Inspection on 26/10/06 for Knoll House

This inspection was carried out on 26th October 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Knoll House 24/10/08

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Knoll House Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ Lead Inspector Jane Poole Key Unannounced Inspection 26th October 2006 13.30p Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knoll House Address Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ 01278 760555 01278 760747 Vanessahalfacre@nas.org.uk National Autistic Society Mrs Linda Cording Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Knoll House was previously registered as part of Somerset Court which is owned by the National Autistic Society. As part of Somerset Courts Modernisation Programme each previous accommodation area that formed Somerset Court, has now become a separate registered service. The home was registered with the CSCI on 16/06/06 to accommodate up to seven services users. The home itself is a bungalow set in its own garden area but within the extensive grounds of Somerset Court. All bedrooms are for single occupancy. Fees at the home range from £1186.40 to £2564.48 per week. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection since Knoll House was registered as a care home with the Commission for Social Care Inspection. Currently there are 6 service users living at the home. The inspector visited the home and met with staff and service users. Many of the service users living at the home are unable to verbally express their opinions about the quality of the care that they receive but the inspector was able to observe care practices and routines in the home. All records requested were made available and the inspector was given unrestricted access to all areas of the home. 3 visitors/relatives and 4 service users completed questionnaires prior to the inspection and some of their comments have been incorporated into this report. What the service does well: Knoll House offers a comfortable, homely environment for service users. Prospective service users are assessed prior to being offered a place and they have opportunities to meet staff and other service users before deciding to make Knoll House their home. The inspector spent time in the home and noted that there was a very relaxed atmosphere. Service users had unrestricted access to all communal areas and their personal rooms. Staff observed interacted well with service users using a variety of communication techniques. There are pictures, signs and symbols around the home to further enhance service users communication and understanding. For example the complaints procedure has been made available to all service users in symbol form. The menu for the evening meal is displayed in pictorial form. All service users have a house day every week which is an opportunity to spend time with staff learning and developing independent skills and accessing the local community. Staff assist service users to maintain contact with family and friends. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 6 Staff receive ample training and supervision to enable them to provide a high standard of care. All staff receive training in adult protection and abuse. Staff spoken to had confidence in the management of the home. 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. The summary of this inspection report can be made available in other formats on request. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are fully assessed before being offered a place at the home. There are opportunities for prospective service users and their representatives to meet with staff and visit the home before deciding to move in. EVIDENCE: Since this home was registered one new person has moved into Knoll House. There is evidence that a full assessment was undertaken before the person moved in to ensure that the home was able to meet their needs. In order to make the transition as smooth as possible a ‘transition book’ was made for the prospective service user. This contained pictures of the home and key members of staff. The manager and nominated key worker visited the prospective service user on more than one occasion prior to admission. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 9 The inspector was able to speak with the newest service user who stated that they had been able to visit the home and spend time getting to know the building and other service users before deciding to make it their home. It was apparent by talking to the manager that when a new person is referred to the service the manager considers, not just the needs of the prospective service user, but also their compatibility with the existing group. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans show little evidence of meaningful service user involvement. Staff demonstrate communication skills that assist service users to make choices and decisions. EVIDENCE: Each person living at the home has a comprehensive plan of care. The inspector looked at two care plans in detail. The home uses the National Autistic Society format for care plans. Plans cover many areas of daily life including behaviour, health and medication, cultural and religious beliefs and important events. Although care plans are reasonably comprehensive they are at times lengthy and repetitive. Both plans viewed by the inspector had been signed by the Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 11 service user but their was no evidence of how the service users views and wishes had been incorporated into the plan. This was discussed with the manager during the inspection who herself has identified that the home needs to look at ways of making care plans more meaningful to service users. Key workers are responsible for writing a monthly summary for individuals and this identifies more fully the events and activities that have been enjoyed by the service user and any difficulties that may have been encountered. Throughout the inspection the inspector was able to observe how staff were constantly communicating with service users. Choices were being offered to people in different ways according to their communication abilities and styles. It was apparent that staff use their knowledge of individuals and communication skills to seek views and enable people to make decisions but this not always documented in care plans to assist new or less experienced staff. Risk assessments are completed in respect of certain activities. These assessments are not used to eliminate risk but look at ways of enabling activities with minimised risk. For example one risk assessment identifies the risk of a particular service user being in the car. In order to enable the service user to access the community the risk assessment states that two members of staff are made available whenever the service user is in the car. Staff spoken to were aware of the risk assessments in place and the importance of working within their guidelines. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a variety of meals taking account of the likes and dislikes of service users. There are not always opportunities for service users to access leisure facilities of their choosing due to staffing levels. Staff assist service users to maintain contact with family and friends. EVIDENCE: Service users all attend on-site day services for the majority of the week. In addition everyone has the opportunity to have a house day, which is a day that they spend in their own living environment learning and developing independent living skills. During the house day service users also have the Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 13 opportunity to access the community to take part in leisure activities such as going out to lunch, swimming and shopping. Currently no one living at the home attends college or undertakes voluntary or paid employment. Service users who were assisted to complete questionnaires prior to the inspection indicated that there is limited choice about the activities that they undertake in the on-site day care facilities. Some staff spoken to felt that people would benefit from having greater choice in the activities that they undertook during the day. It was felt that service users have greater choice on their house days as they were able to choose when they got up and determined how they spent their day. Staff also stated that due to staffing levels in the home, and the needs of individual service users, it was difficult to ensure that everyone had the chance to undertake leisure activities of their choosing. This, it was felt, was particularly difficult at weekends. However the inspector noted that two service users had recently been away on holiday and everybody had been out for a meal the night before the inspection. During the evening of the inspection there was a very relaxed atmosphere in the home with people determining where they spent their time, some people chose to be in their rooms listening to music, one person went out to the hairdressers with staff and others spent time in the communal areas with staff watching TV. All three relative/visitors answered YES to the questions “Do staff/owners welcome you in the home at any time?” and “Can you visit your relative/friend in private?” Each care plan contains details of how service users are enabled to maintain contact with friends and family. Some service users keep in touch by telephone and letters and some go to stay with family members on a regular basis. Whilst attending on-site day care facilities services users eat lunch in the main Somerset Court building. The home obtains a copy of the lunch menu each week and then compiles an evening meal menu to provide variety to service users. Evening meals are cooked in the home by care staff. The evening meal is displayed in the home in picture form and it was apparent that service users are able to request an alternative. All service users who were able to express an opinion said that they liked the food and received ample portions. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 14 Throughout the evening it was noted that service users were able to make drinks in the kitchen with the assistance of staff. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to healthcare professionals appropriate to their individual needs. Some areas of medication administration could be improved upon. EVIDENCE: All service users have wash-hand basins in their rooms and there are two bathrooms and a shower room where service users are able to attend to their personal hygiene. Care plans give details of the level of support that service users require with washing, dressing etc. One care plan seen also noted the gender of the person who should assist with intimate personal care. Service users are able to choose their own clothing each day and key workers assist service users with clothes shopping. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 16 All service users have access to healthcare professionals according to their individual needs. Staff assist service users to attend appointments outside the home. Records are kept of all appointments and the outcome. These records show that service users are accessing general practitioners, consultant psychiatrists, psychologists, speech and language therapists, dentists and chiropodists. Nobody living at the home administers or controls their medication. There is a policy in respect of all medication that gives guidelines for the safe storage, recording and administration by staff. Medication is given out by two staff, one person administers and the other witnesses. There are also two sets of Medication Administration Records (MARS.) For anyone who receives medication whilst attending day care there is another MAR chart used by day care staff. The inspector viewed the MARS in the home and found them to be correctly signed when received into the home and when administered or refused. One hand written entry had not been signed and witnessed. One service user had a written prescription for a medication to be given PRN (as required) There were no guidelines available to direct staff as to when this medication should be administered. Staff stated that they only give out medication once the manager or senior practitioner has deemed them competent. It is recommended that the home look at more formal training for staff administering medication. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has taken reasonable steps to minimise the risk of abuse to service users. EVIDENCE: The home has policies in respect of making a complaint, recognising and reporting abuse and whistle blowing. All staff in the home have received training in the protection of vulnerable adults and issues of abuse. Staff were aware of the ability to take serious concerns outside the home but felt confident that any issues raised would be addressed by the management structure of the home and the National Autistic Society. The home assists service users to manage day to day personal finance. There are secure storage facilities and a robust recording system in place. Records checked by the inspector correlated with monies held. Each service user has a copy of the complaints policy in their room, this has been translated into symbol form to make it easily understandable by service users. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 18 All relative/visitors who completed questionnaires prior to the inspection answered YES to the question “Are you aware of the homes complaint procedure?” The home has received no complaints since its registration. The inspector saw evidence that all new staff undergo a Criminal Records Bureau check and are checked against the Protection Of Vulnerable Adults register before commencing work. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Knoll House provides a comfortable homely environment for service users. The bathrooms are in need of refurbishment and there are inappropriate facilities for hand drying. EVIDENCE: Knoll House is a single storey building set in its own garden within the extensive grounds of Somerset Court. There are no shops or amenities within walking distance and the home is not on a public transport route. All areas are fitted with a fire detection and emergency lighting system, which is tested regularly. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 20 All bedrooms are for single occupancy and all have wash-hand basins. Three service users showed their personal rooms to the inspector, all had been personalised to reflect the tastes and personalities of their occupants. There are two bathrooms and a shower room for communal use. Each bathroom has a toilet and there is a separate toilet located away from the bedrooms. The bathrooms were viewed by the inspector. Both were in need of redecoration and in one there was a strong malodour. Hand-washing facilities have been put in place but on the day of the inspection there were no paper towels in either bathroom. It was explained that the behaviour of one service user makes it very difficult to maintain towels in the bathroom. The home need to look at ways of providing hand drying facilities in toilet and bathroom areas for the convenience of service users and staff and to minimise the spread of infection. Discussion with the manager and reading minutes of a recent staff meeting gave evidence that the home plan to refurbish the bathrooms in the next financial year. All other areas of the home were pleasant and well maintained. There is a large lounge and conservatory/dining room. There is also a spacious kitchen. All communal areas are furnished and decorated in domestic style with comfortable furniture. There is a domestic washing machine in the kitchen that some service users are able to use for personal laundry. The majority of household and personal laundry is washed in the main on-site laundry. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36. Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Staffing levels in the home vary and need to be kept under review to ensure that they meet the needs of all service users. Staff are competent in their roles and receive appropriate training and supervision to provide a high standard of care. EVIDENCE: The home employs 9 care staff and are currently advertising for an additional person. 6 (66 ) members of the care staff team have a National Vocational Qualification at level 3. This is in excess of the National Minimum Standards recommendation of at least 50 at level 2. There is a clear staffing structure in the home, all staff spoken to were aware of this structure and the lines of accountability. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 22 There are regular team meetings which are an opportunity to share information and ideas. The inspector was able to observe care practices in the home and noted that there was good communication between staff and service users, using a variety of communication methods. The home employs both male and female staff reflecting the mixed gender group living in the home. All service users have a key worker within the care staff team. Staffing levels in the home vary, on weekday mornings there is a minimum of two care staff on duty. A member of the day care team also works in the home, to assist people to get up, before commencing work in the day care centre. At weekends and evenings there is a minimum of 3 care staff on duty, overnight there is one member of staff. All 3 relative/visitors who completed comment cards answered YES to the question “In your opinion is there always sufficient numbers of staff on duty?” However staff spoken to stated that at times, particularly weekends, there were insufficient staff to ensure that all service users received the support they needed. All staff were very happy with the training opportunities provided and all felt that they were given access to a wide range of training. All staff receive regular formal supervision from the manager or senior practitioner. The inspector viewed the records of staff supervision sessions and noted that this was a forum to explore strengths and weaknesses and identify training needs and interests. The inspector viewed the recruitment files of the two most recently appointed members of staff and found that they gave evidence of a robust recruitment procedure. Staff spoken to felt that they had received a good induction to work in Knoll House. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management gives a clear sense of leadership and direction to the home. Appropriate measures are in place to ensure the health and safety of staff and service users. EVIDENCE: The registered manager of the home is Lyn Cording. Lyn has many years experience of working with people with autism and learning difficulties. She has recently completed the Registered Managers Award (NVQ level 4) Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 24 Lyn was registered as manager when the home was registered with CSCI in June of this year and already gives a clear sense of direction and leadership to the home. The manager demonstrates a good understanding of the needs and personalities of individual service users and of the abilities of staff. There is also a senior practitioner who deputises in the absence of the manager. The Inspector was impressed by the way in which staff had attempted to seek the views of individual service users in preparation for the inspection. It was apparent that staff had used their knowledge of individuals and a variety of communication methods to do this. Prior to the registration of Knoll House the National Autistic Society undertook an extensive programme of consultation with service users, staff and other interested stakeholders to gauge their opinions on the running of Somerset Court and their wishes and ideas about the future. There are currently no service user meetings in the home but the manager is hoping to reinstate these in the near future. As previously mentioned there are regular staff meetings where staff are able to raise issues and share ideas. The manager should now look at quality assurance methods that can be used to monitor the quality of care offered by the home and seek views of interested parties. All records viewed by the inspector were up to date and well maintained. All confidential material was securely stored. Appropriate steps have been taken to maintain health and safety in the building. There are regular in house checks of fire safety equipment and the fire detection system is regularly serviced. Communal hot water temperatures are thermostatically controlled and water is regularly tested and temperatures recorded. Staff have received training in health and safety issues such as food hygiene, fire safety, first aid and manual handling. A gas safety certificate was issued on the 27/07/06. Portable Electrical appliances were last tested in September 2005. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 25 The certificate of registration is displayed in the office. Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 26 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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 2 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 3 12 2 13 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X 3 3 X Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15 (2) 12 (3) Requirement The manager must ensure that the wishes and views of service users and/or their representatives are included in care plans. The manager must ensure that there are clear guidelines in place in respect of the administration of PRN (as required) medication. The manager must ensure that there are appropriate hand washing and drying facilities for staff and service users to minimise the risk of the spread of infection. Timescale for action 31/03/07 2 YA20 13 (2) 30/11/06 3 YA30 13(3) 31/12/06 Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 28 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 YA12 YA13 2 3 4 5 YA14 YA20 YA27 YA33 Good Practice Recommendations The manager should ensure that service users are consulted on their interests and about the activities which they take part in. All staff should receive formal medication training. Bathrooms should be upgraded. The manager should keep staffing levels under review to ensure that they meet the needs of all service users. All portable electrical appliances should be tested annually. YA42 Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Knoll House DS0000067300.V317573.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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