Inspection on 09/06/08 for Derby Road Care Home

This inspection was carried out on 9th June 2008.

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 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Derby Road Care Home 30/05/07

Derby Road Care Home 03/08/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Derby Road Care Home Derby Road Doveridge Derbyshire DE6 5JT Lead Inspector Janet Morrow Unannounced Inspection 9 and 11th June 2008 11:15 th Derby Road Care Home DS0000066510.V366084.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 Derby Road Care Home DS0000066510.V366084.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. Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Derby Road Care Home Address Derby Road Doveridge Derbyshire DE6 5JT 01889 560921 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) 138manager@voyagecare.com Voyage.com Milbury Care Services Ltd Miss Louise Mary Liszewski Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Learning disability - Code LD. The maximum number of service users who can be accommodated is 4. 2. Date of last inspection 30th May 2007 Brief Description of the Service: Derby Road Care Home is a large detached house. It is surrounded by large gardens. All areas of the building and garden are accessible to the people who live there. There are a number of communal areas including a large lounge. All bedrooms have en-suite bath or shower room. The residents have shared access to a large log cabin within the grounds of the home next door, it has a sensory room and an activity room. Derby Road Care Home provides long term care for adults with a learning disability. Transport to access the community is also provided. The current weekly fees range from £2014.88 to £2049.00. The weekly fees are specific to each individual person and are dependent on their assessed needs. People living at Derby Road Care home purchase their own toiletries and clothing, and pay a contribution towards any deliberate and wilful damage to the building. This information was provided on 19th June 2008. Information about the availability of the inspection report is included in the Service User Guide, which is provided to each person living at Derby Road Care Home and can also be accessed on the Commission for Social Care Inspection website www.csci.org.uk. Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit took place over two days for a total of 5.5 hours. The lunch period was spent with people living at the home and staff, and observing the daily routine within the home. The manager was on leave but the operational manager was available and spoken with on the second day of the visit. Records examined included the care records of one person, staff records and a sample of policies and procedures and maintenance records. A tour of the building took place. Written information in the form of an annual quality assurance assessment was received prior to the visit and informed the inspection process. Three staff surveys were received. Four surveys from people living in the home were returned with minimal information provided. One visitors’ survey was received. Two visiting professionals were spoken with by telephone after the inspection visit. What the service does well: Staff were assisted to provide appropriate and consistent care to people living in the home through detailed information held on file about individual’s abilities and wishes. Risk assessments were thorough and provided appropriate guidance to staff and therefore enabled people to take reasonable risk as part of their daily lives. Staff were positive about working in the home and one survey said ‘the service is trying its very best’ and another said ‘I cannot see what the service can do better’. A visitors’ survey stated that ‘the care service does its best to meet needs’ and ‘there is always a comfortable and homely atmosphere’. Choices were offered regarding meals and people enjoyed a variety of food including meals out and take-aways. Recruitment procedures were thorough and included all the information required by the Care Homes Regulations 2001. Staff training and support was good and assisted staff to provide care in a structured way and manage challenging behaviour safely. Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 6 A visiting professional stated that the home had ‘done really well’ in managing difficult behaviour. 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. The summary of this inspection report can be made available in other formats on request. Derby Road Care Home DS0000066510.V366084.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 Derby Road Care Home DS0000066510.V366084.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. 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. Sufficient admission information was available to ensure that the home was suitable and could meet the peoples’ needs. EVIDENCE: One person’s care file was examined and had a detailed assessment in place. Information from external professionals was available. Detailed information about individual needs was available in the file examined. Good use had also been made of information obtained from health care professionals, previous placements and families in the assessment of needs of each individual. The records showed that regular reviews were taking place and the information updated as required. Derby Road Care Home DS0000066510.V366084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed care planning and risk assessments ensure that peoples’ needs were met in the way that they chose. EVIDENCE: One person’s care file was examined and showed that a comprehensive care plan was in place that demonstrated how individual needs would be met. Care was reviewed on a monthly basis. The files and the details provided contained sufficient information to enable staff to deliver care in a consistent way. Risk assessments were also available that showed how identified risks were minimised. Staff spoken with were able to demonstrate that people were able to take risks within a risk management framework and were able to give Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 10 examples of this in action, such as those who struggled with road safety going out with adequate supervision. Although people living at the home did not go out into the community unaccompanied, they had unrestricted access to all communal areas and the enclosed garden to the rear of the home. Social and medical information was recorded in care plans and strategies for dealing with specific problems were in place. Independence was encouraged; for example, one person enjoyed collecting the post each day and there were very clear instructions to staff on how this was to be achieved independently. An activity chart was available for each person and this showed a choice of activity was available each day. The operational manager and staff both confirmed that these had been drawn up with the person concerned and were their choice of activity. Derby Road Care Home DS0000066510.V366084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-managed meals, contacts with the community and activities ensured people had a good quality of life. EVIDENCE: People living at the home were observed to have their own routines as far as possible, with some choosing to go out and one person remaining in the building watching a film. There was a range of activities available, although these did not include any educational input and were mostly social or recreational such as visiting parks and shops, playing football and games on the local playing fields, visiting the pub and a local farm. People were also involved in domestic tasks around the Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 12 home such as assisting with meal preparation ad this was included as part of their personal development and social skill training. The written information supplied by the home stated that there had been efforts to include the home in the daily life of the village and that as a result there were now well established contacts with the local church and the neighbourhood watch scheme. One person also went to a church of their choice in a neighbouring town and the written information stated that there was the opportunity to attend a local disco that had generated some new relationships. The information also stated that ‘we plan to enrol some of our service users onto appropriate college course of their choosing in September and to look into employment opportunities for some’. A holiday had been arranged and all the people at the home had had a week at a Centre Parcs venue, which one person stated they had enjoyed ‘a lot’. People living at Derby Road were encouraged to maintain links with their families as appropriate. Families were welcome and several regularly visited and one person went to visit their family regularly. People living at Derby Road were involved in planning the weekly menu and also accompanied staff to the supermarket if they wished. Records of the weekly menus were available and showed that meals were nutritious and catered for individual and cultural preferences. The lunchtime meal was observed and everyone had chosen to have a take away meal. All people at the home were independent in eating and one person enjoyed setting the tables and serving drinks. Derby Road Care Home DS0000066510.V366084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Access to health professionals and clear systems ensured that people’s health and personal care needs were met. EVIDENCE: One person’s care records were examined and showed that there were details about individual preferences available and the type of assistance and guidance needed to meet health care needs. One person was visiting the local General Practitioner (GP) surgery on a regular basis and was able to confirm this in conversation. Staff spoken with confirmed that visits to chiropodists and opticians took place. There were regular reviews of care held with other health professionals that ensured changing needs were addressed. One visiting professional spoken with stated that it was sometimes difficult to obtain information from staff and that Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 14 it was usually the manager who provided necessary information and this could sometimes lead to delays if they were off duty. It was observed that personal support was offered sensitively and warm relationships existed between staff and people in the home. Medication records were examined and two people’s medication administration record (MAR) charts were looked at in detail. These were completed accurately and had the amount of medicines received recorded. One person was able to say how often he had his blood tested and instructions on medication routines were clear and involved the person in the process. There were no controlled drugs in the home at the time of the visit but there were secure storage facilities for them should they be required. A general check on medication stocks showed that this was satisfactory and those medicines seen were well within expiry dates. The home did not have a specific medication refrigerator but there were secure storage facilities in the home’s main refrigerator and temperatures were recorded daily to ensure that the medication was stored safely. Derby Road Care Home DS0000066510.V366084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Inconsistencies in managing peoples’ personal money did not fully safeguard people from financial abuse. EVIDENCE: The complaints procedure was clear and was included in the service user guide. There was a complaints book that showed the last complaint received was in June 2007 and the action taken was recorded. There had been no complaints received at the office of the Commission for Social Care Inspection since the last inspection in May 2007. A chart was provided for each person living in the home telling them who to contact if they were unhappy about anything in the home. The company had corporate procedures on dealing with safeguarding issues and allegations of abuse and these included information from the Local Authority and whistle blowing procedures. Those staff spoken with were aware of their responsibility to report any suspicions of abuse and training records showed that safeguarding training had been provided in November 2007. One staff survey also confirmed that safeguarding training had been undertaken. Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 16 The written information supplied by the home stated that the home had developed a good relationship with the local ‘protection of vulnerable adults police team’ and that this team would visit the home if required. Staff spoken with were knowledgeable in dealing with challenging behaviour and used a range of strategies to manage difficult situations. One staff survey received commented that the service ‘is very good at dealing with challenging behaviour’ and another commented that they had received the ‘necessary training to meet the needs of service users’. The written information supplied by the home stated that there had been three incidents when physical restraint was used in the last twelve months. This was discussed with the operational manager and the record examined. There were clear guidelines available for each person on how to defuse a situation and recognised techniques were used when restraint became necessary. The home had a policy on the use of physical intervention that specified it must only be used as a last resort and that staff must regularly receive updated training on using intervention techniques. Two people’s financial records were examined. This showed that people were signing for transactions and there were receipts available. Although the system for managing money had improved since the last inspection visit in May 2007 with a cash book for each person being available, neither record corresponded accurately with the amount of money held. There was less money available then the record stated and there was no clear explanation as to why this should be. This showed that further improvement was still needed to ensure that all personal money was managed safely. Derby Road Care Home DS0000066510.V366084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Aspects of the environment have the potential to adversely affect people’s well being. EVIDENCE: The home was clean and tidy and free from odour. The written information stated that the home had been redecorated downstairs and new three piece suite, dining room table and chairs and curtains had been provided. Although there had been some improvements and repairs since the last inspection visit in May 2007, there continued to be ongoing repairs required. For example, there were numerous marks on the walls, curtains were not always attached properly to their rails and there were doors missing from Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 18 wardrobes and from one en-suite bathroom and broken drawers in some peoples’ bedrooms. The bedrooms appeared sparse due to size of the rooms and the amount the furniture and belongings in them. One person’s file contained a letter from a visiting professional in March 2008 expressing concerns about the state of the individual’s bedroom. However, this had been addressed since the letter was received. The downstairs toilet was blocked and awaiting repair at the time of the inspection visit. This was discussed with the operational manager. A repairs and maintenance book was kept and showed that repairs were reported regularly and were completed. One person had recently received a new wardrobe and drawers. Staff supported people to use the separate laundry facilities provided at the home. Derby Road Care Home DS0000066510.V366084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff shortages had the potential to have an adverse impact on the care and quality of peoples’ lives. EVIDENCE: The staff rota for 9th –15th June 2008 was examined and showed that there were four staff to cover each shift in the day and two at night. However, there were two occasions when this had not occurred and the shifts were running with three people instead of four. This had the ability to compromise care and safety. The company had their own agency staff who were called in if there were shortages and this meant that there were relief staff who knew the people living in the home. Although staff shortages were identified as the main problem in carrying out their work, staff also stated that the company was supportive and did what it could to ensure each shift was covered. Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 20 The written information supplied by the home also stated that recruitment was needed as there were staff vacancies and that it was an area where they wanted to improve over the coming twelve months. Staff confirmed in discussion that they had undertaken mandatory health and safety training as well as training applicable to the job, such as dealing with challenging behaviour. All three staff surveys confirmed that training in diabetic awareness and safeguarding had occurred as well as mandatory health and safety training. One stated that they had received training in autism awareness and two in the person centred approach. Staff training certificates showed that mandatory health and safety training had taken place in September, October and November 2007. The written information also stated that three of eleven care staff had achieved a National Vocational Qualification (NVQ) to Level 2 and a further eight were undertaking the training. The home was therefore progressing towards exceeding the target of having a minimum of 50 with this qualification. One visitors’ survey received stated that ‘with staff training and management growing with experience, skills and care are rapidly improving’. Two staff files were examined and showed that recruitment procedures were comprehensive and it was documented that all the information required by the Care Homes Regulations 2001 had been received prior to staff commencing employment. This helped to ensure that people living in the home were safeguarded. Although original documentation was not available in the home, there was a signed checklist for both files saying that the relevant information had been received. The original information was stored at the company’s head offices. The operational manger confirmed in discussion that no one commenced working until all checks had been received and stated that Criminal Record Bureau (CRB) checks were applied for and Protection of Vulnerable Adults (POVA) First checks and two written references were in place prior to work commencing. Information seen in the two files included a properly completed application form and identity information. All three staff surveys stated that Criminal Record Bureau (CRB) checks and references were taken up before they commenced work. Derby Road Care Home DS0000066510.V366084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed, which ensured it was run in peoples’ best interests. EVIDENCE: The manager was on leave at the time of the inspection visit but the operational manager was available on the second day of the inspection. The manager was registered with the Commission for Social Care Inspection and had six years experience of working with people with learning disabilities. The operational manager was able to identify some positive changes that had been Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 22 implemented by the manager over the last year, particularly in response to managing challenging behaviour. An advocate had also commented on this in a recent internal quality assurance audit, stating that there had been a ‘great improvement’ in the service. Staff surveys also commented positively about management structures and one said ‘ the manager is always there to talk about anything to do with Derby Rd’ and all three responded that they received supervision and support ‘regularly’. The company had clear processes for quality assurance and completed an annual service review when they tried to obtain views and comments from a range of different people including visiting professionals and relatives. Monthly audits were undertaken and each one had a different theme, with the most recent looking at staff files and paperwork. An action plan was then devised and followed up on the following month. This was in addition to the usual monthly visits undertaken in response to Regulation 26 of Care Homes Regulations 2001. The last annual review was undertaken in September 2007 and showed that there were positive responses from people living in the home, particularly in relation to meals and activities, with scores seen indicating they were satisfied with this aspect of the service. Staff spoken confirmed that health and safety training was undertaken in food hygiene, moving and handling and fire safety and this was confirmed in the three staff surveys received; all three surveys commented that they also received training in infection control and first aid. The written information also confirmed that maintenance checks were undertaken regularly; for example fire equipment and alarms had been tested in January 2008, emergency call equipment had been checked in September 2007 and portable electrical appliances in June 2007. However, fire alarm call points had been damaged five days prior to the inspection visit and this repair was not completed until the second day of the inspection, meaning that the home was without a means of raising an alarm for six days. Derby Road Care Home DS0000066510.V366084.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 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA23 Regulation 17(1) Schedule 4 Timescale for action A robust system must be in place 31/07/08 for the safe keeping of residents’ monies. This will ensure that the amount in safekeeping and records are accurate at all times. Previous timescale of 31.07.07 not met. Timescale extended. A programme must be developed 31/07/08 to identify the timescales for the repair of damage, redecorating and refurbishing of the environment so that people can live in a homely and valued setting. Previous timescale of 31.07.07 not met. Timescale extended. There must always be sufficient staff on duty, as indicated on the rota to ensure people are safe and their needs are met. Repairs affecting health and safety must be attended to promptly to ensure the safety of all in the home. 31/08/08 Requirement 2. YA24 23(2) 3. YA33 18 (1) (a) 4. YA42 23 (4) (c) (i) & (ii) 30/06/08 Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 25 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 YA12 Good Practice Recommendations More options that foster individual development and education should be implemented to improve peoples’ social and educational training. Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Derby Road Care Home DS0000066510.V366084.R01.S.doc Version 5.2 Page 27 - 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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