Inspection on 03/10/06 for Isabel Court Respite Care Unit

This inspection was carried out on 3rd October 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

Isabel Court Respite Care Unit 30/10/07

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

CARE HOME ADULTS 18-65 Isabel Court Respite Care Unit Isobel Court Respite Care Unit 1-6 Isabel Court Walton Road Hoddesdon Hertfordshire EN11 OLQ Lead Inspector Mrs Sheila Knopp Unannounced Inspection 3rd October & 18th November 2006 01:00 Isabel Court Respite Care Unit DS0000067470.V311829.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 Isabel Court Respite Care Unit DS0000067470.V311829.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. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Isabel Court Respite Care Unit Address 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) Isobel Court Respite Care Unit 1-6 Isabel Court Walton Road Hoddesdon Hertfordshire EN11 OLQ 01438 737400 www.hertsdirect.org Hertfordshire County Council Cathryn Jean Sharples Care Home 3 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection of this service. Brief Description of the Service: Isabel Court Respite Care Unit for younger adults is a self-contained 3-bedroom ground floor flat within a purpose built development for younger adults. The spacious bedrooms have en-suite provision. Overhead tracking hoists are provided in two of the bedrooms and bathrooms. Service users have a lounge, kitchen diner and assisted bathing and shower facilities. There is a shared garden with patio areas and seating to the rear of the building. Hertfordshire County Council (HCC) runs the service. The building is owned and managed by Aldwyck Housing Association. It is in a residential area of Hoddesdon and parking is available at the front of the building. Information about the service provided at Isabel Court can be obtained from the manager. Charges for the service are included as part of the total care package put in place by Hertfordshire County Council for each individual. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection report for Isabel Court Respite Unit since it opened. The information in this report is based on an unannounced visit to the service followed by a further visit on a Saturday afternoon to meet with service users. Questionnaires were sent directly to 10 service users. Three questionnaires completed by relatives had been received at the time of writing this report and their views have been considered. The manager, a senior support worker and two support workers were interviewed. Three service users were present during the second visit. Care records and records related to the running of the service, recruitment, training and health & safety were examined. What the service does well: What has improved since the last inspection? What they could do better: The information for service users about Isabel Court needs to be reviewed to make it more user friendly and accessible, in line with the HCC policies. The Manager needs to ensure that medication policies and procedures specifically related to the systems at Isabel Court are put in place for staff to refer to. Recommendations have been made regarding storage of medicines. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 6 The Manager needs to ensure that the equipment required by individual service users is made available before they come to stay. There appears to have been issues in identifying a budget for such items in the initial stages of this service, which have now been resolved. The provision of liquid soap and paper towels needs to be extended to the ensuite bathrooms to reduce the risk of cross infection. It has been recommended that staff do not only rely on the thermostatic mixer valves to ensure hot water temperatures are delivered at safe levels but also keep a record of regular checks. The fire safety logbook needs to be available to the staff in charge of Isabel Court so it is available to the statutory services if required. Staff can also record any problems as they occur. 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. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 4 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. There is good contact between service users their relatives, staff and other health & social care professionals to ensure that suitable arrangements are in place for each person receiving respite care at Isabel Court. The information for service users could be improved by producing it in a more user friendly format. EVIDENCE: Many of the service users currently receiving respite care are transferring from other services following a realignment of services by Hertfordshire County Council (HCC). Service users have been given an information package containing relevant information and invited to spend time at Isabel Court during the day and for an increasing number of nights so that service users and staff can orientate themselves to the new environment. This approach was confirmed by relatives. Staff are aware that the format of the information provided to service users needs to be made more user friendly and put into a suitable format for people with a range of disabilities. Before admission staff obtain information, assessments and risk assessments from other health & social care professionals. They visit service users in their own homes and day care settings. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 9 Detailed information is put together by staff before admission to ensure that they can meet the needs of service users and staff have clear instructions as to how service users wish to be supported. In some cases arrangements have been made for staff to receive additional training and guidance from specialists to enable them to respond to the specific needs of individuals. Staff who have previous experience of working with particular service users in their previous respite settings are booked on duty to provide continuity and support for staff who are new to the service user. The relatives who completed questionnaires indicate that choice of service has been dictated by the realignment of services carried out by HCC Isabel Court Respite Care Unit DS0000067470.V311829.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 & 9 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives are involved in developing and agreeing a plan of care for how they wish to be supported while they are staying at Isabel Court. This includes taking a risk based approach to planning how individuals spend their time. EVIDENCE: There are detailed care plans and risk assessments in place which reflect an individual approach to supporting the physical, social and emotional needs of service users. These have been agreed and signed by service users and/or their representatives. To ensure staff can safely care for this constantly changing group of residents care is taken to ensure risk assessments are updated in response to, observations made during the respite stay, multi-disciplinary reviews and consultation with service users and their carers. The care records seen and discussions with staff demonstrated that staff maintain very good contact and Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 11 liaison with the Community Learning Disability team, day centres, social workers and carers. Where individuals have presented with specific care needs staff have been provided with additional training. In one case the community dietician has provided support and guidance. Staff confirmed they had received training to support residents with challenging behaviour. The care plans gave details of preventative action to take and triggers to look out for which may indicate a need to intervene. Isabel Court Respite Care Unit DS0000067470.V311829.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 & 17 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. Respite stays at Isabel Court are part of an overall planned package of care and support for service users living in their own homes. Where possible arrangements are made to enable service users who know each other or are a similar age or have similar interest to stay at the same time to be able to provide a good programme of activities. Staff find out what service users like to eat so they can plan a daily menu around who is staying. EVIDENCE: In discussion with the Manager and senior carer it was apparent, that as well as responding to the needs of carers in relation to the organisation and timing of respite breaks, they consider the experience service users will have, depending on the people who are staying at the same time, and how best to provide a stimulating environment. For example considering mobility and Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 13 transport needs so service users are able to go out. Two of the service users staying were looking forward to going out to a local pub during the evening. As discussed in earlier stages in this report the staff are very involved in maintaining links with family contacts and carers. The lay out of the respite unit enables service users to have privacy in their own rooms. The routines of the day are very much dictated by the needs of the service users and what is planned. The food preferences of individual service users are recorded, which enables staff to plan a menu according to who is due to stay. A choice of snacks, fruit and drinks were available in the kitchen. Dietetic support is available and has been used recently to provide additional specialist guidance. A carer was observed giving a resident with swallowing difficulties a drink in accordance with the written instructions in the care plan, demonstrating they were caring for this person safely within the guidance they had been given. Their approach was sensitive and unhurried. Isabel Court Respite Care Unit DS0000067470.V311829.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 & 20 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. The care and support provided at Isabel Court is very much linked to the wider support networks available to service users living in the community. Close liaison between professionals ensures people are supported according to their physical, social and emotional needs. Overall there are good systems in place for recording, administering and storing medication but these are not currently supported by a written policy specific to the unit. To ensure staff remain aware of their responsibilities in relation to giving medicines it was recommended that the continued competency of staff is reviewed on a regular basis. It was also recommended that a new drug cupboard and a thermometer for recording the temperature of the drug refrigerator be obtained to ensure medicines are stored safely and securely. EVIDENCE: The personal care needs of each service user is clearly described in their plan of care. A relative noted their son received appropriate personal care during their stay. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 15 Some service users require additional equipment to bathe comfortably, which has not been available. This now appears to have been resolved and a budget allocated to enable staff to order items. Some service users bring equipment in with them. The records and staff interviews demonstrate there is very close liaison with the specialist health and social care support services individual services users are involved with. Each care plan has contact details for the health care professionals involved with each service user. Arrangements are in place for individuals to see a local General Practitioner (GP) in an emergency. Most service users would be able to be in contact with their own GP should the need arise. Staff maintain clear records of the checks made on medication when it is brought into the unit and each time it is given and then returned with the service user. Risk assessments are used when residents administer their own medication. There is a locked cupboard in each room for storage. A pharmacist from the Herts Partnership Trust carried out an audit of medication systems on 9/8/06 and advised that a medication policy specific to Isabel Court be put in place. At the time of this inspection this was still outstanding. A new medication cabinet should be provided as the reconditioned one put in only has one key, which staff are currently keeping, on top of the cupboard, which is within a locked cupboard. It is recommended that a suitable controlled drug cupboard be provided. Although not a legal requirement for services providing personal care it is good practice to have this level of secure storage available. A maximum/minimum thermometer needs to be provided to record the temperature of medication kept in the refrigerator and staff given instructions on its use. New staff receive training to enable them to administer medication safely. This includes six supervised sessions. However the competency of long standing staff is not re-assessed and it was recommended that this is carried out perhaps annually or at intervals determined by the manager, to demonstrate continued competency and updating in medication procedures. Isabel Court Respite Care Unit DS0000067470.V311829.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 & 23 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. There are a variety of informal and formal processes in place through which the views and experiences of service users and their families can be heard. There are suitable systems in place to protect service users from harm. EVIDENCE: The formal complaints procedure sets out the response and timescales individuals can expect if they make a formal complaint and action they can take if they remain unhappy with the response. Feedback is sought from individuals following their respite stay. The manager keeps a record of issues brought to the attention of staff together with details of the action taken and response given. No major concerns were identified. Continued use and satisfaction with the service provided would also be discussed as part of the care reviews that take place. Service users and their families are able to raise issues with a wide variety of professional workers. Staff receive Safeguarding Adult training in accordance with the relevant procedures. Staff are aware of their responsibilities, under HCC policies and the General Social Care Council Code of Conduct, to report poor practice. A record of any money and belongings service users bring with them is made on arrival and as they leave. Isabel Court Respite Care Unit DS0000067470.V311829.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 & 30 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. Isabel Respite Unit was purpose built to meet the needs of services users receiving respite care some of whom may have complex needs. Some items of design and ‘snagging’ have been identified which are receiving attention therefore requirements have not been made at this stage as the Commission is confident the required action will be taken, The provision of liquid soap and paper hand towels needs to be extended to the ensuite bathrooms to reduce the risk of cross infection. EVIDENCE: A site visit on 03/04/06 confirmed that the premises met the National Minimum Standards for Younger Adults. The three en-suite bedrooms are above 12sq.m. Adjustable profiling beds are provided. Overhead tracking hoists are provided in two of the bedrooms and bathroom. An occupational therapist has been involved in the design and lay out of the accommodation. The sanitary equipment is height adjustable. Certificates of insurance, safety checks, commissioning of equipment were in place. A copy of the building Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 18 control certificate which includes confirmation of fire safety standards was received on 19/04/06. Since opening the staff have run into some design problems. The positioning of the overhead hoist track in one of the bedrooms stops the bathroom door from being fully opened. Handrails have not been fitted to the assisted toilet in the communal bathroom. Staff are still investigating the need for suitable additional bathing equipment to support specific service users, as this was not identified prior to opening. The bath water temperatures are regulated to a suitable temperature to prevent accidental scalding. A lock needs to be put on the office door so records can be kept securely The rooms are light and bright. Staff have put up pictures and bought decorative items to make a more home like atmosphere. One service user showed the inspector their room, which they appeared to be pleased with. They confirmed that the bed was comfortable and that they had the same room each time they stayed. Keys are available for bedroom doors and each room has a lockable cabinet. Generally the wide corridors and large rooms allow good access and mobility for a variety of service users. The lounge appears to be small when large pieces of equipment are in use. There is wheelchair access to a patio style garden, which is also accessible to residents living in the adjoining apartments within Isabel Court. Staff therefore need to consider how they supervise service users accessing the garden. Feedback from a service user who stayed during the summer raised some issues concerning the style of garden furniture, which the Manager is considering. A laundry with suitable washing machine and drier are available for washing clothing and bed linen. Liquid soap and paper hand towels are provided in key areas to prevent infection but this needs to be extended to the en-suite bathrooms where personal care is carried out. Isabel Court Respite Care Unit DS0000067470.V311829.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, 35 & 36 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. Service users are supported by staff who understand their needs and have received the training they require to care for them safely. The recruitment procedures & checks carried out ensure staff who are suitable to work with vulnerable people are employed. There is a programme of on-going training and supervision which ensures staff remain up to date and work within the required policies and procedures. EVIDENCE: The rotas indicate that the number on staff on duty each day is organised to meet the needs of the individual service users staying at any time. The service users seen during the inspection appeared to be calm and relaxed in the company of staff who they looked to for support and asked questions about what they were about to do. There is an experienced staff team and where additional skills are required the manager can call on staff from other Hertfordshire County Council facilities. The staff spoken with were confident in their roles and felt that they had received the training they needed to carry out their roles. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 20 As reported in other areas of this report staff have received additional training and support to meet the needs of service users new to this respite unit who they are not so familiar with. This has assisted a smooth transition for service users. A review of personnel files confirmed that the required checks are carried out before staff are employed and have contact with service users. Agency staff are subject to similar checks by the agency Hertfordshire County Council (HCC) contract with and have an induction into the procedures, practices and expectations of staff working at Isabel Court. Hertfordshire County Council has robust training policies and procedures in place which support staff from their initial induction, NVQ training and on-going personal development. There are supervision and performance monitoring and appraisal systems in place to ensure staff work in line with HCC procedures and can also contribute their views on the running of the service. Isabel Court Respite Care Unit DS0000067470.V311829.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 & 42 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. Isabel Court is run by a competent and experienced manager who is able to promote and develop the aims and objectives of the service There are excellent monitoring, auditing and quality assurance procedures in place to ensure service users are provided with a high standard of care, support and protection. The health & safety training, risk assessments and policies and procedures ensure that the safety of service users and staff is protected. EVIDENCE: Mrs Sharples is an experienced manager who has worked for Hertfordshire County Council since 1990 in a variety of care settings. She has achieved the Registered Managers Award, which is the qualification the Commission requires managers to achieve. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 22 The home has a full range of policies and procedures to promote and protect residents’ health and safety. This inspection identified staff were following safety guidance detailed in the care plan for a specific service users and were aware of their responsibilities regarding health & safety. Staff receive the required statutory training to carry out their jobs safely. Records of safety checks and accidents and incidents are maintained. Advice is sought from other experts and agencies about health and safety issues, if further information is required. Staff received additional moving and handling training related to specific service users and equipment. It was recommended that staff keep records of regular checks on the hot water taps in areas accessible to service users to demonstrate the thermostatic mixer valves are maintained in working order. The person in charge of Isabel Court should have access to the fire safety logbook to show to the relevant statutory agencies if required and to record any issues arising during their shift. The quality assurance systems in place include internal and external monitoring and verification of standards. The audit reports detail the action required to address any issues identified and the time scales for completion. The views of service users and key stakeholders are obtained. A new system for auditing care practice standards by external auditors from other HCC services is being introduced. A representative of HCC provides detailed reports to the Manager following their visits. Isabel Court Respite Care Unit DS0000067470.V311829.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 2 2 3 3 x 4 3 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 2 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 2 x 3 x 4 x x 2 x Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 24 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 YA20 Regulation 13(2) Requirement Put a medication policy and procedure in place and fully implement the recommendations in the HPT pharmacy report. Provide a maximum/minimum thermometer for recording drug refrigerator temperatures and train staff in its use. Timescale for action 31/01/07 2 YA20 13(2) 31/01/07 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 2 3 4 5 Refer to Standard YA1 YA20 YA20 YA30 YA42 Good Practice Recommendations Provide the service user guide and other information in a format suitable for individuals using the respite service. Consider providing a new medication cupboard and a controlled drug cupboard. Identify a suitable timescale for re-assessing and recording the continued competency of long standing staff to administer medication. Provide liquid soap and paper towels in the en-suite bathrooms. Keep a regular record of hot water temperatures and servicing to ensure the thermostatic mixer valves are DS0000067470.V311829.R01.S.doc Version 5.2 Page 25 Isabel Court Respite Care Unit 6 YA42 working. Ensure staff in charge of Isabel Court have access to the fire safety log book. Isabel Court Respite Care Unit DS0000067470.V311829.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hertfordshire Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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. 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