CARE HOME ADULTS 18-65
Church Street Care Home 53 Church Street Eastwood Nottingham NG16 3HR Lead Inspector
Joanna Carrington Unannounced Inspection 20th February 2008 10:00 Church Street Care Home DS0000008651.V358315.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 Church Street Care Home DS0000008651.V358315.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. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Church Street Care Home Address 53 Church Street Eastwood Nottingham NG16 3HR 0115 844 3576 01159 104267 mjuliaw@ncha.org.uk 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) N.C.H.A. Julia Faith Watkinson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users shall be within category LD Date of last inspection 8th August 2007 Brief Description of the Service: 53 Church Street is a detached property standing in its own grounds close to the centre of Eastwood and its amenities. The home is registered to provide support and accommodation for up to five adults with a learning disability. There are currently four residents living at the home and one vacancy. There is a large open plan dining room and living room and the kitchen is domestic in scale. There is no lift to the first floor, however there is an adapted bathroom on the ground floor for a wheelchair user and residents with some mobility needs. There is a wheelchair user that has a bedroom on the ground floor. The home would not be suitable for other wheelchair users because all other bedrooms are on the first floor. The home is not of a size that could accommodate a lift. Nottinghamshire Community Housing Association own and run the care home. At the time of writing this report the basic fee for living at the home is £361 per week but this varies upon the benefits a resident is entitled to and prices are available when applying for a place. Copies of inspection reports and results of their own quality monitoring are available to residents and other stakeholders by request. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This site visit, as part of the home’s key inspection took place on 20th February 2008. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used at the site visit was ‘case tracking’ which meant two people were selected and their support was tracked through discussion with staff, checking their care records and observing practice. Three staff members were spoken with. The inspector did not have the tools and skills to be able to communicate with people that use this service, therefore staff members were observed in this area. The registered manager was on annual leave but the deputy manager was available in the afternoon for discussion and feedback. A sample of staff records were also looked at to make sure staff members are checked before commencing employment and are trained to meet tenants needs. Information about a home that is collected before the site visit is also used as evidence to inspect and make judgements. This information could include notifications, information from other professionals and users of the service or their relatives, and also from any surveys that are sent out. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. The AQAA was not used to plan the inspection or make judgements in this report because it was used at the last key inspection, when the information was more relevant and up to date. What the service does well:
There is a good admissions procedure, which helps to ensure people do not move to the home unless they are suitable to live there and they can be assured their needs can be met. The staff team are committed to ensuring people living in the home have a good quality of life, by participating in their chosen activities and by maintaining contact with family and friends. Organised day services are planned in consultation with people and are flexible to suit their individual needs. For example, one person that is older has every alternate Thursday off to relax and recuperate. People living in the home are consulted on what meals they like and this is incorporated into menu plans. Menu records showed a good variety of meals with a range of vegetables. Alternative meals are always available to people that don’t fancy the planned meal. The staff team understand the individual communication needs of people living in the home, which means they can help people express their own choices. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 6 The complaints procedure is used well in the home because staff members are accessing it on peoples’ behalf because they would not be able to verbally express their concerns themselves. Using the complaints procedure in this way has meant that appropriate and timely action is taken. What has improved since the last inspection? What they could do better:
They could do better at making sure information about the home that goes out to people that may be interested in moving there and to other stakeholders, is accurate. If the information is not clear on what needs can be safely met in Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 7 the home then people unsuitable to live there may waste their time by enquiring. They must ensure that any form of physical restraint that is used to protect a person’s safety, for example a harness on a bath chair, that the use of this form of restraint must also be risk assessed. This is to ensure that it does not create any further risk such as entrapment or choking. Making sure staff members training needs are met could be done better. Staff members that have not worked with people with a learning disability before must have an induction that includes an introduction to learning disability, in line with Skills for Care Common Induction Standards. The home prides itself on adopting a special technique known as ‘Intensive Interaction’ in order to communication with people living in the home but staff members spoken with did not know what this is. They could do better at monitoring how often people are accessing the community. Some staff members said that due to staffing problems these opportunities have reduced. If this is monitored closely then the staff team could explore ways of ensuring this happens within the resources available to them. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. 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. Church Street Care Home DS0000008651.V358315.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 Church Street Care Home DS0000008651.V358315.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): 1, 3 and 4 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a good admissions procedure, in that the procedure ensures the home is suitable in meeting the needs of any person that decides to move there. However, inaccurate information about the home means people unsuitable to live there may waste their time when enquiring as to where they want to live. EVIDENCE: There have been no new admissions to the home since the last key inspection. There was evidence on the care files seen that the placing authority have been involved in the assessment and review of the needs of people that live there. Peoples’ needs are assessed before a decision is made that the home will be suitable for them. Staff members spoken with reported that a person that lives at another Nottingham Community Housing Association care home has expressed interest in moving to the home. This person has had some visits to the service to decide if this is what he wants. Since the last inspection the Statement of Purpose has been updated and does provide information about the range of people living at the home and the needs that can be met there. The Statement of Purpose correctly explains that the house is not accessible for essential wheelchair users and that there is no
Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 10 access to the first floor for people with mobility problems. A leaflet was also seen, which contains a picture of the house and of a bedroom and has bullet point information on the services that are offered in the home. The problem is there is a bullet point stating that the home is suitable for people with physical disabilities and another bullet point stating that the home is wheelchair accessible, when neither are the case. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Improvements to care planning arrangements now mean that people are assured their needs will be met safely and they are supported to make their own decisions and choices. EVIDENCE: Staff members spoken with showed that they know and understand the needs of people that live at the home. The care plans and risk assessments for the two people case tracked were seen to be reflective of what staff members said. The care plans seen covered all areas of need and care plans have been kept under review, with changes made when necessary. There were notes seen for a couple of one-to-one meetings with people living in the home that have occurred since the last inspection. These meetings use intensive interaction techniques, which means any form of verbal or non-verbal communication from the person is recorded in order to gain an idea of what that person’s view
Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 12 is in respect of the issue discussed. The notes show that this is a valuable tool in involving people with a profound learning disability and communication needs. It is a shame that it has not been used more. Both also had person-centred plans, using lots of photos, which contained comprehensive information on individuals likes, dislikes and ways those individuals communicate. Staff members spoken with gave examples of how they support people to make choices and decisions, for example, showing to a person outfits that are weather-appropriate. Daily records seen also indicated that people have control of their lives in terms of having when they wish to get up and go to bed and when they want to eat. There are picture cards used to show people menu choices and a communication board so that people know what staff are on shift. There are risk assessments for daily living activities such as bathing and also risk assessments that are specific to individuals preferred activities and interests. For example, a person case tracked likes spending time in the garden and the risk assessment identifies the dangers and what measures are necessary to make this activity safe, such as ensuring the gates are secure. Information on the Mental Capacity Act is contained on individuals’ care files and care plans are being reviewed to ensure they meet with the Act. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff team are committed to enabling people to have a fulfilling quality lifestyle that respects their rights, which is achieved as much as is possible within the current resource constraints. EVIDENCE: On the day of the inspection all people that live at the home were out at their day centre. One person that has a visual and hearing impairment attends a sensory skills class in computers and literacy. This resident is getting older and as a result of this now enjoys a day off at home every alternate week for rest and relaxation. During the afternoon of the inspection when people were coming back from day centre they were observed to be spending their afternoon as they wished. One person decided to relax in their bedroom while others spent time in the lounge watching television. The person-centred plans seen identify what activities individuals enjoy such as reading magazines, watching films and collecting toys. Daily records indicated that staff members
Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 14 help people participate in their chosen activities. One staff member talked about how one person has shown enthusiasm and interest in helping staff with certain tasks such as taking the rubbish out, a list is being drawn up of daily living activities that this person enjoys. People are supported to go to church if they choose to go but it was mentioned by some staff that budget cuts and staffing problems has meant a decline in people accessing the community. Daily records for both persons case tracked were reflective of these comments because there was only one record in total of one person going out for a walk, in the previous month. Two staff members did also report that the team are looking at staff resources on a Friday afternoon so that one person is able to go to their newsagent near to where they used to live to pick up their weekly magazine. Staff meeting minutes showed that these plans have been discussed and how on the one occasion this activity has already happened the person was very happy to see the shopkeeper that they know, as was the shopkeeper to see him. Staff members spoken with reported that they keep in contact with peoples’ families and relatives mainly by telephone and relatives are always invited to their relative-in-care’s birthday party and at Christmas. Relatives are welcome to visit anytime and one resident sees his mum and goes out with her every week. The menu records show a good variety of healthy, nutritious meals are provided to people living in the home, with a good range of seasonal vegetables. The records show that there is always a choice and alternative meals given if people do not like what is served. The menu records also showed that people’s meal preferences, as stated in resident meeting minutes, have been listened to. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Peoples’ heath care needs are well met and people receive their personal care the way they prefer and require. Medicine management is now effective in promoting the safety of people living in the home. EVIDENCE: The daily records and support plans seen show that people have regular healthcare appointments such as going to the dentist and chiropodist. People are supported to attend health care appointments to meet their specific health care needs, for example a person with visual and hearing impairments has had regular sight tests and visits to an audiologist for treatment and hearing examinations. There was a clear care plan seen on how to assist a person with dressing, including what their preferences are and very clear guidelines on how to assist with eating and drinking based on the advice of speech and language therapist. A care plan for a person’s mobility problems makes reference to the involvement of a physiotherapist and psychiatrist. All medicines were found stored securely. Medication administration records contained clear instructions for administration and showed that medicines are
Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 16 being given as prescribed. A staff member spoken with demonstrated they know what are safe procedures when administering medication and there was evidence on this staff member’s file that they have had their competency in medication administration assessed as part of their ongoing training. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Complaints continue being handled appropriately, and in the best interests of people living in the home and safeguarding procedures are now being correctly followed, which helps ensure people are protected from abuse. EVIDENCE: There is a complaints procedure using signs and symbols that is displayed in the home. There have been three recorded complaints since the last inspection. Staff members made these complaints on behalf of people living in the home because they are unable to express verbally these concerns themselves. These complaints were about one person disturbing other people at night, due to their behaviour. Discussion with staff and also the complaints records show that the recording of these incidents under this procedure has prompted appropriate action regarding how to support people at night. There has been one safeguarding investigation since the last key inspection, following a staff member whistle-blowing about another staff member in the home. This was referred to the local authority in accordance with safeguarding procedures and we were also notified. Staff meeting minutes show that an outcome has been reached and the staff member is to return to work. Action arising from the investigation included the development of a new care plan for the person living at the home that the allegation was about, in order to ensure appropriate and consistent care is given. Records seen also indicate that the
Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 18 staff member concerned is having regular supervision. The staff member does not have a social care qualification but the deputy manager reported that the staff member has started their National Vocational Qualification (NVQ). The registered manager or responsible individual for the organisation has not yet officially notified us of the outcome. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living in the home are afforded clean, homely and comfortable surroundings that meet with their personal tastes and lifestyle. EVIDENCE: The home was clean and tidy throughout. There is a homely feel with domestic furnishings and pictures on walls. Bedrooms seen are personalised to suit individuals taste with their chosen décor and their own items. The kitchen has new worktops and there is a new sluice facility in the utility room. Laundry facilities in the home are appropriate to the needs of people living there. The home is in the process of finishing and making safe a new sensory room. This, once completed will give people (the three people that have access to the first floor) another communal area in which they can relax. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 20 There is one person living in the home that has a bedroom on the ground floor and due to mobility difficulties, cannot use the stairs. This person uses a walking frame mostly to get around the home but does occasionally need a wheelchair indoors. Strictly speaking the environment is not suitable for wheelchair users due to restricted access in some areas of the ground floor and no access to the first floor but the needs of this person and how to minimise risks in the environment are well documented and kept under review. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Improvements to staffing arrangements help ensure people living in the home are in safe hands, but they are not getting a specialist learning disability service unless all of the staff team have specific training in the learning disability field. EVIDENCE: There are now forms held in the home which provide information on the dates of when written references and criminal record bureau checks have been obtained. All three staff members randomly selected had a form, which confirmed that all of the necessary checks have been carried out; one form did not contain the exact date of issue for the criminal record bureau check, which means it cannot be determined if the check was carried out before the staff member commenced employment. All staff members spoken with reported that they have had their refresher mandatory health and safety training such as fire safety, first aid, moving and
Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 22 handling and first aid, although the training matrix and certificates available on the staff files seen, was not reflective of what staff said. The training matrix did show that a variety of other courses are available to staff members and some courses that have had good attendance are risk assessment, risk management and use of the computer system. Staff members have either been on safeguarding adults training or are booked on training. One staff member spoken with pointed out how she wishes there was training on autism in order to gain more understanding into the needs of people living in the home. Another staff member spoken with that did not work in care before working in the home has not had any training on learning disability. This was not included in their induction. When staff members were asked about the specialist communication technique ‘intensive interaction’ they did not know what this means. According to the training matrix there is training on this but no staff have been on it. The registered manager confirmed at the last key inspection that all but two of the staff team either have a National Vocational Qualification (NVQ) Social Care or are in the process of doing it. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Improvements to quality monitoring and health and safety arrangements now means that the home is being run in the best interests of people living their and their safety and welfare is promoted and protected. EVIDENCE: There are environmental risk assessments for moving and handling and clear guidelines on a case tracked person’s care file on how to assist that person with moving and transfers and how to use to the hoist in and out of the bath. This person has a lap belt on their wheelchair and also a strap is used to hold them securely in the bath chair. The risk assessments for moving and handling do not address the risks with using these forms of restraint, which have the potential to create further risks such as entrapment, choking and falls if they are not used properly. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 24 The fire risk assessment has been updated since the last inspection and fire safety records showed that fire alarm and automatic door release testing is being undertaken as required. Records also showed that there are measures in place for the prevention of legionella. Since the last inspection there has a British Standards Institute quality audit and also an internal quality audit in line with Nottingham Community Housing Association policy and procedures. There are two staff members with the assigned role of implementing the Nottinghamshire quality monitoring tool The Quality Tree, which will provide further ways to involve and consult people living in the home and other stakeholders on their views of the service. In the meantime there was evidence seen in the form of resident meetings and one to one meetings that indicate people are involved in reviewing the quality of the service. Resident meetings minutes are not presented in a format that is accessible to them. This inspection has indicated that the registered manager has worked hard to address the areas of weakness that were found at the last inspection. Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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 2 2 X 3 3 4 3 5 X 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 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 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 YA35 Regulation 18 Requirement Staff members must receive training appropriate to the work they perform, appropriate to their service and appropriate to the service user groups they work with. Training in learning disability must be provided in line with Skills for Care common induction standards. Any form of restraint must be risk assessed. This is to ensure this is the only means to secure the individual’s welfare and also to ensure that any hazards created by the use of the restraint are identified and minimised. Timescale for action 01/06/08 2 YA42 13(4)(c) 13(7) 01/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 27 1 YA1 All of the documentation produced that provides information about the home and its services should be reflective of the Statement of Purpose and reflective of what the home can offer. This is so that unsuitable people do not make enquiries to move there. Review every month the number of opportunities individuals have had to access the community, and how often individuals have requested to access the community but have not been able to. This way staffing arrangements can be reviewed and this should help the staff team find ways to ensure people’s quality of life does not suffer. 2 YA13 Church Street Care Home DS0000008651.V358315.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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
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