Inspection on 17/01/06 for Outreach Community & Residential Services 118 Kings Rd

This inspection was carried out on 17th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Outreach Community & Residential... 14/11/07

Outreach Community & Residential... 13/06/06

Outreach Community & Residential... 24/08/05

Outreach Community & Residential... 18/01/05

Outreach Community & Residential... 14/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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 118 Kings Rd 118 Kings Road Prestwich Manchester M25 0FY Lead Inspector Sue Evans Unannounced Inspection 17th January 2006 09:30 Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Outreach Community & Residential Services 118 Kings Rd 118 Kings Road Prestwich Manchester M25 0FY 0161 773 2432 0161 740 5678 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 Janice Poole Care Home 4 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 4 service users, to include: up to 3 service users in the category of LD (Learning Disabilities under 65 years of age); up to 1 service user 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. That Outreach ensure a minimum of 16 supernumerary hours per week for the manager to manage 118 Kings Road. 24th August 2005 2. 3. Date of last inspection Brief Description of the Service: 118 Kings Road is one of a group of care homes managed by Outreach Care 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. The house is a large terraced property in a residential area of Prestwich, about a mile from the village centre. It is close to bus 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, dining kitchen, and a laundry room. All bedrooms are single. Outside, there is a paved area at the front of the house, 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. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 5¼ hours. Most of this time was spent watching what went on in the home and talking to 3 of the 4 residents, 2 staff members, and the acting manager. The inspector also looked round parts of the home and examined some key records. This inspection was the second to take place in the current inspection year. In order to gain a fuller picture of the home, this report needs to be read in conjunction with the report of the previous inspection of August 2005. The Registered Manager has recently left. An acting manager has been appointed until a permanent appointment is made. What the service does well: What has improved since the last inspection? The home has worked hard to try to meet the requirements that were made during the last inspection, and there have been improvements in a number of areas. There have been several improvements to the environment, most notably the refurbishment of the bathroom, the upgrading of the porch, and some decorating work. Residents were pleased with the results. Some health and safety matters have also been attended to. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 6 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. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home regularly updates its own assessments to reflect residents’ changing needs and goals. However, Care Management assessments need to be accessible in the home. EVIDENCE: Standard 1 was assessed in August 2005. Most residents had lived in the home for a long time. They said that it was a good place to live and they liked living there. The personal file for the most recently admitted resident was looked at. It contained evidence of the home’s own assessments, carried out in conjunction with the resident, and showed that needs and goals were regularly reviewed and updated by the home. However, there were no Care Management assessments or review notes from the placing Authority. Care Management assessments need to be stored in residents’ personal files so that they are easily accessible. Residents said that they participated in review meetings. However, one of the residents who was spoken with seemed unsure about their right to see their personal file if they wanted to. The acting manager was therefore advised to make sure residents were fully aware of this right. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 Residents are able to make some decisions about their lives but there is a need to look at ways that choice and control might be extended. Residents are supported to be as independent as possible, whilst trying to keep any risks to their health and welfare to a minimum. EVIDENCE: Standards 6 and 9 were assessed in August 2005. Residents said that they had choice about daily routines such as what time they got up or went to bed. They met together each week to decide upon the following week’s menu but menu choices were a collective decision, and only small variations from the agreed menu were made for individuals (for example someone might have sweetcorn instead of peas). This is looked at elsewhere in this report under the section entitled Lifestyle. None of the residents managed their own personal finances. In respect of activities, outings depended upon staffing levels. With only one staff member on duty after 5pm, there were no opportunities for residents to Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 10 decide upon spontaneous evening activities outside the home. (This too is looked at further under Lifestyle). The home needs to look at ways that residents might have more control over decisions about their lifestyles. Most residents had family or friends who could speak on their behalf but no one had an independent advocate. The home was advised to display information about independent advocacy where residents could see it. Records showed that potential risks had been assessed, and balanced against the resident’s right to choice and independence. One resident’s risk assessment had recently been amended, in conjunction with Community Nurses, and provided detailed guidance for staff members about how the resident should be supported. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, and 17 Residents take part in fulfilling community activities during the day, but staffing levels after 5pm mean that they have limited opportunities to pursue fulfilling activities during evenings. Contact with families and friends is encouraged. Residents are encouraged to eat healthily, and they said that they enjoyed their meals. EVIDENCE: Standards 12, 13 and 16 were assessed in August 2005. Residents mostly needed staff support to take part in community activities. Residents and staff gave examples of the community facilities that they used such as restaurants, shops, health centres, and synagogues. One resident was doing Art at college. Some went to day centres. Two people went out each week to Sense Around for relaxation therapy. Transport was usually by taxi or bus. These activities took place during the day when there were adequate staff on duty. After 5pm, when there was only 1 staff member on duty, outings were very limited, unless family members or volunteers accompanied people. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 12 Spontaneous outings cannot be arranged after 5pm. The home needs to discuss outside activities with the resident group to see if they would like to go out on evening activities sometimes. If so, the home needs to look at ways that this can be achieved. One resident said that the group went on holiday to Blackpool last year. The group recently celebrated Chanukah at the Village Leisure Club. Most residents said that they kept in contact with family and friends. Some regularly spent days with family members. Staff members said that relatives and friends were welcome to visit the home at any time. Residents’ personal plans contained a section covering “relationships, sexuality and partnerships”. Cultural and religious needs were respected. For example, there was an expectation that only kosher food would be brought into the house. Discussions with staff members indicated that they tried to encourage residents to eat healthily. Residents and staff said that weekly residents’ meetings were held to collectively decide upon a menu plan for the following week. Because everyone was expected to have the same lunches and evening meals, the menus did not accommodate individuals who perhaps liked a particular food that others did not. Menu records showed only minor deviations from the chosen set menu, for example sweetcorn instead of peas. The inspector was also informed that, once decided upon during the meeting, there could be no change to the menu. Menus need to be more flexible to accommodate the wishes and preferences of the individual residents. The acting manager said that it would be possible for residents to have an alternative dish as long as it wasn’t at short notice, and as long as the ingredients were available. She was asked to discuss this with both residents and staff members to ensure that residents were made fully aware of their rights to choose alternatives if they wished. Residents said that they usually enjoyed meals and that they got enough to eat. They also said that they had suppers, and snacks and drinks throughout the day. Breakfast time was flexible, and depended upon what time people got up. Two residents were able to prepare their own breakfasts, snacks and drinks. The outcome of this standard (Service users are offered a healthy diet and enjoy their meals and mealtimes) has been met. The matter of individual choice has been included in this report under the section entitled Individual needs and choices and a requirement has been made for the home to look at ways that choices can be improved. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Practices in the home respect residents’ rights to privacy, dignity and independence. EVIDENCE: Standards 18, 19 and 20 were assessed in August 2005. Residents 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. Staff members gave examples of how privacy and dignity were promoted in the home, for instance attending to personal care behind closed doors knocking on bedroom doors, and not discussing residents’ personal information in front of others, or outside the home. It was observed that staff members and residents spoke with each other in a natural manner. Residents said that staff treated them well and spoke courteously to them. One said, “Staff are good”. Medication procedures and storage were not looked at this time. However, three recommendations were made last time advising additions to the guidelines for handling medicines. It was noted that, as advised, guidelines covering medication taken outside the home (for example on days out or Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 14 weekends away with families) had been included in the guidelines, and consent to medication had been obtained. However, the home was also advised to include a paragraph about non-prescribed medicines. This had not been done and therefore it remains a recommendation. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Protection policies and procedures, and staff understanding of adult protection, ensure that the home has the means to be able to respond properly to any suspicion or allegation of abuse. However, the manager needs to seek opportunities formal training. EVIDENCE: Standard 22 was assessed in August 2005. There were written procedures covering adult protection and whistle blowing. Staff members had signed to show that they had seen them. The procedures were based on the multi disciplinary procedures from Bury, Rochdale, and Manchester. The acting manager was advised to contact Bury Social Services for a copy of their updated procedures. The staff members who were spoken with understood their responsibilities in reporting any suspicions of abuse. They had done some adult protection training whilst undertaking NVQ level 2, and they said that the home’s previous manager had raised the topics during staff meetings and one to one supervision meetings. The acting manager needs to check out whether the remaining team members understand their responsibilities in identifying and reporting potential abuse. The manager said that she had not undertaken any training herself in adult protection. This needs to be arranged. It would also be useful for staff members to be given opportunities to go on formal training courses in this topic. Systems were in place to safeguard residents’ finances. It was noted that two staff members checked financial records at each staff handover to make sure Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 16 there were no discrepancies. As an additional safeguard, only the manager, and the support worker who had done the sleep-over, had access to monies. The acting manager and staff members stated that they were not allowed to take gifts and gratuities from residents. However, there were no written guidelines covering this. The home needs to produce written guidelines for staff. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 17 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 the following standard(s): 24, 27 and 30 118 Kings Road provides a clean, homely, comfortable, and pleasant environment for residents, suited to their lifestyles. EVIDENCE: Standards 24, 25, 26 and 30 were assessed in August 2005. The home is situated in a residential area of Prestwich, about a mile from the village centre. It is close to bus routes, local shops, synagogues, and other local amenities. The house is a large terraced home, similar to other properties in the area. It is not identifiable as a care home. Residents said that they were pleased with the home. A number of improvements have been made to the home since the last inspection including the upgrading of the porch, attending to the damp patch on the kitchen ceiling, and the refurbishment of the bathroom to include a level access shower to replace the very small bath. Two of the three residents who were spoken with said that they were pleased with the new bathroom, but the third person said that they had liked the small bath better. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 18 The home was warm and clean, and odour free. Liquid soap and paper towels were provided for hand washing in the bathroom toilets, and kitchen. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35 Outreach provides ongoing training to equip staff with the knowledge and skills that they need to meet the needs of the residents. However, there are some gaps that need to be addressed. EVIDENCE: Standards 34, 35, and 36 were assessed in August 2005. Residents were satisfied with the support they received from staff members. It was observed that residents had no hesitation in approaching staff members if they wanted to speak to them. One member of the staff team had achieved NVQ level 2, and one was undertaking the course. This did not represent 50 of the staff team. Staff members gave examples of some of the training that they had done. This included NVQ level 2, food hygiene, medication, first aid, fire safety, and health and safety. However, the training matrix dated December 2005 shows a number of gaps in the mandatory training for staff. This needs to be addressed. Staff training will be looked at again during the next inspection. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 Residents, and others, have contributed to a detailed quality audit, which has identified areas for improvement. The improvement plan needs a little expansion so that residents will know what action is being taken to improve the service. The health and safety of service users and staff are promoted by means of regular maintenance and safety checks. However, weekly fire alarm tests need to be clearly recorded. EVIDENCE: Standards 37, 39 and 42 were assessed in August 2005. Outreach had undertaken an in-depth quality audit of the service provided by the home. This included asking residents, relatives and staff about their views of the service. A very detailed document had been produced which highlighted areas of good practice and areas identified for improvement. These areas had been summarised into several pages at the back of the document. However, although the summary identified areas for improvement it did not clearly show what action the service was going to take to bring about the improvements. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 Page 21 The acting manager said that the Director of Operations was aware that additions were needed to the document and he had asked for it to be returned for amendments. When this has been done, a copy of the summary needs to be made available to residents, and others, so that they know that their views have been noted and, where applicable, acted upon. A copy of the summary also needs to be sent to the CSCI (Commission for Social Care Inspection). The home had a range of health and safety guidelines for staff. Several safety records were checked. These included the gas safety certificate, the electrical installation certificate, and the portable electric appliance tests. Examination of the fire book showed that a fire risk assessment had been carried out and that fire safety training and fire drills were being done. Records showed that the emergency lighting and fire fighting equipment were regularly checked but the weekly fire alarm tests were not recorded. The acting manager said that they were done at the same time as the emergency lighting, and recorded on the one sheet. The record sheets did not show this. The home was asked to record the fire alarm tests separately. Since the last inspection the stair lift had been removed as it was no longer in use. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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 2 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 X 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000008440.V265743.R01.S.doc X 2 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 X 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X 2 X X 2 X Version 5.1 Page 23 Outreach Community & Residential Services 118 Kings Rd Are there any outstanding requirements from the last inspection? Yes 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 YA2 Regulation 14(1) 17 12(2)(3) Timescale for action Copies of Care Management 28/02/06 assessments and reviews need to be kept on residents’ personal files. The registered Person needs to 31/03/06 look at ways that residents can exercise more individual choice and control over their lives, for example in individual menu choices. The registered person needs to 31/03/06 consult with residents about their wishes in respect of evening activities. The registered person also needs to look at ways that staff support could be provided to help people to access evening activities outside the home if they wish to do so. The acting manager needs to 31/03/06 undertake training in adult protection. She also needs to check out that all support workers understand their responsibilities in identifying and reporting potential abuse. The home needs to produce 31/03/06 written guidelines for staff DS0000008440.V265743.R01.S.doc Version 5.1 Page 24 Requirement 2. YA7 3. YA12 16(2)(m) 4. YA23 13(6) 5. YA23 13(6) Outreach Community & Residential Services 118 Kings Rd 6. YA35 18(1)(c) 7. YA39 21 24 8. YA42 23(4)(c) members covering Outreach’s policy on gifts and gratuities. The ongoing programme of staff 30/04/06 training must continue so that all staff members have received up to date training in all the mandatory topics including medication, first aid, food hygiene, health and safety and fire safety. The summary section of the 30/04/06 quality review document needs to be more specific about what the service will do act upon the findings. The summary must be made available to residents so that they know their views are being acted upon. Fire alarms tests must be clearly 23/01/06 recorded every week. Timescale of 28/8/05 not met) 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. 5. 6. Refer to Standard YA2 YA7 YA20 YA23 YA23 YA32 Good Practice Recommendations Given the comment made by one resident, the home is advised to make sure that residents know about their rights to see their personal records. The acting manager is advised to obtain, and display in the home, information about independent advocacy services. The home is advised to expand the medication procedures to include management of non-prescribed medicines. Support workers who have not attended formal training in adult protection should be given opportunities to do so. The home is advised to obtain a copy of the updated multidisciplinary adult protection procedures from the Social Services. The registered person needs to continue to encourage and support staff members with NVQ training with a view to having at least 50 of workers with the qualification. DS0000008440.V265743.R01.S.doc Version 5.1 Page 25 Outreach Community & Residential Services 118 Kings Rd Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Outreach Community & Residential Services 118 Kings Rd DS0000008440.V265743.R01.S.doc Version 5.1 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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