CARE HOME ADULTS 18-65
Creative Support 7 Amherst Road Fallowfield Manchester M14 6UG Lead Inspector
Val Bell Unannounced Inspection 10 and 16th May 2007 10:00
th Creative Support DS0000021609.V337062.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 Creative Support DS0000021609.V337062.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. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Creative Support Address 7 Amherst Road Fallowfield Manchester M14 6UG 0161 256 4366 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) Creative Support Ltd Post Vacant Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users must be female only under pensionable age The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 15th January 2007 Date of last inspection Brief Description of the Service: 7 Amherst Road is a care home, which provides care for up to eight women with mental ill health. The weekly cost of this service is £506.49 The home is a large detached property, which is similar to other residential houses on the street. The home does not have a sign outside to identify it as a care home to make sure that people live as normal a life as possible in the community. People living in the home have a single room with en suite facilities. There are two kitchens in use and staff support people to prepare and cook their own meals. A third kitchen is currently being convertedinto a multi-purpose room for meetings and for service users’ guests that wish to stay overnight. There are dining areas in each kitchen, but none of these areas could seat all eight women comfortably if they wanted to eat a meal together. The home has one attractive and comfortable lounge area. People tend to receive visitors in their own rooms. The home is situated approximately five minutes walk from Withington and Ladybarn shopping areas and is close to public transport links into both Manchester City Centre and Stockport Town Centre. A selection of shops, doctors surgeries and churches of various denominations are situated close by. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the random inspection in January 2007 and supporting information provided by the manager prior to a visit to the home. Site visits to the home form part of the overall inspection process and the lead inspector conducted this visit during daytime hours on 10th and 16th May 2007. The opportunity was taken to look at the core standards of the National Minimum Standards (NMS) This inspection will also be used to decide how often the home needs to be visited to make sure that the required standards are being met. During the visit time was spent talking to four people living in the home and discussions were held with two members of staff on duty and the manager. The service manager was present on the second day’s site visit. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. What the service does well:
People living in the home had received a thorough assessment of their needs to ensure that these could be met. From these assessments a person-centred support plan was agreed with each individual, showing what support would be provided. This person-centred approach ensured that people using the service retained control over the important decisions that affected their lives. Additionally, it provided evidence that people are respected as individuals, have a wide range of diverse needs and the potential to achieve lifestyles of their choice. The way this service encourages people to make choices and take informed decisions is commended as best practice. Written information held in the home provided evidence that people are afforded protection from harm, while taking responsible risks and if they have any concerns, these are listened to and action is taken to put things right. The home is well maintained and its interior is of modern design. This provides people living in the home with a safe, comfortable and pleasant environment. A second commendation was made for the way in which people using Creative Support services are offered training in quality assurance. This enables people to become involved in assessing the quality of the service provided from a user perspective. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
One requirement and six good practice recommendations were made during the site visits. A new assessment tool was being introduced to find out what support individuals needed to take their prescribed medication. One person was administering her own medication and the service manager said that this had been assessed previously, although this assessment could not be located. It was recommended that all the people be reassessed so that up to date information is available on the level of support individual’s need to take their medication safely. A complaints policy and procedure was in place and it was evident from written records that complaints were being investigated thoroughly. However, complaints had been recorded in a hard-back book, which made it difficult to maintain confidentiality under data protection and access to information legislation. It was recommended that complaints be recorded separately. The home’s laundry facilities were cramped, which meant that people using the laundry equipment had to bend down in confined spaces. This presented a risk to back injury. Moving and handling practice in the laundry must be risks assessed and a plan must be implemented to minimise the risk of injury. Furthermore, the provider should ensure that staff and people living in the home have regular training in safe moving and handling techniques. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 7 People living in the home are encouraged to develop independence in preparing and cooking their own meals. It is good practice to ensure that people are trained in how to do this safely. A minor shortfall was noted during a tour of the home. A fold-up bed was being stored on a landing area, which may have presented a hazard to the safe evacuation of the home in the event of fire. Fire escape routes should be kept free from obstacles at all times. 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. Creative Support DS0000021609.V337062.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 Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People admitted to the home can be confident that their current and changing needs will be identified so that the right level of support can be put into place. EVIDENCE: Admissions to the home were planned and the home did not accept people in an emergency. Care manager and in-house assessments of need had been undertaken for all people admitted to the home and people were given the opportunity to visit and meet staff and others living in the home. These visits provided opportunities for people to ask any questions they might have. Once the assessment process was complete decisions were taken on whether the service could meet the needs of the individual. A formal offer letter is sent and the individual is encouraged to decide if the home will be the right place for them. All admissions are monitored and reviewed to make sure that the placement is right for the individual and compatible with the needs of other people living in the home. Once the placement has been confirmed needs are regularly monitored and updated within the person’s support plan. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive the right level of individual support to enable them to take responsible risks and to make decisions that affect their quality of life. EVIDENCE: Files belonging to three people living in the home were examined for evidence of how their assessed needs were to be met. A list of documents had been included in each file, which made information easy to find. Detailed personcentred support plans listed individuals’ strengths, needs, aspirations and goals and how these would be met with support from staff. Support plans had been signed by the individual and their key worker. Written evidence of decisions had been recorded in the support plans examined. Three people spoken to during this visit confirmed that they are encouraged to take informed decisions and that staff are always willing to offer guidance and support if needed. The service manager said that independent
Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 11 advocacy was available to help people make important decisions that affected their lives. Risks identified during the assessment process had been assessed along with guidance for staff on how to provide support in a safe way. Support plans and risk assessments had three-monthly review dates planned in advance and all reviews held had been recorded in detail. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 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. People living in the home are valued and respected as individuals and receive the right level of support to achieve their preferred lifestyles. EVIDENCE: Support plans included detailed social histories that identified individuals’ informal support networks, including relatives and friends. Staff worked closely with the representatives of people living in the home to develop and maintain relationships and promote independent lifestyles. One person said that she had always wanted to visit the United States of America and staff have helped her to plan a holiday there for her birthday later this year. It was pleasing to note that by using a person-centred approach, people were able to take control of decisions in developing their preferred lifestyles by identifying their own progress and expressing their aspirations for the future. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 13 People were encouraged to participate in their local community according to their personal interests, spiritual, cultural and ethnic needs. People with disabilities who found it difficult to use public transport had access to a Ring and Ride service, which promoted the ability to maintain an independent presence in the community. Records provided evidence that people were encouraged to exercise their right to make choices and take decisions that affect their lives. Throughout the visits to this home people were observed to decide what they wanted to do and where they wanted to go during the day. The people living in the home decided their daily routines, such as mealtimes and getting up and going to bed. It was evident that personal goals were designed to be achieved in realistic steps. People are encouraged to take responsibility for day-to-day tasks such as housework, laundry and cooking according to their individual ability Wherever possible people who use the service were involved in purchasing food and preparing meals. Staff are on hand to help out in the kitchen. Food preparation and storage areas were clean and a sample of food hygiene records examined was accurate and up to date. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 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 encouraged to take responsibility for their own personal and healthcare needs and receive the right amount of support to maximise their potential for independence. EVIDENCE: Three files examined contained evidence of up to date health screening and annual health checks. People were encouraged to take responsibility for managing their own healthcare although full support was available according to individuals’ assessed needs. Detailed records were held on the outcome of health appointments and any follow-up action taken by staff. Files contained guidance for staff on recognising the signs of relapse in relation to mental ill health and one of the support plans provided evidence that disability aids were being provided so that people could attend to their personal hygiene independently and in private. Daily routines were observed to be flexible and two people living in the home said that they received the right level of personal support to enable them to develop an independent lifestyle. One person added, “More help is available if I am feeling unwell. I get on well with staff. They have helped me to do things on my own.”
Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 15 People admitted to the home are assessed to see if they can take responsibility for administering their own medication. Depending on the outcome of the assessment each individual is given three choices in how their medication is to be administered; they can either retain control themselves, staff can undertake administration or they can share the responsibility with staff. The person’s choice is recorded in a signed agreement. One person was self-medicating although the original medication assessment could not be located during the site visit. The inspector was shown a new assessment tool that was being implemented to see if others living in the home could take more responsibility for the administration of their own medication. It is recommended that this be implemented with all the people living in the home to ensure that accurate and up to date information on how each person’s medication is administered is in place. Medication and records of administration were stored securely in peoples own bedrooms and robust policies and procedures were in place to provide guidance on the safe administration of medication. The medication administration record belonging to one of the people living in the home was examined and found to be accurate and up to date. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 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 can be confident that the systems in place will afford them protection from harm and that their concerns and complaints will be listened to and investigated. EVIDENCE: The complaints policy and procedures detailed the time frames in which complaints would be managed. Complaints received had been recorded in a hard-back book. A recommendation was made to record these on separate sheets of paper, as the current system may not comply with the requirements of data protection legislation. There were no complaints outstanding at the time of the visits. Two of the people living in the home said they knew who they would speak to if they had any concerns and they were confident that action would be taken to put things right. One person said, ‘Staff are very good at listening to me if I am worried about anything and it usually gets sorted out. I trust the staff.’ The requirement made at the random inspection in January 2007 to investigate a complaint made by one of the people living in the home had been addressed satisfactorily. Manchester’s multi-disciplinary policy and procedures on the protection of vulnerable adults from abuse (POVA) was being followed to protect people from harm. No referrals had been made under POVA for this home in the previous twelve months. Two staff confirmed that they had received training in the awareness of abuse and the procedure to follow if abuse was alleged or suspected. The service manager said that during their induction new staff
Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 17 attend an afternoon training session on POVA and refresher training is also provided for established staff every year. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A rolling programme of re-decoration, refurbishment and renewal ensures that people living in the home are provided with safe, comfortable and pleasant surroundings. EVIDENCE: A tour of the private and communal space was undertaken and this was found to be clean and hygienic with no offensive odours present. It was evident that a rolling programme of re-decoration, refurbishment and replacement was in place as the home was of modern interior design, well maintained and pleasantly decorated. Peoples bedrooms were personalised to reflect their individual tastes and interests. One of the people living in the home asked the inspector to go and have a look at her bedroom. The service manager said that the home’s business plan included plans to increase the lounge, dining and laundry facilities, which provided limited communal space for people living in the home. In particular the laundry area was very cramped and posed a risk of back injury to people using the laundry
Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 19 equipment. A requirement was made relating to safe working practices later on in this report. Additionally, it is recommended that the provider seriously consider the relocation or extension of the laundry facility to ensure that there is adequate room for people to access the laundry equipment safely. People’s physical needs had been assessed and it was noted that suitable environmental adaptations had been made to meet individual needs, such as handrails, a bath chair and disabled access into the building. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust systems for the recruitment and development of staff ensure that the staff team have the necessary personal qualities, knowledge, skills and experience to safely meet the assessed needs of people living in the home. EVIDENCE: The recruitment records were not examined as part of this inspection. However, the manager and service manager confirmed that the required preemployment checks had been obtained for all staff employed since the last inspection. The service manager provided written information about the training opportunities that had been undertaken by staff in the previous twelve months. Newly employed staff had attended an eight-day corporate induction and their specific training needs had been assessed on an individual basis. Members of staff on duty confirmed this. The training undertaken during the previous twelve months was relevant to the specific needs of people living in the home. The service manager added that future planned training included
Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 21 welfare benefits, medication administration, first aid, food hygiene and manual handling. None of the support workers held a relevant National Vocational Qualification (NVQ), although the service manager said that staff are enrolled on NVQ level 2 courses in care following successful completion of the mid-probationary review after three months service. Two support workers were currently undertaking this course of study. The NVQ level 3 in care is available to senior staff and managers undertake NVQ level 4. The two support workers on duty confirmed that they were attending regular supervision sessions with their line-manager. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of people living in the home are listened to and this feedback is used to make ongoing improvements to the service they receive. EVIDENCE: A permanent manager had been appointed three weeks before the visits to the home. The manager was a Registered Nurse (Mental Health) who had worked for the provider for the previous two years as a support worker and at the time of this visit she was preparing an application to become registered with the Commission for Social Care Inspection. The service manager said that the provider would sponsor the manager to undertake the Registered Managers Award to ensure that she had the skills and knowledge to be in charge of the day-to-day running of the home. Two staff spoken to confirmed that they felt supported and were receiving leadership and guidance from their manager.
Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 23 An established quality assurance and monitoring system was in place. The audit tool in use had been based on the National Minimum Standards of Care Homes for Adults. The manager undertook monthly audits and the service manager was making unannounced monthly visits to report on the quality of the service provided. The most recent annual quality audit was done in September 2006. People using the service had been issued with satisfaction surveys every twelve months and their views had been analysed and incorporated into an annual report. It was particularly pleasing to note that people receiving a service from this provider had attended training to become auditors. Their role was specifically to interview people living in the home about their views on the quality of the service provided. This was an example of best practice and was commended. The service manager stated that the recommendation made at the previous inspection to review appointee-ship for people living in the home was currently being undertaken. Reviews had taken place for all but one person who was in hospital. Written information provided by the service manager prior to the site visit stated that the homes equipment had been serviced and maintained on a regular basis and this was confirmed on checking a sample of health and safety records. During a tour of the premises one requirement and three good practice recommendations were made in relation to safe working practices. The laundry area was very cramped. This lack of space compromised good practice guidelines in safe moving and handling and this presented a risk of back injury to people using the laundry equipment. People living in the home are encouraged to undertake their own laundry and should also have training in safe moving and handling techniques. Staff confirmed to the inspector that they had current food hygiene certificates and that they support people living in the home to prepare and cook their own meals. A recommendation was made for people living in the home to undertake training in order for them to gain the knowledge and skills necessary for handling food safely. Finally, it was noted that a fold-up bed was being stored on a landing area, which may constitute a hazard to the safe evacuation of the home in the event of a fire. The service manager confirmed that the fire risk assessment had been reviewed and updated as required at the last inspection. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 2 X Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 25 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 YA42 Regulation 13 (4) Requirement The laundry area must be risk assessed and a plan put in place to minimise the risk of back injury to people from working in a confined space. Timescale for action 16/06/07 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. 4. Refer to Standard YA20 YA22 YA24 YA42 Good Practice Recommendations People living in the home should be assessed to determine the level of support they need to take their medication safely. Complaints should be recorded separately to ensure that the information held complies with the requirements of data protection legislation. The provider should consider moving or extending the laundry facility to ensure that sufficient safe working space is provided. Staff and people living in the home should have regular training in moving and handling to equip them with the knowledge and skills in how to protect themselves from injury. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 26 5. 6. YA42 YA42 People living in the home should be provided with training in how to maintain safe food hygiene practice. Fire escape routes in the home should be kept clear of obstacles at all times to prevent risks to peoples safety in the event of evacuation due to fire. Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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. Extracts may not be used or reproduced without the express permission of CSCI Creative Support DS0000021609.V337062.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
