CARE HOME ADULTS 18-65
HFT - Gaston & Dolphin Houses 7 Waterloo Road Bidford On Avon Warwickshire B50 4JP Lead Inspector
Catherine Mundy Unannounced 16 August 2005 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 - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Hft - Gaston and Dolphin Houses Address 7 Waterloo Road Bidford On Avon Warwickshire B50 4JP 01789 490664 01789 772790 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 Ms Sarah Coleman Care Home 9 Category(ies) of Learning Disability (9) registration, with number of places HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 10 March 2005 Brief Description of the Service: The home is located on rural campus on the outskirts of a village in South Warwickshire. There is another similar home, the parent body’s offices and a large resource centre on the same site, which is used by most service users. The home consists of a single property divided into two living units for five and four service users, respectively. All have varying degrees of learning disabilities and some have a degree of physical disability. The home is near to the village of Bidford-on-Avon, where there are a number of local amenities. Stratford is approximately 9 miles away, Redditch is 12 miles and Evesham is 8 miles away, where there are a variety of facilities available. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 16th august 2005 between the hours of 10am and 3pm. During this time the inspector had the opportunity to meet with the residents and staff, tour the home and examine documents relating to the residents and the management of the home. The Registered Manager facilitated the inspection process. What the service does well:
The feedback received from the residents is complimentary of the service that is provided in the home. The residents stated that they were happy and enjoyed living in the home. Observations of the interactions between the residents, the staff and their environment indicated that the residents were comfortable and relaxed. The residents supported the inspection process and were keen to talk to the inspector and show the inspector around the home. The residents are provided with an individual plan of care which details their personal support needs, health care needs and the residents preferences as to how these are to be met. These plans of care are developed in consultation with the residents using a person centred approach. The residents have also completed a Person Centred Plan, which details, in a pictorial format, the wishes and aspirations of the residents. Other information that is relevant to the residents, including complaints procedures, activity plans and minutes from residents meetings are also produced in a format that is more accessible to the residents, using appropriate language, symbols, pictures and photographs. The residents are supported to take part in a broad range of valued and fulfilling activities, which reflect their personal preferences, during the day, in the evenings and at weekends. The residents had recently been to a pop concert, which they enjoyed and to the Royal Show. The residents also confirmed that they are able to choose and enjoy the meals that are provided by the home. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better:
In addition to the requirements that remain outstanding from the previous inspection a further eight requirements have been made following this inspection. The home must continue with the work undertaken to provide each of the residents with a contract, detailing terms and conditions of residency in the home, which meets the guidance detailed in Standard 5 of the National Minimum Standards. Records relating to the residents must also include details of the diet actually consumed by the residents and details of how decisions are reached when residents purchase items jointly. The home must also ensure that food items stored in the fridge are dated at the time of opening. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 7 Although the home has taken positive action to provide the staff team with training to enable them to more effectively meet the residents needs and maintain safety within the home, the Registered Manager must ensure that the training and development plan devised is implemented and that the staff responsible for the administration of medication have received accredited training and that all of the staff receive training relating to the protection of vulnerable adults. The home must take further action to maintain the health and safety of the residents. A report made following a visit from a fire officer, on 23/6/05, details that the home must provide door closures, which allow the internal doors to remain open and close when the fire alarm is activated. The home must also provide a heat seal to one residents bedroom. The requirements made by the fire officer had not been addressed at the time of this inspection. Several doors were propped open with door wedges. These must be addressed as a matter of urgency. Routine testing of portable electrical items must also be completed on an annual basis. (PAT testing) Reports made following the visits to the home, by a representative of the organisation, under Regulation 26 of the Care Homes Regulations 2001 are not forwarded to the Commission for Social Care Inspection on a regular basis. 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 - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 8 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 - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 9 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, 4 and 5 Prospective Service Users are provided with information and opportunity to enable them to make a decision as to whether to accept a placement in the home. Completion of the residents contracts would enhance this further. EVIDENCE: The home has produced a Statement of Purpose, which details the services provided by the home. A Service Users Guide to the home is also available. The home has developed contracts, which detail the terms and conditions of residency in the home. These do not fully meet the guidance detailed in Standard 5 of the National Minimum Standards for Younger Adults. A copy of the contract made between the purchasing authority and the organisation is available in the residents files. The home currently has one vacancy. The manager has completed a vacancy profile. This has been distributed to the relevant professionals. The home has an acceptable admissions procedure. This includes an assessment of need made by the residents Social worker, the homes own assessment of need and introductory visits to the home. It is confirmed that the current residents views would be taken into consideration before a placement is offered to a prospective resident. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 10 In the event that the home can no longer meet a residents needs or that a resident expresses a wish to move from the home an acceptable discharge procedure is in place. This will include supporting the residents, liaison with family and prospective carers, provision of information regarding the residents care needs and supporting the resident with introductory visits to the new home. A written procedure to this effect is available in the home. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 9 and 10 The home adopts a person centred approach to care planning that enables the residents to identify their wishes and aspirations. This, along with the resident information file, provides the staff with detailed information as to how the residents identified needs are to be met and the support that is required to assist the residents to achieve their goals. Systems in place within the home ensure that the residents confidentiality is respected. EVIDENCE: Each resident has an individual plan which details their needs and wishes. Changes to the residents health and behaviour are recorded, referrals to the relevant health care professional are made as appropriate. Risk assessments have been completed and risk management strategies developed to address the needs identified. These are regularly reviewed. These documents have also been signed by the staff to confirm that the content has been read and understood. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 12 The residents also have a Person Centred Plan (PCP) which details their personal preferences with regard to how their needs are to be met. This details their likes and dislikes and preferred lifestyles. These are produced in a format that is accessible to the residents using pictures and symbols. Since the time of the last inspection the home has compiled an information file for new staff. This provides information relating to the residents care needs in a format that is easily accessible to the staff. This has been completed in consultation with the residents, the staff have signed to indicate that they have read and understood its content. The residents records are stored securely within the home. Some residents have chosen to keep their Person Centred Plan (PCP) in their own bedrooms. Discussions, and observations during the inspection confirmed that the residents confidentiality is respected. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 and 17 The residents are supported to participate in abroad range of valued and fulfilling activities which they enjoy. The residents enjoy the meals that are provided by the home. The meals provided reflect the residents choice and provide a varied and balanced diet. EVIDENCE: Each of the residents attends a structured day placement on weekdays. This is located on the same site at the home and also managed by Home Farm Trust. This is with the exception of one resident who has daytime activities provided by the home. A pictorial timetable has been produced for each resident, detailing the planned daytime activities. This is displayed within the home. The residents stated that they enjoyed attending their day placement. On the day of this inspection the day service was closed for the morning. The residents spent their time relaxing in the home either watching a DVD or assisting the staff to complete household chores. Other activities available in the home include a ball pool, swimming, and listening to music.
HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 14 In addition the residents have the opportunity to participate in a broad range of activities away from the home, these include bowling, rambling, shopping, cinema, meals out, going to the pub and horse riding. The residents had recently been to a concert and to the Royal Show. The manager informed the inspector that the residents had chosen to go on holiday to San Francisco, this is planned to take place in the autumn. The residents are supported to access local community facilities such as the hairdressers, dentist, optician and local shops. The home has a vehicle to support this. The manager stated that public transport is not used. The residents are supported to maintain contact with their family and friends, this includes telephone calls and visits to the family. The amount of staff support provided is dependant upon the needs of the residents. Visitors are also welcome in the home. The menu plans available in the home reflected that the residents have a varied and balanced diet. Food stocks within the home confirmed that the home use fresh produce to prepare ‘home cooked’ meals. The residents and staff confirmed that they are able to choose the meals that are planned and that an alternative meal is provided if requested. The residents confirmed that they enjoyed their meals. The inspector was invited to have lunch with the residents. Each of the residents had a packed lunch, which they had prepared themselves. These included sandwiches, pieces of fruit, yogurt and crisps. It was evident that the residents had chosen their own lunches. Records relating to the planned meals are retained within the home. The home does not keep a record of the meal provided for the resident when an alternative is requested. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 The residents personal support and health care needs are met in a manner which reflects their personal choice, and promotes their privacy, dignity and independence. The systems in place for the storage and administration of the residents medications are good, however the provision of accredited medications training for the staff and implementation of a procedure for the disposal of medication would reduce the risk of medication errors being made. EVIDENCE: The residents PCP documents and information detailed in the staff information file details the residents preferences with regard to how their personal support needs are to be met. These reflected that the residents privacy and dignity is respected and independence promoted. The interactions, between the staff and residents, observed during this inspection confirmed this. The plans also detail the residents health care needs and the strategies in place to ensure that the needs identified are met. This includes behaviour management guidelines. Details of routine health screening at the GP surgery, dentist and optician are also recorded. Changes to health are monitored, referrals are made to appropriate professionals as appropriate.
HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 16 There is a plan in place for the home, in partnership with Warwickshire Learning Disabilities Team, to complete a baseline assessment of the residents health care needs. This will provide each resident with a Health Action Plan (HAP). These will be reviewed annually. The home maintains responsibility for the ordering, storage and administration of the residents medication. The arrangements in place for this reflected good practice. There is evidence that the residents have given their consent to receiving their medication. The consent form is provided in a format that is accessible to the residents. it was noted that the home continues to store ‘as required’ medication belonging to a resident who no longer lives in the home. It is also noted that the staff responsible for the administration of medication have not received accredited medications training. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 17 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 and 23 The systems in place support the residents to raise concerns or make complaints. The residents are confident that the concerns they raise would be listened to and acted upon. The ability of the home to protect the residents from abuse, and support the residents in the event of suspected abuse is compromised by a lack of training provided to the staff with regard to adult protection. EVIDENCE: The homes complaints procedure is available in the home. This is displayed in an accessible format within the home. A copy of the local authority complaints procedure was also available. The residents confirmed that they were aware of the procedure to follow should they wish to make a complaint. The residents were very complimentary of the service provided in the home, they confirmed that they were confident that any issues raised would be appropriately addressed. The homes complaints log confirmed that there have been no complaints made to the home since the last inspection. The home facilitate residents meetings, minutes being provided in a format that is accessible to the residents, which provides the residents with a forum to raise concerns or make complaints. The home also operates a key worker system and accesses an external advocacy service as required, to support the residents. The manager demonstrated in discussion that she was aware of the procedure to follow in the event of abuse being suspected. The manager completes monitoring of the homes records to highlight changes to the residents behaviour which may indicate that abuse had taken place.
HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 18 Adult protection training has not been provided for the staff team, this compromises the homes ability to protect and support the resident appropriately. The financial records relating to one of the residents were examined. These indicated that the residents monies are handled appropriately by the home. There are some instances when the residents have made joint purchases, the cost of the item divided between the residents. Records are not kept as to how these decisions are made or of the residents agreement to this. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 19 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 and 30 Whilst the standard of the environment is good, providing the residents with a comfortable and homely place to live, further action is required to ensure the safety of the residents and staff. EVIDENCE: The house is divided into two separate homes. These are joined by an interconnecting door which is used in an emergency and at night time. The remainder of the time the two homes run independently of each other, with separate staff teams and kitchen and laundry facilities. Each home has a communal lounge, dining room and garden. The residents each have their own bedrooms, these are furnished and decorated to reflect their individual personalities and personal preferences. On the day of the inspection both homes were comfortable, clean and homely. Décor and furnishings are of good quality and well maintained. However, some of the internal doors were propped open with door wedges. These doors included the lounge, dining room, hallway and office on Gaston House and one residents bedroom in Dolphin House. This would compromise the safety of the residents and staff in the event of a fire.
HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 20 The laundry facilities provided in each home, although small, are appropriate to the needs of the home. The staff confirmed that the procedures in place to attend to residents laundry are acceptable. Soiled items can be washed at appropriate temperatures. A sluicing facility is also available. Cleaning materials are stored appropriately within the home. data sheets are available to reflect the items purchased. The staff demonstrated in discussion that appropriate action would be taken in the event of cleaning materials being ingested or causing topical irritation. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 21 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) 35 and 36 Implementation of the homes training and development plan and the continuation of the arrangements in place for the supervision of the staff team will ensure that the staff have the necessary skills and support to effectively meet the residents needs. EVIDENCE: The home employs 12 staff members. These provide 24 hour care on a rotational basis. the residents are supported by four staff during waking hours, two staff members allocated to each home, and one waking night staff, supported by a sleep-in staff member each night. These staffing ratios are appropriate for the needs of the home. The staff on duty during the inspection had worked in the home for a number of years. It was evident from the interactions between the staff and residents that positive relationships have been formed. The training records examined confirmed that the home has made good progress, since the last inspection, to provide the staff team with training that is appropriate to their roles, including mandatory training. The manager advised that the current training plan would ensure that the whole staff team will have received the required training within the year. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 22 Accredited medications training and adult protection training remain outstanding. The manager advised that there is a plan in place to provide this. The home also plans to provide training relating to epilepsy, personal relationships, mental health, using objects of reference, record keeping and minibus driving. The staff team receive formal supervision and performance appraisal with their manager. The manager also facilities group supervisions, for peer support and provision of training. The manager works alongside the staff team providing informal supervision and support to the team. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Although the home takes some action to promote and maintain the health and safety of the residents and staff, further action is required to ensure that their safety is not compromised. EVIDENCE: The home completes appropriate monitoring of the fire safety equipment within the home. This includes alarms, extinguishers and emergency lighting. Fire drills are also completed. The fire risk assessments has recently been reviewed. The residents confirmed that they are aware of the action to be taken in the event that the fire alarm is activated. Despite this good practice the safety of the residents and staff is compromised with the use of wedges to prop open internal doors. This is detailed in the fire officers report, dated 23/6/05 and was evident during this inspection, the fire officers report also identified that a heat seal to one residents bedroom is required. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 24 The arrangements for the storage of food it acceptable, this is with the exception of some items stored in the fridge. These products clearly state that they are to be consumed within a set time period once they are opened, however the date of opening the items is not recorded. Monitoring of fridge and freezer temperatures takes place at appropriate intervals. The temperature of meals is also recorded prior to them being served. Portable electrical appliance tests (PAT) were last completed in January 2004. Electrical and gas safety certificates were not examined during the inspection. The home takes appropriate action to reduce the risk of legionnaires disease. An external contractor is responsible for this. To reduce the risk of scalding water temperatures are monitored weekly. First aid equipment is available in the home. An employers liability insurance certificate is displayed in the home. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 25 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 x x 3 2 Standard No 22 23
ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 x x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 2 Standard No 31 32 33 34 35 36 Score x x x x 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
HFT - Gaston & Dolphin Houses Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 26 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 5 Regulation 5(1)(b)(c) Requirement Provide each resident with a contract which details the terms and conditions of residency in the home and meets the guidance detailed in Standard 5 of the National Minimum Standards. This requirement has been made at previous inspections of the home. The home must also forward a copy of the document to the Commission on its completion The home must maintain records of the residents dietary intake. Ensure that medications no longer prescribed are disposed of appropriately. Provide staff with accredited medications training and training relating to adult protection. This requirement was made at the last inspection of this home. Records are to be maintained to demonstrate how decisions are reached with regard to joint purchases. The home must comply with the requirements made by the fire Timescale for action 31/10/05 2. 17 3. 4. 20 20, 23 16(2)(i) 17(2) Schedule 4. 13 13(2) 13(6) 18(c ) 15/9/05 15/9/05 31/10/05 5. 23 13(6) 15/9/05 6. 24, 42 13(4) 23(4) 15/9/05
Page 27 HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 7. 35 13(4)(6) 18(1)(c ) 23(4)(d) 8. 9. 10. 42 42 42 13(4) 13(4) 13(4) 11. 43 26 officer in the report dated 23/6/05. This is to include the provision of appropriate door closing devices and heat seals. The home must continue to implement the training and development plan that will enable all of the staff to receive mandatory training and training relevent to the needs of the residents. A record is to be maintained of the date of opening food items which are stored in the fridge. Portable electrical appliances are to be safety checked annually. (PAT testing) The home is to confirm that gas appliances and the electrics have been serviced at appropriate intervals. Certificates relating to the most recent service are to be provided as part of the action plan to this report. Reports made following the visits to the home, by the organisation, are to be provided to the commission each month. 30/11/05 15/9/05 30/9/05 30/9/05 on going 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 There are no recommendations arising from this inspection. HFT - Gaston & Dolphin Houses E53 S4244 HFT Gaston and Dolphin Houses V245350 160805 Stage 4.doc Version 1.40 Page 28 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
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