Inspection on 31/10/06 for Midmoor Road (19)

This inspection was carried out on 31st October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Midmoor Road (19) 21/02/06

Midmoor Road (19) 03/11/05

Midmoor Road (19) 29/03/05

Midmoor Road (19) 09/09/04

Midmoor Road (19) 17/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Midmoor Road (19) Pallion Sunderland SR4 6UP Lead Inspector Gillian McCabe Key Unannounced Inspection 31st October 2006 09:30 Midmoor Road (19) DS0000015773.V301672.R02.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 Midmoor Road (19) DS0000015773.V301672.R02.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. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Midmoor Road (19) Address Pallion Sunderland SR4 6UP 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) 0191 510 3612 0191 510 8099 Northumberland, Tyne & Wear NHS Trust Miss Amanda Louise Hunter Care Home 6 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1), Physical disability (5), of places Physical disability over 65 years of age (1) Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: Midmoor Road is a small registered care home, run by Northgate and Prudhoe NHS Trust. It provides personal care and support services for up to six people who have a learning disability and may also have difficulties with mobility. The home is not registered to provide an emergency admission service, and it cannot provide nursing care. Accommodation is provided in a spacious purpose built detached bungalow, which stands in it’s own enclosed gardens with extra space for off street parking. It is situated in a residential area of Sunderland and is within easy reach of local shops, parks, Churches, pubs and other facilities. The area is well served by public transport and people living at the home have the use of a privately owned ‘people carrier’ too. Closed circuit television (CCTV) is not used within the home, but it is installed outside at the entrance and in the parking area to ensure the security of the people living and working there. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over two days, one day in August and one day in September 2006. The visit was a scheduled unannounced inspection. The inspection included a separate look at the pre-inspection questionnaire (completed by the manager), before, during and after the inspection. One comment card was received from a relative, which highlighted the service in a positive way. The judgements made in the report are based on the evidence available to the inspector during the inspection, the pre-inspection questionnaire supplied by the registered manager and any comment cards received from service users and their relatives. Evidence was gathered using a system of case tracking of the individual care needs of service users to see if their assessed needs are being fully met through all aspects of their daily lives. A sample audit of the homes procedures for administration, disposal and storage of medication was carried out. Financial records for two service users were also checked. Time was spent looking around the home and observing life in the home. Time was also spent talking with members of staff and a visiting relative throughout the day. What the service does well: The home continues to encourage and offer good support to enable service users to access local community services and facilities. Service users access a wide range of community facilities and staff also support service users with taking part in a wide range of activities inside the home. Good individual support plans are in place detailing how people prefer to be supported. One relative has positive comments about the service provided, they include, ‘XXXX is well looked after here’ ‘The staff are excellent’ ‘I can come at any time I like’. Staff comments about the training and support provided are positive and include ‘there is a lot of training available’ ‘the training and support you get is good’ Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 6 The manager runs the home for the benefit of residents. She has a good understanding of residents needs and promotes individual choice as much as possible. 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. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. There have been no new admissions into the home recently. All service users needs have been assessed prior to their admission and assessments are in place identifying individual needs, wishes and aspirations. Each service user has an individual contract in their files informing of the homes terms and conditions. The contract is informative and has been developed in a pictorial format. This can help service users to have a better understanding of the contract. Some information such as the homes fees were out of date. EVIDENCE: Assessments are carried out prior to any admission into the home. The manager confirmed that pre admission meetings are held with relevant professionals where potential admissions into the home are discussed. Once a person has been matched for possible admission into the service an opportunity to visit the home and meet the staff and other residents will be arranged. Potential service users are offered information about the service in the form of a ‘Service user Guide’ and the opportunity to have an overnight or weekend stay is offered prior to acceptance of occupancy. The service user guide is currently being redeveloped in pictorial format to make it easier for residents to understand. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 9 Midmoor Road has service user contracts in place giving details of the homes terms and conditions the service has in place regarding occupancy. The contract is produced in pictorial format making it easier for service users to understand. Details of fees payable by service users are clearly shown on individual contracts however the information is now out of date due to a change in charges. The manager is currently updating the contracts to include current charges. Midmoor Road (19) DS0000015773.V301672.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Service user plans are in place, which reflect individual needs, wishes and aspirations. This ensures that staff give the correct level and type of support when it is required. Residents are consulted on and participate as much as possible in the running of the home. This helps to promote independence and inclusion. Residents are supported to take some risks within a planned framework as part of an independent lifestyle. Staff follow guidelines to ensure the correct level of support is given to minimise any potential risks. EVIDENCE: As part of case tracking exercise two service users file were looked at. Comprehensive Care Management assessments were available as well as the homes own assessment. Each plan of care is regularly evaluated and any changes are recorded appropriately. Individual pictorial plans are in place giving details of individual support needs. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 11 The plans inform the reader of persons needs and provide information to the reader on how to assist a person with any daily tasks. For example, how a person may need help to communicate, how a person may need help with eating and drinking, what type of equipment a person may need. The plans at present are comprehensively written however the manager is reviewing the plans and updating all the pictures in each persons file, as some are out of date. The plans identify individual care needs and how they would be met, individual personal goals, risk assessments and details of health related needs. All residents have key workers who encourage residents to participate in daily tasks as part of promoting an independent lifestyle. Part of one residents support plan is to encourage mobility inside the home and encourage transferring from sitting to standing position. The manager has liaised with relevant health care professionals to provide the right kind of support to enable this person to do this task safely. Members of staff demonstrated their ability with supporting this person to transfer from sitting to standing position as well as supporting this person to take small steps. Staff have received training in manual handling, which means they are skilled in carrying out these tasks. The team of staff have made excellent progress with this particular goal. The manager confirmed that key workers review individual goals in support plans and record outcomes. This is good practice as it means up to date information is kept reflecting residents changing needs. Risk assessments are in place for any identified areas of risk and the manager confirmed that risk assessments are evaluated regularly. Staff encourage and support residents as much as possible to participate in the running of the home. Regular house meetings are held where discussions around events in the home, any changes to the home are discussed, residents are encouraged to participate in these meetings if they wish. Records were not looked during this inspection. Midmoor Road (19) DS0000015773.V301672.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to the service. Residents are supported and assisted to lead active and fulfilling lifestyles by having regular community presence and accessing a range of community facilities. Routines in the home are resident focussed and changed to meet individual needs when necessary. Meals provided are healthy, varied and attractively presented in a relaxed and unrushed manner. A choice of meals are not shown on the homes menu and some service users may have difficulty in understanding the menu as it is produced in written words. EVIDENCE: Staff support residents to take part in and access local community facilities as well as participating in activities inside the home. Midmoor road has the benefit of a sensory room which residents enjoy using. Staff encourage residents to participate in baking, craft activities and listening to music inside the home. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 13 Outside the home, residents are supported to access local shops, theatre, cinema, bowling facilities, restaurants and a day centre, which provide lots of activities. One member of staff had just returned from a short break away in Scotland with a resident. Staff members talked about how much residents enjoy going to Scotland so much that another small group of people was on their way to the same place. The home also has the benefit of its own transport, which is accessible for all residents to use. Residents are encouraged to keep in touch with friends and family members and staff encourage visitors to visit their relatives at any time throughout the day. One relative was visiting their relative during the inspection and comments about the service included ‘He is well looked after here’ ‘The staff are excellent’ ‘I can come at any time I like’. Mealtimes are usually at set times throughout the day. Breakfast is between 7.30 – 10.00 am Lunch is 12.00 – 1:30pm Evening meal is 4:30pm – 6:30 pm and Supper is served 9.00pm – 10.00pm. The home has a menu, which is planned with residents and reflects what residents like to eat however it is in written format and some residents may have difficulty in understanding what is written. Time was spent talking with one member of staff about how this could be improved. The menu does not show an alternative choice of meals on offer, staff confirmed that a choice of meals is offered. Examples of lunches and dinners on the menu include ravioli, sausage casserole and vegetables, soup, macaroni cheese; no deserts are shown on the menu and supper includes yoghurt, fruit or cake, which is shown as the choice every evening. Midmoor Road (19) DS0000015773.V301672.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Service users have their personal care needs clearly outlined within their care files; health care needs are identified and arrangements are in place to ensure they are promoted and met. However not all records for pressure care monitoring were not in place. Good medication arrangements are in place and managed well which promotes the health and well being of residents. EVIDENCE: Records in files show that service users regularly attend G.P, chiropodist, speech therapist, specialist consultant, opticians, dentists etc. Staff support service users with attending to healthcare needs, which promotes the persons physical and emotional well-being. The manager and staff confirmed that appointments would be made with various healthcare professionals when necessary and healthcare professionals would visit the home if requested. This ensures a persons health needs are regularly monitored. Relevant health professionals are involved in service users care where appropriate and members of staff actively seek advice from health care professionals when necessary. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 15 One persons support plan highlights that support with pressure care is required. The previous inspection highlighted shortfalls in this area, with regards to documentation relating to frequency of turns that may be required as part of the support plan. The person’s plan has been reviewed and now shows the frequency of turns needed for this person, however charts were not in place to show the correct amount of turns had taken place. Time was spent talking with the manager about the importance of having such chart’s to ensure the correct amount of support is always given. The manager addressed this immediately and devised a chart to record information. Staff members need to be briefed about the importance of completing the charts when they are implemented. A sample audit of the homes procedures for administration, disposal and storage of medication was carried out. All records were complete and signed appropriately. Sample signatures of staff responsible for handling medicines are kept in medication file. All staff responsible for handling medicines have completed training in Safe Handling Of Medicines, which means all staff have the skills needed to be fully competent in handling medicines. The manager and staff have produced a file giving details of medical or health conditions that may be relevant to residents living at Midmoor road. The file provides information about various health conditions and how to support people who may be experiencing them. There is also a library containing books and literature regarding areas of care for staff to access. Midmoor Road (19) DS0000015773.V301672.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Midmoor Road has robust procedures in place to ensure service users are protected from harm and to address any complaints or concerns about the service. EVIDENCE: The home complaints documentation is produced in pictorial format to make it more accessible for people using the service. The home has a policy and procedure in place informing of the process should any complaints be received into the home. No complaints have been received into the home since the previous inspection. The home also has policies and procedures in place, which set out the values and principles that underpin the home’s approach to the protection of service users. This ensures service users are protected from harm. The majority of staff have received training around the protection of vulnerable adults (POVA). The manager confirmed that regular refresher courses are carried out which helps members of staff to keep up to date with POVA procedures. The manager also gives staff questionnaires each year as part of refreshing staff regarding vulnerable adult procedures. Staff spoken with demonstrated an awareness of whom to contact in the event of an alert. There has been one referral made since the previous inspection, which was managed appropriately and resolved to the satisfaction of all involved. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home is comfortable and generally well maintained, and is kept clean and free from infection. EVIDENCE: Midmoor Road is pleasantly decorated with good quality furniture and fittings in keeping with the age and lifestyle choices of service users. The property is kept clean but as a result of general wear and tear, some repairs have become necessary. The bathroom flooring is due to be renewed in the near future as it has lifted and water from the shower is seeping behind it. This needs to be renewed quickly so that residents can continue to bathe in a safe and pleasant environment. The flooring in the homes additional bathroom is also starting to lift. Time was spent talking with the manager about these areas. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 18 As part of an ongoing programme of improvement, the home has the benefit of a new television in the lounge, the tables and chairs in the lounge and the dining room have been replaced, and some redecoration has taken place throughout the home. This makes for a more inviting place for the people who live, work and visit there. There are some freestanding furniture in residents bedrooms that have not been fitted with anti topple devices. Time was spent talking with the manager about how to address this. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The service has a good recruitment procedure that clearly defines the process to be followed. Employment checks required for new employees were not able to be carried out. The service recognises the importance of training and delivers where possible a programme that meets statutory requirements. EVIDENCE: The service has a recruitment procedure in place that highlights the process to be followed. Staff records are held centrally therefore it was not possible to check if correct employment checks had been carried out prior to any new staff being recruited. Prior arrangements would need to be made with the trust to gain access to staff records. The manager confirmed that residents are encouraged to be involved in informal interviews as part of the recruitment process. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 20 The manager ensures any new members of staff within the service receive induction training, which covers all mandatory training. One member of staff who had transferred to Midmoor Road confirmed that induction training had been carried out previously and was clear about procedures in the home, his role and what is expected of him. Staff spoken with talked about the training programme and the support they receive in their role. Staff spoke positively and said ‘there is a lot of training available’ ‘the training and support you get is good’ As well as mandatory training staff have also completed training in Epilepsy, Valued Life, Person Centred Planning. Eleven members of staff have successfully completed an NVQ Level two and training in NVQ Level three is planned for some staff in the future. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The manager runs the home for the benefit of residents. She has a good understanding of residents needs and promotes individual choice as much as possible. Health and safety is promoted by a well managed home. Systems are in place to safeguard residents’ finances. However, in one instance poor recording was evident. EVIDENCE: The registered manager has relevant experience and is competent to run the home and meet its stated aims and objectives. She strives to continuously improve the service and provide an increased quality of life for residents. She is also keen to develop her existing skills and knowledge and does so by regularly attending training courses, and sharing new skills and knowledge with her staff team. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 22 Some of the training she has completed includes an NVQ four in Care & Management, Learning Disability Certificate, Intermediate food hygiene and Moving & Handling Facilitator training. The manager is planning to complete Person Centred Planning facilitator training in the future. The home has policies and procedures in place, which the manger reviews and updates when necessary. Any new or amended policies are discussed at the monthly team meetings and staff are required to sign a memo, which indicates that they have read and understood any new policies or amendments to current ones. Quality assurance systems are in place and the operational manager continues to visit the home on a monthly visit to carry out various audits and reports information to CSCI in accordance with regulation 26 of the Care Homes Regulations 2001. The home continues to gather Residents and their relatives’ views as part of the homes quality monitoring system. Questionnaires are sent out on a yearly basis and the information gathered from questionnaires is collated and shared with staff with a view to sharing good practice and highlight any areas of poor practice. Questionnaires were not looked at during the inspection. The manager confirmed that staff and residents meetings are also held on a regular basis to discuss anything connected to the running of the home. Records of meetings held were not looked at during the inspection. The manager confirmed that health & safety checks are carried out as part of the homes quality assurance system, Fire records, accident records and other health and safety records were complete and up to date. The home usually notifies CSCI of any incidents or accidents under Regulation 37. The home manages residents’ finances on their behalf and systems are in place to record transactions. Checks show that records are up to date however one entry where an error had been made was corrected by using correction fluid. Time was spent talking with the manager about safe procedures to use when making entries onto financial records to ensure records are legible for the purpose of auditing. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X X X X 3 X Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 24 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. 1. 2. 3. Standard YA1 YA17 YA6 Regulation 5(1)(c) 16 (2) (i) 14 (2) (b) Requirement The homes contract or Licence must include updated details of fees payable. Menus should show a choice of meals. The Registered Manager should further develop care planning in relation to recording pressure care needs of one service user. Anti topple devices must be fitted to freestanding furniture in the home. Flooring in the bathroom must be renewed as a matter of priority. Timescale for action 31/03/07 31/01/07 31/12/06 4. 5. YA24 YA27 13(4)(a) 23 (2) (d) 31/12/06 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA41 Good Practice Recommendations Financial records must be kept legible and any errors must not be corrected using correction fluid. Midmoor Road (19) DS0000015773.V301672.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Midmoor Road (19) DS0000015773.V301672.R02.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. 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!