Inspection on 17/05/06 for Handley Drive

This inspection was carried out on 17th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Handley Drive 20/11/09

Handley Drive 25/09/07

Handley Drive 15/11/06

Handley Drive 26/01/06

Handley Drive 27/07/05

Handley Drive 11/03/05

Handley Drive 07/07/04

Handley Drive 16/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Handley Drive 12 Handley Drive Brindley Ford Stoke-on-Trent Staffordshire ST8 7QZ Lead Inspector Wendy Snell Unannounced Inspection 17 May 2006 9:45 Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 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 Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 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. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Handley Drive Address 12 Handley Drive Brindley Ford Stoke-on-Trent Staffordshire ST8 7QZ 01782 517079 F/P ianhd.Clarke@swann.stoke.gov.uk 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) Stoke on Trent City Council Ian Clarke Care Home 11 Category(ies) of Dementia (3), Learning disability (11), Physical registration, with number disability (2) of places Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Handley Drive is a two storey local authority home built in the 1960s and operated by Stoke on Trent City Council. It provides comfortable accommodation for up to 11 younger adults with learning disabilities, of whom 3 may require dementia care and 2, a physical disability. Communal space offers two group living areas. On the ground floor there is a lounge dining area and a separate large lounge and separate dining area. There are also four bedrooms, laundry, office and walk in shower area on the ground floor. On the first floor there are seven further bedrooms, one assisted bathroom, one unassisted bathroom and also a shower room. There is a lounge/diner/kitchenette, which is used as a daily living skills training facility. Several toilets are located throughout the home. All bedrooms are single and none are en suite. The home is located in a small village community on the outskirts of Stoke on Trent with local village shops within walking distance. Access to the wider community is provided by the use of the home’s own transport and local buses. The charges at Handley Drive are a maximum of £689 per week. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on a Wednesday from 9:45am to 3:30pm. Before the inspection the Commission for Social Care inspection (CSCI) sent out questionnaires to the manager, service users and relatives. The manager, ten service users and eight relatives completed and returned the questionnaires prior to the inspection. The views received are reflected in the report. During the inspection seven service users, three staff and the manager were spoken with. Three service user’s care was case tracked by examining their care files, clarifying care issues with staff and observing and talking with service users about the care they receive. Paper work, which identifies the way in which the home is managed, was also examined. What the service does well: Handley Drive is a well managed home with a staff group who understand the needs of the service users. The management style is open with both staff and service users saying that they could approach the manager about anything. Ten service users and eight relatives completed a questionnaire, which was sent out by the Commission for Social Care Inspection. All the responses were positive with comments such as ‘Handley Drive is a very happy house, it’s always a pleasure to visit’, ‘we are delighted with the quality of care given’. The service users spoken with also gave positive feedback with comments such as ‘I like it here’ ‘the staff are very nice’. The atmosphere within the home was friendly and relaxed with lots of banter between service users and staff. Staff were observed to be supportive and caring when interacting with service users. The service user different and diverse needs and strengths are acknowledged in the care planning and risk assessment process. Service users are encouraged to discuss their views and to be apart of the every day decision making process. The meals within the home are varied and service users are offered a choice. The service user feedback was generally positive about the meals and there are no issues in relation to nutrition. The service users live in a home that is warm, clean and comfortably furnished and each service user’s bedroom has been personalised to reflect their personality. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 6 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. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 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 Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home has clear assessments of service users’ needs, which enables the staff to support them appropriately. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Three service user’s care files were inspected as part of the case tracking process. Care management assessment documentation was in place for one service user who had most recently moved to Handley Drive. Two other service users who had lived at the home for many years had an ‘in house’ assessment, which outlined their needs, likes and dislikes. The manager has appropriately sought a care management reassessment in respect of a service user whose needs are changing. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 There are clear care planning and risk assessment systems in place, which enable staff to support and protect service users. Service users are encouraged and supported to have a voice and to be involved in decision-making about their lives. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence in the three files examined that service users have a care plan which covers aspects of personal and social support and healthcare needs. Three service users were asked about their key workers. All confirmed that they had a key worker and that the key worker was directly involved in their care. One service user confirmed that reviews take place and that the keyworker and family attend. There was documentary evidence that reviews take place. Staff spoken with demonstrated a good understanding of individual care plans. It is recommended that consideration be given to ensuring that plans are available in a format suitable to the needs of the individual service users. The service users at Handley Drive have different strengths and abilities. The decision making within the home is guided by individual’s needs and within a risk assessment framework as some service users are more independent than others. Two service users were spoken with about decision making. The service Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 10 users confirmed that service users have regular meetings with staff to discuss ‘what’s happening now’ and ‘the future’. The agenda and outcomes are recorded within the home and it was noted that the meetings take place monthly. Diversity in communication needs was discussed with the manager. The manager showed how the outcomes of service user meetings are recorded using a mixture of text, pictures and symbols. This is good practice. The staff within the home demonstrated a positive value base and understanding of the need to involve service users in decision-making. Staff had engaged the services of an advocate to act on behalf of a service user who needs assistance with decision-making and it was also noted that service users are encouraged, where they are able, to have more control of their finances. This is positive care management. Three service users files were examined. It was noted that risk assessments were in place. Since being in post the manager has demonstrated a good understanding of the need for robust risk assessment and management systems. Practice was observed that indicated that service users are supported to take responsible risks as part of an independent lifestyle. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 15, 16 & 17 Service users are supported by staff to take part in a range of activities and to have contact with the local community and their families. Service users are offered a wholesome diet and enjoy their meal times. The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users in the home have a range of strengths and needs therefore; in the main their activities reflect this. The pre-inspection questionnaire completed by the manager states that some service users use local colleges, the local church, leisure centre and day services. One service user confirmed that he attends college and day services once a week as well as a club on a Monday evening. Another service user said that he had ‘retired’ and no longer goes to day services preferring to do activities within the home. There are no service users in paid employment. It was noted that one service user had expressed an interest in work that would require a food hygiene certificate. Consideration should be given to service users attending appropriate training that has been requested for staff. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 12 A number of activities are now organised within the home. It was noted that a day care folder and notice board were in use with different staff allocated to different activities. At the time of the inspection there was music, knitting and computer work taking place with other activities such as independence skills, baking and a trip out also arranged to take place that day. The manager and staff stated that the new system had ensured that structured activities take place on a daily basis. Cross referencing with daily report sheets indicated that activities were taking place. The service users said that they regularly accessed local facilities such as the pub, take away, shops, barbers and hairdressers. One service user was going to spend the day with his mum and was independently travelling on a local bus. There was evidence that relationships between service users and their families are supported by staff. Eight relatives who completed inspection questionnaires stated that they were made welcome in the home and that they could visit their relative in private. They all confirmed that they were kept informed by staff about matters affecting the service users. Nine service users completed inspection questionnaires. Eight service users stated that they liked the food and one stated that he/she sometimes liked the food. The menus indicate that a variety of meals are available. On the day of the inspection the lunchtime meal was shepherds pie or sandwiches followed by a dessert. The manager stated that special diets are catered for. The menu indicates that one service user is following a special diet. This was recorded within the service user’s care file with appropriate monitoring also being recorded. It was also noted that health advice had been sought in respect of eating difficulties and weight loss of two service users. This is good practice. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The personal and healthcare needs of the service users are met however medication training needs have been identified. These need to be addressed to ensure service user safety. The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two service users were asked about the personal support they receive from staff. One service user said he needed support to have a bath. The service user showed the inspector the bathroom that he used and said that staff always make sure the door is locked ‘just in case anyone else comes in’. He said he was happy with the way staff support him with this task. Another service user stated that staff support him to buy clothes and to attend hairdressing appointments. The service user said that he ‘liked to look smart’ and staff support him with this. It was noted that there were personal support guidelines to assist staff with this task. The home also has a key working system which assists with continuity of care. Three service user care files were examined. Details and information relating to health contacts were recorded. Appointments and outcomes were also Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 14 recorded. The care file of one service user who had a number of appointments planned for the year ahead contained a yearly planner with all appointment dates clearly recorded and ticked off when attended. This in conjunction with the appointments and medical contact sheets provide a clear picture of how the service users health needs are being met. This is good care management. Medication was discussed with the assistant manager and manager. Three service user’s medication and medication administration records were checked. Medication is stored appropriately in a locked wall mounted metal cabinet. The medication administration records were completed satisfactorily. The manager stated that one member of staff who administers medication has not yet received training. At the time of writing this report the manager has secured training for this staff member. However, the manager is reminded that all staff who administer medication must have the appropriate training to ensure that service users are protected from potential errors in medicine administration. This will be a requirement of this report. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has satisfactory systems for dealing with complaints and protection issues with evidence that service user views are listened to and acted upon. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre inspection questionnaire completed by the manager states that there has been one complaint made since the last inspection. The Commission for Social Care Inspection are aware of this complaint. The manager informed the correct authorities and responded appropriately. The complaint was dealt within 28 days. The homes complaints procedures are displayed within the home and the home have also recorded the complaint procedure on to tape for the residents who cannot access the written version. The manager stated that this would be used at a future service user meeting. This is good practice. Nine service users completed CSCI questionnaires. All service users stated that they felt safe and that they would know who to speak with if they were unhappy with their care. Eight relatives completed questionnaires. Three stated that they were aware of the homes complaints procedure. Four stated that they were not aware and one did not respond to this point. The manager should consider ways in which this information can be shared with relatives. Three service users were spoken with in some detail. All stated that they felt safe living at Handley Drive. The pre inspection questionnaire completed by the manager and the training matrix available within the home indicates that staff have received vulnerable adult training. A flow chart is available in the back of the manager’s handbook, which highlighted the corrected reporting procedure. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 16 It was also noted that recorded within the staff meeting minutes was a discussion about correct procedures for staff to report concerns. The manager has demonstrated that he responds appropriately to adult protection issues. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 This home offers service users comfortable accommodation but completion of outstanding fire precautionary work is needed to ensure the home is suitably safe. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. EVIDENCE: A recent visit by the fire safety officer has revealed several areas, which need to be addressed to ensure that Handley Drive satisfactorily complies with fire safety regulations. The manager has not yet received the fire report but has ensured that some interim work has already taken place. The outstanding work must be completed within the timescales set. The home is comfortably furnished, clean and well maintained. It is situated within a small community and is close to transport links into Hanley and surrounding areas within Stoke on Trent and Staffordshire. The home has adequate lounge and dining areas. It also has a small recreational area. The service user’s views about the home environment were positive. Two service user’s bedrooms were seen both of which had been decorated to reflect the personality of the occupant. The home has a separate laundry room. There were appropriate systems in place to ensure soiled and clean items were kept separate. The laundry had Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 18 suitable facilities and equipment and protective clothing to ensure against cross infection. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Service user needs are met by appropriate numbers of staff who have been appropriately recruited and trained to meet service users’ needs. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: At the time of the inspection there were two care staff, an assistant manager, an administration assistant and a cook within the home. The manager was away form the home in a management meeting but returned at 12.30pm. There were nine service users in the home. These are adequate and satisfactory staffing levels to meet the needs of the service users. Observation of staff interaction with service users demonstrated that care staff had a good understanding of the needs of the service users. Interaction was positive and supportive with staff listening to the views of the service users. The service users views about the staff were positive. Eight relatives completed questionnaires for this inspection all the views expressed about the staff were encouraging and included remarks such as ‘we are delighted with the quality of care given at Handley Drive’, the staff are very friendly and helpful’ and ‘they all seem to cope very well’. ‘The pre inspection questionnaire completed by the manager states that 46 of staff have achieved NVQ2 or above. The expectation set out within the National Minimum Standards for Care Homes for Younger Adults is that by Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 20 2005 50 of staff would have this qualification. The manager stated that an assessor had been away from the work place but was due to return. He envisaged that by the end of 2006 a further four staff would have NVQ2. A concerted effort should now be made to ensure that this target is met. Two staff member’s personnel files were inspected to ensure that the home’s recruitment and vetting practices protect service users from potential harm. The appropriate checks had been carried out prior to the member of staff commencing employment at Handley Drive. Staff training was discussed with the manager and a training matrix was seen. The training matrix indicated that some staff training had taken place. Staff personnel files indicated that induction does take place and is signed off by senior staff when completed. The need for all staff to have refresher training in dementia was discussed with the manager. It is recommended that the manager pursue this. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 This is a well managed home where service users and staff are kept informed and consulted with. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The manager has a range of experience of working with adults with learning disabilities. He has been in post at Handley Drive for ten months. He is qualified, competent and experienced to run the home and to meet the aims as outlined in the statement of purpose. The service users and staff spoken with during the inspection spoke positively about the manager and confirmed that he has an ‘open door policy’ and is always ‘approachable and understanding’. The manager has complied with requirements made by CSCI and has responded transparently and appropriately to any concerns, allegations or complaints which have been made by staff or service users at Handley Drive. The manager’s own development and future training needs were discussed. Quality assurance systems were discussed with the manager. There was evidence that service users and relatives had completed questionnaires in Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 22 January 2006. The service user questionnaires were well constructed and had pictorial illustrations to the questions. It is recommended that an overview of the results inform all future planning within the home. It is also recommended that the manager consider making the results of surveys and inspections known to service users, relatives and other stakeholders. The service users within the home are encouraged by staff to participate in the CSCI inspections and to express their views. The service user’s health and safety is protected by satisfactory fire drills. Service users confirmed that drills happen. There is an up-to-date fire risk assessment. The home has an appropriate number of first aid boxes. The manager confirmed that there is always a staff member on shift who is qualified in first aid. Appropriate risk assessments were in place. The home employs a part time handyman who is responsible for checking water temperature. It was noted that water temperatures are regulated and that appropriate Legionella checks had taken place. Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 23 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 3 ENVIRONMENT Standard No Score 24 1 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 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 4 x 3 x x 3 x Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 24 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 4(1)(c) Requirement All service users to have a contract (previous timescale of 01/06/05 and 31/10/05, 31/3/06 not met) The outstanding recommendations made by Staffordshire Fire and Rescue to be addressed. The manager must ensure that all staff who administer medication are suitably trained. Timescale for action 31/07/06 2. YA24 13(4)© 30/09/06 3. YA20 13(2) 17/05/06 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. 3. Refer to Standard YA6 YA6 YA12 Good Practice Recommendations All staff should have training in the proposed PCP system. The care plan should be in a format suitable to the needs of the service user. The manager should consider service uses attending staff DS0000028916.V293660.R01.S.doc Version 5.1 Page 25 Handley Drive 4. 5 YA32 YA22 training where appropriate such as food and hygiene training. Staff should be enabled to complete NVQ qualifications with over 50 achieving the award by the end of 2006. Consideration should be given to how information about complaints processes, feedback from quality assurance surveys and CSCI inspections can be shared with service users, staff, relatives and stakeholders. All staff should have refresher training in dementia care. Results of quality assurance surveys should inform future planning within the home. 6 7 YA35 YA39 Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Handley Drive DS0000028916.V293660.R01.S.doc Version 5.1 Page 27 - 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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