Inspection on 24/10/07 for Mereside

This inspection was carried out on 24th October 2007.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mereside 08/11/06

Mereside 10/03/06

Mereside 08/09/05

Mereside 16/03/05

Mereside 13/10/04

Mereside 17/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Mereside 42 St Bernard`s Road Olton Solihull West Midlands B92 7BB Lead Inspector Jo Johnson Key Unannounced Inspection 24th & 30th October 2007 09:00 Mereside DS0000004557.V353474.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 Mereside DS0000004557.V353474.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. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mereside Address 42 St Bernard`s Road Olton Solihull West Midlands B92 7BB 0121 707 6760 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 Tom Eyton Mr Tom Eyton Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May also provide care, subject to appropriate and ongoing assessment, to people with a Learning Disability over 65 years of age. 8th November 2006 Date of last inspection Brief Description of the Service: Mereside is a privately owned Care Home, for adults with learning disabilities. The owner is also the registered care manager. The Home, which opened in 1986, is registered to provide accommodation, board and support for up to 15 adults. Some of the service users have severe learning disabilities with challenging behaviour and profound communication difficulties. The lack of a vertical lift combined with steep steps to the second floor makes the Home unsuitable for very frail or people with a physical disability. The Home, which blends in with its surroundings, is located in a residential area and easily accessible by public transport. Local amenities such as GPs surgeries, churches and a grocery shop are within walking distance. The Home is approximately three miles from the centre of Solihull. The CSCI inspection report is available in the home for visitors to read if they wish to. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The manager supplied the commission with an AQAA (Annual Quality Assurance Assessment). Information from this has been used to make judgements about the service, and have been included in this report. Surveys were sent to all of the people living at the home and all were returned. All were positive about living at the home. Surveys were also sent to all of the staff working at the home. Information from surveys has been included in the report The inspection visits were unannounced (we did not let the home know that we were coming) and took place over two days (24th October 2007 at 9 am and 30th October 2007 at 9am), as the people living at the home were all going out on the first day of the inspection. The inspection involved: • • • Observations of and talking/Makaton signing with the people who live at the home and the support workers, deputy manager and manager. Observation of working practices and of the interaction between individuals and staff. Two people were identified for close examination by reading their, care plan, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’, where evidence is matched to outcomes for people. A tour of the environment was undertaken, and home records were sampled, including staff training and recruitment, health and safety, and staff rotas. • The inspector would like to thank the people who live at the home, deputy manager, manager and staff for their hospitality and cooperation during the inspection visits. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? All of the requirements from the previous inspection have been met. This shows a commitment to improvement. All risks to people have now been assessed and actions put in place to minimise risks where possible. All allegations of abuse are now dealt with under the adult protection procedures and the commission is kept informed. All incidents are now notified to the commission. Behaviour management plans are in place to make sure staff know the guidelines to follow to keep people safe. A written policy on the use of people’s monies has been written. The manager now pays for staff meals and drinks. There is now a covered walkway to the laundry. All staff have been provided with behaviour management training. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 7 Any risks that are identified during the ongoing refurbishment have now been assessed and minimised. 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. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 8 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 Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 9 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): 1,2 Quality in this outcome area is good People’s needs are assessed and they are provided with information so that they are clear about their rights and entitlements at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide are in large print and supported by pictures, which makes it easier for people with learning disabilities to understand the services in the home. There have been no new people admitted to the home since the last inspection so the outcomes for any new person coming to live in the home could not be assessed. However, there are ongoing and regularly updated assessments in people’s care records that have been amended as their needs have changed so that staff have up to date information about them. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good There is a clear, consistent care planning system in place that provides staff with the information they need to meet individuals’ needs. Risk management strategies are in place to meet the assessed and changing needs of the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two people’s care records were seen. Each file contained a care plan detailing personal, health, social care needs and how staff are to meet and support those needs. People’s care plans and risk assessments were up to date. They included good descriptions of the support people need during their day to day lives. People have a one to one monthly review of their care plan and how they have been Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 11 spending their time with a member of staff. This is good practice but it is written and it may not be accessible to all of the people at the home. Staff spoken with and surveys show that they are given up to date information about people. One person had signed their care plan and another spoken with said, “staff ask what help I need…it’s in a plan”. Surveys from people show that they make decisions as to what they do every day. When people where asked if they had photos or anything to show what they had been doing, they did not have anything easily accessible. These books have photographs and items in them that show what the person has been doing in their lives and could be completed in the monthly one to one sessions with staff. The deputy manager said that ‘life history’ work had been completed with people in the past but these have not been kept up to date. Staff should develop ‘life story’ books/works with people living at the home, as these give a much more interesting picture of how people have been spending their time and people may find them easier to follow than written records. Clear and easy to follow behaviour management plans and risk assessments were in place for both of the people case tracked. They were developed with health and social care professionals involved with the individuals. They were based on diversion techniques and records showed that there had been improvement with one person’s behaviours. One person is discreetly supervised at all times due to the risk they may present to one other person living at the home. Staff were unobtrusive in their supervision of the individual and also respected their privacy and need for their own space. There were no identified risks in assessments that had not been assessed. Risk assessments had been reviewed on a regular basis or when new risks were identified. Since the last inspection, the deputy manager and staff have been proactive at identifying risks. Review dates were recorded on the assessments. However, risk assessments should be dated when they are written so that it is clear when risks were initially identified, assessed and reduced so that the effectiveness of the plan can be monitored. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16,17 Quality in this outcome area is good The people living in this home are supported to make choices about their lifestyle and to develop some life skills. Some daily living activities promote independence and opportunity for people to live ordinary and meaningful lives in the community where they are living. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On arrival at the home, all fifteen people were at home preparing to go out on a Christmas shopping trip with the staff. From discussion with staff and deputy manager, it was not usual for all of the people to go out together but they had chosen to at their last residents meeting. On the second day of inspection a majority of the people were getting ready to go out to their community day services, college or work placements. Three Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 13 people remained at the home, two to have some one to one time with staff and another to go to the dentist. People chose where to spend time either in the lounges or in their bedrooms throughout the inspection. There is significant evidence in care plans, daily records and photographs on the walls that people’s activities are wide and varied and meet their individual, social and cultural needs. From discussions with people, the deputy manager and information provided before the inspection, people’s relationships with their families and friends are supported and maintained. All of the peoples’ surveys shows that they can choose how to spend their time during the week and that they can do what they want at the weekend. From discussion with the deputy manager and people at the home they are involved in food preparation but not in the actual cooking of the food. There are a number of people who are going to college to study cookery and then do not routinely have the opportunity to practice these skills. There must be a proactive and positive risk taking approach to people being involved in the cooking of their meals. These are important life skills that people should be encouraged to develop rather than the risk adverse approach, which is based on the possibility, that people might burn themselves. The records show that people are provided with a well-balanced and nutritious diet. All food being stored in the kitchen looked fresh and was well within the use by date. People go food shopping with staff support at least once a week. There are new menus in place that include much more choice and flexibility. These have been based on people’s preferences and people have been involved in the planning through the ‘residents’ meetings The people at home for lunch prepared themselves a snack meal with staff. Staff ate with people and there was a relaxed atmosphere. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good The health and personal care that people in this home receive is based on their individual needs. Staff respect the people and promote their dignity and privacy. Medication systems in place are largely safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were positive relationships and interactions observed between staff and the people who live at the home. People commented that they know, get on well with the staff and they treat them well. One person said, “Know the staff…like them”. All of the staff have been provided with equality and diversity and personal relationship and sexuality training, this means that they have a good understanding of providing person centred care and support to the diverse group of people living at the home. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 15 Peoples’ health records and care plan showed that their right to good-quality physical and mental health care is being promoted. The records show that as part of promoting their health people make regular visits to a dentist, optician, specific health consultants, their GP and a chiropodist when needed. People have a ‘health action’ plan completed with the learning disability nurse and the staff complete a health check. One person was taken to the dentist on the second day of inspection. They said “getting my new teeth looked at, XXX taking me in the car”. Staff are trained in the medication policies and procedures during induction and there is a medication training programme. The deputy manager periodically completes a medication competency assessment with staff. This assessment was completed during supervision sessions the previous month. This is good practice. Records of administration of medication seen were correct and medication was stored safely. A number of people have PRN (as required) medication. Some of the plans for taking ‘as required’ medication did not specify under what circumstances it is to be given, how long between doses and what is the maximum dose in 24 hours. PRN (as required) medication plans must be written. The prescribing practitioner or health professional should approve these medication plans where possible. This is so that staff know how and when to safely administer ‘as required’ medication. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good Complaints procedures make sure that peoples, relatives and representatives concerns and complaints are listened to and acted upon. A staff team who have a good knowledge of how to respond to any suspicion of abuse and to keep people safe from harm support the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no complaints made to the Commission for Social Care Inspection about the home since the last inspection. The complaints procedure is available supported by pictures in the service user guide and it is discussed at the monthly residents meetings. People spoken with and surveys show that if they were unhappy they would talk to staff. One person said “if I’m not happy talk to XXX (deputy manager)” another person Makaton signed ‘staff’ when asked. All of the staff surveys that they know how to support people to complain. Since the last inspection the identification and reporting of any adult protection issues has improved dramatically. All incidents between people living at the Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 17 home have been reported to the commission and to social services under local reporting protocols. One person is now reviewed on a six weekly basis by social services, the learning disability team and the home to make sure that any risks to others are safely managed and reduced where possible. As identified early in the report, clear and easy behaviour management plans and risk assessments are in place and there is a now proactive approach to identifying any areas of concern or risk. Staff have attended adult protection training and were confident of the different types of abuse and how and to whom they can report any concerns. Two people spoken with said ‘yes’ when asked if they felt safe in their home. The management of two peoples finances were looked at. All records seen appeared to be correct. From discussion with the manager, it is recommended that as part of the annual quality assurance assessment someone independent audit people’s finances. This is to make sure that peoples’ finances are openly and transparently managed by the home. The manager is appointee for people’s finances. Only one person routinely goes to the bank to draw out their personal monies. They said “ get money from bank…go with XXX (manager)”. All of the other people get their money direct from the manager. People should be consulted as to whether they want to go to the bank with staff support to draw their money out rather than go to the office. This very important life skill should be promoted and developed where possible. Since the last inspection the practice of people, contributing towards staff meals and drinks has ceased. The manager now provides the finances for staff meals and drinks. The management of resident finances policy has been rewritten and distributed to all staff. Staff spoken with confirmed this. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good The home is well maintained and furnished so that people live in a homely, clean, comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a warm and welcoming atmosphere in the home and at the time of the visits, it was homely, comfortable and safe. People living there were able to move around easily and freely and to go to their bedrooms if they chose. One of the people proudly gave a tour of the communal areas of the house and peoples’ bedrooms with their permission. The bedrooms reflected their individual lifestyles, interests and tastes. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 19 The home was clean and free from any offensive odours. All of the people’s surveys show that the home is fresh and clean. People are consulted and involved in the daily chores of looking after the house. Since the last inspection ten bedrooms and the lounge has been redecorated. New furniture has been purchased for the lounge. There is now a covered walkway to the laundry, which had been an area of concern for staff. During the inspection, an ensuite bathroom was being fitted to the staff sleep in room and the flooring being replaced in the downstairs toilet. There was a risk assessment in place for the refurbishment work that is ongoing. There is an ongoing redecoration and replacement programme in place. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good The people living in the home are protected by robust recruitment practices and supported by a skilled, competent and well managed staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation of care practice and discussion with the manager and staff members on duty at the time showed that positive relationships exist between the people and the staff supporting them. The staff members seen were good listeners and communicators and were interested and committed to the work they were doing. Staff rotas seen show that during the week in the mornings there are two staff, the deputy and manager plus a member of staff to support people with community opportunities throughout the day. There are three staff in the evenings and two staff sleep in. Where possible there are 4 staff all day at the weekends. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 21 The home has a low turnover of staff with only a few staff leaving since the last inspection. Staff sickness levels are also low and this means that a consistent staff team that they know well supports the people living at the home. Two staff files of the most recently recruited staff were seen. They included most of the necessary documentation to demonstrate that the staff are suitable to work with people living at the home. They all included CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) checks and references. One staff file did not include any explanations of gaps in employment and the application form does not request a candidate’s full employment history. There needs to be a written explanation for any gaps in staff’s work history so that that there is a complete record of the staff’s work or adult life history to demonstrate that they are safe and suitable to work with vulnerable people. By the second day of inspection, full work histories had been obtained for new staff members and the manager had amended the application from to request a full working and adult life history. Staff spoken with felt they had the skills and experience necessary for the tasks they were expected to do and this included NVQ (National Vocational Qualifications). Eleven of the fifteen staff have NVQ level 2 or above. There is a comprehensive training programme in place and staff have now all been provided with behaviour management training that focuses on diversion and diffusion techniques. Staff have been provided with mandatory health and safety training. They have also received training in the mental capacity act, equality and diversity, adult protection and personal relationships and sexuality in the last year. Any specialist training to meet the specific needs of an individual such as epilepsy is also provided. There is an excellent commitment to training and development by the management and staff and this is to be commended. Staff are supervised by the deputy manager every month and clear records are kept. They have an appraisal on an annual basis. Staff surveys and those spoken with said they had regular supervision and staff meetings and feel well supported. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good People benefit from living in a well run home. They are able to express their views of the service provision and know that their views will be listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with people living at the home, staff, the manager, the examination of records and observation of care practices show that a competent and skilled management team manages the home. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 23 The requirements made at the last inspection have been met and during the inspection, both the manager and deputy showed a commitment to improvement by taking immediate action to address any shortfalls. People spoken with said that they have a monthly ‘residents meeting’. The minutes of these meetings were seen. There is quality assurance system in place, which includes formal consultation with people living at the home, their relatives and health and social care professionals. There are now monthly management team and staff meetings so that staff are kept informed. There is a development plan in place. Information provided before the inspection, by the manager in the AQAA (Annual Quality Assurance Assessment) shows that relevant Health and Safety checks and maintenance are being carried out at the home. A number of Health and Safety records were checked, including the fire safety log. These records showed that health and safety matters are well managed. Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 2 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 01/02/08 1 YA11 12 There must be a proactive and positive risk taking approach to people being involved in the cooking of their meals. These are important daily living skills that people must be supported to develop. Plans must be written for ‘as required’ medication and specify under what circumstances it is to be given, how long between doses and what is the maximum dose in 24 hours. This is so that staff know how and when to safely administer ‘as required’ medication. 2 YA20 13 01/01/08 Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 26 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 YA7 Good Practice Recommendations Staff should make sure that they start ‘life story’ books with people and keep them up to date, as these give a much more interesting picture of how people have been spending their time and people may find them easier to follow than written records. Risk assessments should be dated when they are written so that it is clear when risks were initially identified, assessed and reduced so that the effectiveness of the plan can be monitored. The prescribing practitioner or health professional should approve ‘as required’ medication plans where possible. 2 YA9 3 YA20 Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 Mereside DS0000004557.V353474.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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