Inspection on 08/01/07 for Cumberland Gate, 44

This inspection was carried out on 8th January 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cumberland Gate, 44 22/11/05

Cumberland Gate, 44 12/05/05

Cumberland Gate, 44 04/03/05

Cumberland Gate, 44 17/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Cumberland Gate, 44 44 Cumberland Gate Netherton Liverpool Merseyside L30 7PZ Lead Inspector Lorraine Farrar Unannounced Inspection 8 January 2007 10:30 th Cumberland Gate, 44 DS0000005238.V303983.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 Cumberland Gate, 44 DS0000005238.V303983.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. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cumberland Gate, 44 Address 44 Cumberland Gate Netherton Liverpool Merseyside L30 7PZ 0151 531 6039 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) www.peterhouseschool.org Autism Initiatives Susan Scott Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to include up to 3 LD. The service should, employ a suitably qualified and experienced Manager who is registered with the CSCI. 22nd November 2005 Date of last inspection Brief Description of the Service: 44 Cumberland Gate is a small home registered for three people who have a learning disability. The service is provided by Autism Initiatives, a local organisation who have charitable status. Autism Initiatives provide a range of services to adults and children who have autism. These services include residential care, day services, supported tenancies, domiciliary care, and educational services. 44 Cumberland Gate is a four bedroom property located on a residential housing estate in Netherton, Merseyside. Downstairs there is a living room, dining room and kitchen. Each Service User has their own upstairs bedroom and there is a shared bathroom upstairs with additional downstairs toilet. There is a small enclosed back garden with parking available a short walk away. The Service Users are supported by a small well established staff team. There are staff on duty to support people throughout the day and a sleep in member of staff at night. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for the inspection was gathered in a number of different ways. This included an unannounced site visit where time was spent reading records and looking at the building. ‘Case tracking’ was used as part of the visit. This involves looking at the support a person gets from the home including their care plans, medication, money and bedroom, time is also spent meeting with the Service User and with Staff about how they meet the persons needs. Case tracking was used to look at life in the home for two of the people living there. Comment cards were sent out before the inspection for Service Users and their representatives and the Manager contributed to the inspection by completing a questionnaire. The information gathered from the site visit along with any information about the home, that the CSCI has received since the last key inspection, has been used to write this report. Information about the weekly fee for living in the home was requested but not provided by the organisation. What the service does well: Service Users are supported by a small Staff team who have a good knowledge of how to support them as individuals and meet their needs and choices. Staff spend time sitting and chatting with Service Users and supporting them to increase their independent living skills. Good alternative methods of communication such as pictures are used regularly in the home. This helps Service Users in a variety of ways, including, becoming more independent when making choices, going shopping and understanding fire procedures. Service Users heath and personal care needs are met within the home, with staff providing support and encouraging Service Users to be independent where possible. The atmosphere in the home is relaxed with Service Users spending their time at home as they choose. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 6 What has improved since the last 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. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 7 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 Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Systems are in place to make sure that enough information is obtained about, and given to people, before they move into the home. EVIDENCE: No new people have moved into the home for several years. Therefore it was not possible to practically measured whether the home provides and obtains the correct information to and about the person. However there is a Service User Guide and Statement of Purpose available, which give information about the home and how it operates. There is also a policy and assessment form available, which support Staff to assess the needs of anyone wanting to move to the home. These would help to ensure that the home could meet the person’s needs and choices and that it would be suitable for them to live in. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Up to date information about the support Service Users need is available in the home and their views are taken into account. The organisation does not provide sufficient information about how people’s finances are managed and the reasons why. EVIDENCE: Each Service User has a care plan in place, which gives information about how they communicate, their preferred routines, their health and personal care needs and the support that they need. These plans were all up to date and discussion with a Service User and a member of Staff confirmed that that the information was accurate. Clear, up to date risk assessments are in place for each Service User. These cover a variety of areas such as road safety, using the kitchen and supporting people with how they behave towards others. The assessments identify any risks from the activity and give guidelines on how to reduce that risk. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 10 Some of the information was not totally clear. For example, one plan advised that a Service User needed ‘supervision’ with an activity but did not explain how to provide this or the level of supervision required. This could lead to Staff unfamiliar with the Service User offering inappropriate support. The Manager explained that they are in the process of changing the format of their plans to provide ‘support plans’. This will make the information more readily available, as at the time of the site visit each Service User had information in four files. A support plan that had been started contained photographs, this is good practice as it helps the Service User to understand and discuss the contents more easily. The use of photographs throughout plans would help Service Users to become more involved in the writing and updating of their plans. There are good alternative methods of communication in the home to support Service Users to make decisions. One Service User demonstrated how he uses a communication board to choose pictures of activities or items he would like to buy in the shop. He explained with support from a member of Staff, that he then takes his pictures with him as a shopping list and chooses the items in the supermarket. During the site visit Staff were able to explain how they support Service Users to make decisions, and were able to discuss their likes and dislikes and give examples of how these are met. A Service User spoken with confirmed this and explained that he makes day-to-day decisions about what to do and where to go. Clear information about how Service Users are supported to manage their finances is not available in the home and their financial records were not always accurate. More information about this can be found in the concerns, complaints and protection section of this report. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 & 17 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service Users are supported to be as independent as possible and to live the lifestyle that they chose. EVIDENCE: Service Users spend their time in a variety of ways depending on their individual interests and choices. For example one Service User is supported by Staff to go to college, work in a local shop, attend the organisations Resource Centre and spend time at home engaged in household tasks and improving their independent skills. Another Service User explained he attends the local college and the Resource Centre and that on days he is at home he enjoys shopping and making his own meals with support if needed. Care plans contain information about the leisure activities that people enjoy and discussion with a Service User and member of Staff confirmed that support is offered to take part in these. On the evening of the inspection two Service Users were planning to go to a local disco whilst a third chose to stay at home. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 12 During the inspection two Service Users were at home and were spending their time as they chose. This included, listening to music, spending time alone or chatting with Staff who involved and included them in discussions. Records in the home showed that Service Users are supported to maintain contact with their families and that they are able to meet people without a disability as part of their everyday lives within the local community. The Manager explained that the food budget has been reviewed and increased recently and that she felt this was sufficient to provide for Service Users. The kitchen was well stocked with fresh, tinned and frozen foods and individual menus for each Service User showed that they are offered a variety and choice of meals. A Service User and member of Staff explained that they shop for food at local shops and supermarkets and that prior to going the Service User prepares a short shopping list in picture format, which he takes with him. He also explained that he makes his own breakfast and works with Staff to prepare other meals. The lunchtime meal was seen to be a sociable occasion with Service Users and Staff sitting around the table together chatting and relaxing. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Service Users receive individual support to meet their health and personal care needs. Staff are not all provided with training to ensure that they are able to manage Service Users medication safely. EVIDENCE: Care plans contain information about the individual support the person needs with their personal and health care. This includes providing information about the persons’ preferred daily routines and where they need Staff support. Discussion with a Service User and Staff showed that routines in the home are flexible with Service Users receiving support at times and in the way that they prefer. Health plans in the home had been recently reviewed and showed that Service Users are supported to attend any health appointments and to regularly monitor their health. Regular health appointments for Opticians, Dentist and an annual health check are up to date and their health file is reviewed regularly. This helps to ensure that any health issues are quickly noted and acted upon. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 14 Health files contain a list of the persons’ medication and any side effects it may have. This is good practice as it helps to ensure staff are aware of and able to respond to any adverse effects. Medication in the home is stored correctly with clear records kept, of the amounts received, given out and sent back to the chemist. This provides a clear audit trail of medication and helps ensure it is managed safely. Where a Service User is prescribed ‘as required medication’ no guidelines were in place for administering this. The use of these guidelines would ensure that all Staff are aware of the signs and symptoms the Service User may display to indicate that they need to take this medication. Not all Staff who deal with Service Users medication have received medication training. The lack of training for staff could place Service Users at risk, as they may not have the knowledge to manage medications safely. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Service Users are provided with clear information about how to make a complaint. However polices and practices for managing their money are not always robust enough to ensure they are fully protected. EVIDENCE: Information about how to make a complaint is readily available to each Service User via a picture format leaflet in their bedrooms entitled ‘how to complain’. A record of any complaints made is kept in the home, the last complaint received was in February 2006. Although the complaint is recorded there is no record of the outcome or of any action that was taken as a result of this. A record of the outcome of any complaints should be kept so that the Manager and organisation can monitor the level and type of complaints and ensure that the outcome is followed up. A copy of the organisations complaints procedure and the Local Authority adult protection procedures was not available in the home. These polices provide advise to Staff on the action to take in the event of a complaint or allegation and should be readily available to them. Insufficient information about how Service Users monies are managed by the organisation is available within the home. There is no information recorded as to who acts as appointee for the persons benefits and no assessment in place stating why an appointee is needed. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 16 No details of the persons bank account, who signs for this or their bank statements is available in the home. The organisation did carry out an audit of Service Users monies in August 2006 to ensure they were well managed. During the site visit, records of monies held in the home for Service Users were checked and tallied with the amount of cash held. One Service Users records recorded £500 withdrawn from his bank account. The Manager explained that this was to repay a loan from the company and a record of that loan was recorded. However no receipt had been provided by the company for this cash and no record of the reason for the withdrawal was available. A clear record of monies withdrawn from the person’s bank account along with a receipt and the reasons why needs to be maintained within the home, so that it can be easily audited. The practice of keeping peoples bankbooks in a head office is old fashioned and does not provide the Service User with readily available information about their finances or with the option of increasing their independent skills in this area. One Service User had recently bought a new bedroom carpet and mattress for his bed. These were needed due to a health issue and not as a matter of personal choice. As the homes contract with Service Users state that they provide furnished rooms, it is not appropriate for the persons money to be used in this way. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Service Users have a clean home however it is not always maintained or decorated to an acceptable standard. EVIDENCE: 44 Cumberland Gate is owned by a local housing association known as Riverside Housing Association. It is a domestic house located in a residential area of Netherton. Downstairs there is a lounge with separate dining room, kitchen and toilet. Upstairs each Service User had their own bedroom and there is an office and bathroom. The front the house is located a short walk away from the street, which provides some parking and there is an enclosed garden at the back of the property. The lounge was decorated last year and appears bright and modern. There is a new wooden floor, however this was paid for via a fund raising night and not via the organisation. The dining room is stark in appearance with ripped and stained wallpaper. At the top of the stairs there is a large hole in the wall, alongside another hole that has been badly and obviously repaired. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 18 The bathroom was tiled last year and a new bath put in. However the paint is peeling in a large area under the windowsill and the flooring was splattered with paint and appeared black around the toilet area. A Service Users bedroom had been painted last year, however paint was missing in places. A radiator under his window was not fitted with a guard or heat regulator, which could be a risk to the Service User. The kitchen appeared modern and clean although the radiator had obvious signs of rust. All areas of the home, but particularly the hallway appeared dim, even with lights switched on. Equipment is provided to control the spread of any infection and the home was clean and tidy. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 & 35 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service Users are supported by a knowledgeable Staff team who respond to their needs EVIDENCE: There is a small staff team of 5 Carers and the Manager working in the home. Many are long standing members of Staff who are familiar with Service Users and their needs. Where extra staff are needed, the shifts are covered by familiar bank staff or permanent staff working extra hours. This ensures that Service Users are always supported by people familiar to them. There is at least one member of Staff working in the home at all times and the rota showed that extra staff are available at other times to meet individuals needs and choices. A member of Staff spoken with during the site visit had a good knowledge of Service Users and how to meet their individual needs and choices along with an insight into how to effectively support people with autism. Four of the Care Staff have obtained a qualification in care, with the fifth having almost completed this. Staff files contained evidence that checks are carried out on new and existing staff to ensure they are suitable to work with the people living in the home. This includes obtaining references and Criminal Record Bureau Checks (CRB). Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 20 Records and discussions with Staff showed that they have attended a number of training courses that will help them to support Service Users. This includes training in heath and safety, autism and protection of vulnerable adults. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Service Users live in a safe, well managed home. EVIDENCE: The Registered Manager of the home is Mrs Susan Scott. She is experienced at working within a care setting and during the site visit displayed a good awareness of supporting people with autism and of Service Users individual choices and support needs. She stated her determination to meet CSCI requirements and appeared motivated to continually improve the service. Records showed that she has undertaken relevant training in the past year and she explained that there are plans in place for her to undertake a management qualification in April 07. Regular visits to the home are made by the organisation and the Manager explained that following these she is given an action plan to address any issues raised. A full audit of the service was carried out by the organisation in August 2006, following which an action plan was provided. This is good practice as it Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 22 ensures that any issues are quickly identified and acted upon and that the service works towards continually improving. However no evidence was available that Service Users or their representatives had been consulted to obtain their views about the service and any areas they would like to see improved. Records and safety certificates for the premises were up to date and satisfactory. Good practice was seen in that Service Users take part in fire drills and pictures are used to support them to understand these. Cumberland Gate, 44 DS0000005238.V303983.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. 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 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? yes 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 YA20 Regulation 18 (c) (1) Requirement The Registered Person must ensure that Staff who are responsible for the administration of medication are appropriately trained. This will help to ensure medication is managed safely. This requirement is outstanding from the last inspection of the service. 2. YA23 13(6) The Registered Person must review, in writing the reasons why a Service User purchased basic furnishings for their room. Consideration in this review must be given to adult protection procedures and the Service Users contract with the home. This will ensure that the Service Users rights are fully protected. 3. YA23 13(6) The Registered Person must ensure clear explanations as to how Service Users monies are managed and the reasons for this are recorded within their DS0000005238.V303983.R01.S.doc Timescale for action 30/04/07 15/03/07 30/04/07 Cumberland Gate, 44 Version 5.2 Page 25 care plans. This will ensure that monies are managed in a way that is safe and encourages Service Users to increase their independent living skills. 4. YA24 13(4)(a) The Registered Person must carry out a written risk assessment of all radiators within the home. 10/03/07 5. YA24 This will ensure that the home is safe for the people living there. 23(2)(b)(d) The Registered Person must 30/03/07 prepare a written plan for upgrading the environment of the home. This will ensure that Service Users have a suitable environment to live in. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP7 YA20 YA22 Good Practice Recommendations The Registered Person should continue to include pictures in care plans to support Service Users understanding of these. The Registered Person should provide written guidelines for any medication prescribed ‘as required’ The Registered Person should ensure: There is a copy of the organisations complaints procedure on the premises A record of the outcome of complaints is available on the premises. The Registered Person should review the way in which Service Users monies are managed, to ensure this is in line with current good practice guidelines. The Registered Person should ensure there is a copy of the DS0000005238.V303983.R01.S.doc Version 5.2 Page 26 4. 5. YA23 YA23 Cumberland Gate, 44 6. YA39 Local Authority adult protection procedure on the premises. The Registered Person should put a system into place for obtaining Service Users views of the service they receive. Cumberland Gate, 44 DS0000005238.V303983.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 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 Cumberland Gate, 44 DS0000005238.V303983.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. 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