Inspection on 18/07/07 for Culby House

This inspection was carried out on 18th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Culby House 29/07/08

Culby House 19/09/06

Culby House 05/09/05

Culby House 31/05/05

Culby House 21/01/05

Culby House 24/06/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Culby House Culby House 32 Warwick Road Cliftonville Margate Kent CT9 2JY Lead Inspector Wendy Gabriel Key Unannounced Inspection 18th July 2007 08:45 Culby House DS0000023181.V345854.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 Culby House DS0000023181.V345854.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 Older People and 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. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Culby House Address 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) Culby House 32 Warwick Road Cliftonville Margate Kent CT9 2JY 01843 298887 Mrs Jean Kelly Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2006 Brief Description of the Service: Culby House is a small family style home occupying a terraced property with three bedrooms for residents use on the first and second floors. Residents have their own lounge/diner overlooking a small, enclosed patio area to the back. The registered provider/manager, Mrs Kelly, lives at the home with her children and has a separate lounge, dining room and bedroom accommodation for family use only. The residents have one toilet and a bathroom for their use and there are separate facilities for the family members. The home is situated in a residential area of Cliftonville, close to shops and other communal facilities. Parking is on-street. Mrs Kelly is the main carer but there is a volunteer, who regularly helps out. Fees are £315.13. For information regarding fees please contact the provider. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector made an unannounced visit on the 17th July, but the only person at the home was a member of the family who was not able to be involved with the inspection. The Inspector arranged to visit the following morning when the Registered Provider was going to be in the home. The following day the Inspector met the Registered Provider and spoke with the three residents who live in the home. A volunteer was also working in the home at the time. Some records were viewed and an accompanied tour of the premises was undertaken. Some completed comment forms were viewed that had been provided for the residents by the Registered Provider. All residents spoke to the inspector and gave enthusiastic responses to questions about their life in the home. Residents are able to be independent and two were seen later in the day seated outside a local café enjoying coffee. The home provides a comfortable and homely environment and residents were seen at times, enjoying their own lounge and small patio outside. The Registered Provider has commenced her NVQ4. This meets a recommendation made at the previous inspection. The volunteer is due to start undertaking the NVQ2. What the service does well: What has improved since the last inspection? The Registered Provider has commenced her NVQ4 and this meets a previous recommendation. The volunteer has also agreed to undertake the NVQ2. The Registered Provider confirmed that CRB checks have been completed for the Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 6 volunteer. Care plans are now dated on the monthly reviews and this meets a recommendation made at the previous inspection. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: good. This judgement has been made using available evidence including a visit to this service. Prospective residents have information to make an informed choice about the home before moving in and know that their needs will be met. EVIDENCE: The home provides a welcome pack for prospective residents and their families that include the statement of purpose and contract. This also includes the complaints procedure. Residents are given the opportunity to visit the home before a decision is made about moving there. Information about the prospective resident is usually obtained prior to them moving into the home. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 9 The Registered Provider expressed a good understanding of the importance of informing the resident of what to expect in the home and said it was important to introduce the person to the current residents to enable them to feel comfortable with a new person in the home. The Registered Provider stated that all residents have a care manager and that reviews are undertaken annually. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: good. This judgement has been made using available evidence including a visit to this service. Residents know that their assessed needs and choices are recorded. Assessed risks will support residents if regularly monitored for changes. EVIDENCE: Care plans have been updated since the previous inspection and identify a range of information about the personal and mental health and social aspirations of individuals. Residents are informed about changes written in the care plans. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 11 One person recently said he wished to stop smoking and has been given assistance, including from the district nurse to achieve this. The resident was told that this would be put into his care plan. He told the Inspector that he was pleased with his plan and that he was going to visit the nurse that day for further advice and treatment. It was clear from talking to all residents that the others supported his decision. Risks are identified but are limited, the Registered Provider said this was because the residents are very independent both in the home and outside. The Registered Provider agreed to regularly monitor the risks to ensure they meet the needs of the residents. Residents told the inspector about their daily routines. Although, there was little in the way of holidays or outings that they enjoyed, all said that they preferred everything to be just as it is. The home is very close to the sea front and has a range of cafes, pubs, churches and entertainments. Residents said that they enjoyed their daily trips out. One person stays with his family several times a year and another visits friends using local transport, which both he and the Registered Provider said he is capable and confident to do. Two residents said they enjoyed going for a morning coffee locally and were later seen seated outside of a café enjoying their coffee and the fine weather. Residents have lockable facilities in their bedrooms for their personal use. Finances are recorded and one resident deals with his own finance. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: good. This judgement has been made using available evidence including a visit to this service. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 13 Residents said they are encouraged to pursue their own interests, maintain community links and lead independent lifestyles. Residents said the meals are very good. EVIDENCE: Residents confirmed that they come and go as they please. One person was heard informing the Registered Provider that he was leaving to go out and later when he had returned. One, sometimes two people; attend a church drop in centre weekly. The centre has a social worker in attendance who residents may speak to in private if they wish. When the Registered Provider was looking for a particular fire notice, residents immediately were able to point out to her where it was. The inspector heard them reminding the Registered Provider that there were also notices in their rooms about what they had to do in the event of a fire. Smoking was previously allowed in the lounge with agreement from all residents including the non-smoker. Because one person wanted to give up smoking, the Registered Provider has allowed smoking only in the small patio adjacent to the lounge. This was following consultation with all the residents. The only remaining smoker in the home told the inspector he was happy with this arrangement and that if he wanted to smoke when it was raining he would shelter under the garden umbrella. Both he and the Registered Provider said they would review this arrangement if the weather became too inclement. Some families are supportive and one person visits regularly. The Registered Provider has provided photographs of how meals are to be set out for volunteers to follow if she is not available. The Registered Provider said this is because the residents have certain expectations around their meal times including the way their trays are presented at the table. Menus are provided and indicated a variety of home cooked produce. Residents commented favourable on the quality of the meals. Bedroom and bathroom doors had locks and privacy is respected. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: adequate. This judgement has been made using available evidence including a visit to this service. Residents know they will be able to receive appropriate support for personal and healthcare needs. Medication will be improved when administered immediately from the packs. EVIDENCE: Each residents care plan indicates the level of support needed to maintain their personal hygiene. Monthly review records contain any problems that may have occurred with this and how they have been dealt with. Healthcare needs are recorded and show when visits have been made to see Health care professionals. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 15 A monitored dosage system is in place for medication administration. Administration records were signed appropriately. The Registered Provider agreed to take medication to individuals individually rather than potting them up for everyone at the same time. A requirement is made for this. The Registered Provider stated that a mental health psychiatrist reviews medication annually. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: good. This judgement has been made using available evidence including a visit to this service. Residents know their complaints will be listened to and acted upon. Procedures for protecting residents from abuse are understood. EVIDENCE: The homes complaints procedure is prominently displayed and is included in the homes welcome pack. Residents made it clear to the inspector that they were confident that they could speak to the Registered Provider about any matter that caused them concern and that she would deal with it. Communication between residents and the Registered Provider was noted to be open and understanding. The Registered Provider was clear about the procedure she would follow if a complaint was raised or if abuse was suspected. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: good. This judgement has been made using available evidence including a visit to this service. The standard of the environment in the home is good and provides residents with a homely, comfortable and clean place to live. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 18 EVIDENCE: Residents were able to say that they liked their lounge/dining room and patio. The patio is small and secluded and leads directly from the lounge. It is attractively laid out with plants in pots, a wall fountain and table with a large umbrella. Residents said they enjoyed going out there and that the sun got in there in the afternoon. All bedrooms are single and pleasantly furnished and decorated and had been personalised with residents own possessions. The bathroom and toilet were clean and homely. Bedrooms, bathroom and toilet had locks on. All areas of the home seen on this occasion were clean, light and airy. There is an ongoing redecoration programme underway. The home has three friendly dogs and a large goldfish tank in the lounge. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: adequate. This judgement has been made using available evidence including a visit to this service. Volunteers would benefit from further training. Procedures are in place for volunteers to be properly vetted including CRB checks. EVIDENCE: The Registered Provider is the main carer in the home and assisted from time to time by a volunteer. CRB checks have been undertaken for the volunteer. There is a written procedure for volunteers to follow in an emergency. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 20 The Registered Provider stated that there is no personal care undertaken for the residents but general guidance. The Registered Provider has recently commenced the NVQ4 and has also completed health and safety in the workplace, basic food hygiene and a nutrition course. The volunteer has agreed to undertake NVQ2. This will be a positive step to ensuring that suitable training as detailed in the National Minimum Standards is obtained. Some of this will be included in the NVQ; but the Registered Provider must ensure that any volunteer in the home is aware of the health, safety and welfare of residents, themselves and others in the home that the training addresses. The Registered Provider agreed to this. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is: adequate. This judgement has been made using available evidence including a visit to this service. Residents said the Registered Provider makes the home a good place to live and they know that their views are taken into consideration. Health and safety Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 22 will improve by suitable electrical testing and by reviewing the environmental risk assessments. EVIDENCE: Since the previous inspection the Registered Provider has enrolled and started the NVQ4. This has met a recommendation made at the previous inspection. Records seen were in date. Daily recording indicates food taken if not on the menu. This meets a previous requirement. The Registered Provider gives the residents questionnaires about the home. Some of these were seen and they included some positive comments about life in the home. Residents said that they liked the Registered Provider and that she was a very good cook. They also confirmed that they would feel able to talk to her about any problem or concern they may have. Domestic smoke detectors are in place and there are fire notices around the home. A record is kept of fire training given. There is also evidence of the residents completing a simple questionnaire about what to do in event of a fire in the home. There are basic risk assessments for hazards around the home; but these must now be reviewed and updated. Electrical testing must be undertaken and a requirement was made for this. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. 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 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 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 2 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 X 40 X 41 3 42 2 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Culby House Score 3 3 2 X DS0000023181.V345854.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA42 YA20 Regulation 23 (2)(c) 13(2) Requirement Electrical testing is to be undertaken by a suitably qualified person. Medication is to be administered directly to the individual. Timescale for action 31/08/07 18/07/07 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. Refer to Standard YA9 Good Practice Recommendations To continue with the monitoring and development of residents’ risk assessments and to make sure that strategies to reduce risks are properly recorded. Volunteers are to be appropriately trained and any training undertaken is to be documented, including induction training. 2. YA35 Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. Culby House DS0000023181.V345854.R01.S.doc Version 5.2 Page 26 - 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. 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