Inspection on 11/02/09 for Markham House

This inspection was carried out on 11th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Markham House 17/09/07

Similar services:

The Manor House

Applegarth

Thornham Grove

Hunter`s Lodge

Conifer Lodge

Manor Court

92 Black Prince Avenue

Agnes House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Moorfields 80 Moorfield Avenue Bolsover Derbyshire S44 6EL     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Bridgette Hill     Date: 1 1 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Moorfields 80 Moorfield Avenue Bolsover Derbyshire S44 6EL 01246822285 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : chesterfieldabi@yahoo.co.uk Voyage Ltd care home 13 Number of places (if applicable): Under 65 Over 65 0 0 0 mental disorder, excluding learning disability or dementia physical disability sensory impairment Additional conditions: 13 13 13 The maximum number of service users who can be accommodated is 13. Voyage Ltd may provide the following category of service only: Care home - code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - code MD. Physical Disability - code PD. Sensory Impairment code SI. Date of last inspection Brief description of the care home Moorfield avenue is a purpose built care home that specialises in proving personal care for service users with acquired brain injury. Nursing care is not provided at the home. 11 bedrooms are located in the main part of the building and bedrooms have varying facilities including 3 bed-sit type rooms with a separate lounge/kitchenette area. All bedrooms have large en suite shower rooms. In the grounds of the home are two Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home bungalows which provide facilities for service users to be supported by staff whilst living largely independently. The home is built and furnished to a very high standard and has a large well tended garden with seating area. The home is located in a residential area approximately 10 minute walk from the centre of Bolsover. Some local shops and pubs are nearby. The fees charged at the home vary between £1350.00 - £1900.00 per week depending on assessed needs. This information is included in a pack which is provided for all service users. A range of information is provided to service users in an easy to read format accompanied by pictures. Healthcare information leaflets are also available for service users on a range of topics. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was an unannounced one. The purpose of this inspection was to assess all key standards and compliance to previously listed requirements. Various records including care planning records were examined the findings are recorded in the body of this report. We used a process called case tracking to examine closely the care records of two residents who live at the home. We also undertook a partial tour of the home. An Annual Quality Assurance Assessment was completed by the Previous Manager of the home in August 2008 and where relevant the content has been included in the body of this report. Care Homes for Adults (18-65 years) Page 6 of 30 Prior to our visit we sent surveys to the home for residents, staff and relatives to tell us about the home and the responses have been included in this report. During our visit we spoke with managers, staff, residents and visitors so that they could tell us about different aspects of the home and the service provided. Some service users had communication difficulties which limited what they could tell us about the service. The Acting Deputy Manager Rob Robinson was on duty during the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An admissions procedure is in place, which ensures the home is suitable in meeting prospective residents needs Evidence: The Annual Quality Assurance Assessment told us that holistic pre admission procedures are in place and service users are encouraged to be involved in the process. We were also told the Service User Guide has been developed in a pictorial format. One service user in a survey told us however that they would like to see the Service User Guide in a brochure form with photographs included. One care record for a recently admitted resident confirmed to us that an assessment had been completed at the place where the resident was prior to being admitted to the home. Residents we spoke with told us they had visited the home before moving in and chosen their room and had been given an information pack. One care file had documented dates of assessments and visits that took place before the resident moved in as part of a transition plan. After assessments had been completed the Provider sent Care Homes for Adults (18-65 years) Page 10 of 30 Evidence: a copy of the homes assessment identifying the range of needs to the funding authority. A range of information was made available to residents and visits in the entrance hallway, this included a copy of the last inspection report. Photographs of staff were also on the wall to aid residents and visitors to identify staff and their role. Care Homes for Adults (18-65 years) Page 11 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally the care plans in place were found to be informative of residents assessed needs and abilities though the few deficits had the potential to adversely affect the care residents receive. Evidence: We looked at two care files to examine if assessed needs were documented and care plans. Generally care plans were in place and were well documented, they presented the resident as a person, clear in giving instructions to staff on how to deliver care. Where gender preferences of staff were wanted by residents these were recorded. Some residents told us they were involved in the care planning process. One piece of conflicting information was found on a care file where the residents religion was recorded differently on two parts of the care file. For one resident there Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: was not a care plan in place for a significant loss of weight over a short period of time. Some of the care records documented food intake for this resident but not all and the dietary requirements record was not completed. Risk assessments were in place as part of the care plans and considered a range of risks such as smoking, vulnerability and road safety. Where residents had communication difficulties these were included as part of the care plans we saw. Staff were able to describe methods used and how they used non verbal presentation of the resident to interact with them and assess their needs. Some assessments were also in progress such as residents abilities to make decisions for themselves. Records were kept by each shift on a range of areas of how the resident had spent their day. Some of the content recorded gave little actual information such as mood recorded as being ok. Reviews of care were typically well documented multi agency reviews where the residents and their families were involved. We talked to staff about residents needs and they were able to give us a good account of these which appeared consistent with the information in the care plan. One resident told us the home was fabulous and that staff were helpful, kind and patient. We observed patient interactions from staff to residents and jovial ones where staff and resident shared a little banter. Care Homes for Adults (18-65 years) Page 13 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents were offered a range of activities which allowed them to develop individual lifestyles. Evidence: A board was situated in the dining room which detailed the daily routine for each resident. The care files we looked at recorded residents individual interests and for some though not all residents there was a weekly planner in place of what activities residents participated in. For newer residents there was less information and activities planned as these were not fully established. The home had its own transport to do shopping, take residents out for leisure and healthcare appointments. Staff told us they thought there had been an improvement in the activities offered to residents. Whilst no one currently attends college we were told Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: this was being looked at. One resident told us about the activities they went to outside of the home and presented an active lifestyle where independence was promoted. Some residents had their own computer and mobile phones at the home. Activities we were told about that residents participated in were trips to pubs, archery, swimming, a day trip to Skegness and dancing classes. A Wii was also available in the home with drum and guitar attachments. Local hairdressers in the community were generally used. Since our last visit restructuring of office accommodation has allowed space for a library /resource centre to be set up. This has books loaned by the library which are changed regularly and information available to residents. It also provided a quiet are for some residents to enjoy a little peace. A gym is available on site for residents to use as they wish. A menu was drawn up and residents told us they were involved in this. Staff and residents said that whilst one main choice was offered alternatives were available for anyone who didnt like the option offered. The menu was written on a board each day in the dining room to inform residents what the main meal was. Residents told us they considered the food to be lovely and that snacks and drinks were available at anytime. We were told that staff mainly did the cooking but one resident told us they would like to do more cooking. Typically there was a vegetarian/fish dish offered at each meal which was suitable for the current residents. Sometimes meals out or takeaways were also arranged. We spoke to 2 visitors during our visit who told us they were always welcomed by staff and the home was fresh and airy. Care Homes for Adults (18-65 years) Page 15 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents healthcare needs are being met. Insufficient recording of controlled medications meant items may be missing and staff not be aware of this. Evidence: Each resident had a healthcare file with details of hospital appointments, chiropody, dentist and GP visits and dates in the care files we looked at confirmed that a range of healthcare appointments had been kept. As part of the transition when residents were admitted the care plan described that a range of checks were to be completed within one month of admission. Dates told us these had been completed or planned for the near future. We examined the medication storage and administration records in the home. The medication administration records for residents appeared to fully completed by staff with signatures to record medication had been given. Storage arrangements were suitable for all medications. Where homely remedies were used there were clear protocols in place for how and when they should be given. We looked at records for Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: controlled drugs and checked the stock that was held. Some drugs which are not controlled drugs were recorded in the controlled drugs book. There were also drugs recorded in the controlled book as being in stock which were not in the cupboard. This was for an ex resident who has left the home. Whilst no one in the home fully self medicated there was some work being done towards enabling residents to administer their own medication. There were some topical creams which had been opened that were not dated on opening to ensure they were used within safe time limits. An audit trail of drugs was possible as medication was signed in and disposal records were kept on return to pharmacy. Staff and residents told us that privacy in bedrooms was respected and residents had access to the keys to their room. Staff of both genders were available and care records indicated that residents preferences were recorded. Care Homes for Adults (18-65 years) Page 17 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Where allegations have been made these have been appropriately handled however not all staff are trained in Safeguarding Adults which may adversely affect their ability to identify and report abuse. Evidence: The surveys we received were ticked yes that service users knew who to talk and complaint to if needed. One resident told us they know about how to complain and named the staff they would speak to. Another survey told us that the resident knows how to complain but doesnt know where the complaint goes to. Since our last visit the Commission for Social Care Inspection has received one complaint which was forwarded to the Provider, this was satisfactorily investigated and a response given. The complaints procedure was included in the Service User Guide in the reception area. A record of the complaints dealt with in the home was kept and included what actions had been taken to address them which appeared to be satisfactory. All complainants received written responses to tell them the outcome of the investigations and what action had been taken. The Annual Quality Assurance Assessment told us that there has been 3 Safeguarding Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Adults referrals and one investigation which is ongoing at the time of our visit. Suitable procedures were in place for handling allegations and a record of the actions taken was kept. We spoke to staff and looked at training records to establish if staff had received training in Safeguarding Adults. Some gaps were evident on the training matrix where staff had not received training. Staff we spoke with said they would speak to one of the managers if they had any concerns about the way residents were being treated. Most of the residents in the home dealt with their own monies although some money for residents was kept safely by staff. The records for these had receipts for any purchases made and typically one signature although some entries for withdrawals were not signed at all. One resident told us staff was helping them with their money and benefits Care Homes for Adults (18-65 years) Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is spacious, clean and provides a good range of accommodation for residents to live in. Evidence: The home is a purpose built one in a residential area. It is close to a local shop and is a around a 10 minute walk into the nearby town. The home has a well-tended garden with bird feeding tables and seating for residents to use. We did a partial tour of the building and some residents were happy to let us view their room. All bedrooms were spacious and provided en suite toilet and shower facilities. Some bedrooms had a kitchenette and seating are. Two of the registered places provide accommodation in bungalow type homes in the grounds which provide a lounge/kitchen area. Residents rooms were personalised with their own possessions and photos and residents told us they liked their rooms. In one room we visited the toilet seat was missing and required replacement. The flooring in one bedroom has been replaced to enable easier cleaning. All parts of the home we looked at were clean, tidy and well presented. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: The fire safety records we examined were up to date with relevant checks and servicing to demonstrate suitable precautions were in place. The staff training records however indicated that not all staff fire safety training was up to date. A small laundry area was situated in the main house and residents told us they had regular days allocated to use the machines. Some residents participated in doing their own laundry whilst some were assisted by staff or clothing was laundered by staff. All cleaning items were suitably stored in locked cupboards to prevent accidental ingestion. Care Homes for Adults (18-65 years) Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are suitably recruited to work with vulnerable adults, gaps in training and low levels of staff with National Vocational Qualifications may adversely affect the service residents receive. Evidence: At the Annual Service Review we conducted in September 2008 it was evident from staff surveys that staff were concerned about levels of staffing and management of the home as a result our inspection was brought forward to this visit. At this visit we found that staff were telling us that staff morale had improved. All staff we spoke with told us there was approachable managers at the home and that staffing levels were in place to meet residents needs. This was also supported by the staff surveys we received. The Annual Quality Assurance Assessment received in September indicated a high staff turnover with 22 staff being employed and 9 having left in the past year. The Acting Manager at this visit told us that new staff were being recruited but no one had left recently and there was more stability in the staff group. We looked at staff rotas which had consistent levels of staff on duty in sufficient numbers for the numbers of residents. Staff surveys we received also told us that Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: most staff considered staffing levels were in pace to meet residents needs. It was identified through discussions with staff and the information on the rota that the Acting Manager was on duty in the home for all the times indicated on the rota due to other work commitments. The rota was therefore not wholly reflective of staff on duty in the home. The home had a computer based training system in place which all staff completed some of their training on. Records for staff training were kept individually and on a matrix which gave an overview of what had been completed. Throughout the staff matrix there were gaps where staff had not completed training the main ones being fire safety, Safeguarding Adults and Moving and handling. The Acting Deputy Manager who was a Moving and handling trainer told us that some training was planned such as crisis intervention and Moving and handling. Most staff had completed the electronic first aid training. The most recent started had completed an indication at the commencement of the post. This is included as part of the electronic learning package made available to staff and a copy of common induction standards were available in the home. The home has a low number of staff who have completed National Vocational Qualification training with only one person having achieved this. The Acting Manager was aware of this and we were told the Provider was looking at this as a priority. We were told 5 staff had recently enrolled on courses. The recruitment files of three staff were looked at and they indicated that recruitment and selection had been carried out properly and all required checks had been made to ensure protection of the people being supported. Staff were currently being recruited and some residents had been supported to take part in the recruitment processes. Residents told us they enjoyed this but was a bit nervous about it. Visitors we spoke to said staff were always smiling and happy when they visited the home and that there was an open atmosphere in the home. Care Homes for Adults (18-65 years) Page 23 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There have been changes in management and work has been identified but yet to be completed to ensure the home is run in the best interests of residents. Evidence: Since our last inspection there have been changes in the homes management and an Acting Manager was in post supported by an Acting Deputy Manager. The post of Manager was currently being advertised. Staff we spoke with had a positive regard for the current management in post and residents also told us the names of the managers as people they would approach if they had concerns. It was evident from training records that this has not been managed in a way that ensured staff had undertaken all necessary training. Only one staff member has achieved a National Vocational Qualification. Training deficits were evident in some key areas such as Moving and handling, fire safety and Safeguarding Adults. The Acting Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Manager told us they were aware of these and would be addressing them. There were minutes seen of residents and staff meeting. The residents meetings had a core agenda in place and discussed a range of topics such as choice of holidays and fire safety. Staff meetings tended to be held monthly and discussion topics included areas of improvement and staff training. An action/development plan for the home was seen which had dates for the completion of items which appeared to have been worked through and included a wide range of aspects. We looked at the last three monthly visits the operations manager had made to monitor the quality at the home. The visits included discussions with residents and staff. As a result of the findings actions were identified that needed to be taken to improve the service. Some actions such as changing management style appear to have been completed. As a result of the findings actions were identified that needed to be taken to improve the service. Some actions such as changing management style appear to have been completed. Other aspects identified included staff supervision, appraisals and National Vocational Qualification training which had yet to be addressed. We discussed staff supervision with the acting deputy who told that these were not being completed, this was confirmed in one of the regulation 26 reports. Surveys from staff also told us that staff sometimes or never with the manager to give them support. Some older staff supervisions were on file but none recent. Accident records were completed and filed on an individual basis, these described what actions had been taken after accidents had occurred. The Annual Quality Assurance Assessment gave us the dates of the service checks on the installations in the home and all of these were in date. We looked the water temperature records which indicated that they were checked on a monthly basis and were within acceptable temperature levels and an up to date legionella risk assessment was in place Care Homes for Adults (18-65 years) Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 Care plans must be in place to describe how all areas of identified needs are to be met. This will ensure the residents needs will be met. 31/03/2009 2 20 13 All topical preparations must 31/03/2009 be dated on opening and discarded within manufacturers timescales. This will ensure medications are safe to use 3 20 13 The recording of controlled drugs must be robust and enable an audit of medications in the home to be completed This is to ensure that all drugs are accounted for and they are safely stored and administered 31/03/2009 4 23 13 All staff must receive training on the safeguarding of adults. 30/04/2009 Care Homes for Adults (18-65 years) Page 27 of 30 This is to ensure they are able to recognise and report appropriately report any concerns they may have 5 24 23 All staff must receive fire safety training at a frequency acceptable to the fire service. This will ensure staff are suitably trained and have the knowledge to ensure their own safety and that of residents in the event of fire 6 24 23 The missing toilet seat requires replacement To ensure the facility is suitable and comfortable for residents to use 7 32 18 A programme must be implemented of supporting staff through NVQ or equivalent qualifications This will ensure the staff group have the appropriate skills to deliver care to residents 8 36 18 Staff must receive individual 30/04/2009 supervision which covers the homes philosophy, practice and training needs. This will ensure staff are supported in their role to care for residents 30/06/2009 31/03/2009 31/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of Care Homes for Adults (18-65 years) Page 28 of 30 improving their service. No. Refer to Standard Good Practice Recommendations 1 37 A manager should be appointed and registered with the Commission for Social Care Inspection to ensure the home is managed effectively in the best interests of residents Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!