Inspection on 20/04/07 for Mount Road (104)

This inspection was carried out on 20th April 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mount Road (104) 05/01/06

Mount Road (104) 09/09/05

Mount Road (104) 22/03/05

Mount Road (104) 25/08/04

Mount Road (104) 29/03/04

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 Mount Road (104) High Barnes Sunderland SR4 7NN Lead Inspector Lee Bennett Unannounced Inspection 20 April and 9th May 2007 1:00 th Mount Road (104) DS0000015778.V334404.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 Mount Road (104) DS0000015778.V334404.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. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Road (104) Address High Barnes Sunderland SR4 7NN 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 522 8121 P/F 0191 522 8121 www.c-i-c.co.uk. Community Integrated Care Sarah Louise Loftus Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: The home at 104 Mount Road provides personal care and accommodation for up to 3 people with a learning disability. It began operating in 1989 and was later registered under the Registered Homes (Amendment) Act 1991. The care service is provided by CIC (Community Integrated Care). The house is the property of Three Rivers Housing Association, which remains responsible for general maintenance and repairs. The premises consist of a good-sized terraced house in a quiet residential area. It is close to a local shopping area, pubs and a bus service to the City centre. There is a small run of steps up to the front door so the home would not be suitable for people with significant mobility needs. On the ground floor there is a comfortable lounge and a dining room. At the back of the house is a large family sized kitchen/diner, a utility room with laundry equipment and access to the back yard. There is also a small toilet on the ground floor. On the first floor are 3 single rooms, and a small staff sleepin room that doubles as an office. On a mezzanine landing there is a bathroom and a separate small toilet. The fees charged by the home are £610.37 per person per week (April 2006 to March 2007). Additional charges are made for the use and running of a shared vehicle. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit in January 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 20th April and 9th May 2007. During the visit we: • Talked with people who use the service, visitors, staff and the manager. • Looked at information about the people who use the service & how well their needs are met. • Looked at other records which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked what improvements had been made since the last visit. • We told the manager what we found. What the service does well: The service users living at Mount Road have diverse needs and interests. The staff team work hard to meet these varying needs on an individual basis. The home is very comfortable, nicely decorated, and a pleasant place for people to live. It is like any other house in this road, and the people who live here enjoy using local shops and being part of the local community. Staffing arrangements are flexible, and allow service users to lead active lifestyles. Visitors are able to call to the home at reasonable times, and the staff help service users to keep in touch with friends and family members. The people who live here go shopping for their food with help from staff. The foods that they like are used to make a menu, and they can choose to have what they want for their meals. The home is well decorated, warm and comfortable, and a safe place to live. Service users make good use of the all areas in the house as they choose. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 6 They each have good-sized bedrooms with their own key for the door if they choose to use it. Staff are well trained and experienced so they know how to help people in the right way. New staff benefit from a detailed introduction to the people living at Mount Road, are informed about their needs and also about routines in the home. This helps staff and service users to get to know each other really well, and for staff to know exactly how to help the people who live here. The home is well managed. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Mount Road (104) DS0000015778.V334404.R01.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 Mount Road (104) DS0000015778.V334404.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment of need is excellent both before and following admission, and then periodically afterwards. This can help ensure that the service can be planned in a way that meets service users needs and wishes. The home is able to meet the individual needs of service users’ to a good standard, but the diversity of their needs and aspirations has created problems that may impact on aspects of quality of life for people living there. EVIDENCE: Since the last inspection one new service user moved into the home. Before this person moved here, a care manager of the Social Services Department carried out an assessment to see what they needed. The Manager of the home then carried out assessments to see if this home could meet their individual needs. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 9 The assessments include the potential service user, their relatives, their social worker, and any other people involved in their care at this time. In this way, the home only admits people whose needs it judges can be met here. The newest service user has now lived at the home for nearly a year. It was evident that although staff work hard to meet this person’s needs, these would be better met in a different type of service, where people have similar needs and aspirations. The registered manager is working with a social worker to arrange this. Mount Road (104) DS0000015778.V334404.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 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are in place, and reflect their observed needs (including their cultural needs and personal preference) to an excellent level. Effective care planning can offer guidance to care staff regarding care practice and ensure consistency where necessary. Service users are, as far as is practicable, consulted on and participate in the life of the home to a good level. They are supported to an excellent degree to make decisions about their own lives. This can help in the development of an inclusive service for those living there. Service users are well supported to take risks within a planned framework, irrespective of their age, gender or level of ability. This can help ensure their independence is promoted, balanced against a judgement about any risks involved. This can also help promote an awareness of safety to a good level and ensure equality of access to community facilities and activities. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 11 EVIDENCE: The assessment records for the newest service user are in place in their care file. This helped to develop an individual plan of care, which sets out the areas of daily living that they require support with. The care plan also includes goals towards future independent living skills in areas such as social, domestic and finances, to whatever degree this will be possible. The people who live here are encouraged to make their own choices and decisions about their daily lifestyles. Service users and staff spend time together talking about future plans and what service users would like to do. It was clear from discussions and observations that service users make their own decisions about how to spend their day, what to wear, what to eat and where to go. Service users are involved in making decisions about other people who may move here to help ensure their compatibility. Although this initially worked out for a recently placed person, this is no longer the case. The home’s manager is now working with a social worker to ensure that all service users’ views are acknowledged, and that their needs and safety can be promoted first. This is to be done by arranging a move for one service user to a different type of service. This needs to be done without undue delay for the benefit of all concerned. Mount Road (104) DS0000015778.V334404.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): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assisted, to a good degree, to lead active and fulfilling lifestyles by having a regular community presence, and by accessing a range of community facilities. This will assist in them leading a full and enjoyable life. Service users are well supported to maintain their personal relationships and friendships, which helps them to keep in touch, and be involved in their family life. Service users rights are respected and routines in the home are flexible to an excellent level. This can help to promote a flexible service that encourages and promotes service users’ choices and preferences. Service users are offered and receive a varied, wholesome, nutritious and wellpresented menu. This can contribute to their general health and wellbeing. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 13 EVIDENCE: One service user who lives here spends a couple of days a week at a day centre. This is a long-standing day care arrangements that this person chooses to continue at this time. Another service user attends art and pet care classes at a local college, whilst another largely arranges his own activities. He is offered support from staff at the home and from other services, although this is sometimes declined. Each service user has a weekly activity plan. This offers an outline of what is planned for the week ahead. This is not applied in a rigid way, rather it sets out the minimum of activities to be carried out. Service users are also supported to engage in community-based activities such as shopping, and daily living activities such as housework. The service users also enjoy a number of individual hobbies such as music, jigsaws and art & crafts. These daytime occupations currently suit the physical capabilities and increasing age of two of the service users. A shared vehicle is available to help service users get out and about. Service users are fully involved in the daily running of the home in terms of domestic tasks, with support where necessary. They are encouraged to take responsibility for their own rooms and possessions. Service users rights are respected and valued by the staff. For example they can spend time in the privacy of their own rooms whenever they wish, and staff do not enter their rooms without seeking permission. Service users are involved in choosing meals, and menus are based on their known preferences. Meals are detailed in menus, are traditional, healthy and appetising. They can choose to dine in the pleasant dining room or the dining area in the large family kitchen. They can also eat elsewhere if they wish. Due to the current mix of people living at the home, one service user takes their meals separately. Mount Road (104) DS0000015778.V334404.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive a good standard of personal support appropriate to their needs and preferences, which can help to ensure their privacy and dignity is respected. Service users health care needs are identified and arrangements are made to help ensure they are promoted and met to a good degree. Medication arrangements are appropriate for the needs of service users, and are managed in a good and safe manner. EVIDENCE: Some of the service users who live here require some physical support with their personal care need. One person requires the support of 2 staff to get in and out of the bath, then the supervision of one staff whilst bathing due to their health care needs. The other person needs staff support to get into the bath and with washing hair. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 15 The permanent staff team are made up of exclusively females. This means that staff of the same gender provide support to the women here. There are regular male agency workers used, who provide support for the male service user. In this way the service users receive gender-appropriate support. Service users have been assessed as not being able to manage their medication at this time, so this is managed by staff. Medication is stored, managed, administered and recorded in the right way. The home keeps a list of the staff who are designated as responsible for administering medication. The longer serving members of staff have had accredited Safe Handling of Medication training. The others have got this training arranged. Some staff have also received brief training from the pharmacists about the Monitored Dosage cassette system used here. A stock check was undertaken for a sample of medications held in the home. This was concluded successfully, with stocks held corresponding to those recorded. Mount Road (104) DS0000015778.V334404.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ views are listened to and acted upon to a good level. This can help contribute to a service user centred service. Robust systems give staff clear direction to ensure appropriate steps are taken so that service users are protected from abuse, neglect and self-harm. EVIDENCE: There have been no complaints received by the home, or referred to CSCI to deal with. Service users were asked if they knew who to talk to if they were unhappy and if they felt that they would be listened to. They stated that they were both aware of who to contact and that their views are acknowledged. The service users living at Mount Road are able to clearly express their views and feelings, and these are listened to by staff. As some service users don’t get on with one another, this has caused some tension within the home and house meetings have therefore been suspended for now as these become too confrontational The registered manager is therefore working with Social Services and health care professionals to ensure the situation is resolved and service users are protected. As with all adult care services in Sunderland, the home has adopted the citywide MAPPVA (Multi-Agency Panel for the Protection of Vulnerable Adults) procedures. These are robust methods for dealing with suspected abuse. This Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 17 topic also forms part of staffs NVQ in care work, and is supplemented by the care providers own ‘No Secrets’ training course. The Manager and staff have had training in the MAPPVA procedures. In discussions staff were able to describe their responsibilities to report suspected abuse. Mount Road (104) DS0000015778.V334404.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, 25, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from good, well maintained, homely, safe and clean accommodation. This can help promote a positive image for service users, and ensure they remain comfortable and safe. Service users bedrooms are furnished to a good standard. This can contribute to their comfort during their stay at the home. EVIDENCE: Over recent years the house has been improved. This has made a significant difference to the quality of accommodation for the people who live here. The home now provides a well decorated, comfortable home. The home is also well maintained. At this time there is no hand-wash basin in one toilet, and service users, staff and visitors have to use the sink in a Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 19 separate bathroom to wash their hands. This arrangement does not promote good hygiene, and a slim line sink needs to be fitted here. The home is a terraced house and so looks the same as the neighbouring properties. There is a back yard where service users can sit out in shelter and privacy in better weather. There is a small run of steps up to the front door so the home would not be suitable for people with significant mobility needs. The three bedrooms are a good size and the people who live here make good use of their own rooms for privacy when they want some quiet time. All the bedroom doors have locks and keys. Some service users who live here tend to choose not to use their keys, but the keys are in the bedrooms doors for their easy access. All the bedrooms also have a lockable drawer so that service users can keep their personal possession secure. The lighting in the hallway and landings are suitably bright, and lighting levels in bedrooms has been increased to meet the needs of service users with poor sight. The home is very clean. Service users are encouraged to be fully involved in all the daily household tasks, with the support of staff where necessary. The house has a utility room with a domestic washing machine that is suitable for this small home, and the people who live here. Mount Road (104) DS0000015778.V334404.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 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported by an effective staff team, deployed in sufficient numbers. This can help ensure their needs are safety met. A good number of staff have obtained qualifications in care. Service users are supported by competent staff who have received a good range of training, relevant to their roles, the purpose of the home and the majority of service users’ needs. This can ensure that service users are supported in a safe manner by staff who have an understanding of these needs. Service users are protected by the home’s adequate recruitment policy and practices, which can help ensure unsuitable candidates do not gain employment in the home. These are implemented to a good standard for permanent staff, but not so for agency workers. EVIDENCE: The staff team consists of the Registered Manager, a deputy and three support staff. Agency staff are also used to ensure suitable numbers of staff remain on Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 21 duty. The manager arranges for the same group of agency workers to work here to make sure service users and staff get to know one another well. The three support staff have attained NVQ (care qualifications) level two, and the deputy is working to achieve the level three care award. The staff are mature and experienced. There is a minimum of two staff on duty between 8am to 10pm to provide support to the three service users. This means that their personal care needs can be met and they can be supported to attend their individual occupations and social activities. There is one sleep-in staff and a waking night worker on duty each night. This level of staffing currently meets the needs of the three service users who live here. These numbers must not be reduced from current levels without first informing the CSCI. There is a good relationship between service users and the staff. Staff demonstrate through discussion and practice a good understanding of peoples capabilities, preferences and needs. CIC operates through recruitment and selection procedures, including all necessary clearances and checks on applicant staff before they start work at this home. In this way service users are protected by the employment of suitable staff. However, where agency workers are used there is no confirmation obtained that individual workers have received various clearances, including criminal records, reference and health fitness checks. The registered manager must obtain written confirmation that these clearances have been sought, obtained and are satisfactory. A CRB reference number and date of issue should be included as part of this confirmation from the supplying staff or care agency. Also, the application forms for new employees were inspected. Candidates had not always provided a full employment history, and this should be sought and verified at interview. This is to make sure the manager can get a full picture of a person’s experience, and to help ensure unsuitable candidates are not employed here. There are staff training records that confirm that there are good training opportunities and this is promoted by CIC. All staff have, or are working towards, suitable care qualifications. Staff receive training in health & safety matters, and other appropriate topics. Mount Road (104) DS0000015778.V334404.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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well managed home. Quality assurance systems seek the views of service users and their representatives to a good degree, which can help ensure the service remains focused on their needs and aspirations. The home is, to a good standard, free from hazards to service users and staff. This can contribute to the health, welfare and security of service users and staff. The manager was offered advice on staff health and safety matters and potential sources of support. This was to help ensure lone workers remain protected, and that staff are clear what to do in an emergency and who they can contact, including if necessary the police. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Manager has many years experience of working with people with learning disabilities. She has attained the Registered Managers Award and NVQ level four in Management. She has been the Manager for this home for over five years. In that time she has been responsible for a number of improvements to the service and to the house. The Manager is also responsible for the management of several supported living places in the nearby area. Service users are included in discussions and decisions about their home. They have monthly care plan meetings with their key-worker where they talk about their goals and aspirations, and they have daily chats with support staff about their home. They are also asked for their views of the service at annual reviews of their placement. The home is visited by a line manager each month, and a record is kept of discussions with service users and staff. The building and various records (such as care plans, financial records and so on) are also examined. A more detailed six monthly quality check is completed by a line manager, and includes an examination of cultural and equality issues. Mount Road (104) DS0000015778.V334404.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 X 2 4 3 3 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 3 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 25 YES 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. 1. Standard YA27 Regulation 23(2)(j) Requirement Timescale for action 01/10/07 2. YA30 13(3)& 18(1)c(i) The registered person must arrange for a hand-wash basin to be fitted to the upstairs WC. (This is a new requirement). The remaining staff must receive 01/09/07 training in Infection Control.(Previous timescales of 01/12/05 and 01/04/06 not met.) 3. YA34 19(1)(b)(i) The registered manager must ensure that all workers (including agency staff) have evidence of suitable criminal records and fitness clearances along with suitable references before commencing work within the home. (This is a new requirement) 01/07/07 Mount Road (104) DS0000015778.V334404.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 YA34 Good Practice Recommendations The registered manager should ensure that preemployment checks for staff include the receipt of a full employment history (including an explanation for any gaps), which is verified at interview. Mount Road (104) DS0000015778.V334404.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Mount Road (104) DS0000015778.V334404.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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