Inspection on 20/09/06 for Latham House

This inspection was carried out on 20th September 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

Latham House 27/11/08

Latham House 01/07/08

Latham House 04/01/08

Latham House 07/08/07

Latham House 22/11/05

Latham House 23/08/05

Latham House 07/03/05

Latham House 21/12/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Latham House The Lane Wyboston Beds MK44 3AS Lead Inspector Mrs Louise Trainor Unannounced Inspection 20th September 2006 12:30 Latham House DS0000060512.V306694.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 Latham House DS0000060512.V306694.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. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Latham House Address The Lane Wyboston Beds MK44 3AS 01480 470470 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) latham@brookdalecare.co.uk Brookdale Healthcare Mrs Kathleen Houseago Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Maximum number of service users: 12 Gender: Male and Female Ages: 18-65 Up to 12 Service Users with a Mental Disorder may be accommodated where this is associated with a Learning Disability. 22nd November 2005 Date of last inspection Brief Description of the Service: Latham House is a 12-bedded house and its exterior is in keeping with the rural neighbourhood. It is situated on the outskirts of the village of Wyboston, close to the market town of St. Neots. There are good community facilities available and the home provides transport to staff and service users to travel from the village to nearby towns. The home is split into 2 units for 6 service users aged between 18 and 65 years who have Autistic Spectrum Disorder and associated challenging needs. All of the bedrooms are single and en-suite. Each unit has a lounge and dining room. The laundry facilities are shared by the units. The home has recently changed the way meals are prepared. They are now cooked in the adjoining hospital, owned by Brookdale Healthcare, and delivered to Latham House. The fees for this service range from £2290.00 - £3047.00 per week. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first Key Inspection for this service for this year. It was carried out by Lead Inspector, Mrs Louise Trainor on the 20th September 2006, between the hours of 12:30 hours and 18:00 hours. The home Manager Kate Houseago was present throughout the inspection to assist. At the time of the inspection, the home was undergoing major works on floor replacements on one side, following problems with the underground water mains in the area. Six of the service users and ten of the staff were away on holiday for a week, and the remaining six service users were out on shopping trips with their Key Workers and did not return until late afternoon. Obtaining evidence by talking to, and interacting with the service users was difficult during this inspection, as the presence of a stranger within the home has a tendency to unsettle the service users in a detrimental way, however the inspector did have the opportunity of chatting with one service user for a brief period, and also interviewed one member of staff. Interactions between staff and service users were observed during the latter part of the inspection. During the inspection various documentation, including two service user files and three staff files, training / supervision records and the complaints file were examined. The inspector would like to thank everyone involved for their assistance and support during this inspection. What the service does well: The manager and staff at this home appear enthusiastic and committed to the service, and improving the quality of life for the service users they care for. Service users all have a full activity programme in place, which includes a variety of outings and activities suitable for the individual. Although it is difficult to involve the service users in the planning of these programmes due to their profound disabilities, information relating to individuals preferences and choices are always considered during the planning process, and all service users choose whether or not they participate in each activity. Interactions that were observed during the inspection indicated that staff are knowledgeable about ASD (Autistic Spectrum Disorder) and have a clear Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 6 understanding of these service user’s needs, and are skilled in assisting them to meet their needs. There is a robust training programme in place, and there is evidence to show that all staff are attending sessions as required. The home has 100 of its’ staff trained to NVQ level 2. All the staff receive supervision on a four to six weekly basis, and an annual appraisal. Confidential records are of supervision are stored in sealed envelopes in personal staff files. Service user files are very detailed containing ample information relating to personal choices and goals in picture form, indicating service user involvement. Care plans are clear and reviewed and evaluated on a monthly basis to incorporate changing needs. Monthly summaries are sent out to service users’ families / representatives to keep them as fully informed and involved in the care process as possible. The staff also encourage service users to maintain contact with families / friends by telephone and visits on a weekly basis. What has improved since the last inspection? What they could do better: The manager must ensure that regulation 37 notifications are submitted to The Commission for Social Care Inspection, for all incidents that may adversely affect the service users. Medication prescribed on a variable dosage and PRN (as required) basis, should be recorded with the dosage that has been given, so that reconciliation of medication can be accurately monitored. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 7 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. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 8 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 Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 1, 2, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. Service users and their representatives are issued with all the necessary information that they require to make an informed decision about the service so that they know their needs will be fully met. EVIDENCE: The staff management team consider applications for prospective service users, together with other staff, where all information is shared, views, opinions, and comments are listened to and fully debated, before agreement is give for the admission. All service users have a copy of the Service User Guide in picture format, so that their potential to understand the information is maximised. This includes detail of how to complain. Each service user has a full assessment of needs in their personal file, and a separate risk assessment is completed for every daily living skill or activity that they carry out. These range from bathing to horse riding, eating or bowling, so Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 10 that whatever activity is in progress there is a detailed risk assessment attached. Each service user has detailed information in picture form relating to their likes and dislikes. This may range from food and drinks to clothes and footwear or activities. This documentation also details things that may upset the service user, ways they may react to such incidents, and ways in which they may be helped to calm down if agitation becomes a problem. Overall this documentation leaves minimal margin for variation in the way care is delivered to these service users, where routine and structured security is a critical factor in maintaining their quality of life. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 6,7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Needs assessments and evaluation / reviews are evident in all service user files. Picture documentation indicates that service users are consulted on all aspects of their life in the home. EVIDENCE: Each service user has a clear care plan in place for each individual need they have. These are reviewed on a monthly basis. All care plan documentation is presented in picture format, and includes details of personal goals, preferences and personal idiosyncrasies that may affect the way care must be delivered to achieve maximum benefits for the service users. Service users are offered a very wide range of activities on a daily basis. These may include anything from shopping, horse riding, cinema, swimming or computer time. Each service user has a risk assessment in place for every activity that they participate in, thus allowing them to function with varying levels of independence, as appropriate to the individual. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 12 One service user that spoke to the inspector had been clothes shopping with her Key Worker for the day. She talked about her recent holiday at ‘Centre Parcs’ and how she had been swimming. She told the inspector, “I’m very well thank you, everything’s ok at Latham House”. Her interactions with staff reflected this. Activities of daily living are all clearly risk assessed and regularly reviewed to ensure personal goals and aspirations are monitored and amended appropriately in line with service users personal achievements. One service user whose problems / condition required a sparsely furnished room for his own safety, now has items such as a computer which he uses, and a bookcase in his room that he will gradually dress with books of his own choice. The manager explained that this had been a very slow process, but had worked very effectively for this service user, who is progressing well, and his quality of life is much improved. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 11, 12, 13, 14, 15, 16, 17, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service Users are involved in meaningful daytime activities of their own choice and according to their individual interests and capability. They are encouraged to develop and maintain important personal and family relationships, and the practice of staff promotes individual rights and choice, but also considers protection of individuals, supporting people to make informed choices. EVIDENCE: Each service user has an individual activity programme. For some service users this is posted on or just outside their bedroom door, so they have a clear programme of the daily routine for each day, and starts with getting washed and dressed. However these programmes remain very flexible and service users always have ‘an assisted choice’ of whether or not to participate. These programmes may include: shopping trips, cinema, swimming or other activities in the community. Some service users also attend sessions at the day centre in the adjoining Milton Park Hospital. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 14 A large part of each individual programme involves working on a one to one basis with the allocated Key Worker on personal development, and visits home to families. For some service users this happens more regularly than others. Where appropriate service users are encouraged and assisted to have some family contact weekly. Service user’s families and representatives are kept well informed regarding service users progress and development. This is done by review meetings, and by a new scheme that involves a monthly progress summary of individual service users being sent to their next of kin each month. Feedback indicates that this practice is a much appreciated. Over the past month all service users have had a holiday. Some have been to Centre Parcs and some have been to Butlins. One service user spoke enthusiastically about her holiday and how she had been swimming. The menus are varied and have a healthy choice every meal- time. Fresh fruit, yogurts and light snacks are available for service users throughout the day. At present due to the work in progress on the floors in the home, service users are going into the adjoining hospital for their main meals, and appeared to be enjoying the experience of ‘eating out’. The home is presently having a new fitted kitchen installed, and it is planned that cooking and meal preparation will be introduced into the programme for some of the service users in the very near future. Latham House DS0000060512.V306694.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Service users are well supported in a way that reflects their personal preferences and ensures their physical and emotional needs are met. The homes policies and procedure for dealing with medicines are generally sufficient, however the records for prescribing and administering variable doses requires some attention to ensure service users are protected. EVIDENCE: Medication is clearly prescribed and presented on a MAR sheets produced by the pharmacy, and tablets are dispensed in individual blister packs. Medication was clearly signed for by staff as it ‘s given, and if PRN doses are required, the reasons are clearly written on the back of the drug chart. The inspector examined the six charts of the service users that were present in the home. All appeared to be in order, with one exception. A service user was prescribed Lorazepam 1mg PRN – Maximum 4mg daily. On the 04/09/06 two signatures had been entered to say that doses had been given, however this did not indicate what dose had been administered, therefore there is a risk that more than 4mg could be given to this service user in a twenty- four hour Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 16 period. These were the only two doses that had been given this month, and the manager ensured the inspector this would be rectified immediately. Much of the care within this home is delivered on a 1:1 basis. All the service users have a Key Worker that works very closely with them. The interview with the staff member reflected how well the staff know the service users, their needs and the best way to ensure they are met effectively. Observations of care indicated that relationships between staff and service users’ are trusting, familiar and respectful, and all parties are clearly aware of the boundaries necessary for care to be effective. The manager has recently purchased a large trampoline with a safety net enclosure. This is located in the rear garden and is used by all the service users, some just for fun and others as a release of anger or as a diversional therapy tool. This has proved very successful with all the service users. Latham House DS0000060512.V306694.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home has a robust complaints policy, which is available in picture a format called ‘How To Complain’ and is present in all service user files. This ensures service users have maximum understanding and feel their views are listened to and acted upon. EVIDENCE: All service users have a copy of the document ‘How to Complain’ in their personal files. The complaints file was seen and there had only been one complaint this year. It had been responded to in a timely fashion, and a meeting was scheduled to resolve the matter. Minutes of the meeting were filed, and a letter from the complainant was present expressing her satisfaction with the plan that was now in place as a result of the meeting. ‘Preventing Abuse’ training is scheduled into the monthly training programmes, but there are still some staff that have not attended. Abuse is also addressed through the induction training. The staff interviewed had a clear understanding of abuse and the actions that would be required if they suspected abuse was occurring the home. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 18 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 the following standard(s): 24, 25, 26, 27, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Bedrooms are furnished in a way that suits the needs of the individual, promoting their independence and development. All facilities provide sufficient privacy to meet the service users needs. EVIDENCE: During this inspection there were major works in progress to replace the floor on one side of the home, therefore this area was not inspected. The residents that reside in that side of the home were on holiday. However a tour of the other side of the home was made. Some areas of the home appeared a little ‘clinical’ rather than ‘homely’, but this was in fitting with the difficulties involving the behaviour of some service users with Autistic Spectrum Disorder. Examples of how service users have gradually progressed from almost bare rooms, to rooms with personal equipment including stereos’, TV s and computers was explained. Some very positive achievements were noted. Generally the home was clean, with the exception on one room in particular, where circumstances were explained and clearly make this almost impossible to achieve. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 19 One of the toilets visited appeared to have the chain handle missing, however it was explained that one service user continually removes the handle, therefore it was more appropriate to remove the handle all together, leaving just a button to push. All service users’ bedrooms are equipped with an en suite WC wash basin. One service user also has an en suite shower room. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. 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 the service. There are robust systems in place to ensure that the recruitment, training and supervision of staff is sufficient so that service users are well supported and protected. EVIDENCE: There is a learning and development programme in place for all staff. The training included in this programme includes a variety of subjects some of which are mandatory and others that the staff have the option to attend. Included on the September programme is: First Aid, Moving and Handling, NVQ Master class, PACT (Personal Awareness Consultancy Training), Social Stories and Symbols, Mental Health Act, New starter Induction, Fire Safety, Basic Health and Safety, Prevention of Abuse, Professional Supervision, Forensic Issues, Report Writing and many others. Of the three staff files that were examined, all had certificates for various courses carried out in the last few months. One of the staff in question had only been in post since May 2006 and had a range of certificates including: Induction, PACT, Managing Challenging Behaviour, Moving and Handling and Managing Professional Boundaries. The home presently has 100 of its’ staff, either on or have completed the NVQ level 2, and 26 of the staff are working on or have completed level 3. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 21 Appraisal and supervision documentation was seen for all staff, and the member of staff that was interviewed by the inspector was very clear in her understanding of supervision, and also of her role as supervisor for Support Workers. Staffing levels within the home are good. The home is split into two sides of six service users each, and the staffing ratios are as follow: Side 1 07:00 – 15:00 = 5 09:00 - 17:00 = 1 14:00 – 22:00 = 5 Side 2 07:00 – 15:00 = 4 09:00 – 19:00 = 1 14:00 – 22:00 = 4 Nights 4 staff There are always at least two senior support workers on each side. Most of the work done in this home is done on a one to one system with service users and their Key Workers, and appears to work very effectively. Service user files that were seen indicated developmental improvements in overall well-being of service users. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health, safety and welfare of service users are promoted by the detailed risk assessments that have been formulated around every activity carried out by the service users. EVIDENCE: There is a separate risk assessment in place for every daily living skill or activity that the service users carry out. These range from bathing to horse riding, eating or bowling, so that whatever activity is in progress there is a detailed risk assessment attached. The manager at this home is clearly very passionate and committed to this service and the care it provides. She is proactive in her work and focused on introducing new ideas that will benefit the service users. An example of this was the trampoline that had recently been introduced. This has been so effective with the service users in the home, that the adjoining hospital are Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 23 presently giving their service users trial sessions on it, with a view to purchasing similar equipment. The atmosphere within the home was relaxed, and the staff were seen to be working effectively as a team. Staff appeared confident and competent in their roles, and there was evidence of mutual respect and understanding between the team and the service users. The Commission for Social Care Inspection (CSCI) had not been made aware of the major works that were in progress in the home due to the problems with burst water mains. The manager had managed the problem well, however CSCI must be made aware of issues such as this that may have a profound effect on service users care. Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 3 3 X X 3 X Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement The manager must ensure that the recording of variable doses of medication is accurately prescribed and recorded when administered. The manager must ensure ‘Prevention of Abuse’ training is included in the mandatory training programme. The manager must ensure CSCI is notified of any event in the home that may adversely affect the wellbeing or safety of any service user. Timescale for action 31/10/06 2. YA23 13(6) 31/10/06 3. YA37 37(1)(e) 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Latham House DS0000060512.V306694.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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