Inspection on 21/06/05 for King Edward House

This inspection was carried out on 21st 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

King Edward House 22/02/08

King Edward House 03/03/07

King Edward House 10/01/06

King Edward House 03/12/04

King Edward House 15/06/04

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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 King Edward House 77 New Street Ash Canterbury Kent CT3 2BW Lead Inspector Mary Cochrane Announced 21 June 2005 at 09:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service King Edward House Address 77 New Street Ash Canterbury Kent CT3 2BW 01304 812953 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) Mr Rex Slade Cadman Mr Rod-Rennie Cadman CRH 5 Category(ies) of Care Home for people with Learning Disabilities. registration, with number of places King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 3rd December 2004 Brief Description of the Service: King Edward House is a detached property in the village of Ash approximately 10 miles from Canterbury. The home is registered for 5 people with learning disabilities. There are two main care staff who live in at the home and this is supplemented by an additional day carer and a part time cleaner. King Edward House is a satellite unit of the Old Rectory, and additional staff provide cover as and when required. The accommodation for the service users consists of 3 single bedrooms and one double bedroom. There are two bathrooms one on the east side and one to the west side of the home. On the ground floor there is a large living room, kitchen with dining area and additional small lounge, utility room and conservatory area. There are large grounds that are laid mainly to lawn, with a parking area to the front and side of the property. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out in accordance with the Care Standards Act 2000 and under the new guidance of ‘Inspecting for Better Lives.’ The inspection commenced at 9.30a.m. The senior team leader and office manager were available throughout the day. King Edward House provides a homely, relaxed and friendly environment for 5 gentlemen with learning disabilities who have all lived at the home since 1988. There are two live-in staff who have developed positive and therapeutic relationships with all of the residents and they were seen to interact in away that was sensitive, caring and respectful. There was seen to be an understanding between the service users and staff and needs of the service users are anticipated and dealt with appropriately. The service users are well kempt and dressed smartly and in keeping with their personalities. At the time of the visit, the Service Users in the home reported that they were happy and content. There was a friendly and relaxed atmosphere and people were busy, motivated and interested in the activities they were undertaking. The majority of home is well maintained and decorated to a good standard providing service users with an attractive and homely place to live. Residents of the home have a good range of activities available both within and outside the home. Staff continue to undertake adequate training and are provided with suitable support. Health and safety documentation and records were, in general, well maintained and up to date. The home was very positive about the inspection process and immediately acted on any suggestions made. King Edward House functions as a ‘real’ home for the residents. Service users and staff should be commended for attaining this. What the service does well: The home creates a homely and friendly atmosphere. The service does provide an active and fulfilling life style for the service users. It was evidenced that the service users are offered choices about how they live their lives and independence is promoted at all times. Staff are caring and the needs of the service users are put first at all times. All the service users were well cared for and they reported that they liked living at King Edward House. They are encouraged to participate in the day to day running of the home. The bedrooms are all individualised and personal. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: 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. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 standard(s) 1,2,5, The homes Statement of Purpose and Service Users Guide provides service users and prospective service users with details of the services the home offers, enabling them to make an informed decision about admission to the home. The home does have an admission procedure to ensure the needs of potential service users can be meet. There are contracts in place for all service users EVIDENCE: The home has an up to date Statement of Purpose in place, which contains the information out-lined in schedule 1 of the regulations. The Service Users Guide is well written and informative. Due to the limited communication skills of some of the service user’s the guide needs to be produced in the language and format that can be understood, the office manager is working on this. The service users at the home have all been resident for 18 years so there have been no recent admissions. The home does have admission procedures in place to guide staff on the action to take prior to accepting any one into the home. Any prospective service users would be properly assessed and a planned transition period would take place. No emergency or unplanned placements are accepted into the home. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 9 There is a clear contract in place stating terms and conditions of residence. The contract meets the requirements set out in the national minimum standards King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,9 The Service users individual needs and choices are supported and met by the care staff. Not all risks to the service users are identified, recorded and minimised. EVIDENCE: Care plans have been enhanced and developed since the last inspection and are of a good standard. All care plans were looked at during the visit. There are individual care plans in place for each of the service users, and there is a key worker system operating within the home. The care plans reflect the individual needs of each of the service users and the action that is required of the care staff to attain this. Out-comes and goals are also identified. There was evidence to show that plans are reviewed and up-dated on a regular basis. The plans detail, personal care information, medical needs, social needs, preferences, service user questionnaire and individual abilities. Six monthly reviews have not taken place with significant professionals as up until recently service users did not have any care management input from the local social services team. Reviews will hopefully soon commence. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 11 Through observation and when speaking to the service users there is evidence to support that Service Users are involved in decision-making processes pertaining to their own lives. All the bedrooms have been redecorated and service users were fully in involved in choosing the paint colours and buying the accessories. Care staffs and service users were able to demonstrate how individual choices had been made and the reasons why others had sometimes made decisions. Progress has been made since the last inspection in developing more robust risk assessments for the service users in the home but they do require some more work to ensure that all risks have been identified and minimised. This was particularly in relation to service users going out alone or with a carer or when service users are travelling in cars /minibuses provided by the home. The senior carer was going to start work on these immediately. (Refer to recommendation no.1) King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15,16,17 Service users are able to maintain and develop an appropriate and fulfilling life-style both in-side and out-side the home. The service users are provided with a balanced, healthy, nutritious, varied diet. EVIDENCE: At the time of the visit all the service users were at home and all were spoken to both in a group and individually. They all reported that they were very happy, content and enjoyed living in the their environment. The residents have all been together for many years so have formed strong bonds and friendships. The staff were seen to be caring and meeting their needs. The care staff team had worked hard to develop meaningful and consistent relationships with the service users. Both staff and service users spoke enthusiastically about the activities they do inside and outside the home. Recent trips have included a visit to the theatre, a country and western evening, and a concert. King Edward House interacts and shares a lot of the facilities with The Rectory, which is the larger home in the near vicinity belonging to Mr. Cadman. Service King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 13 users are able to visit each other and develop relationships. There is an activities organiser based at The Rectory and the residents from King Edward go there regularly throughout the week to participate in music groups, arts and crafts sessions amongst other things which they said they enjoy. The staff actively encourage service users to attend college courses, develop life skills and pursue activities of their choice. All service users are encouraged to gain outside interests, some have chosen to attend college courses in computing, cookery, woodwork and arts and crafts. One service user was very keen to show the woodwork and artwork he had done. Others prefer to assist in the day-to-day running of the home and household tasks. The inspector spoke with all service users residing at King Edward House who confirmed that they are able to develop their individual hobbies and leisure activities. All residents have the option of taking an annual holiday and staff would assist them in making the necessary arrangements. There was documentation in place to evidence that activities do take place and the senior team leader is now going ensure that individual activity plans are developed. This was commenced at the visit. (See recommendation no.2) The home also have a cat and a dog which service users enjoy. Service users are actively encouraged to maintain family links and develop out-side friendships. Staff make visitors and family welcome in the home. Staff were seen to be respectful of the Service User’s privacy and dignity and are inclusive on interactions within the home. They have unrestricted access throughout the communal areas and are escorted by staff members if it felt there are any risks. Service users can choose when to be alone or in company, and when not to join in an activity. All are very involved with the daily routine of the home taking responsibilities for looking after their own rooms and assisting in household chores. All the residents have chosen not to have locks on their bedroom doors and reasons for this are documented in their care-plans The home was able to produce evidence that the service users receive a nutritious, wholesome, well balanced diet. The service users all reported that they really enjoyed the food and menus are in place. An accurate record is kept of foods eaten. Meal times are flexible to meet the needs of the service users. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 standard(s) 18,19,20 The home provides appropriate personal and health-care care for the service users. EVIDENCE: Through observation and speaking with the service users it was evidenced that care staff provide sensitive and individual support. Personal care, life skills and dignity are promoted. The staff have good understanding and knowledge of the individual needs and preferences. Service users are assisted to choose their own clothes and are supported to shop. There is a flexible approach to daily living activities. Additional support from out-side agencies is sought from other professionals when necessary. There is a consistency from the staff group that the service users respond to. It was reported that the home has a good relationship with the local G.P’s surgery. Annual health checks are undertaken and all medication is reviewed at regular intervals. Service users health care needs are monitored and they are promptly referred to the specialist professionals when necessary. A member of staff accompanies service users when they are attending appointments. A medical report sheet is maintained by the home so as to evidence dental, chiropody, G.P. and other health care appointments. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 15 The service users required little medication and the Monitored Dosage System (MDS) from Boots is used. All staff who administer medication to Service Users have received appropriate training. The medication is stored in a locked cupboard and the keys to this are kept on the person who is in charge. MDS were cross-referenced with MAR sheets and at the time of the visit these tallied. The home now stores topical treatments in a separate container. P.R.N instructions are in place in the individual care plans. Some of these need to be more specific in their content. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 standard(s) 22,23 Concerns and complaints are acted on. Arrangements for protecting service users from abuse are in place, EVIDENCE: There have been no complaints made about the home or the service it provides. The home does have a satisfactory complaints procedure in place clearly outlining the different stages for making a complaint, and how to contact the Commission. The home has the appropriate Adult Abuse policies in place and also a Whistle Blowing Policy. The staff are aware of the policy, felt confident to use if necessary and knew the appropriate action to take if they had to do so. Any incident pertaining to abuse would be followed up immediately and all action taken recorded. The staff are aware of the POVA lists. The home has developed a system of managing service users monies, which protects them from abuse. The home is providing a more secure place to store monies and valuables. The homes policies and practices do adequately safeguard service users money and financial affairs King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29,30 The home is well maintained and decorated to a high standard providing service users with an attractive and homely place to live. The home is clean and hygienic EVIDENCE: The premises were seen to be suitable for their stated purpose. The home comprises of two semi-detached houses, which has been made into one large property. The property is well maintained and provides a homely environment for the service users to live in. The premises are safe, comfortable, airy and clean and provide sufficient light heat and ventilation. The house is in keeping with the local community and accessible to all the Service Users. Furnishings, fittings, adaptations and equipment are of good quality and suitable for their purpose. There is a planned maintenance and renewal programme for the premises and records and plans documented and kept at the home. All the bedrooms within the home are large enough to meet the needs of the service users and are very comfortable and homely. Two service users share a bedroom this is long standing arrangement that is agreed to by both the King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 18 service users. Bedrooms are fitted to high standard and individually furnished and personalised reflecting the style of each service user. All the furnishings and fittings are also of a high quality. The rooms do not have locks on the doors but this is the personal choice of the service users and reasons for this is recorded in their individual care plans. The home has 2 bathrooms. There is a good range of comfortable shared space available for communal and private use and the kitchen and laundry facilities are domestic in scale. The homes conservatory is in need of up grading, redecoration and refurbishment so to provide an attractive alternative facility for the service users should they wish to use it. This was discussed at the time of the visit and plans are in place to up-grade this area. (See recommendation no.3) Two members of staff live in at the home and have their own bedrooms lounge and kitchen area. Personal belongings can be stored safely at the home. The existing group of service users within the home do not require adaptations or any specialist equipment. The gardens to the front and the rear of the property are reasonably well kept and the handy man was undertaking maintenance work at the time of the visit. Service users reported that they enjoy working in the garden and grow vegetables and assist in keeping the area tidy. On the day of the inspection the home was clean and free from any offensive odours. Paper towel, liquid soap and hand washing facilities are available in both kitchen areas. There is a domestic washing machine situated within the kitchen and tumble-drying facilities are located in the conservatory. Appropriate measures have been made to ensure that laundry facilities are not used during times of food preparation. It was observed that service users take a pride in maintaining the cleanliness of the home and a cleaner is employed on a part-time basis. All potentially hazardous substances are appropriately stored. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34, 35,36 The staff have a good understanding of the service users and positive relationships have been formed. The staff group within the home is stable There is a competent, qualified and effective staff team that support the service users. The procedures for recruitment are robust and protect service users EVIDENCE: The care staff employed by the home are all issued with a job description on starting employment and there is a very stable staff team There are two members of staff who live in the home. This situation was discussed and the members of staff are very happy with the situation and can maintain a good balance between work and private life. There was evidence to show that the staff were able to promote the main objectives of the home and were aware of their role and responsibilities and that of the other staff. The staff reported that they had developed good relationships with the service users and they were able to anticipate and meet the individual needs of the client group. It was observed that the staff were accessible and approachable to the service users and were able to exhibit good listening and communication skills. It was evidenced that the staff on duty put the needs of the service users first. The King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 20 staff reported a good working relationship with the registered provider who is available at any time. There are no volunteers going into the home at the present time. More than 50 of staff have achieved their NVQ level 2 and above. The home employ 3 members of care staff and additional support is provided from the nearby sister home The Rectory. The staff on duty were able to demonstrate that they have adequate staff resources and staff time to met the needs of the service users and ensure that the day to day management of the service is undertaken to a high standard. The duty rota reflects that there is a 1 member of staff on sleep-in duty every night. The home has a very stable work force and personal files contained all the relevant information. Staff files are kept securely within the home. All staff have received the required training except for infection control and this has been an over-sight. Having identified the problem at the inspection the homes administrator is going to investigate training for the staff. Apart from this staff have received mandatory and some specialist training, which is ongoing and up-dated at regular intervals. (See recommendation no.4) All staff receive regular supervision and annual appraisals have taken place. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38,42, The position of registered manager needs to be addressed. Service users are living in a home protected by effective leadership, guidance and direction to ensure consistent quality care. The practises within the home promote and safe guard the health, safety, and welfare of the people using the service. EVIDENCE: It was evidenced at the time of the visit that the person who is the registered manager of the home spends little time there and is not undertaking any of the required qualifications to support the role. At the present time the Registered Provider and the CSCI are in discussion on how best to resolve this issue. (See recommendation no 5) The home has created an open, positive and inclusive atmosphere, which the service users and staff understand and respond positively to. The registered King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 22 person provides a clear sense of direction and leadership, which the staff and service users understand. The home provides a safe environment for service users to live in and staff to work in. Good working practices ensure the home is free of hazards. Mandatory training is almost up-to date and as discussed previously all staff need to receive infection control training. (See recommendation no.4). The safe working practices in the home are satisfactory and policies are in place to strengthen safe practices. All the relevant checks and inspection of equipment and system have been undertaken and were evidenced on the day of the inspection. An accident book is maintained by the Home and supplementary in-depth forms are completed in addition to this. The fire book was seen evidencing regular drills are performed and equipment is duly maintained. Water thermostats are now in place but water temperatures now need to be taken at regular intervals so as to comply with the regulations. (See recommendation no.6). Legionella tests have also been done. The Manager is aware of RIDDOR and reporting incidences to the Commission under Regulation 37. COSSH products are locked away safely. King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 2 3 3 Standard No 11 12 13 14 15 16 17 x 3 2 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 King Edward House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 x x x 2 x H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard Regulation Requirement Timescale for action 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. 6. Refer to Standard 9 13 28 35 & 42 37 42 Good Practice Recommendations To further develop and enhance risk assessments.To ensure that specific actions required to minimise risks are clearly identified. To develop individual activitiy plans to meet the needs of the individual service users. To upgrade and redecorate the homes conservatory All staff to receive infection control training To review and resolve the present situation with regards the registered manager. Water temperatures need to be taken at regular intervals and recorded King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 King Edward House H56-H05 S23215 King Edward House V223743 210605 Stage 4.doc Version 1.30 Page 26 - 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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