Inspection on 25/07/07 for Cherryvale

This inspection was carried out on 25th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cherryvale 19/12/08

Cherryvale 16/11/06

Cherryvale 24/02/06

Cherryvale 24/11/05

Cherryvale 15/12/04

Cherryvale 01/06/04

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 Cherryvale Cherryvale Acrefield Road Liverpool Merseyside L25 5JN Lead Inspector Ms Lorraine Farrar Key Unannounced Inspection 25th July 2007 11.00 Cherryvale DS0000025237.V340954.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 Cherryvale DS0000025237.V340954.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. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherryvale Address Cherryvale Acrefield Road Liverpool Merseyside L25 5JN 0151 428 4458 F/P 0151 428 4458 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.c-i-c.co.uk Community Integrated Care Ms Marion Joan Higgins Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2006 Brief Description of the Service: Cherryvale is a detached bungalow providing accommodation and support for three adults who have a learning disability. It is based in a residential area of Woolton, next to a garden centre and with local shops and public transport near by. All of the rooms used by the people living there are on the ground floor; there is a first floor, which is used for office and laundry facilities only. Outside there is a private enclosed garden to the rear and side of the house, which is well maintained and a patio/paved area leading off from the lounge. Staff are available twenty four hours a day to support people when they need it and there are various aids and adaptations to help people with getting about and with their personal care. The service is operated by Community Integrated Care (CIC) who provide staff, budgets and support. CIC are a national organisation who provide support services to people across the country. It costs between £ 318.50 and £362.50 each week to live at Cherryvale. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. An unannounced site visit was made to the home on 25th July 2007 where time was spent reading records, meeting with the people living there and with staff, observing life in the home and looking at the environment. A second visit was made on 29th August where time was spent meeting the manager and looking at staff records. The Inspector met with all of the people living there and three members of staff, including the manager. Any information the CSCI has received about Cherryvale since the last big inspection in November 2006 is taken into account in writing this report. It costs between £ 318.50 and £362.50 each week to live at Cherryvale An easy to understand summary of this inspection report is available. If you would like to see a copy please ask staff working at Cherryvale. What the service does well: Staff who work at Cherryvale know the people living there well and are able to understand and respond to the different ways they communicate. They support people to meet their personal and health care needs and to spend their time doing the things they enjoy doing. People are supported to visit their family and are able to get out and about in their local community. When they are at home people can spend time in the garden, engaged in activities they enjoy, with staff or spend time alone in their room, as they prefer. There is a clear procedure in place for dealing with complaints and this is readily available to the people who live there and their visitors. Cherryvale is adapted to meet the mobility needs of the people living there. Everyone has their own bedroom, which they can personalise to suit their needs and choices. There is sufficient space including a well maintained garden for people to chose where to spend their time and whether they want company or not. Good recruitment processes are in place for new staff. This helps to ensure that checks are carried out to make sure they are suitable to work with the people living at Cherryvale. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 6 Checks are regularly carried out on the building and equipment to make sure that they are working safely and are maintained regularly. What has improved since the last inspection? What they could do better: Care plans do not always contained detailed enough information about the person to ensure unfamiliar staff could support them safely and well. The introduction of planned Essential Lifestyle Plans will help to rectify this and ensure peoples support needs and their choices are fully documented and can be met within the service. Not all medication held in the home for people is recorded on their medication sheet. This means that there is no accurate way to establish if the medication is still prescribed, and could lead to errors occurring. The kitchen would benefit from a deep clean and refurbishment, this would help to ensure the room is hygienically maintained and a pleasant area to be in. Training for staff is not planned around the support needs of the people living there and staff do not have regular training in areas of health and safety. This could lead to people not being supported as safely and well as they should be. The way people’s money is looked after by Community Integrated Care needs to be more transparent. Records should be available of how and why people’s money is looked after by the organisation and of how their contributions to the Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 7 mini bus are worked out. This will help to ensure that their money is looked after safely. 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. Cherryvale DS0000025237.V340954.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 Cherryvale DS0000025237.V340954.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. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided to and obtained about, new people to ensure that Cherryvale can meet their needs and choices. EVIDENCE: Nobody new has moved into Cherryvale for several years. Therefore it is not possible to practically assess the support offered to people who may be thinking about living there. There is however a policy in place from the organisation for introducing new people. This states that a full assessment of the persons needs and choices must be carried out and that they will be offered the opportunity to visit the house, meet with staff and the people living there and stay overnight if they wish. An information brochure about the service is also available to inform people about the services and support they can expect. This helps everyone to decide if Cherryvale is the right place for them to live and if it can meet their needs and choices. Cherryvale DS0000025237.V340954.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 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Peoples individual choices and needs are identified and met within the service, however this is not always clearly documented which may affect the support offered by unfamiliar staff. EVIDENCE: Individual care plans and files are in place for everyone who lives at Cherryvale. These have information about the things people like and the support they need. Plans have been reviewed recently which helps to make sure the information they contain is up-to-date. However some of the information about the support that people need is brief, for example stating, “full assistance required”. This may not provide unfamiliar staff with sufficient information to ensure that they support people both safely and in a way they prefer. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 11 Clear information is recorded about the way that people communicate and how they show their choices through non-verbal communication. Staff spoken with were able to explain how they support people to make choices in their daily lives and how they understand the things people are telling them, for example through their facial expressions. Staff are in the process of setting up Essential Lifestyle Plans for people. These will have photographs of the person and will help others to understand more about the things the person likes, the support they need and how they communicate. These plans also contain more detailed information about the support that people need and choose. Risk assessments are available for everyone covering the support they receive with their health and personal care as well as with activities they enjoy, such as using the mini-bus or going swimming. These identify any risks to the person and give guidelines to minimise that risk. This helps to ensure people can live the lifestyle they choose whilst staying safe. Cherryvale DS0000025237.V340954.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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Cherryvale are supported to live a lifestyle of their choice. EVIDENCE: Peoples care plans contain information about the things they like to do and how they like to spend their time. During the site visits this support was seen to be offered to people, with one person spending time in their room using their ball pool, another person listening to music and third out at their resource centre. Records showed that people get support to go out and about in their local community with recent activities including, shopping, going for a drive and visiting their family with staff support. The people living at Cherryvale share the cost of a mini-bus, this is adapted to meet their needs and helps them to get around more easily. The brochure for Cherryvale says that people will receive support to attend church or religious services if they wish to go. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 13 When at home people are supported to spend time in their room, watching TV or listening to music and making use of the private garden. Staff spoken with were able to explain the different things people like to do and how they communicate to staff if they don’t want to do things. Staff were seen to spend time chatting with people and establishing the things they wanted to do as well as giving them time alone as they preferred. There is a four week menu at Cherryvale and this showed that people are offered different meals and fruit and vegetables. However there is no actual record kept of the meals served or anything different people choose, this means that it is difficult to establish whether people are having a healthy diet with lots of choice and variety. There are aids and adaptations available to support people to be more independent and manage their meals more easily, these include special cutlery, crockery and cups. Staff were observed to offer people support to eat their meals and to offer them the opportunity to be as independent as possible in holding adapted cups. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of the people living at Cherryvale are identified and they are supported to meet these. However the way in which peoples medication is managed is not as safe as it should be. EVIDENCE: Care plans contain information about the support people need with their personal and health care. This is backed up with risk assessments and records of health appointments, peoples weight and any seizures they have. These records help to quickly identify any changes to their health so that appropriate action can be taken. Staff provide support to people to make and attend appointments with health professionals such as their GP and dentist. Staff spoken with were able to explain the support they offer to people with their personal and health care and this support was observed to be offered discreetly during the site visit. Medication is stored safely in a locked cupboard and a system is in place to count this regularly, which helps to lessen the chance of mistakes being made. Records were completed correctly and medication checked tallied with the amount held in stock and recorded as given. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 15 Some of the people living at Cherryvale have ‘as required’ medication to support them with their epilepsy. Records of when to use this are recorded in their care plan, and there is a record of staff who have received training in giving this medication. However some staff last received training in 2004 and no record of updated training was available, this could lead to staff not being aware of current guidance and good practice in this area. Peoples medication record sheet did not record this medication, therefore there is no way of evidencing that the GP still requires this to be used, which could lead to errors being made. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are taken seriously within the service and dealt with. However people’s finances are not always dealt with in a way that ensures they are safeguarded. EVIDENCE: No complaints about Cherryvale have been received since the last key inspection. There is a policy in place for dealing with any complaints or concerns that arise and a member of staff was able to explain the actions he would take to deal with these. A copy of the organisations complaints policy is available in the hallway so that the people living their and their visitors can access this easily. Staff receive training in recognising and dealing with any adult protection issues that arise and have a copy of the local authority procedure available to guide them. This helps to ensure that any issues that may arise would be dealt with swiftly. Community Integrated Care (CIC) act as appointee for peoples benefit money. No information on the name of the account this money is held in, the amount held or withdrawals is available within the home. Therefore it is not possible to establish whether this is managed in people’s best interests. Everyone living at Cherryvale receives mobility allowance and contributes a large part of this towards the upkeep of the mini bus. No records of the persons or their representatives’ agreement to this is on file. There is no record of the amount people contribute or how this was worked out on file. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 17 Therefore it cannot be established whether the organisation are managing people’s money fairly, correctly and for the intended purpose. Money held at Cherryvale and belonging to the people living there was checked. The amounts held tallied with the records. However one person had recently paid for a new mattress for their bed. As this was being replaced due to its age and condition as opposed to personal choice the organisation are responsible for this purchase. Cherryvale DS0000025237.V340954.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, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Cherryvale provides a warm, comfortable home for people to live in that is adapted to meet their needs. However some areas would benefit from redecoration and consistent infection control measures. EVIDENCE: Cherryvale is a detached dormer bungalow located in a residential area of Woolton. It is near to local facilities and public transport, with some parking provided in the front driveway. Outside there is a large, well-maintained garden with seating areas, this is well used by the people who live there. Inside everyone has their own downstairs bedroom, which is decorated and furnished to suit their needs and choices. There is a large lounge and dining room, which is nicely decorated and provides sufficient space for people to move around comfortably. Staff are in the process of altering a small downstairs room into a second lounge so that people can see their visitors in private if they wish. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 19 The kitchen is domestic in appearance but is looking shabby, with stains to the work surfaces, walls and grout. The cupboards feel sticky to touch and a cutlery drawer is not working correctly. The downstairs bathroom has been adapted with an accessible shower to help people get around more easily. In addition there are ramps to the front and back of the house, hoists and a shower chair and trolley available. These aids and adaptations help people to get around their home and receive support with their personal care more easily. Upstairs there is a well organised laundry room that provides the equipment people need to ensure their clothes are well looked after and any risk of cross infection is minimised. However on both floors there are small toilets. Neither of these rooms contained washbasins, hand gel or wipes during the first site visit. During the second site visit alcohol hand gel and wipes had been placed in both toilets. The lack of hand washing facilities and occasional lack of appropriate alternative measures may lead to a risk of cross infection occurring. Cherryvale DS0000025237.V340954.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 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at Cherryvale are supported by a staff team who know them well. However a lack of up to date training for staff may mean people are not always supported as well as they should be. EVIDENCE: Staff spoken with during the site visits had a good understanding of the people living at Cherryvale, their support needs and their choices and were able to explain how they meet these. Staff were seen to spend time with people and to communicate with them in a way they understood as well as giving people time alone as they preferred. The majority of staff have obtained a care qualification, which helps to ensure they are aware of good care practices and how to provide these. The organisation have a policy in place for recruiting new staff. Records showed that this is followed, with checks including, references, Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults list being carried out, before people are employed. This helps to ensure that new staff are suitable and safe to work with the people living at Cherryvale. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 21 Records showed that the majority of staff have had training in the protection of vulnerable adults and medication. However other basic training was out of date. For example the last record of one person undertaking food hygiene and moving and handling training was in 2001. There was no evidence that a training plan is in place to identify basic training that staff need to undertake as well as more specialist training. For example one of the people living at Cherryvale has a visual disability, staff have not received training in this area. The lack of up to date basic training and more specialist training may mean people are not supported safely or in line with good practice guidance. Cherryvale DS0000025237.V340954.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 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Cherryvale is a safe place for people to live in with systems in place to check the quality of the service offered. EVIDENCE: Mrs Tracy McAulay is the appointed manager of Cherryvale. She commenced work as manager in November 2006 but has not yet applied to the CSCI to register as the manager of Cherryvale. This process helps to ensure that the manager is a fit and suitably qualified person to manage a service. Mrs McAulay is experienced in working with adults who have a learning disability and is currently undertaking a management in care qualification, which will help to ensure her knowledge and skills are up to date. A member of staff spoken with described the manager as ‘very good, very supportive’ stating that she listened to and supported staff in their role. Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 23 There are a number of systems in place within Cherryvale and CIC to check the quality of the service they offer. This includes regular reviewing of care plans and auditing money and medication held in the home. In addition a senior manager from within the organisation visits monthly to carry out an audit of the service and set targets for any actions needed. CIC survey the people living in their services and their families each year. This is compiled into a report about the organisation as a whole which people are able to see. These checks help to identity and address any areas that could be improved. Records and certificates evidenced that regular checks are carried out on the building and equipment to ensure these are safe. This includes checking electrical appliances, the gas supply and regular fire checks. Cherryvale DS0000025237.V340954.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 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 3 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 25 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 YA6 Regulation 15(1) Care plans must contain sufficient information about the support staff need to offer to people. This will help to ensure that people get the support they need and choose. 2. YA17 17(2) A record of the actual meals provided for people must be maintained. This will help to ensure people are offered a healthy diet with choices and variety. 3. YA20 13(2) Any medication prescribed or used for the people living at Cherryvale must be recorded on their medication sheet. This will help to lessen the risk of medication errors occurring. 10/10/07 10/10/07 Requirement Timescale for action 30/10/07 Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 26 4. YA23 13(6) 16(2)(c) 30/10/07 The service should investigate the reasons why people purchase their own furniture and ensure that this is in line with their polices and safeguards peoples monies. Any errors in this must be rectified. This will help to ensure people’s money is managed safely. 5. YA24 23(2)(d) Arrangements must be made to ensure all areas of the kitchen are clean and hygienically maintained. This will help to lessen the risk of an outbreak of infection. 30/10/07 6. YA23 13(6) Information about how service users money is managed must be recorded within the home. There should be a rationale of charges for vehicle use - Consent to deduct this money from peoples account - An explanation of where the money is held and how it is audited. This will help to ensure that service users money is managed safely. 30/10/07 7. YA30 13(3) A written risk assessment of toilet rooms without washbasins must be carried out. Action must be taken on any findings. This will help to lessen the risk of an outbreak of infection. 10/10/07 Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 27 8. YA35 18(1)(c) A training plan must be compiled and implemented. This should cover all health and safety and basic training as well as more specialist training based upon peoples individual needs. This will help to ensure staff have the knowledge to support people safely. 30/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations It is recommended that the lounge gas fire be replaced in accordance with the Gas Engineers recommendations. This is a previous recommendation An action plan with timescales should be compiled to ensure peoples Essential Lifestyle Plans are in place and completed. This will help to ensure as much information as possible is available about the support people require and their lifestyle choices. 3. YA24 Consideration should be given to replacing the kitchen units and worktops. This will modernise the kitchen and provide a more homely area for people to use. 2. YA6 Cherryvale DS0000025237.V340954.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. 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