Inspection on 22/11/07 for Hillside

This inspection was carried out on 22nd November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found 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

Hillside 14/10/08

Hillside 20/11/06

Hillside 31/01/06

Hillside 12/09/05

Hillside 15/12/04

Hillside 28/07/04

Similar services:

Craigmore House

1 Lanark Close

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

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

CARE HOME ADULTS 18-65 Hillside 33 Park Avenue Haltwhistle Northumberland NE49 9AU Lead Inspector Karena M. Reed Key Unannounced Inspection 22nd November 2007 11:30 Hillside DS0000000670.V351468.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 Hillside DS0000000670.V351468.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. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside Address 33 Park Avenue Haltwhistle Northumberland NE49 9AU 01434 - 322120 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) hillside@athome.uk.net At Home in the Community Ms Barbara Raffel Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 person may also have a physical disability Date of last inspection 20th November 2006 Brief Description of the Service: Hillside is a small home registered to provide personal care and support to five adults with learning disabilities under the age of sixty- five years. Nursing care is not provided. The property is a purpose-built bungalow. It is situated in a rural setting near to the town centre and all its amenities such as shops, pubs and restaurants. The bungalow is spacious. Each person has their own bedroom and they share the communal areas, which includes a kitchen/dining room and a lounge. One of the ground floor rooms is an office and bedroom for staff on sleepover duty. At the back of the bungalow is a very large garden. Hillside is part of the residential services provided by the voluntary organization At Home in the Community. Fees payable for living at the home at the time of inspection in November 2007 are £838.60 to £1188.90. Additional charges are payable for hairdressing, transport, toiletries and eating out. Residents who are interested in coming to live at the home are provided with a Statement of Purpose and service user guide which describes the services and facilities provided by the home and how staff are trained to meet residents care and support needs. CSCI inspection reports are also available at the home detailing the quality of care provided by the home. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on November 20th 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • An unannounced visit was made on November 22nd 2007 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the provider what we found. 10 surveys were sent to residents and relatives, 0 were returned at the time the report was issued. 5 surveys were sent to care managers and GPs, 4 were returned. Comments include: “The staff are well informed and caring.” “Individuals’ health care needs seem to be met by the care service.” Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 6 “The service is good at communicating therapeutic problems back to us.” “Excellent individual knowledge and care of residents. Staff endeavour to facilitate inclusion and continuity of care. Appropriate use of primary and secondary care services.” “ I think they look after the residents very well.” What the service does well: The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. There is an excellent standard of hygiene around the home. The home is comfortable and well maintained. Detailed information is collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. Residents enjoy a wide range of social and leisure activities. Residents living at the home have lived there for many years. Comments include: “The staff are well informed and caring.” “Individuals’ health care needs seem to be met by the care service.” “The service is good at communicating therapeutic problems back to us.” “Excellent individual knowledge and care of residents. Staff endeavour to facilitate inclusion and continuity of care. Appropriate use of primary and secondary care services.” “I think they look after the residents very well.” Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: The management structure of At Home in The Community must be reviewed to ensure an on call service is always available over any twenty-four hour period, after Head Office is closed. The manager must obtain a recognised qualification in management. Staff must receive training about mental health issues in order to have more insight into the care needs of residents. The home should actively recruit male staff in order to provide a choice of carer to residents and to promote Equality and Diversity. The admission/discharge book must accurately record any absences from the home of residents. The Royal Pharmaceutical Society guidelines must be followed for the safe handling of medication. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 8 Individual risk assessments must be kept up to date to ensure the safety of residents. 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. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 9 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 Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 10 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): 1,2,3,4. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Interesting information is available to give to prospective residents before they move in to tell them about the range of services provided by the home. The home collects enough information about the needs of prospective residents before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training but more developmental training is required to give them the knowledge and insight to help understand the needs of some residents and to provide the necessary levels of care and support to individual residents. Residents and their relatives are very welcome to visit the home to assess its suitability. EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001 they were interesting and easy to read. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 11 Records for the five residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they know how to meet the needs of the residents. Staff have received the necessary statutory training: Fire Training, Food Hygiene, First Aid, Protection of Vulnerable Adults and National Vocational Qualifications. Staff have also received training about; infection control, risk assessment, challenging behaviour, working with learning disabilities, Dementia Awareness, the Safe handling of Medication and capacity and consent. Future training includes personal relationships and sexuality and training about writing support plans. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 12 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): 6,7,8,9,10 People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are quite good arrangements in place to ensure that residents’ health and social care needs are met. Residents are encouraged to be involved communicate and make their views known. in decision-making and to Safe systems are not in place to ensure all residents can take risks safely with the support of staff. Information about residents is handled appropriately, and their confidences are kept. EVIDENCE: Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 13 There are detailed assessments in the residents’ care plans. Care and support needs are documented and give instructions to staff on how to support people that require support with tasks and carrying out any assessed tasks to help promote the independence of the person. There is a system of reviewing the changing care needs of residents. Residents are quite well supported by staff and care plans show the amount of care and support that staff are providing to residents. Care plans are being updated three monthly or earlier if required if a resident’s care and support needs change. Residents care records showed that they have access to external health care services. GPs, staff who can advise about working with challenging behaviours and Community Psychiatric Nurses were regularly consulted for advice and treatment. Records show residents are assisted to access chiropody, dental and optical services at least annually or as often as required. Residents are asked individually and consulted about decisions involving themselves and the running of the home. The home supports residents to remain independent and take risks in order to live a more fulfilled lifestyle .Up to date risk assessments were present in most residents care records but not for a resident whose needs had changed substantially. Residents care records all contained statements of confidentiality to remind staff what information could or could not be disclosed about residents. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 14 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): 12,13,14,15,16,17 People who use the service experience excellent quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents are encouraged to take part in age, peer and culturally appropriate activities. Residents are part of the local community. Residents enjoy appropriate leisure activities. Residents are encouraged to have appropriate personal, family and sexual relationships. Residents’ rights and responsibilities are recognised in their daily lives. Residents are offered a healthy diet. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 15 EVIDENCE: Residents’ records and residents meeting minutes provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Residents’ meetings take place two to three monthly. Records showed staff support residents to acquire skills and become more self sufficient in aspects of every day living. Residents have the opportunity to lead busy and varied lives if they choose. They may attend day care services or individual therapeutic activities: horse riding, arts and crafts at a local school, social club, over 60s’ club, swimming and aerobics. Residents all pursue their own individual hobbies and interests, they enjoy football matches, cinema and theatre trips, baking, choir, marine bands, train spotting and some attend church. They also enjoy meals out socializing with residents of other homes, visiting the local pub, shopping, going to discos, karaoke, seasonal parties, beetle drives and some attend a weekly evening club. Residents are supported to holiday with staff individually or in small groups, this year they have enjoyed holidays to Scarborough, Centre Parc and Gatehouse on Fleet. Within the home residents bedrooms are equipped with their own televisions, music centres, books and whatever is of interest to the resident. Residents care plans and case records detail any family involvement. Conversation with staff also provided evidence that residents are encouraged to maintain contact with family and friends, staff providing the necessary levels of support for them to do so. Residents are asked individually daily what they wish to eat. A light snack is available at lunch times and a cooked meal is served in the evening. Residents may often eat out, on the day of inspection some residents were having lunch whilst out with staff. The evening meal was to be a jacket potato with choice of fillings and Angel Delight for pudding. Residents have access to the kitchen and are able to be involved in baking, preparing snacks and drinks with staff support. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 16 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): 18,19.20,21 People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents do receive support in the way they prefer and require. There are arrangements in place to ensure that service users’ health care needs are met. Residents are not protected by the home’s policies and procedures for dealing with medicines. The home is equipped for the ageing and incapacity of residents. EVIDENCE: Five care plans and case records were inspected. The daily records detailed the care and support required for different needs. They reflected the changing needs of residents due to becoming older. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 17 The care plans accurately recorded the needs and the care and support provided by staff. The home also respects the wishes of the individual when dealing with their ageing. Records showed when residents had seen health professionals e.g. doctors, community nurses, psychiatrists and psychologists. Records also showed when residents had seen opticians and dentists. Training records showed staff members receive training about medication before they are able to administer it to residents. Medication records were looked at for two residents, one record was not accurately recorded and signed by staff. No resident administers their own medication currently. A system could be put into place to oversee the medication of residents if they should retain and administer their own medication. The environment is equipped for the ageing of residents. Staff have received some training to give them more insight into the ageing process and the needs of residents as they become incapacitated due to illness and old age, but some more specific training is required to help them meet and understand some individual needs. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 18 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): 22,23 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. The complaints procedure is ayailable so residents can bring any matters of concern to staff or people outside of the home. Residents are protected from abuse. EVIDENCE: There is a complaints procedure if complainants are not happy with the homes investigation and response. Residents are reminded of their right to complain and the home provides a simple format of the procedure for some residents to identify with and use. The home keeps a record of complaints. Three complaints have been received by the home since the last inspection and they have been dealt with appropriately. As part of staff induction staff receive training about the rights of people with learning disabilities. New staff complete the LDAF Course, Learning Disability Award Framework. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 19 Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Arrangements are in place for new staff members to receive this training about Protection of Vulnerable Adults. Staff have received training about working with behaviour that may be challenging. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 20 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): 24,30 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. There is a good standard of hygiene around the home. EVIDENCE: There is a programme of redecoration and improvement around the home. Since the last inspection the laundry, hallway and lounge have been decorated. Curtains have been replaced and some new pictures and ornaments have been put in the lounge to make it more homely. The home is clean, well decorated and well maintained. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 21 There is a very good standard of hygiene around the home. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 22 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): 32,33,34,35,36 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. The numbers and skill mix of staff meets residents’ needs. Systems are in place to ensure residents are in safe hands. Residents are protected by the home’s recruitment policy and practices. Staff are trained to meet the care needs of residents. A system of supervision is in place to support the staff. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 23 EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 7.00 am - 4.00 pm 4.00 pm - 10.30 pm 9.00 am - 9. 30 am 2 support staff 4 will be provided when possible. 2 support staff following day 1 sleep in staff member. These numbers include the manager. The roster is different currently as extra support staff are providing individual support to a resident, the staff are employed to work individually with the resident and will go with the resident when they leave the home to live more independently. These staff have not been included in the above staffing levels. Staff members carry out cooking and cleaning with the help of residents where possible. Seven support workers are on the staff team, there is one vacancy currently. . Equal Opportunities legislation is adhered to when recruiting and selecting staff however the staff group is not balanced currently as only female support workers are available to work with residents. The necessary checks are being carried out prior to the workers being appointed. CRB checks are carried out before a person is appointed. Staff receive LDAF Learning Disability Award Framework as part of their induction. Six members of the staff have achieved a National Vocational Qualification at level 2 or 3. Staff and their records showed that they also receive advice and /or training in other areas. Staff have received training Fire Training, Food Hygiene, First Aid, Protection of Vulnerable Adults and National Vocational Qualifications. Staff have also received training about; infection control, risk assessment, challenging behaviour, working with learning disabilities, Dementia Awareness, the Safe handling of Medication and capacity and consent. Future training includes personal relationships and sexuality and training about writing support plans. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 24 Staff receive regular supervision four – six weekly from the manager. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 25 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): 37,38,39,41,42,43 People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents’ benefit from quite a well run home. Residents and staff benefit from the ethos, leadership and management approach of the home. There is a regular system to review the quality of care provided by the home. There is a good standard of record keeping. The health, safety and welfare of residents are mostly promoted and protected. Systems are not always in place to ensure service users always benefit from competent and accountable management of the service. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 26 EVIDENCE: The person in charge has several years experience working with people with learning disabilities but she has not yet enrolled upon or achieved a relevant qualification in management. The manager has worked well with the staff team to try to balance the different and sometimes conflicting needs of the people in the home. This must always be balanced with their health and safety and a resolution be found in a more timely way. Documents detailing fire safety, risk assessments in the environment, water temperatures, financial records and statutory records were all up to date apart from the admission/discharge book did not accurately record when a resident was away from the home and when they returned. Staff training relating to health and safety was up to date. Residents and staff’s health and safety were mostly protected apart from an essential risk assessment was not updated when a resident’s needs had changed. The on call system is not always available over a seven day, twenty- four hour period to provide senior management advice and support to managers when Head Office is closed. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 27 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 3 2 3 3 3 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 2 3 3 x 2 3 2 Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 28 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA3 Regulation 18(1)(a) ©(i) Requirement Timescale for action 01/02/08 YA9 2. 3. 4. YA20 YA37 5 5. YA41 YA43 Staff must receive training about mental health to ensure they can meet the needs of all residents. 14(2)(a)(b) The identified risk assessments must be updated and reviewed regularly. 13(2) The correct system for the safe handling and recording of medication must be adhered to. 9(2)(b)(i) The registered manager must obtain a recognised qualification in management within the agreed time scale. Schedule The admission/discharge 3 (d)(e) register must be completed accurately. 12(1)(a) An on call system providing senior management support to managers must be available at all times. 30/12/07 30/12/07 30/11/08 30/12/07 20/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 29 No. 1. Refer to Standard YA34 Good Practice Recommendations Male support workers should be employed to work in the home. Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Cramlington Area Office St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Hillside DS0000000670.V351468.R01.S.doc Version 5.2 Page 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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