Inspection on 26/04/06 for Dainton House

This inspection was carried out on 26th April 2006.

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

Dainton House 01/12/09

Dainton House 17/02/09

Dainton House 18/04/08

Dainton House 09/11/07

Dainton House 13/08/05

Dainton House 19/04/05

Dainton House 28/09/04

Dainton House 04/05/04

Dainton House 17/02/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Dainton House 1a Upper Brighton Road Surbiton Surrey KT6 6LQ Lead Inspector Michael Williams Key Unannounced Inspection 26th April 2006 10:15a Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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 Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dainton House Address 1a Upper Brighton Road Surbiton Surrey KT6 6LQ 020 8390 0545 020 8390 0545 dainton@cht.org.uk 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) Community Housing and Therapy Laura Liverotti Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Because of the rehabilitive nature of this project and the aims and objectives set by Community Housing and Therapy, the project wishes to maintain the provision of night time cover of one care worker being on the premises providing a sleeping-in duty in which they are on-call to the residents. Room 7 is undersized measuring 9.73sqm and its use will be reviewed at regular intervals by the inspector. A variation has been granted to allow one specified service user over the age of 65 to be accommodated. 13th August 2005 2. 3. Date of last inspection Brief Description of the Service: Dainton house is a large, detached house. It is situated on a busy main road in a residential area of Surbiton. The house is within walking distance of Surbitons main shopping area and train station. Dainton House is managed by the voluntary organisation Community Housing and Therapy which has six projects registered with the National Care Standards Commission. Dainton House is a residential care resource for up to twelve adults with mental health problems and associated complex needs including for example drug and alcohol related issues. It is run as a ‘therapeutic community’ providing support in the form of therapeutic groups and meetings aimed at preparing service users to move on to more independent accommodation where that is possible. The estimated length of stay is three years for their programme of rehabilitation. The fees for this care home range from £750 to £900 per week. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection started at 10:15 am and concluded at 4 pm Several staff and many of the service users contributed to the inspection - who say this is a very good home - their contribution to the inspection is acknowledged. A psychologist from the Mental Health Team was also on site and confirmed how well managed had been the admission and initial stages of the resident’s stay and the positive way in which the home is supporting residents. In addition to this visit the Commission also circulated questionnaires to the residents, staff, relatives and visiting professionals. The person in charge confirmed that there have been no substantive changes to the home since the previous inspection in September 2005 - so many of the standards that were met then remain met in the same manner. What the service does well: What has improved since the last inspection? What they could do better: Staff records must be available on the premises or the written consent of the Commission is required if they are held centrally. Staff need to be clearer about the procedures to follow when abuse is suspected, in particular the need for immediate referral to the local Social Service Department under the Local Authority’s protection of vulnerable adults procedures. A recommendation is made to ensure that if junior staff are left in charge that they are competent to do so and are fully informed about the requirements of the Commission during inspections, in particular the availability of statutory records. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 6 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. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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 Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New service users are being admitted only on the basis of a full assessment that involves the service user or, in some cases, their advocate or representative so they can be assured that their needs are properly assessed, made known to the care home and service know their needs can be met in the home. EVIDENCE: The inspector met with several service users, with the staff, and discussed the referral and initial arrangements for placement with a visiting psychologist. The Commission also read a sample of case files as part of the Commission’s system for ‘tracking’ the care of service users. Service users do have their needs assessed at the point of admission. A requirement was made in 2005 to ensure this initial information is filed clearly. This is now the case and this important initial information is now readily available in the service users’ case files so that their needs are clearly known from the outset and can be referred to at a later stage, for example at times of review, to assess progress and change. A sample of the care plans was checked in detail with the assistance of a member of staff and with the agreement of the service users. Their care plans make clear their known needs at the time of admission and any associated risks. A clear plan of action is also in place. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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): 679 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are in place so service users’ changing needs are identified and goals set to met those needs; all service users meet daily to assist in decision making about the home, the environment and about their own lives. Risk assessments are clearly identified in the care plans and service users are supported in taking appropriate risks, including the safe handling of medication, and avoiding risks that jeopardise their well being. EVIDENCE: Service users who spoke to the inspector confirmed that they are involved in the initial decision-making about their admission and then are involved in the review process. The case files show that review meetings involve the resident as well as Mental Health Team and other relevant parties such as family if appropriate. Residents are fully involved in decision-making about the care and support to be provided by the home. Service users are also involved in the day-to-day running of the home including shopping, cooking, cleaning and Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 10 gardening responsibilities. This was seen to be the case during the time the inspector was visiting and the inspector was impressed to see that even domestic chores are used as an opportunity for ‘therapeutic’ work by having feedback meetings involving staff and residents after housework and house checks. Involvement in this manner is seen as helping service users develop a better understanding of, and involvement in, life around them and by this means increase self-awareness and confidence. When service users risk taking becomes unacceptable then the home, with the involvement of the service user and their care manager, reviews the placement in the home. Service users confirmed this to be the case and know that their plans include moving on, either because they are not making progress or, more positively, they have made good progress in the home and are ready to move to more independent accommodation - which is what most service users are striving for. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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): 12 13 15 16 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users confirmed that the lifestyle in Dainton House helps them in their personal development; it enables them contact with family and friends and they are supported in making using community ‘resources’. They say the meals are very good but they do cook themselves so the choice is theirs. Diversity issues are addressed in the care planning and in the house meetings. Their rights, for example to vote, are respected. EVIDENCE: The increased clarity in the case files, the assessments, care plans and risk assessments helps guide the personal development of residents. The revision of the home’s policy on ‘drug and alcohol misuse’ also helps give direction to staff and service users themselves and provides clear boundaries for their personal development. The changes to the daily routines to deal with domestic chores, house, kitchen and garden work, also provides opportunities for service users’ development of skills in daily living and social interaction. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 12 In this care home personal development and adjustment to their mental health problems is also nurtured through counselling groups and individual support sessions. The home has an annexe that can be used to give service users even greater opportunity to increase their person development and self-help skills. But at present is used as a staff room. The importance of diversity was discussed in some depth in this section of the report. The home confirmed that most service users are British whilst the staff are mainly from the wider European Community. The organisation is aware that this might lead to problems in language skills so courses in ‘English as a second language’ is now offered to staff who might need this additional support. In talking to staff it was evident that they were aware that their different backgrounds could be a potential issue but at this time think it is not. No residents seemed concerned about these differences in background, race and culture. Other issues of diversity were discussed including sexual orientation; service users who choose to disclose their sexuality, in this care home there are at least two who do, are supported in doing so. There are at present no service users with physical disabilities but support for physical limitations is provided and facilities are available if a person with mobility problems were to be admitted. It was clear from the discussions with residents that they keep in touch with family and friends, by phone, and by personal visits and staff also support residents where guidance is needed in this area – for example if service users need to learn how to differentiate between relationships that are positive and helpful and those that might be more destructive and unhelpful to their well being. In this home it is the residents themselves who prepare the menus, shop for food, prepare the meals and maintain the kitchen. Tonight’s cook advised the Commission that the evening meal would include fish and chips as the main course and he gave an assurance that he would be cooking it in the home and buying it from the local “Chippy” (fish and chip outlet). Residents say the meals are to their liking and – no complaints about the food were received by the Commission. The kitchen itself was in good order on this occasion. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home provides care for people with mental health problems so the decisions about care are led by the need to be supported to improve their condition; residents are however included in the decision making process and have a choice about accepting the help available in the care home. The home is meeting the needs of residents and provides considerable support to ensure residents can take medication safely. EVIDENCE: To assess this standard the inspector met with several service users, read their case files to check their care plans and reviews and to\look for evidence of residents involvement in this planning and review; the inspector checked medication procedures; the arrangements for their receiving personal allowances and so forth. It was clear residents are fully involved and engaged in all aspects of the running of the home and their own care. There are frequent meetings throughout the week wit staff and other residents so residents have every opportunity to discuss their wishes and preference and to contribute to their own progress – and not receive ‘care’ in passive manner. Medication procedures are sound, with profiles, stock records and administration charts are in place. Medication for most residents is an Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 14 important if sometime unwelcome part of their lives and staff support residents to understand the value of anti-psychotic drugs as part of their route towards independence. Where possible residents are helped to take control of their own medication. Staff take an holistic approach to the care and needs of residents and medication is seen as an adjunct to good care and not the only way to restore good mental health. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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): 23 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear and simple procedure for dealing with complaints so service users’ are confident their concerns will be dealt with promptly and effectively. The CSCI investigated a complaint during this visit and found it upheld. The arrangements for protecting service users from abused were reexamined on this occasion; they were found to be satisfactory in 2005 but on this occasion the staff in charge were not absolutely clear about their responsibilities to report suspicions of abuse to the local authority Social Service Department forthwith. A service user confirmed that her rights are protected. EVIDENCE: A record of complaints is in place. No complaints have arisen since the previous inspection and none were made by service users when consulted by the Commission. In contrast, several compliments were paid to the home by appreciative service users. In the previous inspection it was advised that the arrangements for support at night also need to be improved so that service users have easier access to the member of staff who is on duty but is permitted to sleep on the premises – it was suggested that this person be more readily accessible to service users at night because at present the staff sleeping in the annexe, which is not linked to the house by an accessible internal door but staff can be contacted by pressing a call bell. The standard in respect of complaints is assessed as met in so far as the home has in place policies and procedures for dealing with complaints in a prompt Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 16 and sensitive manner. In the earlier inspection the CSCI noted that the home has written policies and procedures about the protection of service users and their property to ensure vulnerable service users are safeguarded from abuse the home; this includes procedures for passing on concerns to the relevant authorities including the CSCI. Staff are given training to ensure they know how to respond appropriately to allegations of abuse. However despite this preparation those staff in charge on the day of the inspection and interviewed by the Commission were not clear about their responsibility to refer suspicions of abuse to the Social Service without delay and in advance of any investigation that might be needed, such suspicions may require investigation by other agencies such as police or Care Managers. A requirement is made to ensure staff left in charge are familiar with these procedures and how to contact key agencies at any time, day or night, even if in-house managers are not available to advise. A service user spoke about her rights and how the home helps her to assert her rights and as an example she is aware that the staff have ensured long term residents are registered to vote at local elections, due shortly, and staff will help residents to do so. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe, well-maintained environment so service users have access to safe and comfortable facilities. The home is remains a lot cleaner and tidier; this will ensure service users have a hygienic environment to live in. EVIDENCE: Dainton House is an “existing” home (one that was registered before 2002) and so it does not have, and is not required to have, all the facilities that might be expected of a modern care home. However, it is to be noted that the CSCI takes a flexible approach to specialised services such as Dainton House – which does not provide long-term care, all service users will move on within about three years. The Manager has advised the inspector that the company is reviewing the premises with a view to making improvements where possible and this will include re-landscaping the garden so that service users can make better use of it as part of their rehabilitation and so cause less nuisance to neighbours – in particular the large number of tall conifers will be reconsidered. The home is now being maintained in a better state and was clean and tidy and free of offensive odours when inspected. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 18 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 34 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff are appropriate to the needs of service users in this home. The required procedures are in place to ensure recruitment of staff protects service users although the inspector could not confirm all checks and records were in place for every member of staff because some are held in the Head Office. The home has induction, training, support and supervision in place so service users can be assured that staff are competent in their jobs; but a requirement is made to ensure staff are familiar with the local authority protection of vulnerable adults is made. The recruitment, training and support of staff will ensure service users are ‘safe in their hands’. EVIDENCE: This home provides a therapeutic regime and staff are clearly very committed to the ethos of intensive support and counselling. The staff team comprises many staff who are professionals, such as Psychology, and they bring their own expertise to the unit. Staffing numbers are adequate, for example five staff in all for ten service users on the day of inspection. Two of the staff were students on an extended placement from their University. To test the safety of recruitment procedures the Commission checked a sample of case files, interview staff and spoke to service users about their experience of staff support. It was evident that staff are very professional in there approach to Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 19 their roles but the Commission could not confirm that their recruitment safe because not all the records and checks were available for examination in the home, the inspector was advised the some records are held in the Head Office. All such records must be held in the home unless the Commission has given written consent with specific arrangements for access to the records. Staff confirmed the extensive training they undertake, in addition to their existing professional qualifications. The people in charge during the day were not familiar with the local authority’s procedures for dealing with allegations or suspicions of abuse of vulnerable adults and made reference to their own therapeutic approach to such matters. The home therefore needs to make sure all staff know that the outcome of the “no secrets” report is that where abuse is known or suspected it must be reported to the local Social Service Department under Kingston’s “protection of vulnerable adults” procedures, and must be done without delay (i.e. within 24 hours) and before any internal investigation take place. Despite the shortcoming in records and abuse training the service users appear safe in the hands of the staff team. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is qualified, competent and experienced to run the Dainton House and meet its stated purpose, aims and objectives. Quality monitoring is based upon the views of service users this home which is clearly being run in the best interests of the service users. Systems are in place to ensure that the property and money of service users (held by the home) can be held securely and is safeguarded. Provision is also made for service users to control their own money. The home is ensuring that in so far as it is reasonably practical to do so, the health, safety and welfare of service users, and staff, is being promoted and protected. EVIDENCE: At the time of the inspection the Deputy was in charge in the morning and a junior member of staff in the afternoon. The Manager herself has been Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 21 registered with the Commission and therefore assessed as competent and skilled enough to be running the home. The Deputy was also well informed about her duties and was most helpful during the inspection. Whilst the junior member of staff was clearly very professional in his approach he was not able to locate all the statutory records that must be available for the Commission to check. Records for the handling of service users’ money was checked, just two service users need the support of staff who hold their cash in the office. The records were in order and the safe a suitable place to keep the cash. The home has in place insurance and that certificate is on display in the office and so is the home’s registration certificate from the Commission. The office in this home is far too small for all the activities required of including the manager’s base and staff note taking, taking telephone calls and so forth. No requirement is made in this respect and it is acknowledged that the owners intend extending the home to improve office accommodation as well as other areas. Meanwhile a recommendation is made to clearly identifying and making clear the location of statutory records that will require to be examined by the Commission. This will help junior staff who are left in charge and may not be familiar with records rarely accessed day to day by the staff team. No health and safety hazards were identified during this inspection and none were drawn to the attention of the inspector at the time of the inspection. In summary the Commission concludes that the home is safe for service users and is run in their best interests the only provisos are that records of staff recruitment must be held on the premises or the manager must get written consent from the Commission to hold them off-site with suitable arrangements for examination by the Commission. Staff must also familiarise themselves with the correct procedures for dealing with allegations of abuse. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 22 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 2 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 1 35 2 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 3 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 23 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. Standard YA35 Regulation 18(1)c(i), 13(6) Requirement Timescale for action 30/06/06 2. YA34 19 17 Protection: all staff including those who are left in charge of the home must have training and guidance in local authority’s procedures for reporting allegation of abuse. Recruitment: The home must be 30/06/06 able to demonstrate that safe recruitment practices are in operation by having available in the home the records required by regulation that demonstrate all relevant checks have been made. 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 YA41 Good Practice Recommendations Records: it is recommended that the manager make known to all staff who are to be left in charge which are the statutory records that the Commission will examine and where those records are located. Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Dainton House DS0000013383.V292329.R01.S.doc Version 5.1 Page 25 - 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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