Inspection on 21/02/08 for Maple Road

This inspection was carried out on 21st February 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Maple Road 25/10/06

Maple Road 13/12/05

Maple Road 18/01/05

Maple Road 26/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Maple Road 10 Maple Road Penge London SE20 8DS Lead Inspector Ann Wiseman Unannounced Inspection 21st February 2008 10:30 Maple Road DS0000006957.V355178.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 Maple Road DS0000006957.V355178.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. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maple Road Address 10 Maple Road Penge London SE20 8DS 020 8778 5321 020 8778 5321 Info@LCDisability.org www.leonard-cheshire.org.uk Leonard Cheshire Disability 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 Lindon Philander Care Home 5 Category(ies) of Learning disability (5), Physical disability (1) registration, with number of places Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 5 Adults of either sex with a learning disability. At any one time only 1 of the 5 residents may also have a physical disability and may be wheelchair dependant Registration of the manager at this home and at 23 Elmers End Road applies to Mr Lindon Philander only, and is the subject of ongoing assessment by the Commission through statutory inspections of both homes. 25th October 2006 Date of last inspection Brief Description of the Service: Maple Road is a five-bedded residential unit for people with a learning disability situated in a residential area of Penge. The Home is part of the Leonard Cheshire foundation and does not provide nursing care. Maple Road provides a homely environment with support given to live as full a life as possible within the wider community. There is a kitchen, dining room, lounge and one bedroom with en-suite facilities on the ground floor, with four bedrooms, bathroom, toilet facilities and a staff sleeping in room on the first floor. All parts of the house are accessed via stairs. There is no lift. The home is staffed on a twenty-four hours basis. Specialist support services are offered through the Primary Care Trust via the Bassett Centre. A key work and a care planning system are used to meet individual needs. There are good links to local transport and shopping centres. Most of the people living in the house attend a day centre. The cost of this service is £950 per week. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection. When we arrived most of the people who live in the home had left to go to their day centres. Two people were at home and we took the opportunity to talk to them during the day. At a later date we also telephoned two relatives to ask for their opinion. The manager was on duty and answered our questions and produced the files and information we asked for. We spent 5½ hours at the home. During that time we talked to staff members. The manager had already sent us the Annual Quality Assurance Assessment (AQAA) he had completed. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gave us some numerical information about the service. There was enough information to determine that the manager had an understanding of the needs of the people who live in this home, but the answers were short and it would have benefited from more explicit answers with examples to back up some of the statements that were made. We used the information it contained as part of this inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 6 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 Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 7 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): Standards 1, 2 and 3 were examined on this occasion. People who use the service receive Adequate quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Information is available to enable people to make a choice about this home and assessments are carried out. The was no evidence that people are told the home can meet their needs before they move in. EVIDENCE: Someone has moved into the home since the last inspection so we were able to test their policy and procedure on admitting new people. The statement of purpose and users guide is generic to Leonard Cheshire Disability, the Charity that runs the home, and does not reflect the individual strengths of the home or the type of service it offers and is out of date. They should be updated and made individual to the Maple Road and consideration should be given to restyling it to include photographs and information about the local community. A previous recommendation was made that the provider should send out a letter to people that states the home can meet their needs. There was no evidence that this was not done during their latest admission so the recommendation will remain. We examined files of two of the people living in this home. One held a comprehensive assessment. The second file contained only the community Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 8 care assessment carried out by the persons care manager. The manager assured us that both he and another staff member had visited the person at home to assess their needs. The person had moved in eight weeks before the inspection and the homes assessment form had not been completed, nor had a care plan been developed. The manager said he was waiting to complete this work once they had an opportunity to get to know the new person better. It is considered good practice for the home to visit the person hoping to move in, and with their help carry out an assessment of their needs and aspirations. Any other people who may be able to add detail, such as relatives, friends and other professionals should also be invited to comment. By collecting as much information as possible the home will be able to make a realistic decision about the persons needs and if the home will be able to meet them. It is poor practice to admit a person with little knowledge of them and whether they would be able to fit into the home and to get on with the people already living there. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 9 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, 9 and 10 have been judged during this visit. People who use the service receive Adequate quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Care plans are developed but are not always done immediately a person moves into the home. People are able to make decisions about their life and are supported to take risks as part of an individual lifestyle. People living in the home may not be assured that their personal information is handled appropriately. EVIDENCE: Two peoples files were examined, one was a person who had recently move in and the other was for someone who has lived at Maple Road a long time. One held all the information that would be needed to support someone effectively. There was a well developed care plan that recorded the persons likes and dislikes, their assessed needs and their hopes and plans for the future. It also contained risk assessments that highlight areas of risk in their life and puts interventions in place to minimize danger and so allow that Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 10 person to still live as independently as possible. Both the care plan and risk assessments had been reviewed recently. The other file did not contain any information about the person except a community care assessment. It had not been developed into a care plan. The manager felt that it would be better to wait until the home got to know the person before writing the care plan, and planned to use the new format he had developed when he did write it. This meant that staff had very little information to work with while supporting someone they had not met before. They had to base the care they gave from the information given in the community care assessment that carried only basic information. A care plan must be in place before someone moves or as soon as possible after if the placement is an emergency. It may be quite basic at first, but it will develop and grow very quickly as staff get to know the person and add more details to the care plan. Since the inspection the manager has developed a care plan for this person using the new format and has sent us a copy. It is good and contains sections that record basic details, a personal profile, health and support needs and skills and interests. There were also risk assessments as part of the care plan. The home does not have a formal office. There is a desk, computer and filing cabinets in the dining room. When we arrived the dining table was completely covered with files and paperwork. One of the people who live in the home was having breakfast on a part of the table that had been cleared for them. Leaving personal information out in a public area means that confidentiality is compromised and is not appropriate. We were informed that plans are in place for the manager to move his own office outside of the home. When that happens the desk and filing cabinets will be moved into the staff’s sleep in room so the dining room will be used exclusively for its intended purpose. However the present practice of leaving personal information open to public gaze indicates that staff do not fully respect the confidentiality of the people living in the home. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 11 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): Standards 12, 13, 14,15, 16 and 17 were assessed during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People living in this home take part in appropriate leisure activities and are part of the local community. People have remained in contact with friends and family and staff respect their rights. Food offered is varied but the environment they eat their meals is neither comfortable nor homely. EVIDENCE: People who live in this home are given many opportunities to take part in activities at home and in the community. The daily records show that they recently visited the library, gone swimming, attended an evening club and a music workshop. They have also been to the pictures, the theatre and have eaten out. People we spoke to talked about getting out and about and while we were at the home staff accompanied someone shopping locally. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 12 The statement of purpose says that people are allowed to receive visitors at any reasonable time and people are supported to visit families. Care plans give details of peoples friends and relatives and how and when they will keep in touch. One relative we spoke to said they visited regularly and is always made welcome. The homes policies state that people’s rights will be respected and staff receive training on caring for people while respecting their right to remain independent and to make choices during their induction. People we spoke to told us that staff where kind to them. We observed the interaction between staff and the people living in the home. The people living in the home plan the menu, they are supported by staff to choose healthy options. Examination of the menus showed the meals were varied, nutritious and well planed with plenty of vegetables. An alternative meal is offered to those who do not like the first choice. The larder, fridge and freezers were well stocked with food and people living in the house help the staff when they go shopping. The dining room is not a homely and relaxed place to eat though. It is cramped because it contains office equipment and filing cabinets. Files and papers were on nearly every flat surface in the room including the dining table. We were assured that the dining table is cleared at meal times but until the office is moved as planned the room will remain predominantly an office. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 13 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 and 21 were judged on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People receive care in a way they prefer. Physical and emotional needs are met and medication policies are in place but recording is not up to standard. There is no evidence that aging, illness and death is discussed with the people living in the home. EVIDENCE: While talking to staff it was apparent that they understood the concepts of using a person centred approach when working with the people living in the home. Staff talked about allowing people to make up their own mind and to help themselves where they could. They also said that they would respect a person’s decision not to do something even if they did not agree with it, but would encourage them to make informed decisions about issues that could affect their wellbeing. People living in the home agreed that staff listened to them and did not force them to do things against their will. Relatives said they felt staff were helpful and kind. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 14 All of the people living in this home are registered with the local GP and there was evidence on file that they were assisted to seek medical attention when needed. The files also contained psychiatric, psychologist and speech and language assessments. The Medication, its storage and records were examined during this visit. The home has the medication dispensed into blister packs by the chemist who also produces record sheets referred to as MAR sheets. There were gaps in the MAR sheets where staff had not signed to indicate that the medication had been given. We checked the blister packs and the medication had gone. It may be that the carer had given it but had not signed the sheet afterwards. It is important checks are made and that the manager investigates mistakes. Some people were prescribed medication after the monthly cycle had been started, the details had been hand written and not countersigned. It is unsafe to handwrite medication details on records because if it is recorded wrongly or the handwriting is poor it will lead to mistakes being made that may affect the health of the person receiving the medication. This practice is against the Royal Pharmaceutical guidelines; they recommend that instructions should be printed by the pharmacy that dispensed the medication. They should only be hand written if it really can’t be avoided and then two people must check the entry and both must sign the entry as correct. There were some topical creams stored in the medication cupboard, they were open but there was no indication how long they had been open. Creams may spoil or become contaminated if they are open too long before being discarded. So it is important that a record is kept of how long the tube has been in use. Guidance on how long creams can safely be used will be on the information sheet that is delivered with the medication. How the home would support people as they become older and face death is not fully addressed either in their statement of purpose, user guide or in peoples care plans. It is important that they know how the people in the home want to be cared for as their health deteriorate. For example do people want to be cared for at home or would they feel safer in hospital and who would they like to be notified is the event of a serious illness or death and are there any special instructions in the way they want to be buried or for their body to be handled either from personal preference or for religious needs? A relative said that they often worried about what would happen to their relative in the future. They would feel better knowing that the home has addressed this issue. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 15 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 and 23 were examined during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. There are polices and procedures in place concerning complaints and the people living in the home know how to make a one if they are unhappy. They feel that they would be taken seriously if they did. A complaint recording is good. Staff receive protection of vulnerable people training. EVIDENCE: The homes statement of purpose and users guide contains the homes complaints procedure. There is a complaints leaflet that also sets out the home’s procedure and it is given all of the people who live in the home. We looked at the way the home recorded any complaints and found that it was done in a way that made it easy to follow a complaint from start to finish. The home has policies and procedures about responding to suspicion or evidence of abuse. We were assured that staff have received protection of vulnerable adult (POVA) training. The staff files showed evidence that it had been done and staff confirmed that they had taken the course. When questioned about adult protection they displayed knowledge of how they would disclose an abusive situation they had witnessed or suspected. People living in the home have their own bank accounts and benefits are paid directly into them. Rent is paid by direct debit and money for day-to-day expenses are withdrawn only after authorisation of the manager. We checked people’s money that is kept in the home and it was found to be correct. Receipts are kept and all transactions are recorded and staff count the money when it is handed over at shift handovers. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 16 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, 25, 26, 27, 29 and 30 have been judged on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Maple Road is a homely, comfortable and safe environment. It meets the needs of people living there and it is kept clean and hygienic. EVIDENCE: Maple Road has been furnished and decorated in a homely and comfortable way throughout most of the house. The dining room that is being used as an office has already been mentioned and the manager has assured us that it is planned to move a desk into the staff sleep in room and return the dining room to it proper purpose. People’s bedrooms were individual to each occupant, with their own possessions and are decorated in a contemporary manner. Bathrooms provide sufficient privacy and have specialist equipment to maximise independence. An en-suite bathroom is being converted into a walk-in shower for one person who uses a wheelchair. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 17 The bathrooms are serviceable but the fittings are old and have a shabby appearance with cracked and broken tiles and stained sealant around the baths and sinks. The home was clean and hygienic throughout. The garden is a good size and the manager has recognised the need to make sure it is maintained. Recently the garden has had a free “make over” by a local corporate company and the home is trying to recruit a volunteer to keep it maintained. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 34, 35 and 36 were inspected during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The people living in the home are protected by the home’s recruitment policies and procedures. Staff have undertaken appropriate training and are qualified but do not received sufficient supervision. EVIDENCE: Two staff files were examined and we were able to talk with three members of the staff group. The home’s recruitment policy and procedure is as required and evidence was seen in the files that confirmed that it was carried out; criminal records bureau checks are undertaken and two references are obtained, the file also contained photographs and copies of the recruits application, a health declaration and other documents as required in Schedule 2. The majority of staff holds an NVQ qualification in care. Records show that training undertaken includes adult protection, disability and the law, complaints and whistle blowing, managing diversity, infection control, first aid, medication, fire awareness, care planning, key working, moving and handling, food safety and health and safety. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 19 All of the staff we spoke with demonstrated a commitment to providing a caring and supportive environment for the people living in the home. We saw staff working and talking to the people living in the home in an open, respectful and friendly way. One relative we spoke to said that they were pleased that fewer agency staff have been used recently. Notes were seen that indicate one to one supervisions occur but they are not happening as often as required which is at least six times a year. There were some supervision notes on staff files but show they are held only sporadically. Supervision is not only an opportunity to give direction and assess training needs but allows staff to air concerns and make suggestions and regular meetings nurture a feeling of be listened to, of being involved and of being taken seriously. A recommendation will be made that the manager must establish arrangements to supervise staff and carry out annual appraisals on a regular basis. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 38, 39 and 42 have been examined on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People living in this home can be confident it is well run and that their views are taken into account in its running. Their health and safety will be protected. EVIDENCE: The manager has been in post several years and while we talked he displayed a good knowledge of the needs of the people living in the house. Staff we spoke to felt that the manager was easy to get on with and is supportive. People living in the home said he was nice and took time to listen to them, relatives we spoke to said that if they had any concerns he was always keen to put things right and would always listen to them. The home has a quality control system in place and sends surveys to the people living in the home and their relatives annually. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 21 Regulation 26 calls for someone who is part of the organisation but not involved with the day to day running of the home to visit unannounced and inspect various aspects of the home, to check files and to talk to staff and people living in the home. These visits are regularly carried out and copies of the report are sent to our office. Health and safety checks are carried out and recorded. We examined a sample of safety records and they were found to be in order. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 2 3 2 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 3 26 3 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 2 3 3 3 X X 3 X Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 YA3 Good Practice Recommendations The inspector recommends that for future admissions to the home, the provider should send out a letter to service user that states the home can meet their needs. The homes statement of purpose and user guide should be made individual to the Maple Road and consideration should be given to restyling it to include photographs and information about the local community. It is recommended that the home always visit the person hoping to move in, and with their help carry out an assessment of their needs and aspirations. Any other people who may be able to add detail, such as relatives, friends and other professionals should also be invited to comment. 2. YA1 3 YA2 Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 24 4. YA6 5. YA20 6. YA10 7. 8. YA21 YA36 It is recommended that care plans are put be in place before someone moves in or as soon as possible if the placement is an emergency. It may be quite basic at first, but it will develop and grow very quickly as staff get to know the person and add that information to the care plan. It is recommended that all staff must have their training on the safe handling and administration of medication undated and have their abilities to work within the homes medication policy and procedures reassessed and these assessments must be retained on file. The present practice of leaving personal information open to public gaze indicates that staff do not fully respect the confidentiality of the people living in the home. It is required that staff undergo training in the importance of handling personal information about the people living in the house appropriately and that they respect their confidentiality. It is recommended that the home should address the issue of people ageing, becoming ill and dying in the statement of purpose, user guide and individual care plans. It is recommended that the manager should establish arrangements to supervise staff and carry out annual appraisals on a regular basis. Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Maple Road DS0000006957.V355178.R01.S.doc Version 5.2 Page 26 - 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. 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