilet and washbasin, a kitchen/dining room, lounge, laundry, bathroom, shower room and cloakroom. The flats are in blocks of four, each for two people, with two bedrooms, bathroom, living room and kitchen. An additional building on the site, the leisure and education centre, contains offices and rooms where a range of activities can take place, both during the day, during the evening and at weekends. There is an art room, a sensory room and a large room which houses a piano and an organ. This room can be divided into two. There is also a kitchen, and toilet facilities. Adjacent to a public recreation park, Broadoaks is situated about five minutes walk from the centre of the busy market town of March, which offers a range of shops and leisure facilities. The home is within easy driving distance of Peterborough which has additional leisure facilities such as bowling and iceskating. All of the service users at Broadoaks are funded by local authorities/care trusts. The fees range from £619.58 to £1446.28 per week, based on the amount of care and support needed by each person. A copy of the inspection report is available in each bungalow and each block of flats, and in the reception area of the resource centre. Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection consisted of an unannounced visit to the home carried out by two inspectors over five hours. We visited three of the bungalows and one of the flats, spoke with service users and staff and checked records. We also spoke with Cathie O’Sullivan who is the acting manager. The registered manager had been seconded to another service. There were thirty six service users living at Broadoaks on the day we visited. What the service does well: This home runs well. It has good leadership and a staff team who are committed to providing a high standard of service, in partnership with the service users who live here. Service users are encouraged and supported to take control of their lives, to make decisions and to work towards their individual goals. Service users take an active part in what happens in their bungalow or flat, including deciding what, where and when they eat, and helping with the household chores. Staff strive to give service users as many opportunities as possible to develop their independence and to live full and rewarding lives. Activities are organised, both for individuals and in small groups, at Broadoaks and in the local community. There is transport available for service users to go to places further away, and everyone who wanted a holiday this year has had one. Each service user has a care plan which gives staff good information about the way in which that person wants to be supported. Risk assessments are carried out for every identified risk for each person, and staff are trained well to give medicines safely. Families and friends are made welcome at the home, and included in as much of the service user’s life as he/she wants. The bungalows are decorated and maintained well, so that service users have a comfortable place to live. Each person decides what they want in their bedrooms, and specialist equipment is provided as needed. The home has a complaints procedure and service users spoken with felt comfortable about talking to the team leaders and acting manager if they had any concerns. Staff are trained in and understand the Protection of Vulnerable Adults, and senior staff have demonstrated that they will report any incidents appropriately. Staff recruitment practice is good, and the home treats staff training as a priority, making sure that all staff are kept up to date in all relevant training Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 6 topics. The company has a quality assurance system which includes getting the views of the service users about the quality of the service being offered. 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. The summary of this inspection report can be made available in other formats on request. Broad Oaks DS0000063390.V316673.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 Broad Oaks DS0000063390.V316673.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): 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed assessment is carried out before a service user moves to the home so that the service user can be sure his/her needs will be met. EVIDENCE: The home has a statement of purpose and a service user guide. At the time of this inspection the service user guide was being reviewed and updated: the acting manager will send a copy to the CSCI when it has been completed. We looked at three service users’ files. All three files contained a very detailed assessment, which gave a full picture of the person and the way in which they want to be supported. Broad Oaks DS0000063390.V316673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users know that they will be supported to lead their lives, as far as possible in the way they want to. EVIDENCE: The care plans we saw were very good. They included details of what each person can do for themselves, and clear guidelines for staff on meeting each individual service user’s needs. For example, one person’s plan included detailed information for staff on how to deal with repetitive behaviour so that all staff would work with this service user in the same way. We saw evidence that the care plans are reviewed very regularly, and in a thoughtful, meaningful way. Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 10 Service users are supported and encouraged, with assistance from staff when needed, to make decisions about as many aspects of their lives as possible. They choose what, where and when they eat, when they get up and go to bed, where they spend their day, and who they spend time with. Service users pursue individual hobbies if they want to and go on the holiday of their choice. There is an expectation at Broadoaks that service users will join in as much of the life in their home as they want to. Meetings are held in each bungalow/flat for service users to make decisions about what happens in their bungalow/flat. Service users are able to decide what takes place in the resource centre, and are encouraged and supported to join in activity and entertainment sessions if they want to. Service users in one of the bungalows showed us the greenhouse where they have grown tomato plants and runner beans. One person is a keen gardener and makes sure the garden in his bungalow is looked after. We saw that detailed risk assessments have been completed, covering all of the risks identified for each service user, for example using the shower, sitting outside in the sun, vacuuming, preparing food, using the community alone and nutrition. These show that service users are encouraged and supported to take risks, and to live their lives as independently as possible. Information about service users is kept in a locked cupboard in each bungalow or block of flats, or in the office, so service users can be sure their confidences are kept. Broad Oaks DS0000063390.V316673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users at Broadoaks are able to choose from a range of opportunities which give them a good quality of life, and ensure they are valued members of their community. EVIDENCE: Staff at Broadoaks constantly strive to make sure the service users who live here have the best possible quality of life. Service users are supported to make decisions about what they want from life, and are helped to work towards their goals. Opportunities for developing independent life skills are offered to service users, both at Broadoaks and in the community. The acting manager said she is currently in discussion with the social work teams that commission the service, to make sure that the fees charged by the Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 12 home are adequate for each service user to be able to take part in the activities of their choice. The home has three vehicles of various sizes, so that service users can go to places further afield, as well as walking to local shops, pubs, restaurants, sports facilities and leisure facilities. Equipment, such as overhead hoist tracking, and mobile hoists, is provided for each person who needs it. Service users are able to decide what takes place in the resource centre, and are encouraged and supported to join in sessions of music therapy, cookery and art as well as parties and entertainment evenings. However, there is now greater emphasis being put on service users using facilities in the local community, so there is less organised activity in the resource centre. Staff search for activities and events that service users can join in with, either on a regular basis or as one-off events. Service users go to local pubs and restaurants for meals out, go to church if they want to, use the local library, post office, and banks, and can attend a club which is held on Mondays and Tuesdays each week at the cricket club. We were told that the Halloween party this year will be held in the cricket club, and the Christmas party, to which friends and families are invited, is being held at March prison. We were told that all service users who wanted to had a holiday this year, either on their own or in small groups. Service users were keen to tell us about the places they had visited, including Menorca, Majorca, Southern Spain, Portugal and Ireland, as well as several places in England. The holidays are funded by the company, with contributions from the service users. Families and friends are welcome at the home whenever service users want to see them. When needed, staff support service users to keep in touch with, and visit, their friends and families. People are supported, if they need and want the support, to develop personal relationships. The daily routines in each bungalow/flat are designed with input from the service users who live in them, to enable each person to be as independent as possible. Service users know they have responsibilities, such as assisting with the household chores as much as they are able to. There are no set menus in the bungalows or flats. Each of the bungalows and each of the flats have their own household budget, and each group of service users decide each week what they would like to eat. Service users help with writing the shopping list, doing the shopping and preparing the meal if they are able to. We saw a record of meals that had been provided: this showed that service users have a good variety of generally healthy, nutritious meals, as in any household. Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 13 Service users in each bungalow/flat decide whether they would like to spend some of the weekly budget on going out for a meal or having a take-away meal. Staff support service users who are less able to make decisions, to ensure they have a say. Broad Oaks DS0000063390.V316673.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): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The care planning and medicine administration systems at Broadoaks ensure that service users’ needs for personal support and healthcare are met. EVIDENCE: Clear, detailed care plans show that service users receive personal support in the way they want and need. Care plans showed evidence that service users’ healthcare needs are addressed, with service users being supported to visit the doctor’s surgery, attend dentist, optician and hospital appointments, and have their feet seen to by a chiropodist. The records of the administration of medicines (MAR charts) that we checked in two bungalows were excellent. They showed that there is a good medication policy at the home, and that staff have been trained well to make sure it is Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 15 followed. Staff complete the MAR charts correctly, signing their initials to show that medicines have been given, or using a code to explain why a medicine has not been given. Any changes to the charts had been signed and dated. All medicines are kept securely locked in each bungalow or flat. The flats do not have the additional storage for controlled drugs which is required by law. These are kept in one of the bungalows and taken across to the flats when needed. A more suitable arrangement must be made for the drugs to be stored closer to where they are needed. Broad Oaks DS0000063390.V316673.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): 22, 23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users know that their concerns will be listened to and acted on and that they will be kept safe from abuse. EVIDENCE: The home has a complaints procedure which is on display in each of the bungalows and flats, and is included in the service user guide. We saw that a record of all complaints, including any investigation undertaken, letters written, and the outcome, is kept in the office. Service users spoken with said they would speak to any of the staff if something was not right, or to the acting manager. They were confident their concerns would be listened to and, wherever possible, sorted out. Staff spoken with were clear about what abuse of vulnerable adults means, and what they would do if they thought any abuse was taking place. Senior staff were clear about the procedure for reporting any concerns under Protection of Vulnerable Adults (POVA) protocols. A couple of incidents since the last inspection have been properly reported by the home. Broad Oaks DS0000063390.V316673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are involved in making sure the place they live in is comfortable and homely, and is kept clean and well decorated. EVIDENCE: The bungalows seen were pleasantly decorated, well maintained, and homely in the way they are decorated and furnished. Every bedroom in the bungalows has an ensuite toilet and washbasin, and each bungalow has a bathroom and a shower room. Bungalows have a large kitchen/dining room, a lounge, and a laundry room. Staff teams in each of the bungalows have been involved in doing some of the decorating, and making the bungalows look and feel as homely as possible. Staff have also been involved in fund-raising for things such as sensory Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 18 equipment, and a covered outside area in the garden of one of the bungalows where service users can get fresh air but are protected from the rain. The flats each have two bedrooms (with washbasins), a lounge/dining room and small kitchen, and each flat has a bathroom or shower room which is shared by the two occupants. We saw one flat which had not been decorated and looked rather shabby compared to the bungalows. We were told that generally the flats are not kept as well decorated as the bungalows. We saw several service users’ bedrooms and they were all very different to the others. Each service user is encouraged and supported to bring their own things into their bedroom and to decorate their room as they like. One service user showed us his bedroom and how he has displayed all the trophies he has been awarded for his successes at golfing and growing pumpkins. Some of the bedrooms in the Lodge are full of sensory items such as lights, soft fabrics, mobiles and holographic objects. We noticed there was a bolt on the outside of a bathroom door in one of the flats. We were told this was put there to prevent the bathroom being flooded. We were concerned that someone might get locked in the bathroom so we asked for the bolt to be removed, and for the home to find a better way to prevent the flooding. The acting manager said the bolt would be removed straight away. All parts of the home that we saw were very clean, and there were no offensive odours. Broad Oaks DS0000063390.V316673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recruitment and training are good and ensure that staff are suitable and competent to work well with the people who live at Broadoaks. EVIDENCE: Most of the staff spoken with said they work as very good teams, and are supported by good team leaders. They appreciate being given the responsibility to run the bungalows and do the best job they can. Staff in one bungalow said they enjoy the work very much but they suggested they had something that needed to be discussed with the manager. We told the acting manager who said she would look into this. The atmosphere in all the areas of the home we visited was warm, friendly and caring. Staff and service users were comfortable with each other and seemed to enjoy each other’s company. Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 20 We looked at the personnel files for three members of staff. These were well organised and contained all the information required by the regulations. We advised the acting manager that she should make sure that there was a clear written explanation of any gaps in the applicant’s employment. Staff spoken with were happy with the amount and quality of the training they are offered. Almost all staff have completed all the mandatory training (first aid; food hygiene; fire safety; moving and handling; and infection control). Staff are given the opportunity to undertake a professional qualification, such as a National Vocational Qualification (NVQ) in care. All staff who administer medication are trained by a pharmacist from Boots, and are then assessed as competent by one of the team leaders. All staff who administer stesolid for the control of epilepsy have been trained. The acting manager is having discussions with the Learning Disability Partnership about the administration to one service user of another drug for controlling epilepsy. The assistant manager told us that formal one-to-one staff supervision has not recently been done as regularly as it should be. Broad Oaks DS0000063390.V316673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home where their views are listened to and hazards to their safety are removed. EVIDENCE: This home runs well. It has good leadership and a staff team who are committed to providing a high standard of service, in partnership with the service users who live here. The registered manager has recently been seconded to assist with setting up another service, so at the time of the inspection the assistant manager had Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 22 been moved into an acting manager role. Team leaders are in post to manage the day-to-day details of the service offered in each of the individual bungalows and blocks of flats, and each unit has a core staff team. Some staff are also on duty to work across the whole site wherever they are needed. The company has a quality assurance system which includes sending questionnaires to service users and their relatives, at least once a year. What people say in answer to the questions is drawn together in a report. Food in fridges was covered, labelled and dated, and any hazards identified in any of the buildings have been risk assessed. We did not notice anything as we walked round that would cause a hazard to service users or staff. Fire alarms are tested weekly, and emergency lights are tested at least monthly in each of the units: we saw the records for the resource centre and the tests had been done as required. Broad Oaks DS0000063390.V316673.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 4 23 4 ENVIRONMENT Standard No Score 24 2 25 4 26 4 27 3 28 4 29 3 30 4 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 2 X 3 X 3 3 X 3 X Broad Oaks DS0000063390.V316673.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 YA20 Regulation 13(2) Requirement Secure storage for controlled drugs must be available in each of the units where they are used. All parts of the home must be kept reasonably decorated. The registered person must ensure that unnecessary risks are eliminated. The bolt on the bathroom door must be removed. The registered person must ensure that all staff receive appropriate supervision. All staff must receive at least one supervision session within the timescale, and regularly thereafter. Timescale for action 31/12/06 2 3 YA24 YA27 23(2)(d) 13(4)(c) 31/12/06 12/10/06 4 YA36 18(2) 30/11/06 Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Broad Oaks DS0000063390.V316673.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Broad Oaks DS0000063390.V316673.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!