Inspection on 06/11/07 for Outreach Community & Residential Services 1 Newtown Mews

This inspection was carried out on 6th November 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 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... 19/09/08

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 09/07/2008.

CARE HOME ADULTS 18-65 Outreach Community & Residential Services 1 Newtown Mews 1 Newtown Mews Prestwich Manchester M25 1HE Lead Inspector Rukhsana Yates Unannounced Inspection 6th November 2007 10:00 Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 Mrs Esther Weinstock 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.V353830.R01.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. 9th November 2006 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.V353830.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We carried out an unannounced visit to the home, during which we looked at the ways in which staff support residents, talked to residents, the staff and the manager, and looked at paperwork relating to care, health and safety. The visit was carried out over 6 hours. 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 feel they do well, and what they need to do better. This helps us to determine if the management of the home understand the changes that may need to be made. We felt this form was completed in detail, but did not give a clear picture of all the areas that should be improved. What the service does well: From speaking with residents, it is clear they are happy with the care and support provided. Residents say they like living in the home and that staff treat them well. One person said “I choose what I want to do. They have good staff here and the food is nice”. The records kept on residents (care plans), include a lot of information about the things residents needs support with and the things they like to do. This means staff have the information they need so they can make sure residents get the care and support they need. Residents’ cultural needs are met, for example by making sure that only kosher food is brought into the house. Residents are encouraged to take part in community activities of their choice, such as work, college courses, leisure activities and holidays, with staff support if needed. Residents make their own choices about things such as daily routines (for example what time they get up or go to bed), activities and meals. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 6 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. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have their needs fully assessed before admission to ensure the suitability of the placement. EVIDENCE: The three current residents have lived in the home for several years. All residents have individual files containing the information required covering areas such as family/social contact, assessment, management of risk and personal support. From discussions with the manager it was evident that any future admissions would be handled appropriately. The manager said prospective residents would be offered the opportunity to visit prior to admission. The first twelve weeks of placement are used as an assessment period to ensure that all parties are in agreement for the placement to continue. There was evidence to show that review meetings were held to update care management assessments. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 & 9: Quality in this outcome area is good: This judgement has been made using available evidence including a visit to this service. Staff provide support in a positive and enabling way, ensuring understanding and agreement is reached with the resident about their support needs and personal goals. EVIDENCE: Two care plans were examined. They contained personalised and detailed information about residents’ health and social care needs. This included individual and risk issues, and each resident’s daily routines and how they liked their care and support to be provided. Care plans take note of resident’s religious and cultural needs. For example in regard to meals one plan stated, “In the house I will always choose a kosher diet-outside the home a vegetarian option”. There was also evidence of regular reviews taking place. Each resident helps to plan their review meetings and decides who will attend. Records showed that residents’ needs and goals are reviewed every 6 months. There were also reports of monthly informal meetings between the resident Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 10 and their key worker to review needs and goals. Detailed daily reports enable the manager to monitor the activities and movements of residents and staff each day, and provides useful information to be used when carrying out a review. The manager is now working with staff to improve review information, as currently some information does not reflect proper consideration of each person’s goals and aspirations. For example, target dates for goals are vague, and key areas of plans note “no change”. The existing care plans had not been signed to show agreement to it by the residents concerned. In discussions, the three residents said they would like a copy of their plan that they could understand. It is therefore recommended that each resident is fully involved in devising a person centred plan in a format that is easy to understand, suitable and accessible. The routines of daily living were observed to be flexible. For example residents were observed getting up in the morning at times that suited them and to choose where they spent their day. Residents spoken with also confirmed they had a choice about daily routines. Residents took part in their own chosen activities, and they had individual menus. They were also involved in choosing furnishings and colour schemes for the home. Records showed that potential risks had been assessed, and balanced against the resident’s right to choice and independence. For example most residents managed their own finances, and two looked after their own medication. Where needed, risk management guidelines were in place with regard to particular needs or behaviours. These ensure that individual choice and community participation is promoted. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 & 17: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are actively supported to lead meaningful lives within the community and maintain contact with family and friends. EVIDENCE: The staff team continue to look at ways of providing opportunities for the residents to develop practical and personal life skills. For example cooking, shopping and helping with housework. Most residents could take part in community activities without staff support. However, staff members did spend time on community activities with residents. Residents described some of the community activities that they were involved in. These included work, college, social groups, meals out, and shopping. All residents had the opportunity to go on an annual holiday. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 12 At home, residents enjoyed pastimes such as watching television and DVDs, playing keyboard, and reading. Staff time was regularly provided to provide support outside the home. For example supporting residents on holiday. Staff were observed to respect residents privacy when entering bedrooms and bathrooms. Residents said that their privacy was respected, for example nobody entered their rooms without permission, and mail was given to them unopened. They said that they could choose what time they got up or went to bed, and how they spent their time. Residents undertook some household tasks, such as shopping, cooking, cleaning, and laundry, with varying degrees of staff support. Individual needs were taken into account. For example, one resident enjoyed ‘talking newspapers’ and had these delivered to the home. Interactions between staff and residents were observed to be frequent and friendly. During the course of the inspection staff were observed spending quality one to one time with residents. Most residents kept in contact with family and friends. Some regularly spent time with family members at their homes. Staff members said that relatives and friends were welcome to visit the home at any time. Residents’ civil rights are protected, and an example was provided of legal services being engaged to uphold the rights of an individual resident at this home. 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. Residents said that they had choice about what they had for meals. They shopped individually and had individual cupboards in which to store their food. They said that they prepared and ate their meals at the times they chose. They also said that they were free to make themselves drinks or snacks whenever they wished. Some residents cooked independently, whilst some needed staff support to prepare meals. On Friday evenings (for Shabbas), staff cooked for everyone, and the residents sat down together to eat a communal meal. Prayers were led by residents. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 & 20: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of residents are met, promoting good health and independent living skills. EVIDENCE: One of the aims of the service was to assist residents to be as independent as possible. Staff were observed encouraging residents to do as much as they could for themselves. Assessments and care plans contain information about resident’s preferences and chosen lifestyle. In respect of personal and physical care, residents were generally self-caring, and any assistance from staff members took the form of encouragement and reminders. All residents had lived at the home for a long time and staff are fully aware of their needs and how each individual preferred to be supported. All residents were able to express their wishes about the way they were supported. It was clear, from discussions with residents that they had choice about their daily routines, for example what time they got up, daily routine and meal choices. On arrival the inspector observed residents getting up at various times, while at lunch residents had different meal options. Relationships between staff and residents seemed warm, friendly, caring and respectful. Residents and staff Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 14 spoke with each other in a natural manner. Residents said that they were happy with the way that staff members treated them, and the way they spoke to them. One said, “we have got good staff here”. There was evidence that the resident’s health care needs are regularly monitored and each person has a separate health plan. Residents are provided with support to attend regular health care appointments and check ups, details of which are recorded clearly in a designated record sheet. Specialist services were obtained if necessary. The manager and staff spoke knowledgeably about the emotional needs of the residents, demonstrating that they had the skills to understand and respond to any problems. The home had written guidelines covering medication. Residents were actively encouraged and supported to look after their own medication. Currently two residents self-administer their medication. Staff undertake spot checks to ensure these residents are continuing to manage their medication safely. Medicines were being stored safely, with a clear record of medicines received into the home and any returned to the pharmacist. Medication Administration Records (MAR) were examined and were, on the whole, properly completed. There were gaps in the records. These had occurred when residents were visiting family and had taken medication away from the home. As medication had not been missed, residents’ health was not at risk. However, the medication records must be completed properly at all times so that it is clear that residents have taken their medication when they need to do so. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 & 23: Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Policies, procedures and training are in place to safeguard residents from abuse or harm, but residents feel that complaints are not always thoroughly dealt with. EVIDENCE: A detailed complaints procedure is in place. No formal complaints have been received by the CSCI (Commission for Social Care Inspection) since the last inspection. A system is in place for recording complaints. Residents said the manager is approachable and they find it easy to talk to her about any problems. However, during this visit, one of the residents said he had complained more than once about staff using the house telephone and mobile phones for personal calls while on duty and that “it is happening all the time. Nothing has been sorted out”. The manager had been carrying out investigations, but the complaints record did not show what action has been taken, the outcome of the investigation, and how and when the resident was notified of the outcome. Arrangements need to be made to show residents that all complaints are taken seriously and addressed. No allegations of abuse had been made to the home or to CSCI. Adult Protection and Prevention of Abuse policy are in place. The home ensures all staff completes a POVA and CRB (Protection of Vulnerable Adults Register/Criminal Records Bureau) before they commence work. Training in the signs and recognition of abuse is covered during induction and in NVQ (National Vocational Qualification) training. The manager and staff have undertaken training course in adult protection. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 & 30: Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment is satisfactory providing residents with a homely, comfortable and clean place to live. EVIDENCE: The home 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 properties in the area. It is not identifiable as a care home. Residents had the use of two lounges, kitchen, a ground floor toilet and a first floor bathroom and separate toilet. There was also a pleasant enclosed garden for residents to use. A staff office/sleep-in room is located on the ground floor. Residents are encouraged to personalise their rooms with their own belongings. There is an ongoing programme of refurbishment and redecoration. Since the last inspection, the exterior paintwork has been carried out and some new items of furniture purchased. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 17 The home was clean and tidy throughout. The laundry room is situated on the ground floor and away from food preparation areas. The kitchen would benefit from total refurbishment. The existing units and cooker have not been replaced in 13 years and look worn and are very difficult to clean. The combined toilet/shower room would also benefit from redecoration so that it provides brighter, easy to clean and more pleasant facilities for residents to use. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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, 34 & 25: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well trained staff team, with their safety promoted through rigorous staff recruitment and selection procedures. EVIDENCE: Relationships between staff and residents seemed warm, caring and friendly, with staff demonstrating a good understanding of residents support needs. The stability of the staff group ensures good continuity for residents. It was evident that residents had no hesitation in approaching staff members if they wanted to speak to them. Residents spoken with indicated they were satisfied with the care and support provided. Two staff training records were examined. There was evidence that new staff undertake induction training that meets the National Training Organisation (NTO) specifications following which foundation training is undertaken. Staff had undertaken a range of training. Courses completed by staff include food hygiene, moving and handling, fire safety, health and safety, medication, protection of vulnerable adults, epilepsy, drug awareness and introduction to mental health. In addition staff undertake training in Jewish customs and traditions. Staff spoken with were satisfied with the range of training opportunities provided. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 19 The provision of NVQ (National Vocational Training) for staff is good, with over 50 of the staff having attained NVQ level 2, and two working towards level 3. Outreach houses do not usually keep detailed staff recruitment information within each home. This information is kept in a central office. The CSCI therefore undertook a random sample of staff personnel files in June 2007 to check on the vetting arrangements for care staff working in Outreach properties. These checks confirmed that the recruitment procedures were robust and safe and promoted equality and diversity. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 & 42: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well run service that continues to recognise and act on the improvements that need to be made. EVIDENCE: The manager was registered with the CSCI in September 2004. She has completed NVQ level 4 in care, and the Registered Manager’s Award. She keeps updated by attending regular training in topics such as person centred awareness, epilepsy, mental health awareness, and the mandatory health and safety topics. It was clear, from observations and discussions, that the Registered Manager encouraged an open, inclusive atmosphere within the home. During the Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 21 inspection, it was observed that residents and staff had no hesitation in approaching the manager if they had anything they wished to discuss. Discussions with residents and staff indicated the manager was approachable and supportive. She is clearly respected by the staff team and committed to improving the quality of life of the residents. Internal monthly monitoring visits take place (conducted by managers from other Outreach homes). A sample of which were examined and were found up to date. Members of the organisations management committee also undertake quality audit visits. Resident and staff meetings are held on a regular basis. The need for a quality assurance plan was highlighted. The plan should be based primarily on residents’ views, be produced in an accessible format, and shared with residents when completed. Written information provided prior to the visit indicates that equipment and environmental health and safety checks are up to date and satisfactory. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000008443.V353830.R01.S.doc 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Version 5.2 Page 23 Outreach Community & Residential Services 1 Newtown Mews 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 Medication records must show that residents have taken the medication they need to maintain their health when they are away from the home. So that residents have confidence in complaints handling processes, the investigation and outcome relating to each complaint must be recorded and explained to the resident making the complaint. There must be a quality assurance plan that shows residents and their relatives how their views are used to improve the service to residents. Timescale for action 30/11/07 2. YA22 22(3) 30/11/07 3. YA39 24(3) 01/03/08 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 YA6 Good Practice Recommendations To ensure residents are in agreement with their care plan, DS0000008443.V353830.R01.S.doc Version 5.2 Page 24 Outreach Community & Residential Services 1 Newtown Mews 2. YA24 each resident should be fully involved in devising a person centred plan in a format that is easy to understand, suitable and accessible. The kitchen should be totally refurbished so that it can be properly cleaned and provide a pleasant and modern environment for residents to prepare their meals. Outreach Community & Residential Services 1 Newtown Mews DS0000008443.V353830.R01.S.doc Version 5.2 Page 25 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.V353830.R01.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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