Inspection on 08/08/07 for Jane Percy House

This inspection was carried out on 8th August 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jane Percy House 03/01/07

Jane Percy House 06/01/06

Jane Percy House 11/07/05

Jane Percy House 06/12/04

Jane Percy House 07/07/04

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

CARE HOME ADULTS 18-65 Jane Percy House Brockwell Centre Northumbria Road Cramlington Northumberland NE23 1XX Lead Inspector Anne Brown and Gill Best Unannounced Inspection 8th and 22 August 2007 10:00 nd Jane Percy House DS0000000667.V346247.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 Jane Percy House DS0000000667.V346247.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. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jane Percy House Address Brockwell Centre Northumbria Road Cramlington Northumberland NE23 1XX 01670 - 590333 01670 590789 jph@disabilities-trust.org.uk 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) The Disabilities Trust Mrs Victoria Pace Care Home 26 Category(ies) of Physical disability (26) registration, with number of places Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 of the 26 residents may also be over the age of 65 Date of last inspection 3rd January 2007 Brief Description of the Service: Jane Percy House is a single storey building providing residential care for up to 26 young adults. Northumberland County Council has a block contract with the home and referrals are primarily from within Northumberland. However, if there is a suitable vacancy it may be possible to take someone from outside of the Northumberland catchment area. The home is situated next to the Brockwell Centre, Cramlington, close to local shops, a health centre and a pub. Public transport runs close by. Accommodation is predominantly provided in single rooms, all of which have en suite facilities and adaptations for people with physical disabilities. There are a number of communal areas, including a bar, dining room, lounges, activity areas and residents’ kitchens. There is also a conservatory. There are spacious, accessible gardens with raised flowerbeds and seating areas. The fees range from £672.52 to £985.92 per week. This fee does not cover toiletries, newspapers, hairdressing and outings. Information about the home and inspection reports are readily available. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 3rd January 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives. The visit • An unannounced visit was made on 8th and 22nd August 2007 During the visit we: • • • • • • Talked with people who use the service, relatives, staff and the manager. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the provider what we found. What the service does well: Each resident chooses how they spend their time and what activities they wish to participate in. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 6 Friends and family are encouraged to participate in all events taking place in the home. One visitor said they were always made to feel welcome in the home. Some residents said that they could invite family and friends to have a meal in the home. Vehicles are provided to escort residents to venues of their choice. Trips are arranged to local places of interest. Two residents were going to Woodhorn Museum on the day of the inspection. Activities and outings were discussed in a residents’ meeting that was taking place in the home. Residents are able to take holidays with support from the staff. The residents said they are regularly consulted with regard to the menus and choice is always available. A satisfactory complaints procedure is in place to ensure complaints are dealt with effectively. Training in adult protection has been provided for the staff, which helps to protect the service users from abuse. The home is well maintained, safe and comfortable providing the residents with a pleasant place to live. There are appropriate aids and adaptations provided throughout the home to help maintain the residents’ independence. Robust recruitment procedures are in place that help to prevent risk of harm to the residents. Opportunities for training are good which enables staff to learn new skills to support the residents in all aspects of their lives. Comments from residents and relatives include: “I like the staff, we have a good laugh.” “The staff are always there to help when needed.” “The staff are very helpful.” “The staff are always busy but still find time to talk to us.” “I am happy living here”. “My relative is in good hands”. “I enjoy playing bingo and having a drink in the bar” Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 7 “If the menu doesn’t suit me they will give me something else”. “I enjoy all the food on the menu” “There is a good choice of food.” “If we are not happy we can speak to anyone of the staff and they would listen.” “I know I can always speak to the manager if I’m not happy.” “I like going out to the local pub and the shopping centre”. What has improved since the last inspection? What they could do better: The care plans contained a section on most aspects of the residents’ needs. The information is limited and may not give the staff the information they require to meet the needs of the residents. Some recordings are inappropriate and/or repetitive. Training should be provided to all staff who need to make recordings in the care plans. This will help to ensure that information is relevant and concise. The care plan format has been reviewed since the last inspection. The new format needs to be approved by the organisation and introduced as soon as possible. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 8 The dependency profile for one resident had not been completed since they came out of hospital at the end June 2007. The activities chart for another resident had not been completed since 28.7.07. All information should be up to date in order to fully meet the needs of the residents. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear information is available for prospective residents to help them decide where to live. Needs are assessed prior to residents moving into the home, so that staff can be sure their needs can be met. EVIDENCE: A statement of purpose and service user guide have been produced which is available in large print. Each resident has been given a copy of the guide. Since the last inspection these documents have been reviewed and produced in a format which is easier to read and understand. A video tape has been produced to meet the needs of some residents. Copies of the care managers’ assessment are requested by the home and an experienced member of staff carries out an assessment of needs prior to the resident coming to live in the home. These are available on the case files. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 11 Since the last inspection the manager has been working closely with the care managers to produce a more comprehensive pre-admission assessment to ensure all information is recorded in detail. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are care plans in place to ensure that individual needs are monitored but this information is sometimes limited. Therefore staff may not always have comprehensive information about the needs of the residents. Residents are encouraged to make decisions in all aspects of their lives and the care staff support the residents to take risks as part of their lifestyle. EVIDENCE: The care plans contained a section on most aspects of the residents’ needs. The information is limited and may not give the staff the information they require to meet the needs of the residents. Some recordings are inappropriate Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 13 and/or repetitive. The manager has identified a need to provide more in-house training for the staff in to ensure relevant and concise information is recorded. The dependency profile for one resident had not been completed since the came out of hospital at the end June 2007. The activities chart for another resident had not been completed since 28.7.07. Since the last inspection the manager and a care manager from the Local Authority have developed a new format for the care plans. These are to be introduced as soon as the format has been approved by the Disability Trust. The manager is hopeful that the new format will encourage more residents to become involved in writing their own care plans. The plans are signed and held by the residents. They also attend and sign the care plan reviews and risk assessments. The care plans are reviewed in the home every three months and reviewed by the care managers every six months to ensure the assessed needs of the residents are met. Risk assessments are held separately to the care plans. The staff confirmed that these are held in the office and are readily accessible. The assessments have been reviewed and updated since the last inspection. When the new care plan is introduced to the home the risk assessments will be contained within the document. The staff on duty were well aware of the needs of the residents and were observed consulting and communicating with them. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are encouraged to mix with people in the local community and are well supported to participate in activities of their choice. EVIDENCE: Each resident chooses how they spend their time and what activities they wish to participate in. Some residents said they were able to go out alone, usually to the local pub and shopping centre. Others said they asked the staff to escort them to places of their choice. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 15 Activities outside the home include theatre trips, concerts, meals out, visiting the pub, shopping and attending church. Activities in the home include crafts, cookery, exercise, entertainers, parties and fund raising events. There is a bar in the home, which is open at weekends and for special events. Friends and family are encouraged to participate in all events taking place in the home. One visitor said they were always made to feel welcome in the home. Some residents said that they could invite family and friends to have a meal in the home. Vehicles are provided to escort residents to venues of their choice. Trips are arranged to local places of interest. Two residents were going to Woodhorn Museum on the day of the inspection. Activities and outings were discussed in a residents’ meeting that was taking place in the home. The manager acknowledged that outings had not been as regular as usual due to staff sickness. The residents also said this had affected the amount of one to one time that staff were able to spend with them. Residents are supported to take holidays, including holidays abroad. Two residents have recently enjoyed a holiday supported by staff members. The residents said they could receive their visitors in private if they wished. They also confirmed that their privacy and dignity is always respected by the staff. The residents said they are regularly consulted with regard to the menus and choice is always available. Lunch was taken with the service users. The meal was nutritious and well presented. Alternatives to the main menu were being offered and individual needs are catered for. Residents were sensitively supported to eat meals where they have specific needs. Mealtimes are flexible to suit individual preferences and lifestyles. Residents’ commented that: “If the menu doesn’t suit me they will give me something else”. “I enjoy all the food on the menu” “There is a good choice of food.” Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care needs are well met, and where possible, in a way which the residents prefer. EVIDENCE: The staff on duty were very aware of the individual needs of the residents. They confirmed they had been given appropriate and specialised training to meet these needs. Health care issues are recorded in the care plans and prompt referrals are made to health care professionals when necessary. The residents confirmed that they were treated well by the staff and their needs were met in a caring and sensitive manner. Residents’ commented that: “The staff are always there to help when needed.” Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 17 “The staff are very helpful.” A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate. The system is audited weekly by a senior care assistant and monthly by the manager. Lockable facilities are provided for residents who are able to retain their own medications. Residents sign a form to declare whether they wish to take responsibility for their own medications. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are properly dealt with and training in adult protection has been provided for the staff, which helps to protect the service users from abuse. EVIDENCE: A satisfactory complaints procedure is in place and is clearly displayed. All residents have a copy of the procedure. All complaints are recorded along with the outcome of the investigation. This ensures complaints are dealt with effectively and to the satisfaction of the person making the complaint. No complaints have been received since the last inspection. The manager intends to produce the complaints procedure in different formats, e.g. video, Braille and pictures to meet the different needs of the residents. Two compliments have been received since the last inspection and a comments book is kept in the entrance to the home. The residents and two relatives confirmed that they knew how to make a complaint and felt that their concerns would be listened to and acted upon. Six residents said the manager and staff were very approachable so they would not hesitate to complain if they felt it was necessary. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 19 The manager stated that the majority of staff had undergone training on the protection of vulnerable adults. The staff on duty confirmed the training they had received and were well aware of the procedure to follow if they suspected abuse. They were also aware of the whistle blowing policy and how to report any concerns about poor practice in the home. A sample of records were examined for money kept on behalf of the residents. Appropriate records, receipts and signatures are retained. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe, comfortable and a pleasant place to live and has all the necessary aids and adaptations to support residents’ independence. EVIDENCE: The home is well maintained with good quality furnishings and décor. The building is large and provides ample space, both internally and externally. An ongoing redecoration programme is in place and some residents said they had chosen their colour schemes for their bedrooms. In the last twelve months all overhead tracking has been replaced, the residents’ kitchen has been refitted, ten bedrooms have been redecorated, Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 21 furniture has been replaced in five bedrooms and a new freezer and two tumble driers have been purchased. Residents were observed to be spending time in their bedrooms, communal lounges and the gardens. The gardens are well maintained and accessible to the residents. All bedrooms have en suite facilities and equipment to help residents to retain their independence. Bedrooms have been personalised with the residents’ personal possessions. Two specially adapted kitchens have been provided for the residents to encourage independence. Specialist equipment is provided throughout the home. All areas were clean, hygienic and no unpleasant odours were present. A senior care assistant has been nominated as a link person with the infection control nurse. They are responsible for cascading up to date information to the staff team. Protective clothing is provided for the staff. Residents comments included:“More like home” . “Do a good job keeping the home fresh and clean”. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff, who have been properly recruited, trained and supported, to meet the needs of the residents. EVIDENCE: The home have recently experienced staff shortages due to sickness. The manager said the staff team had worked hard to cover shifts and the situation has now been resolved. Adequate staffing levels are maintained to meet the needs of the residents. On the day of the inspection there were five care staff, domestic assistant, cook, estates manager, administrative assistant, assistant manager and manager on duty. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 23 A policy and procedure supporting the recruitment and selection of staff is in place. Random samples of staff files were examined and showed that the required Criminal Records Bureau checks and written references are received prior to staff being employed by the home. Residents are invited to join the interview panel to recruit new staff and are offered appropriate training to do so. The training files are well organised. They include programmes of training to be completed and also copies of certificates for training which has been completed. The home employs 23 permanent care staff. 17 care staff have completed National Vocational Qualification (NVQ), Level 2 or above and three are working towards achieving this qualification. The senior staff have completed NVQ Level 4. Training is also provided to deal with the specialist needs of the individual residents. This was recorded on the training file and confirmed by the staff who were spoken to. Some staff have completed a course on equality and diversity and a programme is in place for all staff to attend this. Formal supervision sessions are carried out and each staff member has a file containing the written notes. The staff confirmed that training needs are discussed on a regular basis. The staff who were spoken to said the manager and assistant managers are very supportive. They said they would not hesitate to approach them with any problems they may have. Two members of staff said staff morale had been low due to staff shortages but this is now resolved. They both stated they were very happy working in the home. On the day of the inspection the staff were supporting the residents in a caring and sensitive way and good relationships were evident. Resident commented:“I find the staff caring and attentive to my needs and always willing to solve a problem”. “I like the staff, we have a good laugh.” “The staff are always there to help when needed.” “The staff are very helpful.” Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 24 “The staff are always busy but still find time to talk to us.” A questionnaire from a relative stated “there could not be more caring and helpful staff. Needs are well met and a great support to myself and family”. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 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 culture and systems in the home help to ensure that the service is led by the needs and wishes of the residents, and protects them from harm. EVIDENCE: The registered manager has experience in working with adults with physical and learning disabilities and holds appropriate qualifications. The staff team and residents who were spoken to said the manager was approachable and supportive. One member of staff said “she is always willing Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 26 to listen and solve problems”. One resident said “I know I can always speak to the manager if I’m not happy.” The residents and staff team confirmed that regular meetings are held to discuss any issues that arise and to ensure the home is run in the best interests of the residents. A meeting was taking place during the inspection where various aspects of the day to day running of the home were discussed. The meeting was relaxed and residents were encouraged to participate in discussions. Minutes of previous meetings were available for inspection. A suggestion box and comments book are also in place. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the service users. An Estates Manager is employed and is responsible for carrying out health and safety tests and attending to the maintenance of the premises. The fire logbook indicated that tests are carried out at the correct intervals. Charts are maintained to record water temperatures, fridge and freezer temperatures and food temperatures. The staff on duty confirmed that they receive up to date health and safety training to help protect the safety of themselves and the residents. No unsafe practices were noted during the inspection. Health and safety issues were discussed in the residents’ meeting which was taking place in the home. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 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 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 28 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement The new format for care plans must be introduced to ensure staff have more comprehensive information about the needs of the residents, and how to meet them. Timescale for action 30/11/07 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. Refer to Standard YA6 YA22 Good Practice Recommendations Training should be provided to all staff who need to make recordings in the care plans. This will help to ensure that information is relevant and concise. Complaints procedure should be produced in different formats to meet the various needs of the residents. Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Jane Percy House DS0000000667.V346247.R01.S.doc Version 5.2 Page 30 - 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. 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