Inspection on 04/01/06 for Drakes Place

This inspection was carried out on 4th January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Drakes Place 24/06/08

Drakes Place 15/01/07

Drakes Place 07/06/05

Drakes Place 02/02/05

Drakes Place 03/08/04

Drakes Place 24/02/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Drakes Place Taunton Road Wellington Somerset TA21 8TD Lead Inspector David Kidner Announced Inspection 4th January 2006 09:30 Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Drakes Place Address Taunton Road Wellington Somerset TA21 8TD 01823 662347 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) Voyage Ltd Caroline Gudgeon Care Home 27 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. registered for 27 persons in categories LD and PD That Voyage addresses the need to ensure that the home is organised into clusters of up to ten people by 1st April 2007 as stated in Standard 24 of the National Minimum Standards for Care Homes for Adults (18-65). Regulation 23 Care Homes Regulations. 7th June 2005 Date of last inspection Brief Description of the Service: Drakes Place is registered to provide care for up to 27 people with a Learning Disability. Voyage Ltd owns the home. Drakes Place is a large detached period property set in extensive and well maintained gardens. All bedrooms are of single occupancy and some have full en-suite facilities. There are a number of communal facilities. The home is within walking distance of Wellington town centre close to all local facilities and resources. The home has a discreet on-site day resource. This provides opportunities for leisure, recreational and educational activities for all service users at Drakes Place. Resources include an art room, heated swimming pool and a computing resource. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector conducted the Announced Inspection over one day (8hrs). Drakes Place is undergoing major refurbishment and redecoration. It is expected that the work will be completed by the end of February 2006. Some parts of the home have been completed and there is now significant improvement in the environment and services provided. The Inspector was made to feel very welcome at the home by the service users, Manager and the staff team. It is very pleasing that the service users at Drakes Place take an interest in the inspection and appear to enjoy meeting with the Inspector and contributing to the inspection process. Staff were very approachable and are committed in providing quality service to the service users that live at Drakes Place. As part of the Inspection process the Inspector sent comment cards to all service users. Due to the needs of the service users the Inspector only received eight comment cards. However, the Inspector spoke to a large number of service users at the time of the inspection. On the whole the Inspector received positive feedback from service users. Most service users stated that they liked living at Drakes Place and that they are offered choices in many aspects of daily living, liked the food and that their privacy is respected. The Inspector sent comment cards to the local GP and other Health Care Professionals. Comments were very positive. Voyage Ltd wrote to all service users’ parents/relatives and to all Placing Authorities informing them of the planned announced inspection and asked them to complete an assessment. The Inspector was given the responses received. Twenty comments were received from parents/relatives and six from Placing Authorities/Care Managers. There were some comments in relation to activities and staffing levels. The main body of this report covers this area. The vast majority of comments received spoke very highly of the commitment and dedication of the staff team. On the whole there were very positive comments in relation to the communication between the home and parents/relatives and Care Managers. As a result of this inspection the home has four recommendations. What the service does well: Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 6 Drakes Place is undergoing major refurbishment and redecoration. The parts of the home that have been refurbished provide service users with a very high quality of furnishings and fittings. The home consults with service users, their family and friends and other interested stakeholders as much as possible. Regular residents meeting are held. There are detailed care plans that are reviewed on a regular basis. Service users have access to a variety of health care professionals. The home is very pro-active in ensuring that the home addresses matters relating to health and safety. There are very good records relating to this. There is a robust recruitment process. The home is very supportive to service users and their families during periods of illness. What has improved since the last inspection? What they could do better: The home could do the following better: The Registered Manager should review the staffing levels on a regular basis to ensure that the home has an effective staff team with sufficient numbers and complementary skills to support service users assessed needs at all times. Staff should receive formal supervision on a regular basis. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 7 • Team meetings should be held more regularly to include all staff members where possible. The Registered Manager should keep an up to date record of the training that has been undertaken by individual staff members. 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. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1234 The home provides appropriate information for service users; their relative or other interested stakeholders before making a decision to move to the home. The home conducts a detailed Pre-admission Assessment before a service user moves to the home. EVIDENCE: The home has a detailed Statement of Purpose and Service User’s Guide. The Inspector viewed documentation in relation to the recent admission of one service user. A Pre-admission assessment had been conducted. The service user had moved from another home within the organisation. The home had documented information in relation to the service user visiting the home on a number of occasions prior to moving to Drakes Place and staff visiting the service user in their previous home. A review of the placement took place in October 2005 with another review planned in April 2006. It appears that the service user has settled in very well in their new home. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 10 Care plans are detailed and well presented. Service users are offered choices in everyday living. Drakes Place ensures that service user’s information is kept safe, secure and confidential. EVIDENCE: The Inspector viewed three care plans including the care plan of the service user who recently moved to the home. The care plans contained detailed information in relation the care and support needs of the individual. All service users have a key worker. The key worker completes a monthly summary that includes all activities that have taken place, visits to health care professionals, accidents and incidents and contact with family and friends. All service users have an annual review. Risk assessments have been reviewed where needed. The manager has recently reviewed the moving and handling assessments, as this was a requirement at the inspection conducted on the 07.06.05. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 11 A number of service users use alternative methods of communication. The staff team are trained in different communication methods and some information is produced in Somerset Total Communication (STC). Signs, symbols and photographs are used where needed. The staff team offer service users as much choice as possible. The Inspector witnessed the staff team offering serviced users choices in activities and types of food and drink at the time of the inspection. Service users also confirmed that they are offered choices. Service users commented that they have more regular residents meetings. The Inspector viewed the documentation in relation to residents meetings and noted that meeting have taken place monthly since September 2005. This is an improvement since the last inspection. The staff team support the service users in managing their personal finances. The home keeps records of all financial transactions. Each service user has an individual building society account, however, these are all in the process of being transferred to individual bank accounts. The Inspector did not view records relating to this at this inspection. These will be viewed at the next inspection. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 14 16 The home encourages service users to become part of the local community by supporting service users to access local facilities and resources. The home encourages and supports service users to take part in a variety of leisure activities and ensure that service users rights are respected. EVIDENCE: Service users have access to specialist interventions and opportunities if needed. Records of such interventions are recorded. Service users access a wide range of activities both in and out of the home. Records are kept of all activities that are undertaken. The home has recruited extra staff since the last inspection that further promotes service users participating in activities. However, the home still has a number of staff vacancies are will be interviewing in the near future. Some staff that the inspector spoke to stated that staffing levels have improved over the last few weeks but if more staff were available all service users would be able to access Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 13 more leisure, social and recreational activities. This is further commented upon in Standard 33.Service users that the inspector spoke to confirmed that staff supports them to visit the local shops and facilities and go out on trips. As previously stated the home keeps a monthly summary of all activities that are undertaken. The Inspector spoke to a number of service users who stated that they feel that the staff respect their privacy and that they always knock on bedroom doors before entering. Service users open their own letters and staff support them to read the contents of the letters. All service users have a key to their own room if so wished. The Inspector observed the staff communicating with service users in a respectful and professional manner. It was very evident that the service users felt very comfortable in the home. Some service users have lived at Drakes Place for many years and view Drakes Place as their home. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 21 The home ensures that service users privacy, dignity and independence are promoted. The home ensures that service users have access to health care professionals. Records are kept of such visits. The home ensures that all medicines are recorded and managed in the correct manner. EVIDENCE: The service users that the inspector spoke to stated that the staff team are very nice and help them with their personal care as needed. Service users stated that staff always knock bedroom doors before coming in and promote their privacy if they are supporting them with personal care. At the time of the inspection the inspector noted that staff were relating to the service users in a professional manner. Service users choose the clothing they wish to wear. The Inspector spoke to a number of female service users who confirmed that the staff support them in relation to applying make up and styling their hair. Service users appeared to be very well cared for. The home has a number of aids and adaptations to meet the individual needs of service users. The home Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 15 also has a passenger lift. Care plans reflected individual service users needs in relation to moving and handling. Staff receive training in moving and handling. The home actively seeks the advice and support from specialist services such a physiotherapists and speech and language therapists. Records are kept of the contact made. The Inspector viewed some records in relation to this. Care plans and daily running records confirmed that service users visit health care professionals when needed. The home had a Pharmacy Inspection on the 01.02.05. The Inspector viewed the MAR sheets. They were all maintained satisfactorily and the Registered Manager has ensured that all hand transcribed medicines have two staff signatures and that variable doses are recorded on individual Mar Sheets. Records are kept of all medicines that are returned to the Pharmacy. The Inspector viewed the records relating to Controlled medicines. Appropriate records are kept and a spot check was conducted. This was satisfactory and stock records were correct. The home is very pro-active in ensuring that ageing service users and service user who are ill are treated with sensitivity and respect. The Inspector has been kept informed of service users whose healths needs are causing concern. The inspector viewed documentation in relation to referrals to other health care professionals and the involvement of family members for service users whose health needs are changing and causing concern. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 The home is proactive in ensuring that vulnerable adults are protected. The home has a robust Complaints Procedure, Whistle blowing Policy and a policy for safeguarding vulnerable adults. EVIDENCE: The home has a complaints procedure. There have not been any complaints to the home since the last inspection. Service users that the inspector spoke to demonstrated that they knew what to do if they were unhappy about something and how to make a complaint or raise their concerns. The home has a Complaints Procedure, Whistle blowing Policy and a policy for safeguarding vulnerable adults. Two of the newly appointed staff that the inspector spoke to were aware of the home’s whistle blowing policy and demonstrated their awareness and action that would be taken. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 Drakes Place is currently undergoing major refurbishment and redecoration. Vast improvements in the environment are expected in both service users individual accommodation and communal areas. Therefore, not all standards were assessed at this inspection. It is expected that the work will be completed by the end of February 2006. However, the inspector viewed some areas of the home that have been completed. There has been a major improvement in the facilities offered to service users. The Inspector will assess all standards at the next inspection. Staff are vigilant in ensuring that the home is safe, clean and hygienic. This is not easy to achieve, as many parts of the home are undergoing major refurbishment and redecoration. The domestic and care staff are to be praised for their efforts in this area. EVIDENCE: The Inspector viewed all areas of the home and noted that the Registered Manager and the staff team are extra vigilant in relation to health and safety and the cleanliness of the home whilst major refurbishment and redecoration is Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 18 being undertaken. The staff are making every effort to ensure that the home is as homely and as comfortable as possible. The service users that the Inspector spoke to have been kept informed of and have been involved in the refurbishment and redecoration programme as much as possible. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 Staffing levels have improved since the last inspection that was conducted on the 07.06.05. However, this needs to be monitored. The home has a robust recruitment process. EVIDENCE: All staff have detailed job descriptions and those spoken to demonstrated the main values and aims of the home. It was evident at the time of the inspection that staff were aware of individual service user’s needs. The home has a training and Development Plan. Staff receive specific training to meet the needs of individual service users such as moving and handling, STC, rectal diazepam, introduction to Medazelam, intensive interaction, POVA, NAPPI and specific training in learning disabilities. There is currently nine of the thirty care staff that have an NVQ qualification. This equates to approximately 30 of the workforce. The home has an action plan to ensure that 50 of the workforce obtains an NVQ qualification. As previously stated there has been an improvement in the recruitment of staff at the home. Staff spoken to commented that staffing levels have improved. The home still has a number of vacant posts and has advertised for all of its Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 20 vacancies. Following discussions the Registered Manager should regularly review staffing levels at the home to ensure that the home has an effective staff team with sufficient numbers and complementary skills to support service users assessed needs at all times, including to continue and improve to provide social and leisure activities. The home has used agency staff but has made every effort to ensure that continuity and consistency has been maintained when using agency staff. Record viewed indicated that the home has used four agency staff. The home conducts staff ‘handover meetings’ three times a week. The last staff team meeting that was held that involved all staff meeting together was in September 2005. Following discussions in this area the Inspector recommended that the Registered Manager review these arrangements and conduct more regular team meetings. The Inspector viewed the recruitment files of four recently appointed staff. All files contained the required documentation as listed in Schedule 2 of the Care Homes Regulations 2001. The home has a detailed Training and Development Plan and a Management Development Plan. All staff receive a structured Induction and receive training in equal opportunities, race equality and anti-racism training. All staff are enrolled on the LDAF (Learning Disabilities Award framework). All staff receive mandatory training including first aid, food hygiene, moving and handling and health and safety. The Registered Manager stated that the home keeps records of all individual staff training. Currently the training records are not accurate and are in the need of updating. The Registered Manager should address this. The Registered Manager and some staff members stated that regular formal supervision has not taken place. The Registered Manager stated that this would be given priority. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 40 41 42 Drakes Place is very well managed. Service users rights are protected and promoted. The home is pro-active in Health and Safety matters. EVIDENCE: Caroline Gudgeon is the Registered Manager of Drakes Place. Caroline has worked at Drakes Place for many years and is very aware of the needs of the service users. Caroline used to be the Deputy Manager of Drakes Place and was successful in obtaining the post of Registered Manager. Caroline has completed the Registered Managers Award, undertakes regular refresher training and updates herself where needed, and is undertaking the Management Development Programme that is being implemented by Voyage. The home also employs two Deputy Managers to support Caroline. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 22 The Inspector spoke to a number of staff and service users at the Inspection. The staff were very complimentary of Caroline’s management style. Staff commented that Caroline is approachable, informative, calm, listens to staff and knows the service users very well. Service users also spoke very well of Caroline and it was evident that service users find Caroline approachable. The home and Voyage as an Organisation, continuously self-monitor the service. Copies of the Regulation 26 visits are sent to the CSCI (Commission for Social Care Inspection) for information. The service users and parents/relatives have been kept informed and involved in the planning of the refurbishment and redecoration of the home as much as possible. The Operational Manager for the home has recently completed an Annual Service review for the home. It is a very detailed document and a copy has been sent to the CSCI. The service users were very aware that the inspection was due to take place. A poster was displayed and some service users requested to speak to the Inspector. This is very pleasing. The home’s policies and procedures are regularly reviewed. Service users, parents/relatives and other interested stakeholders have access to the homes policies and procedures. All records are well maintained, up to date and are stored securely in accordance with the Data Protection Act 1998. The Inspector viewed a number of records in relation to health and safety. It was noted that the Gas Safety check was due very shortly. The Inspector was notified that the check was completed on the 06.01.06 and a copy of the gas safety certificate was forwarded to the CSCI on the same date. A Health and safety checklist is maintained by the home. The home conducted an environmental health and safety check in December 2005. All hoists at the home were serviced on the 05.12.05. The profiling beds were serviced on the 21.09.05. The passenger lift was serviced on the 02.11.05. The Fire Risk Assessment was reviewed on the 13.12.05. The home maintains good records in relation to fire safety. All records were satisfactory. An annual service on the fire system and emergency lighting was conducted on 13.09.05. Regular fire drills are undertaken. The last drill took place on 22.12.05. Weekly fire checks are conducted and monthly checks are maintained on the emergency lighting and the torches. It was a requirement at the last inspection that the homes torches are maintained. This has been addressed. The Registered manager confirmed that all staff have received regular fire training. Portable Appliance testing was conducted on the 18.10.05. The home keeps records of all accidents and these are audited on a monthly basis. The inspector recommends that as part of the audit process that the Manager includes the action that is taken by the manager for each accident. Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 2 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Drakes Place Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 X DS0000059632.V271267.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA33 Good Practice Recommendations The Registered Manager should regularly review staffing levels at the home to ensure that the home has an effective staff team with sufficient numbers and complementary skills to support service users assessed needs at all times. The Registered Manager should conduct regular staff team meetings that include all staff members. The Registered Manager should ensure that all staff training records are updated to reflect individual staff training that has taken place. The Registered Manger should ensure that all staff receive regular supervision. 2. 3. 4 YA33 YA33 YA33 Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Drakes Place DS0000059632.V271267.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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