Inspection on 31/07/07 for Gladstone Road, 31

This inspection was carried out on 31st July 2007.

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

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

Other inspections for this house

Gladstone Road, 31 12/06/09

Gladstone Road, 31 10/07/08

Gladstone Road, 31 15/05/06

Gladstone Road, 31 14/12/05

Gladstone Road, 31 01/07/05

Gladstone Road, 31 04/03/05

Gladstone Road, 31 23/09/04

Gladstone Road, 31 01/03/04

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

CARE HOME ADULTS 18-65 Gladstone Road, 31 31 Gladstone Road Bootle Liverpool Merseyside L21 1DG Lead Inspector Ms Lorraine Farrar Key Unannounced Inspection 31st July 2007 10:45 Gladstone Road, 31 DS0000005247.V340957.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 Gladstone Road, 31 DS0000005247.V340957.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. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gladstone Road, 31 Address 31 Gladstone Road Bootle Liverpool Merseyside L21 1DG 0151 476 1964 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) Expect Limited Vacant Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to a maximum of 3 service users in categories MD or LD may be accommodated. 15th May 2006 Date of last inspection Brief Description of the Service: 31 Gladstone Road is a four bedroom terraced house situated in a residential area of Bootle. The home is registered to provide accommodation to three adults who have a learning disability or who need support with their mental health. The house provides 3 bedrooms, two lounges, a small dining room and kitchen. In addition there is a sleep in room / office and enclosed back yard with seating. Parking is on the street outside. Staff are available 24 hours a day to provide support. During the day there are one or two staff providing support and at night a member of staff sleeps in the house. The service provider for the home is Expect LTD. They are a local organisation and registered charity, who provide support to people within the local area. The registered Landlord for the property is Hornby Housing Association. It currently costs £334.50 each week to live at 31 Gladstone Road. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection report was gathered in a number of different ways. This included reading records and looking at the building. ‘Case tracking’ was used as part of the site visit to the home. This involves looking at the support a person gets, including their care plans, medication, money and bedroom, time is also spent talking with the people who live there and with staff about how they meet the persons needs as well as observing daily life within the home. Only two people were living at 31 Gladstone Road during the site visit, discussions took place with one of the people living there and with the appointed manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last big inspection of the service is also taken into account along with information the organisation have sent to the CSCI that was requested in a self assessment form. An easy to read summary of this inspection report is available. If you would like to see a copy please ask the staff working at 31 Gladstone Road. What the service does well: 31 Gladstone Road provides people with a comfortable and homely place to live that is fits in well with the local community and is near to local facilities. Individual care plans are in place for the people living there which provide guidance to staff on how to support people where needed whilst ensuring they are able to be as independent as possible. The people living at 31 Gladstone Road are aware of the contents of their care plan and discuss them with their keyworker. This ensures that they are as informed as possible about the service provided to them. There is a well established staff team working at the house, who have built good relationships with people and have a good understanding of how to support them effectively. A new manager has been appointed who is experienced in working with people with learning disabilities and who has implemented several changes within the house to benefit the people living there. This includes ensuring they are supported to learn and maintain everyday skills and planning future training for the staff team. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 6 People receive support from staff to get out and about in their local community and to plan leisure activities of their choice. When at home there are a variety of activities for people to engage in and the staff team spend time socialising with people as well as providing support where needed. What has improved since the last inspection? What they could do better: Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 7 The way in which peoples money is managed and the reasons for this are not clearly identified in their care plan. This information would help to identify where people could be supported to increase their independent living skills and ensure they are as informed as possible about the support provided to them. Some of the polices and procedures provided by the organisation are ‘clinical’ in their wording and do not accurately reflect the services ethos of supporting people to live ordinary lives and make their own choices. 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. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided to and obtained about people considering moving into 31 Gladstone Road. This enables everyone to be sure that the persons support needs and their choices can be met whilst living there. EVIDENCE: Nobody new has moved into 31 Gladstone Road recently therefore it is not possible to practically assess the support offered to people considering moving in. There is however a procedure in place for staff to follow to ensure that before anyone moves in their needs and choices are fully assessed and they are provided with information about the service. This includes offering the person the opportunity to visit the house and stay overnight. The manager was able to explain how she would follow this process to ensure that everyone had sufficient information to decide if 31 Gladstone Road is the right place for the person to live. An information brochure about the service is given to everyone living or considering living there with a copy available in the hallway. This had been provided in an easy to understand format with the use of photos. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 10 This is good practice as it helps to make sure people have as good an understanding as possible about the service before they move in. However the information was all typed in capital letters, which could make it harder for some people to read. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples individual support needs and choices are generally identified and they are supported to achieve these as independently as possible. EVIDENCE: There are up to date care plans in place for both of the people living at 31 Gladstone Road. These provide information about the things the person does and does not like, their social life and how they communicate. Information is also recorded about the things the person is able to do independently as well as the things they need staff support with. One of the people living there explained that she has a keyworker and regularly discusses the contents of her care plan with her. This helps to ensure that the guidance in care plans is up to date and that the person is aware of and in agreement with, the information recorded about them. Individual risk assessments also form part of the persons plan, these identity areas of risk to the person and give guidelines to remove or minimise that risk. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 12 This helps to make sure that people are safe and their lives are not unduly restricted. The organisation have recently introduced some of their polices and procedures in an easy to understand format. In discussion with one of the people living at 31 Gladstone Road she explained that the manager read through these with her and she, “thought they were very good” and was able to understand the information. Daily records evidenced that peoples care plans are followed and they are encouraged to make their own decisions and take part in daily life within the home. This was also seen during the site visit when one lady was supported to become involved in household tasks whilst another was out shopping to choose new carpets for the house. One of the people living there was planning to move bedrooms. Her notes recorded that the manager had discussed this with her along with the pros and cons and then suggested that she thought about it and discussed it with her family. The lady confirmed during the site visit that she had been given time to make her decision and not been pressurised. This practice enables people to have more control over their lives and also to develop long term decision making skills. The organisation act as appointee for both peoples benefit money. One lady explained that her money is kept safe in the office but “I can have it when I want”. No easy to understand procedure about how peoples money is managed is available and there is no assessment of the persons capacity to manage their own money. These would provide people with information about how their money is managed and the opportunity to increase their independent living skills in this area. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Peoples individual lifestyle choices are recognised and they are supported to achieve these as independently as possible. EVIDENCE: Records showed that the people living at 31 Gladstone Road are provided with support to become involved in the daily running of their home and to spend their time engaged in leisure pursuits of their choice. One lady explained that, “they ask what I like to do” and that she had recently been on a holiday of her choice and out for the day with her keyworker to Southport. She also explained that following discussions with her keyworker she is planning to look at courses at a local college with a view to joining in September. During this and previous site visits to the house staff have been observed to spend time with people engaged in conversation, outings on a 1-1 basis and supporting them to make everyday choices such as what to eat and where to go. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 14 People are also supported to become involved in the daily running of a household and to become more independent in these tasks. For example one lady’s records showed that she had recently learnt over a period of three weeks to get the trolley and put the money in independently whist out shopping. During the site staff were supporting her to go food shopping then put the food away. The lady explained that, “staff help” but she also “does some things myself”. This support helps people to develop their independent living skills and ensures that staff are supporting people rather than doing things for them. The organisation have introduced an easy to read procedure on the support they will offer people with activities and religion. This states that “Staff will make sure your cultural, ethnic and religious needs are fully met. This means that, for example, the staff will make sure if you want to attend a particular church they will support you to do this”. One of the people living there explained that she had read this with the manager and understood the support that was available to her. Staff provide support to people to talk with their family and friends on the phone and to visit them and a policy is in place to say that visitors are welcome. An individual menu sheet is available for both of the people living at 31 Gladstone Road. These showed that people are offered support with their diet and a variety of meals with plenty of fruit and vegetables available. One care plan contained guidelines for staff to follow to support the person to eat their meals safely. The manager was able to discuss this support and how it is offered on a regular basis. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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. Peoples health and personal care needs are identified and they are supported to meet these as independently as possible. EVIDENCE: Records showed that routines in the house are flexible with people getting up and going to bed when they want to and receiving support with their personal care. Care plans contain clear guidance for staff about how to provide the support people need whilst encouraging them to be as independent as possible. One of the people living there explained that staff help her when she needs it with her personal care and health care but that she is also encouraged to be as independent as possible with her personal care. This is good practice as it ensures people are supported were they need it but encouraged to maintain and develop further life skills. Care plans contain a section on supporting people with their health care needs, this showed that they receive support to attend regular health appointments such as the GP and dentist. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 16 Medication in the house was checked for both people. This was stored correctly with regular checks made to ensure stocks match records and it is given correctly. One lady explained that, “ I am going to be looking after my own tablets”. The manager explained that following discussions with her she is planning a long term support plan and risk assessment in this area. This is good practice as it enables people to have as much control as possible over their own lives whilst remaining safe. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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 people living at 31 Gladstone Road feel safe and are confident that any concerns they have will be listened to and acted upon. EVIDENCE: No complaints or concerns have been raised about 31 Gladstone Road since the last inspection. There is however a policy in place from the organisation for dealing with any complaints or concerns that are raised and a copy of the local authority procedure for dealing with any adult protection concerns. These provide advice and guidance to staff on how to deal with these issues, and staff have attended training in recognising and dealing with adult protection concerns. Information about the complaints procedure is available to the people living there via the house brochure. Although this is not yet available in an easy to understand format, the manager explained that there are plans to provide this. One of the ladies living there said that if she had any concerns she would tell the manager, explaining, “she would sort it”. Records of people’s money held within the house were checked and tallied with the amounts held. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 31 Gladstone Road provides a clean, comfortable and safe home for people to live in, which meets their needs and choices. EVIDENCE: Based in Bootle the house is part of the local community and provides good access to local facilities and transport. There is enough space within the house for the people living there, visitors and staff, communal rooms include, a large downstairs lounge, small dining room, kitchen, enclosed back yard with seating and a small upstairs lounge. In addition there is an office / sleep in room for staff. One lady is planning to move to a different bedroom and explained that she had chosen the colour of the walls and was going to choose a new carpet. .The hallway had just been decorated and one of the people living there was out choosing a new carpet. A new suite has been bought for the lounge and the manager explained there are plans to replace the carpet and decorate this room. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 19 All areas of the house were clean and tidy during the site visit with peoples bedrooms personalised with their possessions Overall the house is homely and welcoming, once the planned work is completed it will provide a nicely decorated and maintained home for people to live in. At previous inspections it was identified that wooden bars at the window made the house stand out locally and that the people living there did not like them. These have now been removed and enable the house to blend in with other domestic homes in the area. There is an infection control policy in place and staff are provided with equipment to deal with any outbreaks of infection. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at 31 Gladstone Road are supported by an experienced staff team who are able to support them with their needs and choices. EVIDENCE: One of the people living at 31 Gladstone Road described the staff team as “very nice” explaining that she has a keyworker who goes out with her and discusses her care plan with her, explaining that,” I like the staff”. Records showed that before any new members of staff are employed at to work at 31 Gladstone Road a series of checks are carried out. These include obtaining written references and a Criminal Records Bureau (CRB) check along with a check of the protection of vulnerable adults list. These checks help to ensure that staff are suitable to work with the people living at 31 Gladstone Road. There are four staff working permanently at the house including the manager. The three care staff have worked there for some time and provide stability for the people living there. Throughout this and previous site visits they have displayed a good understanding of the needs and choices of the people living Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 21 there and have been observed spending time socialising with people as well as providing support. Most of the staff hold a care qualification and records showed that they have undertaken some training in areas of care with future training planned. Where staff need training or updated training in areas such as moving and handling and food hygiene the manager has identified this and has plans in place for them to attend the training. Once this training is completed staff will have a good knowledge of up to date practice and how to support people safely. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 31 Gladstone Road is managed for the benefit of the people living there, however polices do not always reflect this. EVIDENCE: Mrs Chris Synott is the appointed manager of 31 Gladstone Road. She is experienced in working with adults with a learning disability and in management. Mrs Synott holds a care qualification and is currently working towards obtaining a Level 4 National Vocational Qualification (NVQ). She explained that once this is completed she intends to work towards obtaining a formal management qualification. This training will help to ensure she is up to date and aware of current good practice is supporting people and managing a staff team. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 23 Throughout the site visit Mrs Synott displayed a good awareness of her role in supporting people and it was evident that in the time she has worked there she has put practices and systems into place to benefit them. This includes ensuring people are encouraged and supported to maintain and improve their everyday living skills and ensuring training is identified and planned for the staff team. Mrs Synott is aware that she needs to apply to the CSCI to become registered as the manager of the service. This will help to ensure that she is a suitable person to be managing a care service for adults with learning disabilities. There are a number of systems in place within the service to check and plan to further improve the quality of the service. These include regular audits of care plans and medication. The organisation sends a senior manager to the house each month to carry out a documented visit. This includes looking at records, the environment and speaking with the people living there. If any issues are identified a plan is compiled to ensure these are addressed. In addition the manager has compiled a plan for improvements within the service and evidence was seen that she is addressing these. A policy and procedure file is in place for the house, which contains clear information and guidelines for staff to follow. In addition to this the organisation have begun providing some policies to people in an easy to understand format. This is good practice as it enables people to understand as much as possible about the service provided. However some of the policies are not written in a way that is in keeping with the values of supporting people to be as independent as possible. For example a policy for supporting people with personal care states that, “Following their bath a service users toe and fingernails shall be checked and where required cut”. No mention is made of the service users abilities to do this themselves or their choices in the matter. Similarly an easy to understand policy on medication provides a clear explanation and pictures to aid understanding. However it informs people that the policy is for them if they may have some behaviour problems / have been prescribed medication to help with this behaviour / need help with this medication”. No mention is made of medication to support people to stay well or to deal with ill health. These polices were not in line with practices observed in the home whereby people were supported to make their own choices and be as independent as possible. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 24 Records and certificates showed that regular checks are made on the building and equipment to ensure it is safe. This includes checking fire systems, gas and electrical appliances. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 25 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 X 4 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 3 2 X 3 2 Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA7 Regulation 15 Requirement Timescale for action An assessment of how and why peoples money is 30/09/07 managed must be carried out. This will ensure that people are supported to be as independent as possible and as informed as possible about how their finances are managed. 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 YA40 Good Practice Recommendations - Polices and procedures should be reviewed to ensure they are in line with the organisations ethos of supporting people to be as independent as possible and live ‘ordinary lifestyles’ - Research should be carried out to ensure ‘easy to understand’ polices are provided in the best possible format. This will help to ensure that staff have clear guidance and people living in the service understand as much as possible DS0000005247.V340957.R01.S.doc Version 5.2 Page 27 Gladstone Road, 31 about the service provided for them. Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Gladstone Road, 31 DS0000005247.V340957.R01.S.doc Version 5.2 Page 29 - 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. 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