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Inspection on 30/10/08 for Coppice and Oakside
Also see our care home review for Coppice and Oakside for more information
This inspection was carried out on 30th October 2008.
CSCI found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.
Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: Coppice and Oakside Shipley Common Lane Off Heanor Road Ilkeston Derbyshire DE7 8TS The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anthony Barker Date: 3 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area
Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: ï· Put the people who use social care first ï· Improve services and stamp out bad practice ï· Be an expert voice on social care ï· Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information
Document Purpose Author Inspection report CSCI
Page 2 of 31 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home
Name of care home: Address: Coppice and Oakside Shipley Common Lane Off Heanor Road Ilkeston Derbyshire DE7 8TS (0115)9329603 01159443690 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): United Health Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 10 Number of places (if applicable): Under 65 Over 65 10 0 learning disability Additional conditions: Two Units - one manager Oakside - be occupied by a maximum of 4 service users Coppice - be occupied by a maximum of 6 service users Date of last inspection 0 2 1 1 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home Coppice and Oakside is a purpose built Home offering 10 places for adults with a severe learning disability, set in 2 bungalows linked at the rear through the enclosed garden areas. The range of abilities demonstrated by the 2 groups of service users is quite different, with the 4 service users in Oakside being more independent and having higher communication and self-help skills. Because of their levels of disability, the Home provides service users with an intensive package of support on a 24 hour basis and staffing levels are accordingly high. Care Homes for Adults (18-65 years) Page 5 of 31 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 31 How we did our inspection: This is what we did when they were at the care home. This key inspection looked at how ell the Service was meeting National Minimum Standards. This key inspection was unannounced and took place over one day. The last key inspection at this service was on 2nd November 2006. The Commission had requested the Service to complete an Annual Quality Assessment before this inspection. We had also received twelve completed survey forms from service users, their relatives, staff and external professionals. The information provided in these documents is included in this report. One person who lives at this Service was spoken with. This person said they liked living there. Three service users completed our survey with staff help. Most of our inspection time was spent at Coppice where service users were unable to express their views. Two particular service users experience of the quality of the service was focussed on, through their personal records and discussion with staff. Care Homes for Adults (18-65 years) Page 7 of 31 The Acting Manager, Deputy Manager and one social care worker were spoken with at this inspection and records were inspected. There was also a tour of the premises. The weekly fees at the time of this inspection ranged from £911 to £1133. What the care home does well Individual written needs assessments and plans of care were in place showing that service users health, personal and social care need were being met. The Service provided activities, personal support and other services that were valued by service users and promoted their independence. Good procedures for handling complaints and abuse were in place ensuring service users were fully protected. Service users were living in a homely,
Care Homes for Adults (18-65 years) Page 8 of 31 comfortable and safe environment, which was furnished and maintained to a high standard. The Service had a good level of welltrained and well-recruited staff to ensure that service users were safe and their needs were met. The Service was well managed so that service users were protected and their best interests were promoted by the systems in place. What has got better from the last inspection A new Parker bath and raised toilet seat had been purchased at Coppice and service users had been allocated different bedrooms that gave them more ready access to appropriate bathing facilities. Also, three service users bedrooms had been provided with an astro ceiling to help them relax at night. The standard of documentation had improved Care Homes for Adults (18-65 years) Page 9 of 31 What the care home could do better There are no requirements from this inspection. Good practice recommendations are made regarding further improvements to the Services records, policies, quality assurance measures, staff training and supervision and certain health and safety aspects. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Tony Barker CSCI CPC1, Capital Business Park Fulbourn Cambridge CB21 5XE Tel: 01223 771300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4.
Care Homes for Adults (18-65 years) Page 10 of 31 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 31 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Individual written needs assessments were in place before people were admitted to the Service so that their diverse needs were identified and planned for. Evidence: A copy of the Services Statement of Purpose, sample Service Users Guide, charges for supplementary services and the last inspection report were all stored in a folder by the front door. The AQAA showed that one service user had been admitted since the last inspection. A comprehensive assessment of needs for this service user had been made prior to their admission, as confirmed by examination of care records. This needs assessment had been reviewed in April 2008 showing that the Service was addressing service users present needs. Care Homes for Adults (18-65 years) Page 13 of 31 Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Service users had comprehensive and individual plans of care which demonstrated that their health, personal and social care needs were being met. Evidence: The care plan files of both case tracked service users were examined. They contained numerous care plans and risk assessments that were comprehensive and covered a very wide range of day-to-day activities. Service users abilities were recorded as well as their likes and dislikes. These documents were a valuable guide to staff and ensured that peoples needs were being met. One staff member, who completed our survey form, felt said that the Service, centres on meeting the individual needs of each resident so that the correct support can be carried out by every member of staff. One case tracked service users file was very person centred giving good insights into the persons needs and life preferences. The Acting Manager, who had only recently come into post here, confirmed that staff would be provided with training in Person Centred Planning during 2009. This would lead to all care plans being person centred. Care plans were being reviewed on a six or twelve monthly basis through meetings chaired by Social Services. These ensured that regular monitoring of peoples needs and
Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: preferences was taking place. The AQAA referred to service users having the choice of whether to bath or shower in the morning or at night...(also) we also dont have bed time or getting up time. The Deputy Manager spoke, at the inspection, about service users being given the choice of time to rise each morning. One service user was still in bed at noon on the day of this inspection. The social care worker spoken with referred to service users from Oakside choosing clothes to buy and deciding what to eat and drink in a cafe, for example. There was a good range of recorded risk assessments, showing that the Service was aware of potential risks to which the service users were exposed and indicating ways of managing these risks. Not all of these risk assessments were fully up to date. The social care worker spoken with gave examples of service users taking responsible risks in order to increase their independence. For instance, people were enabled to use public transport, with staff guidance. Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. The Service provided activities and services that were age-appropriate and valued by service users and promoted their independence. Evidence: One service user was daily attending a day centre. The AQAA stated that, this is through their choice. The social care worker considered that service users were involved in activities that they valued and found fulfilling. For example, service users express pleasure when taking trips to garden centres and having their nails done. Evidence of the latter was seen at this inspection. An Activities Book and the Weekly Activities sheet both indicated that regular activities were taking place to stimulate service users. During this inspection several music DVDs were being played in Coppice, one of which was a Cliff Richard film. This performer was a well-loved character for one of the case tracked service users, as evidenced by material in the persons bedroom. The Deputy Manager explained that the DVDs played reflect service users interests and that live TV was seldom on. In Oakside one service user was knitting and proudly
Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: showed off her knitted product. One mini bus, one people carrier and a third vehicle were available for service users use in the community. The social care worker described how staff accompany service users in walks in the community and go to food shops, cafes, restaurants and pubs where they eat and drink. Examples of facilities accessed in the wider community were given by the previous manager in the AQAA, including day trips and going to concerts. Some service users had regular contact with their relatives, others had few if any relatives who maintained contact. One service user, who has no family contact, is given special attention by staff at Christmas and birthday time. The Acting Manager agreed to consider a befriender for this person. The social care worker who was spoken with said that each service user has a birthday party and they are encouraged, where possible, to make birthday cards and buy presents for each other. The social care worker, who works at Oakside, gave examples of the Service promoting the independence of service users through everyday routines such as setting and clearing meal tables, drying pots, stripping beds and taking laundry to the washing machine. The AQAA referred to weekly menus being done between staff and clients. These menus were examined and they indicated that service users were being provided with a balanced and nutritious diet. Food-stock levels were satisfactory and an extensive weekly shopping list was seen that related to intended purchases on the afternoon of this days inspection. Stocks included fresh fruit and vegetables and there was evidence of a good level of awareness of each individuals nutritional needs. Food preferences were recorded too. Staff were observed sensitively helping service users to eat at meal times. Care Homes for Adults (18-65 years) Page 17 of 31 Personal and healthcare support
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. The Service was providing service users with personal support in the way they preferred and required and was meeting their physical and emotional health needs. Evidence: The Deputy Manager displayed a warm and sensitive attitude when speaking about service users. She spoke of the importance of knowing the service user. One relative, who responded to our survey, said I know the care is first class. Another relative reported that, They treat (my relative) with respect and as an adult. Three service users, who were able to respond to our survey with staff help, all felt that staff always listen and act on what service users say. The social care worker spoken with described how service users privacy and dignity were respected. She spoke of doors being kept closed when service users are dressing or undressing and when washing, and their use of dressing gowns. One service user spoke of the best thing about living at the Home being, nobody touches your things. Regular health checks were being recorded on files - for example, weight and skin condition - as well as health appointments with GP, psychiatrist, district nurse, optician, chiropodist and dentist. Comprehensive notes accompanied these records with good evidence of regular health monitoring. One case tracked service users file
Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: included a Waterlow assessment of the persons tissue viability and a moving & handling risk assessment. Hoists and stand aids were in place to maximise peoples independence and a large soft wedge was being used as part of one service users physiotherapy. Prescribed medication for service users was securely stored. A dedicated refrigerator was in use for medicines that needed to be stored in a cool place. The recording of this medication was examined and found to be mainly satisfactory. There were some recording anomalies/inconsistencies: * the initials of two staff on medication records did not match those on the staff signature sheet, * the use of codes on medication records was not consistent. Also, two staff signed for the administration of paracetamol before actually administering the tablets on the day of this inspection - in one case the tablets were not administered due to the service user being asleep. The Acting Manager reported that all senior staff had been provided with a 13-week accredited training on the safe use of medicines and all staff had received some training on this topic. Good practice was being followed regarding the use and recording of prn (as and when required) medication. No controlled drugs were being used. Care Homes for Adults (18-65 years) Page 19 of 31 Concerns, complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Good procedures for handling complaints and abuse were in place ensuring service users were fully protected. Evidence: A complaints procedure was in place although this named a previous manager and a previous CSCI address. Completed complaints forms were not available but had been examined at the last inspection. The AQAA indicated there had been no complaints received in the last 12 months. Two of the three surveys returned by service users showed that they knew how to make a complaint - staff had written on the third form that the person was unable to understand this question. Policies and procedures regarding safeguarding adults and whistle blowing were in place. The social care worker who was spoken with showed awareness of the safeguarding adults policy but could not recall reading the policy on whistle blowing. She confirmed that she felt safe working at this Service and felt that service users were also safe. One member of staff who completed a survey also stated that Coppice & Oakside was, a safe place to be. The Services staff training matrix showed that almost all staff will have received safeguarding adults training by November 2008. The AQAA indicated that there had been no safeguarding adults referrals, within the previous 12 months, and no incidents when restraint was used. However, one of the service users needed to be medicated 1.5 hours before attending health appointments with the chiropodist, dentist and for flu inoculations and physically restrained at the time. This was necessary, appropriately carried out and recorded. There was, however,
Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: no recorded multi-disciplinary agreement to this procedure. Service users personal money record sheets were examined and found to be satisfactory. Care Homes for Adults (18-65 years) Page 21 of 31 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Service users were living in a homely, comfortable and safe environment that was furnished and maintained to a high standard. It was clean and hygienic. Evidence: The premises were attractive, well furnished and well maintained. Walls were decorated with mirrors and pictures, giving a homely appearance. One member of staff who completed a survey form also referred to the Service having a homely environment. Bedrooms were attractively decorated and well personalised. The AQAA showed that a new Parker bath and raised toilet seat had been purchased at Coppice and service users had been allocated different bedrooms that gave them more ready access to appropriate bathing facilities. Also three service users bedrooms had been provided with an astro ceiling to help them relax at night. Three service users bedrooms were viewed and these included one of the astro ceilings. These ceilings had been decorated with phosphorescent painted stars and other celestial objects. The bedrooms were nicely decorated, furnished and personalised with good evidence of personal interests. The standard of the Homes environment and of maintenance was commendable. Everywhere in the Home was clean and without any offensive smells. The social care worker who was spoken with described good practice regarding the transportation of soiled materials within the buildings. The Homes Infection Control policy was
Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: satisfactory. The AQAA showed that the great majority of staff had completed Infection Control training. Care Homes for Adults (18-65 years) Page 23 of 31 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. The Service had a good level of well-trained and well-recruited staff to ensure that service users were safe and their needs were met. Evidence: The AQAA showed that 65 of the care staff had achieved a National Vocational Qualification (NVQ) to level 2 or above. This met the National Minimum Standard to maintain a staff group with at least 50 qualified staff. The AQAA indicated that staffing levels were of a good standard with very low staff turnover and minimal use of temporary staff. All the care staff are female although three of the ten service users are male. The Acting Manager explained that there are two male maintenance staff and one gardener and there was evidence of one of these staff on the day of this inspection. The Acting Manager showed awareness of the value of appointing male care staff. The file of a recently appointed social care worker was examined. It was found to contain all of the elements, required by current Regulations, regarding staff recruitment practices. The benefits of involving service users in the recruitment and interviewing of staff was discussed with the Acting Manager. This would further improve service users feeling of self-worth and involve them in making decisions that would effect them every day. The General Social Care Councils Rules for Social Care
Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: Workers and their Managers were available in a folder by the front door. There was recorded evidence of the above recently appointed staff member being provided with induction training to Skills for Care Common Induction Standards. Her training booklet had been appropriately completed, signed and dated. However, new staff were not pursuing the Learning Disability Qualification (LDQ) for care staff - a specialist qualification for staff working in this field. The social care worker spoken with confirmed that her own induction was a good experience. She described the regular training she had received during the 12 months working at the Service and training records confirmed that staff had been provided with all mandatory training. The Acting Manager said he was addressing the matter of the few staff who had not received fire training recently. The Acting Manager indicated that she felt staff training was a priority. One staff member who completed a survey form said, The training we receive is invaluable to the staff. The AQAA, completed by the previous manager, stated that she had very little time to do supervision and no time for staff appraisals. This statement was discussed with the Acting Manager who spoke of plans to undertake staff appraisals in January 2009 and to start six sessions a year of individual staff supervision then. The Deputy Manager provided documentary evidence of staff supervisions in October 2008. Care Homes for Adults (18-65 years) Page 25 of 31 Conduct and management of the home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. The Service was well managed so that service users were protected and their best interests were promoted by the systems in place. Evidence: The Acting Manager had only managed this Service for two months following the sudden departure of the previous manager. He planned to apply to be Registered Manager at this Service. He is currently Registered Manager of two other local United Health services, one of which he has managed since February 2004. He qualified (Registered Nurse in Mental Handicap) in 1994 and completed his NVQ level 4 in management in March 2006. The social care worker said the best thing about this Home was the satisfaction that service users gave her and being part of a good team who are like friends. All three staff who responded to our survey spoke positively about their work and the support from management. Comments included: * It is a very rewarding job, * We are always supported by management, * The Service runs a well managed home resulting in happy and well cared for clients. One relative also commented, in a survey form, that I think the home is very well run in all ways...the care is first class.
Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: There was evidence of monthly independent audit visits to the Home on behalf of the Registered Provider, as required by Regulation 26, having been undertaken in 2008. There was no Annual Plan in place although we had examined one recently that the Acting Manager had drawn up in another Service he manages. A summary of quality assurance questionnaires, completed by staff in 2008, was examined. However, there was no evidence of recent surveys of the opinion of service users, using independent advocates, or of relatives or external professionals as to the quality of the service provided. The last survey of relatives opinion was completed in 2004 and seen at the last inspection. Good food hygiene practices, and safe storage of cleaning materials, were observed. Weekly fire alarm tests were recorded although there had been no fire drills held since January 2008. Portable electric appliance tests were in place and emergency lighting was being checked periodically. Accidents were being recorded but not on consistent formats. The AQAA showed that the safety of electrical and gas equipment was being checked at appropriate intervals. Care Homes for Adults (18-65 years) Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes ï£ No ï Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 31 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set
No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 2 3 4 5 6 7 9 20 20 20 22 23 23 Recorded risk assessments should be kept up to date. All staff should be provided with accredited training on the safe use of medicines. Recording anomalies/inconsistencies on medication records should be addressed. Staff should not sign for the administration of medication before actually administering the medication. The Services complaints procedure should be updated. Staff should be reminded about the Services policy on whistle blowing. There should be a recorded multi-disciplinary agreement to the chemical and physical restraint of one service user prior to certain health appointments. Service users should become involved in the recruitment and interviewing of new staff. New staff should undertake the Learning Disability
Page 29 of 31 8 9 34 35 Care Homes for Adults (18-65 years) Qualification (LDQ). 10 36 The Acting Managers plans to carry out regular planned staff supervision sessions from January 2009 should be carried out. Surveys of the opinion of service users, using independent advocates, of relatives and of external professionals as to the quality of the service provided should be undertaken. An Annual Plan should be drawn up. Accidents should be recorded on consistent formats. Fire drills should be held twice a year. 11 39 12 13 14 39 42 42 Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website.
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