Inspection on 07/11/06 for Fox View

This inspection was carried out on 7th November 2006.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fox View 03/11/08

Fox View 08/12/05

Fox View 12/10/04

Fox View 07/07/04

Fox View 10/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Fox View 3 Fox View Halifax Road Dewsbury West Yorkshire WF13 4AD Lead Inspector Alison McCabe Key Unannounced Inspection 7th November 2006 11:25 Fox View DS0000001084.V311878.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 Fox View DS0000001084.V311878.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. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fox View Address 3 Fox View Halifax Road Dewsbury West Yorkshire WF13 4AD 01924 458187 F/P01924458187 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) jenkinlodge@st-annes.org.uk St Anne`s Community Services Ms Sara Jackson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person with a physical disability and a learning disability. Date of last inspection 6th February 2006 Brief Description of the Service: 3 Fox View is a care home with nursing, registered to provide care and accommodation for six adults with learning disabilities, including one named service user who also has physical disabilities. The home is operated by a charitable organisation, St Anne’s Community Services. The property is a purpose built bungalow with a large enclosed garden to the rear and parking facilities to the front. It is located at the front of the grounds of Dewsbury District Hospital, next to living accommodation for hospital staff, a palliative day care centre and a respite care home. The range of fees for this service are £398.88 - £407.94 per week; this does not include the nursing component which is paid for directly by health. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this key inspection a site visit was conducted at Fox View by one inspector between the hours of 11.25 am and 3.10 pm. In addition to the site visit, information used to inform the inspection includes notifications received from the home about any accidents, incidents or events that affect the well being of residents; provider monthly visit reports submitted to CSCI; the preinspection questionnaire submitted to CSCI prior to the site visit; completed questionnaires from health professionals and relatives of service users giving views about the quality of the service. The manager has explained that only two of the service users were able to complete the questionnaires due to their level of learning disability. Questionnaires were also sent to six relatives, 3 have been returned; three professionals (social workers/GP) – 1 has been returned. Comments and feedback have been included within the main body of this report although the general feedback from all has been positive with all respondents expressing satisfaction with the service provided at Fox View. As part of the site visit, the inspector had the opportunity to talk to two members of staff including a nursing care officer and support worker, and the registered manager. All parts of the home were seen. Records relating to service users, staff recruitment and training, complaint records and service user monies were examined. Medication and records relating to medication were examined. The inspector also had the opportunity to observe care practice. The findings of this key inspection are positive. Care provided is of a high standard and the management of the home is good. The home benefits from a committed and established staff team. Three requirements and two recommendations have been made, two of which are repeated from the previous inspection. All requirements and one recommendation are in relation to the environment. The inspector would like to thank the service users and staff for their cooperation and hospitality during the site visit. What the service does well: Staff have positive relationships with service users and respect service users’ rights. Service users are offered good support to make choices and are enabled to take reasonable risks. Clear and detailed individual care plans are in place so that staff know how best to meet service users’ personal, health and social care needs. Service users are supported by a committed, established staff team, many of whom have relevant qualifications. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 6 Good opportunities are available to service users to access community based activities. Service users are supported to keep in touch with family and friends. An experienced, suitably qualified manager runs the home. Service users are offered a healthy, balanced diet and are actively encouraged to participate in planning and preparation of meals. Service users’ health and safety are protected by the policies, procedures and practice at the home. What has improved since the last inspection? 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. Fox View DS0000001084.V311878.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 Fox View DS0000001084.V311878.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are appropriately assessed before they move into the home. EVIDENCE: Records relating to two service users were examined. Both contained comprehensive assessments that had been completed prior to the service users moving in to the home. Two service users completed a CSCI questionnaire as part of the key inspection. Both said that they were asked if they wanted to move into the home and were given enough information about the home before deciding to move in. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 9 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users’ assessed needs are clearly reflected in the individual care plans. Excellent support is provided to service users to make choices and decisions using a range of communication aids. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Two service user plans were examined. Both were found to contain excellent detail of how to support service users to have their health, personal and social care needs met. The home uses a person centred planning approach and there was evidence that service users, where possible, and their relatives are involved in the planning process. This was confirmed in the three completed satisfaction questionnaires completed by relatives as part of the key inspection process. Records indicated that regular reviews take place. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 10 Evidence was seen that service users are supported to make decisions and choices. Communication boards are in place using symbols and photographs to assist service users who do not communicate verbally to make choices. Talking communication books are also used. Photographs relevant to individuals and a recorded voice stating what is in the photographs are in place. It was particularly positive that the recorded voice is that of the service user’s keyworker. As part of a service user’s communication system, symbols have been put on the back of doors to assist him in tracking his environment. This is good practice. Service users are supported to take reasonable risks. Risks had been assessed appropriately with detailed information about steps that staff should take to minimize risks was available in service users’ records. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 11 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 This judgement has been made using available evidence including a visit to this service. Good opportunities are offered to service users to participate in educational and community based activities. Service users are offered good support to maintain contact with their family and friends. Service users’ rights are respected in their daily lives. Service users are offered a healthy, balanced diet. Staff provide excellent support so that service users are involved in the planning and preparation of meals within the limits of reasonable risk taking. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 12 EVIDENCE: Some service users attend day services, school or college. Staff spoken to reported that, when service users are at home, staff encourage service users to participate in a range of activities to keep them occupied. During the site visit, service users were supported to use the multi-sensory room, go shopping and go out for a walk. The manager reported that the frequency of community based activities remains at a good level. Evidence of this was seen in daily records and observed at the time of the visit. Two service users were on a short break holiday at the time of the visit. Staff spoken to explained that it is sometimes difficult to engage service users in meaningful activities at home. Activities offered include cooking, aromatherapy and using the multi-sensory room and equipment. Staff have purchased arts and crafts materials and plan to make Christmas cards with the service users. Completed service user questionnaires stated that service users were enabled to choose how they would like to spend their time. Records examined indicated that service users have regular contact with their families. During the site visit, a service user went out for the afternoon with a family member. The manager reported that all service users have some contact with their families and that staff support service users to maintain contact through sending birthday and Christmas cards and presents. Three relatives of service users completed a CSCI questionnaire and said that they are made to feel welcome in the home and can visit their relative in private. Service users’ rights are respected. Staff were observed to knock on service users’ bedroom doors before entering and asked permission prior to entering service users’ rooms. Service users’ preferred form of address is recorded in individual care plans. Bedrooms are not fitted with locks. The manager reported that most service users would not be able to use a lock or key. Service users who would be able to use this facility should be asked if they would like a lock on their bedroom doors. A recommendation has been made regarding this. Menus were examined and showed that service users are offered a varied, nutritionally balanced diet. A range of pictures and photographs are available to help service users make choices about what they would like to eat. The chosen menu is displayed in photograph format on a notice board in the kitchen. Service users take it in turns to choose the main meal, and are then supported by staff to go out and buy the necessary ingredients. Staff support the service user to cook or prepare the meal. Evidence of this was seen in records and staff reported that a service user had been supported to go shopping on the morning of the site visit. As well as staff recording on the menu what service users have eaten, an additional ‘five a day’ recording form has been developed to enable staff to monitor whether service users are being offered the recommended five portions of fruit/vegetables per day. Records Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 13 showed that this is happening most of the time. Food stocks seen indicate that fresh food is available including a range of fresh fruit and vegetables. It is positive that staff at the home have maintained the excellent practice in this area. Fox View DS0000001084.V311878.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 excellent. This judgement has been made using available evidence including a visit to this service. Staff are good at ensuring service users are supported with their personal care in the way that they prefer and require. Service users are supported to have their healthcare needs met. Medicine management is excellent at this home. EVIDENCE: Excellent personal support plans have been developed providing detail about how individuals prefer to be supported with their personal care routines. Times for getting up, going to bed, having meals etc are flexible depending upon what activities are planned for individuals. Service users in the home at the time of the visit appeared to be well cared for. It was evident that a service user had been supported with her hair and make-up. The hairdresser visited the home during the visit. The manager reported that this has been arranged for an individual who dislikes going out to the hairdresser. Communication boards are available in service users’ bedrooms with photographs of staff on Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 15 duty each shift so that service users are clear about who will be supporting them. This is good practice. During the visit staff were not aware that a service user had undressed in a communal area of the home. Extra vigilance would improve practice in this area. Evidence that service users are supported to have their healthcare needs met was seen in individuals’ records. An ‘OK’ health check is completed annually, and each service user has a health action plan. These were found to be up to date and complete. Each service user has a named nurse and a keyworker who are responsible for ensuring records are maintained, support is given for personal shopping and healthcare appointments are made and attended where necessary. Medicine management is good at this home. A sample of medicines was looked at and all were found to tally with the stock balances in the records. The home has developed good systems for checking medication; all medicines are checked weekly to ensure stock balances are correct. Any errors are recorded on the back of the MAR chart and the manager reported that she would then address any areas of concern with individual staff or the team. A record of how each individual prefers to take their medication was in place, along with clear written plans detailing under what circumstances medication would be given covertly. Where this is necessary for individuals, a clear rationale was in place and detailed instructions about approaches that must be tried before opting to covertly administer medication. Evidence of medication reviews and monitoring was seen in individuals’ records. Fox View DS0000001084.V311878.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 This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure that is available to service users. The home has good procedures in place for the protection of service users. EVIDENCE: The home has a clear complaints procedure that is also available in symbol format. No complaints have been received at the home since the last inspection. A complaint that remains outstanding since the last inspection is still in the process of being investigated. Service users, relatives and professionals who completed questionnaires, all indicated that they knew how to make a complaint but had not had cause to do so. A satisfactory protection procedure is in place in addition to the Kirklees’ joint agency guidelines. Staff have received training in the protection of vulnerable adults provided by Kirklees Metropolitan Council. No incidents concerning the protection of service users have occurred since the last inspection. Monies for two service users were checked against records kept. All could be reconciled with the records, and good systems are in place to monitor balances and money in the safe. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Most parts of the home are comfortable and homely. Some parts of the home require maintenance and additional furnishings. The home is generally clean and hygienic. EVIDENCE: All parts of the home were seen as part of the site visit. Since the last inspection visit, some parts of the home have been decorated, and new furniture has been purchased for the sitting room. The flooring in the hall has been replaced, and the pre-inspection questionnaire states that three bedrooms have had new floor coverings. Some of the service users’ bedrooms were comfortable and well maintained. Some bedrooms were in need of redecoration and were sparsely furnished, for example, there was no chair, table or anything to personalise one service user’s bedroom. The manager reported that this was due to some service users having very limited funds. Discussion about the organisation’s responsibility to provide adequate furnishings took place with the manager. A requirement has been made in respect of this. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 18 Since the last inspection, grab rails have been fitted in bathrooms and toilets and the bathroom has been re-tiled. Although the manager reported that the radiators had been fixed back onto the wall, these required further repairs as parts of some radiators were damaged and loose. A number of the radiators were also rusty and in a poor state of repair. There was an overpowering offensive odour in one service user’s bedroom and the mattress was in a poor state. The manager reported that a new mattress had been ordered and that regular cleaning takes place. Service users’ feedback through questionnaires was that the home is always clean and fresh. The washing machine with sluice cycle and tumble drier are available in the laundry, which is sited in a separate room away from the kitchen and service users’ bedrooms. Hand washing facilities are available in the laundry. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by adequate numbers of staff who have relevant qualifications or who are working towards achieving relevant qualifications. Relevant training is provided to staff. Service users benefit from well supported and supervised staff. Service users are protected by the home’s recruitment practice and procedures. EVIDENCE: Staff were observed to have positive relationships with service users. Service users seemed to be comfortable with staff, and staff communicated effectively with service users. Questionnaires completed as part of the inspection indicated that service users feel that the staff treat them well and listen and act upon what they say. The manager reported that there is a full complement of staff at the home and the team is committed and motivated. This was Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 20 observed during the site visit. There are six qualified nurses and eight care staff working at the home. Of the care staff, two have achieved NVQ level 3 in care, four are working towards this qualification and a newly appointed member of staff is in the process of completing the Learning Disabilities Award Framework induction and foundation training. The recommendation that 50 of care staff have at least NVQ level 2 has therefore been repeated. In addition to NVQ and LDAF training, a comprehensive training programme is in place. Staff training records indicated that staff attend regular, relevant training and a training profile is maintained for all staff. Staff spoken to confirmed that they attend regular training. Evidence of sufficient staffing levels was seen on the rota. The manager and staff reported that staffing levels are adequate to meet the needs of the service users. The home has a full complement of staff and therefore does not need to use agency staff. If extra staff are required to cover sickness or annual leave, bank staff employed by St Anne’s are used to ensure continuity of care for service users. Staff meetings are held monthly and records of these meetings are maintained. Feedback from two out of three relatives stated that there is always sufficient staff available, although one relative did say that this is not always the case. Evidence that staff receive regular supervision was seen in records. Staff spoken to described supervision as useful and said that the manager was approachable and supportive. Staff recruitment records are to be checked centrally by the Provider Relationship Manager from CSCI. The home holds a checklist confirming that all the required information has been received prior to staff starting work at the home. There was evidence in records that an induction is completed. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a home that is managed by an experienced, qualified, registered manager. Satisfactory quality assurance and monitoring systems are in place. The health, safety and welfare of service users is protected. EVIDENCE: The registered manager is a qualified nurse having an RNMH qualification and an NVQ level 4 in management. The manager is also qualified to assess student nurses and NVQ candidates. The manager has considerable experience of working with adults with learning disabilities. Since the last Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 22 inspection, the manager has completed training in first line management in addition to annual updates in movement and handling and adult protection. The organisation seeks the views of relatives and friends of service users and, where possible, the views of service users about the quality of the service provided. Questionnaires are sent to relatives and are then analysed by a senior manager. The registered manager reported that any issues or concerns would be addressed with the respondent directly. Due to the level of learning disability of the service users living at Fox View, it is not possible to ascertain the views of all the service users. Those who are able are supported to complete questionnaires. Monthly visits are conducted by the regional manager in accordance with the Care Homes Regulations 2001. The pre-inspection questionnaire indicates that maintenance of equipment is conducted at the required intervals. Identified risks general to the home or relevant to individuals have been assessed appropriately, and agreed steps to minimize risks recorded and implemented. Fire records were examined and provided evidence that fire safety equipment is tested as required. A new member of staff was observed being shown the fire procedure and a demonstration of how the fire alarm works. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 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 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 X 3 X 3 X X 3 X Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation Requirement Timescale for action 31/12/06 23(3)(b)(c) The registered person must ensure that the care home is kept in a good state of repair and is reasonably decorated. Therefore radiators must be secured to the wall, tops of radiators repaired and rust removed; as discussed bedrooms must be redecorated; damage to the wall outside a service user’s bedroom door must be repaired. 16(2)(k) The registered person must ensure that all parts of the care home are kept free from offensive odour. Timescale of 31/03/06 unmet. The registered person shall provide in rooms occupied by service users adequate furniture, bedding and other furnishings and equipment suitable to the needs of the individual. 2. YA30 30/11/06 3. YA24 16(c) 31/12/06 Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 25 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 Refer to Standard YA16 YA32 Good Practice Recommendations For those service users that are able, a key (or suitable locking device) to their own bedroom should be offered. The registered person should continue working towards 50 of all care staff achieving NVQ level 2 or above. Fox View DS0000001084.V311878.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Office St Pauls House 23 Park Square (South) Leeds LS1 2ND 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 Fox View DS0000001084.V311878.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. 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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