CARE HOME ADULTS 18-65
13 Durham Avenue 13 Durham Avenue St Annes On Sea Lancashire FY8 2BD Lead Inspector
Denise Upton Unannounced Inspection 24th January 2006 10:00 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service 13 Durham Avenue Address 13 Durham Avenue St Annes On Sea Lancashire FY8 2BD 01253 640880 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) Mr David Calwell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th November 2005 Brief Description of the Service: Durham Avenue Care Home is currently registered to accommodate up to three adults who have a learning disability. The home is located in a quiet residential area of St Annes but within easy reach of the main shopping centre of the town and community facilities and resources. Communal areas of the home are domestic in character and each resident is accommodated in single bedroom accommodation. Service users access the local community and are an accepted part of it. The staff group ensure there is a homely and comfortable atmosphere in the home and that service users are enabled and empowered to maintain and maximise their independence. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over two separate periods of time of the same midweek day and a short period of time on another day and was carried out in conjunction with the inspection of its sister home, 6 Lord Street. In total the joint inspection spanned a period of eight and a half hours. The inspector spoke with the home’s registered manager, house manager, coordinating manager and two other member of the staff team. Discussion also took place with the three residents who live at the home. Although the residents were clearly comfortable living at the home and got on well with the staff on duty, verbal discussion was limited because of cognitive impairment. A number of records and policies and procedures were also examined and an internal inspection of the building took place to make sure that the accommodation provided was of an acceptable standard. The majority of the core standards regarding Care Homes for Adults had been assessed at the last inspection that took place in September 2005. The outstanding nine core standards were assessed at this inspection along with a reassessment of the requirement and recommendations identified at the last inspection. As not all standards were assessed at this inspection, it is recommended that this report should be read together with the last inspection report and any future inspection reports to get a full picture of how the service is meeting the needs of the residents living at the home. What the service does well:
Durham Avenue Care home has a group of staff that work well together and who display a good understanding of the needs of residents and are keen to provide a high quality service to people who live at the home. Residents are encouraged to make individual decisions about how they would like to live their life and what they would like to do on a day-to-day basis. This can include attending college, or work opportunities or doing domestic tasks including shopping with the assistance of staff for the home. Durham Avenue Care Home has a good complaint policy that is easy for residents to understand as well as other policies that helps to protect residents from risks or harm. The atmosphere in the home is very relaxed and visitors are made welcome at any time of the resident’s choice. The homeowner is committed to provide staff with the training they need to ensure they have the skills and abilities to perform their duties to the best of their ability.
13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 6 Residents are encouraged to have their say and are involved in making decisions about how they would like the home to be run through a variety of ways that include resident questionnaires, residents meetings, and daily informal discussion with staff. Durham Avenue Care Home along with its sister home, Lord Street Care Home has also achieved the ‘Investor In People’ award, which is only awarded when a certain standard has been achieved. What has improved since the last inspection? What they could do better:
There are a number of things identified at this inspection that could be improved. One of the most important things is that newly appointed staff must only take up employment at the home when all the written references and clearances have been received and considered to be satisfactory. This is to make sure that only suitable people are employed that helps to protect residents living at the home. The way medication is managed and recorded in the home could be better. In view of this, arrangements have been made for the Commission For Social Care Inspection, Pharmacist Inspector to visit the home and offer advice on how to improve the present systems in place. Although training for staff is given high priority the number of care staff who achieve a nationally recognised qualification in care should be increased. This is to make sure that the staff group is well qualified and offer a consistent
13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 7 service. In addition, the registered provider/manager should undertake a qualification designed specifically for managers of care homes to make sure the home is well run and the proprietor/manager has the appropriate skills and abilities. The report has said that there must be some repair and redecoration to certain areas of the internal environment of the home to make sure that it is maintained to an acceptable standard for residents accommodated. 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. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 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 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 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): None of the above five standards were assessed at this inspection. EVIDENCE: None of the above five standards were assessed at this inspection. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 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): 7&9 Service users are encouraged as far as possible to make decisions about their lives and daily routines with assistance as needed. EVIDENCE: From discussion with a member of staff and observations during the course of the visit, it was evident that residents living at the home are encouraged to make their own decisions about what they want to do and are provided with information, support and assistance in order to make informed choice. It was evident from observation of care plans that individual choices have been made by service users and recorded appropriately. Details of local advocacy services are provided to enable residents and their relatives/friends to access independently if they so wish. Service users are also able to make decisions about what they would like during the regular resident meetings that are documented and also through daily dialogue with staff that was evidenced at the time of inspection. Current service users are supported to manage their financial affairs. A risk assessment in respect of the individual’s capacity to manage or part manage their financial affairs independently, forms part of the initial assessment process.
13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 11 All financial transactions are recorded however the process of recording should be tightened to provide an accurate account of monies in and out of safekeeping. It is also recommended that when monies are given to a service user from safe-keeping or placed in safe keeping by a service user, the individual service user is asked to sign the documentation as an acknowledgement of monies received or deposited. In instances where a service user does not have capacity to understand or sign the documentation, a second member of staff should witness the transaction and countersign the document to this effect. The individual care plan is reflective of the service user’s current strengths, needs, wants and wishes and includes any restriction with regard to choice or freedom that is agreed, where ever possible, with the service user. The individual care plan identifies risk assessment strategies and positive planned interventions to assist the service user to maximize their potential. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 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): Standard 16 was assessed in part. EVIDENCE: At the last inspection it was recommended that the rules on smoking, alcohol and drugs should be clearly stated in the individual contract of residency. This recommendation has yet to be implemented. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Although there is a structured system in place for the recording and administration of medication, the home’s policy and procedures in respect of the recording, handling and administration of medication is not fully implemented that could potentially place service users at harm. EVIDENCE: At the time of inspection it was evident that the home’s policy and procedures in respect of medication were not being consistently followed in practice. In particular the recording of hand written drug administration records were not an exact copy of the drug administration label, there was no record maintained of drugs received in the home or drugs taken out of the home or returned to the chemist for disposal to ensure there is no mishandling, there was no controlled drug register and there was concern about the storage of a specific drug. However it is understood that all staff have undertaken a medication-training course and service users who have capacity are enabled to self-administer their own medication within a risk assessment framework. Given that there are a number of issues surrounding the administration and recording of medication, arrangements have been made for the Commission
13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 14 For Social Care Inspection, Pharmacist Inspector to visit the home to undertake an detailed assessment of the medication standard and to offer guidance and advise in order to improve the current systems in place. Following this additional inspection, a separate report detailing the outcome of the inspection will be provided. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 were assessed in part. The home has a satisfactory complaints system in place with some evidence that service users feel their views are listened to and would be acted upon. Staff have an understanding of adult protection issues which helps protect service users from abuse. EVIDENCE: As recommended in the last inspection report, a complaint form has now been devised to highlight details of the complaint, method(s) of investigation and outcome. It is understood that this document will now used in respect of any future complaint raised. In addition it was evidenced that a copy of the ‘No Secrets In Lancashire’ document has now been made available in the home to advise staff of the local protocols in respect of alleged abuse. Staff should be required to read the document and sigh a document to indication their understanding of the local protocols. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 16 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The standard of the internal environment in certain areas of this home must be improved by repair and redecoration to ensure that these specific areas are maintained to an acceptable standard in order to provide service users with a well maintained and well decorated place in which to live. EVIDENCE: The accommodation is suitable for it’s stated purpose. The home is arranged over two floors and the premises are in keeping with the local community and in close proximity to local facilities and resources. Furnishings are domestic in character and provide a homely environment for service users accommodated. However it is understood that there was a leak in the roof several weeks ago that has caused some damage to two of the bedrooms ceilings. Although the roof has been repaired, the internal ceiling now needs to be repaired and redecoration needs to take place in both bedrooms to ensure that the accommodation remains of an acceptable standard. In two of the bedrooms accommodated by service users there is no central heating provided. Whilst this may suit the current occupants of these bedrooms, appropriate risk assessments should be in place in respect of
13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 17 ensuring the service users are warm enough and risk assessments should be in place where a portable heating appliance is provided as an alternative to central heating. All relevant environmental risk assessments should be reviewed on a regular basis. There is also an expectation that central heating radiators will be provided to these bedrooms if the current occupant vacates this bedroom accommodation. Wherever possible electric wiring to portable equipment should be secured to the wall or skirting board in order to minimise risk and the use of wiring to electrical equipment that cannot be secured to a wall should be risk assessed to ensure the area remains as safe as possible. The bathroom required redecoration and window coverings should be provided to both the bathroom and toilet to ensure privacy. It was noted that the cupboard in the bathroom stored toiletries and bath products. It is recommended that this cupboard be provided with a lock to ensure these products are safely stored. A hazard risk assessment had been developed in respect of the home but this document was dated March 2003 with no evidence that the information had been reviewed to establish if original risk assessment remained current. It is recommended that the hazard risk assessment be reviewed on a regular basis with outcomes recorded. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 18 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Standards 32 & 34 were assessed in part. The arrangements for the induction of newly appointed staff is good with staff demonstrating a clear understanding of their roles. There is a structured recruitment process for the appointment of new staff that helps to protect service users. However all written references and clearances must be obtained and deemed to be satisfactory before the newly appointed person actually takes up employment at the home. EVIDENCE: In the last inspection report, it was recommended that when appropriate, consideration could be given to a service user(s) being a member of the interview panel in respect of new staff appointments. It is understood that although service users are not normally part of the formal interview process, the prospective member of staff spends time informally with service user who are then asked their views on the suitability of the applicant. Their views and opinions are then taken into account when selecting new members of staff. As identified in previously inspection reports, at least 50 of the care staff team should hold at minimum a NVQ Level 2 certificate in care. It is understood that a number of staff are working towards achieving this target. Since the last inspection one new member of staff has taken up employment. Observation of the staff file confirmed that, in the main, the requirements and
13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 19 recommendations in respect of staff recruitment had been followed. However, only one written reference could be evidenced. It is understood that a verbal reference had been accepted as the second reference rather that a second written reference. As indicated in Schedule 2 of the Care Home Regulations 2001, staff cannot take up employment at the home until two satisfactory written references have been received. Although it is understood that a POVA First clearance had been received, this was not available at inspection and a record of the receipt of the POVA First clearance and an indication that this was satisfactory had not been maintained. It is strongly recommended that a record be maintained of each POVA First clearance until the full Criminal Records Bureau Clearance has been received. All newly appointed care staff undertake the LADF induction training programme and policies and procedures are available in respect of equal opportunities and other anti discriminatory practices that staff are required to read and sign to indicate their understanding of the content. It was evidenced that there is a training and development plan and business plan that are updated in each April and each member of staff has a training and development assessment and profile. In addition, a training needs assessment for the staff team as a whole has been developed to indicate the collective training needs of the staff team. Training is provided either ‘in-house’ by a designated member of staff or through external training opportunities. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Standard 41 was assessed in part. The registered proprietor/manager at Durham Avenue Care Home provides clear leadership, however the registered manager should undertake a nationally recognised care manager’s qualification in order to fulfil requirements. The home reviews aspects of its performance through a good programme of self-review and consultations that include seeking the views of service users, relatives and staff. EVIDENCE: As identified in the previous inspection report, the registered proprietor/manager at Durham Avenue Care Home is competent and experienced to run the care home however there is a requirement that the registered manager should also obtain a relevant management and care qualification at an advanced level. From discussion, it is understood that the registered manager has yet to commence this course of study but is intending to pursue this objective in the near future. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 21 The home reviews aspects of its performance through a good programme of self-review and consultation, which includes seeking the views of service users. This process incorporates regular residents meetings and informal daily dialogue with staff. In addition service users questionnaires have recently been introduced along with anonymous questionnaires for relatives/friends and other stakeholders. It was clearly evident that there is a good rapport between service users and staff and service users were comfortable living at the home. It was however noted that the service users views of the home are not incorporated in the Service User Guide briefly evidenced at the time of inspection. In accordance with Standard 1.2, the collated views of service users should be incorporated in the Service Users Guide and consideration should be given on how to address this issue. Since the last inspection a number of documents have been reviewed and updated however this will be an ongoing process. It was noted that the communication handover sheet that staff complete at the end of each day, was maintained as a collective record. It is recommended that each service user has an individual sheet to record the day’s events to ensure confidentially is maintained rather than the collective record as at present. From discussion with a member of staff, it was apparent that staff spends time at the beginning of each shift to make themselves familiar with the events of the day to ensure continuity of care. Durham Avenue Care Home along with its sister home, Lord Street Care Home has recently achieved an externally assessed ‘Investors In People’ award that is awarded when a specific standard has been achieved The home ensures safe working practices are maintained through implementation of the home’s policies and procedures and staff training in respect of health and safety training issues. It was evidenced that all staff receive mandatory health and safety training that includes moving and handling, fire safety, basis first aid, and food hygiene training. Although all staff have received basic first aid training and two members of the management team have undertaken the more advanced ‘First Aid At Work’ course, in accordance with Standard 42.2 a qualified first aider who has undertaken the more advanced course of study should be on duty at all times. It is recommended that consideration be given on how to address this issue. There is a policy and procedures in respect of infection control that all staff are required to read and it is understood that infection control training is to be provided ‘in-house’ in the near future. Fire safety is provided at induction and regular fire training and fire drills are conducted on a regular basis in respect of all staff and service users. Equipment is inspected and serviced on a regular basis to ensure the building remains safe and comfortable however the electrical installation certificate
13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 22 could not be located at the time of inspection. Please advise in the Action Plan when the electrical installation system in the home was last inspected and the date when the next re-inspection is due. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 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 X 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 3 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 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 X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 2 X 3 X 3 3 X 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 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 YA41 Regulation 19 & Schedule 2 23(2)(b) Requirement References and clearances must be obtained and deemed to be satisfactory before individuals can commence employment at the home. Certain areas of the building must be repaired and redecorated to ensure they remain of an acceptable standard. Timescale for action 14/02/06 2. YA24 30/04/06 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 YA7 Good Practice Recommendations The recording of service users monies should be more detailed to indicate when a service users is given monies from safe keeping or if a service user places monies in safe keeping. Service users should also be requested to sign the document re monies in and out of safe keeping wherever possible as an acknowledgement of the transaction. Where a service user does not have capacity to understand or sign the financial document, the transaction should be witnessed by a second member of
DS0000010073.V286310.R01.S.doc Version 5.1 Page 25 13 Durham Avenue 2. 3. 4. 5. 6. 7. YA16 YA32 YA37 YA39 YA41 YA42 staff and countersigned. The rules on smoking, alcohol and drugs should be clearly stated in the individual contract. At least 50 of the care staff team should achieved at minimum an NVQ Level 2 in care. The registered manager should have achieved a Level 4 NVQ qualification in care and management or equivalent by 2005. Service users views of the home should be incorporated in the Service User Guide. All records should be kept under regular review and amended as required to ensure the information remains current. A qualified first aider should be on duty at all times. Please advise in the Action Plan of the date the electrical installation system was last inspected and when the next re-inspection is due. An individual record in respect of each service user should be maintained to record the day’s events rather than a collective record as at present. 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 13 Durham Avenue DS0000010073.V286310.R01.S.doc Version 5.1 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!
