Key inspection report CARE HOME ADULTS 18-65
Hooton Chase 1 Hooton Road Ellesmere Port Cheshire CH66 1RU Lead Inspector
Mr Paul Kenyon Key Unannounced Inspection 5th 0ctober 2009 10:30 Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 2 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Hooton Chase Address 1 Hooton Road Ellesmere Port Cheshire CH66 1RU 0151 327 4781 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) Mr Mohamad Jeelany Meeajun Gaynor Patten (Acting) Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only- Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD The maximum number of people who can be accommodated is: 12 Date of last inspection 5th May 2009 Brief Description of the Service: Hooton Chase is situated in semi rural area on the border between Cheshire and Wirral near to Ellesmere Port. It comprises of a detached two storey property which is located within its own grounds. The service is registered for 12 adults who have a learning disability. The service was registered in December 2008 and is owned by Mr Mohamad Jeelany Meeajun. The Manager Gaynor Patten is currently in an Acting position yet has applied to the Care Quality Commission for registration to become Registered Manager. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes.
This was a key inspection of Hooton Chase. The visit took place in the morning and extended to the afternoon. The service did not know that the visit was being held beforehand. This visit was in response to the quality rating given to the home as a result of our last visit. The service was rated as a poor service. As a response to this, we visited the home in order to examine those outcomes that had either been poor or adequate at our previous visit, Since our last visit, we have met with the Acting Manager and Provider to discuss our findings and they have in turn submitted an improvement plan outlining how the quality of service was to improve. During this visit we examined a number of records relating to the support provided. We also toured the building and spoke with two individuals who use the service. We also observed care practice relating to the two other people who were present during our visit. We also spoke with the Acting Manager and spoke with a staff member on duty. Since our last visit, the service has submitted an Annual Quality Assurance Assessment (known as an AQAA) which outlines the progress the service considers it has made. What the service does well:
People are able to make decisions about their daily lives. Individuals are able to pursue education or occupation as they wish and have full access to community facilities with staff support. People have their rights upheld. The people who use the service are supported in a manner which they prefer. The people who use the service and their families have the information they need in order to express concerns about the care practice at Hooton Chase. Individuals are protected from abuse. People who use the service receive support from staff trained to meet their needs. The people who use the service receive support from a service that is managed by an experienced and qualified individual.
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DS0000072665.V377440.R01.S.doc Version 5.2 Page 6 Comments received during our visit included: ‘The food is delicious, there are good cooks here’ ‘I like going on holiday and help with food shopping, I can make decisions and staff listen to me’ ‘If I was not happy I would see the staff or Gaynor’ ‘I feel safe here I am very pleased with my room but I would like it redecorating’ ‘Staff are fantastic-they are very kind, the best thing is that everyone cares, I have settled in and it is very nice. ‘I like it here, it is alright, staff are alright, I like going out’ ‘I am keeping well’ ‘I have received training in care and responsibility and safeguarding adults’ ‘I am aware of care plans and looks at them regularly’ ‘The manager is approachable and supportive’ ‘The best thing about the place is that I love working with people and nothing needs to be improved’ ‘I feel valued as a staff member’ What has improved since the last inspection?
The people who use the service now have their needs met by the way in which the service obtains assessment information about individuals before they come and the way in which the service assesses people’s needs itself. The service now meets the needs of people through the way it has devised and reviewed care plans and the service now protects individuals by the way it acknowledges and reviews risk assessments. The people who use the service now live in a well maintained environment which is hygienic. People who use the service are now protected by the recruitment process. The service now monitors its own practice more thoroughly with the owner visiting the service and reporting on the quality of service provided. The health and safety of people is better promoted. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 7 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Hooton Chase DS0000072665.V377440.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 Hooton Chase DS0000072665.V377440.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service have their needs met by the way in which the service obtains assessment information about individuals before they live at Hooton Chase and the way in which the service assesses people’s needs itself. EVIDENCE: We looked at assessment information for three people who had come to live at Hooton Chase since our last visit. The information included assessments from those agencies that fund the support people receive. In addition to this, the service had completed its own assessment. The service’s assessment includes a general picture of the individual and their daily lives as well as communication, medication, personal hygiene needs, continence and nutrition. Other assessments were in place for each person from health professionals such as Occupational Therapists, Speech Therapists, Psychologist, Community Psychiatric Nurses as well as information from people’s previous residential placements. Assessment information includes reference to the person’s preferred term of address and their preferred religion.
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DS0000072665.V377440.R01.S.doc Version 5.2 Page 10 Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service meets the needs of people through the way it has devised and reviewed care plans. The service should involve people and their family in devising of care plans. People are able to make decisions about their daily lives and the service protects individuals by the way it acknowledges and reviews risk assessments. The service should involve individuals and their representatives in devising risk assessments. EVIDENCE: We looked at four care plans. Three care plans related to people who had come to live at Hooton Chase since our last visit and one related to a person who did not have a care plan at that time. Each care plan covers issues which are relevant to that person’s needs and outlines how staff should be able to support people in their daily lives. This
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DS0000072665.V377440.R01.S.doc Version 5.2 Page 12 support extends to support needed for people to maintain personal hygiene needs to support needed within the service and beyond in the local community. All care plans had been reviewed on a monthly basis and where there was a need for an amendment to the care plan, this was recorded. There was no evidence that the person themselves or their relatives had been involved in the drawing up of the care plan or its review. This is raised as a recommendation in this report. A staff interview confirmed that staff are aware of care plans and have full access to them. The person who did not have a care plan at our previous visit now has a care plan in place and this is subject to the same monthly reviews as others. We looked at the way the service encouraged people to make decisions about their lives. In respect of decision making, one person was reported as being able to communicate verbally and would be able to make decisions based on this. Another person is reported as having no verbal communication although a chart including symbols was available for the person to use to indicate what they wanted. The symbols related to likes or dislikes, activities, meals, and emotions. We talked to two people. Both people were able to communicate verbally and were able to confirm that they had been given the opportunity to make decisions ranging from the meals they want, their involvement in daily tasks and what they wished to do day to day in respect of daily activities. At present the service has no involvement with the finances of individuals. Records confirmed that two people have their own bank account with one person dealing with their own monies independently. One person receives assistance from an advocate although this has been for when the person lives at home rather than Hooton Chase. We looked at how the service assessed risks faced by people as a result of the decision they make and through the support they received. The previous visit noted that no risk assessments had been devised. On this occasion we were able to sample four risk assessments. Risks that have been assessed were linked to daily activities in the service and activities in the local community. Risks assessments also took the potential vulnerability of people into account. All risk assessments are linked to care plans and outline risks to people if the support outlined in their care plan is not actioned. All are reviewed on a monthly basis. There was no evidence that the individual or their representatives are involved in the devising of risk assessments and this is recommended in this report. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are able to pursue education or occupation as they wish and have full access to community facilities with staff support. People have their rights upheld but should be offered the option whether they want a key to their room. EVIDENCE: We interviewed people about their daily lives. Two people currently have access to a day service but through a number of reasons cannot attend them at present. One person is currently being provided with options for education during the day and is in the process of deciding the most appropriate placement for themselves. One person has no structured daily activities at
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DS0000072665.V377440.R01.S.doc Version 5.2 Page 14 present. The service has recognised this and is about to employ an activities co-ordinator who will provide activities for this person as well as identifying opportunities for other people. We interviewed two people about their level of involvement in the local community. They were able to confirm that they were able to go to local shops or local community events. All had been on holiday recently. Records confirmed for others that they had the same level of access to the community and risk assessments and care plans suggested that individuals need staff support with this at all times. We looked at the way individuals have their rights respected. One person confirmed that they were involved in a number of tasks in the service in relation to domestic tasks such as hoovering and helping in the kitchen. All people’s preferred term of address is included in their care plan. We needed to check in one bedroom whether a requirement from our last visit had been actioned. This was done in consultation with the person and in their presence. This demonstrated that their room was seen as their own and were included in the decision to view the room. No one has keys to their bedroom. It is recommended that people are consulted as to whether they want keys and that risk assessments are devised if they wish these to be provided. Two people commented on the meals provided. Both were satisfied with the food and stated that they had a choice. One person confirmed that they were able to be in the kitchen and assist with meals although their risk assessment stressed the needs for staff to be present at all times. Information in care plans suggested that people did not have special diets rather there was an emphasis on healthy eating. A dining room is available and this was used at lunchtime. The kitchen is domestic in scale and food stocks were sufficient. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service are supported in a manner which they prefer. The management of medication does not fully promote the wellbeing of individuals. EVIDENCE: Care plans are now in place for individuals and this enabled a view of the support received by people to be assessed. Care plans concluded that individuals are supported in all aspects of their lives to be as independent as possible although this support takes the risks faced by people taken into account. Interviews with two people confirmed that both were happy with the support they receive. There was evidence that the service adopts a keyworker system and there was also evidence that other professionals are involved with the support provided to people in respect of speech therapy, occupational therapy and involvement from community psychiatric nurses. There was evidence through records that the personal appearance of people is taken into
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DS0000072665.V377440.R01.S.doc Version 5.2 Page 16 account through the recognition of clothes size and personal grooming preferences. Requirements had been raised at the last inspection in relation to the receipt of medications and their administration. We looked at all medication administration records. No omissions were present and all signatures had been recorded appropriately following administration. The service maintains records in relation to the stock levels of medication and for those medications received. This allowed a medication audit to take place. Staff training records confirmed that staff had received medication awareness training. The storage of main medications was secure and no controlled medications have been prescribed. One person had been prescribed eardrops and these are stored in a medication refrigerator. The temperature of this refrigerator is not monitored. This is raised as a requirement in this report to ensure that the storage of medication promotes the wellbeing of individuals. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service and their families have the information they need in order to express concerns about the care practice at Hooton Chase. Individuals are protected from abuse. EVIDENCE: A complaints procedure is available although this contains the contact details of a previous regulator rather than ours. It is recommended that this is updated. Information in a symbolic form is available for those who do not have verbal communication in respect of times when they are ‘not happy’ or ‘feeling sad’. We interviewed two people. Both confirmed that they would speak to staff if they were unhappy with anything although at present they are satisfied with the support they receive and do not wish to make any complaints. Complaints records are maintained. Three complaints have been received in respect of the service since our last visit. Details of the complaints are in place but there is no indication of any outcomes. It is recommended that outcomes of complaints are included within complaints records. We have not received any complaints about the service since our last visit Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 18 No safeguarding referrals made about the service although one safeguarding referral has been made in respect of one person who receives regular respite although this is linked to external issues and is not connected with the practices of the service. No allegations of abuse have been made about the service since it was registered in January 2009. A Safeguarding procedure is in place and staff confirmed that they have received training in safeguarding and the whistle blowing procedure. This was also confirmed through the examination of staff training certificates. Comments from one person who uses the service confirmed that they ‘felt safe’. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service live in a well maintained environment which is hygienic. They should be provided with the opportunity to choose pictures, ornaments and decoration to make Hooton Chase into a more home like environment. EVIDENCE: We toured the building. A number of requirements raised at our last visit have been addressed. The tour determined that natural ventilation in one bedroom had now been improved and that a loose electrical socket had been secured in a lounge area. The building is still stark in appearance in the dining room and corridor areas. A recommendation is raised again in respect of enabling individuals who use the service to choose pictures and ornaments for these areas to make the building more home like in appearance. One person had
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DS0000072665.V377440.R01.S.doc Version 5.2 Page 20 confirmed that they had been enabled to choose the decoration in their room at the last visit. This opportunity was re-emphasised by the Acting Manager to another person during the visit and it is recommended that this is actioned. A requirement was raised at our last visit relating to a freezer being in situ in the laundry area. This has now been removed and placed in a more suitable place. A laundry is available and is an organised facility. We did not detect any offensive odours in the building and all areas appeared to be clean and hygienic at the time of our visit. Soap and towels are in place in all toilet and shower room areas of the building. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected by the recruitment process and receive support form staff trained to meet their needs. EVIDENCE: We looked at three personnel files to determine the way the service recruits new staff. We found that new staff are subject to a number of checks including checks against the protection of vulnerable adults register, police checks and the obtaining of two references. We looked at how staff are trained by the service. Staff training records were available. Records and an interview with staff confirmed that they had received training in mandatory topics and others such as physical intervention safeguarding adults, principles of care, client resolution and personal safety and medication awareness. Staff have also had the opportunity to attain a National Vocational Qualification Level 2.
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DS0000072665.V377440.R01.S.doc Version 5.2 Page 22 Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service receive support from a service that is managed by an experienced and qualified individual. The service monitors its own practice more thoroughly with the owner visiting the service and reporting on the quality of service provided. The health and safety of people is better promoted although the service should develop general risk assessments and increase the frequency of fire detection tests so that their health and safety is promoted further. EVIDENCE: Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 24 The Acting Manager present at our last visit continues in this role. This person has applied to us to become the registered manager of the service. This person has had experience of supporting individuals with a learning disability and people with mental health problems for the past decade within supported living. She has a National Vocational Qualification at Level 4. The service also has a Deputy Manager in place. Staff considered the Acting Manager to be approachable and supportive and that they felt valued as members of staff. The service has responded to the thirteen requirements we made during the last visit. The Acting Manager communicates with us on a regular basis and the service responded to an improvement plan we requested after the last inspection. Visits are now undertaken by the Owner of the service on a monthly and reports are made available to the Acting Manager. We looked at reports from May to September 2009 and these provided an indication of how the service was operating and the outcomes for individuals. We focussed on those health and safety issues which were raised as requirements during our last visit. Portable appliances have now been tested in June 2009. Fire alarms are tested monthly and it is required that these are done weekly in line with Fire Authority recommendations. There was evidence of regular fire drills and these include reference to the responsiveness of the people who use the service in respect of these drills. General risk assessments have been devised but should be extended to be more detailed and this is recommended. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 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 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 X 3 X 3 X X 2 X
Version 5.2 Page 26 Hooton Chase DS0000072665.V377440.R01.S.doc Are there any outstanding requirements from the last inspection? NO 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 YA20 Regulation 13 Requirement The service must ensure that the medication refrigerator used for the storing of medication has its temperature checked and recorded to ensure that prescribed medications are stored to promote the health of individuals. Fire alarms must be tested on a weekly basis in line with Fire Authority recommendations to promote the health and safety of people. Emergency lighting must be tested on monthly basis in line with Fire Authority recommendations to promote the health and safety of people. Timescale for action 09/10/09 2 YA42 23 09/10/09 3 YA42 23 09/10/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 27 1 2 3 YA6 YA9 YA16 4 YA24 5 6 YA24 YA42 Care plans should be devised and reviewed in consultation with individuals and their families so that they are involved in their support provided to them Risk assessments should be devised in consultation with individuals and their families so that they are involved in identifying the risks they face in their daily lives. Individuals should be provided with the opportunity to have keys to their bedrooms if they wish so that their rights are upheld and their choices should be recorded and risk assessed as appropriate. Individuals should be provided with the opportunity to choose pictures and ornaments to be included in corridors and other communal areas so that the building presents as more home like in appearance The person identified during the visit should have the opportunity to choose the colour scheme in their bedroom. General risk assessments should be developed further to ensure that they promote the health and safety of people. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 28 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk
We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Hooton Chase DS0000072665.V377440.R01.S.doc Version 5.2 Page 29 - 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!