Inspection on 30/07/07 for Gregory House II Care Home

This inspection was carried out on 30th 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gregory House II Care Home 04/10/06

Gregory House II Care Home 07/02/06

Gregory House II Care Home 15/03/05

Gregory House II Care Home 19/10/04

Gregory House II Care Home 20/10/03

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

CARE HOME ADULTS 18-65 Gregory House II Care Home 391/393 Mansfield Road Carrington Nottingham NG5 2DG Lead Inspector Stephen Benson Key Unannounced Inspection 30th June 2007 09:30 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 Gregory House II Care Home DS0000002231.V341282.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. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gregory House II Care Home Address 391/393 Mansfield Road Carrington Nottingham NG5 2DG 0115 969 2320 0115 924 5232 gregoryhouse2@aol.com 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) Mrs Pam McKale Michael Shaun Thomas Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2006 Brief Description of the Service: Gregory House II was originally a pair of semi - detached houses that have been converted into a care home to accommodate 12 people with mental health needs. It is located on a main road in the Carrington area of Nottingham, offering easy access to routes, shops a post office and local facilities and amenities. The house has a frontage laid to tarmac for car parking and there is a small, enclosed rear garden. Accommodation is provided on 3 floors and the premises are unsuitable for anyone with significant mobility problems as the home does not have a passenger lift. The manager said on 30/07/07 that the fees for the service range from £298.21 - £336.63 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is available in the statement of purpose and service user guide. The manager welcomes any telephone or email enquiries and a copy of the latest inspection report is available in the office. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. . The visit centred on looking at the key National Minimum Standards for younger adults. The site visit lasted for 6 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, staff on duty and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. A pre inspection questionnaire was completed and survey forms sent to the home by The Commission for Social Care Inspection had been completed by all of the residents. The registration certificate was checked and found to be correct. What the service does well: Prospective new residents are assessed either in their current surroundings or during a visit to the home, to make sure that the home is able to meet their needs. Residents are encouraged to make choices about what they do and are involved in making decisions about things that take place in the home. Residents are able to come and go as they please. Any risks residents face are assessed to find ways of reducing the risks to them, or if appropriate restrictions are made. Residents decide how they will spend their days, they make use of local community resources and use public transport. Residents are able to visit families and friends and there are not any restrictions on having visitors to the home. There is information about residents’ dietary likes and dislikes and residents are involved in preparing the weekly menu. Residents see to their own personal care if they are able to and are prompted by staff if needed. Residents receive support for their mental and physical health from local community professionals and staff. If a resident forgets to ask for his or her medication staff will remind them they have not taken it. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 6 There is a system for residents to make a complaint if they want to and an allegation of financial abuse has recently been reported and is being investigated. There is always at least 2 care staff and a nurse on duty and regular training is provided. Residents are involved in the recruitment of new staff and new staff have an induction approved by skills for Care. There is a suitably qualified and experienced manager in post and residents are able to express their views on how the home is run through completing questionnaires and taking part in residents’ meetings. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Gregory House II Care Home DS0000002231.V341282.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 Gregory House II Care Home DS0000002231.V341282.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): People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents are assessed before they come to live at the home. EVIDENCE: The care file of one recently admitted resident was seen and this contained a pre admission assessment. In addition there was information collected by the Community Mental Health Team. The manager said that someone from the home tries to always carry out a pre admission assessment in their current placement, however if this is not possible it can be done when visiting the home. Staff said that a pre admission form is always completed before a person can be admitted to the home. A recently admitted resident said, “I came to visit before I moved in, it’s better for me here than where I was”. Gregory House II Care Home DS0000002231.V341282.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 and 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents know their assessed needs, but these could be clearer in their individual plan. Residents’ make decisions about their lives with assistance as needed. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: Each resident had a care file and these contained a lot of information about the resident, what their needs are and how they should be met. At the front of each file there was a review prepared, which gave a good overview of the resident. There was a lot of information contained in the care plans, some of which was from some time ago and not current and could be archived. Care plans were not well organised and could be made easier to refer to. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 10 Care plans include details of resident’s gender, ethnic origin, religious beliefs and any disability. The manager agreed that the care plans needed to be made more user friendly and said he was looking to develop them to include goals and objectives for each resident. Staff said that all staff share an input in to care plans and they are updated at least every six months. Staff said they involve residents in their preparation and they are asked to sign them, although some refuse to do so. Staff said that hey find care plans useful as a reference document but agreed they could be much tidier. A resident said, “I have talked about my care plan with staff and signed it as I agree with it”. Some care plans seen were signed by residents. There is a form in the care plan listing choices and decisions made by residents about the time they get up and go to bed, when they want their meals, when they want to have a bath, whether they want to self medicate and what visitors they wish to receive. The manager said that residents are involved in making decision about life in the home through residents meetings and are involved in things like choosing the food shopping over the Internet. The manager said that residents were involved in choosing the change in décor and carpets, and in fact he had not liked the colour chosen for the entrance hall but now agreed that it had been a good choice. Staff said that they expect residents to make all decisions about their daily lives and they never say they have to do something, the structure of the home is easy going and relaxed. Residents were seen moving freely around the home, using the garden area and going out into the local area. Some residents have bus passes and regularly use public transport to travel round. Residents opened the front door to any visitors. A resident said, “I do what I want to, I decide how I spend my day. I like to listen to CD’s and read books in my room”. There were risk assessments seen in care files including ones for going out alone, crossing roads, finances, smoking, use of alcohol, risk of falling, physical and verbal aggression. The manager said that either he or a senior care complete risk assessments when a risk is identified. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 11 A resident said, “I’ve been out to the shops on my own. I am not allowed to smoke in my bedroom because of the fire risk. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents decide how they spend their time and make us of the local facilities. Residents’ rights are respected and they enjoy their meals and mealtimes. EVIDENCE: Due to the closure of day centres previously used by residents they do not have any regular daytime activity. The manager said that he is looking to find some employment in the area that would be suitable for residents and they could earn some extra money. The manager said a resident recently took part in a staff training session on basic food hygiene and this was very successful with the resident passing the course and gaining a certificate. The manager said that in future residents will have opportunities to join in staff training where appropriate. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 13 Staff said residents decide how they are going to spend their time and that one resident had tried a college placement but had not wanted to continue this. Residents will go out for brief walks to the shops and some visit a local pub. Residents had been offered to go to another day centre, but no one had wanted to take this up. A recently admitted resident said, “I don’t know what college courses are available but would be interested in finding out” another resident said, “I go to the pub for a pint every lunchtime”. The manager said residents use local pubs and shops and spend time walking round the local area. The manager said he is planning to hire a mini bus and organise a day out and that they don’t organise a holiday for residents, but will look to doing so in the future if residents are interested and prepared to save up towards the cost. The manager said he has introduced a resident of the month competition and the winner can choose an outing they would like to go on. Previous winners were displayed on one of the notice boards. Staff said that residents spend a lot of time in the local area and use local facilities, including shops, pubs and transport. A resident said, “I prefer to stay indoors, but others go out places like the pub”. The manager said friends and families are welcome to visit at any time there are no restrictions. Staff said residents are supported to go and visit their families if possible. A visitor was seen coming to the home several times and staff said he is always popping in to see one of the residents, who is a life long friend. A resident said, “My sister comes to see me every week”. The manager said that he would like there to be more opportunities for residents to take part in activity outside of the home and that staff will encourage residents to do things they indicate they would like to do. Staff said that residents determine their own routines and they all differ. Residents can get up when they want and there are no set routines. Residents were seen getting up at different times and a resident said, “Nobody tells me when I have to get up, I get up when I want”. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 14 The manager said that the main meal has been switched from lunchtime to the evening to give residents more opportunity to go out during the day. Care plans included good lists of the food residents like and dislike. This is also displayed on a notice board outside the kitchen. Staff said that residents can what they want for breakfast, some ask for what they want and others help themselves. Staff said they prepare a weeks menu at a time with the residents and they try to encourage healthy eating. Menus seen included mince and onions, pasta bake, sausage egg, chips and beans and chicken curry. The lunch menu had dishes like jacket potatoes, egg on toast and quiche and salad. A roast dinner is provided on Sundays. A pudding is provided with the evening meal and fruit is available at lunchtime. A resident said, “I enjoy the stews we have. You can always have an alternative if you want one. I often have cereals rather than sandwiches at supper”. Gregory House II Care Home DS0000002231.V341282.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 and 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive personal support in an appropriate way and their physical and emotional health needs are met. EVIDENCE: The manager said that only one resident requires assistance with personal care, the rest can manage to see to themselves, although some need to be reminded. Staff said they have to prompt residents sometimes to see to their hygiene. A member of staff was seen telling a resident that his shirt was wrongly buttoned up. This was the action described in the care plan staff should follow if the resident was inappropriately dressed. Residents were seen using the bathroom during the day and there are shower cubicles in bedrooms. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 16 A resident said, “I manage my own hygiene and I just put my washing outside my door and they bring it back clean”. The manager said each resident has a Community Psychiatric Nurse who provides them with support over their mental health. The manager said that he tries to keep staff up to date with current issues and practices in caring for people with mental health problems through information gathered using the Internet. The manager said that staff support the work of the Community Psychiatric Nurses through discussing things with residents such as their use of alcohol. The manger spent some time talking with a resident prior to me speaking with him to prevent him getting anxious. Staff said that residents tell you if they are not feeling well. Staff said that arrangements are made for residents to receive general health checks, including well man and women checks and dental check ups, although some will not attend appointments made. A resident said, “I’ve not seen the doctor, but I did see a nurse. Its handy the clinic is just across the road”. Staff were seen telling one resident they had an eye test the next day and another resident asked staff when his new glasses would be ready. They manager said that staff can only give out medication if they have been trained to do so. Staff said that residents normally come and ask for their medication and one resident likes to have his at set times. If a resident has not come to get their medication staff said they then remind them. Staff confirmed that they have been trained in the safe handling and administration of medicines. Staff were seen following the correct procedures when administering medication and Medicine Administration Records were fully completed. Gregory House II Care Home DS0000002231.V341282.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 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place for residents to raise complaints and any suspicions of abuse are acted upon. EVIDENCE: There were details of the home’s complaints procedure on a notice board and there were forms to fill in to make a complaint. The manager said there has not been a complaint made in the last year, but he will be looking to be more proactive in identifying any complaints and assisting residents to use the complaints procedure in the future. Staff spoken with were aware of the complaints procedure, but said they had not taken any complaints. A resident said, “I have no complaints, I would say if something is not right”. There was a copy of the Adult Protection Procedures, which were up to date. The home has a whistleblowing policy. The manager has recently notified an alleged incident of financial abuse to the authorities and the Police are currently investigating this. As a result the manager has made a number of changes to the home’s procedures for dealing with residents finances. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 18 The manager had not notified the Protection of Vulnerable Adults list that a member of staff had been suspended following an allegation of abuse, as he was unaware that this was his responsibility. The manager said he would do this straight away. . A resident said, “I have been treated very nicely since I came here”. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The décor of the home has been improved although a building of this age will require ongoing maintenance. EVIDENCE: As an older building there are some signs of age but overall the home appeared to be clean and tidy and well maintained. A number of the windows need attention where wood is rotting and glass panes are cracked. The bathrooms and toilets could be more homely. One resident is helping staff make some flowerbeds in the garden. There is a closed circuit security camera trained on the front door for security reasons. The manager said all the repairs and decorating highlighted at the last visit to the home have been carried out and also said that some carpets have been replaced and more are going to be over the coming months. One room had a Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 20 damp patch due to a leaking roof and although this had been repaired the fault had returned in the recent heavy rain. Much of the home was freshly decorated and this made a pleasant environment. There were new chairs in the lounge and a large plasma television. Staff said they thought the decoration of the lounge, corridors and stairs had greatly improved the environment. A resident said, “I like the building”. The home has a cleaner 5 days a week and staff and residents share in some of the cleaning. Staff said they have a policy of cleaning as you go so things don’t get left. There were cleaning schedules in the kitchen, which staff have to sign when a task is completed. Protective clothing is available and a resident said, “Everywhere is fresh, clean and tidy”. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 21 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 and 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by competent and qualified staff but not fully protected by the home’s recruitment policy and practices. Residents individual and joint needs are met by appropriately trained staff. EVIDENCE: The home has assessed their minimum staffing levels to be 2 care staff during the day and 1 care staff awake and 1 on call at night. The home employs male and female staff and they are of varying ages and from differing ethnic backgrounds. Staff said they always work with someone else and that there are sufficient staff on duty. The file of a recently appointed member of staff showed that the correct recruitment practices had been followed and a Criminal Records Bureau check had been applied for, but not yet returned. A Protection of Vulnerable Adults check had been obtained so the member of staff had started work, however she was not under constant supervision as required. The manager said he was Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 22 not aware of this and he would adjust the rota so that the member of staff can be supervised at all times until the Criminal Records Bureau check is returned. The manager said part of the interview process for new staff included an interview with a resident and a question and answer sheet was seen. One resident had also provided an additional reference for a member of staff she had known from a previous home. There was a picture of staff, details of their position and a list of their training displayed in the hall. The manager said that part of the training is provided through staff watching videos and answering questions on this. Answers given are then followed up in supervision. Information about the home’s 12 week induction period which has been approved by Skills for Care was recorded in the Annual Quality Assurance Assessment. It was also stated that over 50 of care staff have achieved, or are working towards national Vocational Qualification level 2 or higher. A recently started member of staff said she was still working through her induction. Staff said they have just had infection control and safeguarding adults training and that they have regular training provided. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The provider is not ensuring the smooth running of the home. Residents express their views on how the home is run. EVIDENCE: The manager was registered in 2002 and completed National Vocational Qualification level 2 earlier this year and said he is going to do the Registered Managers Award. The provider lives permanently in Portugal and is therefore not able to fulfil her obligations regarding visiting the home. Staff said that they thought the home was run well. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 24 Regular residents meetings are held and there are survey forms to seek the views of residents. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded in the Annual Quality Assurance Assessment showing they are regularly carried out. Gregory House II Care Home DS0000002231.V341282.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 26 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 YA23 Regulation 12(1)(a) Requirement If a member of staff is investigated following an allegation of abuse they must be referred to the Protection of Vulnerable Adults list. Windows that are in poor condition must be replaced or repaired New staff who have a Protection of Vulnerable Adults check but are still waiting for a Criminal Records Bureau check to be returned must be supervised at all times whist working. The registered provide must visit the home on a mon thly basis Timescale for action 07/08/07 2. 3 YA24 YA34 23(2)(b) 19(5)(ii) 01/04/08 01/08/07 4 YA37 26(1) 01/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA6 YA24 Good Practice Recommendations Care files should be better organised so they are easier to refer to. Communal bathrooms and toilets should be made more DS0000002231.V341282.R01.S.doc Version 5.2 Page 27 Gregory House II Care Home homely. Gregory House II Care Home DS0000002231.V341282.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 - 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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