Inspection on 25/08/05 for Gilbert Scott House

This inspection was carried out on 25th August 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Gilbert Scott House 21/02/06

Gilbert Scott House 30/11/04

Gilbert Scott House 29/07/03

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

CARE HOME ADULTS 18-65 Gilbert Scott House 22-23 Old Weston Road Flax Bourton North Somerset BS48 1UL Lead Inspector Nicola Hill David Kidner Announced 25 August 2005 th 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 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 Stationary 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. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Gilbert Scott House Address 22-23 Old Weston Road Flax Bourton North Somerset BS48 1UL 01275 464875 0117 9699000 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Brandon Trust Marie Cox Care Home 5 Category(ies) of 1. People with learning disabilities aged 18 - 64. registration, with number of places Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 5 adults with learning difficulties. 2. There will be a minimum of three staff on duty at the home between 7.30am and 9.30 pm for the three identified residents. 3. Any additional admissions will be subject to a review of staffing levels. Date of last inspection 30th November 2005 Brief Description of the Service: Gilbert Scott House has been commissioned by the Brandon Trust as a specialist home for intensive support for those service users who have learning disabilities but also at times have challenging behaviours. It is situated at Flax Bourton, approximately 4 miles from Bristol and has transport in order that residents can be supported to access all the leisure and community facilities available in Bristol. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection for Gilbert Scott House took place with the home manager Marie Cox. The residents relatives and staff at the home were involved in giving their views of the service. Comment cards had been sent to the home for completion prior to the inspection. The residents have limited communication and were unable to participate fully in the inspection process, therefore the inspectors spent time sat in the communal areas observing the residents. The overall impression from the observation of residents in their home was that they were able to make personal choices about where to be in the communal areas of the home. Communication between the staff and residents was restricted, however, additional support from the CLDT has been requested in order to facilitate and improve this. What the service does well: What has improved since the last inspection? The home has been successful in recruiting staff and this has had a positive effect on the morale of the team. The positive benefit for residents is a settled staff team who understand and respond effectively to their needs. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 6 The Trust are in the process of appointing independent advocates for all the residents to ensure that their personal choices and decisions are included in service planning. The organisation and frequency of daytime activities and excursions away from the home for residents has improved and was witnessed during the inspection. The staffing levels at the home have been constant and where possible bank staff that are known to residents are used to cover any shortfalls. 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. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 There is clear information available about the service for potential service users and carers/advocates acting on their behalf. EVIDENCE: The homes statement of purpose and service user guide was produced when the home opened. Relatives of one resident were given the statement of purpose prior to their son being admitted, but have not received a service user guide. There have been no admissions to the home and ccurrently there are no vacancies for permanent residential care. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 There is a clear and consistent care planning system in place to meet individual needs and aspirations. Residents’ known choices form the basis of the day to day activity of the home, however, staff must develop communication systems with residents to enable them to make personal choices about their daily lives. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 10 EVIDENCE: All residents have a detailed care plan in place with assessments based on the Fancap assessments. These were found to be very detailed and comprehensive. They gave information relating to residents abilities in relation to personal care, daily living skills, orientation and memory, health needs and included personal likes and dislikes. The care plans are linked to the care management reviews, which take place on a regular basis but have limited input from the resident. The staff are working with residents, their families and carers to compile personal plans which identify the day to day events that are essential to the residents well being. For one resident it was identified on the care plan that he was able to use a wide range of Makaton. The record relating to this care plan does not identify how or when any Makaton had been used. This example of the lack of specialised communication systems was discussed with the manager who understood that communication with residents needed to be developed as a priority. She has already referred all the residents for a speech and language therapy assessment in order to identify levels of comprehension and the most appropriate communication systems for each resident. There is evidence of the activities timetable for the residents being directly linked to the known personal choices and preferences of the residents. As the residents have varying abilities of communicating their wishes, some of the information in the plans has been obtained by observation of the resident in different situations. It was observed as part of the inspection, that the staff interaction with the residents was limited. When the residents were observed to be offered choices by staff, they were closed choices such as do you want a cup of tea. The inspectors advised that by using simple communication tools such as pictures or terms of reference it opened up the communication channels. This then widens the choice available to the residents and gives them a greater degree of control. Risk assessments should be carried out as part of the process to support residents to follow and engage in a lifestyle of their choice. For example, one risk assessment was an assessment concerned about the risk a resident presented in the kitchen. The assessment should have identified the control measures that could be used to ensure that the resident could use the kitchen safely. The risk assessments the inspectors read were varied and it is important to establish what is a risk e.g. crossing a road and what is a personal care support need, e.g. a night time toileting regime. All of the residents have their own personal physical intervention risk assessments. The manager was advised that where PRT is used, the care Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 11 plan must stipulate the agreed techniques to use. All staff at the home have received training in PRT but a cohesive approach must be used in order to safeguard their staff and residents. The manager was reminded that any use of restraint must be reported to the commission. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 Residents are able to access varied activities, access to social and educational opportunities are limited but where possible are used. EVIDENCE: The residents were observed to have opportunities to be part of the local community, to access community facilities and benefit from a planned programme of activities in and outside the home. The community day-care team and staff from the home support this. The inspectors discussed with the manager how this was working; the manager commented that the staffing levels within the day-care team had improved and that there was now a dedicated day-care team allocated to Gilbert Scott House and Woodlea. There were some changes planned to the way in which one service user in Bristol was supported which would release more staff for the day-care team. This in turn would mean that the house staff would not always be needed to support day-care activities. The inspector was able to see that all the residents went out for some part of the day on an individual basis and the organisation and regularity of this occurring has improved over the past six Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 13 months. The organised activities ensure that the residents have a break away from each other and are able to follow an activity that interests them and so prevent boredom. Cue Cards are kept in the vehicle so that residents can make choices about how this time is spent. The only difficulty in the provision of this day-care support was that the routine for support is outside the control of the manager of the home. This means that the day-care takes place whether or not it is acceptable to the needs of the resident at that time. Although there can be a degree of flexibility, the day-care service works office hours and there is no cover at weekends or bank holidays. The limitations of the service means that the day-to-day running of the home are dictated by the programme of the day-care team and the home is run to meet the needs of the staff team rather than the residents. In addition to planned events the residents are taken out either in the car or for walks to enjoy the local area when staff levels are sufficient. During the inspection one resident was visited by his parents who intended to take him out for the day. They were happy to talk with the inspectors and stated that they were very pleased with their son’s placement at Gilbert Scott House. In comparison to his last placement, they felt that the standard of care was much higher with a good staff ratio. The support for their son by the daycare service was very positive as he had attended and been successful with an Asdan educational course. They stated that there son had remained much the same still up and down but that was his character. They had attended and been included in his care management reviews. They were also very pleased that he had been supported to go away on holiday. Some of the residents have regular contact with their family, which is supported by the staff at the home. The staff support residents on home visits by providing transport and also by transporting relatives to Gilbert Scott House for visits. The inspector observed that residents had pictures in their rooms of outings with relatives and significant events such as birthday parties. The staff at the home are able to cook good quality meals, which are planned to meet the preferences of the residents. There are no residents who are overweight and the planned menu is reviewed to ensure that a balanced diet is provided. The staff should be reminded to probe food (protein) to ensure it reaches the required temperature and record this. When take-away food is purchased the food should be probed before serving and should be above 63° centigrade. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20 The health care needs of the residents are well met with evidence of access to various health care providers. The medication at the home is well managed with regular reviews. EVIDENCE: The personal care support for each individual is identified and known to the staff team. There is an outstanding referral to the speech and language therapist of the CLDT for all the residents. The manager was urged to request an urgent assessment so that communication can be developed with the residents. The residents have primary care needs met by the local GP practice and specialist care needs met by the CLDT. The individual personal files have information on them indicating that the health care needs of individuals is monitored and any action needed is taken. One of the residents is under Section 117 and has a CPA. The inspectors were able to read the notes from the latest review. None of the residents at Gilbert Scott House are able to administer and take control of their own medication. The medication at the home is stored Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 15 correctly and was found to be well managed with minimal use of when required medicines. For each resident who is prescribed, “When required” medication there is a protocol to follow which indicates what would trigger the use of medication. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Complaints and concerns relating to the protection of vulnerable adults are acted upon appropriately. EVIDENCE: The organisation has a rigorous complaints procedure; no complaints have been received. All staff at the home have undertaken training to enable them to recognise abusive practice and the action to take to report any concerns. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,27,28 The residents at Gilbert Scott House have a safe environment that requires regular maintenance and redecoration due to the heavy demand made on it by the residents. EVIDENCE: The inspectors toured the building with the manager who explained that although the home has been open less than 12 months, redecoration was being undertaken in the communal areas due to the type of use of the building. Therefore the building appeared to be quite stark with minimal furniture and soft furnishings. The curtains were in the process of being made and fitted with Velcro to prevent damage when they were pulled down. It was noted that some carpets in the communal lounges were in need of cleaning, the manager explained that this carpets have been heavily stained when they moved in and required replacement. In bedroom number one the carpet was planned to be replaced by washable flooring, however, the manager was unable to give the inspectors an idea of when this may occur. Other areas of the physical environment, which were noted for remedial action, are: Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 18 • • • • The kitchen where the cooker hood had not been used and was covered in dust, grease and had flaking paint, this presented a health and safety hazard and should be removed. The freezer storage area has a large damp patch on the wall this must be replastered and redecorated. The wardrobes in the bedrooms are not secured to the walls and a risk assessment should be carried out on each individual bedroom in order to identify the level of risk this presents to residents and staff The natural light in the communal lounge and three of the bedrooms is reduced by overhanging tree branches from the property next door to the extent that one bedroom cannot be used without turning on artificial light. One bathroom is currently out of use due to refurbishment, the flooring is due to be replaced, however, this means that the current number of bathrooms available to residents does not meet the standard. The communal outside areas are secure for the residents; the front garden is landscaped and very attractive. Although the rear garden is secure it is rarely used because the shrubs and bushes are overgrown, and patio area is very uneven. The inspectors visited the individual bedrooms with resident’s permission where possible and noted that they had been furnished to meet individual taste and need. The staff team at the home carry out all the domestic duties, the home was clean and free from any offensive odours. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 The staff have a very good understanding of the residents support needs. The manager is establishing a stable staff team at the home to provide a continuity of support to the residents. EVIDENCE: Since the last inspection the home has made progress in the recruitment and retaining of staff to the team. There are now only 4.2 fte vacancies at the home for support workers. This has enabled the services offered by the home to be developed to offer a wide range of activities and for staff to work on a one-to-one individual support basis with the residents. The home has a clear job description format and all staff have terms and conditions of employment. Staff consulted had a good understanding of their role and duties, the newest staff also confirmed that they had attended the corporate induction and had been enrolled in the LDAF. All staff have recently undertaken training in first aid, food hygiene, medication management and fire safety. The records consulted indicated that other training is accessed to meet the specific needs of clients accommodated. NVQ training is ongoing with several members of staff working toward level 2/3. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 20 The staff rota has been planned to ensure that there are four staff available on the shift during the daytime. The rota provided by the manager demonstrated how this worked. The staff supervision has been implemented on a formal and regular basis, although appraisals have not yet been implemented. A programme of staff supervision sessions has been planned and has been delegated to the senior support workers. The staff consulted said that they felt able to approach the manager and have their comments and suggestions regarding service provision listened to. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38,39,42 Residents’ known preferences and support needs influence the day-today running of the home. The manager provides clear leadership throughout the home in order to provide a safe and supportive environment for residents. EVIDENCE: Discussions with staff confirmed that there were regular staff meetings held approximately monthly and staff commented that there was good communication and use of a communication book/diary. There appears to be team cohesion and willingness to work together to benefit the residents. This was confirmed by staff who also expressed a high level of satisfaction with their work with this resident group. The staff also confirmed that supervision took place on a regular basis and that through this process they were able to identify training requirements. The staff expressed the opinion that for the residents who had transferred from Woodlea there was an improvement in their quality of life, although there was Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 22 room for development of the service. The identified improvements that staff recognized needed to happen were developing communication systems so that the residents can exercise greater choice in their lives and to improve access and the range of community facilities used by the residents. The staff team and manager were able to identify that the residents had changed since being at Gilbert Scott house, some had reduced episodes of challenging behaviour whilst others appeared to be using practical skills such as making cups of tea. This could not be verified using the daily reports or the care plans and therefore the positive achievements for both the residents and staff team could not been easily demonstrated. The inspectors discussed with the manager the need to monitor what is happening in the home, for example monitoring the incidents of challenging behaviour and try to identify any causal factors, but also to identify where the team have succeeded and achieved with the residents. The new quality assurance system has been implemented. It has identified the same areas for action as the inspectors and it is now incumbent on the manager to provide leadership to the team to ensure that the service developments are implemented and monitored for effect. The quality assurance for the home should be expanded to include the views of the residents possibly obtained through advocates and relatives. The manager sent out surveys to relatives and care managers and is in the process of summarising the responses. The inspector checked the cash tins for all four of the residents, all of which were found to be correct. There is a daily visual health and safety audit of the home. The fire exits for the home were discussed in depth with the manager as the door to the exits from the rear of the building (through the bedrooms) was locked. The locks on these doors were not linked into the fire alarm system and therefore will not release if the alarms went off. The manager understood this and proceeded to ensure that the exit in the empty bedroom was made freely accessible. The fire exit near the laundry room onto the patio area should be reviewed as a designated fire exit as it has very poor access and it is doubtful if the residents could escape to the fire assembly point safely through this route. The fire extinguishers around the home had been removed and put into locked cupboards. This was because the wall mounted storage boxes for the extinguishers were easily opened by the residents who then were able to get the extinguishers out. Replacement storage boxes had been requested. The inspectors emphasised to the manager that the fire safety risk assessment must be changed to reflect this situation even though it is temporary. The importance of chasing up the replacement boxes was also reinforced, as the Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 23 manager would be held responsible for removing the extinguishers should there be a fire. The fire logbook was inspected and evidenced regular checks and the last drill recorded was March 2005, although there had been an evacuation due to the alarms going off this was not recorded. The fire alarm system maintenance records were available. The accident/incident book was reviewed and it was noted that the incidents of aggression from one resident towards staff and other residents were recorded. The manager was advised to analyse these incidents to see if any patterns/triggers could be identified. Planned intervention can then be used to reduce the number of incidents. There was evidence of portable appliance testing. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 x 3 2 x x Standard No 11 12 13 14 15 16 17 3 3 2 2 3 2 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gilbert Scott House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 2 x x 2 x D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 7,13,14,16 Regulation 15,16 Requirement The manager and staff team must identify and develop the communication with residents in order to empower them to exercise their rights as individual citizens. The risk assessments for the residents must identify the PRT techniques used to provide continuity and ensure the safety of staff and residents. The flooring in bedroom one must be replaced. The fire exits for the home must be accessible. The fire safety risk assessment must identify where the firefighting equipment is stored. The manager must submit a plan of action in respect of the environmental work identified within the report. Timescale for action 25/08/05 2. 9 14,15 25/08/05 3. 4. 25 42 12,23 12,23 25/10/05 25/08/05 5. 24,28 12,23 25/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 26 Gilbert Scott House 1. 2. 3. Standard 1 14 39 The service user guide for the home must be available to residents and their relatives/carers. In order to have a resident focused and coordinated service recommended that there is an integrated staff team under the direction of one manager. The manager should expand the quality assurance for the home to ensure she can demonstrate that the views of service users underpin the developments at the home. Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier, Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Gilbert Scott House D53_D02 S20357 Gilbert Scott House V234212 250805 Stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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