Inspection on 06/03/08 for Heathcotes Care (Blythe Bridge)

This inspection was carried out on 6th March 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Heathcotes Care (Blythe Bridge) 03/07/09

Heathcotes Care (Blythe Bridge) 13/02/09

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 09/07/2008.

CARE HOME ADULTS 18-65 Heathcotes Care (Blythe Bridge) Southlands Aynsleys Drive Blythe Bridge Stoke on Trent Staffordshire ST11 9LR Lead Inspector Wendy Jones Unannounced Inspection 6th March 2008 13:00 Heathcotes Care (Blythe Bridge) DS0000070479.V355822.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 Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathcotes Care (Blythe Bridge) Address 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) Southlands Aynsleys Drive Blythe Bridge Stoke on Trent Staffordshire ST11 9LR 01782 398 372 01782 393 577 www.heathcotes.net Heathcotes Care Ltd vacant post Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: either, whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD of the following age range: from 18 years of age and above, maximum number of places: 6. The maximum number of service users who can be accommodated is: 6. Not applicable 2. Date of last inspection Brief Description of the Service: The service is a large detached property in it’s own grounds in a well established residential area of Staffordshire. It provides accommodation for up to 6 people, all bedrooms are for single occupancy and all have en-suit facilities. Communal facilities are satisfactory and provide comfortable accommodation for the people who live there. The service is located within walking distance of local facilities, but also has it’s own transport for access to facilities further away. The resident guide does not contain the fees and cost of the service, any prospective resident or their supporters should approach the provider for this information. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This is the first key inspection site visit of this service undertaken on 06 March 2008. In total the visit took approximately 06:00 hours. The purpose of this visit was to assess the services performance and to establish if it provides positive outcomes for the people who live there. The visit included looking at information the service provides for prospective residents, their carers and any professionals; looking at information that the service provides to people who use the service to ensure that they understand the terms and conditions under which they have agreed to live at the home and the fees they should pay. Other information checked included assessments and care records, health and medication records; activity and records relating to the menu’s, finances, staff training and recruitment, complaints and compliments, fire safety and health and safety checks. The manager, staff and the resident were spoken to during the site visit and a brief tour of the building was undertaken. Before the visit began, the service provided it’s own assessment of it’s performance, in the form of an Annual Quality Assurance Assessment (AQAA). Surveys were sent out to residents, relatives and any professional that has involvement in the service. No surveys have been returned to us. A number of requirements and recommendations have been made as a result of this visit. The provide will be asked to provide an improvement plan which identifies what they are going to do about the areas of concern. What the service does well: The service provides information to prospective residents about what they can expect and the facilities it provides. There is evidence that the service undertakes pre admission assessments of the care needs of people referred to it, and admission procedures ensure that prospective residents are invited to visit the service before deciding to move in. Care plans based upon the assessed needs of residents are in place and are reviewed regularly. Risk assessments have also been carried out. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 6 The staff team know the health and personal care needs of the individual and the resident is supported to access health related appointments. Specialist services are accessed as and when necessary. A complaints procedure is in place in a format that is user friendly; staff confirmed that they knew what to do if they received a complaint. The environment is clean, well presented and comfortable and staffing levels are good. Recruitment procedures robust and the service has provided evidence that all equipment in the home is checked and serviced on a regular basis. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. People who may use the service cannot necessarily be sure that they have accurate information about the service, this means that they cannot make an informed decision about moving into the home. But they can be sure that they will receive a thorough assessment of need and can be sure if the service agrees that they can be admitted to the home that their needs can be met. EVIDENCE: The service has a resident guide and statement of purpose that requires updating to reflect the current service and staffing arrangements at the home, the fees and costs of the service should also be included in the resident guide. The current statement of purpose is a generic document and does not give specific information about this service. The manager stated that the resident guide is being converted into a user-friendly format advice was given about this. The AQAA states, “A comprehensive assessment takes place before a new service user moves into the home. The manager visits the service user in their home, school, day centre and college settings if possible, collecting assessments from other professionals involved. Inviting the service user to visit the home and have a drink or a meal and then an overnight stay, this helps us determine how they will fit in with the other service users.” Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 9 The evidence in the records shows that the current resident in the home has received a thorough pre admission assessment. Admission procedures are in place and prospective residents have the opportunity to visit the home proper to deciding to move in. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. People who use the service can be sure that care plans are in place to meet their assessed needs, but cannot always be confident that they provide explicit information or that they are routinely involved in them. This means that the current system does not always place the resident at the heart of the decision making. EVIDENCE: The AQAA states, “service users are involved with day-to-day decisions including choosing what food they eat and are supported to make their own meals. Choosing what activities they are involved in and providing good care plans that reflect their needs and are supported to take reasonable risks.” Care records show that plans are based upon the assessed needs of the individual. Daily routines are recorded and the residents’ preferences regarding waking and retiring times, general likes and dislikes. Care plans are reviewed monthly but the service should be more proactive in involving the current Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 11 resident in the development and review of them. It is noted that advocacy service are used to support the current resident. A plan regarding the behaviour management of a resident was not explicit enough to provide staff with the information they need to appropriately intervene. It said, “re-direction should be used,” but did not clarify what this means, it is recommended that the type of redirection to be used is defined in the care plan. Risk assessments have been carried out and have been subject to regular review, although a number are noted to be generic rather than specific to the individual. In the Statement of Purpose the organisation states, “Responsible risk taking is regarded as normal, service users will not be discouraged from taking part in activities on the grounds that there is an element of risk. Service users who are able to judge the risk to themselves will be encouraged to make their own decisions so long as they do not threaten the safety of others. “ The service is familiar with person centred planning but has yet to properly implement it, the current manager has stated that this is something she is to introduce. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. People who use the service can be sure that they will be supported to find and participate in activities of their choice, this affords them the opportunity to enjoy a variety of experiences that can only enhance their quality of life. EVIDENCE: In the Statement of Purpose, the service states, “ We consider it a responsibility of ours to help residents maintain/redevelop existing hobbies or interests and explore new one’s. These could include, gardening, model making, flower arranging, horse riding, sport, ice skating, embroidery, rambles, swimming, drawing/painting, reading, writing, visiting the pub, drama and college placements etc.” Records show that the current resident has activity plans in place and is supported to access community facilities to participate in a range of social/occupational and recreational activities. During this visit the resident had attended college for the day. He said, “ I like to go out but I like to watch Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 13 the television as well.” The current staffing ratio of 2:1 has meant that the service has been able to provide very good opportunities for this individual. The service is located in an area where local shops are within walking distance and has good local transport routes. The service has its own transport as well. Menu planning is in a format that can be easily understood by the current resident, and from the sample seen the menu’s show a balanced and nutritious diet. In the AQAA the service has said, “Resident enjoy a nutritious and healthy diet and we have received training from the community nurse about healthy eating and portion sizes.” A mealtime wasn’t observed during this visit, but a brief tour of the kitchen evidence that food stocks are good, storage sufficient and the service complies with recommended good practice in terms of basic food hygiene. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. People who use the service can be sure that their health needs are recognised and they will be supported to receive preventative care and treatment. But they cannot be confident that staff have received sufficient training in the administration and management of medication this potentially place them at risk. EVIDENCE: Staff know the personal and health care needs of the current resident, records show that health care needs have been assessed and the staff support the individual to access health services as necessary. Individual health action plans have yet to be introduced, this is something the service needs to consider. Staff are observed to engage with the resident in an appropriate manner and there is evidence of a relaxed atmosphere. The service has policies and procedures in place for the safe management, storage and recording of medication. The systems for the management of medication require further work as the evidence from the records show 2 examples when staff have not signed the medication records. In the AQAA, the Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 15 service has said that “ only qualified staff administer medication,” we could not establish from this visit if the training staff had received met the standards currently required. Staff said that they had completed a Boots course, but we are uncertain if this meets the training standard. The service should confirm and provide evidence that all staff responsible for the administration of medication have received suitable training. Guidance can found on our website. Storage facilities are satisfactory although somewhat limited, but are sufficient for the services current needs. The resident at the home does not self medicate. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. People who use the service can be sure that their rights are respected and any concerns they have will be dealt with, but cannot be confident that staff have the skills to recognise and report suspected abuse, this places them at risk. EVIDENCE: We have not received any complaints or been involved in any safeguarding referrals regarding this service. The manager confirmed in the AQAA that the service has not received any complaints since it has opened. As we have not received any surveys from other parties we cannot determine others opinions of the service at this time. But during the visit the current resident gave a positive account of the service he receives and a member of staff confirmed that he was aware of the complaints procedure. The training records show that staff have not received training in safeguarding residents’; this is a requirement of this report. Information in the AQAA shows that the service has policies and procedures in place for the protection of vulnerable adults and a whistle blowing policy for staff to use. A complaints procedure is available for residents and has been reproduced in user-friendly format, although it is noted that our address details are incorrect. The statement of purpose says, “Heathcotes Care Ltd will maintain a comprehensive complaints, grievance and suggestions procedure for the benefit of residents. The procedure will seek to clarify and resolve any problems arising form the provision of services. Ultimately if the problem Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 17 cannot be resolved by Heathcotes Care Ltd then it will be referred to the registering authority.” The service recruitment procedures are robust, all staff are subject to pre employment checks prior to working with the residents, we checked a sample of 4 recruitment files to confirm this. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. People who use the service can be sure that they live in a well maintained, clean and safe environment. EVIDENCE: The home is a detached property located in a well-established residential area of Blythe Bridge, set in it’s own grounds. It has been converted from a family home into a care service, but has retained the original appearance making it indistinguishable from the surrounding properties. The Statement of Purpose says, “The home has a homely and comfortable lounge, separate dining area and kitchen. Service users are actively encouraged to use public areas; however, should a service user choose to stay in their own rooms they may do so.” In the AQAA, the manager has said, “The home has recently been reburbished to a high standard, all rooms are spacious, light, well decorated, furnished and Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 19 maintained. All staff are trained in health and safety, infection control and food hygeine which all interlink with providing a safe and hygeinic environment. Records are available to staff during the night on how, when and where to clean, and documented that they have done so, service users are involved with general cleaning duties including hoovering, tidying, cleaning windows, washing and drying up, dusting and cleaning their bedrooms. The garden is secure and well maintained with the help of the service users. Service users live in a clean, comfortable and homely environment that is safe. The evidence of this visit shows a well maintained home that has been furnished to a good standard, all bedrooms are for single occupancy and exceed the minimum standards in terms of size and have en suite facilities. There are bathing and toilet facilities on both floors, but it was noted that none contained an emergency call system; this should be considered. The staff reported that they are intending to paint and redecorate some of the communal areas to provide a more homely feel to the home. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. People who use the service can be sure that the service provides staff in sufficient numbers to meet their needs, but cannot be sure that all staff have received essential training, this potentially places residents at risk. EVIDENCE: Four staff recruitment files were looked at during this site visit. There is evidence of good recruitment practice in this area. Monthly staff meetings are arranged and the records confirm that they have taken place, additional team leader meetings are also held. The current staff team is fairly new, in the brief history of the service there has been a significant turnover of staff, including a change in the manager. However staff report that the team is now fairly stable and confirmed that they have benefited from the experience of the new manager. Staffing levels on the day of this visit included a team leader and support worker, the manager, who’s hours are supernumerary was available for some of the visit. All staff were spoken to, one member of staff was interviewed and Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 21 expressed satisfaction with the support he received and the training opportunities he had been provided with. The home currently has 11 staff, of whom, 3 are team leaders. It is reported that there is an expectation that all staff undertake National Vocational Qualifications (NVQ). Information in the AQAA states that 3 staff have achieved an NVQ at level 2 and one of the team leaders is undertaking NVQ level 3. The minimum recommended standard is for 50 of the workforce to be trained or be undertaking training to level 2. In terms of staff supervision records show that staff have regular staff supervision but it was noted that one team leader has not yet received training in how to properly supervise staff, it is understood that this training will be provided in the NVQ 3 training he is undertaking. Staff training records show that team leaders have received health and safety, coshh, basic food hygiene, moving and handling, challenging behaviour. But fire safety training and first aid training is required. The new staff are currently undertaking an induction where all mandatory training will be offered. One member of staff confirmed that he has received a good induction to the home, and was being offered training. Other deficits in training include a lack of vulnerable adults and safeguarding training, senior staff also need training. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that equipment in the home functions properly and fire prevention checks are undertaken regularly, but can not be sure that all staff have received some mandatory and fire safety training or have been involved in fire drills this potentially places them at risk. EVIDENCE: Since the service has been registered the approved care manager has resigned and a new manager has been appointed she has been employed for approximately 2 months. The new manager was available for some of this visit and confirmed verbally that she has 3 years experience working in care for adults with learning difficulties and challenging Behaviour, 10 years working in with children and families, has an NVQ Level 4 and Diploma in Social work. We are expecting to receive her application for registration with us soon. This is a requirement of this visit. Staff said that they were confident in the new Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 23 manager and had been reassured by her knowledge and the ideas she has to develop the service. Quality assurance systems are in place, the service has its own audit tool, for assessing the standards within the home, it is understood that the outcomes of these audits will inform future annual development plans for the service. It is now known how the service intends to seek the views of residents and other stakeholders. This area will be looked at during subsequent visits to the service. A check of records show that fire alarms are tested weekly, emergency lighting monthly, fire evacuations have taken place, the service has a fire safety and evacuation procedure. A fire safety risk assessment is in place. No record of fire training was evident, or evidence of fire drills, this must be addressed. Checks of fire doors are undertaken weekly. The services’ own standard of weekly checks of water and room temperatures have not been met recently, the manager is aware of this. Other records show that the equipment in the home has been serviced. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 2 X X 2 x Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 25 Not applicable 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 3 4 5 6 Standard YA1 Regulation 5 13(6) 13(2) 13(4) 9 23(4)(d) Requirement The fees and costs of the service must be included in the resident guide. Staff be provided with training in recognising and reporting suspected abuse. Staff must receive training in the safe administration and management of medication. The provider must ensure that sufficient numbers of staff have received training in first aid. The manager must apply to us to be approved as the registered manager. Staff must be involved in fire training and fire drills. Timescale for action 06/06/08 06/06/08 06/06/08 06/06/08 06/06/08 06/06/08 YA23 YA20 YA42 YA37 YA42 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA1 Good Practice Recommendations The service should make further efforts to provide information to resident in a format that it easily DS0000070479.V355822.R01.S.doc Version 5.2 Page 26 Heathcotes Care (Blythe Bridge) 2 3 4 5 6 7 YA6 YA19 YA6 YA32 YA27 YA20 understandable this should apply to the statement of purpose/ resident guide, care plans and person centred paperwork and any relevant polices and procedures. Person centred plans should be implemented for the benefit of the individual. Health action plans should be implemented. Residents should be actively involved in their care planning. A minimum of 50 of the staff team should have or be working towards an NVQ qualification. Consider fitting emergency call systems in the bathing and toilet facilities. Medication records should be signed on every occasion medication is administered. Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Heathcotes Care (Blythe Bridge) DS0000070479.V355822.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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