Inspection on 23/06/05 for Keneydon House

This inspection was carried out on 23rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Keneydon House 07/04/09

Keneydon House 08/04/08

Keneydon House 14/05/07

Keneydon House 23/05/06

Keneydon House 10/01/06

Keneydon House 21/01/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Keneydon House 2 Delph Street Whittlesey Cambridgeshire PE7 1QQ Lead Inspector Don Traylen Announced 23 June 2005 and 18 July 2005 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 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 Older People. 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. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Keneydon House Address 2 Delph Street Whittlesey Cambridgeshire PE7 1QQ 01733 203444 01733 202648 adrcare@btconnect.com ADR Care Homes Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) To be appointed Care Home 21 Category(ies) of Dementia over 65years of age, 21,both sex registration, with number Mental Disorder, excluding learnig disability or of places dementia (MD), 1, both sex Old Age, not falling within any other category (OP), 21, both sex Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions Date of last inspection 21 January 2005 Brief Description of the Service: Keneydon House is a care home registered to provide for twenty-one older people. The home is situated in a residential area of Whittlesey, near Peterborough, and is close to local amenities. The home provides accommodation on two floors accessible by stairs or a chair lift. Keynedon House is an older property, built approximately 120 years ago. There are 13 single and 4 double bedrooms and the home has a chair lift to the first floor. There is a large garden to the rear that is laid to lawn. The home also provides day care provision on Mondays Wednesdays and Fridays for 1-3 people on each day, as well as preparaing and delivering meals for up to 14 people who live in their own homes in the immediate vicinity. It should be stated there is no requirement for registration or inspection of these two types of service, even though the day service users share the same services and facilities enjoyed by the permanent service users living at Keynedon House. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection consisted of two visits to the home. One inspector visited the home on the 23 June 2005 and two inspectors visited the home on the 18 July 2005. The inspectors gained the views of service users, staff and one relative who was visiting the home on both occasions. Time was spent feeding back the findings of the inspection to the acting manager and the Registered Provider. Comment cards for 21 service users and relatives to complete were sent to the home. 7 service users’ comment cards and 5 relatives’ comment cards were returned to the CSCI. Overall, the comments were favourable about the quality of care experienced although none of the service users had written any comments and had used only the yes/no answer boxes. None of the relatives had written any comment about the standard of care. 20 service users living at the home at the time of inspection were cared for by a total of workforce of 10 care assistants and an acting manager, who also gives personal care when necessary. 11 staff have left the home since the last inspection on 21 January 2005. At the time of inspection the home was providing care for service users with an age profile between 103 years and 75 years and a cluster of 10 service users aged 86-91. Any references to “Regulations” contained in this report, relate to the Care Homes Regulations 2001’, made under the Care Standards Act 2000. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? • • • Supervision has been arranged on a regular two monthly basis for all staff. CRB disclosures have been received and retained for all staff. Training in the protection of vulnerable adults from abuse has been arranged for all staff. A few more staff had received this training at the time of this inspection. The acting manager has arranged for all staff to be trained in Dementia Awareness and has arranged a further in-depth training course in Dementia Care for all staff. The registered provider and acting manager have organised a fete to be held at the home on the 23 July 2005. An application from the acting manager to become the registered manager has been received by the CSCI. • • • Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 7 What they could do better: • All staff must receive training in the protection of vulnerable adults. The registered person must ensure that all staff receive this training as a matter of urgency and must be sure that staff have learnt from the training- Requirement made. Training should continue to be arranged as soon as possible as less than 50 of their staff have achieved NVQ level 2 awards in care. Additional staff could be recruited to provide a stronger and guaranteed workforce. The external maintenance and appearance of the home can be improved. A builder should inspect the property for all types of repairs maintenance and improvement. Paintwork should be considered for repainting. Concrete paths to the front door are uneven and should be replaced or made good. The trees at the front of the property are large and need to be considered for pruning to allow more natural light through the windows. The garden to the rear of the home needs regularly cutting and maintaining. The worn and tired appearance of the internal decoration and fittings should be included in a plan for improvement. Lighting should be increased where necessary. The kitchen area and storage annex could be modernised. In general, the registered provider should consider a number of building works that would add improvements to the facilities and service. The provider should consider making the above improvements to the service a priority and prior to commencing any new build proposals that are being considered. The registered provider stated that he has definite intentions to employ a maintenance person for 10 hours each week. This should be reconsidered or supplemented by hiring builders, painters and decorators and making other arrangements for improving the environment and services of the home. The provider agreed that he must submit a maintenance plan to the CSCI. All chemicals, cleaning liquids and hazardous substances must stored safely in locked cupboards when not being used. This was a requirement made at the last inspection on 21 January 2005 that remained unmet at this inspection. A Recommendation made at the last inspection on 21 January 2005 to produce a training analysis matrix has been partially met and should be completed as result of this inspection. A Recommendation in connection with this has been made in this report. I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 8 • • • • • • • Keneydon House • Sharing of rooms should not be arranged without the agreement of service users and as declared on page 6 of the Statement of Purpose. The manager should consult with service users about whether they agree to share and record this and ask the service users to sign the agreement or have the agreement witnessed if they cannot sign. The home must encourage and develop consultation with service users and relatives in accordance with their Statement of Purpose (p13) and the Care Homes Regulations: for instance Regulations, 12(2)(3); 14(1)(c); 15(2)(c ); 16(2)(m)(n); 24(3); 26(4)(a). Service users must be given choice and opportunity: for instance, to sit outside in the garden. A Requirement has been made in connection with this choice (REGULATION 16(n) ). The home should ensure that relatives and their representatives are kept informed of inspections, the inspection reports and the CSCI. The registered person must consult with service users or their representatives and should consult with any funding authority (Social Services or PCT), whether they respectively agree to share the use of their facilities and their contracted service with users of the day care service. The Statement of Purpose does not declare this sharing of facilities or service. The registered person must review the service and staffing arrangement for the home in regard to the last comment. Service users must be helped and advised to safely maintain any privately purchased non-prescription medication. Any out of date medication must not be kept or used by the home but should be appropriately returned to a pharmacist. • • • • • • • 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. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5, The admission process ensures the home has sufficient detail to decide whether to admit a prospective service user. EVIDENCE: The Service User Guide available at the last inspection was not produced and was a legacy of the previous registered provider. The home has a Statement of Purpose(SOP) that has been combined with a Service User Guide and is dated November 2004 and is now in need of reviewing, according to page 2 of the document. A number of matters written in this inspection report must be the subjects for consideration when the SOP is reviewed. The document must be re-presented as two separate entitled documents. Service users’ assessment details were read and the manager stated that she always visits a prospective service user to assess their needs. Assessments were read in two service users’ files that indicated sufficient detail to ensure that appropriate care could be planned. A trial period for new service users who move into the home is standard procedure. Visits by relatives and representatives prior to making a choice of home is offered in the Statement of Purpose and was confirmed by the manager. Intermediate Care is not provided. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 11 Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11, Service users’ Care Plans are well presented and are good working documents that enable care staff to understand service user’s individual needs. EVIDENCE: Care Plans were being reviewed by the manager and care staff for their content and presentation, so that they are constructed in a style that describes the person. Standard 7 was met at the last inspection and one new Care Plan that was in the process of being written was read. Service users indicated they were satisfied with their care and stated that staff are respectful. It was observed that staff are thoughtful, attentive and respectful to service users. It was brought to the acting manager’s attention that some service users had their own non-prescription medication kept in their bedrooms and that much of this medication was out of date and was not kept in a locked cabinet or drawer. The manager agreed to advise and help service users maintain only current medication and to store it in a safe place. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 13 There was one unlabelled bottle of paracetamol tablets in the medication room. The acting manager was informed these must not be used but must be returned to the pharmacist and that any prescribed liquid medication must not be decanted into small pots and stored in readiness for administering. Medication Administration Record charts were accurately maintained. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15, Service users are not sufficiently consulted or informed about choices and their lifestyle. EVIDENCE: Service users made comments that they are not always given choices about sitting outside in the garden or going outside of the home for excursion or trips. Comment cards suggested that relative or representatives are unfamiliar with the inspection arrangements and the opportunity or system to complain. Consultation about the home being used for day care has not been a subject for consultation. Relatives or representatives meetings do not take place. It is recommended that an action plan to consult with service users and relatives is started and considered as a policy of the home. One relative who visits the home very regularly said she had not met the provider, despite him being present in the home on several occasions. She added that she had found the manager very approachable. Consultation with service users and their representatives is is expected under Standard 33 and Regulation 24 and concerns the home’s quality monitoring systems. Outings and excursions were not being organised by the home at the time of inspection. The manager stated they did not have a vehicle but could use the Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 15 Fenlands Association Community Transport (FAT) or ‘Dial-a-Ride’, but agreed these options were limiting to service users’ choices. The Statement of Purpose (SOP) indicates that outings are provided (p12). The home must review and clarify their position in the Statement of Purpose. There was no evidence of any activities taking place although page 12 of the SOP indicates that activities and therapies are arranged. A nutritious and appealing meal was observed being served to service users who informed the inspector the meal was enjoyable and plentiful. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18, The home has not totally embraced the concept that it may be beneficial to hear a complaint. EVIDENCE: The home has dealt appropriately with one complaint that was recorded in the complaints book, although the acting manager stated they had not received any complaints. It was discussed with the manager that if more consultation with service users and representatives and were undertaken and if a complaint was made as a result of this consultation, then it would be a sign of effective quality assurance. All staff have had arrangements made for them to undertake training in adult abuse, although not all staff had received this training. It was suggested that the manager, or staff, who have had this training could, as an interim measure, inform the remaining staff what they have learnt from this training and of the responsibility invested in a care home to protect their service users from abuse. The home has an abuse policy that adheres to Cambridgeshire County Council’s guidelines they have been issued with. During the first inspection visit, each service user had been registered to vote for the town’s proposal to elect a mayor. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 The home is comfortable but there are many improvements to be made to enhance the environment. EVIDENCE: The home has a worn and tired appearance both internally and externally. The home did not have a written plan of maintenance for redecoration or repairs to the internal or external parts of the building. The two inspectors and the registered provider and the acting manager discussed these concerns and it was agreed the home will write an action plan regarding the extensive attention necessary to improve the presentation, the decorative condition of the home, the fittings, the quality of lighting, the flooring and floor covering. The external maintenance and appearance of the home should be improved. A builder should inspect the property for all types of repairs and maintenance and improvement. Paintwork should be considered for repainting. Concrete paths to the front door are uneven and should be replaced or made good. The trees at the front of the property are large and need to be considered for Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 18 pruning to allow more natural light through the windows. The grassed garden to the rear of the home needs regular cutting and maintaining. The kitchen area and storage annex are located adjacent to the managers office where staff are continually passing through so that any staff other than kitchen staff are not expected to enter the kitchen. It is recommended that the provider consults with an Environmental Health Officer for advise about any improvements to the kitchen as directed by Regulation 23(5). The registered provider should consider an extensive number of building works that would add improvements to the facilities and service. The provider must consider making the above improvements to the service a priority and before commencing any new build proposals currently under consideration and to send this plan to the CSCI. The registered provider intends to employ a maintenance person for 10 hours each week. This should be reconsidered or supplemented by hiring builders, painters and decorators and making other arrangements for improving the environment and services of the home. During the inspection the provider agreed that he must submit a maintenance plan to the CSCI. Sterilising fluid was left unattended in a number of toilets and bathrooms. It was pointed out to the acting manager that any chemicals and cleaning fluids are considered to be ‘hazardous substances’ and must be stored safely in locked cupboards when not being used. This was a requirement made at the last inspection on 21 January 2005 that remained unmet at this inspection. During the inspection three bedrooms were noticed to smell of stale urine. This smell pervaded other areas of the home such as corridors and upstairs. On the second day of inspection one bedroom has been clear of any offensive odour and another room has almost eradicated the smell but a further room was noticed to have a strong smell of stale urine. The home must take appropriate action to eradicate all smells of stale urine. The outdoor area and gardens did not have any suitable or available seating for service users or visitors. The large lawn was overgrown and needed cutting. Standard 20.3 indicates that outside area should have seating arrangements. One service user who needs to use a wheelchair stated that she would like to sit outside in the garden but is not given the choice or help to do so. This concern was brought to the attention of the acting manager. Two other service users stated they do sit outside in the garden. One service user who shares a room stated she did not want to share a room. Standards 23.6 23.7 & 23.8 expect service users to be consulted and agree to sharing rooms. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Service users are protected by the home’s sound and thorough recruitment procedures. EVIDENCE: Staff files showed that job application forms, two references and CRB and POVA list clearances are checked prior to employment and that induction and supervision are ongoing procedures to verify conduct and suitability of staff. The provider discussed with the inspectors the suitability of employment checks for the proposed maintenance worker. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36,37, Much of the evidence contained in this report indicates the management of the home should be more consultative and must plan to keep the building well maintained. EVIDENCE: The home has an acting manager who has recently applied to become the registered manager. The acting manager has started the Registered Managers Award. The acting manager was reminded of her responsibility to ensure that the unattended and unlocked cleaning liquids that were vobserved during the inspection, must be stored in locked cupbourds. The management style is open and the acting manager is very approachable and encouraging towards staff. She has a natural ability to communicate with service users as well as being prepared to carry out care tasks when necessary. The acting manager has a wide range of responsibilities that include Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 21 responsibility for recruiting staff, supervision, assessing and care planning as well as providing personal care. Records read were: weekly fire alarm tests and monthly equipment checks and annual certificated equipment check by a recognised fire equipment specialist; staff roster; Care Plan; complaints book. Evidence of the need for the management of the home to adequately consult with service users or their representatives has been indicated in the body of this report and in the Requirements and Recommendations that have been made. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION 2 3 x x 2 3 2 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 2 3 2 x x 3 2 2 Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 23 yes 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 1 Regulation 6 Requirement The homes Statement of Purpose must be reviewed in accordance with the Requirements and Recommendations and comments made in this report. Service users must be provided with lockable drawers or cupboords to store privately purchased medication and must be assisted to maintain their medication. Only medication with original labels must be kept by the home and must not be relabelled and must be appropriately disposed of according to the guidelines issued by the Royal Pharmeceutical Society of Great Britain. The home must encourage and develop consultation with service users and relatives as declared in their Statement of Purpose (p13) and in accordance with the Care Homes Regulations. All staff must receive training in the protection of vulnerable adults. The registered person Timescale for action 01/09/05 2. 9 13(2) 01/08/05 3. 9 13(2) 01/08/05 4. 12,13 & 14, 5. 18 12(2) & (3), 14(1)(c), 15(2)(c), 16(2)(m) (n), 24(3), 26(4)(a) 13(6) 01/09/05 01/09/05 Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 24 6. 19 23(2)(b) (c)(d)(o) & 23(5) 7. 27 & 33 23(1)(a) & 24(24(2)( 3). 8. 38 13(4)(a) must ensure that all staff receive this training as a matter of urgency and must be sure that staff have learnt from the training The registered provider must 01/10/05 prepare a plan of maintenance and improvements and consult with Environmental Health Officers where appropriate and submit a copy of the plan to the CSCI. The service must be reviewed to 01/10/05 address the staffing levels and the mixed service that the organisation is providing at the home. Evidence of any consultation made for this review must be made available to the CSCI. All chemicals, cleaning liquids 01/08/05 and hazardous substances must be stored safely in locked cupboards when not being used. This requirement was made at the last inspection on 21 January 2005 and remained unmet at this inspection. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 23 Good Practice Recommendations Service users should be consulted about sharing rooms as declared on page 6 of the Statement of Purpose. The manager should consult with service users and record this and ask the service users to sign the agreement or have the agreement witnessed if they cannot sign. Training in NVQ level 2 awards for care should include all should be as soon as possible. A Recommendation made at the last inspection on 21 January 2005 to produce a training analysis matrix has been partially met and should be completed as result of I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 25 2. 3. 28 37 Keneydon House 4. 33 this inspection. The home should ensure that keep relatives and service users are kept informed of inspections, the inspection reports and the CSCI. Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Keneydon House I53 I03 S61370 KENEYDON HOUSE V224324 230605 STAGE 4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!