Inspection on 15/03/07 for CARE Shangton

This inspection was carried out on 15th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

CARE Shangton 05/11/08

CARE Shangton 16/01/08

CARE Shangton 27/01/06

CARE Shangton 15/06/05

CARE Shangton 21/10/04

CARE Shangton 10/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 CARE Shangton Melton Road Shangton Leicester LE8 0PS Lead Inspector Susan Lewis Key Unannounced Inspection 15th March 2007 9.45am CARE Shangton DS0000001656.V324284.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 CARE Shangton DS0000001656.V324284.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. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service CARE Shangton Address Melton Road Shangton Leicester LE8 0PS 01858 545401 01858 545777 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.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Mr Leonard John Walker Care Home 56 Category(ies) of Learning disability (56) registration, with number of places CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care Shangton are able to admit one named Resident in category LD/PD (dual disability) as agreed in correspondence with the previous registration authority dated 8/4/92 Care Shangton are able to admit a named Service User in category LD/SI (learning disabilities and sensory impairment) subject of variation application number V8014 27th January 2006 Date of last inspection Brief Description of the Service: The fees for 2006/07 are £600-£918 per week. The most recent inspection report is available in the reception area. The CARE Community provides accommodation for up to 56 adults with learning disabilities in five cottages and three flats that have been adapted and staffed according to individual need. The village is situated in a rural area and is isolated from mainstream communities, but service users attend a variety of community facilities and the organisation provides an excellent variety of meaningful day service activities, supported employment opportunities and access to colleges. Appropriate facilities are available for residents with physical needs such as accessible showers and one of the cottages is wheelchair accessible. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting residents and tracking the care they received through looking at their records, talking with them where possible, and observing staff that provide their care. The inspection was unannounced and took place over 10.5 hours one Thursday in March 2007, and was conducted by one inspector as part of the annual inspection process. A partial tour of the building took place and a selection of residents’ bedrooms was inspected. Residents’ and staff records were inspected and visitors, residents and staff on duty were spoken with. Other information that was used to inform this report was the pre-inspection information provided by the registered manager, Residents survey, accident and incident reports received since the last inspection as well as the previous inspection report. What the service does well: The home provides residents with a pleasant environment that supports both those residents who need support but also enables residents who have the skills and abilities to do more for themselves. Residents are encouraged to develop areas of interest and there are opportunities to be active members of the community with the variety of work both voluntary and paid. Residents are also able to take part in creative activities with the Drama group that has performed at both the Edinburgh Fringe and Leicestershire Comedy Week. Evidence was seen that staff work closely with residents to develop their individual skills and record how this is supported and how residents have developed from when they arrived at the home. Staff receive regular training and are supported to develop skills needed to do the job. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 6 The management is responsive and responsible in its approach to dealing with issues such as sexuality and cultural needs ensuring that residents are not placed at risk but are still able to develop as individuals. What has improved since the last inspection? What they could do better: Although the care provided is of a high standard there are some areas that the management must ensure are improved. Where residents are going out arrangements need to be made to ensure that they are able to take their medication at the prescribed time. Although there a very good policies and procedures in place to protect residents from abuse and support them to complain these are not always followed. The registered person must ensure that where a resident complains that this is recorded and the outcome for the resident from that complaint is also recorded. Where residents assaults another resident the registered person must ensure that the local safeguarding adults team is notified so they can follow appropriate guidance from them. This ensures that all action that is in the best interests of all those involved are supported. It is also recommended that where action is taken to minimise risk regarding these incidents that this is recorded in the care plan to evidence that the management are actually responding to these incidents. Although improvements were noted in the environment some work still needs to be done on the identified areas that showed black mould as a result of damp. It is recognised that CARE Shangton is a large site and so it is an CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 7 ongoing task to keep the maintenance to the standard required. This will be part of the ongoing monitoring of this site. Training in the home was delivered to a high standard with all staff having access to a wide variety of courses. However from discussion with staff it was sometimes not always delivered in a timely fashion with staff working in areas such as with residents with dementia with out receiving the appropriate training for several months. It is strongly recommended that where possible staff receive training in specialist areas as soon as possible to ensure residents are supported in the most appropriate way. 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. CARE Shangton DS0000001656.V324284.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 CARE Shangton DS0000001656.V324284.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): 2 Quality in this outcome area is good. Residents are assessed prior to moving to the home and know that their needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five care plans were viewed as part of this inspection and showed that all residents had an assessment carried out by a person competent to do so and that residents were involved in this process. Each resident had a care plan that was developed from the assessment that showed how the care staff were to provide support. Risks were identified and plans put in place to minimise the risk and ensure that the resident was able to have a full and active life with appropriate support. Residents spoken with were aware of the assessments and were aware of any limits placed on their activities through identified risks. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. Care plans address residents needs and risks; strategies are in place to support residents’ choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans viewed showed that residents’ plans were drawn up where possible with their involvement, there was very good evidence that where person centred planning was being implemented that residents were actively involved in this process and were in some cases involved with training staff on how to do person centred planning. This is good practice. Plans were written in an easy read style enabling residents to access this information in a style that is best suited to their needs. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 11 Where residents had particular challenging needs these were identified in the plan and what action staff needed to take to support the resident to maximise their independence. Residents spoken with said that staff were very good at helping them and one residents spoken with said that they had ‘done lots of things now that I would never have done before’. Information both from the pre inspection questionnaire and the care plans showed that each resident had a key worker who supported them at the home. Residents spoken with said that they knew whom their key worker was and that they helped them if they needed anything. Staff spoken with were also able to talk about their role as key worker and what they needed to do to support residents. Residents spoken with were aware of their care plans and were familiar with the person centred approach that was used. Evidence in both care plans and through observation was seen that residents are supported to make decisions about how they live their lives. Residents have access to advocacy services if they need it. Evidence was seen in plans and through photographs of activities that residents take part in that they are able to take responsible risks. Risk assessments were seen on care plans showing that staff take appropriate action to minimise any risk. This was particularly highlighted when staff take residents on holiday or other activities outside the home. One resident spoken with said. ‘I tell the staff I would like to do something and the staff talk to me about how we are going to do it and I have been to lots of places and done lots of things’. Evidence was also seen in care plans of all the activities residents take part in; records such as photographs and tickets are kept of all these activities. This is good practice CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. Residents are supported to take part in culturally appropriate activities that develop their abilities and skills. Service users feel respected and encouraged to be part of the local community. A healthy diet is offered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans and discussion with management showed that residents were involved in a wide variety of activities both on site and in the wider community. This involved both paid and voluntary work for those who were able and wanted to take part in these activities. Residents spoken with said that they were able to choose what activities they were involved in. Evidence was also seen that residents were supported to develop skills and abilities ensuring that they were able to take part in valued and fulfilling activities whether at the home or in the wider community. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 13 Photographs were seen that groups of residents were involved in community drama activities that had taken them to the Edinburgh Fringe Festival as well Leicester Comedy festival. Another activity that residents were involved in was the Special Olympics, where a group took part in a cycling event. Residents spoken with were very positive about this experience and spoke positively about being either involved or attending as support. Diary notes also indicated that residents went out shopping, cinema, theatre trips as well as local pubs again ensuring residents remained in full contact with their local community. Each cottage had its own routine and lists indicated that residents were involved in different jobs in the house. Observation also showed that residents were involved in a variety of tasks within the homes to help maintain the running of each house. During the tour of the home it was clear that each resident was able to lock their bedroom when they were away from the home ensuring that they can maintain their privacy in their bedrooms. Staff were also observed interacting with residents in a positive manner and not talking just amongst themselves showing that residents are valued and listened to. Each cottage has its own meal plans that residents are involved in choosing, staff spoken with said that residents are asked each week what they would like to eat and a list is drawn up from that. The midday meal is served at the ‘works canteen’. This is a group dining room that serves the whole of the complex and the meal served on the day was seen to be nutritious and appetising. A good choice of two hot meals and salads were available for residents to choose from. Snacks and drinks are available throughout the day. Care plans identifies where residents had nutritional needs such as calorie controlled diets and staff spoken with were aware of residents who needed their diet monitoring and what action needed to be taken to support them. CARE Shangton DS0000001656.V324284.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 and 20 Quality in this outcome area is good. Personal support and health needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each cottage provided care according to the needs of the residents who lived there and according to their identified care needs on their care plans. One cottage had been adapted for residents who had limited mobility and whose needs were more dependent. A variety of aids to support residents with higher care needs were noted and staff spoken with confirmed that accessing specialist equipment was not a problem and if a resident needed something it was usually obtained fairly promptly. The staffing levels in this cottage reflected the higher needs and where assessed as a need one to one care was provided. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 15 Residents spoken with confirmed that they were able to get up and go to bed when they wanted to. Care plans showed that residents were able to see a doctor or other health care professional when they wanted to and identified where a carer has needed to provide support when attending an appointment. This ensures that residents’ healthcare needs are supported in the most appropriate manner for the resident. Each resident had their own medication in a locked cabinet in their bedroom and the member of staff went to the resident to administer the medication if they needed that support. The manager reported that this had improved the administration of medication and minimised the risk of drug errors. This is good practice. In the diary notes it mentioned a resident did not have their teatime medication as they went out, this potentially places residents at risk if they do not receive their medication regularly. CARE Shangton DS0000001656.V324284.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 and 23 Quality in this outcome area is adequate. Residents are aware of how to make their views known, but procedures are not always followed. Staff protect residents but again procedures are not always followed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission received one complaint since the last inspection and this was looked at during this inspection. The issue was regarding moving and handling procedures within the home. The matter was discussed with the Registered manager and the Care Manager both of whom were aware of the incident that lead to the complaint being made. However evidence that was provided showed that they had acted in a responsible manner, the care plan showed how the resident in question should be cared for and evidence was seen that moving and handling training was up to date for all staff. On the evidence seen the complaint is not upheld. The CARE organisation has a clear complaints policy and procedure and staff spoken with understood how they would support residents who wanted to make a complaint. The Service User Survey received prior to the inspection showed that residents felt comfortable talking to staff if they had a problem and would also receive support from family in making a complaint. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 17 Whilst looking at care plans one resident’s diary notes indicated that they had wanted to complain about something and from the notes it was clear that it was dealt with by the staff member but not logged as a complaint. Residents spoken with said that they felt safe and that staff spoke to them kindly and that did not shout at them or behave in an unkind manner towards them. Whilst reading incident forms two incidents showed that a resident had assaulted another resident. These had not been sent to the local safeguarding adults office for consideration. However in discussion with the registered manager information was provided that this incident had prompted further work with residents on addressing sexual behaviour. This information had not been recorded on the individual residents care plans to show what work was now taking place with residents. The home has a Bursar who deals with all the residents’ finances. This is a very robust system with detailed records of all monies coming in and going out. This minimises any risk of residents being vulnerable to financial abuse. CARE Shangton DS0000001656.V324284.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 Quality in this outcome area is good. A homely environment is provided, which is safe and mostly comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A requirement was made at the last inspection to carry out refurbishment to the home. During the tour evidence was seen that improvements have started and a kitchen in one cottage had been refurbished and a bathroom in another had also been refurbished. New windows were also noted on a number of the cottages. Due to the size and age of the site this is an on going issue that the manager is aware of the problem and as result has employed two part time maintenance people to ensure that maintenance issues can be dealt with promptly. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 19 However damp patches were seen in several places in some of the cottages causing unsightly black mould marks on the walls. These were identified with the care manager during the tour and should be resolved. Evidence was seen that where residents need their bedroom redecorating regularly by virtue of their behaviour that this was done in consultation with the resident ensuring residents are consulted in decision making. This is good practice. Each cottage had its own laundry facilities these were functional and the floors could be cleaned to ensure good infection control. CARE Shangton DS0000001656.V324284.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 Quality in this outcome area is good. Access to training is mostly good and residents are supported by competent and qualified staff who are recruited following the homes policies and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff training files were seen and showed that staff had access to a variety of training including NVQ and LDAF (Learning Disability Awards Framework). This ensures that staff are trained to a minimum standard and are competent in their role as carer. CARE Shangton has the Investors In People Award and is an approved training centre for NVQ and LDAF this shows the organisation is committed to providing good quality training to its staff, which ensure they provide good care to the residents. Staff spoken with said that sometimes they had to wait to get on courses and this was particularly evident for staff who worked with residents who had CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 21 dementia. Although training was provided it was often given after the staff member had been working in that area for a long time. This has the potential to impact on the quality of care the resident receives. From pre inspection information it was shown that 50 of staff had their NVQ level 2 training, with 7 staff working towards their NVQ 3 and a further 5 who already have it. The six ‘house’ managers are working towards their Registered Managers Award, this ensures that staff have the skills and competencies to care to meet the needs of residents. Four staff files were viewed and showed that two written references were obtained and Criminal Records Bureau checks were carried out. The information on these files showed that the homes recruitment practices were good and were designed to support and protect residents. The registered manager provided information on recruitment, which showed that where possible residents are involved in the process, this is good practice. CARE Shangton DS0000001656.V324284.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 Quality in this outcome area is good. The home is run in the best interests of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has within the CARE organisation for twenty years and has a great deal of management experience. He is supported by a management structure at CARE Shangton with managers who have specific roles to oversee the care and day care services. Regular training is given to up date his knowledge and ensure his skills and competences remain up to date. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 23 CARE have a detailed and comprehensive quality assurance system that uses up to date guidance provided from a variety of sources including that issued by the Commission. The registered manager provided information on how CARE is developing its new Quality system over the next year and sets measurable goals showing how quality is to be improved. Residents spoken with said that they felt listened to if they made suggestions to improve things or wanted to do something in the future. They said that there were regular residents meetings and the registered manager said that representatives from the residents attended a meeting with staff from CARE on how improvements could be made. There is also a family day every year where different topics and training is provided. This is good practice. Information was seen showing that the community has a thorough health and safety monitoring system with clear records showing when fire drills take place and that water temperatures are monitored to ensure the safety of residents and staff. Staff receive regular mandatory training and evidence was seen that this is updated at regular intervals. This is good practice. All incidents that effect residents’ well being are reported to the Commission ensuring that any concerns can be monitored. CARE Shangton DS0000001656.V324284.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 X 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 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X X 3 X CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13(2) Requirement Arrangements shall be made for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Where residents are not in the home for any reason arrangement must be made to ensure that they receive their medication according to the prescription. All complaints must be recorded and show that procedures have been followed. Arrangement shall be by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. Where incidents of assault take place between residents the local safeguarding adults unit must be notified. Timescale for action 01/05/07 2 3 YA22 YA23 22(8) 13(6) 01/07/07 01/05/07 CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 26 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 2 3 Refer to Standard YA23 YA24 YA35 Good Practice Recommendations Where incidents lead to risk assessments taking place and change in care is provided this should be recorded on the care plan Where black mould on walls was identified remove and prevent its return. Staff should receive training promptly according the area they work in. i.e. dementia care. CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 CARE Shangton DS0000001656.V324284.R01.S.doc Version 5.2 Page 28 - 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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