Inspection on 29/12/06 for Hazel View

This inspection was carried out on 29th December 2006.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hazel View 10/12/08

Hazel View 06/02/06

Hazel View 08/08/05

Hazel View 31/01/05

Hazel View 07/06/04

Hazel View 01/03/04

Hazel View 06/11/03

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Hazel View 21 Huckleberry Close Purley on Thames Reading Berkshire RG8 8EH Lead Inspector Amanda Longman Unannounced Inspection 29th December 2006 10.30 Hazel View DS0000011171.V323159.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 Hazel View DS0000011171.V323159.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 Older People and 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. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazel View Address 21 Huckleberry Close Purley on Thames Reading Berkshire RG8 8EH 0118 9427608 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) rachelk@purleyparktrust.org Purley Park Trust Limited ***Post Vacant*** Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6 February 2006 Brief Description of the Service: Hazel View is one of the three original outlying houses within the Purley Park Trust, and is now one of eight separate small units within the estate. There are communal facilities, including a club house and horticultural facilities. Purley Park is in a residential area close to Purley and a mini bus is available for local transportation. The unit accommodates five adults of either gender, with a learning disability, in a pleasant unit providing each service user with their own bedroom. Communal accommodation consists of a shared lounge/kitchen/dining area, with comfortable furnishings, toilets and a bathroom. One service user has an en suite. Residents and staff work together on various aspects of the day-to-day running of the home. Hazel View has an appropriate equal opportunities policy and their policies and procedures reflect their desire to meet all individual service users’ needs. Fees vary depending on the level of care being received and currently range from £612 to £769 per week. Hazel View is home to at least one service user over retirement age. Therefore the key national minimum standards relating to care homes for older people have been cross-referenced in this report. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. It was a thorough look at how well the service is doing. It took account of information received from the service provider prior to the site visit which occurred on 29 December 2006. During this visit the inspector examined policies and procedures, looked at care records and staff records. Two staff were spoken with. All service users were spoken with and one completed questionnaires from a relative provided information in advance of the site visit. What the service does well: 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 Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (adults 18 to 65) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service.. Service users needs are appropriately assessed EVIDENCE: Service users’ records contained detailed needs assessments and service user guides in easy to read formats. Service user plans include lifestyle plans, are tailored to individual needs and reviewed regularly Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. (older persons standard 33 is looked at understandard 39 in this report) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Service users are able to make choices and have their individual needs met. EVIDENCE: Service users’ lifestyle plans are detailed and appropriate. They are prepared with service users. Very detailed risk assessments are in place and risk management plans which are reviewed as required or six monthly. Observations of care and discussions with staff and service users showed service users are encouraged to make choices about their lives, lifestyles and activities. From what time they get up and go to bed, to clothing, food and participation in both structured and non-structured activities. However, this is sometimes limited due to there often being only one member of staff on duty. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 10 If the member of staff on duty has to take a service user to an appointment this will limit the opportunity to take other service user out. Staff are aware of this and staff from neighbouring homes provide assistance if available. Service users have open access to the other homes and facilities of the site at all times. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 (adults 18-65) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 12 Service users are able to take part in appropriate activities and they are part of the local community. Service users enjoy appropriate relationships, have their rights and responsibilities respected and recognised and enjoy their meals and meal times. EVIDENCE: It was apparent during the site visit that Hazel View is very much the service users’ home. In discussions with staff it was apparent that relationships with families and friends are encouraged and that staff have an appropriate understanding of the balance between respecting peoples’ privacy and protecting people. Discussions with staff on the day provided evidence that service users are encouraged to maintain relationships with families and friends. Visitors are welcomed in to Hazel View. This was supported by the relative’s questionnaire received. Activity schedules are maintained for service users and these contain a combination of on site activities held at the clubhouse on site, and off site activities such as Bible studies and activities at Purley Working Men’s Club. Staffing levels, whilst adequate to meet service users needs, may limit the ability for service users to engage in ad hoc off site activities. Planned activities are not compromised. The team leader informed that meal planning, shopping and cooking is done with service users. Observed service users at lunch time, some helped with preparation, laying table etc. No formal rota exists for these tasks. Service users enjoyed their lunch. Those needing it were encouraged to eat and allowed space to do so. Ad hoc cooking activities include cake making. Other ad hoc activities include crafts such as card and bead making. Activities are reviewed as part of service users’ six monthly reviews. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. (Adults 18 to 65) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way they prefer and their health needs are appropriately met. Whilst medication is appropriately managed, the system of sharing trained staff between different homes on the site is not ideal. EVIDENCE: The person in charge was made aware that they do not have the most up to date policies and procedures and they will address this. This was not seen to have any adverse affect on the level of care and outcomes for service users. Staff spoken with and care observed confirmed service users make decisions in the way in which they receive personal support. For example choice over timings to get up or take showers and how much assistance is required. Hazel Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 14 View is very much the service users’ home and they choose how they spent their time and with whom they socialise. Medication and health records are up to date on service user records. Staff confirmed service users can see medical practitioners privately or in the presence of a staff member to assist communication. Not all staff have received medication training and are therefore dependent on assistance from staff in other homes at Purley Park to assist with medication. Staff indicated this can sometimes be problematic if no one on shift is appropriately trained or if only one carer is present, as they must then phone around other homes on the site to “borrow” appropriately trained staff who may not be available immediately. Medication is appropriately stored and all individually prescribed. MARs sheets are completed appropriately. Arrangements for end of life care are not recorded on service user files. This was discussed with the person in charge who will look at appropriate ways to record wishes and provide this care. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 (Adults 18 to 65) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Service users’ views or complaints are listened to and they are protected from abuse. EVIDENCE: It was pointed out to the person in charge that they may not have the up to date policies relating to this outcome area as more recent ones had been seen by the inspector when inspecting another home at Purley Park recently. The person in charge agreed to address this urgently. This did not appear to affect outcomes for service users as all staff spoken with were aware of appropriate procedures regarding the protection of vulnerable adults and whistle blowing and confirmed they had recently had training in this area. No information on complaints has been received by the commission since the previous inspection. The complaints log was reviewed and showed one recent complaint which had been dealt with appropriately. However it was recommended to the person in charge that they routinely record the outcome of complaints and the date it is resolved. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 (Adults 18 to 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home which is safe, homely and clean. However light pull cords need to be kept clean. EVIDENCE: No requirements were made regarding these standards at the previous inspection. Recent safety checks covering fire, gas and electrical equipment Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 17 have been made. Hazel View is extremely homely. It is small and furnished with domestic furniture. The main living area is very comfortable. Two service users rooms were seen. They were comfortable and individually furnished and decorated. The kitchen was seen to be in order and temperatures for fridge and freezer and water temperatures are monitored appropriately. The home was generally seen to be clean and hygienic, however light pull cords in bathrooms were dirty and need replacing. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 (adults 18 to 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by qualified staff who are appropriately recruited and trained. EVIDENCE: 75 of staff are qualified to NVQ level 2 or above. Recent training has included the protection of vulnerable adults and whistle blowing. 100 of staff have first aid certificates. Staff spoken with confirmed all mandatory training was regularly provided including that regarding the protection of vulnerable adults. Staff are encouraged to undertake NVQ qualifications. Staff confirmed they had received appropriate induction and this was substantiated in staff records. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 19 Training records are maintained for individual staff and individual training needs and personal development is recorded. A training plan is in place. Staff appeared to be well trained. All appropriate recruitment records are in place except that a full employment history, with an explanation of gaps is not always recorded. This was taken up with the responsible individual at a recent inspection of another home within Purley Park and is being addressed. Staff indicated the number of them on duty is sometimes an issue for service users as it may limit their ad hoc activities. Service users are left alone in the house if the member of staff on duty has to take an individual service user to an appointment and between 9.30 at night and 7.00 or 7.30 in the morning. The inspector discussed with the person in charge the risk to service users and risk assessments are in place for all service users regarding being left alone, including fire risk assessments, and staff confirmed that night staff from another home in Purley Park do check service users late in the evening. The person in charge explained that there are plans to re build Hazel View and this will include accommodation for a staff member to sleep over at night. In the meantime the situation is regularly reviewed. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 (adults 18 to 65) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home. However, improvements to written quality monitoring procedures will benefit service users. Their health and safety is promoted. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 21 EVIDENCE: The person in charge has completed her NVQ level 4 and recently submitted her application for registration to CSCI. The home does not have an office for confidential work. This is planned to be addressed in the re build and in the mean time office space in the administrative centre can be used for confidential meetings. Progress has been made towards the requirements made in the last inspection report regarding quality assurance. The person in charge is working with a steering group of managers from across Purley Park to review quality assurance formats including developing questionnaires for service users and relatives in easy to read formats. Because the home is small and staff obviously know service users very well the lack of formal quality assurance procedures does not detract from the quality of care experienced by service users, but formalised measures are necessary to evaluate performance and plan developments effectively. Health and safety procedures are in place within the home and staff spoken with confirmed they had received training in health and safety, including food hygiene, first aid, manual handling, infection control and fire safety. Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 2 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hazel View Score 3 3 3 X DS0000011171.V323159.R01.S.doc Version 5.2 Page 23 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 YA30 Regulation 23 (2) Requirement To ensure the safety of service users, the responsible individual must ensure that the light pull cords in bathrooms and toilets are kept clean. The registered provider must establish an annual quality assurance and review system in accordance with Standard 39, and make the resulting reports available to interested parties. This requirement has not been met from the previous inspection report. The timescale has been extended. The registered provider must produce an annual development plan for the unit for the year from April 2007. Timescale for action 01/03/07 2. YA39 24(1), 24(2), 24(3) 29/07/07 3. YA39 24 (1) 29/03/07 Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA12 Good Practice Recommendations To ensure optimum quality of care and dignity are maintained, it is recommended that the service users’ plans include their wishes for care at the end of their lives. To ensure service users are enabled to participate in unplanned as well as planned activities, the responsible individual should give consideration to increasing the number of staff on duty at Hazel View. To ensure the welfare of service users is protected, it is recommended that the acting manager ensures the home has the most up to date policies and that they are familiar to staff. To ensure the safety of service users through the appropriate administration of medication, the registered manager and responsible individual should review the medication procedures to ensure that appropriately trained staff are on duty within the home, at appropriate times to administer medication without the need to wait for assistance from other homes on the site. 3. YA18 4. YA20 Hazel View DS0000011171.V323159.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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. 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