Inspection on 14/04/08 for Fallings Heath House

This inspection was carried out on 14th April 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fallings Heath House 17/04/07

Fallings Heath House 20/11/06

Fallings Heath House 15/08/06

Fallings Heath House 23/11/05

Fallings Heath House 03/06/05

Fallings Heath House 22/11/04

Fallings Heath House 05/07/04

Fallings Heath House 21/02/04

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

CARE HOME ADULTS 18-65 Fallings Heath House Fallings Heath House Walsall Road Darlaston West Midlands WS10 9SH Lead Inspector Amanda Hennessy Key Unannounced Inspection 14th April 2008 10:00 Fallings Heath House DS0000033324.V363221.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 Fallings Heath House DS0000033324.V363221.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. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fallings Heath House Address Fallings Heath House Walsall Road Darlaston West Midlands WS10 9SH 0121 568 6297 0121 526 7023 dudleys@walsall.gov.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) Walsall Metropolitan Borough Council Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user identified in the variation report dated 10.12.04 may be accommodated at the home in the category LD(E). This will remain until such time that the service users placement is terminated. Date of last inspection Brief Description of the Service: Fallings Heath is a purpose built, single storey building which is registered with the Commission for Social Care Inspection to provide accommodation and personal care to a maximum of sixteen people who have a learning disability and additional complex needs. At the time of the inspection eight people were living at the home. The Registered provider is Walsall Metropolitan Borough Council. The post of registered manager is currently vacant. The home is located in Darlaston, on the outskirts of Walsall, close to local shops, pubs, a post office and other amenities. The home is divided into three units, however due to a decrease in numbers and the planned improvements to the home; people are currently accommodated in two units. Each unit provides a lounge, dining area and kitchenette. All bedrooms are single and there are no en-suite facilities. There is parking to the front of the building and an enclosed garden to the rear. People who use the service and their representatives are able to gain information about this home from the Statement of Purpose, Service User Guide and inspection reports produced by Commission for Social Care Inspection (CSCI). Inspection reports can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk The service user guide was not inspected at this inspection. For information on fees the Home should be contacted directly. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector Mrs Amanda Hennessy carried out the inspection between 10.00 and 17.00hrs. The inspection assessed the homes compliance with the National Minimum Standards core standards for Younger Adults. The home/provider did not know we were coming. The home has no registered manager, although the Resources Manager who is currently managing the home was present during the majority of the inspection. The inspection included a review of information supplied by the Acting Manager called “`An Annual Quality Assurance Assessment” (AQAA) which provided information about the establishment, policies and procedures at the home, information about people who live at the home and its staff. The inspection included the observation of care experienced by people living at the home, talking with staff and managers on duty, looking in detail at all aspects of care for two people with complex needs, viewing their rooms and discussing their care with staff. This process is known as case tracking. The inspector was able to meet with and talk with other people who live at the home. People told us their opinion of what it is like to live and work in the home. A tour of the peoples’ rooms and communal and service areas was completed and records about the safety of equipment and the building were checked. One new requirement and four good practice recommendations were made as a result of this inspection. The quality rating for this service is 1 star. This means that people who use this service experience adequate quality outcomes. The inspector would like to thank the people who live at the home, relatives, management and staff for their hospitality throughout this inspection. What the service does well: People who live at Falling Heath are supported by a friendly and committed staff team who have a good understanding of their needs. Staff ensure that the health and personal care that people receive is based on their individual needs and choices. The health of people who use the service is closely monitored and individuals are supported to access NHS healthcare facilities as required. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 6 Where possible people who live at the home are involved in decisions about their lives and the care and support they receive. Staff ensure that the principles of respect, dignity and privacy are put into practice for people living at the home. There are good and safe systems in place for the storage and administration of medicines. People are supported by staff to raise concerns and are protected by appropriate policies and procedures which keep them safe. There appropriate systems in place to recruit new staff. Staff have all required checks before they start employment at the home giving confidence that the risk of unsuitable people working at the home being minimised. What has improved since the last inspection? All the previous eleven requirements made following the previous inspection have been addressed. The Acting manager has worked hard to ensure that people needs are met and they have appropriate procedures and records to support this. Care planning records have been improved and more fully identify peoples’ needs, choices and their capabilities. There has been a review of policies and procedures to keep people safe who live, work and visit the home. The adult protection, violence and physical intervention policies and procedures have all been updated. Staff have and continue to have training in understanding and diminishing violence and aggression of people who live at the home. People now have a social activities plan and have the opportunity to undertake new and existing interests. Information gathered from surveys of peoples views have been analysed, with the findings incorporated into the development plan for the home. There have been improvements relating to safe working practices within the home. There are now regular hot water temperature checks, improved risk assessments and availability of risk assessments for substances (such as cleaning materials) that may be hazardous to health and moving and handling. We found that the keeping and administration of medicines are safe. A requirement that medicines are only given as prescribed was found to be met. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 7 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. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have all required information about the home and it meeting their needs. EVIDENCE: Information about what the home offers is held in the entrance area of the home and produced in a format appropriate to the people accommodated. Terms and conditions of residency were available within the care files that were examined during the inspection. The home has had a policy of no new admission as the home has been identified for closure for some time. Therefore it was not possible to assess key standard 2 at this inspection. Fallings Heath House DS0000033324.V363221.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Where possible people who live at the home are involved in making decisions about their lives and the care and support they need. EVIDENCE: People have comprehensive care plans for a range of needs identified from the assessment of their needs, examples being; dressing/ undressing, using the toilet, taking their own medication and handling money. It was positive to see that these care plans are being regularly reviewed. Staff have been supporting people to develop their social skills such as polishing their shoes and sitting one to one at the table. It is positive that people who live at Fallings Heath all have a weekly programme of at least three activities outside the home such as swimming, ice skating or shopping for their own clothes toiletries etc. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 11 Due to the complex needs of people living at the home and their very limited verbal communication skills, it is difficult for people to actively partake in decisions about their day-to-day life. Each individual is allocated a key worker and care manager who liaise with families and advocates on their behalf. Observations made during the inspection confirmed however that people are encouraged to make decisions whenever they can, about their lives on a dayto-day basis. All staff have a good knowledge of their role and the responsibilities it entails. One member of staff explained, “key workers have to keep appointments up to date, we keep bedrooms clean, making sure toiletries and clothes are kept nice. I think its good to have someone responsible, residents can rely on us and it stops staff doing things differently”. It was noted that on all peoples’ records that family members had completed some documentation on the persons behalf such as the arrangements for their death and opening their mail. We were unclear how appropriate this is particularly as staff told us that one relative never visits. We recommended that there is a need for staff to be made aware of their responsibilities within the Mental Capacity Act and ensure that peoples’ capacity to consent is appropriately assessed. One relative questionnaire stated: “The home always gives me enough information on which to make decisions, we are kept up to date with important issues. My relative receives the support and care they need and expect”. Risk assessments were seen to be in place covering a range of personal risk issues for each person such as going outside alone or going up stairs etc. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to make choices about their life style. Generally social, educational, cultural and recreational activities meet individuals’ expectations. EVIDENCE: Due to the needs of the individuals accommodated it is not possible for people to access opportunities for paid employment. Some people have accessed educational opportunities in the past and two people currently attend a day service throughout the week. Programmes to develop life and independent living skills are available and were evidenced in those files examined. As at previous inspections, observations confirm that routines are based around the needs of the people who live at the home. For example individuals were seen getting up at different times during the morning, eating at various locations and given assistance according to their needs and wishes. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 13 It was very positive to see that there are increased opportunities for people to take part in activities outside the home and have their own weekly plan. Staff said: “ all the residents have at least three activities outside the home each week and are able to take part in new activities such as ice skating if they want to.”. The activity records seen showed that people are taking part in a range of activities including sensory stimulation, shopping, bowling, swimming, dancing at a tea dance and visits to the library. It was very positive to see that the mini bus was in constant use during the day of the inspection. People living in the home are supported to develop and maintain important personal and family relationships. A relative said: “I am always made welcome”. We were told that there has been no cook since Christmas with Care Managers undertaking the cooking. A new agency cook was starting work at the home the day after the inspection. Staff told us that there is a menu but went on to say: “people who live here can have what they want”. On the day of the inspection people living at the home asked: “can we have takeaway- fish and chips.” It was good to see that people living at the home went out with staff to collect their takeaway with different peoples making a variety of choices. People told us: “ I like takeaways” others just smiled to express their pleasure. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: Evidence gained through observations, discussions with staff and examination of records confirm the home has good systems for the promotion of peoples’ personal and health care. Records viewed showed that a range of health care services is accessed for the people living at the home including chiropody, dentistry and the optician. It is also positive that whenever possible staff support people go to their doctor and dentist surgeries and other local health services. Medication systems were found to be robust and safe. Only staff who have had additional training in medicines administer medications. The home has a medication policy, which gives instruction on medication ordering, receipt and administration. There were no gaps on medication records meaning that they are being completed properly and reduce the risk of medication error. The Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 15 Care Manager ensures that the amount of medicine in the home is checked and monitored on an ongoing basis, this gives increased confidence that people receive their medication as it has been prescribed. The home also has regular visits from the Community Pharmacist providing them with valuable advice on safe systems in relation to medicines. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by staff to raise concerns and are protected by appropriate policies and procedures to keep them safe. EVIDENCE: People who live at this home have limited verbal communication making it more difficult to raise concerns or make complaints. It was positive that therefore that all staff spoken to demonstrated appropriate understanding of supporting people to raise concerns. For example one person explained, “remind them there are policies you can follow or a manager can speak to you, I would try and promote their rights”. It was also positive that concerns or “issues” are all recorded and highlight what action has been taken to address the “concern” highlighted. CSCI have had no complaints about the home. The Manager told us that they had had nine “issues” raised. There was an appropriate record of all concerns raised and actions that have been undertaken as a result of the concerns made. Since the last inspection required changes have been made to the Adult protection policy and staff have had further training on abuse protection procedures and managing challenging behaviour. All staff interviewed demonstrated good knowledge of protecting people from harm. For example one person explained, “by looking for signs, if individual scared to go by Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 17 certain people, crying all time, looking sad, notice bruises when getting up, check accident forms in case fall previous day. I would speak to a manager”. Systems for the management of people’s monies and valuables are good. There is an appropriate record of all financial transactions with receipts available and two signatures obtained. There is also safe storage of any monies and valuables given to staff for safe keeping. The records of three people were sampled and all found to be accurate. Fallings Heath House DS0000033324.V363221.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Fallings Heath is a comfortable and generally clean place to live. EVIDENCE: People are currently living in Cherry and Pine units, with Fern unit empty and waiting for its imminent refurbishment. Each unit provides homely accommodation of a lounge, dining area and kitchenette with domestic style furniture and furnishings. A visitor’s room and quiet/activity room are also available. All bedrooms are personalised to peoples taste. En-suite facilities are not provided however communal bathrooms are located nearby to peoples bedrooms. There are large enclosed gardens with good access for people with mobility difficulties. Garden furniture is also available which staff told us will be used as the weather improves. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 19 A domestic member of staff is employed and the home was generally found to be clean and tidy throughout, although some carpets were found to be stained. A full time laundry assistant , is employed by the home to undertake washing and ironing responsibilities although this post is currently being covered by a member of care staff. It was reported that clinical waste is disposed of with household waste as per the Council policy. Fallings Heath House DS0000033324.V363221.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 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home are supported by an enthusiastic and well trained staff team. The use of regular agency staff does provide some consistency in staff but to give confidence of a competent workforce they need the same training and supervision opportunities as permanent staff. EVIDENCE: There are ongoing difficulties in recruiting some staff such as a cook and laundry assistant. We found that despite these ongoing difficulties the number and skill mix of staff on duty are appropriate to the needs of the people who live at the home. We found that the staff team were enthusiastic but remained uncertain about the future of the home. The lack of a final decision about the closure home and the lack of a registered manager provide instability for staff and people who live at the home and may also be the reasons that the home has had difficulties recruiting new staff. There continues to be a reliance of agency workers although the majority of agency workers are allocated to the home on a full time basis. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 21 Staff were observed to be attentive, patient and respectful, with good eye contact with people in their care. Staff spoken to were knowledgeable about peoples’ needs and were all clearly interested in their work. As one staff member said: “I love my job, I treat everyone as I would want to be treated if I was in a home”. Personal training plans were seen in place for all staff. The Acting manager confirmed that these have focussed on mandatory training requirements. Staff told us that they have good training opportunities. It is also positive that the home has almost 50 of its care staff holding or undertaking National Vocational Qualifications (NVQ) despite having such a high dependence on agency care staff. Staff recruitment is completed to the required standard. All staff files seen contained appropriate checks such as criminal records checks, references and health declaration. The acting manager also obtains proof that all agency staff have had the required pre employment checks. Supervision and support offered to staff is good. Examination of permanent staff records confirms that regular supervision sessions are taking place, although this is not the situation for agency staff some of whom have been working at the home for several months. Good training and supervision practices will give greater confidence of appropriately skilled and informed care staff providing support and care to people who live at the home. Fallings Heath House DS0000033324.V363221.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 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management arrangements need to be finalised to give confidence that there is ongoing effective leadership to ensure that people who live at the home will continue to be safeguarded and receive the care and attention that they need. EVIDENCE: Fallings Heath House has been managed by the “Resource Manager” who also manages another home on a part time basis for approximately eighteen months. The resources manager has had considerable experience caring for people with learning disabilities and has previously managed other learning disability homes. The Acting Manager is supported by a team of four senior staff who all have delegated responsibilities. There is a need to finalise the management arrangements for the home to enable it to stabilise and continue to improve the care and support for people who live at the home. Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 23 The home returned their Annual Quality Assurance Assessment (AQAA) when required. The AQAA was comprehensively completed and identified ongoing developments that will continue to improve the care and support that people who live at the home receive. The Acting manager has been auditing the home against the National Minimum Standards for Younger Adults, but is developing this further to include the Annual Quality Assurance Assessment. The Manager said that she had found it difficult to involve people with complex communication needs to gain their views on the home and was continuing to explore this. The Acting Manager told us that a review of the homes policies and procedures has taken place, with policies improved when this previously been required (e.g. the Abuse Policy). Records seen during the inspection evidenced that health and safety checks are being performed at the required frequency. Since the previous inspection there are now regular checks on the hot water. A requirement for additional risk assessments to be available in relation to safer working practices such as moving and handling and the use of substances that are hazardous to health have been implemented. Maintenance contracts for the home were spot checked and were found to be up to date. Staff receive required mandatory training which gives assurance that staff will know what to do to keep people safe. Fallings Heath House DS0000033324.V363221.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 3 2 N/A 3 x 4 x 5 3 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 2 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 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 2 x 3 x x 3 x Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 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 YA30 Regulation 23(2)(d) Requirement The home and its carpets must be kept clean to ensure that the risk of cross infection is minimised. Timescale for action 15/05/08 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 Refer to Standard YA8 YA8 Good Practice Recommendations Staff should have training to highlight their responsibilities under the Mental Capacity Act . The use of advocacy services within the home should be further explored. So people have support to voice their choice when required. All staff including agency staff should have regular supervision An application is sent to CSCI for the Manager to be registered as a fit and responsible person to manage the home. YA36 YA37 Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Fallings Heath House DS0000033324.V363221.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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