Inspection on 23/08/05 for Latham House

This inspection was carried out on 23rd August 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Latham House 27/11/08

Latham House 01/07/08

Latham House 04/01/08

Latham House 07/08/07

Latham House 20/09/06

Latham House 22/11/05

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 Linda Cappello Announced 23 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Latham House Address The Lane Wyboston Beds MK44 3AS 01480 470470 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Brookdale Healthcare care home 12 (12) Category(ies) of LD - Learning Disability registration, with number of places Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 No of service users: 12 2 Gender: Male and Female 3 Ages: 18-65 4 Category: Learning Disability 5 A registered manager must be appointed by 1st January 2005. 6 The responsible individual must obtain a satisfactory completed CRB check by 1st September 2004. Date of last inspection 7th March 2005 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. This has meant that those residents who are able to, can use the existing kitchen in Latham House to prepare snacks and to learn food preparation skills. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first announced inspection of the home since it opened last year, although two unannounced inspections had been carried out. During the day of the inspection, all areas of the home were seen, one resident spoke with the inspector and two members of staff were interviewed. Some residents and staff were out during the inspection either on day trips or attending appointments. Three residents and three social workers returned preinspection questionnaires. The manager was present throughout. The inspector thanks the residents, staff and manager who helped during the inspection. What the service does well: Latham House provides a good standard of care to its residents and takes care to make sure that the needs of each person living there are met in a way which suits them. They make sure that they know what people need before they are admitted to the home by visiting them a few times and talking to the people who know them well. They are good at writing out a plan, which describes how residents want to be looked after, and at looking at what the risks might be when residents want to do things like riding bikes or going swimming. The staff help residents to learn how to do things like cooking and washing their clothes and also take them out to places that are interesting. If residents have special interests like horse riding or bird watching, staff find out where residents can go to do that and make sure they can go there as often as they want to. One resident said “I like the staff and going out with staff”. The home helps residents to stay in touch with their families and social workers. Two social workers said that the home is excellent at keeping in touch with them. There are enough staff on duty to make sure that every resident has a lot of individual attention and the staff are very keen to look after everyone well. The staff pay careful attention to when residents might need to see a doctor and make sure that, if they need specialist help, this is provided. The meals that are served at the home are very good, there is a good choice and the food is nutritious. The home is kept clean and tidy by the staff and there are good systems in place to make sure everyone is safe in the building. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 The information provided by the home is comprehensive and the service user guide is in a pictorial and easy-read format so that residents can access the information. The assessment process is thorough so that staff know how best to provide care to new residents and how to meet their needs. Information is gathered during the assessment process so that a decision can be made as to whether a pre-admission visit is appropriate for the individual and, if it is not, information about the home is provided. EVIDENCE: The home has recently produced a new Statement of Purpose which reflects the difference in the way that meals are now prepared and delivered to the home from the adjoining hospital. The home has also developed user-friendly Service User Guides and each resident has an individualised copy. The records of 2 residents who had recently been admitted to the home were assessed and it was found that a thorough assessment had taken place. The assessment process for one prospective resident included several visits by staff from the home to the prospective resident’s current placement and the care provided was shadowed over different shifts. In this way, Latham House staff were able to gather a significant amount of information about the prospective resident and plan carefully for the way in which they would provide care following admission. Other professionals, such as the Speech and Language Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 9 therapists and psychology department, also take part in the assessment process. For example, one new resident has shown significantly less aggressive behaviour since his admission because the staff had assessed the need for clear boundaries and timescales. The home is able to meet residents’ needs by ensuring that its staff group receive appropriate training promptly and because the staff group are supported by other professionals such as Speech and Language therapists, psychologists and psychiatry. These professionals are employed by Brookdale Healthcare and make regular visits to Latham House. For example, three psychologists came during the inspection to speak to a member of staff about a resident to discuss any problems and to suggest ways forward. The home devotes considerable time and energy to finding appropriate ways of communicating with residents and the Speech and Language therapists provide valuable support in this respect, for example, by producing social stories for residents. One resident had asked to speak to the inspector and a social story board was created for her setting out the reasons for the inspection and what she could talk to the inspector about. As part of the assessment, staff will assess whether a pre-admission visit would be suitable and helpful for the prospective resident. When it is assessed as being appropriate, a visit will be arranged. For one resident who was recently admitted, the assessment process indicated that a pre-admission visit would not be helpful for this individual. The home, therefore, took some photographs and information with them when they visited him and this was an appropriate introduction for this particular individual. One social worker commented on how quickly a service user she was responsible for placing had settled into his new placement. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,9 The care plans were comprehensive and kept up to date so that residents’ assessed and changing needs were reflected in the plans. The risks associated with the residents’ lives are carefully assessed so that residents are supported to take risks while they take part in activities of their choice. EVIDENCE: The information gathered during the comprehensive assessment process forms the basis for the service user plans. The home uses Essential Lifestyle Planning to good effect and incorporates lots of photographs. The plans for three residents were inspected and all were found to contain all the necessary elements. For example, one of the plans contained very detailed information about the morning and evening routines for the individual resident as it had been assessed as being crucial that all staff ensure that the routine is always exactly the same for him. The plans also included areas of care which required regular monitoring and, for one individual, his personal care, weight, community access, food intake and sleep patterns were being regularly monitored. There were also risk assessments covering 14 aspects of his life, which included the way care was provided and the activities he undertakes. There were also risk assessments relating to the potential for self-harm when Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 11 he becomes agitated and this was being carefully monitored by the staff. Each resident has a key worker allocated as well as a link worker, who takes responsibility when the key worker is absent. This ensures that care plans are kept up to date and that any changes are noted and new risk assessments can be developed as necessary. Reviews of the care plan were being undertaken regularly and reviews following admission were taking place which included the social worker and family members. The home encourages residents to take part in activities of their choice and undertakes comprehensive risk assessments in order to identify potential risks and develop management strategies to reduce the associated risks. For example, one resident likes to ride a bike and staff accompany him so that he is able to ride the bike nearby the home. The home also assessed the risks associated with self harm for this resident and has been able to reduce the injuries previously sustained by him by the introduction of different management techniques. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,13,14,15,17 Residents are supported and encouraged to lead fulfilling lives and to pursue individual interests. The meals served are of a good quality so that residents receive a balanced, nutritious diet. EVIDENCE: 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. This has meant that those residents who are able to, can use the existing kitchen in Latham House to prepare snacks and to learn food preparation skills. One resident had recently baked some cakes which he had shared with the other residents and baking cakes was shown in his Essential Lifestyle Plan as being something he would like to do again. There are plans to make some adaptations to the kitchen to make it more suited for residents’ use. Residents are also supported to do their laundry, if this is in their plan, and are taken out so that they can shop for personal items. Latham House is located at the edge of village in a very rural location, however, residents are taken out every day, either in a small group or Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 13 individually. They are able to make good use of the facilities in neighbouring towns. They are also able to make use of the day centre which is part of the hospital next door, where they are able to use fitness equipment under qualified supervision, use computers and have alternative therapies such as aromatherapy and reflexology. During the inspection, a group had gone to a nearby lake and one resident was doing some birdwatching. One resident enjoys swimming but only with one member of staff so the staffing rota has been constructed to enable the swimming to take place at the same time each week. This attention to individual needs is given a high priority at Latham House. Staff at the home pay attention to promoting individual choice and freedom. Staff were seen throughout the inspection, knocking before entering residents’ bedrooms and addressing residents appropriately. They were also heard to be interacting with residents and the high staffing ratio ensures that residents receive a good amount of individual attention. Residents are able to exert some choice in their daily routines. One resident chooses to remain in his room until midday each day and comes out at lunchtime. This choice is monitored and, if it is felt that a resident’s choice is detrimental to their welfare, a new care plan is drawn up. For example, one resident would choose to remain in bed all day but, through negotiation, she has agreed to her bedding being put away during the day so that she is not tempted to return to bed. She spoke to the inspector about this and said that she understood why she should not spend all day in bed. Each resident has a velcro aboard outside their bedroom and the days activities are displayed there. This system appears to have good benefits for the residents. Another resident also has a space on a board to show at what times during the day he is going to have a drink. It was clear from looking at residents’ records that the home encourages residents to keep in touch with family members. Staff accompany one resident when he visits his home to support him and this helps to reduce his sense of anxiety. As has been described above, meals are no longer cooked within the home but are prepared in the hospital next door. The home is still able to give residents choice about the menu and about the time that meals are taken. Meals can be provided at different times if residents are going out for the day and packed lunches can be prepared. During the inspection, lunch was served and the meal was seen to be appetising and nutritious. One resident decided he did not want what was on offer and he was quickly given his preferred choice. The menu is extremely varied and the food was seen to be of a high quality. There are always snacks, including fresh fruit, yoghurts, cereals etc, available within Latham House. The kitchen is made aware of special diets and is able to cater for these. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Care plans are clear and detailed so that residents preferences and needs in relation to personal support are clear. Staff pay careful attention to the healthcare needs of residents so that they receive prompt medical attention. Medication systems are, overall, satisfactory but some elements need to be improved to ensure that residents are kept safe. EVIDENCE: The care plans detail how personal care is to be managed, making it clear how much support each resident needs. For example, one resident likes to wash her own hair but the care plan states that staff just need to check that all the shampoo has been rinsed out. Evidence has been given above about the additional specialist support available and about the flexibility of routines in the home. The healthcare needs of residents are assessed at the point of admission and any changes are recognised and help is sought. For example, one resident was being taken to the GP on the day of the inspection because of some health concerns. An examination of her records showed that staff had also recognised another problem recently and prompt attention led to a minor surgical operation. All the residents are registered with a local general practitioner who is described as being supportive. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 15 The systems for administering and storing medication were reviewed and found to be largely satisfactory. The home needs to ensure that risk assessments in relation to self medication are carried out and that signed consent forms are developed for each individual where staff are administering medication. The home must develop protocols to describe in what circumstances PRN (i.e. as required) medication is to be given. These must be agreed with the prescribing doctor and with the residents and/or relatives. Only staff who have been assessed as being competent to administer medication do so and a photo of the staff member responsible for this on each shift is displayed (along with photos of all staff on the shift), so that residents are clear about who is giving out medication that day. The home uses a blister pack system and the dispensing pharmacist carries out an audit every 6 months. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Residents are protected by the home’s policies and staff training but better recording of restraints is needed to ensure that the use of physical interventions can be effectively monitored. EVIDENCE: The home has a policy in relation to the protection of vulnerable adults and a programme for training staff. The home pays a great deal of attention to assessing what triggers aggression or self- harm in individual residents and, with the help of psychologists’ support, devise programmes and structures to minimise the frequency. Methods to calm individuals are also assessed so that alternatives can be offered to residents. However, the residents in this home do display some very challenging behaviour at times and the home must ensure that, where restraints are used, a proper record is kept, in accordance with the Department of Health Guidance on the use of restrictive physical interventions. The home trains staff to use de-escalation techniques so that restraints are not widely used, however, at present, they are only recorded on individual case records and there is no means of monitoring the overall use in the home. However, the information collated about each individual’s episodes of aggression are used constructively to monitor the need for changes to their care plans and daily structures. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30 The home was clean and well presented and good hygiene systems were in place so that residents live in a pleasant and clean environment. EVIDENCE: The home is well maintained by a full-time maintenance person and is kept clean by support staff. The décor is neutral and the furnishings are attractive and suitable for the needs of residents. A new office has been created for the manager which has improved the facilities for confidential meetings etc. Medication is now administered from a separate room which is air-conditioned. The home is split internally into two units, one for those who are more independent and one for those with high dependency. The laundry and kitchen are used by both units. Currently there is very limited outside space but there are plans to remove one of the fences in the garden to create a larger space outside for the use of residents. The home has the use of a minibus so that residents can travel to local amenities. Staff are aware of the safe systems needed to prevent the spread of infection and to launder soiled laundry appropriately. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35,36 Residents benefit from staff who are well trained and committed to providing care to a good standard. Recruitment practice has improved but to ensure the protection of residents, all necessary documents must be held on file. EVIDENCE: The home has a pro-active approach to staff training and encourages staff to attend relevant courses. One new member of staff interviewed had already attended a good number of courses, including sign language, Food and Hygiene, Challenging Behaviour and had read a number of books about autism and Aspergers Syndrome. He reported having had a very thorough induction and this was evidenced by a workbook linked to the Learning Disability Award Framework. Staff were observed throughout the inspection interacting positively with residents and there appeared to be a good rapport. The two staff interviewed showed a very clear commitment and enthusiasm towards providing a high quality of care to the residents. They were able to describe the care needs of individual residents and their likes and dislikes, as well as factors which were specifically important to each individual’s well being. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 19 The home has a training and development plan and there did not appear to be any difficulty in staff accessing appropriate courses. Each new member of staff undertakes a structured induction programme and this is reviewed regularly. There had been serious concerns about the home’s recruitment practices on previous inspections, however, improvements were seen when recruitment records were examined on this occasion. The home must, however, pay careful attention to ensuring that all the necessary documents, listed in Schedule 2 of the regulations, in relation to each member of staff are held on file, for example copies of passports and work permits, where needed. Some supervision records were examined and a supervision schedule was seen which showed that staff are receiving regular and appropriate supervision but annual appraisals are not taking place. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,42 Residents benefit from living in a home which is well run by the manager. Residents are also kept safe by the health and safety procedures in the home. EVIDENCE: The manager of the home has applied to become the registered manager and this process is nearing completion. She has consistently demonstrated that she has good knowledge of the needs of residents and that she pays close attention to ensuring that the home is well run for their benefit. Two social workers particularly commented on the good level of communication with the home and felt that the manager kept them up to date with any developments with residents. Staff also commented on how supportive the manager was to them, whether they were new to the role or very experienced. There was a very clear sense of the manager setting a high standard for the staff to aspire to. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 21 All necessary health and safety checks were being undertaken. A concern about the staff understanding the required storage and serving temperatures of the food delivered to the home was addressed during the inspection. No other health and safety issues arose. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 x 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Latham House Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 3 x x x 3 x 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 23 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 20 20 Regulation 13(2) 13(2) Requirement A protocol must be developed for each medication administered on an as required basis. A risk assessment must be carried out in relation to selfmedication and a consent form completed for each resident to whom medication is administered by staff. Each restraint must be recorded according to the Department of Health guidelines. All information and documents listed in Schedule 2 must be obtained in respect of every staff member. Timescale for action 30th September 2005 30th September 2005 3. 4. 23 34 13(8) 19(1)b Schedule 2 30th September 2005 30th September 2005 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 36 Good Practice Recommendations All staff should benefit from an annual appraisal of their performance and training needs. Latham House 20050823 Latham House An Stage 4 S60512 V239038 I51.doc Version 1.40 Page 24 Commission for Social Care Inspection Clifton House Goldington Road Beds 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. 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