Inspection on 19/09/08 for Outreach Community & Residential Services 1 Newtown Mews

This inspection was carried out on 19th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Outreach Community & Residential... 04/08/09

Outreach Community & Residential... 06/11/07

Outreach Community & Residential... 09/11/06

Outreach Community & Residential... 23/03/06

Outreach Community & Residential... 22/11/05

Outreach Community & Residential... 24/03/05

Outreach Community & Residential... 20/07/04

Outreach Community & Residential... 10/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 Outreach Community & Residential Services 1 Newtown Mews 1 Newtown Mews Prestwich Manchester M25 1HE Lead Inspector Julie Bodell Unannounced Inspection 19th September 2008 10:00 Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.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 Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.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. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Outreach Community & Residential Services 1 Newtown Mews 1 Newtown Mews Prestwich Manchester M25 1HE 0161 773 1062 0161 740 5678 akila@outreach.co.uk Address 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) Outreach Community & Residential Services Manager post vacant Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 4 service users, to include: up to 4 service users in the category of MD (Mental Disorder under 65 years of age). The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 6th November 2007 Date of last inspection Brief Description of the Service: 1 Newtown Mews is one of a group of homes managed by Outreach Community and Residential Services. Outreach is a charity that provides care and support predominantly to Jewish people with learning disabilities or mental health needs. This home is registered to provide care and accommodation for up to 4 people who have mental health needs. The house is situated in a residential area of Prestwich, close to bus and tram routes, local shops, synagogues, and other local amenities. The house is similar to other houses in the area and it is not distinguishable as a care home. It has a lounge, and a lounge/dining room. All bedrooms are single. Outside, there is car parking space at the front, and an enclosed garden at the back. The philosophy of care, as described in the Statement of Purpose, promotes values such as independence, dignity, rights, fulfilment, and choice. Cultural needs are supported. Fees range from £1106. Additional charges are made for hairdressing, toiletries, activities, holidays, transport, magazines and papers. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The inspection took place over six hours. The home had not been told that we (the commission) would visit. We looked around the house and checked some paperwork about the running of the home and the care given. At the house we talked to the two people who live at the home, the director of operations and a support worker. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well and what they needed to do better. What the service does well: What has improved since the last inspection? New daily record sheets are being used that give more detailed information about how people spend their time. Monthly meetings are planned for the coming year to give people the opportunity to be involved in making decisions about the running of the home. Risk assessments have been updated to reflect recent changes and give clear guidance to support workers as to how people are to be supported. People felt that their views were listened to and acted on and safeguarding policies and procedures were in place. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 6 People are starting to benefit from clearer management and monitoring of standards at the home but this needs to be developed further and maintained. 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. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have their needs fully assessed before admission to ensure the suitability of the placement. EVIDENCE: The procedure followed by the organisation for new referrals includes a full initial assessment and visits to the home by the prospective person. Compatibility with people already living at the home would be considered. There have been significant changes at the home over the past six months. One person who had lived at the home for many years has moved on to live in a flat and has greater independence. We were told that this move had been very successful. Another person had moved on to an adult placement. Following a recent hospital admission the acting manager had requested a review of a persons CPA assessment. The two remaining people have lived there for many years and were said to be getting on well together. The support worker was clear about the current individual support needs of both people. Because of peoples needs and in the absence of the acting manager, we asked the director of operations to come to the home to help with the inspection process. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 9 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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Support plans need to be available at all times and securely held to ensure that support workers have the information they need to support people effectively and that peoples right to confidentiality is maintained. EVIDENCE: Two care records were examined. They contained personalised and detailed information about peoples health and social care needs. Unfortunately peoples person centred plans were not at the house as the new acting manager had taken them home to review and update them following recent changes so we could not make an assessment as to how effective they were. The service needs to be able to evidence that people are fully involved in putting together their care and support plan so that they can be sure it reflects their goals. They need to sign the plan once finalised to show their agreement. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 10 New daily record sheets are now being used and they gave detailed information about what people had been doing over the previous few days. The acting manager has reintroduced monthly meetings for people to meet and these are planned for the coming year. This will give people the opportunity to be involved in making decisions about the running of the home. It was noted that the acting manager had already reviewed and updated the risk assessments due to recent changes. These were clearly identifiable on yellow sheets. They gave clear information to support workers as to how people were to be supported. The support worker was following these directions during our visit. Although it was positive that support plans were being reviewed and updated in the light of change. These records should have been available as guidance to support workers and should be securely held onsite at all times to ensure that peoples rights to confidentiality is maintained. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are actively supported to lead meaningful lives within the community and maintain contact with family and friends. EVIDENCE: The staff team are looking at ways of providing opportunities for people to develop their independence skills. The acting manager was addressing this in supervision sessions with support workers. People take part in community activities with staff support when necessary. One person had retired from their longstanding job this year and was looking at finding new hobbies. On the day of the visit one person was going independently to meet their friend for lunch and the other person was going to the library on the bus with a support worker. At home people enjoyed watching television and DVDs, playing keyboard, and reading. Staff time was Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 12 regularly provided to provide support outside the home. For example supporting people to go on holiday. Support workers were observed to respect peoples privacy when entering bedrooms and the bathroom. One person said that their privacy was respected for example nobody entered their rooms without permission. They said that they could choose what time they got up or went to bed, and how they spent their time. Interactions between the support worker and people living at the home were observed to be frequent and friendly. People kept in regular contact with family and friends and spent time with family members at their homes. Relatives and friends were welcome to visit the home at any time. Cultural and religious needs were respected. For example, there was an expectation that only kosher food would be brought into the house. Jewish festivals are celebrated. People have a choice about what they have to eat. They shopped individually and had individual cupboards in which to store their food. They also said that they were free to make themselves drinks or snacks whenever they wished. On Friday evenings for Shabbas, staff cooked for everyone, and people sit down together to eat a communal meal and prayers are said. The acting manager is looking at ways to improve the arrangements for food and make meals more appetising. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal support and healthcare needs of people are met and their independence is promoted. EVIDENCE: One of the aims of the service is to assist people to be as independent as possible. The support worker was fully aware of peoples individual needs and how they preferred to be supported. The support worker was observed to encourage people to do as much as they could for themselves and this was done in a gentle and sensitive way. It was clear from observation and discussion that people had a choice about their daily routines, for example what time they got up, daily routine and meals. The pace was very relaxed and people were getting up when we arrived. Each person has a health file that support workers have signed to say that they have read and understood. They also have a traffic light passport to take with them if they need to go into hospital so as to help staff there look Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 14 after them. One person had recently been discharged from hospital and it was clear from documentation that action had been taken to ensure that this person receives the follow up appointments that they need. This person had also had changes to their medication. New MAR sheets had been introduced and the handwritten transcribes had been double signed. The home had written guidelines covering medication. At this time no one was selfmedicating. A copy of Handling of Medicine in Social Care was also available for the staff team to use. Eye ointment for a person was not being administered from the two separately prescribed tubes to prevent cross infection. The director of operations addressed this matter during the visit. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People felt that their views were listened to and acted on and policies and procedures were in place that direct support workers as to what action must be taken to safeguard people from abuse or harm. EVIDENCE: We have received no formal complaints since the last inspection. At our last visit people had expressed concern that they were not always listened to. There has also been a period when bullying has been a problem and direct action has been taken by the organisation to address this. One person said that the new acting manager was very approachable and would take action if they had any concerns. A new system is in place for recording complaints. This shows that complaints are logged and what action has been taken to address them by the organisation. An audio complaints procedure has been made available to a person who is unable to read the written procedure. A copy of the new local authority safeguarding policy and procedures was available to support workers at the home. The acting manager has asked support workers to read the document and this will help to ensure that they understand what to do in the event of witnessing poor practice or an allegation or disclosure being made. The director of operations said that plans are in place to access local authority training on the procedure by managers, which would be later cascaded to support workers through internal training. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. Standards of safety, decoration, hygiene and cleanliness must improve to enable people to live in a safe and comfortable home. EVIDENCE: The home is owned by the organisation and is situated in a residential area of Prestwich, close to bus and tram routes, local shops, synagogues, and other amenities such as Heaton Park. The house is similar to other properties in the area. It is not identifiable as a care home. People have the use of two lounges, kitchen and a first floor bathroom and separate toilet. The ground floor shower and toilet was out of use and waiting to be repaired and refurbished. There was also a pleasant enclosed garden for people to use and a gardener comes regularly to mow the grass. A staff office/sleep-in room is located on the ground floor. People are encouraged to personalise their rooms with their own belongings. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 17 Although some decorating has been undertaken since our last visit the overall appearance of the home is tired. The acting manager has produced a maintenance audit and schedule of works. Priority has been given to health, safety and risk areas then to areas of improvement. Quotes for the necessary work have already started to be obtained and will be taken to the management committee for approval. We have required that a copy of the schedule of work be sent to us with a timescale of when work is to be completed by. The acting manager is going to contact the RNIB to look at introducing more aids and adaptations for the benefit of a person living at the home. We had concerns about fire safety arrangements at the home. The laundry room needs a smoke detector and many of the fire doors throughout the home did not close to the rebate. A cupboard being used for storage under the stairs needs to be emptied and kept locked shut to ensure a means of escape for people upstairs in the event of a fire. The home was generally clean but more attention was needed to paint work. The acting manager has introduced a cleaning schedule recently to ensure that this task is done. As noted at the previous inspection the kitchen would benefit from replacement. The worktops and cupboards are worn and very difficult to clean and do not ensure that good hygiene standards are maintained. Plans to improve the kitchen need to be included in the maintenance and renewal plan. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 18 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 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate staffing levels and supervision of support workers is evident but confirmation that they have received training to support people effectively and safely is needed. EVIDENCE: Relationships between the support worker and people living at the home appeared warm and caring. The support worker was able to demonstrate a good understanding of peoples support needs. There is a stable staff team in place that ensures good continuity for people. During a recent difficult period one person moved temporarily to another home within the organisation and the support worker moved with them. People had no hesitation in approaching either the support worker or the director of operations and one person said that they were happy with the support they were receiving. At the site visit up-to-date information was not available about staff training. We requested information from the organisation about NVQ training and mandatory health and safety training that the staff team had received. Unfortunately this was sent in a computerised format that we could not access Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 19 and further information had not been received at the time of completing this report. We are therefore unable to make an assessment as to whether the staff team have received the appropriate training to help ensure that they have the knowledge and skills to support people safely and effectively. Staff recruitment records are kept at the Outreach Head Office. A sample of recruitment files across Outreach homes was looked at during a visit to the office on 30th July 2008. In the main recruitment records indicated that all necessary recruitment checks had been undertaken. Employment checks that had been done included obtaining a photograph, employment histories, written references, medical declarations and a CRB (Criminal Records Bureau) disclosure. Records showed that in the main gaps in their employment records had been looked into. However more attention needs to be given to verifying references to confirm that the previous employer exists and where appropriate ensure that the registered manager or responsible individual and not a member of staff give the reference. All legal working documentation must be in place. The acting manager has set up individual guide files for each support worker that includes reading and signing the safeguarding policy and procedure, expectations of what people must do, information on peoples healthcare needs, understanding new systems etc. The acting manager has held regular supervision sessions with support workers. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 20 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. This judgement has been made using available evidence including a visit to this service. People are starting to benefit from clearer management and monitoring of standards at the home. This needs to be developed further and maintained so that people’s safety and welfare are promoted and protected. EVIDENCE: The previous manager retired earlier this year and the home has a new acting manager. We have been kept fully informed about these changes by the organisation and the acting manager is currently gathering information to start the process to become registered with us. The acting manager has a number of years experience working in social care and is qualified to NVQ Level 4. Unfortunately the acting manager was on leave at the time of our visit but contact by telephone was made. There was evidence that a number of management systems had been introduced, which suggest that the home was Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 21 beginning to be effectively managed. The support worker said that the acting manager was very approachable, as did a person living at the home. The director of operations undertakes regular supervision of the acting manager. Internal quality assurance systems are in place, which include an unannounced monitoring visit by the quality assurance manager for the service. We have previously advised the organisation that these visits need to be more regular, rigorous and robust to ensure that any shortfalls are identified and addressed quickly to prevent poor practices developing. The last visit was undertaken in March 2008. Two staff meetings have been held recently. Plans are in place to hold monthly residents meetings will help to support quality assurance processes by incorporating their views. It was agreed with the director of operations that peoples views and what action had been taken to address them would be fully included in the next AQAA (Annual Quality Assurance Assessment) requested by us. Most maintenance checks have been carried out but we were not clear about whether the portable electrical appliance test was up-to-date. We also had concerns about the validity of the electrical certificate for fittings and fitments relating to the whether the person undertaking the work was suitable to do so and a visual inspection only had been carried out. Records around testing and maintenance of the fire system were in order, but the fire risk assessment needed to be reviewed. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 22 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 2 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 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000008443.V371451.R02.S.doc 2 3 3 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 2 X Version 5.2 Page 23 Outreach Community & Residential Services 1 Newtown Mews 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 YA6 Regulation 15 Requirement Support plans need to be available at all times to ensure that support workers have the information they need to support people effectively. Agreement needs to be reached with people about what their support needs and personal goals are to ensure it is what they want. Support plans need to be securely held so that peoples right to confidentiality is maintained. All staff members need to undertake safeguarding training so that they know what action to take in the event of an allegation or suspicion of abuse. A copy of the renewal and redecoration programme must be sent to us. To ensure the health and safety of people in the event of a fire. All fire doors must close to the rebate to give people the required protection from smoke inhalation. The cupboard over the stairs needs to be emptied and kept locked shut to ensure a clear DS0000008443.V371451.R02.S.doc Timescale for action 30/11/08 2. YA10 17 30/11/08 3. YA23 13 30/11/08 4. 5. YA24 YA24 23 23 30/10/08 31/10/08 Outreach Community & Residential Services 1 Newtown Mews Version 5.2 Page 24 6. YA30 7. YA34 8. YA32 YA35 9. YA37 10. YA42 means of escape for people in the event of a fire. The fire risk assessment also must be reviewed. 13 Cleaning standards for the house need to be closely monitored to ensure the safety and comfort of the people that live there. 19 Verification of references to confirm the existence of previous employer’s and complete legal working documentation must be in place to ensure the protection of vulnerable people. 18 Verification is needed from the organisation that the staff team have received all the mandatory training they need to support people safely and effectively. Section 11 To ensure that the home is well Care run and complies with the law, Standards we must receive an application Act 2000 from a competent and suitably qualified person to become the registered manager for the home. 13 Confirmation is needed that the homes electrical safety certificate is valid and that the homes portable electrical appliances have been checked to ensure the health and safety of people living at the home. 30/11/08 30/11/08 30/11/08 30/11/08 30/11/08 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 YA39 Good Practice Recommendations We strongly advise that Regulation 26 visits are more rigorous and robust to ensure that any shortfalls are identified and addressed quickly to prevent poor practices developing. DS0000008443.V371451.R02.S.doc Version 5.2 Page 25 Outreach Community & Residential Services 1 Newtown Mews Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V371451.R02.S.doc Version 5.2 Page 26 - 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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