Inspection on 31/07/05 for Osborne Court

This inspection was carried out on 31st July 2005.

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 no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Osborne Court 30/05/07

Osborne Court 03/05/06

Osborne Court 13/02/06

Osborne Court 14/10/04

Osborne Court 04/05/04

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

CARE HOME ADULTS 18-65 Osborne Court Lower Road Faversham Kent ME13 7NT Lead Inspector Kim Rogers Unannounced 31 July 2005 at 06:00 am 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 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 Stationary 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. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Osborne Court Address Lower Road, Faversham, Kent, ME13 7NT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01622 671411 Kent County Council Acting Manager, Una Salt Registered Care Home 13 Category(ies) of Learning Disabilities registration, with number of places Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14/10/04 Brief Description of the Service: Osborne Court is a two storey detached property set in the grounds of Faversham Day Centre. It is located on the outskirts of Faversham close to the village of Ospringe. There is a large garden with ample parking spaces available. The nearest shops and other public amenities are easily accessible by bus, taxi or the homes own transport. There is a shop within walking distance. The home offers single room accommodation on both floors. Seven rooms on the ground floor can accommodate people with multiple disabilities. The home provides short-term care for people with learning disabilities. Service users can stay from one night to a few weeks. The home aims to provide 24-hour care for adults between the ages of 18-65. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The Inspector arrived on a Sunday morning at 06.00am. The waking night staff and a team leader, who was sleeping in were on duty. No service users were awake. The Inspector observed the Sunday morning routine with service users getting up in their own time with the necessary support from staff. The atmosphere was relaxed and calm. Service users came down to the dining room for breakfast in their own time. Service users said they choose what to have for breakfast. The Inspector spoke to several service users as a group and individually. All said they like staying at Osborne Court. The Inspector spoke to staff and the team leader on duty, looked around the home and looked at some records. The acting manager, Una Salt joined the inspection at about 08.20am. Una Salt has been in post as manager since April 2005 and is a registered nurse. The manager has plans for developing and improving the service. Staff said the home feels more stable now the new manager has settled in. This followed a period when the previous manger of a number of years retired and an acting manager was in post while a permanent manager was recruited. This home provides short-term care and support, (respite) for up to 13 service users. There are currently 8 service users at the home. There were 5 staff on duty including a cook and team leader. Some service users have been staying at Osborne court for a number of years on a short-term basis. Some stays are for one night other stays can be a few months. The manager understands the importance of regular assessment, review and monitoring of service users to ensure that any changing needs are identified and supported. This is especially important when there are periods of time between stays. The inspection identified the need for more detailed regular assessments and care planning to ensure that all service needs are met. This would ensure that the home is proactive rather than reactive to peoples needs. The manager agreed with this and is developing ideas with the staff team and service users to address the shortfalls. The home has some specialist equipment to support service users who may have physical disabilities. The garden is attractive and accessible with pleasant seating area. All bedrooms are single. Service users said ‘I empty the bins; I make my own bed and do my own washing. I like it here’. ‘The food is lovely’ ‘You can go to bed when you like here’ ‘Annette is my favourite carer, she helps me’ ‘We had a bar-be-que last week, it was funny’ Staff said ‘ the manager has an open door and is approachable. She encourages us to do training’ Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 6 The day after this visit a Pharmacy Inspector from the Commission visited the home. The Pharmacy Inspector looked at all aspects of medication practices in the home. This visit followed a previous visit made on 23/06/05 by 2 Inspectors including the Pharmacy Inspector. This visit was made following reports of medication errors at the home. Details of the findings relating to medication can be seen under standard 20 of this report. Details of the findings and requirements from the visit of 23/06/05 are not available on the CSCI website but can be viewed at the local CSCI office on request. The manager took steps to address the requirements made at the visit of 23/06/05. What the service does well: What has improved since the last inspection? What they could do better: Assessments care planning and risk assessments smut be reviewed more often. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 7 All potential risks to service users must be identified and where possible eliminated. Any necessary guidelines especially relating to managing challenging behaviours must be detailed in full in the service users plan. Individual records about service users must be stored separately. The home has made improvements in medication practices. There are some areas, which need to be improved to meet national minimum standards. These requirements are detailed at the end of this report. 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. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4 Service users now their needs will be assessed. Service users know this home will meet their needs. Service users are able to visit the home before they make a decision about staying. EVIDENCE: The manager said that the home receives an assessment carried out by a care manager before a person comes to stay at Osborne Court. The standards recognise this process as crucial as the assessment forms the basis of the service user plan (care plan). The Inspector saw care management assessments for service users. These assessments detailed the needs of the service user and potential risks. Families and service users are involved in this assessment process. The manager has plans to develop this assessment process. The manager said she plans to use a model piloted in another home. The Inspector welcomed this as more detailed assessments would mean the home is aware of a persons full range of needs and can be proactive in supporting these needs. Ongoing regular assessments should also be carried out between stays. This would ensure that any changing needs are identified and supported. The manager spoke with knowledge about accessing specialist support, advice and guidance to meet the needs of service users. Service users have a range of needs. The building has been specially adapted. There is specialist equipment including adapted bathrooms, hoists and specialist furniture. Most Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 10 of the staff team are long standing and experienced. Some staff have alternative communication skills. Staff were observed speaking to and supporting service users in a respectful positive manner. The manager said that introductory visits are planned to meet service users needs. Staff confirmed this as did service users. Some service users have made a day visit before an overnight stay leading to a weekend stay. This is seen as good practice enabling service users to meet the current residents and staff and to get a feel of life at Osborne Court. Most service users stay at the home on a planned respite basis. One service user has moved in on a permanent short stay basis. The service users said they are waiting to move into an independent flat. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9,10 Service users cannot be sure their changing needs will be recognised and supported. Service users are able to make decisions about all aspects of their life. Service users know they will be supported to take risks. Currently service users cannot be sure that information about them is held confidentially. EVIDENCE: Each service user has a service user plan which is developed from the initial assessment. All had service users needs are recorded with actions by staff to meet these needs. Staff spoke to the Inspector about some service users needs and how they support these needs. This was not all recorded in service user plans. Some service users told the Inspector about their hopes and dreams, which were not all, recorded in the service user plan. Some plans showed limited review and some have not been reviewed for a while. Most reviews seen stated ‘no change’ This was discussed with the manager who agreed that regular review is vital if the home is to meet changing and developing needs. Reviews and assessments should be carried out between stays to ensure continuity in care and support. The manager agreed to do this. Daily logs are well recorded with detailed records relating to one to one care Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 12 and support. All service user plans of current service users and daily reports relating to individuals are kept together. The Inspector required that information about individuals be separated to ensure confidentiality and compliance with the Data Protection Act 1998. The Inspector observed service users making decisions about all aspects of daily life. Service users said they choose what time to go to bed and get up. Service users choose what to wear and what to eat. Service users had individual styles and were dressed in their own clothes of their own choice. One service user said ‘You can go to bed when you like here’ The home has a selection of signs and pictures to aid communication. These communication aids give service users support to make decisions. Any restrictions on choices made in the best interests of service users are recorded in service plans. Risk assessments were seen in service user plans. All service users have a safe moving and handling risk assessment. Some risks that had been identified as part of the initial assessment had no formal risk assessment carried out to reduce or where possible eliminate the risk. The manager agreed that risk assessments need reviewing and updating. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,14,15,16,17 Service Service Service Service Service users users users users users know they will have opportunities for personal development. have support to access leisure and educational activities. know their relationships will be supported. know the pace of life at this home will suit their needs. enjoy their mealtimes and are offered a balanced diet. EVIDENCE: Service users said they are supported to develop daily living skills. One service user said ‘ I like to empty the bins; I make my own bed and do my own washing.’ Some service users said they have support to do their washing. One service user told the Inspector they were going to church later that day. The Inspector observed breakfast. Service users were enabled to help themselves and prepare their own breakfast and hot drink. Support was given discreetly where necessary. Service users said they attend various day centres and colleges. There is a day centre as part of the site which some service users access. Most service users at this home know each other and seem to get on well. Service users said they have friends at the home. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 14 One service user said they plan to go horse riding and likes computers. Activities are supported by the home and events planned to suit service users needs. Service users and staff told the inspector about a recent barbeque held at the home, which they all said they enjoyed. As this home offers a respite service there is close contact with relatives and carers. Relatives are involved in the care planning and assessment processes. The home supports contact with relatives and friends. One service user said staff gave them support to write a letter to a friend. Service users told the Inspector of their friends at the home and at the attached day centre. As mentioned in the summary the Inspector arrived at 06.00am on a Sunday morning. The home was what one would expect early on a Sunday morning. All service users were in bed and the home was quiet. Service users got up in their own time and came to the dining room when they were ready. Service users told the Inspector they can go to bed and get up in their own time. The home has a cook on duty seven days a week. The cook arrived at the home just before 08.00am. The dining room is attractive and homely. Service users were able to choose and prepare their own breakfast and drinks. Service users said there was a roast dinner on the day of the visit. One service user said ‘the food is lovely’ Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Staff are striving to attain good standards regarding medication and in many cases are meeting them. Service users know their personal care needs will be met. Service users health needs are met. EVIDENCE: A CSCI pharmacist inspector undertook a review of medication handling on Monday 1/8/05. The home follows Council policies on medication. The only actual procedure in place was for the administration of medicine. Record keeping was satisfactory and staff were found to be vigilant in checking that medicine brought in for respite care was fit for use. Due to the short-term stay of service users, the home produces its own Medication Administration Record (MAR) charts on a computer. The procedure described appeared to have all the necessary checks but the charts were not signed to verify accuracy. Staff were found to have concerns when parents gave them different directions to that on the label of the prescribed medicine and sometimes encountered difficulty in checking the dose with the prescriber. The home has recently purchased a new drug trolley, which provides adequate storage for medicine for administration. The provision for storage is satisfactory but perhaps somewhat excessive in the provision for Controlled Drug (CD) storage. All staff administering medicine have received training and competency is audited but not recorded. Although staff have received training in the administration of medicine requiring special Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 16 techniques it has not been individualised to ensure they are competent and understand the specific care required. Details about how people want to be supported with personal care are recorded, however more detail is needed to ensure continuity of care. Personal care needs should be reassessed before each visit. The manager agreed to do this as part of reviewing service user plans. Health needs are detailed in service user plans. Some need reviewing. The home has close contact with families and relatives and keeps them informed of any changes in a person’s health. Staff seek advice when necessary. Service users have access to a full range of health care support services. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users know their complaints will be listened to and acted on. EVIDENCE: The Service user guide, which as information about the home clearly refers to the complaints procedure. A copy of the complaints procedure is available in reception and on a communal notice board. An accessible format has also been produced for service users. The home has received one complaint since the last inspection. The CSCI have received no complaints regarding Osborne Court. Service users have Key workers who work closely with them and liaise with relatives. This ensures that any complaints are dealt with quickly and effectively. Service users told the Inspector they would speak to staff if they were not happy about something. On one notice board was a pictorial poster stating, ‘Tell us what you like about Osborne Court’ ‘Tell us what you would change’ ‘ Tell us about your ideas’ ‘Tell us what you would like to eat’ Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,28,30 EVIDENCE: The home is on two floors with level access on each floor. Two separate staircases access the first floor, therefore service users who may have a physical disability use ground floor rooms only. The home appeared well maintained and homely. The home employs domestic staff and a maintenance man. The home was very clean and bright on the day of the inspection and was suitably fragranced. The lounges are large and comfortable and there is a separate activity room with a pool table and a separate sensory room. Furniture was seen to be of good quality and domestic in nature. Access to local amenities is offered. The home meets the requirements of the local fire service and environmental health department. All rooms are for single occupancy. Service users said they are happy with their rooms. All bedrooms have a wash hand basin and a lock fitted. Service users are offered a key to their room. Service users who use wheelchairs are accommodated on the ground floor, as there is no shaft lift to the first floor. As the majority of rooms are sited on the ground floor and service users are only admitted for a short stay the Inspector concluded that a shaft lift is not necessary. Service users told the Inspector that they could bring personal possessions with them to Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 19 personalise their rooms. The shared space is sufficient to meet the needs of the Service users with three lounges, an activity room, sensory room and smoking room. The home also has a self-contained flat where Service users have the opportunity to live more independently and develop their daily living skills. The gardens are large and accessible from one of the lounges via patio doors as well as other exits. There is an attractive patio area and greenhouses. There are facilities provided for staff. The home employs domestic staff. On the day of the inspection the home was clean, hygienic and free from offensive odours. Service users said they like to help with the household tasks like emptying bins. Hand washing facilities are sited appropriately. The laundry facilities are of a good standard. The Inspector noticed that some minor remedial work is needed to part of the lower wall in one of the corridors. The manager said that some windows are in need of repair as do not close properly. The funding has been agreed and work is to commence in the very near future. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33 Staff are aware of their roles and responsibilities and understand service users needs. Service users know there will be sufficient staff to meet their needs. EVIDENCE: The Inspector observed staff interacting with and talking to service users in an appropriate, respectful positive manner. This included night staff, day staff and the cook. The atmosphere was relaxed with service users confident in joking with staff. Staff spoke to the Inspector about the aims of the home and were aware of their roles and responsibilities. Staff spoke with knowledge and understanding of service users needs. Team leaders take turns to sleep in with one waking staff on duty. The team leader had just arisen when the Inspector arrived. Staff were helpful and friendly and keen to assist the Inspector. The night staff was observed supporting a service user with care and understanding. The night staff then handed over information to the team leader in a manner, which protected confidentiality. Most of the staff team are long standing and experienced. The team leader on duty said he has been at the home for 10 years. The home uses some agency staff when necessary. There was an agency staff on duty during the visit working one to one with a service user. This was detailed in the service user plan. There was a team leader on duty; a cook and three care staff. Service users said staff are kind. One service user said ‘Annette is my favourite carer, she helps me’ Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 21 The Managers said that extra staff can be called in if necessary. Two permanent staff have been recruited and are due to start soon. The Inspector concluded that there are sufficient staff to meet the needs of the service users. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,42,43 This is a well run home. The manager is open and approachable and has good ideas to improve and develop the service. Service users know their health and safety will be protected. EVIDENCE: The manager has been at the home since April 2005. The manager is a registered nurse with a background in learning disabilities. Staff said the manager is approachable and has encouraged staff to attend training courses to develop their skills. The manager will commence the necessary management qualification in September 2005. The manager arrived at the home about 2 hours into the inspection. The manager has identified areas for improvement and has made some changes for example ensuring that all staff have more regular one to one meetings. Staff confirmed that they have regular staff meetings and one to ones. The manager said she is keen to involve staff more in the running and development of the service. The manager has identified that care plans and assessments could be better and is working with colleagues to improve this. The manager has shown commitment to meeting Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 23 requirements and listening to suggestions from inspections at previous visits to improve the service. The manager said she has been attending periodic training with the KCC since she started in post. Staff confirmed this and said the manager has shown commitment to the role often working late. The Inspector spent time in the maintenance mans office looking at health and safety records. The maintenance man is responsible for carrying out checks and tests of equipment. Records were orderly showing regular tests of fire equipment and other equipment. The manager has worked with the maintenance man to review the fire risk assessment. A copy was seen which had been reviewed in June 2005. A copy will be sent to the local fire safety officer. Appropriate safety signs are posted around the home. The home has the necessary public liability insurance. The manager has regular meetings with a line manager. This home is owned and run by Kent County Council and therefore the Inspector understands that the home is financially viable. Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Osborne Court Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 3 H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 25 No 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 YA20 Regulation 13(2) Requirement The home has detailed procedures for all medicine handling taking place in the home. The record of receipt is dated Medicine for external use is not kept in the drug trolley There are detailed care plans and consent for the administration of rectal diazepam Service user plans must be up to date and regularly reviewed between visits. Any necessary guidelines especially regarding behaviour management must be included. All potential risks to service users must be identified and recorded and where possible eliminated. Records relating to individual service users must be stored separately. Timescale for action 31/10/05 2. 3. 4. YA20 YA20 YA20 13(2) 13(2) 18(1)a 31/08/05 31/08/05 30/09/05 5. YA6 15 30/09/05 6. YA9 13(4) 30/09/05 7. YA10 17 30/08/05 Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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. 2. 3. 4. Refer to Standard YA20 YA20 YA20 YA37 Good Practice Recommendations The letter to parents prior to the booking of respite care requests medicine is brought in in original containers with full up to date directions for administration. All MAR charts are signed when transcribed and countersigned when checked for accuracy. The door to the clinical room is fitted with a British Standard (BS) 5 lever lock The manager should be qualified to level 4 NVQ in management by 31/12/05 Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Osborne Court H56-H05 S37715 Osborne Court V240913 300705 Stage 4.doc Version 1.40 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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