Inspection on 29/01/07 for Garden House

This inspection was carried out on 29th 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Garden House 04/01/06

Garden House 08/09/05

Garden House 18/03/05

Garden House 21/10/04

Garden House 03/02/04

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

CARE HOME ADULTS 18-65 Garden House 127, Friary Road London SE15 5UW Lead Inspector Ms Alison Pritchard Unannounced Inspection 29 January 2007 2:00 th Garden House DS0000007092.V318627.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 Garden House DS0000007092.V318627.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. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Garden House Address 127, Friary Road London SE15 5UW 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) 0207 732 0208 0207 277 6043 rosemarie.mitchell@lk.leonard-cheshire.org.uk www.leonard-cheshire.org.uk Leonard Cheshire Mr Kevin Parkes Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 10 Adults, male or female with learning disabilities, some of whom may be over 65 years old. 4th January 2006 Date of last inspection Brief Description of the Service: Garden House provides care for ten people with learning disabilities who have lived together for a number of years. The home is located in a residential street in Peckham close to public transport routes. In Peckham there are shopping and leisure facilities including a fitness centre, swimming pool, library and cinema. The residents are encouraged to be part of the community, using the local facilities, and are supported to do so by staff. The property consists of three terraced houses that are interconnected. The building is in keeping with the other properties in the area. The bedrooms are located on the ground and first floor of the home, with two communal lounges and kitchen facilities on the ground floor. There is a good sized garden to the rear and on street parking is available. The home is managed by Leonard Cheshire - South East London Learning Disability Homes, and the building is owned by a housing association. In January 2007 there were no vacancies in the home. There were five male and five female residents. Potential residents are given information about the home and the services available through providing a range of documents – the service user guide, statement of purpose, service user agreement and the most recent CSCI inspection report. The service user guide and service user agreement are available in pictorial and Widget formats. Potential service users are invited to the home for an informal chat and to have a look around. When providing the CSCI inspection reports for people who may be interested in coming to live at the home the Registered Manager has stated that he would clarify any matters that are not clear to them and suggest that the inspector be contacted to explain any issues. The current fees for the home are between £3,722 and £4,152 a month. These charges do not include the costs of holidays, hairdressing, clothing, toiletries and some leisure activities. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out over an afternoon and early evening in late January 2007. The inspection methods included observation of care practice, discussion with residents and staff, inspection of service user files, as well as a range of other records. Involved professionals and relatives were sent survey forms so that they could contribute to the inspection process. Feedback was received from three relatives. The Inspector is grateful for their contributions. The CSCI also has access to information gathered through notifications from the home. All of this information has been taken into account in compiling this report. The inspection visit was facilitated by the Senior Support Worker and support staff who were helpful and courteous throughout the process. What the service does well: What has improved since the last inspection? What they could do better: The home must make sure that when someone is admitted to the home they are given written confirmation that their needs can be met at the home, also Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 6 that they make a list of all of their property. This will make sure that the resident’s possessions are safe. Although residents knew how to complain, some of the relatives said that they didn’t know about the complaints procedure. Copies of the complaints procedure must be sent to all of the residents’ relatives. Staff must be able to consult information leaflets about the medication that they give to residents. This will be helpful to residents and staff. Staff should be given information and help to write notes about residents that will be helpful in making sure that they are looked after well. 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. Garden House DS0000007092.V318627.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 Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission arrangements ensure that the home and the potential resident have enough information to decide whether it would be a suitable place for the person to live. The home has information about the needs of the person most recently admitted, but did not provide confirmation that they could meet them. EVIDENCE: The service user guide is available in picture form so it is easy for current and potential residents to read. The document includes the information required by regulation. Potential residents are encouraged to visit the home so that they can decide whether it will be the best place for them to live. There is a trial period after admission before the placement is confirmed. The file of a person recently admitted included a full assessment by the placing social worker. However confirmation that the home can meet the assessed needs was not on file. This must form part of the admission procedure. The absence of this document may reflect that the admission was made at short notice. Nevertheless there was consultation with current residents and arrangements were made for the potential resident, a family member and involved professionals to visit the home. At the visit the potential resident was encouraged to have a look around the home, meet residents and staff and ask questions. The manager and staff have taken care to help the resident to settle in and they showed understanding of the emotional impact of such a move. Garden House DS0000007092.V318627.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, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported to make decisions about their daily lives and goals for the future. They have opportunities to contribute their views to the way in which the home runs and feel confident that they will be listened to. EVIDENCE: The home uses a care planning system which devises ‘individual service plans’ to record the support required by each resident. Staff have undertaken training in the operation of planning system. The plans seen had clearly identified goals which had been drawn up with the involvement of the residents and reflected their wishes and needs. Residents take part in planning meetings and reviews of their placements. Each resident has a key worker with whom they meet to discuss their daily routines and longer term goals. Key workers complete monthly summaries of residents’ progress and activities which form part of the monitoring systems. All of the residents have contact with an advocate who visits the home and is invited to contribute to care planning and review meetings. Residents confirmed that they have input into the running of the home through attending Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 10 monthly residents’ meetings. The meetings are used to discuss issues of general concern with residents and act as a forum for residents to raise their own issues. In addition to the in-house consultation systems Leonard Cheshire Foundation has a ‘Service Users’ Support Association’ and details of how to contact representatives were available in the home. Residents’ files included information on activities and behaviours that may present a risk to residents. These included consideration of risks while using public transport. The assessments identify the action to be taken to minimise the risks involved and are regularly reviewed. Residents’ personal information is stored with due regard for confidentiality. The organisation is registered under the Data Protection Act as required. Garden House DS0000007092.V318627.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): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Links with the community are good and support residents’ social and educational opportunities. Residents are helped to keep in touch with their family and friends. The food provided takes account of residents’ needs and preferences. EVIDENCE: Each resident has an individually tailored activity programme which reflects their interests, abilities and needs. Residents take part in a range of day time activities including paid employment, voluntary work, attending day centres and adult education classes. Other activities include cookery, music therapy, gardening, watching television, going to Church, music, craft, games and shopping. Some of the residents attend social clubs and trips to the cinema, pubs, theatre and restaurants are arranged. One of the residents is supported to follow his interest in Dr Who and he has attended national conventions with staff members. Some of the Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 12 residents had been involved in a fund raising event for Leonard Cheshire which had involved playing at a concert with an orchestra. Photographs of the event had appeared in a Leonard Cheshire magazine and residents showed pleasure at the recognition they received. Residents use public transport and there is also a car available. Some of the staff are approved to drive the vehicle and this enables the residents to access community facilities when this may otherwise be difficult. The residents are given opportunities to maintain and develop skills. In addition to the formal education and training opportunities noted above the residents take part in planning and preparing meals, and household tasks such as laundry, cleaning and shopping for the home. Residents’ relatives who responded to the questionnaire confirmed that they are welcomed to the home at any time, that they are given privacy during the visits and that they are kept informed about important matters concerning their relative or friend. In one of the files examined there was a list of people who are important to the resident along with significant dates, such as birthdays, so that their key worker can support them to send cards. This shows that the staff value residents’ relationships and provide practical support to maintain them. One of the residents has a relative who was in hospital at the time of the inspection visit. Staff showed sensitivity and understanding to the resident. During the inspection she was accompanied by a member of staff to make a visit to the hospital and other visits had been made and were planned. Residents can choose when to spend time alone or with the group. There are no unnecessary or unreasonable restrictions on the residents’ movement about the home. Residents are offered keys to their bedrooms, one said that he has a key and notes in another resident’s file showed that they had chosen not to keep a key. There is a planned menu which includes fresh fruit and vegetables and other fresh items. Residents frequently choose alternatives to the planned menu and these changes are recorded. Account is taken of residents’ preferences, health requirements and cultural needs as part of the menu planning. Residents said that they like the meals and enjoy assisting with preparation of meals. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the support needs of residents who have lived at the home for a long time. Partnership with health care professionals ensures that the health needs of the residents are met. Records about the care is provided must be complete and show how the staff assist residents when they are upset. Medication is well managed but staff understanding of why medicines are given will be improved by access to patient information leaflets. EVIDENCE: Residents to whom the inspector spoke said that they were happy with the way that they are looked after at the home. Easy and warm communication was seen between staff and residents. Relatives also expressed satisfaction with the care provided by the home. Residents were all well dressed, appropriate to their age, the weather and their activities. Each of the resident has a key worker and discussion with a key worker showed that she is very familiar with the resident’s needs and history. As the team is mixed, although there are more female staff, for at least some of the time male residents can be cared for by male staff. The composition of Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 14 the staff team allows for female residents to always be assisted by female staff. It was noted on one of the files examined that some improvements are needed to the way staff record residents’ daily progress. For example two entries were as follows ‘[the resident] is in moods’ and ‘[the resident] don’t want to do anything, just shouting at staff’. These entries did not indicate what may have caused the resident’s upset mood, nor did it give any details about how the resident was helped. The way in which the entries are made does not demonstrate understanding of the purpose of recording. The information on residents’ files included relevant information about their social and medical history and current medical needs and how they are managed. There were also details about when residents were last seen by a range of health care professionals and the outcome of the appointments. The records allowed for effective monitoring of residents’ health care needs and demonstrated good liaison with specialists appropriate to the needs of the residents. Medication is stored safely and administered to residents by staff, according to the prescriber’s instructions. The medication administration records were in good order. Shortly before the inspection visit the local PCT community pharmacist had visited and their report concluded that the home had ‘excellent management of medication.’ The Senior Support Worker confirmed that the action points recommended had been implemented. Staff received training in the management of medication in July 2006. A health action plan was on a resident’s file and included information about the medication that the resident is prescribed. The home does not currently have patient information leaflets for all of the medication administered. These should be obtained from the pharmacy as they will be useful for residents and staff. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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 complaints and adult protection policies contribute to the protection of residents. Although residents are aware of the procedures some relatives were not. When a resident is admitted to the home a list of their property must be drawn up as soon as possible. This will strengthen the systems to protect their interests. EVIDENCE: All of the residents have been informed about the Leonard Cheshire complaints procedure through a letter from the Regional Complaints Co-ordinator. The letter is written in a pictorial format using ‘widgets’ and includes a photograph of the person to contact and the details of how to do so. Only one of the three relatives who completed a comment card prior to the inspection visit were aware of the complaints procedure. It is required that copies of procedure are supplied to relatives. Residents are aware of the complaint procedure and of the need to raise concerns with someone who could help. One resident said that he would talk to his social worker if he was worried about something. There have been no complaints over the last twelve months, nor have there been any adult protection matters. Staff have received refresher training in adult protection issues. There are safe arrangements in place for dealing with the residents’ financial matters. However a property list had not been compiled for the most recently admitted resident. It is a requirement that a list of property is compiled as soon as possible after the admission of a resident in order to adequately protect them. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Bedrooms and communal areas are comfortable, well furnished and suitable for the residents. There is a system to ensure that repairs are carried out and some matters were awaiting attention. The home is very clean. EVIDENCE: The building is made up of three terraced houses that have been adapted to connect on the ground floor. There are two large lounge areas on the ground floor, giving residents a choice of sitting area and T.V to watch. The main lounge has a dining area, with a serving hatch between it and the large kitchen. Redecoration and new furniture in the lounges has improved the homeliness of the communal areas. Further work is planned to improve the conditions. The ground floor also has a laundry room, staff office, store room, and a toilet. Two bedrooms are on the ground floor, and are suitable for people with mobility problems. One of these bedrooms has an en-suite bathroom fitted with a ‘Parker’ bath. The remaining bedrooms, and a number of toilets and bathrooms, are on the upper floor. The inspector saw four bedrooms. Residents had personalised their rooms and said that their liked them. All of the rooms were cleaned to a satisfactory standard. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 17 Repairs are needed in some parts of the building. Some ceilings have stains caused by water damage and these need repair. In addition a metal bar at the doorway of a WC is damaged and could be a trip hazard. The inspector was told that these matters had been reported. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. 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. There are enough trained and supervised staff to meet residents’ needs. A stable staff team allows residents to benefit from consistent care. EVIDENCE: The staff team is made up of, in addition to the Registered Manager, a senior support worker and eight support workers. Turnover in the staff team is low. Vacancies caused by annual leave and sickness can be filled by members of the staff team working additional hours. In addition members of a staff bank will work on a temporary basis. Most of the temporary workers are familiar to the residents. One member of this team used to be a permanent staff member. These factors allow consistency of care for the residents. Of the permanent support workers, six are full time (37 hours a week) and two are part time (working 24 hours a week and 30 hours a week). The inspector saw that staff had easy and warm relationships with residents. Three members of the staff team have achieved NVQ 2 or above, four other members are currently undertaking the qualification. Additional training which the team have had over the last year includes health and safety matters, care Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 19 issues including key working and care planning and management matters including supervision, managing sickness and employment tribunals. The manager had not been supplied with the full details of the training available during 2007 but stated that the NVQ training programme will continue. The rota shows that between the hours of 8am and 8pm there are three members of staff on duty and this rises and shift changes. After 8pm there are two members of staff on duty, both of whom sleep in the home. Extra staffing is arranged if residents are following evening activities. Additional assistance and advice is available out of office hours through the on-call system. One person on each shift is identified as the shift leader. The shift planning system ensures that all necessary tasks are carried out and that staff are clear about their responsibilities. A recruitment record was checked of a member of staff who had joined the team since the last inspection. The record was in good order and showed that the appropriate checks and references had been taken up, that a three month probationary period had been completed, and the person had been issued with the staff handbook and General Social Care Council Code of Conduct. There are appropriate arrangements for supervision of staff and an appraisal system is in operation. Staff meetings take place each fortnight and are important as a forum to share information and discuss issues of concern amongst the team. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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. The home is managed in a way that supports the provision of good care for the residents. There are several ways in which residents are consulted about the running of the home and there is consideration of how these opportunities can be increased. Health and safety matters are well managed. EVIDENCE: The manager of the home has been registered under the Care Standards Act since October 2004. He is suitably experienced and has undertaken training relevant for the role. Records showed that visits by managers from Leonard Cheshire Foundation visit the home as required by regulation. The visits include discussions with residents and staff as well as looking at records and checking the premises. Residents’ meetings are held regularly and these act as a forum for residents to share their views with staff. There are a number of other quality assurance Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 21 measures which the managing organisation has in place. A questionnaire for residents has been devised and the survey is to be conducted by staff from the organisation’s head office. An audit of the home’s record keeping is to be carried out soon and an annual self assessment of the operation plan for the home is conducted. The organisation is working towards achieving the ‘Investors in People’ award. There are good arrangements for dealing with health and safety matters in the home. Staff have received training in a range of relevant topics including food hygiene, risk assessment, infection control, fire safety, moving and handling and first aid. Fire drills take place each month, a fire risk assessment is in place and appropriate checks of safety equipment in the home are made. No issues of concern regarding health and safety were raised during the visit to the home. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 22 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 3 3 2 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 X 3 X 3 X X 3 X Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 23 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 YA3 Regulation 14(1)(d) Timescale for action The Registered Person must 01/04/07 ensure that the admission procedure includes issuing written confirmation that the home can meet the assessed needs of the resident. The Registered Person must 01/04/07 ensure that the home has access to patient information sheets about all items of medication they administer. The Registered Person must 01/04/07 ensure that copies of the complaints procedure are supplied to relatives. The Registered Person must 01/04/07 ensure that a list of their property is drawn up as soon as possible after a resident is admitted to the home. Requirement 2. YA20 13(2) 3. YA22 22(5) 4. YA23 13(6) Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA18 Good Practice Recommendations The Registered Person should ensure that staff are given management guidance about recording matters relating to residents’ behaviour. Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 Garden House DS0000007092.V318627.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!