Inspection on 25/03/09 for Knighton Manor

This inspection was carried out on 25th March 2009.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Knighton Manor 05/10/06

Knighton Manor 29/12/05

Knighton Manor 04/11/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Knighton Manor 31 Knighton Drive Stoneygate Leicester LE2 3HD The quality rating for this care home is: One star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Helen Abel Date: 2 5 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 34 Information about the care home Name of care home: Address: Knighton Manor 31 Knighton Drive Stoneygate Leicester LE2 3HD 01162448455 01162872676 rsmithfieldhouse@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Knighton Manor Limited care home 13 Number of places (if applicable): Under 65 Over 65 13 13 0 0 learning disability physical disability Additional conditions: The registered persons may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission are within the following category: Learning disability - Code LD Physical disability - Code PD. The maximum number of service users who can be accommodated is 13. Date of last inspection 0 5 1 0 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home Knighton Manor is a home for younger adults with learning disabilities, some of whom also have physical disabilities. It opened in 2005 and is situated in a quiet residential area of Stoneygate, Leicester. The property is large and detached with accommodation on two floors. There are thirteen bedrooms, all with ensuite facilities, and a lounge on both the ground and first floors. The ground floor and gardens are wheelchair accessible. Current fees range from £1388.00 per 4 week month to £3661.60. The current inspection report is held in the office area at the home. Care Homes for Adults (18-65 years) Page 5 of 34 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 34 How we did our inspection: This is what the inspector did when they were at the care home This visit was a Key Inspection that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for Younger Adults. The Inspector spent time planning the areas to focus on before the visit took place. This was based upon information gained from reviewing the homes service history, the last inspection report, the Annual Service Review (ASR) and the homes Annual Quality Assurance Assessment (AQAA). The people living Knighton Manor prefer to be called service users. The primary method of inspection used was case tracking. This involves selecting three people and reviewing the care that they received through inspection of the written information available on their support and care plans. Discussions took place with service users, and staff. Seven completed surveys from service users were given to the Inspector with their comments on the day of our visit. Many of these comments have been incorporated into this report. This visit was unannounced and took place on Wednesday 25th March 2009 at 2.30 pm and continued for around five hours. Care Homes for Adults (18-65 years) Page 7 of 34 In addition policies and procedures and records in relation to service users, staff recruitment, and the upkeep of the home were viewed. What the care home does well The home has comprehensive written information about the service and facilities, which is currently being updated. Person centred plans (PCP) are in place, and service users tell us staff are respectful and fair and recognise the importance of individualised person centred support. Care Homes for Adults (18-65 years) Page 8 of 34 Service users tell us they enjoy a full and stimulating lifestyle with a variety of options to choose from. Service users have daily access to a five-seated transport and a holiday home in Skegness. Service users dress in their own way and their appearance reflects their personalities. A service user told us,I like buying clothes. The staff taught me about colour codes. Now I know. The home provides spacious living environment that is appropriate to the specific needs of the people that live there. It is pleasant, and service users like the privacy of their bedrooms. The home was found to be well lit, clean, and tidy and smelt fresh. Service users are encouraged to personalise their rooms. A service user told us, I do my hovering, change my bed linen and spend time on my computer. Staffing levels meet the needs of service users using the service. Service users report that staff working with them know Care Homes for Adults (18-65 years) Page 9 of 34 what they are meant to do, and that they met their individual needs. Service users told us:” I go with staff to weight watchers and the library. The home is looking into performing Arts School for me. Staff are encouraged and supported in pursing external qualifications such as National Vocational Qualifications (NVQs). The registered manager trains and develops staff who are competent and knowledgeable to support and care for service users. What has got better from the last inspection What the care home could do better Care Homes for Adults (18-65 years) Page 10 of 34 The statement and purpose and service user guide should be reviewed to ensure they are current, including the complaints procedure. All these documents should be made accessible to the service user group. This will ensure service users have the information to make an informed choice about the home. All person centred plans should be kept under review including risk assessments and reflect the service users changing and independent lifestyle. Policies and practises around services users money should be reviewed to ensure service users are protected from financial abuse. Staff recruitment procedures must be improved to ensure the required checks take place before staff start working in the home. This will ensure service users are supported and protected by the homes recruitment policy and practises. Page 11 of 34 Care Homes for Adults (18-65 years) Staff should have access to protection of vulnerable adults training to help them provide a safe service to service users. Quality assurances monitoring processes should be reviewed to ensure effective quality assurance system are in place including provision for asking services users for their views and opinions. Care Homes for Adults (18-65 years) Page 12 of 34 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Helen Abel 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 13 of 34 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 14 of 34 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users are supported by staff that can meet their individual needs. Evidence: The statement of purpose is comprehensive and outlines clear information about the home. This introduction information should be presented in a way that is accessible to those whom the service is intended. This will ensure prospective service users can make an informed choice about where to live. The managers should consider including under the aims and objectives of the home reference to people around- sexual orientation and gender identity. This will ensure prospective service users needs around their sexuality and gender identity are considered as part of person centred planning and ensure personalised services. Following on our visit the registered provider is in the process of updating the statement of purpose and the service user guide. This will ensure current and sufficient information is made available to prospective service users to help them consider the services and facilities. Care Homes for Adults (18-65 years) Page 15 of 34 Evidence: The registered manager undertakes an assessment of a prospective service user before they move into the home. Copies of assessments from the local authorities were also found in a new service users support plan and contributed to the home developing an individual plan of support and care. Any equipment or adaptations are required by a prospective service users are assessed for their safety. Some service users told us they felt comfortable with staff and were able to relate to them: I prefer to talk to two support staff. Staff are lovely they teach us things. I am gay and talk to a support worker who is also gay. This helps me as I can talk about things. I have two staff that work with me. They are both very kind to me. Care Homes for Adults (18-65 years) Page 16 of 34 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users care and support plans are adequate; and service users make decisions about their lives with assistance when needed. Evidence: Service users told us their views about the home: Its alright here. I get a bit depressed but I can talk to my key worker. I can speak to xxxx, she is a good listener. Shes cool. We all get on most of the time. It is alright here, I make cakes Mat (the registered provider) likes my cakes and takes them. Commission for Social Care Inspection (CSCI) service users surveys were returned and some service users asked the Inspector if she had read them. Some people had made comments, and given suggestions for improvements: I would like to go out with different staff and probably somewhere different. The staff like me to be at home at a reasonable time at night. I know this is for my own safety and on occasions I am allowed to stay out later for special events. I would like to stay out later more often. Staff are helping me with my skills so when I move into my own flat I can be independent. Care Homes for Adults (18-65 years) Page 17 of 34 Evidence: Service users and their relatives, supporters are involved in the planning of care. Support plans were found to be full of information but not presented clearly for support staff to follow. Person centred plans are held in a separate folder. The ones sampled were incomplete and were not well organised. Service users should be confidant staff can meet their changing needs through their support plan. The registered manager confirmed staff complete the person centred plan to reflect the individual service user. The support plan is not used as a working document and does not consistently reflect the care and support being delivered. Risk assessments were not well produced and recorded on individuals support plans. Risks were identified and guidance on action to be taken to minimise the risk and hazards was evident, but poorly detailed. This has the potential to put service users at risk. One service users lifestyle present s as high risk. The home is taking positive action with this person to support the service users to take risks as part of an independent lifestyle. Care Homes for Adults (18-65 years) Page 18 of 34 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users enjoy a full and stimulating lifestyle with a variety of options to choose from. Evidence: Surveys confirmed service users comments and suggestions: I would like more choice of food. I am a vegetarian I would like more food options to choose from. I do more things here than I have done before. Im going to go to Cadburys World soon and go to the cinema, lots of discos, lots pub. Service users daily records confirmed trips to the zoo, space centre, shopping and cinema and cooking at home. Service users have use of the homes car, which enables service users to achieve levels of independence and to live a life outside the home. Many service users were out at day centres and college upon the Inspector arriving in the afternoon. Later in the afternoon service users were seen finishing an evening Care Homes for Adults (18-65 years) Page 19 of 34 Evidence: meal of chicken kiev or vegetable pie. People could choose where they ate their meal, in their bedrooms, or one of the lounges. Some service users pointed out to the Inspector they had healthy eating at the home and were seen choosing fresh fruit for dessert. Service users confirmed on their birthdays a party buffet and birthday cake was provided. The Inspector observed in the fridge UHT milk is provided for service users. It was suggested to the registered manager service users are consulted around their choice of milk, as currently there is no alternative milk available. Some of the service users were going out for the evening and told the Inspector about their plans. One service user was going to a venue in Leicester as part of a Womens Group to watch a film, and another service user was going out with her boyfriend to the pub. Service users told the Inspector there were no service users meetings but would talk to staff if they had any problems. The registered provider owns an accessible holiday home in Skegness for service users to use, as and when they choose. The registered manager confirmed just returning with a group of service users after a few days away. One service user told the Inspector he had a friend he visited. Staff were giving him information and specialist guidance to help him make appropriate decisions. Risk assessments had been produced and actions agreed with the service user. These measures will support the service users to wards a safer lifestyle. Many of the service users see family members and their supporters and receive and make telephone calls and speak to the service users. Staff support service users to send cards and presents on festive occasions to their friends and family. One service user made an Easter card for a relative with support from staff during our visit. Care Homes for Adults (18-65 years) Page 20 of 34 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service user health needs and personal support needs are well met. Evidence: Service users spoken with confirmed good working relationships with their key workers. They told us: Staff are cool and friendly and funny. My key worker is playful. She does a good fry up, lovely cooking. The new staff are young like us, they know what we like. Support plans confirmed all service users had individual health action plans that are followed by the home. These were seen to be very detailed. One service user health action plan was not completed. The registered manager agreed to follow this up. Staff were seen to be alert to changes in mood and behaviour and general well being of service users and fully understood how they should respond and take action. Services users were dressed in their own way and their appearance reflected their personalities. A service user told us,” I like buying clothes. The staff taught me about colour codes. Now I know. Care Homes for Adults (18-65 years) Page 21 of 34 Evidence: The medication areas was inspected and found to be clean and tidy and well organised. Medication records were compliant, with risk assessment in place for service users around their medication. The Inspector suggested to the registered manager to record an explanation when entering a code on the medication sheet. Such checks in place will ensure service user medication is safeguarded. Staff have received training in medication. Two staff are currently on a distance learning training in medication management. The community pharmacist inspected the medication area in January 2009 and made recommendation, that have been followed through by the home. This ensures safe medication management for service users. Care Homes for Adults (18-65 years) Page 22 of 34 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users complaints are listened to and are adequately protected from harm Evidence: A number of service users told the Inspector about a recent complaint and action taken by managers at the home, which resulted in a staff member leaving. When a group of service users were asked who they would complain if something was wrong, one person said their social worker had told them to tell her, two service user were unsure what to do, and another said they would tell their key worker. The summary complaint procedure in the statement of purpose is not presented in an alternative formats for the service user group and should be reviewed. Reference is made to addressing complaints to the manager /provider. This maybe difficult for some service users to do. There is no reference to referring a complaint to the Commission for Social Care Inspection (CSCI) at any stage, or supplying the current name, address and telephone number of the CSCI. Advocates contact details are mentioned in the complaints procedure but service users would have to ask staff for the contact details first. Following on our visit the registered provider confirmed all written information about the home is being updated. Service users need clear procedures that enable people to make their views known, and that reassure them that appropriate action will be taken. One service users money held by the home records and balance was examined. The Inspector suggested a review of safe storage of money, and improved handling money Care Homes for Adults (18-65 years) Page 23 of 34 Evidence: procedures. This would ensure service users and staff are protected from financial abuse. Staff have recently received training around Deprivation of Liberties. There was no evidence of safeguarding adults training. Such training would ensure service users are protected from harm. Care Homes for Adults (18-65 years) Page 24 of 34 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a good environment that is appropriate to the specific needs of the people that live there. It is pleasant, and service users like the privacy of their bedrooms. Evidence: Knighton Manor is a large property set in the heart of a desirable area of Leicester, Stoneygate. The property has 13 en suite bedrooms that are all individually decorated to the individuals choice, the living areas are very grand with lots of space, the area of Stoneygate has many amenities that are easy accessible to all the service users of the home. The home was found to be well lit, clean, and tidy and smelt fresh. Service users are encouraged to personalise their rooms. A service user told us, I do my hovering, change my bed linen and spend time on my computer. One service user spent periods on her bed without access to the call bell. The registered manager will arrange for the call bell to be recited. This will ensure the service user can summon help and will be reviewed. There are shared areas of communal space with opportunities to meet relatives and friends in private. One service user confirmed her boyfriend is able to spend time with Care Homes for Adults (18-65 years) Page 25 of 34 Evidence: her, in her bedroom. Another service user told the Inspector she had a key and prefers no one to go into her bedroom without her permission. The environment promotes the privacy, dignity, and autonomy of service users. Care Homes for Adults (18-65 years) Page 26 of 34 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . On the whole staffing is good however recruitment procedures were not as robust as they should be. Evidence: The registered provider confirmed the home always promotes equality and diversity and are very proud of the wide cultural and diverse staff team. Staff are encouraged and supported in pursuing external qualifications such as National Vocational Qualifications (NVQs). Other training on offer to staff is dementia training and equality and diversity. Staffing levels meet the needs of service users using the service. Service users report that staff working with them know what they are meant to do, and that they met their individual needs. Service users told us: I go with staff to weight watchers and the library. The home is looking into performing Arts schools for me. I like the names staff call me....chick and babe. We looked at staff recruitment records and found that most staff had undergone proper checks to ensure they were safe to work with people who live at the home. But, one staff member did not have the proper checks made. The service made sure this was quickly sorted out to ensure that people living at the home were kept safe. Care Homes for Adults (18-65 years) Page 27 of 34 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The homes quality assurance procedures are adequate. Evidence: The registered manager often works along side support staff to work with service users. Service users confirmed she was friendly and approachable. The registered manager trains and develops staff who are competent and knowledgeable to support and care for service users. The registered manager has many years of experience of working with people with learning disabilities and is supported by an experienced registered provider. The inspector spoke with seven service users. They said that there were no resident meetings or groups to talk about life at the home. This contradicts the information given by the provider and manager as written information and the homes own annual quality assurance assessment confirmed residents meetings take place regularly. The homes quality assurance assessment confirms the home runs a quality assurance programme. It was unclear how this programme operates in the home. Shortfalls were identified around staff recruitment practises, which confirmed robust checks were not Care Homes for Adults (18-65 years) Page 28 of 34 Evidence: always in place. There were some weaknesses around effective safekeeping and management of service users money. Quality processes and procedures were not in place to check this in a clear and transparent way. The AQAA confirmed all the required health and safety checks take place to safeguard service users and staff. Training is provided to staff around food hygiene, first aid, and nutrition. Care Homes for Adults (18-65 years) Page 29 of 34 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 34 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 6 15 The service users plan must be kept under review. 25/04/2009 The service users plan must reflect the needs aspirations and goals of the of the individual. 2 8 13 25/04/2009 All activities service users participate are so far as reasonably practicable free from hazards to their safety. Service users are supported to take risks and lead their lives as they choose. 3 22 22 The complaint procedure 30/04/2009 should be appropriate to the needs of service user. It shall include the name, address, and telephone number of the CSCI. The complaints procedure Care Homes for Adults (18-65 years) Page 31 of 34 should be clearly written and easy to understand and available in formats to help anyone living at the home. 4 23 16 Provide a place where the 10/04/2009 money and valuables of service users maybe deposited for safe keeping, and make arrangements for service users to acknowledge in writing the return to them of any money or valuables Where possible). This would ensure service users and staff are protected from financial abuse. 5 33 9 01/04/2009 The registered person shall not employ a person to work at the care home unless the person is fit to work at the care home; and the employer has obtain in respect of that person the information and documents specified in Schedule 2. Robust recruitment procedures will safe guard service users. 6 39 24 30/04/2009 The registered person shall establish and maintain a system for reviewing at appropriate intervals and improving the quality of care provided at the home. An annual development plan of planning, action, and review, involving service users would ensure service Care Homes for Adults (18-65 years) Page 32 of 34 users are confident their views underpin all self monitoring, review and development of the home Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The care homes written information-the statement of purpose and service users guide- about the services and facilities, should be presented in a way that is accessible to those for whom the service is intended. The statement of purpose includes the aims and objectives of the home and makes reference to equality and diversity issues. This should also include sexual orientation and gender identity. This will ensure service users can feel confident, safe they will not be discriminated against. This is an important foundation for ensuring a personalised service. Service user would benefit from staff training around safeguarding adults. This would increase staff knowledge and practises within the service. 2 1 3 23 Care Homes for Adults (18-65 years) Page 33 of 34 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 34 of 34 - 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!