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Inspection on 26/09/05 for 64 Chesterwood Road

Also see our care home review for 64 Chesterwood Road for more information

This inspection was carried out on 26th September 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Three people spent over an hour talking about their experiences of living at 64 Chesterwood Road. They reported that it is generally a good place to live. Another three people also contributed to the inspection, and their feedback was also positive. The home has some stable and experienced staff. One person described the staff as "A Good Laugh", and several people commented favourably about the banter and jokes that go on. People who live in the home have a key worker. Positive remarks about the relationship people have with their key worker and what they have achieved together were made. People who live in the home are encouraged to be as independent and to make as many choices about their life and the home as possible. The food available to people is very individual, it is good quality, and people can help buy and prepare food for their own meals.

What has improved since the last inspection?

The organisation of records within the home has significantly improved. Records were much easier to locate, and important information about care needs was much easier to locate.The building of a conservatory has commenced. It is anticipated this will make a big difference to the people who live in the home. Good progress had been made towards requirements made at previous inspections. A large number of these were fully met.

What the care home could do better:

Access into and around the home for people that use mobility aids or wheelchairs must get better. Some small improvements are required to the way medicine is checked and recorded when it comes in to the home. Some small improvements are needed to the way that healthcare needs are met and recorded. The staff must show how they have helped people to meet this need. The staff must have supervision with the manager more often. The way that some risks are assessed and recorded needs to get better. The organisation need to recruit some new staff to ensure that enough people are available to help people with their care and support. TRACS are trying to recruit the right people to work in the home. The decoration and flooring in the home needs to improve when the conservatory is finished.

CARE HOME ADULTS 18-65 Chesterwood Road, 64 Kings Heath Birmingham West Midlands B13 0QE Lead Inspector Alison Ridge Unannounced Inspection 26 September 2005 14:40 Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 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 Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 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. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chesterwood Road, 64 Address Kings Heath Birmingham West Midlands B13 0QE 0121 444 3736 0121 444 3736 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) TRACS Mrs Sheila Lynn Horton Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Residents must be aged under 65 years The home may provide care for 6 service users with an acquired brain injury. That the Registered Manager is employed to work no less than 28 hours each week. That the effectiveness of the management structure in the home be reviewed by TRACS and the CSCI every three months. That a full time deputy manager be employed to work in the home. Date of last inspection 5 January 2005 Brief Description of the Service: 64 Chesterwood Road is owned by TRACS and provides a service for six adults. The home is registered to accommodate people with a learning disability and physical disabilities. The home currently accommodates six service users who have an acquired brain injury, and one service user with additional physical disabilities. 64 Chesterwood Road is a two-storey traditional style detached residence situated in the middle of a quiet residential road in Kings Heath, Birmingham. The home is within walking distance of a variety of community facilities, which includes shops, parks, a leisure centre, places of worship, pubs, restaurants and a good selection of public transport. There is off road parking to the front of the property and a well-maintained garden to the rear. A wooden ‘chalet’ has been erected at the bottom of the garden to provide an area for staff meetings and breaks. Service Users and staff assist in maintaining the garden areas. Disabled access to the home requires improvement. There are two ground floor bedrooms one with en-suite shower facilities and WC, ground floor shower room and toilet and four single bedrooms on the first floor. There is a communal lounge / dining area, kitchen and laundry facilities. A new conservatory is currently under construction. The laundry area is housed in a ‘lean-to’ undercover area, adjacent to the office. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector undertook this visit over the afternoon and evening of one day. The visit was unannounced. During the visit information was collected by talking with all six of the people who live in the home, the deputy manager, the responsible individual, the service manager and staff on duty. Also by looking around some parts of the home, and reading records about care, staffing and health and safety. What the service does well: What has improved since the last inspection? The organisation of records within the home has significantly improved. Records were much easier to locate, and important information about care needs was much easier to locate. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 6 The building of a conservatory has commenced. It is anticipated this will make a big difference to the people who live in the home. Good progress had been made towards requirements made at previous inspections. A large number of these were fully met. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. EVIDENCE: The home has a stable service user group. There are no residential vacancies, and no new service users have been admitted since the last inspection. These standards were not assessed. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Service users are consulted about their care and lifestyle, and the operation of the home is such that these are mainly well planned and delivered. Information about service users is transmitted and stored in a confidential manner. Risk assessments do not fully underpin known risks, or all evidence how service users are being supported to take risks in their daily life. EVIDENCE: The individual plan of two service users were assessed. It was evident that the care plan had been generated after consultation with the individual, and relevant other people. The plans were very personalised, and reflected the person’s wishes and life goals. An example of good practice, where the plan had supported a person over a period of time to develop skills of greater independence was shared. The inspector observed and was informed by service users that opportunities to make decisions, and to be involved in the running of the home are provided. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 10 On the day of inspection service users had contributed to staff interviews. It was reported that house meetings are held regularly, and that people feel they are listened to and heard in these meetings. Risk assessments for two people were assessed. The assessments covered the risk in good detail. Control measures were clearly stated. The documents were slightly overdue for review. The risk assessments have resulted in a number of restrictions being made on individuals. It wasn’t clear from the document or the care plan how the service user was being supported to reduce or stop the risk behaviour that might result in the lifting of a restriction. It was also not evident how the risk behaviour was being monitored, to establish if it remains a concern. One service user had been assessed for pressure injury. This document showed no sign of review in the year since it had been completed. This is a requirement of the inspection. One service user has manual handling needs and a risk assessment had been developed. This identified manual handling needs and risks. It was not possible to track how these had been formulated into a safe handling plan. The information pertaining to service users was well stored and managed. No breaches of confidential information were noted during the inspection. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected 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 Service users have opportunities to undertake activities of their choice on a regular basis. Food offered and served is varied, nutriticious, and to the service users liking. EVIDENCE: The opportunities available for two service users were assessed. The daily records showed that people have the opportunity to undertake the activities of their choice on a regular basis. Individual hobbies and interests are nurtured, and the inspector was particularly pleased with the number of opportunities provided for one of the service users to pursue his hobby. Service users reported that activities are an area they would like to see increase. Specific ideas on how this could be achieved were not clear. It has been recommended this area be kept under review within the home. Two service users identified that drivers are in limited supply, and that this can be a particular problem at weekends. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 12 Some recent trips out to places of interest had been undertaken, and were reported to have been a success. Service users are supported to access the community with the required level of support. This is underpinned with risk assessments and restrictions are identified. It is recommended that the risks associated with service users going out with support from others-not the homes staff be included in risk assessments. A very positive aspect of the home is the support given to service users in maintaining relationships with friends and family. Numerous examples of good practice in this area were reported by service users, and further evidenced in care notes. The planned menu is very dynamic, and is altered and changed by service users as they wish. The stock of food available was nutritious and plentiful. It included fresh fruit, salad and vegetables. Service users comments about food were very positive. One person said their preference for spicy food was met, one person reported they liked being able to choose food out of the freezer or cupboard, and another person said they liked the fact that mealtimes were not rigid, but that you could eat when you wanted to. Another service user said their favourite foods were provided on a regular basis. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 13 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): Service users were happy with the way personal and healthcare was delivered. Personal care was well planned. Healthcare needs were not all well planned. Medication management was generally good, ensuring service users get the right medication at the right time. EVIDENCE: Service users reported that they were happy with the way personal care was offered and undertaken. They reported that staff respect their privacy, and promote their independence as far as possible. The plans sampled contained detailed, and personalised routines for the morning and evening. It was not evident that all routine health appointments had been attended, and the plan did not indicate when tests were due. The need to ensure follow up to appointments is undertaken was identified. One example of a blood test undertaken in August, but with no results was noted. The inspector identified some inconsistencies in one service users weight. This had jumped and dropped in an unlikely pattern. No evidence of how this had been explored, or his welfare ascertained was available. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 14 Specific requirements have been made previously regarding diabetes and tissue viability. The blood glucose record continues to show blood readings that are below the safe parameter established in the diabetes protocol. The staff have not evidenced that they have taken action as identified in the protocol. This must be addressed. A risk assessment regarding tissue viability has been completed. This must be kept under review. The care plan had been developed to include tissue viability. It has been required that this be developed further to include the indicators of change, or to flag up when assistance should be sought. Medication management was generally good. The medication prescribed was all available and safely stored. Records of administration had been fully completed. The need to ensure that records of receipt are made was identified. All prescribed medicines must be listed on the Medication Administration Record. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 15 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 Service users views are ascertained and acted upon. Complaints are responded to quickly and evidence of work undertaken to resolve the issue is maintained. EVIDENCE: The inspector was pleased to hear from service users that their views are listened to. The inspector considers this empowerment to be a very positive element of the homes operation. The record of complaints showed the work undertaken to address the issues raised. The inspector has previously tracked work undertaken to protect one service user who was being bullied within the home. It was apparent that TRACS and the home management had worked positively to address the matter. The service user affected reported being happier with the situation. A reactive management plan written in response to this issue was inspected. It has been required that the document be reviewed to ensure it is specific about the support needs of the service user being assessed, and that it does not detail the needs of other service users involved in the situation. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 16 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, 30 Service users are accommodated in a domestic and homely environment. Work has been identified and is planned to improve the presentation and facilities offered. EVIDENCE: 64 Chesterwood Road is an adapted domestic property, and it is positive that it is not distinguishable form other homes on the street. All the service users the inspector spoke with reported that they liked the home, and location, but that they were frustrated with the time taken to complete development of a new conservatory. It is anticipated that when complete the conservatory will provide much needed communal space, and facilitate some non-smoking communal space. At the time of inspection presentation of communal areas required attention. The provider has in hand arrangements for the redecoration of the lounge, and replacement of carpets in communal areas and two bedrooms, when building work on the conservatory is complete. Access into and around the home for service users with impaired mobility continues to require attention. The present arrangements impair the Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 17 independence of one service user accommodated. It was reported that work to address this is in hand. The inspector extends her thanks to three service users who allowed her to inspect their rooms. The rooms viewed were all personalised, and all three people said they were happy with the facilities provided. The inspector noted in two of the rooms bedding was worn, and would benefit form replacement in the near future. In one bedroom no headboard or chair had been provided. It was required these be obtained if the service user wishes. Facilities for staff sleeping in are poor. The sleep in bed was observed to be very worn, and to require replacement. The décor and carpet in the office space required attention. It is recommended that the space in the room be reviewed, to ensure it used to best advantage, and that seating for staff using the desk and computer, enables them to sit in a safe position. The home was clean in all areas inspected. Attention was needed to high dusting and cleaning in the first floor hallway. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 18 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): 33,34,36 Service users are mainly supported by staff they like and that they help to recruit. Staff require more frequent supervision to ensure they are supported to consistently meet service users needs. EVIDENCE: The rota, discussion with service users and staff identified that the home is short of regular, and experienced staff. Recruitment is ongoing. Bank, and agency staff and permanent staff working additional hours are covering the shortfall. Service users reported that the quality of temporary staff varies, and that some try hard to meet their needs, and others less so. It was positive to hear service users say that their feedback about staff cover is listened to. The situation must continue to receive priority, to ensure service users needs are met by suitably qualified, and competent people. The recruitment records of two staff were assessed. These were complete. Supervision records for the two staff identified that the quality of supervision is good. It is balanced, and reflects practice and personal issues as well as training and development needs. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 19 The frequency of supervision does need to increase to ensure staff receive the required support, and to meet the relevant minimum standard. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 20 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, 41, 42 The management of the home is strong, and ensures that positive outcomes are achieved for service users. Health and safety is well managed. EVIDENCE: The home manager has successfully undertaken the CSCI fit person assessment since the last inspection. The management of the home appears to be steadily improving. The ethos of the manager is to encourage the participation and inclusion of service users as far as possible, and it was evident this is an approach service users like, and are benefiting from. The order of both care and household records had improved since the last inspection. A numbering system for files enabled much easier location of the necessary information. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 21 Care files are presented in a way that enables the reader to find current information quickly. Service users money was well organised. A record of money received by each person was maintained, and receipts were available to underpin purchases. It was required that money paid by a service user for carpet cleaning be refunded, and this cost met by the provider. The provider undertakes monthly regulation 26 visits. The inspector was pleased to meet with the responsible individual who was undertaking this visit, during the inspection. The home had valid certificates of insurance and registration on display. Fire records showed that the fire alarm and emergency lights had been tested as required. Staff have tested and recorded the delivery temperature of hot water. Fridge and freezer temperature records had been maintained. The inspector identified bread, and cooked meat that had passed the best before date. Systems to ensure that products are used or discarded on or before the best before date must be implemented. Suitable arrangements for provision of milk in service users rooms, (where they wish to have this) must be obtained. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 1 2 2 3 1 X 2 LIFESTYLES Standard No Score 11 3 12 2 13 3 14 3 15 4 16 3 17 Standard No 31 32 33 34 35 36 Score X X 2 3 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chesterwood Road, 64 Score 3 2 2 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 3 X DS0000016716.V254110.R01.S.doc Version 5.0 Page 23 Yes 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 2 Standard YA9 YA9 Regulation 13(4)(a-c) 13(4)(a-c) Requirement Risk assessments must be reviewed six monthly-sooner if needs change. Evidence of how people are being supported to develop in the areas of risk behaviour must be developed. Behaviour identified must be recorded and monitored. All service users must be offered access to healthcare appointments and screening. A record must be kept of the outcome or if service users decline this. The pressure care risk assessment must be kept under review. The care plan must be developed to detail what healthy tissue is and indicators of change. Changes in service users weight must be followed up. Staff must show they have followed the diabetes protocol and provide evidence of the action taken in response to blood glucose readings DS0000016716.V254110.R01.S.doc Timescale for action 31/10/05 01/12/05 3 YA19 12(1)(a) 01/12/05 4 YA19 12(1)(a) 13(1)(b) 01/12/05 5 6 YA19 YA19 12(1)(a) 12(1)(a) 31/10/05 31/10/05 Chesterwood Road, 64 Version 5.0 Page 24 7 8 YA20 YA20 13(2) 13(2) outside established safe parameters. The home must ensure that there is a clear auditable trail for all medication held. All prescribed medication must be detailed on the Medication Administration Record. Redecoration of the communal areas of the ground floor of the home must be undertaken to include walls and floor coverings. External redecoration of the home must be undertaken. 31/10/05 31/10/05 9 YA24 23(2)(a) 31/10/05 10 YA26 16(2)(c) Service users must be provided with bedding of a good quality. All furniture as detailed at standard 26.2 must be provided unless it is the expressed wish of the service user. 01/12/05 11 YA29 12(1)(a)(4b) 23(2n) Plans to address this have been 01/01/06 discussed with the CSCI. Environmental adaptations that meet the needs of service users accommodated must be undertaken. 12 Building plans have been explored. Progress towards meeting the requirement made. YA30 16(2)(f)(j) A review of the current laundry facilities is required. Access to the laundry is not satisfactory, through the staff office / sleeping in room. Alternative access to the laundry must be explored. High dusting and cleaning must be undertaken on the DS0000016716.V254110.R01.S.doc 01/01/06 13 YA30 23(2)(d) 31/10/05 Chesterwood Road, 64 Version 5.0 Page 25 first floor landing. 14 15 16 17 18 YA33 YA36 YA41 YA42 YA42 18(1)(a) 18(2) 23(2)(d) 13(3) 23(5) 13(3) 23(5) All staff vacancies must be recruited to. Supervision must be undertaken at least bimonthly with all staff. The cost of carpet cleaning must be refunded and in future met by the provider. Food must be used or discarded by the best before date. Suitable chilled storage must be provided where required. 01/12/05 01/12/05 31/10/05 31/10/05 31/10/05 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 YA9 YA14 YA27 Good Practice Recommendations It is recommended that risks associated with going out with supporters other than the homes staff be assessed. It is recommended that additional drivers be recruited/provided at weekends. It is recommended the layout of the office be reviewed to ensure best use of space, and that staff using the computer/desk can sit safely. Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Chesterwood Road, 64 DS0000016716.V254110.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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