CARE HOME ADULTS 18-65
Oak Bank Residential Home 31 South Road Weston Super Mare BS23 2HD Lead Inspector
Nicola Hill Unannounced Inspection 10th July 2007 9:30 Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 1 Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 2 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 Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 3 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. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Name of service Oak Bank Residential Home Address 31 South Road Weston Super Mare BS23 2HD 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) 01934 647670 Oak Bank Residential Home Limited Alison Davis Care Home 6 Category(ies) of Learning disability (0) registration, with number of places Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 5 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) To service users of either gender whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection 6th February 2007 Brief Description of the Service: Oak Bank provides care for service users with learning disabilities and a range of complex needs. Oak Bank provides varying care packages with fees varying between £1600 and £1900 a week. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection of this care home was undertaken by the inspector in consultation with the manager for the home, Alison Davis, and the proprietors, Mr and Mrs Liscombe. The inspection took the whole day (approximately 8 hours) and included the review of documentation and records, observation of residents in their daily life, talking with staff and a tour of the premises. The evidence gathered from the site visit has been used throughout the report. The manager, proprietors and staff at the home have all worked together to improve the quality of service provision for the residents at the home. From the evidence obtained by this inspection, several of the outcome groups at Oak Bank have been assessed as providing a good level of service. However the overall service assessment is adequate as the monitoring and business planning for the service need to improve, this aspect of management underpins the success of a business and should be a priority for development. What the service does well:
The outcomes for the residents at Oak Bank have improved, as the manager has been able to provide leadership and direction to the team. The impact on the well being of residents of the interventions and approaches used by the staff in a consistent way is apparent in all aspects of residents’ lives. For example, residents are supported with using community facilities such as local pubs, and there is a wider scope of activities accessed outside the home. For some residents there has been a reduction in episodes of difficult behaviours that has meant that the focus for their lives has changed to be supporting them to develop independent skills, such as care of their rooms, rather than having restrictions to their lives, such as not being able to access the kitchen. The atmosphere at Oak Bank is informal, the residents can be seen accessing all areas the home, with support if needed. The residents and staff relationships were observed to be good with subtle and respectful intervention used by staff when needed. The staff at the home told the inspector that they enjoy their work and have opportunities for training to develop their skills and the services and support they can offer to the residents. The staff also stated that they felt the home was a good home, and that the staff cared about the residents and supported them to follow a lifestyle of their choice. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 7 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. Oak Bank Residential Home DS0000066474.V339701.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 Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home understands the importance of having sufficient information when choosing a Care Home. The home provides a Statement of Purpose that is specific to the individual home, and the resident group they care for. EVIDENCE: The statement of purpose for Oak Bank has been recently reviewed to reflect the new ownership of the home. The inspector discussed with the manager the need to ensure that the statement of purpose is very specific about the type of service and the support the home are able to offer to potential service users. The service user guide currently would not be accessible to the majority of residents, as they have limited understanding of written documentation however it was suggested that a short DVD of the home be produced for potential residents. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 10 Currently there is one vacancy at the home, and there have been no new admissions since the last key inspection. The admissions procedure at the home is detailed and allows time for the potential residents to visit Oak Bank if appropriate prior to moving there. The manager undertakes a person centred preadmission assessment as well as obtaining multidisciplinary team assessments in order to gather enough information to be able to make an informed judgment. The current residents at the home have a contract on their file that details their conditions of residence at Oak Bank. At the time of the visit to the home, there were five male service users living at the home. The ages of people who use the service ranged form 37-64; all of the residents have a learning disability and are of white UK ethnic origin. Individual assessments ensure that any specific needs i.e. spiritual, are identified and included in the care support plans. Oak Bank Residential Home DS0000066474.V339701.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are developed following person centered planning principles. It is written in plain language, is easy to understand and considers all areas of the individual’s life including health; specialist treatments, personal and social care needs. EVIDENCE: The care files for two of the residents were reviewed in detail. The inspector was able to discuss the written documentation with the home manager and the day to day activity this plan initiated for residents. The written evidence is very detailed about personal preferences and also why it was necessary to perform a task in a certain way. For example, although there are sufficient staff on duty so as not to be limited on the support available for residents, there are specific routines that residents will be happiest following and changes to this may result in difficult behaviours.
Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 12 The staff team have been proactive in exploring with residents different situations and residents reactions, they have been less successful in recording these effectively to demonstrate the work they have undertaken. The keyworker system enables staff to develop relationships with residents. Whilst speaking with staff they demonstrated in depth knowledge of the resident group but did not appear confident that their impressions and observations of residents were valid. The inspector reinforced that key workers must also be recording the information they know or find out about residents so that it can be shared and used to enhance the quality of residents’ lives. One example in which key workers have been actively involved in doing this is by working with the local community disability team on sensory profiles. The inspector discussed the recording and sharing of knowledge with the management of the home and suggested that using reflective practise within the team may be a way of capturing information that is not on the formal written care plans. The residents have regular reviews with the placing authorities and these are available to read, in addition the ongoing daily evaluation of the residents life is recorded in the daily records. Whilst reviewing these records it was noted that one resident in particular was demonstrating signs of ill being on a daily basis. The indicators of ill being were non-engagement with staff or other residents, isolation and outbursts of aggressive behaviours. The records also indicated that for this resident there had been an increase in the use of ‘when required’ medication to reduce the apparent anxiety of the resident. The number of behavioural incidents for this person appeared to be escalating. The manager was able to inform the inspector of the wide ranging action taken to address the situation and to improve the well being of the resident. It was acknowledge that if this was unsuccessful then the placement itself may need reviewing. The manager would like to progress to using more person centred planning tools such as Essential Lifestyle Plans, however this will take time to implement. Oak Bank Residential Home DS0000066474.V339701.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): 11 – 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; they have been fully involved in the planning of their lifestyle and quality of life. EVIDENCE: The individual activity programmes for the people who use the service have developed since the last inspection. This is because the support workers are more familiar with the residents and so are aware of the choices to offer. The goal of the home is to improve the community access and community presence of the residents however this is a long term goal which should be linked to individuals’ risk assessments. At this time the staff and management should ensure that the residents reactions to new situations should be recorded, positive and negative, and this can be used as a basis for a development plan toward a goal, which could enhance the quality of the resident’s life.
Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 14 It was apparent from the records that residents are given a wide range of opportunities to experience different activities, and where preferred choices had been expressed i.e. hydrotherapy, the home have been proactive in securing regular access to it. There is also a range of therapists who visit the home. A recent example was music therapy which was identified as being of positive benefit to the people who use the service as well as providing a potential communication path way for one resident who has very limited verbal communication. The inspector advised the manager that the knowledge about how people who use the service are developing skills should be translated into development plans so that there is a permanent record and that achievements can be recognised. Three of the people who use the service have regular contact with relatives and friends; the home supports this by maintaining communication on behalf of residents through regular telephone calls and providing invitations to visit the home and to attend any review meetings. Visitors are accommodated at the home and provided with meals and refreshments. The father of one resident also has accompanied him whilst attending activities outside of the home. The residents are also able to access advocates although developing the methods of communication for people who use the service may be a more productive option as this will support self advocacy. The meals at the home are varied; often residents use local cafes and bars for meals. There is a planned menu for staff to follow and this allows for forward planning. Oak Bank Residential Home DS0000066474.V339701.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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of residents are monitored and appropriate action and intervention taken. EVIDENCE: Within the care files there is a detailed plan of support for each person using the service which would allow the staff who read the plans to support residents successfully to achieve personal care goals. For example, information on the preferred type of soap and specific washing routines are available. It has been observed by the management of the home that the male residents respond well to male staff, and whenever possible male staff are available for support with personal care. Details of individual support plans are readily available for staff to use and the manager monitors the staff team to assess their understanding and implementation of the plans. For example, one resident has a specific behavioural management plan which identified in detail support needed and how it was to be given.
Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 16 The daily records reflected the time spent by staff with the individual, and any interventions needed. From this the manager and staff have been able to observe and document the success of the plan and how this has enhanced the well being of the resident. In addition to personal care and support, the information held in the file supported the staff to care for residents with certain medical conditions such as epilepsy. The manager has been proactive in obtaining information and providing training for staff that are inexperienced in dealing with this condition. The residents at the home are all regularly reviewed by the consultant psychiatrist, Dr Jayewardene, who also reviews medication protocols. The manager ensures that the general health of residents is monitored and has individual health action plans which record any support or visits to healthcare professionals. The manager has worked with the local learning disability partnership team to introduce the health action plans, and is using the contacts and resources made through this team to access specialist services on behalf of residents. The team are also working on sensory profiles with service users. The inspector was able to cross reference entries on the health record with those on the daily record. Staff also confirmed that any changes in health status or use of ‘when required’ medication were recorded and by sharing this information supported the continuity of care for the people using the service. The home uses a unit dosage system for regular medication and has ensured that staff that administer medicines have attended appropriate training. The inspector and manager checked the system together and found that where drugs had been included in the unit dosage system they had been given appropriately and recorded on the MAR sheet. The “when required” medication had also been recorded appropriately and the stock in hand tallied with the record sheet. Oak Bank Residential Home DS0000066474.V339701.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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is up to date and available in accessible formats. The home has an open culture which allows residents to express their views. EVIDENCE: The manager has reviewed the complaints policy as requested from the last inspection and included a process and timescales which meets the standard. There is a pictorial version of the complaints policy available for residents. The system for recording complaints has been updated but to date no complaints have been received, and so an assessment of the efficacy of the procedure cannot be made. The manager and proprietor ensure that they are available to staff and have daily contact with residents so that issues can be raised and addressed before they become complaints. The Safeguarding of Adults has a priority at the home, and since the last visit and the manager has ensured that staff receive information and are given the opportunity to attend training with the Local Authority to ensure that the procedures are understood by staff. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 18 The staff who spoke with the inspector confirmed that this topic had been covered in their induction, and that they were accessing training. Both the members of staff were able to identify what they would do if there were an incident of abuse at the home. Oak Bank Residential Home DS0000066474.V339701.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): 24-30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the residents who live there. EVIDENCE: The inspector toured the premises with the owners, it was noted that they are continuing to invest in the property and have purchased new furniture for the lounge since the last inspection. There were several small environmental issues that required attention, overall the maintenance issues are attended to as they arise. The manager and owners discussed the plans to make the rear garden a used space by planting herbs and vegetables. There are also plans to finish converting some areas of the home to potentially increase the number of residents. Currently the spatial requirements for communal areas and, the number of bathrooms and toilets, are sufficient for 6 residents; however, if the owners wish to register the remaining room then additional bathing facilities will be needed.
Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 20 The inspector suggested that the home consider using motion sensitive lighting as many rooms had lights on but were empty, and a door closure mechanism on the back door so that residents can access outside space whilst keeping the heat in the house. The house is very large and requires financial investment; it is in a conservation area and grants for windows, insulation and garden landscaping may be available. Oak Bank Residential Home DS0000066474.V339701.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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a good recruitment procedure that is followed in practise, for the protection of the individuals who use the service. EVIDENCE: At the time of the inspection there were six staff on duty for the five residents. The duty staff had their pictures on display in the hallway of the home; the inspector suggested that the pictures have names so that it helps visitors at the home to recognise staff. Some of the staff spoke with the inspector informally and discussed the progress of the residents, and what they would like to see happen in the future. They stated that things had improved at the home and that routines were being established to the benefit of the residents. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 22 The inspector reviewed four staff files and noted that there was evidence of good practise at the home in the recruitment process, e.g. two people interviewing potential staff, notes from interviews were kept on files, the home have ensured that they implement its own procedures in respect of safeguarding residents by obtaining two references and CRB checks prior to staff working at the home. The contract of employment issued to staff on appointment has been altered and include a requirement to complete a satisfactory probationary period. The induction for staff new to the home has been improved and staff are working shadow shifts and are assessed for competence before working unsupervised. Oak Bank has an induction programme pertinent to the home, and is supporting this by ensuring staff meet the requirements of the common induction standards. Staff new to working with people with learning disabilities must also be enrolled in the Learning Disability Framework Award educational programme, as this will give staff the underpinning knowledge for working with the client group. The staff who spoke with the inspector recognised that the home and its day to day running had improved over recent months; the management had stabilised and this allowed the focus to be on supporting residents to achieve an optimum lifestyle. Staff stated that they had received support and training from the manager and were happy to raise issues of concern with her. The support workers felt they were involved in the day to day running of the home where they could act as advocates for the residents. The keyworker system was operating well and allowed staff to develop relationships with the residents and develop a better understanding of how to interpret the residents’ chosen form of communication. The inspector discuss her concerns about the spoken English of one of the support workers; the issue had previously been raised with the management and they will be taking action to provide additional opportunities to the worker to develop spoken language skills. All staff have regular supervision with the manager; the manager has an external supervisor. The home currently does not have an appraisal system. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager has the necessary qualifications and experience and is competent to manage the home. She has worked to improve the service and provide an increased quality of life for the residents. The registered person is aware of the need to plan the business activity of the home. EVIDENCE: The manager has made considerable progress with developing the ethos and culture of the home. She operates an open door policy for staff and residents and works alongside the staff team so that she is aware of the challenges that are met on a daily basis. The staff team recognise that the home management has improved and are confident that they can raise concerns with either the manager or the owner.
Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 24 The staff also stated that the home is flexible with provision of support, either financial or personnel, to meet residents expressed wishes. The staff meetings are well attended and are minuted. The quality assurance systems at the home do not include any self monitoring or auditing of systems. The inspector discussed this with the manager and owners in relation to business planning and business development. Although the change of ownership of the home is a recent event, the planning for service developments are vital to ensure the continued financial viability of the home as well as identifying service developments which encompass national and local priorities for people with learning disabilities. For example, the local authorities in the south west use the fair pricing policy for commissioning residential care services for people with learning disabilities and the management of the home should be aware of what the elements of this policy are and if their procedures for placement pricing are compatible. The quality assurance system in use at the moment does not provide sufficient evidence to demonstrate the standard of service the home provides, and do identify any areas of ‘added value’ that make the service unique and more attractive to potential service users. This work will also inform the direction and objectives of the home and should be prioritised. The health and safety requirements for the home are implemented effectively with low incidence of accidents. The management should audit the premises to identify any potential hazards. COSHH requirements were discussed and the process for purchasing chemicals will be streamlined. Infection control was identified by the manager in the AQAA as an area for development; the inspector advised that the Department of Health advise on Infection Control be used as the home to provide a baseline audit of need and to identify any universal infection control measures which may be needed. The inspector discussed with the owner the use of alcohol based gels at the home where handwashing facilities are not immediately available. Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 3 X Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA39 Regulation 24 Requirement The quality assurance system should be developed to inform the development of the service. Timescale for action 10/01/08 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 YA35 Good Practice Recommendations Staff with no experience of working with people with learning disabilities should access the Learning Disability Award Framework to provide the underpinning knowledge to support practise. The induction training for staff must cover the topics listed in the common induction standards (Skills for Care). The manager is advised to access the Department of Health guidance on Infection Control in order to audit the infection control measures used at the home. Staff working at the home should have the necessary support to ensure they can develop communication skills to be able to communicate effectively with residents and other staff. 2 3 4 YA35 YA42 YA32 Oak Bank Residential Home DS0000066474.V339701.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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
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