Inspection on 20/01/06 for Bury Metro - Woodbury

This inspection was carried out on 20th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bury Metro - Woodbury 30/07/07

Bury Metro - Woodbury 29/11/06

Bury Metro - Woodbury 11/07/05

Bury Metro - Woodbury 21/01/05

Bury Metro - Woodbury 16/07/04

Bury Metro - Woodbury 11/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Bury Metro - Woodbury Woodbury Wesley Street Tottington Bury Lancs BL8 3NN Lead Inspector Sue Evans Unannounced Inspection 20th January 2006 12:45 Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 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 Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 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. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bury Metro - Woodbury Address 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) Woodbury Wesley Street Tottington Bury Lancs BL8 3NN 01204 887424 Bury M.B.C. Mr Peter Miller Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission Staffing levels are to be calculated in accordance with the Residential Forum (Younger People) by 1 April 2004 11th July 2005 Date of last inspection Brief Description of the Service: Woodbury is a Local Authority home providing care and support for adults who have a learning disability. The home provides three different services within one building. The semiindependent unit and the resettlement unit are registered as domiciliary care provision, and were not included in this inspection, which covered the four place short stay unit, and the emergency place. The short stay unit is on the ground floor. It is separate from the rest of the building and has its own entrance. The unit has exclusive use of a small lounge, dining kitchen, bathroom, and toilet. All bedrooms are single. Service users who are admitted in an emergency have use of a single bedroom on the first floor. They have use of the communal facilities used by those living in the resettlement unit. All service users are able to use the enclosed garden, and the relaxation room. The home is situated in the centre of Tottington, close to bus routes, shops, library, and other local amenities. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 5 hours. Most of this time was spent watching what went on in the home, talking to 2 of the 3 service users who were staying in the short stay unit and 1 who had come for a few hours as part of an introduction to the service, and interviewing 2 Residential Care Officers who regularly work in the short stay unit, the Senior Residential Care Officer for short stay, and the Registered Manager. The inspector also looked round the home and examined some key records. This inspection was the second to take place in the current inspection year. In order to gain a fuller picture of the home, this report needs to be read in conjunction with the report of the previous inspection of July 2005. What the service does well: What has improved since the last inspection? In order to promote the welfare of service users, steps have been taken to enable all staff members to receive training in adult protection. There have been several improvements to the environment, most notably the replacement of the lounge suite in the short stay unit, and the re-varnishing of doors. Some health and safety matters have also been attended to. This has resulted in a safer, more pleasant environment. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 6 Some records, for example staff rotas and medication records, now contain more detail. 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. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 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 Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed this time. EVIDENCE: Standards 1and 2 were assessed in July 2005. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 During their stay at Woodbury, service users are able to make some choices about their individual routines. Major decisions about their lives are made in conjunction with their families or other representatives. EVIDENCE: Standards 6 and 9 were assessed in July 2005. Service users who use the short stay unit or emergency place live at Woodbury for short periods only, for example weekend stays. Any major decisions about their lives would therefore tend to be made in conjunction with their families or other representatives. However, the inspector was satisfied that the home encouraged service users to make as many choices as possible for themselves whilst they were staying there. Discussions with service users and staff suggested that service users had choice about daily routines such as what time they got up or went to bed. They had menu choices. Whilst at Woodbury, they were able to follow their usual daily routines such as attending college or day centres. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 15, 16 and 17 Service users who need staff support to access the community have limited opportunities to pursue fulfilling outside leisure activities during evenings and weekends. Service users are free to maintain contact with families and friends. Practices in the home respect service users’ rights to privacy, dignity, choice and independence. Service users are encouraged to eat healthily, and they said that they enjoyed their meals. EVIDENCE: Standards 12, 13, 14 and 16 were assessed in July 2005. Whilst staying at Woodbury, service users were able to continue to take part in their usual weekday activities, for example attending college or day centres. Those service users who were able to access the community without staff support could take part in community activities during evenings and weekends as well as weekdays. However, opportunities for outings for those who needed staff support were more limited. Staff members said that, although they did their best to organise community activities, it was often difficult to arrange. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 11 They said that various factors could influence this, for example staffing levels and the level of the group’s support needs. It might sometimes depend upon whether all members of the group were agreeable to taking part in a proposed outing. If, for example, one person declined the outing, then it could not take place if there were no staff available to support the person staying behind. Service users and staff members said that when it was possible to arrange outside activities, they went to places such as the cinema, bowling, shopping or the pub. A service user commented that sometimes they went to the pub with staff on Saturday night but “We’re not going tomorrow because there may not be enough staff”. Staff members said that service users were free to maintain links with friends and relatives during their stay at Woodbury. They said that family and friends were welcome to visit the home. Some service users liked to maintain contact by telephone. Staff members gave examples of how choice was promoted in the home, for example rising and retiring times and menu choices. One of the service users who was spoken with confirmed that people could choose what time they got up or went to bed, and what they had to eat. They said that staff members encouraged them to do things for themselves, for example preparing meals, or washing up. The service user said that privacy was respected, for example staff members did not enter their bedrooms without knocking. This was observed during the inspection. The service user also said that staff were courteous, and that they listened. It was observed during the inspection that staff members and service users spoke with each other in a friendly, respectful, inclusive manner. One staff member who was supporting service users throughout the late afternoon and evening meal was observed to act in a thoughtful, discreet way that promoted the service users’ best interests. Menu records showed that varied, nutritious meals were provided and that there was always a choice of dishes. It was observed during the inspection that service users were asked what they would like to eat for their evening meal. It was also observed that the staff member who supported them with the evening meal was aware of their needs, and acted appropriately to reduce disruptions. The cook said that the home tried to encourage service users to eat healthily. She was knowledgeable about special dietary needs, for example gluten free diets. Halal meals could also be provided if required. The cook said that full English breakfasts were served at weekends. Lunch tended to be a light meal, for example poached eggs on toast, or soup and sandwich. The main meal was taken in the evening. Service users said that they enjoyed their meals and that they got enough to eat. Food and fridge temperature checks were recorded Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Service users are assisted to be as independent as possible, and they are included in decisions about how staff will support them with personal care. The home liaises with families to ensure that health needs are met. Medication storage and procedures are satisfactory and promote good health and safety but there is an outstanding requirement for all staff who handle medication to complete accredited training in the safe handling of medication. EVIDENCE: Standard 20 was assessed in July 2005. Staff members said that when assisting service users with personal care needs, they encouraged them to do as much as possible for themselves. One service user said, “I look after myself except staff help me to wash my hair”. Staff members said that they checked with service users to find out how they liked to be supported. They gave examples of how they assisted people discreetly, for example by keeping doors closed. Special equipment had been provided in the home to promote independence including an assisted bath and grab rails. Discussions with service users and staff showed that service users had choices about their daily routines, for example what time they got up or went to bed. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 13 Families generally took responsibility for making health care appointments. Staff members said that they might occasionally accompany people to health appointments if the person were staying at Woodbury at the time. They said that they kept an eye on peoples’ health and, if concerned, they would contact the family if available, or they might contact the GP or NHS Direct, or possibly accompany someone to hospital. During the inspection of July 2005, the Pharmacist Inspector visited the home to look at medication procedures. The majority of the requirements and recommendations that she made had been addressed. However, there was still a need for all care staff who handle medication to complete accredited training in the safe handling of medication. There was evidence to show that the home had liaised with the Department’s training section to try to enrol staff onto courses. The manager said that this was now being organised by the Department but the home had been told that there was a waiting list. This remains an outstanding requirement that must be addressed. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Protection policies and procedures, and staff awareness of their responsibilities in adult protection, ensure that the service has the means to be able to respond properly to any suspicion or allegation of abuse. EVIDENCE: Standards 22 and 23 were assessed in July 2005. The home had written procedures covering Adult Protection and Whistle Blowing. Staff members who were consulted during the inspection knew where to find them. They understood their responsibilities in respect of reporting their concerns to a manager. One said that the topic had been discussed during a one to one supervision meeting. Another said that they had covered the topic whilst doing the LDAF (Learning Disability Award Framework) training. Since the last inspection, one of the Senior Residential Care Officers had attended a trainer’s training course to enable her to train other staff in protection. The manager said that it was envisaged that all staff members would have completed the training by the middle of March. The inspector was satisfied that the home was taking steps to ensure that staff understood their responsibilities in adult protection. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 29 and 30 The home does its best, within the limits of its allocated budget, to provide a comfortable, safe and pleasant environment for service users. However, the home has no control over major items of expenditure and there is a need for the home’s nominated Responsible Individual to ensure that satisfactory environmental standards are achieved and maintained. EVIDENCE: Standards 24, 26, 27, 28, 29 and 30 were assessed in July 2005. The home is situated in the centre of Tottington, close to bus routes, shops, and other local amenities. The short stay unit is on the ground floor. It is separate from the rest of the building, and has its own entrance. The unit has exclusive use of a lounge, dining kitchen, bathroom and toilet. All bedrooms are single. Any service user admitted in an emergency has a single bedroom on the first floor. They also have use of the communal facilities used by those living in the resettlement unit. The enclosed garden provides a pleasant setting where people can sit out in nice weather. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 16 Efforts had been made by the home to make the short stay unit safe, homely and comfortable. Since the last inspection, the lounge suite had been replaced, and doors had been re-varnished. This had resulted in improving the appearance of these areas. Some health and safety requirements had also been addressed. Bedrooms were individually decorated in different colour schemes, and service users brought in a few of their own possessions to make their rooms more homely. However, as identified in the last inspection report, wardrobes, drawers and vanity units were looking “tired” and way past their best. The home had tried to brighten them up by painting them, but they were barely adequate. The home’s manager does not have control over items of major expenditure, and a requirement was made during the last inspection for the home’s nominated Responsible Individual to provide the CSCI with written information about future refurbishment plans for the short stay and emergency units. This had not been done and it remains an outstanding requirement. As stated in the last inspection report, the Responsible Individual must ensure that satisfactory environmental standards are achieved and maintained. The home was fitted with adaptations and equipment suited to the needs of the service users. These included grab rails, portable hoists, assisted bath, shower, ramps and assistance call system. Key pads were placed at entrances to the short stay unit to aid security. Bedroom doors were fitted with alarms. There was no passenger lift, so anyone using the “emergency” bedroom would need to be able to use the stairs. Standards of cleanliness in the short stay unit were good. Liquid soap and paper towels were provided for hand washing in communal areas. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 The Department needs to encourage and support staff members towards achieving a target of having at least 50 of care staff trained to NVQ level 2. Whilst staffing levels are sufficient to meet the personal and health needs of the residents, it is not always possible to support people with community leisure activities. Failure to carry out all the required pre-employment checks on staff can potentially put service users at risk. In order to ensure that service users are being supported by a well trained staff team, there is a need for clarification about the training that staff members have undertaken. EVIDENCE: Standard 33 was assessed in July 2005. It was observed that service users had no hesitation in approaching staff members if they needed them. A service user said that she would go and see the manager or a staff member if she needed to talk about anything. She felt that they listened to her. Only seven of the twenty one support workers had done NVQ training. This did not represent 50 of the staff team. The Department needs to continue to encourage and support staff members with NVQ training with a view to having at least 50 of workers with the qualification. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 18 In addition to care staff, the home employs a cook, an administrator, a maintenance worker, and a domestic worker. The short stay unit has a senior officer and four key workers. During each shift, a designated worker is assigned solely to the short stay unit. This worker is assisted at key times (for example when people are getting up) by a second support worker who divides their time between the short stay unit and the semi-independent unit. As stated at the time of the last inspection, this system seems to work in respect of attending to service users’ personal needs, but it does not always result in the unit being sufficiently staffed to enable outside activities to take place (see section in this report under “Lifestyles”). The home has experienced some problems, with staff sickness and unfilled vacancies, which sometimes affect planned staffing levels. Staffing shortages affect all 3 units at Woodbury and, although agency staff are sometimes used on units other than short-stay, there are still times when staffing levels do not allow for fulfilling community activities. Staff recruitment records were kept at the Department’s Head Office. A sample of these were looked at during a visit to the office, by 2 inspectors, in April 2005. Several areas required attention. A letter was sent to the Director of Adult Services (who is also the nominated Responsible Individual) in May 2005, outlining the areas for improvement. The Responsible Individual is asked to forward details outlining how these matters have been addressed. Staff members gave examples of some of the training that they had done. These included NVQ level 3, LDAF (Learning Disability Award Framework), moving and handling, fire safety, first aid, food hygiene and managing violence and aggression. Staff training records were stored on the computer and the manager had difficulty accessing them on the day of the inspection. The manager was asked to provide the CSCI with an up to date training list showing all the mandatory topics, and the date each staff member had done, or was expected to do, the training on that topic. Staff training will be looked at again during the next inspection. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 Service users benefit from a well run home and they are able to openly express their wishes. Service users and others are asked for their views on the quality of the service. EVIDENCE: Standards 38 and 42 were assessed in July 2005. The manager is registered with the CSCI. He has been manager of Woodbury since 1992. He has the CSS (Certificate in Social Service) qualification and the RMA (Registered Manager’s Award). He seeks opportunities to advance his personal development through relevant training. Senior staff members are encouraged to participate in development work, for example a senior had recently undertaken a trainers’ course in Adult Protection to enable her to run training courses for staff. From observations and discussions, it was evident that the manager encouraged an open, inclusive atmosphere within the home. Service users and staff said that they found the manager and senior staff to be approachable. One staff member said that there was “open access” to managers. During the Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 20 inspection, it was observed that service users and staff had no hesitation in approaching the manager if they wanted to talk to him about anything. They openly expressed their wishes or opinions. Staff members felt that the home was well run despite the fact that there were sometimes staffing shortages. They said that day to day communication was good (for example through staff handovers, log books and diaries). However they felt that there was room for improvement in the way that other information was passed on. One staff member said that sometimes it was assumed that information had been passed to everyone when in fact it hadn’t. The home had several methods of checking out the quality of the service. Regular 24 hour “phone ins” were organised whereby people were encouraged to ring in and give their views. The manager said that the Carer Support Worker was also checking out quality by surveying service users and relatives. He also attended Carers Meetings where he obtained feedback. Staff members said that they were asked for their views and opinions also. The manager said that improvement plans would be produced approximately 3 monthly and the next was due in April 2006. He was asked to make sure that improvement plans were available to service users and others so that they would know that their views were being listened to and acted upon. Copies of the improvement plans also need to be sent to the CSCI. This standard will be looked at again during the next inspection. Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 21 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 X 2 X 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 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X X X Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 YA33YA13 Regulation 18(1) Timescale for action Staffing levels, and the 30/04/06 deployment of staff in the short stay unit, need to be sufficient to enable staff members to offer flexible support to service users who wish to take part in community leisure activities. The home must address the 31/05/06 requirements set out in the Pharmacist Inspectors report which states that staff members who handle medication must be enrolled onto a certificated medication course. (Timescale of 3/10/05 not met) The Responsible Individual must 31/03/06 provide the CSCI with written information about future refurbishment plans for the short stay and emergency units, including the replacement of the wardrobes, drawers and vanity units. (Timescale of 30/09/05 not met) The Responsible Individual is 31/03/06 asked to furnish the CSCI with details of how the Department has addressed the staff recruitment requirements that were set out in the letter of DS0000053090.V265745.R01.S.doc Version 5.1 Page 23 Requirement 2. YA20 13(2) 3. YA24 16(2)(c) 4. YA34 19 Bury Metro - Woodbury 5. YA35 18 5/5/05 following the visit to Personnel by 2 CSCI inspectors. The registered person needs to 31/03/06 provide the CSCI with an up to date staff training list which should include all mandatory topics and the dates training has been completed, or is expected to be completed, in each topic. 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 Although staff members demonstrated an understanding of their responsibilities in the protection of vulnerable adults, the home is asked to ensure that staff members receive the planned training in adult protection as soon as possible. The registered person needs to continue to encourage and support staff members with NVQ training with a view to having at least 50 of workers with the qualification. Given the comments made by staff members in relation to how information (other than day to day matters) is communicated, the manager is advised to consult with staff to identify how this could be improved. 2. 3. YA32 YA37 Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bury Metro - Woodbury DS0000053090.V265745.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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