Inspection on 22/08/07 for Eldra Court

This inspection was carried out on 22nd August 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eldra Court 29/11/06

Eldra Court 21/07/06

Eldra Court 07/02/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Eldra Court Eldra Court Third Drive Landscore Road Teignmouth Devon TQ14 9JT Lead Inspector Judy Hill Unannounced Inspection 22 August 2007 9:30 nd Eldra Court DS0000064403.V344647.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 Eldra Court DS0000064403.V344647.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. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eldra Court Address 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) Eldra Court Third Drive Landscore Road Teignmouth Devon TQ14 9JT 01626 868124 01626 868127 Education & Care (Devon) Limited Mr Jared John Kenny Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of service users who can be accommodated is 6. Date of last inspection 29th November 2006 Brief Description of the Service: Eldra Court is registered to provide accommodation and care for a maximum of six people with learning disabilities. The home is situated in a residential area of Teignmouth and is approximately half a mile from the town centre, beach and train station. Eldra Court provides residential care for former students of Oakwood Court College, which is run by the service provider, Education and Care (Devon) Limited. Information about the service is available from the Home in the Statement of Purpose and a Service Users’ Guide and copies of inspection reports will be provided by the home on request. Reports can also be obtained from the CSCI website. Weekly fees are assessed on individual needs but from the information available at the time of the inspection are in the region of £1281.62 a week. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out by one inspector on 22nd August 2007. The information contained in this report was gained in conversation with the registered manager, service users and staff at Eldra Court, from a physical inspection of the premises, from documents, including the Statement of Purpose, Service Users’ Guide and a self-assessment (AQAA) that had been completed by the registered manager. Additional information was gained from records including service users assessments, care plans and reviews and staff recruitment records, training records and rotas. What the service does well: What has improved since the last inspection? The service users individual needs assessment, care planning, reviews and risk assessments have all improved since the last inspection and are a credit to the registered manager and staff. Clearer recording of medicines make the system safer for the service users. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 6 Worn furniture has been placed and the service users benefit from living in a well furnished home. There is now a registered manager in post. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 Quality in this outcome area is adequate. The internal needs assessments and the easy read information provided for service users are very good. However some information that should be kept at the home was not available at the home for inspection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A Service Users’ Guide, which includes a Statement of Purpose, was seen in sitting room along with a copy of the most recent inspection report. Although both the Statement of Purpose and Service Users’ Guides have been produced in an easy read format, which makes the information accessible to the people who use the service, neither document contains all of the required and recommended information. The case files of two of the service users were inspected and the information contained in them demonstrated that the internal assessment process had identified the service users wishes and needs and conversations with the people who use the service indicated that their needs are being met. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 9 The home provides continuing accommodation and care for people who were formerly students at Oakwood College, which is also run by Education and Care (Devon) Limited, who have transferred from student accommodation. No evidence was available at Elrda Court to provide evidence that the service users have individual written contracts or a statement of terms and conditions with the home. Evidence of a local authority case management assessment, care plan and a costed contract between the service provider and contracting authority was only seen in one of the service users case files. The pre-inspection questionnaire completed by the registered manager identified that all five of the service users are local County Council funded. Eldra Court DS0000064403.V344647.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): 6, 7 & 9 Quality in this outcome area is good. The service users are involved in decisions about their lives, and play an active role in planning the care and support they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the service users case files were inspected and both contained detailed care plans, which had clearly been based on the individual needs of the service users. Evidence was also seen of regular reviews, which included the establishment and meeting of goals. Risk assessments had been carried out and guidance on how to minimise risks was seen in the care plans. Evidence, in the form of signatures, demonstrated that the service users are involved in their care planning and reviews. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 11 A key worker system is in place and one of the service users said that she had chosen the member of staff who she wanted to be her key worker. The registered manager confirmed that each of the service users had chosen their key worker. The service users rights to make decisions about their day to day lives is respected and this was made evident through their care plans and also by the interaction between the registered manager, staff and services users that was observed during the inspection. Individual risk assessments were seen on the service users files and these included guidance for the staff on how to minimise risks. It was noted that most of the guidance was unobtrusive and, therefore, would not create unnecessary barriers for the service users. Although there was no evidence that the service users financial affairs are being mishandled, each resident should have clear auditable accounts of their finances. Information on what benefits service users were receiving was only available in one of the service users files. Eldra Court DS0000064403.V344647.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 & 17 Quality in this outcome area is good. The people who use the service are able to make choices about their lifestyle, and are supported to develop their life skills and to participate in social, educational, cultural and recreational activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activity sheets developed with each of the service users demonstrated that the service users are actively involved in making decisions about the structure of their daily lives. The activity sheets included references to participation in household chores, such as cleaning and cooking, as well as social events, a range of leisure activities and day services provided outside the home. One of the service users attends South Devon College five days a week and discussed her college timetable with the inspector. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 13 One of the service users regularly goes out alone but the other four need someone to accompany them, although the level of support needed is minimal. A member of staff said that they do try to ensure that each of the service users spends some time out of the house every day and a late afternoon/early evening outing to the beach and to a pub was planned by the staff with the service users to take place after the inspection. All of the five service users have maintained links with their families, although the registered manager said that the level of contact varies according to the amount of input the families feel able to provide. Although monthly menu plans are drawn up with the service users these are used as guidance and the record of food provided evidenced that the service users are able to choose what they want to eat on a daily basis. The people who use the service are actively involved in the preparation of their meals. Two of the service users were seen cooking with a member of staff and one showed the inspector a banana cake she had made with her key worker. Eldra Court DS0000064403.V344647.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 & 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The self-assessment form completed by the registered manager identifies that three of the service users require help with washing and bathing and two with dressing and undressing. The service user records and conversations with the staff and service users provide evidence that the level of help with personal hygiene that each of the service users needs is not high and is mainly met through encouragement and prompting. Two of the service users have impaired hearing and specialist communication needs and a service user, the registered manager and staff were observed using sign language to supplement their conversations with each other. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 15 Evidence that the service users emotional needs are being well cared for was provided by the service users who were all clearly very relaxed and happy in their home environment and from the registered manager and a member of staff who said that it was a pleasure to work with service users who are consistently good natured and never display challenging behaviour. The registered manager said that he had arranged for each of the service users to have an annual healthcare check and that all of they had all been found to be fit and well. The service users medication is stored in a locked cupboard, which contained a second locked unit for storing controlled drugs. The staff administer all of the service users medication and it was suggested to the registered manager that the service users risk assessments should be reviewed to determine whether or not this level of support was still necessary. The handwritten entries on the medication administration record sheets were seen to be appropriately detailed and the records were seen to be clear and up to date. Eldra Court DS0000064403.V344647.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 & 23 Quality in this outcome area is good. Service users are able to express their concerns and any complaints made are dealt with sensitively. Policies and procedures are in place to protect the service users from the threat of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission has not received any complaints about Eldra Court since the last Inspection, however the homes record of complaints identified that three complaints had been received and dealt with appropriately. Two of these complaints were from neighbours as one of the service users, who was not at home at the time of the inspection, does occasionally become frustrated and shout and swear in the garden. Specialist advice and support has been sought and is being provided for the staff and the service user by the Community Support Services. Information about how to make a complaint is included in the easy read Service Users’ Guide. Written policies and procedures are available to the staff at the home on how to identify and deal appropriately with any suspicions or incidents of abuse and the registered manager said that the staff had received training on the Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 17 Protection of Vulnerable Adults. The home has obtained a copy of the Alerter’s Guidance. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 18 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 & 30 Quality in this outcome area is good. The residents benefit from living in an attractive, comfortable and spacious home with a nice garden. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Eldra Court is a large detached house, which is set in landscaped gardens is a quiet residential area of Teignmouth. The house is very well presented and was seen to be attractively decorated, well furnished and clean throughout. Each of the service users has their own bedroom on the first floor with a private bathroom or shower room. A ground floor room was in the process of being refurbished to provide an en-suite facility. All five of the bedrooms that are currently being used were seen and two of the service users led the inspections of their rooms. All of the bedrooms seen had been highly Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 19 personalised by their occupants and reflected their individual interests and tastes. All of the service users have keys to their bedrooms. The residents share a lounge, which is equipped with a large screen TV, video and DVD player, kitchen/dining room and laundry room. There is a level access to the garden from the front of the house and an access onto a large raised patio area with steps leading down to the main garden from the kitchen. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 20 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, 35 & 36 Quality in this outcome area is adequate. The residents benefit from being cared for by a committed staff team but staff recruitment practices and the provision of staff training could be improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing rotas showed that there are usually two care workers on duty from 9am to 9pm. One care worker is employed from 9pm to 9am to provide waking care from 9pm to 11pm and from 7am to 9am and to sleep in from 11pm to 7am. At the time of the inspection this was sufficient to meet the needs of the service users but one of the service users was away and the home has a vacancy so the care staffing levels will need to be kept under review to ensure that they are high enough to meet the needs of the service users. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 21 Staff records are not kept at the home but at the Companies office in Dawlish. Two staff files were brought to the home at the inspector’s request so that they could be inspected. The records of staff recruitment showed that applicants for posts are required to complete an application form and provide two referees. One of the files seen contained only one reference, which was not from a previous employer. Evidence that a POVA list check had been carried out was included in one file but no evidence was seen to demonstrate that Criminal Bureau Record checks had been carried out. The home has record sheets to record the provision of induction and foundation training, but no evidence was seen that this training had been provided. Records were seen on the staff files certificates gained through training but no records were seen that demonstrate that the home has a training and development programme to identify the staffs individual and collective training needs and achievements. The self-assessment completed by the registered manager identifies that only two of the eight staff have completed a National Vocational Qualification in Care but that a further four will be undertaking NVQ courses to gain this qualification. Records indicate that the provision of one to one supervision is patchy and is not taking place with each member of staff six times a year and annual work appraisals are not being carried out and recorded. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 22 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, 40 & 42 Quality in this outcome area is adequate. More management oversight is needed to ensure that an affective quality assurance system implemented, all of the recommended policies are in place and that regular maintenance checks and services are carried out. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Jared Kenny was registered in June 2007 but has carrying out the duties of a manager since the former manager left his post in October 2006. Mr Kenny is very experienced in the provision of care for people with learning disabilities. He is currently studying for an Open University Degree in ‘Health and Social Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 23 Care’ and has enrolled on a course to undertake his Registered Managers Award. He was observed to interact well with the staff and service users. No evidence was seen to demonstrate that the registered manager is receiving one to one supervision from his line manager or that regular visits are being made on behalf of the Company to provide monthly reports on the conduct of the home for the persons in control. The registered manager said that questionnaires were being developed to gain feedback from service users, their families and professional representatives to enable the service to develop a self-assessment programme leading to the production of an annual development plan. The self-assessment questionnaire completed by the registered manager identifies that several of the recommended policies, procedures and codes of practice are not in place. Those that are in place are kept in a binder and are accessible to the staff. The self-assessment questionnaire identified that the annual servicing of the heating system and gas appliances are overdue and that the premises have not had an electrical circuits check. Stickers on the fire extinguishers showed that these had been recently checked and a service user said that the fire alarms were tested weekly, that fire drills are sometimes carried out and what she would do in the event of a fire. Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 24 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 2 2 3 3 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 2 X 2 X Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 4&5 Requirement The Homes Statement of Purpose must be revised to include: (a) a statement of the aims and objectives of the home; (b) a statement as to the facilities and services which are provided by the registered person for the service user; (c) a statement as to the matters listed in Schedule 1. The Service User’s Guides must be revised to include: (a) a summary of the statement of purpose; (b) the terms and conditions in respect of the accommodation to be provided for service users including the amount and method of payment of fees; (c) a standard form of contract for the provision of services and facilities by the Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 26 Timescale for action 22/11/07 (d) (e) (f) registered provider to service users; the most recent inspection report; a summary of the complaints procedure; the address and telephone number of the Commission. The registered person must supply a copy of the Service Users Guide to the Commission and each service user. The service users must also be given a copy of the agreement specifying the arrangements made for the provision of accommodation and personal care between the contracting authorities and the service provider. 2. YA34 19 The registered persons must ensure that safe recruitment practices are used. Staff files should be kept at the home and must include: (a) (b) (c) Proof of the persons identity, including a recent photograph; A copy of a birth certificate and/or passport if any; Documentary evidence of any relevant qualifications of the person; Two written references relating to the person; Evidence that the person is physically and mentally fit for the purpose of the work; Evidence that a CRB check has been carried Version 5.2 Page 27 22/11/07 (d) (e) (f) Eldra Court DS0000064403.V344647.R01.S.doc (g) out; Evidence that a POVA check has been carried out. 22/11/07 3. YA35 18 The registered persons must ensure that the staff receive the training appropriate to the work they are to perform. This should include: (a) (b) (c) (d) Induction training within the first six weeks of employment; Foundation training; On-going health and safety related training; Specialised training that relates to meeting the needs of people with learning disabilities. Evidence must be available at the home to demonstrate that the individual and collective training needs of the staff are being identified and met. 4. YA39 24 The registered person must establish and maintain a system for reviewing and improving the quality of care at Eldra Court. (Timescale 10/06/06, 01/10/06 & 28/02/07 - not met) 5. YA39 26 The registered person must visit the home monthly to report on the conduct. (Timescale 06/01/07 – not met) 22/09/07 22/11/07 Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 28 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 Each resident should have clear auditable accounts of their finances, with information available of what benefits they are receiving. Risk assessments should be carried out to assess the level of support that the service users would need to handle their own medicine safely. There should be a copy of the Home’s adult protection policy available for staff at Eldra Court. At least fifty percent of the care staff should hold an NVQ at Level 2 in Care or above. Each of the care staff should receive one to one supervision from their line manager at least six times a year. The registered manager should complete his Registered Managers Award. All the required policies and procedures should be in place. These policies and procedures should be specific to Eldra Court. The central heating system and gas appliances should be serviced annually. 2. YA20 3. 4. 5. YA23 YA32 YA36 6. 7. YA37 YA40 8. YA42 Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Eldra Court DS0000064403.V344647.R01.S.doc Version 5.2 Page 30 - 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. 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