Inspection on 05/12/06 for Longcroft Cottage

This inspection was carried out on 5th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Longcroft Cottage 04/09/07

Longcroft Cottage 24/02/06

Longcroft Cottage 29/10/05

Longcroft Cottage 02/11/04

Longcroft Cottage 14/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Longcroft Cottage Blaisdon Road Westbury-on-severn Glos GL14 1LS Lead Inspector Mr Simon Massey and Sharon Hayward-Wright Key Unannounced Inspection 5 & 19th December 2006 10:00 th Longcroft Cottage DS0000016495.V317557.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 Longcroft Cottage DS0000016495.V317557.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. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longcroft Cottage Address Blaisdon Road Westbury-on-severn Glos GL14 1LS 01452 760747 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) Mr James Garside Mrs Lynn Garside Care Home 3 Category(ies) of Learning disability (3), Sensory impairment (1) registration, with number of places Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Temporary Service User Category - SI for one named Service User This service user category will be removed from the Certificate of Registration when the named service user no longer resides at the home. Date of last inspection 15th September 2006 Brief Description of the Service: Longcroft Cottage is a registered care home for three adults who have a learning disability. The home is an adapted detached house. The accommodation is on two floors. On the ground floor there is a kitchen dining area and lounge. on the first floor there are three single bedrooms and bathroom/toilet. The home is set in extensive grounds, which are level and accessible. The home is owned by Mr and Mrs Garside Mrs L. Garside, one of the joint proprietors, is the registered manager of the home. The current fee range starts at £640 per week. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. This inspection took place over two days on the 5th and 19th December 2006. The first visit was undertaken by two inspectors. Records relating to care planning, staff training, recruitment, medication administration and health and safety were examined. Interviews were conducted with the Registered Manager and the head of home. An inspection of the environment was also carried out. The second visit was undertaken by the lead inspector who met and spoke with staff and service users. A number of questionnaires were also distributed to staff, relatives and outside professionals. What the service does well: What has improved since the last inspection? The home has started a system of providing staff with formal recorded supervision. The home have begun ensuring that all records and information is dated and signed. The home have begun introducing a new system for care planning that is intended to be more person centred. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. A Statement of Purpose provides relevant information about the home, but a separate service user guide provided in an easy to understand format would be of benefit to prospective service users Inclusion of an updated written admissions policy will help ensure that service users are admitted in line with regulations and that their needs can be met by the home. EVIDENCE: The home has produced a new draft Statement of Purpose and Service User Guide and a copy was supplied to the inspectors. This is a detailed document containing the information required under the regulations. The home should consider producing a separate “service user guide”, which could be produced in a format that would be better understood by some service users, using symbols for example. The Statement of Purpose could also contain a more detailed description of the admission and assessment process for prospective service users. There is currently a vacancy in the home and the manager described the procedure they are following with potential admissions. All prospective admissions are given the opportunity for trial visits and overnight stays. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 9 Greater clarity could be provided in the Statement of Purpose on the formal assessment process the home would utilise, and how a subsequent care plan would be further developed from this. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 & Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The new care planning system, when fully implemented, should provide a more person centred approach that will fully involved service users and their keyworkers. An updated risk assessment of the access to the kitchen areas, and the risk from hot surfaces, could produce better outcomes for service users. EVIDENCE: The home is in the process of changing to a new format of care planning and the documentation relating to this was shown to the inspector. It is intended that the staff will work with service users on developing person centred plans, which will cover all aspects of care and support. At present all the care plans are reviewed formally with the involvement of the placing authority. The new format will provide the opportunity and structure for regular reviews within the home, involving the key worker and service user. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 11 The current plans provide guidance for staff on support needs and the preferred way of delivering personal care. Guidance is in place from outside professionals regarding one person’s diet and feeding protocol, and the review of this had been recorded. Recording also showed that advice was sought and given over one service user’s medication and a process was then put in place to monitor and manage the agreed reduction. There is currently a “traffic light” system in place to monitor any escalation in behaviours, but there is s need for this to be reviewed and updated to ensure that current behaviours are correctly identified. Risk assessments are in pace that limit the access of the kitchen to service users for health and safety reasons. The concerns about risk are appropriate but the inspector discussed with the manager whether alternative approaches to the risks or hazards might promote better access and inclusivity for the service users. A recommendation has been made that risk assessments around kitchen access are reviewed by the staff team. All current recording examined had been correctly dated and signed and there was evidence of regular entries in the personal files relating to daily activities, any issues or concerns that may have arisen and also any appointments that had been undertaken. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to follow organised day care activities but greater variety could be provided as an outcome of the new care planning and reviewing system that is being implemented. Service users are supported to access the local community. Service users receive the required support to maintain their family relationships. Service users are being supported to use the kitchen facilities but a review of risk assessments may result in increased access and development of skills. EVIDENCE: Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 13 Service user have daily and weekly routines that are a mixture of activities within the house, including craft hobbies, games, domestic chores, television and music and trips out n the homes transport to the local community. All staff interviewed said that they considered sufficient activities were supported. The new care planning and review process, and documentation, would appear to allow key-workers and service users to identify any alternative or new activities that would be enjoyed by the service users. Due to the limited interaction between the current service users and their differing needs, it is not easy to support and organise group activities, but both people do attend some clubs and outings together. Both service users currently living at the home have been on separate annual holidays. One person who had returned the previous week from a trip to Paris appeared to have thoroughly enjoyed their holiday. Staff spoken to demonstrated a good understanding of the social and activity needs and interests of the service users, and what they do to support these. Contact is maintained with families, with one person visiting their family regularly and the other being visited in the home. Contact is also maintained through phone calls and families are kept informed of health issues. There are some limitations placed on access to the kitchen for safety reasons and recommendation about reviewing this risk assessment is made under Standard 9. Service users have unrestricted access to all other parts of the home and grounds. The kitchen was well stocked with fresh and packaged produce at the time of the inspection and guidance is provided to staff around dietary needs and preferences. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 & 20 Quality in this outcome area is adequate with some parts being seen as good This judgement has been made using available evidence including a visit to this service. Written guidance ensures staff have the information required to deliver the personal care and support required to meet the needs of the service users. Updated assessments from healthcare specialists may provide more guidance for staff to meet needs. Service users are supported by a staff team that are trained in medication administration but safety could be compromised by unlocked storage. EVIDENCE: The care plans provide clear guidance on the personal support that is required and how this should be provided. Staff were clear about how privacy and dignity should be promoted. Service user have individual key-workers and staff have had training in Makaton sign language to help communication. A recommendation is made that the home investigate whether any improved communication could be facilitated through Total Communication techniques, which usually involves use of pictures and symbols as well as sign language. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 15 One service user, who is placed and funded from out of county, is currently receiving no outside specialist health care input in relation to speech therapy and communication. A requirement has been made that an updated assessment is obtained and that if additional input is required this is obtained. The records show detailed and regular recording of health care appointments and also of outside professional visiting the home and providing input and advice to the staff team. Staff interviewed demonstrated a good understanding of the individual health issues relating to the service users. The medication systems were examined. The medication is stored in the office and the facility used was found unlocked by one of the inspectors when they entered the office. This could pose a risk to service users, however the Deputy Manager said that service users do not enter the office unsupervised. Consideration must be given to ensuring medication is stored securely at all times. Records were seen of medication received into the home, administered and where necessary returned to the local pharmacy. Medication Administration Records (MAR) were seen for both service users. Handwritten entries had been checked and signed by another staff member in the majority of cases. The home does not have any controlled medication. The Deputy Manager demonstrated excellent knowledge of the medication administered to both service users. Medication information leaflets were also available. The staff have received training from the Pharmacy they use and they are considering an accredited course. None of the service users are able to self medicate. One service user has their medication via covert administration and a protocol was in place for this. However it was not dated on when it was devised and it was not signed by a health professional. The service users parent and Social Worker had signed it. The other service user had a protocol in place for the administration of a certain medication but no review of this was seen since January 2005, this must be reviewed. The home is going to discuss this with a nurse from the Community Learning Disability Team. A homely remedy procedure is in place at the home and consideration should be given to obtaining the agreement of the GP or Pharmacist to ensure no interactions between medications. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Increased staff training in the area of protection would provide better safeguards for service users. Protection for service users and their ability to raise concerns could be better promoted with the involvement of independent advocates. EVIDENCE: The home has a complaints procedure that is outlined in the Statement of Purpose. After one service user recently moved to another home concerns were raised by the placement authority about the appropriateness of some aspects of their care. This particularly related to the management of certain challenging behaviours. A random inspection was conducted by the Commission, and the matter was also investigated by the Registered Provider. A written outcome of this investigation was supplied to the Commission. A view was taken by the Commission that there was a lack of understanding of the methods and practice used to de-escalate certain aggressive behaviours and also some shortfalls in the recording of the incident and the follow up action taken by the home. There was also concern that the home needed to increase its awareness and understanding around the area of abuse and adult protection. A number of requirements were issued as a result of this previous random inspection. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 17 Action has been taken by the home to ensure that recording is improved and also that a process of formal supervision for staff is undertaken. The home have provided clarification to the Commission that no physical restraint is practiced within the home, and that the service users currently living at the home do not present challenging behaviours which would require physical intervention from care staff. Staff have undertaken some training in the area of adult protection, but a further recommendation is made that the home access the training that is provided by the local authority Adult Protection Team. A further recommendation is made relating to accessing some form of independent advocacy for the service users living in the home. There are number of factors that make this an important safeguard for the service users and the staff team. Firstly the service users all have limited communication skills and do not always have regular contact with their families or relatives. The service users also do not undertake any activities that are not supported by the home’s staff. The home is also in a physically isolated position, being situated at the end of a private lane on a farm that is owned by the Registered Provider. The home is also a family run business with several staff being related. Whilst there are positive aspects to all of these factors, it would be good practice to promote transparency and accountability by the involvement of some form of independent advocate. Longcroft Cottage DS0000016495.V317557.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30 Quality in this outcome area is adequate with some parts being seen as poor. This judgement has been made using available evidence including a visit to this service. The homely, comfortable and spacious accommodation would be improved by greater attention to cleanliness. The home would benefit from improvements to its external appearance. EVIDENCE: A tour of the environment took place with both service users rooms seen. The door to one service users room was damaged but the Registered Manager/Provider said they have ordered a new door to replace it. Cobwebs were noted in the downstairs toilet and kitchen and the Registered Manager/Provider said that the service users like to assist with cleaning and would ensure this would be addressed. A notice board by the lounge contains details about what staff are on duty and the homes fire procedure. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 19 The kitchen is part way through being refurbished at the time of the inspection as well as the porch area. The health and safety records in the kitchen were examined and fridge temperatures are being taken but not recorded. COSHH data sheets are in place. Consideration should be given to the home devising a hazard analysis for the kitchen, which ought to include a risk assessment for hot surfaces. The laundry is sited away form the home in the garage and the laundry is transported in a basket with a lid. No hand washing facilities are available in the garage but protective clothing to include gloves and aprons are. Protective clothing is available in the home. The home is going to obtain a copy of the up to date infection control guidelines for care homes as their copy is now out of date. The Registered Manager/Provider said they have plans to redecorate the dining room after Christmas. The property is situated in an isolated location, being down the end of a lane the other side of a farm, which is also run by the registered provider. At the time of the inspection several items of gym equipment and other items had been left on the outside lawn, and the perimeter fence appeared in need of attention. The garden was a little overgrown and the combination of these factors makes the initial appearance of the building seem poor. Whilst the house is not on view to the general public, due to its location, improvements could be made to the appearance. The office in the home was very disorganised and untidy, and is used for a storage area for various items that would be better located elsewhere. There appears to be large damp patch on the ceiling that requires attention. Further reference to this room is made under the management standards. Longcroft Cottage DS0000016495.V317557.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 & 35 Quality in this outcome area is adequate with some parts being seen as good. This judgement has been made using available evidence including a visit to this service. A good knowledge of the needs of service users help staff to work effectively as a team to meet people’s needs. Service users are protected by the home’s recruitment policy that complies with the current regulations. Some additional training will provide staff with improved knowledge and skills to meet needs. EVIDENCE: The personnel file of the latest member of staff was examined and it contained all the required recruitment checks. Their induction training was also seen and the new member of staff mentor/supervisor had signed this. This staff member has completed moving and handling training and basic food hygiene and their first aid course has been booked. The new staff member stated they had been well supported and guided through their induction period. Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 21 The home has a training matrix written on white clean board. This showed when staff have received training and when it is due. Moving and handling training was last undertaken in 2004 and it is recommended that an update be done. Abuse training was done in 2005 as well as challenging behaviour. The home is looking to arrange physical intervention training. No infection control training has been done but the home is going to obtain an up to date guidelines for care homes. Staff are up to date with the required training in fire safety, first aid and food handling. Care staff spoken to demonstrated a good understanding of their roles and the needs of the service users. The majority of the staff have worked at the home since it opened and have known the service users from when they first moved in. Service users appeared comfortable and relaxed with the staff on duty and were keen to go out on the activity that had been planned for the evening. Staff gave various examples of the activities they supported and the social events that service users attended. Staff stated they felt well supported by the management of the home and were able to raise concerns or issues that they considered needed discussing. Staff stated that they considered the service users needs were well met in the home and that standards of care and support were very good. People felt they worked well as a team with good team support and communication. Longcroft Cottage DS0000016495.V317557.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42 Quality in this outcome area is parts being seen as good. adequate with some This judgement has been made using available evidence including a visit to this service. The management of the home provide good levels of support to the staff team to meet the needs of the service users. Increasing the range of questionnaires distributed and the involvement of external advocacy could improve quality assurance. Service users are protected by the provision of a safe environment. EVIDENCE: The day to day to running of the home is divided between the Registered Manager/Provider and the Deputy Manager, who was previously titled the Home’s Manager. This change provides more clarity over areas of Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 23 responsibility. Both the Manager and the Deputy have completed the Registered Managers Award and are both up to date with the required statutory training. Both undertake care shifts in the house, as well as undertaking the administration and supervision tasks that must be completed. All staff spoken to were positive about the support and guidance from the management Quality assurance is supported by the circulating of questionnaires to service users and their families and a recommendation is made that this could be extended to other outside professionals involved with the home and service users. All fire safety checks had been completed and recorded and the risk assessments seen were up to date and appropriately reviewed. Staff confirmed they are not asked to perform any tasks that compromise their safety or that of the service users. All food and potentially hazardous substances were correctly stored. Following the investigation undertaken by the Provider referred to earlier in the report, and the random inspection undertaken by the Commission, the inspector identified concerns about the understanding of managing of challenging behaviours. The issues around this have been outlined to the Provider and the Deputy Manager and clarification has been provided by the home over the range of needs that the home currently meets. If the home is to admit another service user with challenging behaviours the management and staff will need to demonstrate greater understanding of the practice of low arousal and descalation techniques that are essential to meeting the needs of service user who present behaviours that challenge the service. The condition of the office is referred to in the environment standards. Improvement to the organisation of this area should improve the effectiveness of the management of the home and present a more professional image to visitors to the home. Longcroft Cottage DS0000016495.V317557.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 X 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 x 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X X 3 x Longcroft Cottage DS0000016495.V317557.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. 2. Standard YA20 YA19 Regulation 13(2) 12(a) Requirement The home must ensure that medicines are securely stored The home must obtain an updated speech therapy assessment for the service users identified in the report The protocol relating to the covert administering of medication must be signed by a health professional Timescale for action 31/01/07 30/03/07 3. YA20 12(a) 30/03/07 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 Refer to Standard YA1 YA2 YA32 YA24 Good Practice Recommendations The home could produce a separate Service User Guide and Statement of Purpose and in formats that are easily understood by service users. The Statement of Purpose could contain more information about the admission process to the home. The home should investigate whether Total Communication techniques would be of benefit to the service users. The home should review and update risk assessments in DS0000016495.V317557.R01.S.doc Version 5.2 Page 26 Longcroft Cottage 5 6 7 YA23 YA23 YA37 relation to access to the kitchen for service users Staff and management should undertake the Adult Protection training provided by the local authority. The home should consider the involvement of advocates to promote transparency and improve quality assurance The home should maintain a tidier and more professionally organised office Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Longcroft Cottage DS0000016495.V317557.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!