Inspection on 04/06/07 for Claremont Road Care Home

This inspection was carried out on 4th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found 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

Claremont Road Care Home 14/06/06

Claremont Road Care Home 13/12/05

Claremont Road Care Home 12/07/05

Claremont Road Care Home 03/02/05

Claremont Road Care Home 15/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Claremont Road Care Home 4 Claremont Road Sherwood Rise Nottingham NG5 1BH Lead Inspector Michael Williams Unannounced Inspection 4th June 2007 10:00 Claremont Road Care Home DS0000002248.V337850.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 Claremont Road Care Home DS0000002248.V337850.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. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Claremont Road Care Home Address 4 Claremont Road Sherwood Rise Nottingham NG5 1BH 0115 844 3584 0115 985 7579 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) Nottingham Community Housing Association Miss Helen Street Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Claremont Road Care Home is registered to provide accommodation and personal care for a maximum of 12 people whose primary care need falls within the category learning disability (LD). 14th June 2006 Date of last inspection Brief Description of the Service: Claremont Road provides 12 places for adults with learning disabilities. It is a large detached property that is located close to the centre of Nottingham. The home is also conveniently situated for public transport, local shops and community facilities. The property has a private rear garden. The home is accessible to people who are wheelchair users. There is a minibus provided for service users use. The fees range from £738 to £856, this does not include toiletries, newspapers and clothing. Information about the service is available to service users and their representatives upon request. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspection undertaken by the Commission for Social Care Inspection is upon outcomes for service users, and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice, and focuses on aspects of service provision that require further development. This was an unannounced key inspection undertaken over 7 hours by a Regulatory Inspector and a Pharmacist Inspector. The manager was not available during the inspection. The Assistant Manager and staff made themselves available to assist with information gathering. The main method of inspection used is called ‘case tracking’ which involves selecting two service users and tracking the care they receive through checking their records, discussion with them, and observations of the care received and asking staff about their needs. Records of complaints, staff training, quality assurance, and Health and Safety records were also looked at. Documents and medication policy and practice were examined as part of the inspection to gain evidence and form an opinion about the service users’ health and safety. We were unable to communicate with some residents who have a limited ability to understand and communicate. Therefore some judgements in this report are from the observations of staff and resident interactions. Two members of staff were spoken with, other service users who were not part of the case tracking were observed. A partial tour of the premises was undertaken which included communal areas, and a sample of bedrooms to ensure that the environment was pleasant, homely and safe. A review of all the information about the home received by the Commission since the last inspection was taken into consideration in planning this inspection and helped in deciding what areas of care were looked at, this included a completed Pre-Inspection questionnaire and service user questionnaires. What the service does well: Support plans provide good information about how to meet individual needs of service users. Service users are treated with respect and dignity; staff interaction with service users is positive and meaningful. Independence and quality of life are promoted through developing and maintaining daily living skills. People living at the home are able to choose and Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 6 make decisions about their life, and are supported to participate independently in community life. Regular opportunities are provided to support service users to go to local pubs shops, the cinema, the theatre, holidays abroad, and follow their interests. Service users’ choices and preferences about where and how their medicines are administered are displayed prominently with their Medication Administration Record. Service users live in a clean, pleasant and hygienic environment. What has improved since the last inspection? What they could do better: The Statement of Purpose, Service User Guide and other relevant information should be made available in format that are accessible to service users. Individual risk assessments should be regularly reviewed to meet changing need and to minimise identified risk to service users. Support plans should be consistently developed in consultation with service users or their relatives/advocates. To encourage independence, procedures should be in place to assess service users ability to self medicate. Copies of staff Criminal Records Bureau (CRB) and recruitment records should be made available for inspection to evidence that service users are supported by staff who have completed adequate checks. To safeguard service users health and welfare annual testing of portable appliances in the home should be undertaken. The maintenance and servicing of wheelchairs should be maintained to ensure service users safety. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 7 Fire risk assessments should be dated and signed by the responsible individual. Risk assessments should be undertaken on all ground floor fire escapes and first floor windows to ensure that service users remain safe and are protected from potential harm. Regular quality audits of the service should be undertaken by the provider, and the findings made available to service users and their representatives to ensure the service develops and improves. 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. Claremont Road Care Home DS0000002248.V337850.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 Claremont Road Care Home DS0000002248.V337850.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): 1,2 and 5 Quality in this outcome area is adequate Information is available for prospective service users to make informed choice about moving into the home. However, there is no assessment process available for service users who are privately funded, which limits their ability to decide if the service is the right one for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose contained relevant information about the philosophy, aims and objectives and the management and staffing structure within the project, and provides information about facilities and service available to service users, which helps prospective service users make informed choices about moving into the project. However this information was not available in a format suitable for the needs of service users who experience difficulties with reading because of their learning disability. The service User Guides contained additional information including maintaining privacy and dignity, risk taking, health and safety, rules and routines and how service users are supported in maintaining and following the lifestyle they choose. Service user guides were available in service user rooms viewed. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 10 Support plans examined contained comprehensive community care assessments, which are completed by social services. However, there is no assessment process for service users who self-fund. A copy of a contract was available on files examined, although the format was not available in a format suitable for service user needs. A recommendation was made at the last inspection to provide contracts in an appropriate format to service user needs. This has not been met and is outstanding. Claremont Road Care Home DS0000002248.V337850.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 Personal goals are reflected, and service users are supported to take appropriate risks as part of maintaining an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The support plans are developed from available information from social services community care assessments, risk assessments, information from relatives and other professionals involved in the care of service users. The project has introduced Person Centred support planning process, which incorporates elements of models such as ‘ essential life planning’ and ‘personal future planning’. Support plans provide a positive description of service users needs and contain good information about daily routines, moods, interests, support with personal hygiene and service user responsibilities within the home. There is also additional information available such as prompts for staff to initiating conversation with service users. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 12 There was evidence that plans had been drawn up with service users, using appropriate communication format to meet individual need. Support plans are reviewed regularly, however, there is some inconsistency as to when service user and their representative have participated and consented to support plans. Professionals such as Occupational therapist, Physiotherapists and General Practitioners are consulted in the care of service users. Examination of accident records highlighted that the needs of a service user case tracked had changed, the risk assessment and care plan had not been amended to reflect these changes in need, and minimise the potential risk of harm. Staff spoken with had a good understanding of the needs of service uses, and were able to explain how risk assessments have been undertaken to support service user to participate in community activities such as visiting the theatre, local pubs and shops as part of following independent lifestyles. Service users spoken with also confirm this. Claremont Road Care Home DS0000002248.V337850.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 Service users are able to take part in appropriate community activities, and are supported to lead the lifestyle which they choose. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are provided with opportunities to participate in community life and attending day centres, colleges and work placements. One service user spoken with said “I enjoy working on the farm”. The project has developed links with agencies such as SCOPE and the Disability Living centre, which enables people living at the home to access additional community resources and support. Opportunities are also available for people living in the home to go out to pubs, cinema, theatre, out for meals, a cruise has also been booked for service users holiday. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 14 Service users are responsible for some tasks around the home including setting dining table, laundry and cleaning bedrooms. During the inspection service users were observed helping in clearing the dining table after lunch. There was little information contained in support plans to identify how emotional needs such as sexuality and intimate relationships are safely maintained and supported. This is an outstanding recommendation from the last inspection. Some service users have keys to their rooms, privacy is maintained and service users said that staff knocked on doors before entering their rooms. Staff spoken with had a good understanding of how service users respect and dignity is maintained. During the inspection most of the service users were undertaking activities outside of the home, those who were in the home were observed reading, watching TV, and interacting positively with staff. It was evident that people living in the home are able to make their own choices about how they wanted to spend their day. One service user spoken with said that he was taking part in an upcoming disabled sports day. Contact with family and friends is encouraged and supported, this was confirmed in support plans and during discussions with service users and staff. “My brother comes to visit me”. Menus are varied and nutritious and alternatives to main menus are offered, service users said that they liked the food “ like the pies best”. Claremont Road Care Home DS0000002248.V337850.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. Service users are protected by medication policy and procedures. Personal support is delivered in a way service users prefer. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Support plans provide good information on how service users like to receive personal support. There is also guidance available for staff about the levels of support service users require with their personal hygiene to maintain their independence. Diary notes and support plans evidence that resident physical needs are met and there is information available to evidence referrals to care professionals such as Occupational therapists, Physiotherapists and GP. All service users have key workers who provide individual support to service users. Service users’ choices and preferences about where and how their medicines are administered are displayed prominently with their Medication Administration Record; however, there are no pre-admission assessments about whether they could look after their own medicines. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 16 Medication Administration Records (MARs) are accurate and there is an up to date staff signature list. Medicines are stored securely and there is a detailed audit trail for medicines received, administered and returned by the home. There are comprehensive medicines and homely remedies policies signed by individuals’ GPs. Staff receive medication training and assessment in house and the community pharmacist provides an annual refresher training session. Seven medication errors have been recorded during the last year, four of which relate to late or missed doses and three relate to medication given to the wrong person. Two of these three errors were reported on a Regulation 37 form. There is one record of staff supervision relating to this. Claremont Road Care Home DS0000002248.V337850.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): 22 and 23 Quality in this outcome area is good Service users views are taken seriously, and they are protected from abuse and harm This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a copy of the Nottinghamshire Adult Protection procedures available in the main office. Information about Nottingham Community Housing complaints policy and procedure is available in the Statement of Purpose and the Service User Guide. Since the last inspection, the Commission has received 2 concerns about relating to practices, which potentially placed service users at risk; these were referred to the home, and have been satisfactorily dealt with. Complaints are recorded on the project’s computer system; this format is not appropriate for the needs of service users. The inspector was unable to communicate with other service users to identify if they were aware of the complaints policy, however, some service users were able to indicate that they would tell the staff if they felt unhappy. Staff spoken with were aware of their responsibilities in protecting vulnerable adults, and the ‘whistle blowing policy’. Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 18 Examination of service users financial records evidenced that there is a robust system in place to protect service users from financial abuse. Claremont Road Care Home DS0000002248.V337850.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): 24,25,26 and 30 Quality in this outcome area is good Service users live in a clean, homely and pleasant environment, bedrooms are personalised to individual preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean, spacious and hygienic, with sufficient communal and private space for the needs of people living in the home. Since the last inspection, considerable refurbishment and redecoration has been undertaken. The ground floor communal area has been fitted with new carpets, the main lounge and dining area have been redecorated, and new furniture purchased. Service users said that they chose the new furnishings and colour scheme. The kitchen worktops and units are in need of replacement. The person in charge said that new worktops and units have been ordered as part of the ongoing maintenance improvement programme. Laundry facilities are sufficient Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 20 to meet the needs of service users. The bathrooms have been decorated and one bathroom on the first floor converted into a walk in shower that has improved access to bathing for service users with mobility difficulties. One bathroom on the first floor did not have a window restrainers and poses a potential risk to service users. The previous staff sleep in room has been converted to the medication storage room; this has provided more appropriate storage for medication and reduced the potential risk for medication errors. Bedrooms viewed were tidy, personalised and provided adequate space for service users. One service user room on the ground floor has a glazed fire escape door leading to a wheelchair ramp at the side of the property. There was no risk assessment in place to evidence how the safety and security of the service user being in this room had been taken into consideration. At the last inspection a recommendation was made that the security and safety of the premises and service users should be based on risk assessments. Claremont Road Care Home DS0000002248.V337850.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 and 35 Quality in this outcome area is good. Service users are supported by competent and trained staff. Staff records do not evidence that recruitment procedures protect service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are sufficient numbers of staff on duty to meet the needs of service users; this was confirmed with service users and staff spoken with. Staff were knowledgeable about the needs of the client group, and had a clear understanding about their role and responsibilities. Staff were able to explain and that appropriate recruitment procedures are being followed to protect service users, however records inspected did not evidence this. The person in charge said that this information is filed at Nottingham Community Housing head office. Training records evidenced that there is a robust induction programme; staff receive regular and relevant training including food hygiene, infection control, person centred planning, medication, fire safety and epilepsy. Staff were clear Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 22 about their roles and responsibilities in relation to the protection of vulnerable adults, and the ‘whistle blowing’ policy. Staff are supported in their role and receive regular supervision. This was evident in staff files viewed, and confirmed by staff spoken with. Claremont Road Care Home DS0000002248.V337850.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 adequate Service user views do not underpin self-monitoring, service users are not being protected by health and safety policy and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has now registered with the Commission in line with previous requirements. Staff spoken with said that they felt that the home is well managed, the management team is supportive and that the home is run in the best interest of service users. The person in charge said that health and safety is monitored in the home, and that staff have received health and safety training. Any maintenance issues are reported to Nottingham Community Housing maintenance department who Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 24 undertake any maintenance repairs. Information from the completed preinspection questionnaire that was returned to the Commission identified that fire drills; electrical wiring certificate and the servicing of wheelchairs are all overdue. Records examined also found that the fire risk assessment had no date or signature of the responsible person; and the portable appliance testing certificate was out of date. Regular resident meetings take place, and the minutes are made available in a format that meets the needs of service users. There was evidence that a quality audit system was in place, which is undertaken by the registered provider. The last recorded date of a completed audit was 31.01.07, it was not clear how the findings of quality audits are made available to service users or their representatives, and how this information contributes do the development of the annual management plan. Claremont Road Care Home DS0000002248.V337850.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 2 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 26 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. Standard YA6 Regulation 14.2(b) Requirement Risk assessments must be reviewed and updated to reflect the changing needs of service users and minimise the potential risk of harm Support plans must be developed in consultation with service users or their relatives/advocates Quality assurance audits must be undertaken and the findings must be used to inform future planning for the service and made available to service users and their representatives Copies of staff Criminal Records Bureau and recruitment records must be made available for inspection to ensure recruitment processes ensure service users safety. To maintain the health and safety of service users, Portable Appliance testing certificate must be renewed. To maintain the health and safety of service users, the servicing of wheelchairs in must be undertaken. To maintain the safety of service DS0000002248.V337850.R01.S.doc Timescale for action 14/09/07 2. YA6 15.1(c) 14/09/07 3. YA39 26.4 14/09/07 4. YA41 17(2) Sch4 14/09/07 5. YA42 23 14/09/07 6. YA42 23.2(c) 14/09/07 7. YA42 23(4a) 14/09/07 Page 27 Claremont Road Care Home Version 5.2 8. YA42 23 users, the Fire Risk Assessment must be signed and dated by the responsible person. To ensure that the home is secure and service users remain safe, risk assessments must be undertaken on ground floor fire escapes and first floor windows. 14/09/07 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 2. 3. Refer to Standard YA4 Good Practice Recommendations The statement of Purpose and Service User Guide should be made available in a format that is suitable to meet the needs of service users Risk assessments undertaken to support service users in developing independent lifestyles should be recorded, signed and dated. Support plans should be further developed to identify how sexuality and intimate relationships are safely maintained and supported. This is an outstanding recommendation from the last inspection 14/06/06. To encourage independence, procedures should be in place to assess service users ability to self medicate. A standard complaint form should be developed to record a complaint that is in a format, which is appropriate for the needs of service users with learning disability. This is an outstanding recommendation from the last inspection14/06/06 Risk assessment should be undertaken of the bathroom window on the first floor to assess the safety and the potential risk to service users To maintain service users health and safety a risk assessment should be undertaken of the ground floor fire escape located in the bedroom of a service user. YA6 YA15 4. 4. YA20 YA42 5. 6. YA42.3 YA24 Claremont Road Care Home DS0000002248.V337850.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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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