Inspection on 04/06/07 for Devonshire Manor Care Home

This inspection was carried out on 4th June 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Devonshire Manor Care Home 06/06/06

Devonshire Manor Care Home 24/10/05

Devonshire Manor Care Home 08/06/05

Devonshire Manor Care Home 01/03/05

Devonshire Manor Care Home 22/07/04

Devonshire Manor Care Home 19/01/04

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 08/07/2008.

CARE HOME ADULTS 18-65 Devonshire Manor Care Home 2 Devonshire Road Sherwood Nottingham NG5 2EW Lead Inspector Stephen Benson Unannounced Inspection 4th June 2007 09:30 Devonshire Manor Care Home DS0000002196.V337845.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 Devonshire Manor Care Home DS0000002196.V337845.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. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Devonshire Manor Care Home Address 2 Devonshire Road Sherwood Nottingham NG5 2EW 0115 962 2538 0115 985 6111 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) Mrs Margaret Ann Webster Mrs Joanne Tatia Ault Miss Cheryl Carwin Shearman Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Margaret Ann Webster and Joanne Tatia Ault are registered to provide accommodation and personal care at Devonshire Manor Care Home, 2 Devonshire Road, Sherwood, Nottingham NG5 2EW for people aged between 18 and 65 years whose primary care needs fall within the following categories and numbers: 1: Learning disability (LD) 5. Service users accommodated at Devonshire Manor Care Home will have suffered a head injury. 6th June 2006 2. Date of last inspection Brief Description of the Service: Devonshire Manor is a care home providing personal care and accommodation for 5 younger adults who have disabilities resulting from a brain injury. The home provides short and long term care and will provide a respite service and accept emergency admissions. The home is owned by Stepforward (Nottingham), which is run as a family business. The home is located in a residential area of Sherwood close to shops, pubs, the post office and other amenities. The home was opened in 1987 and consists of a domestic dwelling with a small extension to the rear. All of the home’s bedrooms are single, and none of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors. The home does not have a lift. The home has a small tarmac courtyard and there is car parking available for 2 cars with further unrestricted parking available on the road. The acting manager said on 7/6/06 that the fees for the service start from £820 per week, with an additional £10.80 per hour for one to one staffing. Further information about the home is available in the statement of purpose or from the manager. A copy of the latest inspection report is available in the office. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The inspection looked at key standards for younger adults. The site visit lasted for 6 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them, although one resident did not want to be interviewed, another went out and the third had limited speech. Other residents were spoken with and additional records were seen. A discussion was had with the manager, staff on duty and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. A pre inspection questionnaire was completed and survey forms sent to the home by The Commission for Social Care Inspection had been completed by all of the residents. The registration certificate was checked and found to be correct. What the service does well: Residents have opportunities to make decisions about things they do and places they go. Any risks to residents are assessed before hand. This ensures that residents have some control over their lives and are supported to take responsible risks. Residents have individual plans for how they spend their time and use resources in the local community. This ensures that residents’ time is spent taking part in appropriate leisure activities. Residents are involved in choosing and cooking the food they eat. This ensures that residents enjoy a diet they enjoy. Staff only provide assistance where a resident is unable to do something themselves. This ensures that residents only receive support they require. Residents are supported to make use of healthcare resources. This ensures that residents’ healthcare needs are met. The home is suitably decorated and furnished and kept in a good state of repair and cleanliness. This ensures that residents live in a safe and well maintained environment. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 6 Most staff have either completed or are working towards National Vocational Qualification levels 2 or 3. This ensures that residents are cared for by staff who have a qualification in their work. Regular checks and tests are carried out on the building and equipment. This ensures that the health and safety of residents is protected. What has improved since the last inspection? What they could do better: Any assessment carried out on new residents must be kept in the home. This will ensure staff know the needs of residents. Care plans must clearly describe how resident needs are to be met and kept updated when there is any change. This will ensure that staff know how to meet residents’ needs. Staff must not dispense medication for someone else to give later. This will ensure that staff know what medication they are giving residents. When medication is administered to residents it must be recorded. This will ensure that people receive the correct levels of medication. Records made of any complaint must include any investigation and outcome of the complaint. This will ensure that any complaint made by a resident is fully investigated. There must be suitably experienced and trained staff on duty at all times. This will ensure that staff know how to meet the needs of the residents. Full details of new staff’s previous work history, with explanations given for any gaps, must be obtained as part of the recruitment process. This will ensure that residents are protected by the home’s recruitment process. Residents must have opportunities to express their views on how the home is run. This will ensure that residents can have a say in how the home is run. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 7 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. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents are assessed before they come to live at the home. EVIDENCE: The manager said that one of the senior staff will go out to assess any prospective new resident and an assessment form was seen. One recently admitted resident was assessed by the provider, who is the manager of another home. A copy of the assessment was not at the home but was faxed over so it could be seen. The manager said with hindsight she should have gone to assess the resident herself. There was however an assessment completed by the healthcare trust. Another recently admitted resident, who has now been discharged, had an assessment completed by staff from the home on file. The recently admitted resident did not want to be interviewed and other residents have been at the home for a long time so it was not possible to get any residents’ views. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ assessed needs and personal goals are reflected in their individual plan. Residents are assisted to make decisions about their lives. EVIDENCE: The manager said some care plans are prepared when a resident is admitted and the others are gradually built up over the first few weeks of the residents stay. Care plans include details of resident’s gender, ethnic origin, religious beliefs and any disability. The plans are reviewed and updated monthly, although they are now being written on the computer and some staff said they have to rely on one of the senior staff to do this, as they do not have the necessary skills. The manager said that it is planned for some administrative support to be provided to help with this. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 11 Care plans did not always contain sufficient detail as to how a resident should be supported, for example one care plan said ‘promote a healthy lifestyle’ but did not say how this should be done. Residents files included risk assessments, however where a risk was identified these did not always have a care plan written. One resident was described by staff as being hard to work with, but these difficulties were not included in the care plan. Staff said that care plans are prepared from the pre admission assessment and information gathered during the resident’s first few weeks at the home. Care plans were in the lounge and not locked away. This room was left unattended and the window was open. This was bought to the attention of the manager who said she would make sure they are properly stored in future. No comments were made by residents about care plans, but one resident was due to have a case review later in the day which he and a relative were attending. The manager said that some residents are able to say what they want to do and staff understand what residents with communication problems mean, for example one resident says ‘grass’ when he wants to go to the park. Staff said that residents are able to choose what activity they do and had decided to go somewhere different on holiday this year. One resident likes to stay in bed longer than others and was seen getting up after 10.00 am. One resident said he had moved bedrooms so he could have a double bed and another showed a picture book he uses to show what he wants. The manager said that risk assessments are routinely completed for all activities of daily living. Some residents like to go swimming and staff went to risk assess the swimming pool before residents went. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to exercise some control over their lives, according to their abilities. EVIDENCE: The manager said that there are not any residents attending college or work experience, but one resident who attended college previously has expressed an interest in doing another course. Residents have individual programmes worked out according to their ability. Some residents attend local community centres where they take part in activities such as cooking and using computers. Residents also go shopping and have time with no activity planned to relax. A resident showed a picture of himself with a glass of beer and signed to say that he was going out for a drink later. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 13 Staff said that residents sometimes go out for lunch and use local resources such as hairdressers. A resident showed a picture of him in a swimming pool and staff said that he enjoys going swimming. Details were seen in care plans of contact arrangements with families. One resident had gone out to visit his mother and another was waiting for his brother to come to the home. The manager said that visitors can come to the home whenever they want. Staff were seen discussing with a resident about making plans for him to go to a relative’s wedding. The manager said that residents are able to choose their own routines. Staff said that residents are able to get themselves up independently Staff said that some days are structured and others are decided at the time. Residents are involved in planning the week’s menu together and alternatives are available. The main meal is had in the evening and examples of types of dish are, steak and chips, lasagne, chilli con carne and fajitas. There is a roast dinner on Sundays and usually another during the week. A pudding is provided and sometimes residents have a take away. Residents were seen having a snack lunch of hot dog and onions. Residents were asked if they wanted onions and what type of sauce they wanted. Staff said that residents can help to prepare meals if they want to. A resident nodded when asked if he enjoyed the food at the home and another said, “I cook a mean curry”. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents well-being is promoted through personal and health care, but unsafe practices are being followed in giving out medication. EVIDENCE: The manager said that residents are able to see to their own personal care, although some need support when using the shower. Residents are encouraged to do all they can for themselves. Staff said that they support residents to care for themselves and residents are asked if they are happy with someone of another gender assisting them. Staff were seen encouraging residents to maintain their independence through making their own breakfast and putting dirty plates in the dishwasher. Staff described residents’ abilities and how these are promoted, for example one resident is able to dress themselves providing clothes are laid out for them. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 15 The manager said that residents usually attend healthcare appointments in the community, and staff accompany them to these. The manager said all routine healthcare checks take place and one resident is waiting for a new pair of dentures. The manager said they are working closely with other healthcare professionals to provide support to a resident who is currently refusing any treatment for a medical condition. Staff said they watch for any signs of residents not feeling well and will make a doctor’s appointment if this is the case. A resident showed some new glasses when asked if his eyes had been tested recently. A senior member of staff was seen giving out medication to residents in the kitchen, and this was then signed for in the Medicine Administration Records. There is a list of staff who have been approved to give out medication, however the rota showed that there were some evenings when there was not anyone approved on duty. Staff said if this happens they dispense medication into small envelopes for staff on duty to administer, and this had happened the previous night. A member of staff said he had given out the medication but the Medicine Administration Record had not been signed for the nighttime medication. The manager said that the pharmacist had given the advice to dispense medication in this way, however this differs from the advice of the Royal Pharmaceutical Society of Great Britain, which says ‘Medication should never be secondary dispensed for someone else to administer to the service user at a later time or date’ Medicine Administration Records were fully completed with the exception of the previous night. The records showed one resident had run out of a supply of medication over two weeks ago. The manager showed a note from the pharmacy saying this was currently out of stock. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to raise any concerns they have. Residents are not always treated with respect. EVIDENCE: The manager said that the complaints procedure has recently been updated and a copy has been put in each residents file. The home has a book to record any complaints in. There were 4 complaints recorded since June 2006. Records of complaints need to include more details of the investigation and state whether they have been upheld or not. All complaints were made by residents concerning other residents. A resident said he wanted to be able to have a dog, as another resident has been allowed to have a cat. This request was passed on to the manager, who said she had not heard this before. There was a copy of the Adult Protection Procedures, and the home has a whistleblowing policy. Some staff have received training on safeguarding adults and further training is planned for other staff. The manager said there have not been any reported incidents of abuse and that any form of abuse or discrimination would not be accepted and would be dealt with by following the Adult Protection Procedures. Devonshire Manor Care Home DS0000002196.V337845.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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a homely, comfortable and safe environment, which is kept clean and hygienic. EVIDENCE: The home is a former domestic dwelling. There is a ramp to the front door and two ground floor bedrooms, which are accessible to wheelchair users. The manager said that a handyman caries out routine maintenance and the home is due to be redecorated when residents go away on holiday. There were some squeaking doors, which were making it difficult for residents with speech impediments to be clearly heard. The manager asked the handyman to oil the doors. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 18 Residents with mobility problems were seen getting around the building and one resident said, “I can get upstairs using the handrail”. Staff do the cleaning as part of their duties, and the home appeared clean and tidy. Staff said that protective clothing is available and they always use it. A resident showed pictures of his family and other possessions and had his bedroom arranged so he had a sitting area. The laundry is in the basement and cannot be accessed by the majority of residents. Devonshire Manor Care Home DS0000002196.V337845.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient and suitably trained staff employed at the home, but these could be better deployed to ensure that residents needs are met. Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The home has assessed their minimum staffing levels to be 5 care staff in the morning and 2 staff in the afternoon and 2 staff asleep at night. This allocation of staff tends to have senior staff on during the daytime. The manager said that she is currently reviewing how staff are being deployed and looking towards senior staff working some evenings and weekends. The home employs male and female staff and they are of varying ages and from differing ethnic backgrounds. There are 2 staff under the age of 18 years employed. The manager said that these staff do not take part in any personal care. The rota showed that there are occasions where there are only two male staff on duty from 5.30 pm until 9.30 am the following day. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 20 A sample of three staff files were seen and these showed that the correct recruitment practices are followed, with the exception of obtaining a full work history. The manager said that there is training planned for nutrition, basic food hygiene, fire safety, health and safety and infection control. Staff said there are a lot of courses coming through. Three staff have completed National Vocational Qualifications levels 2 or 3 and two staff are working towards one of these. The manager said three further staff are planned to enrol shortly. A further member of staff is working towards level 4. Devonshire Manor Care Home DS0000002196.V337845.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are management systems in place, however these do not allow for residents to express their views on the running of the home. EVIDENCE: The manager has worked at the home for a number of years and has been the registered manager since January 2007. The manager is currently working towards National Vocational Qualification level 4. Staff said the manager is working to make improvements in the home. Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 22 The manager said she had received some questionnaires from the provider to seek views of residents, relatives and other professionals but has not yet given these out. Staff said that residents are able to put forward any suggestions in residents’ meetings and staff were trying to find a new venue that has a karaoke at residents’ request. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. A new fire alarm and smoke detectors have been fitted. Staff said they didn’t have any concerns about the health and safety of the building. Devonshire Manor Care Home DS0000002196.V337845.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 2 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 2 3 X 3 X 2 X X 3 X Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA2 Regulation 14(1)(a) Requirement Any assessment carried out on new residents must be kept in the home. This will ensure staff know the needs of residents. Care plans must clearly describe how resident needs are to be met and kept updated when there is any change. This will ensure that staff know how to meet residents’ needs. Staff must not dispense medication for someone else to give later. This will ensure that staff know what medication they are giving residents. When medication is administered to residents it must be recorded. This will ensure that people receive the correct levels of medication. Records made of any complaint must include any investigation and outcome of the complaint. This will ensure that any complaint made by a resident is fully investigated. There must be suitably experienced and trained staff on duty at all times. This will ensure that staff know how to DS0000002196.V337845.R01.S.doc Timescale for action 01/07/07 2. YA6 15(1) 01/08/07 3. YA20 13(2) 04/06/07 4. YA20 13(2) 04/06/07 5 YA22 17(2) 01/07/07 6 YA32 18(1)(a) 01/07/07 Devonshire Manor Care Home Version 5.2 Page 25 meet the needs of the residents. 7 YA34 19(1)(a) Full details of new staff’s previous work history, with explanations given for any gaps, must be obtained as part of the recruitment process. This will ensure that residents are protected by the home’s recruitment process. Residents must have opportunities to express their views on how the home is run. This will ensure that residents can have a say in how the home is run. 01/07/07 8 YA39 24(1)(a) 01/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Devonshire Manor Care Home DS0000002196.V337845.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Devonshire Manor Care Home DS0000002196.V337845.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!