Inspection on 24/09/07 for New Horizons

This inspection was carried out on 24th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

New Horizons 07/08/08

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 New Horizons 83 Upper St Helens Road Hedge End Hampshire SO30 0LS Lead Inspector Kathryn Kirk Unannounced Inspection 24th September 2007 14:00 New Horizons DS0000069600.V344466.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 New Horizons DS0000069600.V344466.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. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New Horizons Address 83 Upper St Helens Road Hedge End Hampshire SO30 0LS 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) Care Home 3 ILIACE Limited Category(ies) of Learning disability (0) registration, with number of places New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: New Horizons is registered to provide support and accommodation for up to three younger adults with a learning disability. The service is one of a number belonging to the Independent Living Group. The accommodation is in a residential area within walking distance of local shops and public transport. It is a detached house with three single bedrooms, and has communal areas of lounge/dining room kitchen and enclosed rear garden. Current fees range between £1930.75 and £2950 per week New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection since the service was registered in March 2007. Evidence for judgements made in this report was obtained in the following ways: The home manger completed an annual quality assurance audit Written Information obtained during, and following, the registration process was reviewed Relatives completed two surveys Service users completed three surveys, with staff assistance. A visit to the service took place on 24 September 2007. This lasted for 4 hours. All service users were at the house during the visit and time was spent in their company and talking with one person. One staff member told of their experiences of working in the house, as did the manager. The area manager, who was present for some of the time, described how the service is to develop. Some paperwork was examined. Service users and staff showed the inspector around the property. Three service users currently live at New Horizons What the service does well: One service user said “I love it here” and said staff were all good. Service users and staff communicate well together, using finger spelling and maketon to back up what they say. People have the opportunity to carry on with activities and occupations that they had before they moved to New Horizons. Some staff have worked with some service users before and this helps with the continuity of support and care. Peoples needs and choices are respected The environment is homely and suits the needs of the people living there. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 6 The service has been largely effective in identifying any shortfalls. 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 New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good A lot of detailed information is gathered about potential service users wishes and needs. This helps to ensure that the placement will be appropriate for them This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two files were viewed during the visit. These did not contain any care management assessments. They did however, have detailed information gathered before the move about the persons needs wishes and interests and previous history of the person. They also contained guidance from specialist professionals for example, speech therapists regarding communication needs and behavioural specialists on how to manage challenging behaviour. One person who lives at the service said they were given lots of information about the house and what could be provided before they moved in. All three confirmed this in the surveys. The annual quality assurance audit states that there is a placements team who manage all referrals to the service and pre placement assessments. “The whole process involves many visits and over night stays to try to offer potential New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 10 Service Users with enough information that they can feel part of the process and make their own decision whether they wish to enter the Service.” New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 11 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 good Service users needs and choices are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records show that service users have plans of care, which are reviewed regularly at least every two months. Those seen were comprehensive but were not available in a format that service users could readily understand. One service user spoken with said that they are aware of their care plan but did not know what it contained. They said however that staff always explained what they were writing about if it concerned them. Records show, that service users and their relatives attend reviews, along with relevant health and social care professionals. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 12 The Annual quality assurance audit states that a keyworker system has been implemented within the last three months and monthly meetings between keworkers and service users are a way of ensuring that they are involved in the decision making process within the home. Risk assessments seen were detailed and had been signed by all staff to ensure that they had read them. They had also been updated recently and changed where necessary. Two relatives surveyed agreed that the service generally supports people to live the life they choose. One service user also said that was the case. Asked, do you make decisions about what you do each day, two service users replied “sometimes” one said “always” Staff were observed to communicate effectively with service users, backing up what they said with maketon, or finger spelling where necessary. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 13 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 The service supports people to maintain appropriate and fulfilling lifestyles in and outside the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records show that two service users attend local colleges; one is continuing with courses that they were studying before they moved to New Horizons. Assessments and care plans for each service user contained information about their interests and preferred activities and this was accurately reflected in their daily routines, for example one person liked gardening and was attending a horticultural placement, and one person enjoys football and is a season ticket holder for a local club. The annual quality assurance audit lists a number of other activities that service users participate in, these include trampolining (professional sessions as well as using the one at the house), going to the pub, bowling, walking, New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 14 Swimming, fishing and gardening. Service users are also supported to go to the local shops when they wish; this was the case during the visit to the home. One service user spoken with said they liked the things that they did. The manager said that staff support service users to maintain contact with their friends and family. One relative said they found this aspect of the service “very satisfactory”. Staff were observed to ask permission to enter bedrooms and service users all had unrestricted access to the communal areas of the home. One service user spoken with was clear about their role and responsibilities within the home, for example knew how household tasks had been divided amongst the group. One service user confirmed that food and meals are discussed during residents meetings and that staff ask what people like and do not like. They were aware of what they needed to eat for a healthy diet. Service users take it in turns to prepare meals with staff support and mealtimes were observed to be unrushed Food on the day of the visit was freshly prepared. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 15 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 The service provides appropriate personal and healthcare support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The annual quality assurance audit states “Personal Care and Health Care support… (is) set out in Personal Plans. All clients at the home are registered with a GP and all visits are recorded in Care Plans/Medical Records” This was found to be the case in both records checked. Records of other health care visits were also kept. The Annual quality assurance audit also states “Service Users are supported to be as independent as possible with regards to personal care, though the team is aware of the need to ensure that good levels of hygiene are New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 16 maintained”. Staff and a service user spoken with agreed that independence is encouraged as much as possible. When two relatives were asked, “Does the agency give the support or care you expect or agreed”.One replied “usually” the other “always” One relative commented ““They always seek medical attention when necessary.” At present no one manages his or her own medication. Medicines were securely stored and records were seen of medication that had been administered and returned. There were no omissions in the administration records. The manager said that at present only senior staff are responsible for administering medicine. Records of training seen confirmed that all of these staff have been trained in the safe handling of medicines. . New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is adequate Peoples concerns are listened to and acted upon. Appropriate procedures are in place to help to protect service users from harm, however further improvements are needed in staff training in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The annual quality assurance audit states “The home has a complaints procedure that is available to Staff and service users. This is available in Makaton format for clients (both on the House Notice board and also in their respective bedrooms)”. The procedure was seen on display, as described, at the time of the visit. All service users agreed that staff always listen to, and act upon what they say and one service user described in detail during the visit what they would do if they had a concern or complaint about anything. Both relatives surveyed confirmed that they know how to make a complaint. Asked if the service responded appropriately, one said “always” the other ”sometimes” New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 18 The annual quality assurance audit states “ Copies of local authority and the organisations Adult Protection Policies are available in the home. The majority of our staff are trained in Adult Protection and the clients home has an open policy of reporting any abuse issues. Those who aren’t trained will be as soon as possible, and our comprehensive induction programme covers the main issues”. This was largely found to be the case during the visit- the induction does cover adult protection issues although not all staff have completed this. Records also show that a lot of staff do not have up to date training in SCIP (Strategies for Crisis Intervention and prevention) despite some challenging behaviours being recorded in care plans. Staff training is discussed again in the staffing section. Records showed that correct procedures have been followed when there has been an adult protection issue. The manager said that he also reviews all incident forms so that he can monitor how the situation was managed. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good The environment is safe and comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has recently been registered. Part of the registration process included a visit to the service and the report generated from this visit concludes that the premises are suitable for purpose. New Horizons can accommodate up to three service users There is one single bedroom on the ground floor and two further single bedrooms on the first floor. There are no en-suite facilities in the bedrooms although all bedrooms have hand-washing basins with water temperature mixer valves. There is a bathroom on each floor with showering facilities and a separate toilet on the ground floor. Service users share the use of a lounge/dining room, kitchen and an enclosed rear garden. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 20 The laundry is a large cupboard accessed off the kitchen. The manager confirmed at the time of registration that there is a clear policy and procedure to ensure that laundry is not taken through the kitchen during food preparation or consumption times. At the time of this site visit the environment was seen to be homely and well decorated. Service users had been involved in the decoration of their bedrooms and had been asked their views about the communal areas of the home. One service user spoken with confirmed that they liked their room and said that it was furnished and equipped in the way that they wanted. Service users and staff were generally satisfied with the maintenance of the building and staff explained that ILG have a maintenance department, which is responsible for keeping the home in a good state of repair. One issue that arose as a result of talking with a service user was that everyone had to have showers instead of baths because there was an insufficient supply of hot water. This information was not contained within the homes annual quality assurance audit. The insufficient supply was discussed with the management team during the site visit. They described what action had been taken to put this right. As action has already been taken to address this issue, no requirement was made at this time. The same resident said that an awning has been ordered, to be erected in the back garden, to ensure that they are dry when they go out to have a cigarette. They said that this was as a result of the issue being raised during a residents meeting. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 21 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, 33, 34 and 35 Quality in this outcome area is adequate Staff relate to service users well. Improvements, which have in part already been identified by the agency, are needed in the recruitment paperwork and particularly in the staff training opportunities to ensure that staff have the skills and knowledge to keep service users safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed during the visit to the home to be approachable and comfortable with service users. They were seen to communicate effectively , backing up verbal communication with finger spelling and maketon when necessary. Asked whether care staff had the right skills and experience to look after people properly, opinion from relatives was divided. The manager said that there has been some unsettled times since the home opened, partly because there have been a number of changes in management. However, he anticipated that the staff group would have more stability in future. The service has employed two staff members who have New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 22 previously worked with two people who live at New Horizons and the service now has its full staff complement of nine. The annual quality assurance audit states that no shifts have been covered by agency workers within the last three months. Records show that 25 of staff have completed NVQ level 2 or above in care. Two staff are currently studying for this qualification. National Minimum Standards stipulate that this figure should be at least 50 . The need to increase staff training in NVQ was highlighted in the homes annual quality assurance audit. Records showed that one person needed two staff to support them whilst out. The management team described how the staff complement is arranged as flexibly as possible to take into account the daily routines of all service users, so that there are between two and three staff on duty at all times during the day, not including the manager. The annual Quality assurance audit states that all staff have had satisfactory pre employment checks and that there is a policy in place relating to recruitment and employment. Two staff records were checked during the visit to confirm that this was the case. Both included a completed application form , a satisfactory Criminal Records Bureau check, 2 references and a staff contract of terms and conditions. Recent staff photographs were available on the communication board on the ground floor. Neither record contained a copy of the persons birth certificate ,as required in Schedule 2 of the Care Homes Regualtions,although the area manager said that these had been seen at the time of the Criminal Records Bureau Check. It was also not clear from records whether any gaps in the employment record had been explored as part of the recruitment process., although the area manager said that this was generally done. The management team have already identified that staff files would benefit by being more structured as this area for development was contained in the most recent monthly audit of the home in September. The shortfalls would seem to relate to deficits in the recording system rather than errors in the recruitment process itself, and the service has already identified that this area needs to be improved so no requirement has been made regarding recruitment at this time. The manager has just completed a matrix which shows what training all staff have completed and when they are due to refresh their training in key areas. This showed that two out of nine staff had up to date training in SCIP (Strategies in Crisis prevention and Intervention) Three staff had not had any training in this . The service itself considers this to be mandatory training and the need for staff to have completed this is evident from records that indicate that some service users exhibit challenging behaviours at times. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 23 The staff training matrix also showed that three staff have not had training in fire safety. There were also gaps in other areas such as adult protection, moving and handling, and in basic food hygiene. Staff asked said that not much training had happened recently but the programme seemed to be starting again. The management team had already identified the need for additional SCIP training during the monthly audit. A letter of concern was sent following the visit requiring the service to ensure that all staff are trained in fire safety and SCIP by the end of October 2007 and that all other mandatory health and safety courses are completed for all by 31 December 2007. The homes induction programme was seen. Subjects covered includes fire safety, adult protection issues, health and safety and confidentiality. Again there was no record of all staff completing this, although the manager showed evidence that he is starting to go through the induction programme with the newer staff members. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 24 . New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 25 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 adequate The new manager has demonstrated a good understanding of his role and responsibilities however; some improvements to the service are needed to before all national minimum standards are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been in post since July 2007. He has had over four years experience of working in care settings for younger adults with learning disabilities. His most recent two appointments were as a shift leader and assistant manager and so he has already had some managerial and supervisory experience. Staff spoken with said that he offered good support. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 26 During the visit he spoke knowledgably about the aims and objectives of the service and of what action is required to develop it effectively. He has just started his Registered Managers Award and has also applied for Registration. The manager said that he is offered good support by his manager. The manager’s current working arrangements are that he works for two days in his managerial role and three days on shift. As it has been identified both by the organisation and through this inspection that a number of areas need to be improved, for example, induction training for new staff, organisation of recruitment records and the annual development plan for the home, there is evidence that the time spent in managerial duties is not sufficient. It is recommended that this be reviewed and increased by the organisation. There are some quality assurance measures in place in the service as follows: A monthly visit to the home is made by a senior manager and a report is compiled to establish how effective the service is in meeting its objectives and to follow up on progress from previous visits. The most recent visit took place on 19 September and the report relating to it was seen. It included views of service users and staff. Records show that regular care reviews are held and that people important to the service user are included in this process. Residents confirmed that there are house meetings, which help to identify any problem that may arise, similarly residents meet regularly with their keyworkers. As discussed above, there is still a need to develop an annual development plan for the home. The organisation has quality monitoring systems, which include surveys of staff, service users, relatives and involved professionals. This has yet to be implemented at New Horizons. Records show that there are a number of policies and procedures in place have not been reviewed since 2003. This was discussed with the area manager who said that all policies and procedures are under review to ensure that there is consistency in practice across the Independent Living Group. As identified in the staffing section of this report training in key health and safety areas is not adequate at present to ensure service users are protected. The service was found to comply with relevant legislation at the time of the registration of the home in March 2007. This includes environemtnal health and fire safety. The annual quality assurance audit says the following : “there are regular checks of the fire warning systems and risk assessments New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 27 for the clients are in place. There is a procedure in place for the Control of Substances Hazardous to Health (COSHH) Food hygiene records are kept in the Better Food Safer Business Pack. All accidents are recorded in the accident book”. New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 28 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 1 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 29 N/A 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 YA35 Regulation 18(1)© Requirement All staff must have up to date training in fire safety and strategies for crisis prevention and intervention (SCIP) All staff must have training in all other key health and safety areas, to include, adult protection, moving and handling and food hygiene. Timescale for action 01/11/07 2 YA35 18(1)© 31/12/07 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 YA37 Good Practice Recommendations Management time should be reviewed and increased to ensure that the homes aims and objectives are achieved New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 New Horizons DS0000069600.V344466.R01.S.doc Version 5.2 Page 31 - 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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