Inspection on 24/09/07 for Haig Road, 22

This inspection was carried out on 24th September 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Haig Road, 22 07/08/09

Haig Road, 22 09/06/09

Haig Road, 22 19/02/09

Haig Road, 22 23/09/08

Haig Road, 22 28/09/06

Haig Road, 22 07/12/05

Haig Road, 22 29/09/05

Haig Road, 22 02/12/04

Haig Road, 22 13/07/04

Haig Road, 22 17/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Haig Road, 22 22 Haig Road Bedlington Northumberland NE22 5AW Lead Inspector Karena M Reed Key Unannounced Inspection 24th September 2007 11:30 Haig Road, 22 DS0000000570.V346575.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 Haig Road, 22 DS0000000570.V346575.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. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haig Road, 22 Address 22 Haig Road Bedlington Northumberland NE22 5AW 01670 - 531434 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) NTAWT.Haig@nhs.net Northumberland, Tyne & Wear NHS Trust Vacant Care Home 3 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (2) of places Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 residents are over the age of 65 years Date of last inspection 28th September 2006 Brief Description of the Service: 22 Haig Road is a semi detached, three-bedroom house located in a residential estate in the town of Bedlington. The home does not provide nursing care but is registered to provide personal care and support to three people with learning disabilities, two of the people are over sixty- five years of age. There is a small garden to the front and a larger garden/patio area to the rear. The home is within walking distance of shops, public houses, restaurants .The home also has its own transport. Each person has their own bedroom and they share the communal areas, which includes a kitchen/dining room and a lounge. One of the ground floor rooms is an office and bedroom for staff on sleepover duty. The premises have not been adapted to be suitable for people who are physically dependent. 22 Haig Road is part of the residential services provided by Northgate and Prudhoe NHS Trust. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees payable for living at the home at the time of inspection in September 2007 vary between £943 and £1169.65 weekly. Additional charges are payable for hairdressing, toiletries, Sky television, eating out and taxis. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on September 28th 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • An unannounced visit was made on September 24th 2007 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the provider what we found. 3 surveys were sent to residents, 1 was returned. 8 surveys were sent to relatives, care managers and GPs, 1 was returned. Comments include: “I feel the support staff give provides a very caring home life for my relative.” “I can’t think any improvements are needed. I think the staff do an excellent job.” Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 6 “I have never had any reason to complain about the care.” “I was asked by my care manager if I wanted to come to live here.” “I was told Haig Rd would be quiet, unlike the hospital ward which was busy and crowded.” “I make my own decisions every day.” “I can do what I want anytime.” “I would speak to my cousin or staff if I needed to complain.” “I am happy here and do not want to move anywhere else.” What the service does well: The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. There is a good standard of hygiene around the home. The home is comfortable and well maintained. There is a good standard of record keeping. Detailed information is collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. Residents living at the home have lived there for many years. Comments include: “I am happy here and do not want to move anywhere else.” “I was asked by my care manager if I wanted to come to live here.” “I was told Haig Rd would be quiet, unlike the hospital ward which was busy and crowded.” Residents have the opportunity to lead busy lives if they wish to be part of the local community and enjoy a wide range of social and leisure activities. “I make my own decisions every day.” “I can do what I want anytime.” Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 7 Staff provide the necessary levels of support to residents to help maintain their independence. “I feel the support staff give provides a very caring home life for my relative.” “I can’t think any improvements are needed. I think the staff do an excellent job.” “I have never had any reason to complain about the care.” What has improved since the last inspection? What they could do better: The manager must be registered with CSCI for the day- to- day running of the home. The registered person must inform CSCI of changes to the management of the home. Requirements from inspections must be carried out within the prescribed timescales. The Statement of Purpose and service user guide for the home must be updated to give prospective residents correct information about the home. The complaints procedure must be updated to assist residents to bring matters of concern and complaint to the attention of CSCI. Staff must receive training about the needs of older people as some residents are over the age of sixty- five years. The desk chair must be replaced in the interests of health and safety. The carpet in the lounge and landing must be cleaned or replaced in the interests of health and safety. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 8 Staff must be trained in the Safe Handling of Medication. 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. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 9 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 Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Some of the information that is available to give to prospective residents before they move in is out of date. The home collects enough information about the needs of prospective residents before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training but more developmental training is required to give them the knowledge and insight to help understand the needs of residents and to provide the necessary levels of care and support to individual residents. Residents and their relatives are very welcome to visit the home to assess its suitability. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 11 EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001 they were interesting and easy to read but they had not been reviewed to ensure they contained accurate up to date information. Records for the three residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they know how to meet the needs of the residents. Staff have received the necessary statutory training: Fire Training, Food Hygiene, First Aid, Protection of Vulnerable Adults and National Vocational Qualifications. Staff have also received training about; infection control, risk assessment, challenging behaviour, working with learning disabilities, health training, capacity and consent, Human Rights and Equality and Diversity training. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are very good arrangements in place to ensure that residents’ health and social care needs are met. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and care plans show the amount of care and support that staff are providing to residents. Residents are encouraged to be involved communicate and make their views known. in decision-making and to Staff support residents to take risks as part of independent living. Information about residents is handled appropriately, and their confidences are kept. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 13 EVIDENCE: There are detailed assessments in the residents’ care plans. Care and support needs are documented and give instructions to staff on how to support people that require support with tasks and carrying out any assessed tasks to help promote the independence of the person. Care plans are being updated three monthly or earlier if required if a resident’s care and support needs change. Residents care records showed that they have access to external health care services. GPs and Community Psychiatric Nurses were regularly consulted for advice and treatment. Records show residents are assisted to access chiropody, dental and optical services at least annually or as often as required. Residents are asked individually and consulted about decisions involving themselves and the running of the home. Meetings are held regularly with service users about the running of the home. Service users spoken to stated that they were involved and consulted about decisions involving themselves. The home supports residents to remain independent and take risks in order to live a more fulfilled lifestyle and up to date risk assessments were present in residents care records. Residents care records all contained statements of confidentiality to remind staff what information could or could not be disclosed about residents. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 14 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 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents are encouraged to take part in age, peer and culturally appropriate activities. Residents are part of the local community. Residents enjoy appropriate leisure activities. Residents are encouraged to have appropriate personal, family and sexual relationships. Residents’ rights and responsibilities are recognised in their daily lives. Residents are offered a healthy diet. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 15 EVIDENCE: The resident spoken to confirmed that residents are involved in the running of the home and involved in making decisions about their life. Residents’ records and residents meeting minutes provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Conversation with the resident and staff showed staff support residents to acquire skills and become more self sufficient in aspects of every day living. Residents may attend day care services and College. One resident has retired and enjoys a more leisurely time. He is looking forward to more holidays. Two of the residents were on holiday in Blackpool at the time of inspection. Residents all pursue their own individual hobbies and interests, they enjoy football matches, cinema and theatre trips. They also enjoy meals out in Blyth, socializing with residents of other homes, visiting the local pub, shopping, gardening and some attend a weekly evening club. Within the home residents bedrooms are equipped with their own televisions, music centres, books and whatever is of interest to the resident. Residents care plans and case records detail any family involvement. Conversation with staff also provided evidence that residents are encouraged to maintain contact with family and friends, staff providing the necessary levels of support for them to do so. Residents are asked individually daily what they wish to eat. A light snack is available at lunch times and a cooked meal is served in the evening. Residents may often eat out, on the day of inspection a resident was going out for lunch when he had been grocery shopping with staff. The provisions budget has not been increased from £110 in the last ten years. Residents have access to the kitchen and are able to prepare snacks and drinks for themselves if they wish. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 16 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): 18,19.20,21 People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents do receive support in the way they prefer and require. There are arrangements in place to ensure that service users’ health care needs are met. Systems are in place for residents to retain and administer their own medication where appropriate. The home is not equipped for the ageing and incapacity of residents. EVIDENCE: Three care plans and case records were inspected. The daily records detailed the care and support required for different needs. They reflected the changing needs of service users due to becoming older. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 17 The care plans accurately recorded the needs and the care and support provided by staff. The home also respects the wishes of the individual when dealing with their ageing. Records showed when residents had seen health professionals e.g. doctors, community nurses, psychiatrists and psychologists. Records also showed when residents had seen opticians and dentists. Training records showed staff members receive training about medication before they are able to administer it to residents however it requires updating. Medication records looked at for two residents were correctly recorded and signed by staff. No resident administers their own medication currently. A system could be put into place to oversee the medication of residents if they should retain and administer their own medication. The environment is not equipped for the ageing of residents and has not been adapted. Staff have not received training to give them more insight into the ageing process and the needs of residents as they become incapacitated due to illness and older age. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. The complaints procedure is out of date which could mean that issues are not raised outside of the home. Residents are protected from abuse. EVIDENCE: There is a complaints procedure if complainants are not happy with the homes investigation and response however it does not provide details of how to contact CSCI to make a complaint. The home keeps a record of complaints. As part of staff induction they receive training about the rights of people with learning disabilities. Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Staff have received refresher training about working with behaviour that may be challenging. Haig Road, 22 DS0000000570.V346575.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): 24,30 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. There is a good standard of hygiene around the home. EVIDENCE: There is a programme of redecoration and improvement around the home. Since the last inspection a bedroom has been decorated. The ceiling on the staircase has been decorated. A bathroom has been decorated. The home is clean, well decorated and well maintained. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 20 There is a very good standard of hygiene around the home apart from the carpets to the landing and sitting room were worn and required cleaning and the office chair was ripped and dirty. Haig Road, 22 DS0000000570.V346575.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): 32,34,35,36 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. The numbers and skill mix of staff meets residents’ needs. Systems are in place to ensure residents are in safe hands. Residents are protected by the home’s recruitment policy and practices. Staff are trained to meet most of the care needs of residents. A system of supervision is in place to support the staff. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 9.00 am - 5.00 pm Haig Road, 22 2 support staff 3 will be provided when possible. DS0000000570.V346575.R01.S.doc Version 5.2 Page 22 5.00 pm - 9.00 pm 9.00 am - 9. 30 am 2 support staff following day 1 sleep in staff member. These numbers include the team leader. The home tries to provide two support workers to work in the mornings with the manager. The staff group is balanced providing both male and female support workers to work with residents. The roster is different currently as only one resident is at the home, the other two residents being away on holiday. Staff members carry out cooking and cleaning with the help of residents where possible. Five staff members are on the staff team, there are no vacancies currently. Equal Opportunities legislation is adhered to when recruiting and selecting staff. The necessary checks are being carried out prior to the workers being appointed. CRB checks are carried out before a person is appointed. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Staff receive LDAF Learning Disability Award Framework as part of their induction. All of the staff team, apart from one who is currently studying for the qualification, have achieved a National Vocational Qualification at level 2. Staff and their records showed that they also receive advice and /or training in other areas. Staff have received training in Equality and Diversity, Human Rights, challenging behaviour, Protection of Vulnerable adults, Infection Control. They have not received training about old age and the ageing process. Staff receive regular supervision four – six weekly from the manager. Haig Road, 22 DS0000000570.V346575.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): 37,39,42 People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents’ benefit from quite a well run home. Residents and staff benefit from the ethos, leadership and management approach of the home. There is a regular system to review the quality of care provided by the home. There is a good standard of record keeping. The health, safety and welfare of residents are promoted and protected. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 24 EVIDENCE: The person in charge has not applied to become registered with the Care Commission despite managing the home since last November. The registered provider did not notify the Commission of change in management of the home. Residents living at the home have lived there for several years and the resident spoken to said they liked living at the home. Written comments included: “I wish to stay at Haig Road, I am happy at Haig Road.” Documents detailing fire safety, risk assessments in the environment, water temperatures, financial records and statutory records were all up to date. Staff training relating to health and safety was up to date apart from the safe handling of medication training required updating for staff. Haig Road, 22 DS0000000570.V346575.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 2 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 2 2 x 3 x 3 3 x Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 26 Yes 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 YA1 Regulation 6(a) Requirement The Home’s Statement of Purpose and service user guide must be reviewed and updated. Medication training must be updated for staff. The staff must be trained about ageing, illness and palliative care. Timescale for action 30/11/07 2 2. YA20 YA21 18(1)©(i) 18c(i) 30/12/07 01/01/08 3. 4. YA22 YA24 22(7)(6)(a) The complaints procedure must be updated. 23(2)(d) The identified carpets and office chair must be cleaned or replaced in the interests of health and safety. The registered provider must inform the Commission of any change of manager to the home. The manager must become registered to run the home. 01/12/07 01/12/07 5 YA37 39(b)(e)(ii) 01/11/07 5 YA37 8(1)(a) 31/10/07 Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 27 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 YA17 Good Practice Recommendations The provisions budget should be reviewed. Haig Road, 22 DS0000000570.V346575.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Haig Road, 22 DS0000000570.V346575.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!