Inspection on 18/01/06 for Leopold Muller Unit

This inspection was carried out on 18th January 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Leopold Muller Unit 01/02/07

Leopold Muller Unit 30/08/05

Leopold Muller Unit 28/03/05

Leopold Muller Unit 25/08/04

Leopold Muller Unit 24/02/04

Similar services:

5 Seafield Road

Honeybourne House

Longrun House

Bodley Community Care Support Centre

Thomas Pocklington Trust

Chantry Gardens

Penkelly House

25-27a Alexandra Road

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

CARE HOMES FOR OLDER PEOPLE Leopold Muller Unit RNID Poolemead Centre Watery Lane Twerton Bath Bath & N E Somerset BA2 1RN Lead Inspector David Smith Unannounced Inspection 18th January 2006 09.45 X10015.doc Version 1.40 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 Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 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 Older People. 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. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Leopold Muller Unit Address RNID Poolemead Centre Watery Lane Twerton Bath Bath & N E Somerset BA2 1RN 01225 332818 01225 480825 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) RNID Mrs Gill Harris Care Home 22 Category(ies) of Sensory impairment (22), Sensory Impairment registration, with number over 65 years of age (22) of places Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 22 Patients aged 30 years and over with Sensory Deprivation, suffering from sickness, injury and infirmity Can include up to 5 Young Physically Disabled Persons Staffing Notice dated 03/04/2001 applies Manager must be a RN on parts 1 or 12 of the NMC register Date of last inspection 30th August 2005 Brief Description of the Service: Leopold Muller is registered to accommodate 22 residents with sensory loss, who have personal care and/or nursing care needs. There is a special provision, included within this number, for 5 residents who require nursing care to be aged 50 or under. The home is located on the main Poolemead site, together with other units, which provide support for a wide range of adults with sensory loss and other disabilities. Day services are provided for residents, which focus on occupational, educational and therapeutic activities. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over one day. The inspector gathered information for this report from discussions with the unit manager, residents, support workers and nurses. Care plans and associated records, staffing and recruitment records and a number of policies were examined. The inspector also observed interaction and communication between the staff and a number of residents. The inspector was provided with a tour of the home. What the service does well: What has improved since the last inspection? The unit’s Medication policy and procedure have been reviewed. The outcomes have been forwarded to the Commissions pharmacy inspector. This will ensure a safer medication system for all residents. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 6 Heat discs, a devise used to test hot water temperatures are now in use in resident’s bedrooms, in order to minimize any risk of scalding. Regular fire drills are now being carried out in accordance with the frequencies in the Avon Fire Log. This promotes the welfare and safety of all residents Staffing levels are now kept under daily review. This ensures all residents support needs can met and promotes their safety. Several new support workers have been recruited. This will help in providing consistent support for the residents. The environment has been improved considerably. This ensures a homely environment for residents and ensures specialist equipment is in place to meet their care needs and promote their independence. What they could do better: Further consideration needs to be given to providing residents care plans in a format suitable to their communication needs. A copy of the residents’ contracts between the RNID and the Funding Authority must be made available to the manager. The RNID should consider the plans to develop the service and increase the size of resident’s bedrooms where the use of a hoist is required. Consideration should also be given to providing mental health awareness training to a greater number of staff. This will assist staff in supporting the residents. All staff must be supervised regularly, to support them in providing a care and support to the residents. Clear organisational guidance is required to help assess suitability of staff members where a conviction is disclosed or is recorded on the Criminal Record Bureau Enhanced Disclosure. This will help to ensure the safety and welfare of residents. Records of staff training need to be improved by using the training matrix recently introduced. This will ensure all staff receive appropriate training to enable them to provide a good quality service to residents. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 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. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Residents are provided with the information they need to enable them to decide if the service can meets their needs. The contracts between the RNID and Funding Authorities are not evident within the home. This remains an outstanding requirement from previous inspections but because compliance with this requirement is outside the control of the manager it is being raised with the Commission for Social Care Inspection’s Provider Relationship Manager as a national issue. EVIDENCE: The home has produced a statement of purpose and residents guide which sets out its aims and objectives, including the range of available facilities. This enables the relatives/ funding authorities to make fully informed choices about whether or not the unit is suitable to meet the specific need of prospective residents. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 10 This document is being reviewed by the manager to reflect the improvements to the environment and the provision of specialist equipment within the home. The home does still not have a copy of the contract between the funding authority and the RNID. These are required to enable the Registered Manager to ensure she is providing the correct level of service contracted by each Funding Authority. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8. The manager ensures that residents’ health care needs are upheld in accordance with guidance and legislation. Care is delivered in accordance with each residents care plan. There was clear evidence of the homes review process. The home should review the accessibility of information for each resident. EVIDENCE: Five care plans were examined, and each one was comprehensive in content, and contained Waterlow assessments, Risk Assessment for the prevention of falls, moving and transferring. Each resident is weighed regularly. The new care planning documentation also makes use of additional Risk Assessments for each area of residents’ care and support. This is good practice. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 12 There was clear evidence of review meetings being held and the outcomes reflected in the reviewing of care plans. Only one care plan examined showed that the Funding Authority had not been able to attend a review meeting. Discussion with the manager confirmed that the home would hold its own review meeting and forward the minutes and outcomes to the Funding Authority. The manager ensures a structured approach for the care planning and review process. Each Nurse has responsibility for a number of residents, care plans, review meetings and will also supervise the relevant Keyworkers. This system ensures consistency and accountability. Each care pan is supplemented by the daily records for each resident. One member of staff explained she only recorded information which was relevant. She did not have to record something about every resident each day as a matter of course. The daily records are divided between the care and support provided by the home’s staff and a separate record of other health care professionals, such as GPs, District Nurses and Chiropody. Care plans are drawn up with the residents’ involvement where possible, but this very much depends on the level of the person’s cognitive ability and awareness. The inspector observed staff supporting residents by explaining information to them either by using British Sign Language, Deaf Blind Manual Alphabet and Block. The staff observed appeared confident in the use of these communication methods. Their interactions also demonstrated a clear understanding of the needs and abilities of the residents. The development of other appropriate accessible formats for residents should be reviewed and a record of this process form part of each care plan. The home has recently reviewed the procedure for medication administration, in response to a report by the Commissions Pharmacy Inspector. The outcomes of this review have been forwarded to the Commission. The new medication procedure will be examined in detail during the next inspection. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 14. Residents are supported by staff to ensure that activities and other pursuits match their expectations, and satisfy their social and recreational interests. Staff are provided with specialist training to assist in greater understanding of the residents needs and communication strategies. EVIDENCE: Residents have access to a wide range of activities and recreational pursuits, organised by staff and the activity coordinator. The inspector spoke with the activity co-ordinator who explained her role within the home and how she links with the Manager, Nurses and keyworkers to ensure a varied programme of activities for each resident both within the home, accessing facilities on the Poolemead site and in the wider community. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 14 She is an experienced member of staff who has worked at the home for four years, recently gaining promotion to her new role. She feels she has a good knowledge of the residents in the home and the wider issues in relation to their individual backgrounds and culture. The inspector spoke to three residents who confirmed they liked the home and were happy living here. One resident explained he was going to a music session that afternoon. He said he liked music and woodwork. Another resident confirmed that he could communicate with staff as they could use sign language and he found this easy to understand. He did not have any problems in the home and had friends here. Records examined confirmed residents were going to church, signed church services, signing pub nights, local shops and theatres. Many residents are supported by staff to organise and attend a holiday. Recent holidays have included trips to Disneyland Paris and Cornwall. This practice is commended. One resident had declined the offer of a holiday. She preferred to have trips out lasting 2 to 3 hours as she coped much better with these. The records examined showed that these trips were provided in place of a holiday. The inspector observed interactions between staff and three residents who communicated using Deaf Blind Manual Alphabet or Block. The staff were informing the residents but allowing them to make decisions, with appropriate levels of support. Each member of staff allowed sufficient time to effectively communicate with each of the residents. Some residents required guiding due to their visual impairment. Staff were observed offering confident guidance to these residents. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The manager ensures as far as possible that service users are safeguarded from all forms of abuse, in accordance with written policies. The policies and procedures in place ensure residents and their relatives can be confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: The complaint log indicated that no complaints have been made since the last inspection. The unit has a complaints policy and procedure in place, which is in widget format, and has been supplied to each resident. Staff said they were aware of the RNID complaints policy, which they are asked to read and sign by the unit manager. They also confirmed to the inspector that they would approach the manager if they had any concerns regarding a particular resident or an issue within the home. Three staff who spoke with the inspector all described clearly their responsibility in providing a safe home for residents to live in. They had had training in the Protection of Vulnerable Adults and described to the inspector Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 16 what action they would take if a resident felt they were being abused or they suspected abuse. Risk Assessments are in place and are reviewed/updated regularly. All staff are subject to an enhanced Criminal Record Bureau disclosure. All residents who can present behaviour, which challenges the service being provided, have clear strategies within their care plan for staff to follow. These are described as Methods of Approach. All staff receive NAAPI training to enable them to respond effectively to these behaviours in a planned and safe manner. Clear records are maintained of any accidents or incidents which occur. The Commission is kept informed of any notifiable incidents by the use of Regulation 37 Notifications. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21,22, 23 and 26. The home is well maintained and the residents have benefited from several improvements made to the environment and provision of specialist equipment. The residents have sufficient lavatories and washing facilities. The home’s bathrooms have had new baths fitted to meet residents and promote their independence. Residents who require the use of a ceiling or mobile hoist would benefit from a larger bedroom. The home was clean and tidy and free from offensive odours. EVIDENCE: The home is well maintained and there is an ongoing programme of redecoration and renewal. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 18 Since the last inspection the disabled shower has been installed and new specialist baths have been installed. These improvements help to better meet all of the residents needs and promote their independence. The small kitchen area on the first floor has had several cupboards removed and in their place, adjustable height work surfaces have been fitted and also a low level sink unit. This promotes the independence of both wheel chair users and residents who have poor mobility or co-ordination. The home benefits from regular redecoration. The environment does suffer high levels of wear and tear. The inspector viewed five residents’ bedrooms. These were all very well maintained, decorated in different styles and colours and had wood effect laminate flooring laid. This type of flooring is to be laid in the remaining bedrooms shortly. Staff spoken with explained that in their role as keyworkers they supported the residents to choose the decororation of their rooms. Two residents spoken with said they liked their rooms and the way they were decorated. The inspector did note that some bedrooms were equipped with ceiling tracking hoists. Mobile hoists were also in use in the home. On discussion with the manager and staff members it appears that the size of bedrooms does make the use of hoists difficult. Two members of staff explained that they need to move furniture around some of the bedrooms whilst using the hoist. If this is not done they do not have enough room to safely manoeuvre the residents. Another member of staff commented that beds need to be moved in some rooms, to enable staff to have clear access to both sides of the residents’ bed, to enable them to use the hoist. The inspector discussed this issue with the home manager. She explained that plans had been discussed to reduce the occupancy of the home and effectively convert the space of two current bedrooms into just one. The inspector agrees that some room sizes would make hoisting more difficult for both the resident and staff. It appears a sensible plan to develop the internal space within the home and increase room sizes. The inspector awaits the outcome of this development plan. There is a large laundry room on the main Poolemead site, which provides a service to the home. However, two washing machines are accessible to residents, if they should wish to wash items of their clothing, or if this is part of their independence programme. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 19 The sluice area is clean and free from any offensive odour. There are handwashing facilities around the unit. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30. Staffing levels are kept under constant review to ensure consistent support for residents. Several new staff have been recruited since the last inspection. The recruitment process operated by the home is robust, but would benefit from clear organisational guidance regarding disclosure of criminal convictions being available. A comprehensive induction and training programme is available to all staff. Mental Health training needs to be provided to a greater number of staff. The manager should review the training matrix to ensure it contains up to date details of all training undertaken by staff. EVIDENCE: The home ensures its staffing levels are kept under constant review. The rotas examined showed that in addition to the general staffing, there home provides 1:1 staffing support to a number of residents. This is to ensure their needs are met and provide a consistent approach in supporting them. The home also provides a mid shift approximately two to three times per week. This person can help support residents in activities both on the Poolemead site and in the wider community. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 21 Several new support workers have been recruited by the home. Some staff vacancies remain and these hours are covered by the homes own staff working extra hours or agency staff provide cover. The inspector viewed five staff personnel files. These contained copies of staff application forms, references, interview questions, job description, passport, RNID contract of employment, Criminal Record Bureau enhanced disclosures and copies of certificates for any relevant qualifications. Each new staff member had also been provided with an induction pack, which included RNID induction details, General Social Care Council Code of Conduct, Start to Sign Book and the local Protection of Vulnerable Adults Policy. Two new staff members had convictions recorded on their Criminal Record Bureau disclosures. The inspector discussed this issue with the home manager to ascertain how a decision was reached to offer employment to these members of staff. The manager confirmed she had liased with the RNID Human Resources Officer and had also discussed the background to these convictions with the staff concerned. Other factors, such as each person’s employment history, references were also considered. The manager would have been assisted in this process if there had been clear written guidance from the RNID in this area. Staff receive both mandatory training and more specialist training to enable them to support residents and communicate with them effectively. There were records of staff attending training in First Aid, Fire Safety, Basic Food Hygiene, Manual Handling, Protection of Vulnerable Adults and NAPPI. In addition to this there was evidence of staff training in NVQs, CACDP British Sign Language Stage 1 and 2, Epilepsy, Diabetes, Loss and Bereavement, CACDP Level 3 in Deaf Blind Communication and Aromatherapy. Some staff have received training in Mental Health Awareness, following the recommendation in the last inspection report. If the remaining staff undertake this training, it will ensure residents with this condition benefit from experienced staff with a wider grasp on such conditions. The inspector found it difficult to track the training of some staff members. All relevant training certificates were not kept in each staff members file. Some certificates were not in evidence although training attendance sheets suggested staff had received the relevant training. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 22 The records of staff training are in the process of being transferred onto a training matrix. This needs to be completed as soon as possible to ensure the home operates an effective and reliable system of monitoring staff training. This should include any relevant refresher training and three yearly updates of enhanced Criminal Record Bureau disclosures. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 and 36. The manager has ample experience in a senior management capacity, and undertakes relevant training to update her knowledge, skills and competence. The manager ensures the service remains focused on the residents and promotes the review and improvement of the service. All staff must be supervised regularly and a clear record of each meeting maintained. EVIDENCE: The manager is qualified for this post and has significant levels of management experience, which enable her to lead the service and promote good practice within the home. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 24 The inspector spoke with six staff during the course of the inspection. These staff members confirmed they liked working at the home, felt well supported by the manager and said they found her easy to approach. Staff felt she always made time for them and they knew how to contact her if she was not in the home. Through discussions with the manager it was clear that there are plans to develop and improve the service. These include the proposals to increase the size of bedrooms, reduce the number of residents accommodated and improve staffing levels within the home at night. These proposals are being led by the manager and if adopted will improve the care and support offered to the residents. This demonstrates an ongoing commitment to both reviewing and improving the service provided to the residents. The registered provider’s representative makes regular visits to the unit, and produces a comprehensive report of his findings, which is send to the Commission on a monthly basis. The management structure and lines of accountability within the home are clear and straightforward. Staff are aware of this structure and of the senior management hierarchy within the RNID. Registered nurses supervise support workers, and the manager, or her deputy, supervise all Registered Nurses. Records are maintained and supervisees receive a copy of discussions and agreements made during this process. Three staff members spoken with found supervision useful and supportive. They felt able to talk about any issue with their supervisor: however, the records examined showed that supervisions were inconsistent and not all staff were being supervised every 6 to 8 weeks as described in their supervision contract. All staff must be regularly supervised and a clear record of each meeting maintained in their personnel file. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 3 2 X X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 X X Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 26 Are there any outstanding requirements from the last inspection? YES 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 OP36 Regulation 18.2 Requirement All staff must be supervised regularly and a clear record maintained. Timescale for action 18/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP7 OP8 OP23 OP29 OP30 Good Practice Recommendations The home should review its progress in providing information to residents in accessible formats. A greater number of staff should attend Mental Health training. The home should consider the development plan to increase the size of bedrooms to assist in the hoisting of residents. The home should obtain clear written guidance form the RNID to support an informed response to any conviction disclosed by staff members. The home should ensure that all records of staff training are up to date and entered on the training matrix. Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Leopold Muller Unit DS0000020297.V274334.R01.S.doc Version 5.1 Page 28 - 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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