Inspection on 03/01/07 for Emmie Dixon Home

This inspection was carried out on 3rd January 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Emmie Dixon Home 06/01/06

Emmie Dixon Home 25/07/05

Emmie Dixon Home 02/12/04

Emmie Dixon Home 11/05/04

Emmie Dixon Home 20/02/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 Emmie Dixon Home 149 Richmond Road Crewe Cheshire CW1 4AX Lead Inspector Maureen Brown Key Unannounced Inspection 3 January 2007 09:20 Emmie Dixon Home DS0000006596.V292761.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 Emmie Dixon Home DS0000006596.V292761.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. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Emmie Dixon Home Address 149 Richmond Road Crewe Cheshire CW1 4AX 01270 581314 01270 210384 debbie.owen@emmiedixonhome.fsnet.co.uk 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) Emmie Dixon Home Ltd Miss Deborah Owen Care Home 12 Category(ies) of Learning disability (5), Physical disability (5), registration, with number Physical disability over 65 years of age (2) of places Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Registered for 5 physical disabilities PD, 2 elderly physical disabilities PD(E), 5 learning disabilities LD No more than 5 Service Users may be PD No more than 2 Service Users may be PD(E) No more than 5 Service Users may be LD Date of last inspection 6th January 2006 Brief Description of the Service: The Emmie Dixon Home is a two-storey adapted property that provides care for twelve adults who have a physical and/or learning disability. Located in a residential area of Crewe, close to shops, pubs and other local amenities and local transport and road networks. Accommodation for service users comprises twelve single bedrooms, with one having an en-suite toilet/wash-basin facility. Whilst most bedrooms are located on the ground floor, there are four bedrooms on the first-floor, which are used by service users who are independently able to negotiate stairs. There is a separate kitchen, laundry and office. Communal facilities comprise a main lounge, separate dining/lounge area, conservatory and toilets, bathrooms and a shower-room. Access to the first floor is provided by a stairway. The home has small paved/concreted areas to the front and side, where service users can sit. Parking is available on the road outside the home. The staff team consist of the registered manager who is supported by nine care staff, an activities organiser, a housekeeper, and the directors. The fees at Emmie Dixon are between £241.87 and £457.06. Optional extras include personal items, transport costs and hairdressing. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 3 January 2007 and lasted four hours forty minutes. Maureen Brown carried out the visit. Feedback was carried out on 8 January 2007 with the registered manager and took one hour. This visit was just one part of the inspection. Before the visit the home was also asked to complete a questionnaire to provide up to date information about services at the home. Questionnaires were also made available for service users, relatives, staff and other professionals to find out their views. Other information since the last key inspection was also reviewed. During the visit various records were looked at and a tour of the home was undertaken. A number of service users and staff were also spoken with and they gave their views about the service. All the key standards were assessed and most were met. All previous requirements had been met. What the service does well: The home had an established staff team who were keen for high standards to be maintained. Residents’ plans of care and individual case notes were well documented and reflected each resident’s needs. Residents at Emmie Dixon Home have a pet dog and staff support them to look after it. The staff managed daily activities and entertainments well and provide a wide range of choice. An activities organiser has recently been employed by the home. Residents said they were pleased with the choices on offer. Resident’s comments included “I can usually do what I want to do”, “staff treat me well”, “the home is always fresh and clean” and “I like living in the home”. The relatives contacted confirmed that they were welcomed into the home and they were satisfied with the overall care provided. Other comments included “I have been favourably impressed with the care given” and “the service users are well provided for”. Other professional comments included “I am satisfied with the care provided to my patients” and “competent and caring staff who communicate well”. Staff spoken to commented, “I like working here” and “I like to support the service users and feel I make a difference”. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: The social services reviews should be monitored and copies kept up to date. Risk assessments should be developed with more detail being included in the assessment. Also the healthcare needs records should be kept in a system that is easily accessible. To ensure that staff are properly supervised in their role each staff member must receive regular formal supervision. Annual staff appraisals should be held. Also to ensure that service users are fully protected the directors should obtain Criminal Record Bureau checks. To ensure service users health and safety is promoted the medication trolley must be relocated to an appropriate place. To ensure that information regarding complaints made is kept in line with the Data Protection Act 1998 and that outcomes are recorded amendments are needed to the complaints process. To ensure that all views are taken into account with regard to future planning of the home the quality assurance process should include stakeholder’s views within the process. For the protection and promotion of health, safety and welfare of the residents the weekly fire safety checks should be reinstated and records kept. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Emmie Dixon Home DS0000006596.V292761.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 Emmie Dixon Home DS0000006596.V292761.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): 1&2 Quality in this area outcome is excellent. This judgement was made using available evidence including a visit to this service. Good information is provided for residents to make a decision about moving into the home. EVIDENCE: The Emmie Dixon Home folder contains a welcome letter, general information, statement of purpose and function, aims and objectives, statement of philosophy, admission process, complaints procedure, service users comments and general list of contact numbers. The service users guide was available in standard and large print and video format. Braille versions can be arranged on request. The manager stated that if a prospective service user required a specific version then if possible this would be made available. The care needs assessment was seen in service users files. This contained all the information required to ensure that the home can meet service users needs. Included were Next Of Kin information, personal support and care needs and medical information. Residents had a copy of the contract between them and the home. It was signed by the resident and contained terms and conditions of residence, personal support and services not covered by the fees. Also included were the rights and responsibilities of the resident and the proprietor and details Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 10 regarding reviewing the care plan. A previous requirement regarding residents’ room numbers and up to date fees was now met. The contracts had been updated in February 2006. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 11 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 & 9 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The residents’ basic health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Three residents’ care records were seen during this inspection. These were comprehensive and well presented in individual folders. Each contained personal information, risk assessments and information on personal care. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. Following a previous requirement resident reviews undertaken by Social Services had been brought up to date. Daily record sheets seen showed that day-to-day activities were recorded. This enabled staff and family members to see what a particular resident was undertaking during the day. They were easy to follow and were signed by carers. Following a previous requirement records are now completed in black Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 12 pen and terminology that could be seen as judgemental or offensive in manner to the reader is now avoided. Residents confirmed they had chosen the décor and furniture within their own bedrooms and it was seen that each bedroom reflected the residents’ personality and preferred taste of décor. Most service users said they were able to make their own decisions about what to do during the day, some said that usually they make their own decisions and some said that they were not always able to do what they wanted at weekends. On discussion with the manager it was stated that this was probably due to the staff availability at weekends. Risk assessments were available for all service users. A range of activities were noted such as going out, bathing, use of wheelchair, epilepsy and diet. Some service users had assessments on moving and handling. All service users should have a moving and handling risk assessment. Although a range of assessments were available and had been reviewed in December 2006, it is recommended that these be developed, as they are very basic in format. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 13 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): 12, 13, 15, 16 & 17 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Residents’ were able to take part in a range of activities. Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: The residents’ plans reflect the range of activities undertaken which included going for meals out, shopping, bowling, going to discos and the theatre. Residents spoken to said they enjoy going out and about in the community, to local shops and out for lunch. The residents had chosen to have a dog and they looked after her with support from the staff. Residents said they enjoyed taking the dog for a walk. Some of the residents had paid jobs, attended the local college or local day services centres. On discussion with residents they said that they enjoyed the jobs that they do and one resident worked in the local charity shop. A car is available for the residents to get out and about in. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 14 Visits from family and friends were recorded in the daily record sheets. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared lounge, conservatory or dining area. Visitors were welcome at any reasonable time during the day and no visiting restrictions were in place. The home provides a summer and winter menu. Both are produced on a four weekly basis. A good variety of meats, cheese, fish were included. A free choice of meal is offered on a Friday night (usually a takeaway) and buffet on a Saturday night. Today’s lunch was smoked haddock, bread and butter, fresh fruit salad and cream. Evening meal was meatloaf and onion gravy with creamed potatoes and vegetables and sponge pudding with jam sauce. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 15 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 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. Storage of medication is not appropriate therefore putting service users health and safety at risk. EVIDENCE: Within the care plan descriptions of how the residents preferred to be supported in their daily routines were documented. Times for rising and resting preferred moving and handling techniques and personal care preferences were recorded, as was choice of clothing. All residents were dressed differently according to their own choice. To streamline the care plans the previous health care action plans had been removed from the files. Visits to the dentist, GP, chiropodist, district nurse and aroma-therapist were now recorded in the daily notes and communication book. However on discussion with the manager it was noted that it was difficult to access this information. The manager stated that a form was being developed to use for visiting professionals and that all of this information would be kept together. By the end of the visit the form had been produced Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 16 and the information was starting to be gathered to complete the forms. It is recommended that this process be completed for all service users. From questionnaires GP commented that “the staff were always helpful, caring and diligent in any dealings I have had with them” and “competent and caring staff”, all the GP’s stated that they were satisfied with the overall care provided. The medication system was seen. Medication Administration Record sheets were appropriately completed. The Senior Care Assistant orders the repeat prescriptions for the service users. The medication is in a monitored dosage system provided by the local chemist. The medication is locked in a cabinet, which is kept in the staff toilet. A requirement was made regarding the storage of the cabinet not being appropriate. By the end of the visit the medication trolley had been removed from the staff toilet and a more appropriate location had been found. Old medication is sent back to the pharmacist. The manager stated that they had a very good relationship with the pharmacist. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 17 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 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Residents and relatives were satisfied with the support they received from the manager and staff. Clear policies and procedures were in place to ensure that residents were protected from abuse, neglect and self-harm. EVIDENCE: The complaints procedure was appropriate and a copy was available with the Service Users Guide and Statement of Purpose and Function. All service users had a copy. The last complaint dated May 2006 had no outcome recorded. Also complaint information was stored in a bound book. It is recommended that complaints are stored in single sheets in line with the Data Protection Act 1998 and outcomes are recorded. The home had Cheshire County Councils’ local authority “no secrets” policy available and the manager confirmed that they would follow these guidelines in the event of an alleged or suspected case of abuse. The homes policy for the protection, management and prevention of adult abuse included information about signs of abuse, general indications to abuse, types of abuse and what to do in the event of witnessing abuse. Staff spoken with confirmed that they had a good understanding of the potential indicators of abuse and what to do if they became aware of an allegation of abuse and formal training had been undertaken. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The home provides a clean and comfortable environment for the people to live in. EVIDENCE: A tour of the communal areas and some bedrooms were undertaken. The home was furnished in a domestic style with additional equipment such as hoists and tracking provided as necessary to meet the residents’ needs. It was noted that bedrooms seen had been decorated to personal taste and that personal possessions were in evidence. The home was clean, tidy and free from any unpleasant smells. Service users and relatives confirmed that the home was always clean and fresh. The garden area is paved and the conservatory leads out onto this area. It is accessible to all the residents. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 19 It was noted that the heating was off during the afternoon and some service users were in the main lounge watching TV. The inspector checked with them that they were warm enough and they confirmed that they were. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Service users are protected by the homes recruitment policy and practices as they are consistently followed. EVIDENCE: At the time of this inspection the agreed staffing levels were met. Two care staff, the housekeeper and a senior person was on duty. Five of nine staff had obtained NVQ level II or III in Care and one staff member was currently undertaking NVQ level III in Care. Mandatory training included moving and handling, first aid, food hygiene, adult abuse, fire prevention and infection control have been undertaken by most staff. A good range of specialist training is available including violence and aggression, health and safety, COSHH, epilepsy and dementia. Most staff had undertaken some specialist training. The recruitment procedure followed ensured that all the staff employed were suitable to work with vulnerable people. Three staff files were examined and these showed that some pre-employment checks had been carried out. Amongst the documentation available were application forms, contract of Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 21 employments and Criminal Record Bureau checks. Copies of certificates of courses undertaken were also available. The files were up to date and well presented. It was noted that the files chosen on this visit were from staff that had worked at the home for a long time. Checks required at that time varied from those required now. On discussion with the manager it was confirmed that all pre-employment checks would be carried out on all new employees. It was noted that the directors had not undertaken Criminal Record Bureau checks. It is suggested that this is undertaken. Staff appraisals had not been completed. A recommendation was made that these be completed on an annual basis. Staff supervision on day-to-day basis was good however, formal supervision was not undertaken. A form had been produced to enable this process to be undertaken. A recommendation was made that staff receive formal supervision six times a year with records kept. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The health, safety and welfare of the service users are protected. The views of service users are obtained and influence the running of the home. Staff that support service users are not fully supervised. EVIDENCE: The Registered Manager has worked at the home for ten years in a managerial position. Prior to this the manager trained as a registered nurse in learning disabilities and was qualified in 1990. She worked as senior staff nurse in a multi-disabilities ward prior to her current role. She has NVQ level IV Registered Managers Award and NVQ level V in management. The and and and manager had compiled a questionnaire for residents, respite and relatives these were distributed during February 2006. The results were collated the information made available to residents, families, other professionals the Commission. DS0000006596.V292761.R01.S.doc Version 5.1 Page 23 Emmie Dixon Home Other information is gained through discussions with the residents and residents meetings, which are held every six to eight weeks. It was recommended that the views of stakeholders are taken into account in future questionnaires. Safe working practices included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The insurance certificate was in place and up to date. Fire alarm tests had been undertaken on a weekly basis and records kept. However recently these had stopped. It is recommended that this process be reinstated. Emergency lighting tests were also being carried out on a monthly basis with records kept. All staff had received fire awareness training. Following a previous requirement the gas safety and electrical safety certificates were now up to date. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 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 4 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 2 X X 2 X Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13(2) Requirement The registered person must ensure that medication is stored appropriately. Timescale for action 15/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 Refer to Standard YA6 YA9 YA19 YA20 YA34 YA36 Good Practice Recommendations The registered person should ensure that all social services reviews are kept up to date. The registered person should ensure that risk assessments and developed with more detail being included in the assessment. The registered person should ensure that healthcare needs records are kept in a system that is easily accessible. The registered person should ensure that information regarding complaints made is kept in line with the Data Protection Act 1998 and that outcomes are recorded. The registered person should ensure that the directors have CRB checks undertaken. The registered person should ensure that annual appraisals are undertaken with all staff members with records kept. DS0000006596.V292761.R01.S.doc Version 5.1 Page 26 Emmie Dixon Home 7 8 9 YA36 YA39 YA42 The registered person should ensure that all care staff receive six formal supervision sessions each year with records kept. The registered person should ensure that the quality assurance process includes stakeholder’s views. The registered person should ensure that weekly fire checks are reinstated. Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Emmie Dixon Home DS0000006596.V292761.R01.S.doc Version 5.1 Page 28 - 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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