Inspection on 07/09/06 for Homeleigh

This inspection was carried out on 7th September 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Homeleigh 03/10/07

Homeleigh 28/02/06

Homeleigh 28/09/05

Homeleigh 10/02/05

Homeleigh 12/08/04

Homeleigh 10/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Homeleigh Middleton Road Crumpsall Manchester M8 4JX Lead Inspector Steve O`Connor Key Unannounced Inspection 07 September 2006 12:00 Homeleigh DS0000021618.V301367.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 Homeleigh DS0000021618.V301367.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. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homeleigh Address Middleton Road Crumpsall Manchester M8 4JX 0161 225 3609 0161 720 9660 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) Southfields Care Homes Limited Susan Lesley Bradbury Care Home 30 Category(ies) of Learning disability (1), Mental disorder, registration, with number excluding learning disability or dementia (24), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (5) Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person who requires personal care only by reason of learning disability is accommodated. Should this service user no longer reside at the home then the registration will revert to thirty places for mental disorder (MD). Five named persons are over 65 years of age but requiring care by reason of mental disorder excluding learning disability or dementia. Should any of these service users no longer reside at the home, the registration category for these places will revert to accommodation for people under 65 years of age with a mental disorder (MD). 28th February 2006 2. Date of last inspection Brief Description of the Service: Homeleigh is a care home providing 24-hour care and accommodation for up to 30 adults with mental health problems. The home is a detached 3 storey building set within its own grounds. Accommodation is spread over three floors with a combination of single and double rooms and also one self-contained flat. There is a smoking and non-smoking lounge and a dinning room set out in a cafeteria style with bench seating. The home is situated in the Crumpsall area north of Manchester city centre. It is close to local amenities and public transport links. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection report is based on information and evidence gathered by the Commission for Social Care Inspection (CSCI) since the home was last inspected in February 2006. This information includes an Action Plan sent in response to the inspection report, the requirements issued at the last inspection report, incidents notified to the CSCI by the home and information provided through other people and agencies, including concerns and complaints. During the inspection site visit time was spent talking with people who live at the home, observing how staff work with people and taking to staff on duty. Documents and files relating to people and how the home is run was also seen and a tour of the building was made. The inspection report of February 2006 highlighted a number of areas that the home needed to work on and improve. The home had addressed all the changes needed from the last inspection report. The inspection was an opportunity to look at all the core standards of the National Minimum Standards (NMS) and was used to make a judgement on the quality of the service provided by the home and to decide how much work the CSCI needs to do with the home. What the service does well: Staff still support people in making decisions regarding such issues as housing, health, activities and routines. Information is provided and people are encouraged to make choices and to make no choice if they do not wish. There are no restrictions placed on people unless agreed through a risk assessment process that involves the person. People manage their own affairs as far as possible and support is provided to manage finances and medication. Talking to staff and the management team highlighted their continued commitment to providing and offering people the opportunity to take part in social, leisure and development activities. The issue of the impact of a persons’ mental health and the issue of motivating people to take up opportunities was discussed and highlighted the difficulties in providing this support. Many people could access the community independently and made their own choices of what they wanted to do with their day. However, the home was aware of the impact of long-term mental illness and of the effects of institutionalisation on how this may restrict people from taking up new opportunities. Staff commented that they felt supported and encouraged by the management team. Training and providing staff with the skills and knowledge they need was Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 6 seen by the staff as a positive step and they all stated that more training was now available and that being paid to attend training events was a very positive step by the home. What has improved since the last inspection? What they could do better: The home are responsible for making sure that people live in an environment that is comfortable, homely and helps in contributing to maintaining a persons general and emotional health. The way a home looks and is maintained can have an impact on the people who live and work there. This impact can be either a positive or negative one. The home needs a lot of work to make it a more pleasant and positive place for people to live and work in. The home must provide the CSCI with a detailed action plan setting out the decoration/refurbishment work to be undertaken and the timescales for the work to be completed. Also, to undertake a full audit of the communal, bathroom and toilet areas, identify the need for repairs and replacement of fixtures and fittings and provide the CSCI with an action plan, with timescales, for undertaking the work required. The inspection report also highlights a number of recommendations for the home to consider looking at the quality of the service it provides. These recommendations are based on current ideas of good practice and the home can choose whether to consider then or not. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 7 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. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at the home had their needs assessed prior to admission to the home. EVIDENCE: Prior to a person coming to live at Homeleigh the home ensures that they have received sufficient information from the relevant purchasing authority for them to be able to decide whether they can support the person’s needs. These can include Care Management and Care programme Approach assessments. In addition, the home undertakes its own assessment prior and during the early stages of a person’s stay to ensure that the information is accurate and up-to-date. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has identified people’s needs and supports them to try to make decisions and choices in their life. The risk behaviours people experience have been identified and the home has responded with guidance on how to support people. EVIDENCE: Since the last inspection report the company that own the home have decided to introduce a new system of care planning that is based on the principles of Person Centred Planning (PCP) on how people want to be supported and be involved more fully in deciding their own goals and support needs. The current care plans do identify people’s needs and support. The home was currently in the process of introducing the new care planning system and linking this with the reassessment of people’s needs and goals. The purchasing authority of many of the people who live at the home had undertaken or were in the process of completing their own reassessment of need and this will be linked with developing the new care plans. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 11 At the time of the site visit no completed care plans were available and so these will be assessed at the next inspection. To show that the new care planning system was based on the principles of person centred planning it is recommended that the home maintain evidence of how people are involved and consulted in developing their own care plan. The home offers people support and information to assist them in making decisions that affect their lives. Staff support people in making decisions regarding such issues as housing, health, activities and routines. Information is provided and people are encouraged to make choices and to make no choice if they do not wish. There are no restrictions placed on people unless agreed through a risk assessment process that involves the person. People manage their own affairs as far as possible and support is provided to management finances and medication. The home used a standard format to look at situations, events and behaviours that may cause a risk to people’s wellbeing. Once identified, the home developed support guidance for staff in how to minimize those risks. Some good examples of risk assessments were seen. The new care planning system also included a new way of identifying and recording risks and hazards that people may experience. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home offers people the opportunity to participate in social, leisure and community based activities. Links with families and friends are maintained based on peoples’ wishes. Routines are based on people’s preferences. The home provides meals that people want with sufficient choice and quality. EVIDENCE: During the site visit staff spoke about their commitment to providing and offering people the opportunity to take part in social, leisure and development activities. It was recognised that a persons’ mental health still had a major impact in motivating people to take up opportunities and highlighted the difficulties in providing this support. Many people could access the community independently and made their own choices of what they wanted to do with their day. As many people were reluctant to access community activities on their own the home concentrated on providing leisure activities in the home such as film Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 13 nights, darts competitions, bingo nights, crafts sessions and other indoor activities. The home had access to an allotment plot and was encouraging people to become involved. The current care plans contained very brief information relating to people’s goals in terms of social, leisure or community based activities. The new care planning system based on person centred planning and the current reassessment of people’s needs and goals is recommended as an opportunity for the home to work closely with people to establish a clear understanding of their social and leisure needs. The care planning recording system was being used to record when people were offered the opportunity to participate in an activity relating to their goals. The previous inspection report had recommended that the home look at alternative ways of recording the activities that people take part in and how to encourage people to take part. The home had developed a photo album of different events and activities that people had taken part in. The home continues to support people to maintain links with their families and friends based on people’s own wishes. People’s routines are still based on their own preferences and the historical routines that they have developed over the years. Meals and drinks are provided at set times but can be taken when the person wants. People are encouraged to spend mealtimes together to reduce isolation and give staff the opportunity to speak to people and find out how they are feeling. People are encouraged to take care of their own domestic tasks and to maintain the cleanliness of the house. However, through discussions with staff it was found that it was still difficult to get people involved as the staff team has always undertaken the cleaning and domestic tasks. All meals were taken in the cafeteria style dining hall. A set four-week menu has been devised with people’s input at the resident’s meetings. Information regarding people’s dietary needs was available to the cook and alternative choices are provided to meet those dietary needs. People can come and talk to the cook about the menu and ask for alternatives if required. A record is maintained of what each person has for their meals and when meals have been missed. Food stocks were sufficient and stored correctly. It was not clear what people would do if they wanted something to eat outside of the hours when the kitchen was open. If a person does not take a meal then a plated meal is usually kept for them to be reheated later. It is recommended that the home look at the provision of food and drinks within the home and how this meets peoples and the services needs. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports people to maintain their person, general health and mental healthcare needs. The medication administration system made sure that people took the required medication to remain healthy. EVIDENCE: People living at the home were still mostly independent in meeting their personal care needs and received prompting and encouragement from staff to maintain this. People’s goals for maintaining their personal and healthcare were recorded in their care plan. It is recommended that the use of a more person centred care plan provides people with the opportunity for them to describe how they want to be supported in their personal care needs and routines. People’s general and mental health was supported through the staff teams knowledge of a person’s behaviour and triggers for ill health and supported people to access general and specialist healthcare providers when required. Monitoring records for specific health issues such as epilepsy were maintained. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 15 The medication administration system was found to be accurate and only staff who have undertaken the required medication training would administer medication. Guidance for administering medication prescribed ‘as required’ (PRN) had been developed and administering was recorded accurately. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has the systems, policies, procedures and practices in place that allow people to raise their concerns and to respond to incidents/allegations of abuse. EVIDENCE: The home had a complaint policy and procedure in place. People had been issued with a copy of the complaint policy as part of the Service User’s Guide. The Manager maintained a record of all informal and formal complaints people made. A number of anonymous concerns had been received by the CSCI in relation to the home. The issues raised were looked at during the inspection and there was no evidence of the issues raised. The home had cooperated fully with any investigation by the relevant agencies. The home had policies and procedures with regards the protection of vulnerable adults and whistle blowing. All staff had received a copy of the procedures as part of induction training. The home also accessed a more indepth adult protection training event and most staff had attended this. The home maintained records with regards peoples’ finances and transactions. Money was stored in the safe in separate bags for each individual. The person and a member of staff signed the financial record sheets when any monies were entered or withdrawn. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 24 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home does not provide a comfortable and homely environment for people to live. EVIDENCE: In the inspection report of September 2005 it was found that the building and environment that people lived in was of a poor quality. By February 2006 the inspection found that the home had taken action to make the building safe and had put forward an extensive refurbishment plan. It was found that the original plans for the refurbishment and use of the home had been reviewed and changed. The home was now going to focus on updating the decoration and furnishings of the communal areas and people’s bedrooms. This is a major change in the plan put forward to the CSCI. The home must provide the CSCI with a detailed action plan setting out the decoration/refurbishment work to be undertaken and the timescales for the work to be completed. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 18 During a tour of the building a number of fixtures and fitting were found to be in need of repair or replacement, some toilets and bathrooms had broken tiles, decaying sealant, poor flooring, some electric switches and sockets needed repair. The original plans for the refurbishment of the home included all the bathroom and toilet areas but as the plans have changed the home are required to undertake a full audit of the communal, bathroom and toilet areas, identify the need for repairs and replacement and provide the CSCI with an action plan, with timescales, for undertaking the work required. To the rear of the building is a secure courtyard area. There is furniture for people to sit and the courtyard is decorated with plants, flowers and vegetables all grown in pots and containers. The space was quiet and provided a pleasant space for people to use. This was a large improvement on how the external grounds used to look. The support staff are still responsible for the daily cleaning of the home and to support/encourage people to become involved and maintain their domestic skills. Staff have access to cleaning equipment and protective clothing to carry out the cleaning. However, it was found that vacuum cleaners were left in the corridors of the 1st and 2nd floors. The home stated that storage on the 1st and 2nd floors was a problem. The home must ensure that cleaning equipment is stored safely when not in use so as not to present a health and safety risk. It is recommended that the use of support staff to undertake general cleaning tasks is reviewed to ensure that this is the best use of their time in meeting the needs of people living at the home. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do benefit from a staff team that are competent and knowledgeable regarding their support needs. The home’s policies, procedures and systems do provide the checks to make sure that staff are safe to work with vulnerable people. EVIDENCE: The home has an ongoing programme of NVQ training for the staff team. Records were seen that showed that the majority of the staff team had either obtained or was currently taking the NVQ level 2. Those staff spoken to were knowledgeable about the people they work with and the support they needed to maintain their mental health. Staff files had been previously sampled to assess whether all the required checks and documentation required through the recruitment process had been obtained. Files were seen with completed application forms, references received and a contract of terms and conditions. The home procedures for obtaining POVA First checks had been changed to reflect current practice guidance. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 20 The home had a set Induction Programme for all new members of staff. The introduction of the Skills for Care Induction Modules was discussed and it was recommended that the home provide the CSCI with their Induction Programme to show that the required changes have been made. From discussions with staff it was shown that the home were committed to developing the skills and qualifications of the staff team and to give them support to develop their work ambitions. A range of training events had been held and was still being planned. It was also found that staff were now being paid to attend training events and had implemented the recommendation made in the last inspection report. Each member of staff had a training record and plan to show when training had been undertaken and what refresher training was required. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the management systems in place for people to benefit from a well run home that on the whole is safe to live, and invests time and resources to look at whether it is providing the service people want and need. EVIDENCE: The registered manager was not available at the inspection site visit. The deputy manager acted on their behalf and showed the areas of work and change that the home had undertaken since the last inspection. Discussions with staff on duty found that they felt supported by the management team and could go to them when they needed help and advise. The home had a good system of health and safety audits and checks to make sure that people and staff were safe in the home. Environmental safety checks Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 22 were made as was regular fire safety checks. Equipment was being maintained and serviced on an annual basis. The home continues with the quality assurance system that involves a member of the senior management team undertaking regulation 26 visits and inspections. In addition evidence was seen that the Quality Manager for the main organisation had worked with the home and undertaken a ‘mock’ inspection using the CSCI national Minimum Standards and scoring each standard. This highlighted areas that the home felt they needed to improve on and an action plan for making those changes was developed. The home were planning to undertake a satisfaction survey with the people living at the home and give people the opportunity to raise any issues during the residents meetings held every 3 to 4 months. It is recommended that the home develop an annual plan from the quality assurance systems it employs. Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 23 Requirement 1. The home must provide the CSCI with a detailed action plan setting out the decoration/refurbishment work to be undertaken and the timescales for the work to e completed. 2. The home must undertake a full audit of the communal, bathroom and toilet areas, identify the need for repairs and replacement of fixtures and fittings and provide the CSCI with an action plan, with timescales, for undertaking the work required. The home must ensure that cleaning equipment is stored safely when not in use so as not to present a health and safety risk. Timescale for action 30/10/06 2 YA42 13 01/10/06 Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 25 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 YA6 Good Practice Recommendations It is recommended that the home continue to work to make the care planning system more person centred on what the individual wants to achieve and to be more focused in the needs and goals identified and specific in the actual support provided. It is recommended that the home maintain evidence of how people are involved and consulted in developing their own care plan. The new care planning system based on person centred planning and the current reassessment of people’s needs and goals is recommended as an opportunity for the home to work closely with people to establish a clear understanding of their social and leisure needs. It is recommended that the home look at the provision of food and drinks within the home and how this meets peoples and the services needs. It is recommended that the use of a more person centred care plan provides people with the opportunity for them to describe how they want to be supported in their personal care needs and routines. It is recommended that the use of support staff to undertake general cleaning tasks is reviewed to ensure that this is the best use of their time in meeting the needs of people living at the home. It is recommended that the home’s training programme include the provision of at least five paid training and development days (pro-rata) per year. The national training body for the social care sector, Skills for Care, have introduced a new Induction Programme that all care staff must undertake. It is recommended that the home provide the CSCI with their Induction Programme to show that the required changes have been made. It is recommended that the home develop an annual plan from the quality assurance systems it employs. 2 YA13 YA14 3 4 YA17 YA18 5 YA33 6. 7 YA35 YA35 8 YA39 Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Homeleigh DS0000021618.V301367.R01.S.doc Version 5.2 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!