Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: MacIntyre - The Croft 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE The quality rating for this care home is:
zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Val Flannery
Date: 0 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 32 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home
Name of care home: Address: MacIntyre - The Croft 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE 01513391988 01513391988 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) MacIntyre Care Type of registration: Number of places registered: care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The home is registered for a maximum of 4 service users in the category of LD (Learning disability) Date of last inspection Brief description of the care home The Croft is a care home for four adults with a learning disability. Although located in a residential estate in Ellesmere Port, the semi-rural area surrounding the home ensures the privacy of service users is protected. A range of local shops, pubs and other facilities are within easy reach of the home. The home is a four-bed bungalow, with all the bedrooms being single. The rooms are individually decorated and furnished and contain hand-washing facilities. A range of hoists and other lifting aids are available to help service users with mobility problems. Communal space consists of a large lounge and a separate dining room next to the kitchen. There is a secure garden to the rear of the home. Sufficient bathrooms and toilets are provided. Staff are on duty twenty four hours a day to care for service users. Information provided by the Care Homes for Adults (18-65 years)
Page 4 of 32 Over 65 0 4 Brief description of the care home manager showed that accommodation fees are £399.35 per week for individual service users. Further information about fees and other costs can be obtained from the manager. Care Homes for Adults (18-65 years) Page 5 of 32 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: zero star poor service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home
peterchart Poor Adequate Good Excellent How we did our inspection: The overall quality rating for the home is no stars. This means that the people who use the service experience poor quality outcomes. This visit took place on the 7 and 8 January 2009. It was carried out by one inspector and took a total of 7.5 hours. The report will say we when referring to what we did and what we found because it is written on behalf of the Commission for Social Care Inspection. During our visit we spoke with the people living in the home, the manager and staff. We looked around the premises and looked at various records held by the home. Care Homes for Adults (18-65 years)
Page 6 of 32 The visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about the home. CSCI questionnaires were made available to the people living in the home and staff so they could tell us what they think about it. The last inspection of this home was completed on 23 November 2006. What the care home does well: What has improved since the last inspection? What they could do better: The person centred plans (care plans) for people who live at the home must be kept up to date to accurately reflect their changing needs. They must include up to date information and guidance for staff so they know what they must do to meet the needs of each person. Information about peoples healthcare needs must also be kept up to date to show how those needs are being met at the home and to make sure that people are receiving the appropriate care to meet those needs. The statement of purpose and service user guide to the home must be kept up to date to reflect the significant changes to the staff team and to make sure that the contact details for the Commission for Social Care are correct. This is to make sure that people who live at the home, who might be interested in living at the home, their families and representatives have up to date information about the home. The staffing levels should be reviewed to make sure that there are enough staff available to meet the needs and choices of the people who live at the home. All complaints received by the home must be fully investigated and a record kept of the findings of any investigation and what action was taken by the home. This will show that complaints are taken seriously and that the concerns of the people who live at the home are listened to and acted upon. The general decor and appearance of the home, both inside and outside, needs work doing to improve the standard of the surroundings people live in and to make sure that they are safe. Staff training on safeguarding adults, moving and handling, fire safety, first aid, food hygiene, health and safety and medication awareness must be kept up to date. This is Care Homes for Adults (18-65 years) Page 8 of 32 to make sure that staff know how to provide safe care, in line with up to date best practice, for the people who live at the home. Improvements need to be made to the management systems at the home to make sure that the care needs of the people living there are met in the way they would prefer. Regular staff training, supervision and support must in place so that staff have the necessary skills and guidance to provide appropriate and safe care for the people who live at the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 32 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 32 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. MacIntyre Care has procedures for introducing new people to the home but the statement of purpose for the home is not up to date so it does not provide people with correct information about the home, how it runs and who the staff are. Evidence: MacIntyre Care, the organisation that runs the home, has a process and appropriate documents to be used when new residents may wish to move into the home. This includes visits to meet the person and do an assessment on their needs to see whether these could be met at the home. The person would also visit the home to meet staff and other people who live there, including having meals there and overnight stays. This would help them get to know more about the home to see if it would be a suitable place for them to live. However, as the four people currently living in the home have lived there for a number of years, these procedures have not been used by the home. During our visit to the home, we saw copies of the statement of purpose that sets out the aims of the home. The copies we saw had not been updated to show significant
Care Homes for Adults (18-65 years) Page 11 of 32 Evidence: changes to the staff group or the correct details on how to contact the Commission for Social Inspection. This means that people being given the statement of purpose would not have up to date information about the staffing of the home. Care Homes for Adults (18-65 years) Page 12 of 32 Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The plans of care we saw were not up to date and did not show how the persons needs were to be met, which means that people living in the home may not be receiving the care they need in such a way as to ensure their safety and well being. Evidence: During our visit to the home, we looked at the files of one of the people who lives at The Croft, to see what care they received. The file included a person centred plan with important information about the person such as their likes and dislikes, the important people in their lives, their wishes and their daily routines. The care needs of the person had changed significantly during the twelve months before our visit, as has the level of support they needed with daily living. On the day of our visit, there were no plans of care available to identify how those changed needs were to be met by staff at the home. Staff who we spoke with during our visit told us that the person had become more dependent and needed more staff support with day to day routines, including two members of staff to help move them. Staff also said that various healthcare
Care Homes for Adults (18-65 years) Page 13 of 32 Evidence: professionals had visited the person but there was no information recorded in their care plans, following these visits, to provide staff with the guidance to meet the persons needs safely and appropriately. During the previous twelve months, the person had been in hospital and meetings had been held with MacIntyre Care, hospital staff and social services. There were no records available to show if an assessment had been carried out by staff from the home when the person had been discharged from hospital to identify their changed needs and how these would be met at the home. We could find no evidence that reviews had been carried out with staff from the home, the person and/or their representatives, healthcare professionals and social services to make sure that the support the person was receiving was meeting their needs effectively. This means that staff at the home did not have up to date guidance on how to meet this persons needs safely and appropriately. The risk assessments we saw during our visit were not up to date. We saw bed rails being used on the bed of one person who living at the home. There was no up to date risk assessment available for us to see to show that the risks of using bed rails had been identified and were being managed safely to make sure the person did not become trapped in them. There was also no record we could find to show that the person and/or their representatives had been consulted about the use of bed rails. This person needed a lot of support to move around, including a hoist being used, but we could not find a risk assessment to identify the risks involved with this and show how they would be managed to make sure the person was safe. There was also no moving and handling risk assessment to provide guidance for staff on how this person should be moved to make sure that they and staff were not harmed or injured. Care Homes for Adults (18-65 years) Page 14 of 32 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are not always available to support people with their daily routines so the people living in the home are not able to take part in their chosen daily activities. Evidence: On the day of our visit, we saw two of the people who live in the home being supported by two staff to visit a soft play centre in the local community. We saw another person living in the home being supported by staff to do household chores. We also saw staff helping people to play board games. We saw records, including completed quality assurance surveys from relatives, that showed staff helped people living in the home to keep in touch with their families. This could be by them visiting the home, by telephone or by letter. Staff we spoke with during our visit told us that relatives are able to visit at any time and that they are kept informed of events that may effect the lives of their relatives living in the home.
Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: During our visit we saw staff sitting and chatting with the people who live in the home. They were also seen supporting them with their mid day meal. Staff told us that the daily routines and activities for three people living in the home have been affected by the changing care needs of another person living there. Records we saw showed that two staff were needed to provide support for one person so when there were only two members of staff on duty some planned activities and daily routines for the other people were cancelled or re-arranged. Care Homes for Adults (18-65 years) Page 16 of 32 Personal and healthcare support
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person centred plans we saw did not have up to date information about care needs and how these should be met. This means that staff are not aware of how the healthcare needs of the people living in the home are to be met so they may not able to ensure safe and appropriate care is provided to keep the person well and healthy. Evidence: The person centred plan we saw for one of the people who lives in the home did not show how the person wished to be be supported with personal care by staff. The level of support they needed with tasks such as dressing, using the bathroom and getting in and out of bed had not been recorded. Following a stay in hospital a further assessment had not been carried out by staff from the home to ensure that the persons needs could still be met there. Staff we spoke with told us the person had received visits from healthcare professionals, including occupational therapists and physiotherapists. We saw records that showed that meetings had been held with consultants from the hospital, social workers and staff from the home about this person. However, their person centred plan did not show how their healthcare needs were to be met following these visits and meetings.
Care Homes for Adults (18-65 years) Page 17 of 32 Care Homes for Adults (18-65 years) Page 18 of 32 Concerns, complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are no records to show that complaints about the home are investigated so that people living in the home and their representatives cannot be confident that their concerns will be taken seriously. Staff have not received up to date training on safeguarding adults so they may not know what action they must take to make sure that people living in the home are protected from abuse. Evidence: We saw the record of complaints during our visit to the home. Three complaints had been made on behalf of the people who live in the home by staff during July and August 2008. There was no record to show that these complaints had been investigated or what action had been taken to address the issues raised. We saw the complaints procedure for the home and noticed that that our contact details had not been updated to make sure that people making complaints or raising concerns about the home could contact us if they needed to. Staff we spoke with during our visit told us that no referrals have been made by the home under the local safeguarding adults procedures. We saw a copy of the guidelines on safeguarding, No Secrets that was kept in the home. However, the staff training records for the home showed that staff have not received up to date training on safeguarding adults procedures, which means that they may not know what they have to do to make sure that people living in the home are protected from possible abuse.
Care Homes for Adults (18-65 years) Page 19 of 32 Care Homes for Adults (18-65 years) Page 20 of 32 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is not being as well maintained as it should be and there are problems inside and outside the home that mean that the people living there are not living in a comfortable and safe environment. Evidence: The home is in a secluded area on the outskirts of Ellesmere Port town centre. The people who live in the home require transport and staff support to use local shops and other community facilities. All the bedrooms are single rooms with hand washing facilities and there are sufficient shared toilet and bathing facilities to meet the needs of the people who live in the home. On the day of our visit, we saw that the decor and general appearance of the home needed attention. Walls and doors were chipped and damaged, drawers in the kitchen were damaged or had pieces missing, the area around the door leading to the garden from the communal lounge had been plastered but not painted and the furniture in the communal lounge was dirty and damaged. The garden to the rear of the home was untidy and overgrown, particularly the area outside the doors from the communal lounge. The area at the front of the home that is used as a car park was untidy and overgrown.
Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: MacIntyre Care have provided policies and procedures on infection control, a copy of which is available in the home. This helps to make sure that staff know what they have to do to maintain good hygiene and prevent infections spreading in the home. Care Homes for Adults (18-65 years) Page 22 of 32 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although over half the staff have achieved a nationally recognised qualification in care, they have not received up to date training on health and safety matters so may not be able to provide the safe and appropriate support that people who live in the home need. Evidence: During our visit, we saw staff talking with and supporting the people who live in the home with personal care. The people living in the home were comfortable in the company of staff and were seen communicating effectively with staff. The staffing rota we saw during our visit showed showed that there are normally two staff on duty during the day and one staff on waking night duty. The rota also showed that the head of service for the home and day care support staff may be working in the home in addition to the above staffing levels. However, as we saw records that showed that a person needed two staff to help them move, the staffing levels may not be adequate to ensure that this persons needs can be met at all times, as well as making sure that other people living in the home are able to take part in their chosen activities and lifestyle. Care Homes for Adults (18-65 years) Page 23 of 32 Evidence: Staff we spoke with during our visit told us they are not always informed of how the changing care needs of the people who live in the home are to be met. They said they are aware that healthcare professionals have been to the home but that the outcome of these visits has not been included in plans of care. This means that they may not have the guidance they need to make sure that the needs of the people living in the home are met appropriately. The staff training records we were given during our visit showed that staff training on health and safety matters, including safeguarding adults, moving and handling, fire safety awareness, basic food hygiene and medication training, is not up to date. This means that staff may not be aware of up to date guidance on how to provide care safely and well for the people who live in the home. The information we were sent about the home before our visit showed that over half of the staff at the home had achieved a National Vocational Qualification (NVQ) at Level 3 in Care. This is a nationally recognised qualification for staff working in the field of care. Care Homes for Adults (18-65 years) Page 24 of 32 Conduct and management of the home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Changes to the management of the home have led to inconsistency and a lack of leadership so that the health, safely and well being of the people living in the home is not being maintained as well as it should be. Evidence: Since our last inspection of the home, two managers have left. The current manager has been in post since November 2008. She has previous experience at a senior level in providing care for people with learning disabilities. She has an NVQ Level 3 and will be doing her NVQ Level 4 and Registered Managers Award in the near future to develop her skills and knowledge. The training records we saw during our visit showed that she attended training including safeguarding adults, moving and handling, first aid and infection control. Staff we spoke with during our visit said the manager has begun to carry out individual supervisions sessions with them to provide them with support and guidance to do their jobs. They also told us that she offers support and advice on care and staff related
Care Homes for Adults (18-65 years) Page 25 of 32 Evidence: issues. The problems we found during our visit to the home showed that staff had not been kept informed on how the changing needs of the people living in the home were to be met. Person centred plans for the people living in the home had not been reviewed and did not show how their care needs are to be met. Staff training on moving and handling, safeguarding adults, fire safety, medication awareness and food hygiene was not up to date. This means that they may not be able to provide care in the most safe and appropriate way for people living in the home. We found that staff understanding of the policies and procedures, for example the complaints procedure, was poor. This means that the guidance available in these documents may not be implemented to make sure that people living in and working in the home are safe. Records such as the health and safety visit action plan were not dated or signed by the person carrying out the visit and the statement of purpose for the home had not been updated. The manager told us that the gas installation for the home had been serviced within the twelve months before our visit to make sure that it was safe. However, a copy certificate to confirm this was not available in the home on the day of the inspection. Care Homes for Adults (18-65 years) Page 26 of 32 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 32 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 1 6 The statement of purpose 27/02/2009 must be reviewed and kept up to date so that the details about the staff of the home are correct. Up to date information about contacting the Commission for Social Care Inspection should also be included. This is to make sure that people who live at the home, their families, representatives and others have up to date information about the home. 2 6 15 The plans of care drawn up for people who live at the home must be kept up to date to show how their changing care needs are to be met This is to make sure that people receive safe and appropriate care that meets their needs in the way they prefer. 27/02/2009 Care Homes for Adults (18-65 years) Page 28 of 32 3 6 14 The changing care needs of the people living in the home must be assessed to show that their needs can continue to be met safely and appropriately at the home. This is to make sure that as peoples needs change, staff have up to date assessments of those needs to enable them to show they can still be met at the home. 27/02/2009 4 9 13 Risk assessments must be in 06/02/2009 place when cot sides are used in the home. Cot sides are been used without a risk assessment being in place 5 14 16 There must be enough staff 27/02/2009 on duty in the home to meet the needs of all the people living there, including the support they need to do their chosen activities. This is to make sure that the needs and choices of all the people living in the home can be met appropriately in the way they prefer. 6 19 12 Plans of care must show 27/02/2009 clearly what each persons personal and health care needs are and what staff must do to make sure these needs are met. These need to be reviewed regularly and kept up to date. This is to make sure that Care Homes for Adults (18-65 years) Page 29 of 32 people who live in the home receive safe and appropriate care to meet their needs and choices. 7 22 22 All complaints must be investigated and a record kept of the outcome of any investigation carried out by the home. This is to make sure that the concerns of people who live in the home are taken seriously and acted upon. 8 23 13 Staff must receive up to date training on safeguarding adults from abuse. This is to make sure that staff have up to date knowledge of how to recognise signs of abuse and what action they should take to make sure the people who live in the home are protected from abuse. 9 24 23 There must be an effective 27/02/2009 maintenance programme for the home to make sure that repairs and refurbishment are carried out when required. This is to make sure that the standard of the environment in the home is maintained so people living there have safe and comfortable surroundings that are suitable for them. 10 35 18 Staff must receive training on basic food hygiene. 27/02/2009 27/02/2009 27/02/2009 Care Homes for Adults (18-65 years) Page 30 of 32 This is to make sure that they can prepare food for people who live in the home in accordance with up to date safety guidelines. 11 35 23 Staff must receive up to date fire safety training. This is to make sure that they know what to do to protect people who live in the home and themselves if a fire were to break out. 12 35 13 Staff must receive updated training on moving and handling. This is to make sure that they know the up to date techniques so they can help people living in the home to move round safely without risk of injury. 13 37 12 Procedures must be put in 27/02/2009 place to ensure that staff have the knowledge and guidance to make sure that people liviing and working in the home are safe. This is to make sure that the home is run in the best interest of the people who live there and that their needs are met safely in the way they prefer. 27/02/2009 27/02/2009 Recommendations
These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - 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!