Inspection on 03/08/05 for Harelands House

This inspection was carried out on 3rd August 2005.

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

Other inspections for this house

Harelands House 02/06/09

Harelands House 30/04/07

Harelands House 04/01/06

Harelands House 10/02/05

Harelands House 13/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Harelands House, Samson Street, Belfield, Rochdale, OL16 2XW. Lead Inspector Jenny Andrew Unannounced 3 August 2005 rd The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Harelands House, Address Samson Street, Belfield, Rochdale, OL16 2XW. 01706 651712 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Rochdale MBC Debra Wild Care Home 4 Category(ies) of Learning Disability 4 registration, with number of places Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the maximum of 4 service users there can be up to 4 in the category LD. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 3. The home can accommodate the brother of a service user already booked in for respite care, providing that the number of service users does not exceed four (4) in total. Date of last inspection 10th February 2005 Brief Description of the Service: Harelands House, which is owned by Rochdale MBC, offers short-term support accommodation for up to 4 service users over the age of 19 years, with a learning disability. The service aim is to provide respite to parents/carers of people who are cared for in their own home, to enable them to maintain their role as carers. The home is adapted to meet the needs of profoundly disabled individuals. Three beds are for short-term respite care and 1 bed is for emergency placements. Lengths of stay vary dependent upon need, but the service is available 52 weeks a year. An outreach service is also provided. The bedrooms are single and have en-suite facilities. The home is situated close to local shops, pub and public transport. A safe enclosed garden area is provided which is accessible by people reliant upon wheelchairs. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place after the service users had returned from their day centres. As they had planned to go ten pin bowling, the inspection took place in just over 2 hours. The Inspector looked around parts of the building and checked care plans and some records. As one service user was not able to speak, the Inspector watched how they made their needs known to the staff. In order to get information about the home, the senior support worker and 2 of the service users were spoken to. Seventeen comment cards were returned by relatives/carers, to say in writing, what they thought about the service. What the service does well: What has improved since the last inspection? The manager had finished doing all the short-term respite stay contracts for each person who used the service. This had meant visiting service users’ homes to talk to their parents or carers and at the same time she had been getting up to date information which she had put in their care plans. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 6 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. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The admission process ensured that, prior to the service users first visit to Harelands, they received a full assessment, ensuring that their needs could be met during their respite stays. EVIDENCE: All new referrals were made via Rochdale MBC care management team. Prior to any introductions to the service, the potential service user’s care manager would complete an assessment of need, which identified the individual’s service requirements. A care plan was then developed from the assessment documentation, in full consultation with the service user and/or carer. The family carers’ interests and needs were taken into account during this process and parental signatures were seen on care plan and risk assessment documentation. Since the last inspection the manager had completed the short-term support service delivery agreements for all the current service users. This had necessitated her visiting each family and during this process she had also been updating the information currently held for each person using the service. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 9 There was a clear, consistent care planning and risk assessment process in place to ensure staff were provided with the information they needed to meet the needs of the service users. EVIDENCE: As the individuals using the service have very diverse needs and abilities, it is essential that as much information as possible is obtained in order to ensure their normal preferred routines are adhered to throughout their stays. The care plan document was entitled “Listen to Me” and was a simplified version of a person centred plan. It was user friendly, explicit and identified each service users likes/dislikes, personal care/medical needs, routines and interests. When compiling the plan, service users and/or carers had been fully involved, with the carers signing their agreement to the plans. Consent forms had also been signed with regard to treatment and outside activities. In addition to the care plan there was a pen picture together with all other relevant information about next of kin, Doctors and other health care professionals. Due to the transient nature of the service, the plans were kept updated through liaising with carers and day care centres prior to visits. Of the 17 comment cards returned by carers, 16 felt that the manager and staff team consulted with, and kept them informed, of important matters affecting their Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 10 son/daughter. The good practice of recording any restrictions on choice/freedom was noted with regard to the use of listening devices. Parental consent had been obtained where such appliances were in use. As part of the pre-admission procedures, all prospective service users have risk assessments formulated prior to their respite stay. The risk assessments for the service users currently on respite were up to date. Individuals’ risk assessments were updated on each admission if any changes had occurred since their last visit. The good practice of including risk areas as part of individual contracts is acknowledged. Risk assessments were in place for a whole range of risk areas i.e. travelling, hot surfaces/kitchen, showering, walking, allergies, wandering off etc. The manager and staff team supported the concept of calculated risk taking which enabled service users to increase their independence and participate more actively in activities within the community. The good communication network ensured that the staff team worked consistently with each of the service users. Where any form of restraint was used parental/carer agreement was obtained. Agreement to the use of bedsides was seen on one of the service users files. The good practice of all staff signing risk assessments, to show they had read and understood the documents, was noted. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 &17 The range of opportunities available for service users, to use community facilities and pursue leisure activities, reflected the diversity of service users accommodated. The dietary needs of service users were catered for with a varied selection of food, which met service users tastes and choices. EVIDENCE: As many of the young people using the service saw their visit to Harelands House as a holiday break, the staff worked hard to make sure they were able to do activities of their choice. Care plans recorded interests/hobbies and feedback questionnaires, completed after the visits, also asked whether there was anything else they would like to do on their next stay. Carer/parental consent forms for activities were signed for the three people currently staying at Harelands. Since the last inspection, some changes had occurred with regard to service users daytime arrangements. In the past, service users would continue to attend the day centre they used when living at home. Since re-organisation of day care provision, a local day care facility had kept 3 places available for service users living at Harelands, in order they had the opportunity to try something different and not have to travel long distances. This was however, Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 12 a flexible arrangement and if people did not want to use this service, they could continue to attend their usual centre. This had happened with two of the people currently on respite with the third person enjoying the new experience of going somewhere different. From looking through the activities/outings book and speaking to the senior support worker, it was clear that outings and activities were geared towards the individuals staying at any one time. Cultural wishes regarding activities were respected and recorded on the individuals care plan. In July people using the service had used community facilities such as the baths, cinema, Megabowl, supermarkets, local shops, pubs, cafes and gardening centre. In addition trips out in the mini-bus had been arranged to Harrogate, Todmorden, Halifax and Bury. The bus was specially adapted so that people in wheelchairs could be safely transported. On the evening of the inspection, the service users were going ten pin bowling which they were looking forward to. Two separate holiday weekends to Rochdale MBC’s caravan in Morecambe had also been organised for parties of 2 and 3 service users. Menus were discussed and planned dependent upon the service user group and were flexible. Service users were offered meals which were age appropriate and which met their dietary and cultural needs. Halal meat was always kept in the freezer in the event that should an emergency placement be made, the person’s needs could easily be met. Diabetic diets were rigorously followed and advice from a diabetic nurse had been taken for one specific service user. Likes/dislikes of food were recorded on care plans. All meals were logged on the service users individual diary sheet. The majority of service users using the service were at day centres during the day and packed lunches were provided upon request. On the day of inspection, all 3 service users had opted to have beef burgers, chips and baked beans for their tea, which they were all seen to enjoy. They were given the optional choices of pizza or toasted sandwiches. The meal was a social occasion with the staff sitting down with the service users to eat. One person needed assistance with her meal and this was done in a sensitive and unhurried manner. Condiments were on the table in order that service users could choose whether or not to use them and staff were heard to gently dissuade one person from putting too much salt on his meal. Meals out to pubs, McDonalds and cafes were occasions which service users particularly enjoyed and, from records seen, were arranged every Tuesday and Saturday. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 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 standard(s) 18, 19, There was evidence of close working links with parents/carers to ensure the health care needs of service users were fully met and their preferred routines being rigorously followed. EVIDENCE: Community health care services were accessed as required. Service users retained their own G.P. if they were prepared to visit whilst on respite, otherwise a local G.P. practice was utilised for the duration of their stay. Where appointments had been made whilst service users were on respite, staff supported service users/carers to attend. Prior to respite stays being arranged, “Consent to Treatment” forms were signed and seen to be in place on the files of the three people presently staying at Harelands. Specialist staff training was facilitated when service users with specific medical conditions were referred i.e. Aspergers syndrome/autism, diabetes, epilepsy etc. Feedback received from relatives/carers was excellent with regard to their relationship with the manager and staff team. From 17 returned carer questionnaires, 16 were satisfied with the way the service communicated with them in connection with any important matters affecting their relatives. Systems were in place for staff to liaise with them prior to their relative staying at Harelands and a courtesy call was also made at the end of the stay to check that everything was in order. During the stay, Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 14 relatives were welcomed to visit if they chose, or to ring up and speak to the staff at any time. The house had been adapted to meet the needs of individuals who were profoundly physically disabled with ramps, walk in shower, grab rails and ceiling tracking. The Statement of Purpose also stated that an OT assessment could be provided, if required, to ensure the physical environment was suited to the individual. The care plans for each service user were explicit in exactly what service users preferred routines and support needs were. Such detail was vital given that some service users could not easily communicate their needs and preferences. It was evident that service users were treated with respect and dignity. Good practice observations made during the inspection were as follows: service users being sensitively encouraged to change soiled clothing, staff making sure that service users were assisted to wash and freshen up before going out bowling, assisting a service user to brush her hair, quietly reminding people to see to their own personal care needs where they could, making sure that the service user reliant upon a wheelchair was comfortable and had their feet properly positioned on the foot plates. Specialist staff training was facilitated when service users with specific medical conditions were referred i.e. Aspergers syndrome/autism, diabetes, epilepsy etc. Feedback received from relatives/carers was excellent with regard to their relationship with the manager and staff team. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 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 standard(s) 23 Explicit policies and procedures together with staff training meant that the team were able to respond promptly to any complaints and/or suspicion or allegation of abuse, thus ensuring the protection of the service users. EVIDENCE: The Rochdale Inter-Agency Vulnerable Adult Procedure was in place together with a whistle blowing policy. From checking the staff training records it was identified that all but one staff member had attended relevant training. The senior stated she thought everyone had undertaken training. The manager should check whether this is so and take appropriate action, if necessary, to address the shortfall. Where unexplained bruises were identified, staff ensured they were recorded and monitored, in accordance with procedures and staff liaised with day centres and parents/carers. . Both of the service users spoken to said they liked all the staff and felt able to go to them if they had any problems. The majority of service users utilising the service, attended day care centres and had the opportunity to talk to their respective key-workers if they had anything of concern to address. Feedback questionnaires were also completed at the end of each respite stay and service users were supported through this process by their day centre key-worker or parent/carer. Policies/procedures related to service users monies/valuables etc. were in place. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 The house provided an attractive, clean, homely and safe environment for the people using the service. EVIDENCE: The house was accessible, safe and well maintained and had been designed to meet the needs of profoundly physically disabled service users. It was situated at the edge of a Council housing estate, next to a pupil referral unit owned by the Education Department but for respite purposes, was felt to be suitable for purpose. It was close to several local shops and public transport. The exterior of the home was fitted with CCTV cameras for safety reasons. The enclosed gardens had been landscaped since the last inspection, and now contained an attractive patio area, which was accessible to wheelchair users. The premises met the requirements of the local fire service. An Environmental Health inspection had been carried out on 9 February 2005, when a requirement was made for the kitchen window to be fitted with a fly screen. This had not yet been addressed. The house was seen to be clean throughout. To access the laundry, staff had to pass through the kitchen. However, the good practice of soiled laundry being conveyed to the laundry, externally, via the fire door, was being adhered Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 17 to in order to cut down the risk of spreading infection. Each service user was supplied with their own linen basket, which was kept in their bedrooms. Satisfactory hand washing facilities were in place and a supply of disposable gloves and aprons were available for staff to use as and when necessary. The washer had a sluice programme and complied with the Water Supply Regulations. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 & 35 The staff team had the collective skills, training and expertise to undertake their roles efficiently and effectively which ensured the needs of the service users were being well met. EVIDENCE: From speaking to the senior support worker and checking staff training files, it was identified that all the permanent staff had successfully completed their NVQ level 3 training qualification. The newer members of the team had also completed their Learning Disability Award Framework (LDAF) training and evidence of this was seen in two of the files inspected. As service users from ethnic minority groups were accommodated, staff had undertaken relevant training i.e. promoting equality in social care practice, cultural awareness of Asian communities. The registered manager had completed her NVQ 4/Registered Manager’s Award training in March 2004. She was a qualified NVQ assessor and competent to undertake assessments of the LDAF work books. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 19 From interviewing the Senior Support Worker and records seen, it was evident that the manager actively promoted staff development opportunities i.e. supervision, appraisals, team meetings, induction and other training. It was however, identified that not all staff had received at least 5 paid training and development days (pro rata) over the last 12 months. The manger should address this. Since the last inspection, due to reorganisation of the service, some staff changes had taken place. In order to maintain continuity of care for service users, the existing staff had increased their hours in order to reduce the number of relief and/or agency staff, which were needed, prior to new staff starting work. The team did however, reflect the cultural/gender composition of people using the service. On the evening of the inspection, an agency worker was spoken to. She said she had worked at Harelands approximately 5 times and knew that the manager requested the same workers wherever possible. Staff had recently been successfully recruited to the vacant posts and would be starting as soon as their required checks and references had been obtained. The manager tried to ensure a good gender and age balance on the team and this was taken into account at recruitment, within the equal opportunities policies. Staffing levels depended upon the individual assessed needs of the group being accommodated at any one time. Staffing on a one to one basis was at times required. When female service users were on respite, female support workers were on duty at all times. This occasionally necessitated having both a male and female support worker on night duty. In any event, there were always two members of staff on night duty as service user bedrooms were situated on both the ground and first floor level. Staff meetings were held on a very regular basis and communication systems in place were effective. Feedback from the questionnaires returned by relatives/carers was extremely positive about the manager and staff team. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The home’ s health and safety policies/procedures, together with good staff practice, ensure that the health, safety and welfare of service users are promoted and protected. EVIDENCE: From checking through maintenance records, it was identified all necessary maintenance and associated checks were up to date. During the visit, the senior support worker took a telephone call from an engineer, who was arranging to visit the home to service the tracking and hoist equipment on the Thursday following the inspection. The permanent staff, had undertaken all appropriate health and safety training. Weekly health and safety inspections were undertaken which included the testing of fire alarms/smoke detectors, water temperatures, electrical equipment etc. Fire evacuations of the premises were also done on a weekly basis in order to ensure that the service users, currently staying at Harelands, knew what to do should there be a fire. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 21 Assessments were undertaken where risk areas were identified in connection with the building and staff. Accidents, injuries, incidents of illness or communicable diseases were recorded and reported in line with the authority’s policies and procedures. It was noted that the Employers Liability Certificate, displayed in the office, had expired as at 31 May 2005. The manager must ensure that the up to date copy is displayed and fax the updated certificate to the Commission for Social Care Inspection Bolton office. Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 4 x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Harelands House, Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 23 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. 2. Standard 24 37 Regulation 13 25 Requirement In line with the Environmental Health report, a fly screen must be afixed to the kitchen window. An up to date public liability certificate must be displayed and a copy faxed to the CSCI Bolton office. Timescale for action 30.09.05 30.09.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 23 35 40 Good Practice Recommendations The manager should check to ensure that all staff have undertaken Protection of Vulnerable Adult training. All staff should receive a minimum of 5 paid training days per year (pro rata). Policies and procedures on bullying and sexuality should be written and implemented. (Outstanding for 2 years) Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. 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 Harelands House, F06 F56 S49196 Harelands House V230686 03.08.05 Stage 4.doc Version 1.40 Page 25 - 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!