Inspection on 05/09/05 for HFT 34 Shipston Road

This inspection was carried out on 5th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

HFT 34 Shipston Road 14/05/07

HFT 34 Shipston Road 09/05/06

HFT 34 Shipston Road 12/01/06

HFT 34 Shipston Road 17/03/05

HFT 34 Shipston Road 16/11/04

HFT 34 Shipston Road 26/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 HFT - 34/36 Shipston Road 34/36 Shipston Road Stratford On Avon Warwickshire CV37 7LP Lead Inspector Maggie Arnold Unannounced 5 September 2005 08:00 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. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hft - 34/36 Shipston Road Address 34/36 Shipston Road Stratford On Avon Warwickshire CV37 7LP 01789 261105 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) Home Farm Trust Mrs Penelope M Barry Care Home 9 Category(ies) of Learning disability (9) registration, with number of places HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Penelope Barry must achieve the Registered Managers Award before 31 October 2006. Date of last inspection 17 March 2005 Brief Description of the Service: 34/36 Shipston Road is close to the centre of Stratford upon Avon, which has a wide range of shops, leisure facilities and medical services. The home provides care and support services to adults with learning disabilities. The home consists of two large semi-detached houses, each having their own separate entrances and staff team. The houses provide small group accommodation, with each house having a lounge, dining room, kitchen and laundry. All bedrooms are single rooms. There are no en-suite bedrooms, and wash hand basins are not provided in people’s bedrooms. The two houses share a sleep in member of staff, who is based at number 34; service users at number 36 are able to access the sleep in staff via a direct dial telephone. There is a large car parking area at the front of the properties and there are large, well maintained gardens at the rear of the properties. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was given one hours notice of this inspection visit. The visit took place between 12.05 pm and 4.55 pm. Four residents, one staff member and the manager were present during the course of the inspection process. The inspection process included lunch with the residents, interview with the manager, inspection of two care plans, various statutory records and a tour of the premises. What the service does well: What has improved since the last inspection? What they could do better: The Service User contract requires more detail so that the residents have a clearer understanding of what is and is not included in the fees. Care plans and other personal records should be securely stored away when not in use. Further work is required to ensure that the safe keeping and recording of medication meets the required minimum standards. For example, present storage facilities are not particularly ideal and there were a number of discrepancies on the daily administration record sheets. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 6 The lack of a shower and a blind or curtain in one of the bathrooms continues to compromise the residents’ privacy, choice and dignity. Uneven paving to the rear of one of the properties requires attention to reduce the risk of trips or falls. More frequent monitoring of hot water temperatures is required in order to reduce the risk of residents’ being scalded from hot water outlets. Staff still do not to have a lockable facility for personal items such as handbags and mobile telephones. 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. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 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 HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 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) 1, 2 &5 The home’s Statement of Purpose and Service Guide are in the process of being completed and draft copies are available in symbol form. This works towards helping prospective residents make informed choices about where to live. Prospective residents receive the benefit of a full assessment prior to moving into the home to ensure that their individual needs are met. Fuller details in the individual written contracts will help to ensure that the residents are more informed regarding set and additional charges. EVIDENCE: Two residents’ care plans and accompanying documents were seen during the inspection. These demonstrated that the home only admits new residents after a full assessment. Work is in progress to ensure that the home’s Statement of Purpose complies with the relevant regulations. Guidance was given regarding information required to meet the regulation. A Service User Guide is available in both written and symbol format. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 9 Work has been undertaken to make sure that all of the residents have a copy of a Service User contract, which is signed and held on their individual file. The contract notes which bedroom the resident is to occupy, shared facilities and how many other people share the house. Other areas covered include money, costs, belongings and pets. Contracts seen were signed but not dated. With regards to the section detailing costs. The document also advises “If you want extra staff time to do something special on your own you can pay for this”. The contract does not make it clear regarding what 1-1 activities are funded by the home, for example clothes shopping or visiting the hairdresser. Neither is it stated as to what is to be understood by “extra staff time”. For example, are the residents required to pay for staff time on day trips from the home during the closure of the college? The document does include a staffing matrix for how the cost of “extra” staff time is calculated but would be quite complex for most people to understand. For example, Total charge (total salary cost) (salary on cost). The document advises the reader that the home will help to work out the potential costs. The acting manager has been referred to the Office of Fair Trading publication” Guidance on unfair terms in care home contracts”. In order to meet the Care Homes Standards 2000: Care Homes Regulations 2001: Regulation 17 (2) Schedule 4 (8) the contract should include details of services not covered by the care home’s charges. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 &10 Residents have care plans and accompanying risk assessments that fully detail their individual needs. The documents are regularly reviewed and updated to reflect changing needs and aspirations. The lack of secure storage for residents’ records compromises the privacy of the residents. EVIDENCE: As noted in the previous section of this report, two care plans and accompanying records were selected for scrutiny. One of the residents went through their care plan with the inspector and confirmed that the records were an accurate reflection of the care and support delivered by the home. Records also showed that multi agency reviews had taken place in the last twelve months. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 11 The home has a comprehensive recording documentation process, which covers all aspects of care, as well as personal aspirations and changing needs. For example, care plans include details of likes and dislikes as well as support plans for communication, mobility, behaviour and the management of medication. Records seen were routinely updated and included details of changing needs, activities undertaken, and any particular concerns. The documents were easy to read and cross-reference. One of the files contained a detailed personal profile that was written in the first person. In addition to care needs the profile also included the resident’s likes, dislikes, interests and hobbies as well as information on friends and family. Risk assessments and risk management strategies formed part of the care plan and were sufficiently detailed to ensure the safety and well being of the resident. Residents’ records are stored on an open shelf in the home’s office. Due to the size and general informality of the home, the office door is not always locked when vacant. In order to reduce the risk of breaches of confidentiality residents’ files should be stored in a locked cabinet when not in use. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11-15,17 Residents are given opportunities for personal development and enjoy varied leisure activities and are encouraged to have appropriate personal and family relationships. This works towards a feeling of well being and good quality of life. Residents enjoy meals that are varied and wholesome. EVIDENCE: Subject to risk assessments, residents take responsibility for helping with meal preparation, laundry and other domestic chores in the home. In order to ensure that the responsibilities are shared equally, both houses have a weekly schedule of essential tasks and the name of the resident responsible for completing it. Residents are also responsible for looking after their own bedrooms. Discussions with residents and staff combined with records seen evidenced that residents are offered a variety of opportunities to participate in age appropriate activities and to maintain contact with friends and family. For example, some of the residents are members of a drama group that produces a public performance on an annual basis. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 13 Other opportunities include social evenings with the Gateway and F.H.A.B Clubs, bowling, swimming and regular excursions for meals and trips to the local pubs. Residents also choose when and where they wish to go on holidays. This year some residents are visiting Euro Disney whilst other residents have chosen to holiday in Corfu. Care is taken to ensure that the residents do not routinely go out as one large group, but, within the constraints of personal finances and staffing levels, exercise choice regarding where they wish to go and with whom. The home is also pro-active in encouraging residents to stay in contact with family members. Visitors are welcomed to the home at any reasonable time. A number of the residents have the opportunity to have visits to and holidays with their family. The manager advised that some family members are in regular telephone contact with their relative and frequently contact the home regarding any additional information or queries. The inspector had the opportunity to share lunch with the residents. It is pleasing to note that it is common practice for the staff and manager to eat with the residents. Some of the residents had helped to prepare the meal and the meals varied according to the preferences of the residents. As on the previous inspection the kitchens were clean and very orderly. Both staff and residents washed their hands and put on aprons before working in the kitchen. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18-20 Residents benefit from the discrete, individually based care and support that is provided in a sensitive manner by the home. Although much improved since the previous inspection there are still some concerns regarding the storage and recording of medication. EVIDENCE: Care plans, risk assessments and discussions with residents and staff evidenced that residents receive support in the way they prefer and require. For example, records indicated that some residents require more prompting and advice that others, whilst a number of the residents require minimal supervision. Records showed that the home supported residents to access routine healthcare checks such as dental and eye checks. On the day of the inspection one of the staff accompanied a resident to the opticians for a routine check. The storage of medication, although much improved since the last inspection, still fell below the required standard. On this occasion the cabinet was cleaner with very little excess medication. Medication bottles were clean and tubes or tubs of cream and ointments were stored separately from the tablets. Personal care items such as nail clippers and nail files were labelled with the residents’ names and also stored separately. Concerns continue due to the medication still being stored in a filing cabinet. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 15 This is not an ideal storage facility. It is not easy to locate the individual resident’s boxed tablets and creams. The motion of the cabinet drawers opening and closing results in the contents of the drawers being disturbed. Additionally one of the filing cabinet drawers was being used for the storage of residents’ finances. The manager must ensure that the medication is transferred to a more appropriate storage facility. Ideally this should be a specially designed medication cabinet that includes a controlled medication facility. Two discrepancies were noted on the daily administration record (MAR) sheets. There was no explanation why one dose of medication had not been issued. Secondly, written records on the reverse of a MAR sheet were virtually illegible. In partnership with the Primary Care Trust and Social Services all of the residents have their own healthcare book. The books are developed in a format that is more easily understood by the resident. The book covers all aspects of healthcare. For example there are sections on eyes, ears, diet, exercise, Well Women/Man and sleep. The book also covers healthcare aspects that are specific to the resident. For example, details of medication and disabilities such as epilepsy. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22&23 The relaxed atmosphere of the home combined with both informal and formal discussions between the staff and residents works towards ensuring that the residents’ views are listened to and acted on. The home has a complaints policy and procedure. Additionally there is also a Vulnerable Adults Procedure in place. These work towards ensuring that residents and family members views are listened to and that systems are in place to protect the residents from neglect. EVIDENCE: The home has a complaints policy and procedures. Since the previous inspection there has been one Vulnerable Adult investigation. The concern was appropriately investigated and responded to in accordance with the home’s Vulnerable Adult policy and procedures, Complaints Procedure and the Care Standards Act 2000: Care Homes Regulations 2001: Regulations 13(6) & 37(g). During the investigation the home worked closely with Social Services and the Commission. Neither the home nor the Commission has received any other complaints since the last inspection. The home’s relaxed and informal atmosphere combined with, residents reviews and meetings, sharing of chores and high levels of interaction between the staff and residents works towards promoting residents’ confidence in voicing their views. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 17 In compliance with a requirement arising from the previous inspection, the management of residents’ finances has greatly improved. Fuller records are now being maintained. For example, receipts are numbered and additional information are being recorded with regards to the financial transaction. Joint receipts are now stored together. Financial expenditures were simple and quick to cross-reference. Records indicated that one of the residents had purchased a towel. Records did not indicate whether this was a replacement of an essential item or had been purchased by the resident as an optional extra. Refer to Section One regarding recommendations and requirements for the residents’ contract. In order to ensure greater clarity of records, it is recommended that the person making the entry, initials corrected accounting mistakes. It is also recommended that details of the joint receipts should be recorded in a book following the same procedure that is used for recording individual resident’s financial transactions. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 34-36 Shipston Road is clean, comfortable and homely with ample communal areas to suit the residents’ needs and preferences. All of the residents enjoy the privacy of individual bedrooms that meet their needs and lifestyles. The continuing lack of shower facilities and blinds/curtains in the bathroom seriously restricts residents’ choice and compromises the privacy and dignity of the residents. EVIDENCE: A tour of the premises and gardens found that, with one exception, the home was clean, bright and safe for the present residents. Uneven paving just outside the back door of Number 36 is a trip hazard. A staff member has already had an accident as a result of the uneven area. All of the bedrooms are for single occupancy only. Bedrooms seen were homely and comfortable and reflected the interests and preferences of the occupants. Toilets and bathrooms were clean and free from clutter with adequate supplies of basic essentials such as toilet paper, soap and towels. At the time of the inspection one of the bathroom door locks was faulty and awaiting replacement. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 19 The manager has advised that the faulty lock had now been replaced. The requirements to replace or repair the worn bath, ill fitting bath panel and provide a shower facility and window blinds or curtains in Number 36 remains outstanding from the previous inspection. Communal areas were also comfortable and furnished to the residents’ choice. New sofas had been purchased for one of the houses. The inspector was advised that funding was being made available to redecorate the lounge and dining room of number 34. Residents confirmed that it was usual practice for them to be involved in choosing wallpaper and colour schemes as well as furniture. The present residents require no specialist equipment or adaptations. Both houses were clean, hygienic and free from offensive odours. Policies and procedures are in place to control the risk of infection. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31&32 The home has a suitably trained and competent staff team who are aware of their own and others’ roles and are committed to meeting the needs of the residents. EVIDENCE: At the time of the inspection one member of staff and the manager were on duty to meet the needs of the four residents who were spending the day at the home. The staff member on duty had been interviewed during the previous inspection, which took place 17th March 2005. The staff member has worked for the Trust for a significant number of years and is experienced and competent to meet the needs of the residents. In order to ensure that the needs and preferences of the residents are met, the home has developed a ‘prompt book’ for new or agency staff. The book gives a pen picture of each of the residents’ needs and highlights and particular areas of risk. Throughout the inspection process the manager and staff were courteous and respectful to the residents. For example, the inspector was introduced to the residents and the purpose of the visit explained. Due to the constraints of time and needs of the residents, staff files were not scrutinised on this occasion. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 41,42 &43 With the exceptions outlined below, policies and procedures are in place that work towards promoting the health, safety and welfare of the residents. EVIDENCE: Previously the office was only accessible via the sleeping in room. Since the previous inspection the home has swapped around the sleeping in room and office. This has presented a more professional image and afforded staff a degree of privacy. The requirement to provide lockable facilities for the use by staff remains outstanding. Policies, procedures, risk assessments and staff training are in place to reduce the risk of fire, cross-infection, food poisoning and the risk of accidents. Substances such as cleaning fluids were securely stored in accordance with Control of Substances Hazardous to Health Regulations (COSHH) 1999. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 22 Clearer maintenance records are now in place but the home still does not follow up any delays or consistently record all basic details such as when the task was completed. In order to reduce the risk of scalding, hot water temperatures need to be checked on a more frequent basis. Records showed that the hot water temperatures were last checked in July 2005. On that occasion all of the hot water temperatures outlets in the home were checked on the same day. In accordance with the Care Standards Act 2000: Care Homes Regulations 2001: Regulation 26, the home is subject to regular unannounced visits from a representative of Home Farm Trust. A copy of the findings of the visit is forwarded to the Commission, home’s manager and Responsible Individual. These visits, which cover all aspects of the service, works towards monitoring the safe management of the home and quality of service. HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 HFT - 34/36 Shipston Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x 2 2 2 E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA 5 Regulation 17(2) Schedule 4 12 (4)(a) 13(2) Requirement The Service User contract requires more detail so that the residents have a clearer understanding of what is and is not included in the fees. Records of a confidential nature are to be securely stored when not in use. The registered person must ensure the clear and accurate recording and safe storage of medication. Storage facilities for medication must not be used for any other purpose, for example, the storage of money. The uneven area to the back door of Number 36 is to be made good. A shower facility and curtain/ blinds are required for the bathroom in Number 36. Maintainance records are to detail what steps have been taken to follow up any delays in requests for repairs or maintainance. Completion dates are to be recorded. Hot water temperatures at outlets accesable to residents are to be checked on a more frequent basis. Timescale for action 02/12/05 2. 3. YA 10 YA 20 28/10/05 02/12/05 4. 5. 6. YA 24 YA 27 YA 41 13 (4)(a) 12(4)(a) 13 (4) 02/12/05 02/12/05 28/10/05 7. YA 42 13(4) (a) 28/10/05 HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 25 8. YA43 23 (3) (a) (ii) Lockable facilities are required for use by staff for the safekeeping of handbags, mobile phones and wallets. 02/12/05 9. 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 Good Practice Recommendations HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 HFT - 34/36 Shipston Road E53 S4242 HFT 34 - 36 Shipston Road V247905 050905 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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