Inspection on 15/06/06 for Cherriton

This inspection was carried out on 15th June 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 no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cherriton 31/10/05

Cherriton 04/05/05

Cherriton 02/09/04

Cherriton 07/04/04

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 Cherriton 1 Bedford Road Rock Ferry Bebington Wirral CH42 6RT Lead Inspector Sonya Robinson Unannounced Inspection 15th June 2006 09:30 Cherriton DS0000018874.V287802.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 Cherriton DS0000018874.V287802.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. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cherriton Address 1 Bedford Road Rock Ferry Bebington Wirral CH42 6RT 0151 643 8145 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.macintyrecharity.org MacIntyre Care Tracy Nelson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults (aged 18-64 years) with a learning disability may be accommodated. 31st October 2005 Date of last inspection Brief Description of the Service: Cherriton is registered to accommodate 6 adults with a learning disability. Cherriton is a two storey, detached property located in a residential area. Service users have single bedrooms. Bedrooms are located on the ground and first floor. On the ground floor there is a lounge, dining room, kitchen, bathroom and a separate toilet. On the first floor there is a shower room and a bathroom. Bathing aids are provided in both bathrooms. The home has a large garden, which has seating areas. There is wheelchair access via a ramp from the lounge. Parking is available on the main road. There is access for the homes vehicle on the driveway. Cherriton is located in a central position close to Birkenhead and Prenton. There are local shops within walking distance and there is access to public transport. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over eight hours with the registered manager. During the inspection, time was spent in the office examining records and policies and procedures. Staff were spoken with and were observed delivering care to service users. The inspector was able to communicate briefly with one service user and over the course of the inspection all six service users were observed. The inspector was also able to talk with one service user’s family who were visiting on this day. A tour of the home was undertaken. The main focus of the inspection process was to understand how the home was meeting the needs of the service users and how well staff were themselves supported by the organisation to make sure they had the skills, training and support to meet the needs of the residents. The fees charged are agreed with the placing authority and are dependant upon the assessed needs of service user to be placed. The inspector would wish to acknowledge the assistance and co-operation of the management and staff of the home during the course of this inspection. The inspector would also wish to particularly thank the service users for their patience and tolerance throughout the inspector’s time in their home. What the service does well: The needs of service users are fully assessed before they come to live at the home. Service users and their relatives are encouraged to make visits to the home to help decide if the home is appropriate. Care plans are informative and support the assessed needs of service users. Service users are assisted to make decisions about their lives in accordance with their abilities. Varied meals are provided that are healthy and meet service users likes and dislikes. Service users are able to maintain and develop new relationships. The personal care needs of service users are well supported. The quality assurance systems and management approach ensure that the best interests of service users are promoted. Observations of staff indicated that service users are treated with respect and their privacy is promoted. A statement of purpose and function and service user guide is available within the home and has been updated to reflect the service. The contracts/terms and conditions support the interests of service users. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 6 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. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 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 Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a suitable statement of purpose and function available to prospective service users along with a service user guide that provides useful information to help inform their decision. There are sound systems for assessing service users needs that help to ensure that they can be met before they move to the home. The involvement of independent advocacy is a welcome development offering service users someone who can raise issues on their behalf. EVIDENCE: The statement of purpose and function has been amended since the last inspection to add the details of the registered manager and a support staff member. Of the last admission to the home the records indicated that an appropriate assessment had taken place that involved the service user, their family and relevant professionals and provided information that would form the basis for developing a care plan. The records and a discussion with staff indicated that the new service user and their relatives had made several introductory visits to the home to meet the current service users and staff. This is a useful way making the move into residential care as smooth as possible. A sample of service user contracts/statement of terms and conditions were seen and provide the information that is needed. Since the last inspection the service has introduced an appropriate advocate, who is independent of Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 10 MacIntyre Care. This person is to be involved in supporting service users when drawing up the contract/statement of terms and conditions, especially as this document makes reference to each service users circle of support, and agreeing the contents. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Current care planning reflects the assessed and changing needs of service users although the files would benefit from some reorganisation and updating. Staff need to become more familiar with risk assessments and methods of communicating such as the pictorial communication should be expanded upon and encouraged, as this will aid meaningful communication with service users. EVIDENCE: The organisation is in the process of restructuring their documentation to include their new logo. As such a number of documents are yet to be updated. A sample of service user files demonstrated some detailed information on the needs of the service users and there was evidence that these had been reviewed since the last inspection. The staff spoken to were aware of the needs of the service users and how to meet them. However one service user’s file showed little evidence of work undertaken since the service user had been admitted many months earlier. As discussed on inspection this must be Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 12 addressed promptly to ensure the records reflect the care and progress made by the service user concerned. The records and a discussion with staff indicated that service users are assisted to make decisions about their lives in accordance with their abilities. Communication diaries could be further improved upon to assist in this process. Records of service users likes and dislikes and preferences around daily living, such as what time they like to get up and the activities they enjoy are kept and this also shows service users choices are respected. A sample of risk assessments indicated that in general, service users’ needs are assessed and their need for independence is balanced with any risks to their wellbeing. Through discussion with staff it was evident that they should familiarise themselves with recent risk assessments and it is further recommended that staff members sign to say that they have read and understood these. The registered manager acknowledged that a training need for some staff has been identified with regard to communication logs on service users and that this is planned for the near future. When addressed this should mean that the consistency of care provided will improve. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The emotional and social needs of service users and their choices and preferences are provided for, though activities need to be expanded upon to fully stimulate service users. Service users are offered a healthy diet and choice is available. There are good relationships between staff and service users based on respect that creates a homely environment in which to live. EVIDENCE: The service users engage in a range of activities to develop new skills and to fulfil their social needs. Though as discussed on inspection these must be expanded upon. During the course of the inspection the inspector came across three service users sat in the lounge with the television on but with no sound. This is unacceptable and was voiced on inspection and was addressed. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 14 Two service users attend a day centre where they engage in various activities such as: cooking, flower arrangement, etc. Where necessary staff would support service users to access activities. The service has a mini bus, which they use to enable service users to access community facilities. The home is a short walk from local shops, pubs, restaurants, churches, etc. Other parts of the town are easily accessible by public transport, which passes near the service. One service user indicated to the inspector that it was a nice place to live. Also that they had enjoyed their day at the centre and was going to watch the football that evening and not go out as planned. The service users have holidays, which are included in their weekly fees. Brochures are brought into the care home where service users are supported by staff to choose their holiday. One service user appeared to have recently enjoyed a short break in the Lake District. Due to the needs of the service user’s they tend to go away individually with staff. Service users are supported to maintain and develop contact with friends and family. The inspector had an opportunity to talk to parents of one service user on inspection. They reported that they were pleased with the care being given to their relative but felt that activities needed to be expanded upon. Also that they were keen for staff to promote their relatives independence. It was observed that they had a good rapport with staff and the registered manger was responsive to their wishes for their relative. The service has an unrestricted visiting policy and service users are able to choose where to see their visitors. Service users rights to privacy is respected as evidence all service users have a key to their bedroom and the manner in which service users are supported with personal care etc. Service users have access to all parts of the building. Service users are not responsible for household tasks. However, they assist care workers in maintaining certain parts of their bedroom such as: tidying drawers and making their beds, where able. Mealtimes at the care home are flexible to meet the service user needs. There is a four-week menu in operation though often several different meals are served according to service user preference. It is recommended that these be recorded to fully reflect this. Discussion with the registered manager and staff indicated that service a user requiring special diet is catered for. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, 20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The personal support needs of service users are met, though improved documentation would support this. Each service user has a satisfactory health care plan in place and the home has good policies and procedures in place with regard to medication. Policies and procedures are in place, which are respectful of ageing, illness and death. EVIDENCE: There is information available for staff on service users personal care routines that indicate service users preferences. Though as mentioned previously some files would benefit from reorganisation and further detail. Staff were aware of the morning and evening routines of each service user. Staff spoken to were aware of the support needs of service users. Healthcare plans were found to be in place for service user’s, which highlighted their needs. Attendance for health appointments are supported by staff. The medication procedure gives clear guidance to staff. The medication records and corresponding medication were examined and found to be in order. Medication is stored securely. Members of staff reported that they have been trained in the administration of medication. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 16 The service has a policy and procedure in place in relation to ageing, illness and death of a service user. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a comprehensive complaints procedure in place and the practices at the home provide protection for service users. EVIDENCE: No complaints have been received to CSCI with regard to this service in the last twelve months. The service has received five complaints within the last twelve months, which have been actioned appropriately, though one complaint remains to be resolved in relation to the home’s mini bus allegedly backing into a neighbour’s car. This matter is ongoing with the organisations insurance company and the person’s concerned. A copy of Wirral Borough Council’s adult protection procedure was available at the home. A shorter and more accessible version of the adult protection procedure has been made available by Wirral Borough Council and was at the home for staff to refer to. Staff spoken with confirmed they have received training in the adult protection procedures. None of the service users manage their own benefits. The director of MacIntyre Care is the appointee for the service users living at the home. The records in relation to this are held at the MacIntyre Care head office. The home manages the personal allowances for all service users. From discussion with members of staff and from an examination of the financial records, the home’s policies and practices with regards to service users’ money and financial affairs safeguard service users. An independent advocate has been Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 18 introduced from Mind, the National Association for Mental Health. This offers an independent person for service users to share or voice concerns with and is an additional source of helping safeguard vulnerable adults. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 19 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, 25, 26, 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home is clean and generally well presented and provides a comfortable and pleasant environment for service users. Though as with any domestic dwelling there are several areas requiring attention. A safe environment is in general maintained. EVIDENCE: A tour of the home and grounds showed that in general the home is well maintained. Since the last inspection the kitchen, dining room and one bedroom has been redecorated. There are also plans within the garden area to add extra ramped areas this would only enhance accessibility to service user’s. The multiple bin bags of garden refuse must now be removed. One bedroom in particular is now in need of redecoration and the carpet in this room is stained and will require cleaning or replacement. The upstairs shower room requires attention as it is currently out of action as the doors leaks. The Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 20 downstairs bathroom is also showing signs of wear and tear. Furniture and fittings are generally of a good quality. Though the sofa in the lounge is in need of water resistant covers or a replacement sofa will need to be obtained as the inspector noted that one of the seating cushions was missing all day as staff had needed to wash it. The dining room table is showing signs of wear. There are a number of markings to the tabletop. The acting manager is aware that these areas need attention. Since the last inspection window restrictors have been fitted to all bedrooms the first floor landing window and the first floor bathroom. The Health and Safety Executive (HSE) recommend that windows in care homes have restrictors that allow windows to be opened to a maximum of 10cm. The manager has current risk assessments around the ground floor windows not having restrictors in accordance with the guidance from the HSE. A tour of the home showed that the home was clean. The home smelt fresh. It is clear the staff are working hard to ensure good standards of cleanliness are maintained throughout the home. There are procedures for staff to refer to about hygiene and infection control. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 21 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): 31, 32, 33, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. There are effective polices and procedures in place to ensure that staff are safely recruited and vetted. There are sufficient numbers of staff to meet the needs of service users. Systems are now in place to ensure that service users benefit from staff having regular supervision however staff should be encouraged to attend regular staff meetings so that they are familiar with new developments. Arrangements need to be put in place to ensure that 50 of staff undertake a formal training qualification in care of adults with a learning disability. EVIDENCE: Information from the registered manager confirmed that all staff have job descriptions and are clear of what their role entails. Also that they are safely recruited vetted and checked to work within this home. Specific details of staff members CRB (Criminal Record Bureau) clearance checks was also given. The staffing rota showed that there is a minimum of two staff on duty during the day and evening with a third member of staff available for some shifts. Waking night staff are deployed. There is a domestic member of staff employed for 20 hours a week. Organisational relief staff and the current staff team cover staff vacancies and absences. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 22 Since the last inspection a senior support worker has been employed and her start date is imminent. On the day of inspection the senior support worker had called into Cherriton to introduce herself to the home. She is experienced in this field and was enthusiastic to commence. Training records and staff indicated that training is provided to ensure service users are being cared for properly and that their needs are being met in accordance with current good practice. Future training planned includes value base, health action planning, fire safety, medication awareness, PCP (Person Centred Planning) training, protection from abuse, recording and observation, sexuality, infection control and health and safety training. Three out of twelve staff hold an NVQ qualification. Work is taking place to make sure that further staff have the opportunity to obtain an NVQ in care of adults with learning disabilities. The inspector sat in on a previously planned staff meeting and it was disappointing to note that only three out of staff group of twelve were present. It is strongly recommended that staff attend meetings in order to share information and experiences therefore aiding to effective care practice. Records and a discussion with the acting manager and staff indicated that supervision of staff has not always been maintained on a monthly basis. Supervision is now planned in advance to ensure that staff receive this support on a regular basis. The acting manager has had training around providing supervision and it is hoped that the recently employed senior support worker will assist in this task. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 23 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, 38, 39, 41, 42, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The service is managed by an experienced and qualified manager who is approachable and receptive to staff and service user needs. The quality assurance systems and management approach ensure that the best interests of service users are supported. There are a couple of health and safety certificates that the service will need to look at to ensure that service users are safeguarded. EVIDENCE: The registered manager informed that she has recently successfully passed her Registered Managers Award a copy of this is now to be forwarded to CSCI A discussion with the registered manager and records show that the manager has undertaken training to keep her skills and knowledge up to date and that the she has had several years experience working as a manager. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 24 Discussion with staff indicated that they are able to present their views about the operation of the service to the manager. The manager was described as being open and supportive. An equal opportunities policy is available. There are a number of quality assurance systems in place. An annual audit is carried out by Macintyre Care, which looks at how service users are supported and how the home and staff meet their needs. Relatives are consulted as part of the audit. There is an annual development plan for the home. The service has the Investors In People award, which is due for review in October 2006. Key workers elicit the views of service users in line with each service users’ ability. Regulation 26 visits by the registered provider are carried out and have been received by CSCI. The registered manager has provided the CSCI with information regarding maintenance records, a copy of the gas certificate must now be forwarded to CSCI and the home is to seek guidance from the health and safety officer in relation to a water heating check for compliance against Legionella. As discussed earlier within this report service user files would benefit form further information and some reorganisation. Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 2 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 2 2 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 3 3 3 3 X 2 2 X Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 26 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 Regulation Requirement The registered person must ensure that Service user’s files are updated to include the necessary information in accordance with this regulation. The registered person must ensure that Activities are expanded upon to fully stimulate service users. The registered person must ensure that the areas highlighted in the environment section for remedial action are addressed. A plan detailing how this is to be achieved must be submitted within two weeks of receiving this report. The registered manager must forward a copy of her recently completed Registered Managers Award to CSCI The registered person must ensure that a copy of the gas certificate is forwarded to CSCI Timescale for action 30/08/06 YA41YA18YA9YA6 12 2. YA11YA14 16 31/07/06 3. YA24YA26 23 30/08/06 4. YA37 9 31/07/06 5. YA42 23 31/07/06 Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 27 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 YA7YA8 Good Practice Recommendations The registered person should ensure that pictorial communication be expanded upon and the use of this encouraged as this will further aid effective communication with service users. The registered person should ensure that staff familiarise themselves with recent risk assessments and it is further recommended that staff members sign to say that they have read and understood these. The registered person should ensure that staff receive training with regard to the completion of communication logs on service users. The registered person should ensure that the different meals that are served according to service user preferences are recorded to fully reflect the choices available. The registered person should ensure that systems are in place to ensure that service users benefit from staff having regular supervision, this should now be maintained. It is strongly recommended that the registered person should ensure that staff attend meetings in order to share information and experiences therefore aiding to effective care practice. The registered person should ensure that 50 of staff have undertaken a formal training qualification in care of adults with a learning disability. The registered person should ensure that the home seeks guidance from the health and safety officer in relation to a water heating check for compliance against Legionella. 2. YA9 3. YA32 4. YA17 5. 6. YA36 YA33 7. YA32 8. YA42 Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Cherriton DS0000018874.V287802.R01.S.doc Version 5.1 Page 29 - 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!