Inspection on 02/05/06 for Longridge Court

This inspection was carried out on 2nd May 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longridge Court 20/07/08

Longridge Court 01/08/07

Longridge Court 29/09/05

Longridge Court 04/04/05

Longridge Court 12/10/04

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 Longridge Court Bull`s Cross Stroud Gloucestershire GL6 7HU Lead Inspector Ms Lynne Bennett Unannounced Inspection 2nd May 2006 10.30 Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 Longridge Court DS0000060822.V289234.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 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. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Longridge Court Address Bull`s Cross Stroud Gloucestershire GL6 7HU 01823 331712 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) Voyage Limited Lisa Richards Care Home 14 Category(ies) of Learning disability (14), Physical disability (14) registration, with number of places Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: Longridge Court was first registered in July 2004 to provide accommodation to 14 service users with a learning and/or physical disability in two separate dwellings. It is owned and managed by Voyage Ltd. People living in the main house may have high care needs, such as wheelchair dependence, auditory and visual impairment, autistic spectrum disorder or epilepsy. People living in the annexe may have additional low level challenging behaviour. Situated near to the village of Painswick, Longridge Court is in a rural location and has easy access to the neighbouring towns of Stroud, Cirencester and Gloucester. 10 service users will live in the main house. The annexe accommodates 3 service users. (This has been reduced from the initial registration for 4). Both residences are self-contained with single rooms that have en-suite facilities. The house has a lounge, music room and dining room, whereas the annexe has a combined lounge/diner. There is also a training kitchen and a sensory room. There are substantial grounds around the property. People living at the home have access to two vehicles. The fees at the home range from £1,412 to £1,746. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 key inspection took place in May 2006. The site visit to the home was completed on 2nd May 2006 starting at 10.30 am and finishing at 5.00 pm. The registered manager was present during the inspection. Time was spent observing the care being provided to nine people living at the home. Three people living there spoke with the inspector and discussions were held with four members of staff. The care for three people was case tracked. This involved reading their care plans, visiting their rooms, observing them and discussing their care with staff. Health and safety records, staff files, quality audits and medication administration systems were examined. A pre-inspection questionnaire was returned prior to the inspection. Regulation 26 and Regulation 37 reports also contributed to this inspection. Comment cards were returned from six relatives. Comments were also received from healthcare professionals. What the service does well: What has improved since the last inspection? People living at the home have access to a general practitioner at the local surgery. The home is developing a positive working relationship with other healthcare professionals. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 6 There has been a continued and sustained improvement in the provision of regular activities both inside and outside the home. One person said they like going to the pub and college. Another was observed looking forward to a swimming session. There has been a considerable reduction in the use of agency staff and an increase in the numbers of people employed by Voyage. Levels of staff are being maintained at appropriate levels. 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. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 the following standard(s): 1 and 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service User Guide have been reviewed to ensure that people living at the home have access to the latest information. An assessment of the needs of prospective service users would substantially improve the admission process. EVIDENCE: A new Statement of Purpose and Service User Guide have been produced by Voyage in consultation with the registered manager. These documents had recently been received and the registered manager said that they would be reproduced and given to people living at the home. A Service User Guide produced by the home is available in a format appropriate to the needs of people living there. This document uses a mixture of symbol and text. A person was admitted to the home in November 2005 as an emergency admission. Staying at the home until December they moved onto another home owned by Voyage. They then decided that they wished to move back to Longridge Court a few months later. Although this has worked quite successfully for this person, the registered manager is aware that unless the Statement of Purpose indicates otherwise emergency admissions must not be admitted to the home. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 9 Comprehensive information was supplied to the registered manager from their previous placement including copies of a review in July 2005, care plans and risk assessments. There was no evidence of an assessment completed by the home or of an assessment of need or a care plan supplied from the placing authority. The registered manager said that an initial review had been held but records of this had not been received from the placing authority. Another review is due with relatives and the placing authority. The registered manager must obtain an assessment of need, a care plan and a copy of the review from the placing authority. Other people have been visiting the home with a view to moving in. The registered manager confirmed that visits to the home would form part of the initial assessment process. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans generally reflect the assessed and changing needs of people living at the home, promoting the development of skills and independence. A range of communication aids and tools are used to enable people living at the home to make choices and decisions about their lifestyle. Comprehensive risk assessments protect people living at the home from the risk of harm when facing hazards in their day-to-day lives. EVIDENCE: For most of the people living at the home care plans are developed from their annual review and review of their assessed need held with representatives from the home, relatives and their placing authority. There was evidence that an advocate had attended the review of one person. Placing authorities had supplied an assessment of need on two of the files examined. Care plans are then monitored and reviewed monthly. Key workers complete a monthly summary in addition to daily diaries and handover records, providing staff with a comprehensive over view of the needs of people living at the home. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 11 Discussions with staff confirmed a good understanding of the needs of the people they support. This was also verified by observation of staff during the visit. Care plans, which had been reviewed and amended in response to a recent review, were available for inspection. A number of the people living at the home are unable to express their needs verbally. Staff with the support of a Speech and Language Therapist are creating an environment that promotes the total communication approach. There was evidence of staff using makaton sign language, photographs and objects of reference to enable people to make choices and decisions about their lifestyle. One person uses a litewriter communication aid. People living at the home are involved in making choices about activities of daily living. Records are kept indicating whether or not they have chosen to participate in their activities. There needs to be flexibility for some people depending on how they are feeling. This demands a great deal of patience from staff to provide people with an informed choice using a variety of means (as indicated previously). This was observed during a mealtime and whilst supporting people in activities. Financial records were examined for the people being case tracked. Robust records are in place with evidence of regular checks. Risk assessments are regularly monitored and reviewed. There was evidence that risk assessments are amended where necessary. Staff have a good understanding of the hazards faced by people living at the home and their roles in reducing these risks. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There have been further improvements in the range of social, recreational and educational opportunities offered to people living at the home enabling them to them to access regular activities. Contact with family and friends is encouraged and supported. People living at the home are offered choices about activities of daily living enabling them to lead as independent a lifestyle as possible. Freshly cooked meals are produced which provide a nutritional and balanced diet. EVIDENCE: Activity schedules are in place outlining a range of activities both within the home and in their local communities. On the day of the site visit a group went horse riding. One person said they go each week and help clean out the horses. Staff indicated that this work experience was proving very successful. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 13 People remaining at home spent time doing arts and crafts, playing music or baking. In the afternoon a group went swimming at GL1 in Gloucester. They were really looking forward to this outing. Records of activities are kept in daily records and handover sheets. A person living at the home said they also go to college in Stroud. One person has the responsibility to do the recycling for the home each week. Staff said that they look forward to this. Each week massage therapy and music therapy are provided at the home. One person also has 1:1 music lessons with a music teacher in a neighbouring town. Records confirmed regular trips to neighbouring towns to access cafes, shops, ten pin bowling and garden centres. Contact with family and friends are recorded on handover sheets and daily records. People living at the home are supported in a variety of ways to maintain contact with family and friends. Some use email at college, the telephone at the home or visits to and from relatives and friends. Comments from relatives indicated that they are made to feel welcome when visiting the home. Staff were observed spending time with people living at the home, promoting choice with meals, activities and helping them discreetly with personal care tasks. People living at the home were observed spending time in communal areas including the garden and in their rooms. A four-week rolling menu has been devised which provides a range of nutritional freshly cooked meals. Staff said that fresh meat and vegetables are delivered to the home twice a week. On the day of the visit a lunch was prepared of either beef or chicken casserole followed by yoghurt. One person did not like the meal. Staff supported them to choose an alternative of cheese and cucumber sandwiches. Some people require support with their meal and staff provided this in a relaxed and unrushed manner. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare needs of people living at the home are well met with evidence of multi disciplinary support on a regular basis. People living at the home have access to a range of healthcare professionals making it possible to meet their physical and emotional health needs. Medication administration will be improved by providing access to training for staff in specialist medication. EVIDENCE: Care plans identify the way in which people living at the home would like to be supported. Monitoring forms are in place identifying how and when personal support has been provided. These are being completed regularly. Staff spoken with have a good understanding of the needs of people they support. People living at the home were treated with respect and sensitivity on the day of the site visit. Concerns expressed at the previous inspection about access to a general practitioner have now been resolved. The registered manager spoke of a positive and close working relationship developing between the local surgery and the home. People living at the home are also receiving support from the Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 15 local Community Learning Disability Team. Good records are maintained of all healthcare appointments including a record of the outcome of each appointment. One person is offered appointments with a chiropodist and dentist but occasionally refuses to attend. It is recommended that records indicate when this happens. The registered manager stated that staff had recently attended a conference on Cornelia de Lange Syndrome with the parents of a person living at the home. She stated that this had significantly helped staff understand the needs of this person. Records confirmed that as a result referrals have been made for a consultant’s appointment with a view to possible surgery and for the support of a specialist psychologist to work with staff. Medication administration systems were examined and found to be satisfactory. Staff attend training in the safe handling of medication. It has been identified by the registered manager that staff require training in the administration of midazolam. This must be put in place. Protocols are in place for the administration of midazolam.. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled objectively with concerns expressed on behalf of people living at the home acted on and recorded. There are vulnerable adults procedures in place, although training for staff could be more robust to ensure the protection of people living at the home. EVIDENCE: The home has a complaints policy and procedure. This is included in the new Statement of Purpose. The Commission has not received any complaints about the home since the last inspection. Monitoring visits put in place as a result of concerns expressed at the last inspection have been discontinued. No new complaints have been received by the home. A copy of the Gloucestershire Adults at Risk policy and procedure has been made available to staff. A copy of ‘No Secrets’ has also been obtained. A number of staff need to attend training in the safeguarding of adults. (See Standard 35) All staff complete training in C.A.L.M. techniques enabling them to cope effectively with any incidents that may occur using a low arousal approach. Staff were observed using diversion and distraction techniques with people on the day of the visit. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment is homely and comfortably furnished. The maintenance programme needs to be improved to make sure that the home continues to meet the needs of the people living there. EVIDENCE: The home opened in 2004 and is beginning to show signs of wear and tear. The registered manager expressed concerns about access to a maintenance person to help with general day-to-day repairs and redecoration of rooms. Staff have helped two people living at the home to redecorate their rooms in a colour scheme of their choice. Hallways in the main house have been redecorated. Environmental issues noted during this visit that need action are: • A ceiling repair was made to the lounge but this area now needs redecorating. • Parts of the annexe need redecorating. • A bedroom in the annexe needs to have a more appropriate floor covering. The carpet has a distinct odour that is affecting other parts of the annexe. • Damage to a wall in a bedroom in the annexe needs mending. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 18 • • A door handle to an ensuite bathroom needs replacing. (Annexe) Ceiling between an ensuite and bedroom needs redecorating. (Annexe) Concerns were raised about the use of space in the dining room. There are two large tables and chairs taking up most of the available space. Four people using this room have wheelchairs although some are able to transfer into other chairs. The registered manager said that they have considered buying a smaller table to create more space. There is evidence that communal areas are being personalised by people living at the home with lots of use of photographs and pictures, which they had made. A room in the annexe is being turned into a sensory room. Sensory equipment has been purchased and staff are painting the room. This will be a beneficial resource for people living at the home when completed. At the time of the site visit the home was clean and tidy. Laundry facilities are provided in the main house and annexe. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. By providing induction, foundation and NVQ courses to new staff there is the potential to develop a competent and qualified staff team. The standard of vetting and recruitment practices have significantly improved protecting people living at the home from the risk of harm or possible abuse. Staff have not had access to the mandatory training courses needed to create a proficient and skilled staff team. EVIDENCE: There has been a significant improvement in the number of staff employed by the home and a considerable reduction in the use of agency staff. All new staff complete an induction programme that follows the standards set by the Skills for Life induction and foundation. Copies of these were evident on staff files. Once completed staff are then registered for NVQ Awards in Care. One person said they had completed their level 2 award and are progressing with level 3. Four members of staff have completed NVQ awards and another five are registered. It is anticipated that these figures will increase as staff complete their inductions. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 20 Staff were observed using makaton sign language with people living at the home and are working closely with a Speech and Language Therapist. The registered manager stated that she closely monitors records within the home challenging the use of inappropriate terminology. In the same way she monitors practice by working alongside the staff team. Staff said that communication and consistency had greatly improved. The files for four new members of staff were examined and another five sampled. There is evidence that staff are being employed only upon receipt of two references, a Criminal Records Bureau check and full employment record. There is evidence that where there are gaps in employment history these are being obtained. Evidence is also provided that checks have been made with previous employers requesting the reason for leaving. At the time of the site visit a current training matrix was not available. Mandatory training had not been made available to staff between January and April. Records available indicated that a large number of staff require training in Basic Food Hygiene, First Aid, Fire, Protection of Vulnerable Adults and Moving and Handling. This training must be put in place. The registered manager is reminded that staff without Basic Food Hygiene training must not prepare and cook meals for people living at the home. She stated that she took this into consideration when preparing the rota. The registered manager raised concerns that some night staff have not completed mandatory training including the annual fire training. They must complete this training. The need for medication training for night staff was also discussed. The registered manager said that they might be required to administer a homely remedy. They must still complete basic training in the administration of medication. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A sustained improvement in key management tasks has resulted in a higher standard of care being provided to people living at the home. Quality assurance systems could be improved by involving representatives of people living at the home in the monitoring process. Systems are in place enabling the home to provide an environment that promotes the welfare and safety of people living there. EVIDENCE: The registered manager has shown a willingness to work with the Commission to improve standards of care at Longridge Court. Over the past twelve months there have been significant improvements in areas such as care planning, access to activities, recruitment and selection and health and safety. Feedback from relatives and staff indicate a greatly improved service. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 22 Voyage has a quality assurance system in place that includes monthlyunannounced regulation 26 visits. Copies of these visits are sent to the Commission. In addition to this an annual audit is completed. The home also completes monthly health and safety audits. It was suggested to the registered manager that she obtain feedback from visiting professionals, relatives and advocates to add to this process, given the difficulty of obtaining feedback from the majority of people living at the home. Robust systems are in place for the monitoring of health and safety within the home. Monthly audits provide evidence that these are done. The preinspection questionnaire confirmed annual checks have been completed. Records in the home verified this. Observation of staff confirmed they are following good practice in the kitchen, testing the temperature of cooked food, labelling open food in the fridge and monitoring fridges and freezers. Records are also being maintained. Some staff have completed mandatory training. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 23 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 2 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 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 2 X X 3 x Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA2 Regulation 14(1)(a) Requirement The registered person must obtain a copy of an assessment of needs; care plan and review by the placing authority for the recent admission to the home. The registered person must ensure that staff are trained in the administration of midazalam. The registered person must ensure that the following environmental improvements are actioned: • Ceiling in lounge is redecorated • Annexe is redecorated • Carpet in service users bedroom is replaced • Damage to a wall in a bedroom in the annexe needs mending. • A door handle to an ensuite bathroom needs replacing. • Ceiling between an ensuite and bedroom needs redecorating. Timescale for action 31/05/06 2. YA20 13(2) 30/06/06 3. YA24 23(2)(b)(d) 31/07/06 Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 25 4. YA35 18(1)(a) 5. YA35 18(1)(a) 6. YA39 24(3) The registered person must 31/07/06 ensure that staff receive mandatory training and other training identified in the standard. The registered person must 31/07/06 ensure that night staff complete fire training and any other training identified as needed for their role and responsibilities. Feedback must be obtained 31/05/06 from relatives, advocates and other professionals as part of the quality assurance process. 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 YA19 Good Practice Recommendations Healthcare records should indicate when a person has refused to attend appointments. Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Longridge Court DS0000060822.V289234.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!