Inspection on 24/08/05 for Outreach Community & Residential Services 118 Kings Rd

This inspection was carried out on 24th August 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

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

Outreach Community & Residential... 17/01/06

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

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

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Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

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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 118 Kings Road Prestwich Manchester M35 0FY Lead Inspector Sue Evans Unannounced 24th August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Outreach Address 118 Kings Road Prestwich Manchester M25 0FY 0161 773 2432 0161 740 5678 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Outreach Community and Residential Services Mrs Janice Poole CRH PC Care Home Only 5 Category(ies) of LD Learning Disabilities - 4 registration, with number MD Mental Disorder - 1 of places OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: MD Mental Disorder , excluding learning disability or dementia:- 1 place Within the total of 5 places there can be up to a maximum of :LD Learning Disability 4 places The service should employ a suitably qualified and experienced Manager who is registered with the with the Commission for Social Care Inspection. That Outreach ensure a minimum of 16 supernumerary hours per week for Janice Poole to manager 118 Kings Road. Date of last inspection 18th January 2005 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 5 people, although at present only 4 are resident. 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 F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 5½ hours. More than half of this time was spent watching what went on in the home, talking at length to 3 of the 4 residents, and interviewing 2 staff members. The inspector also looked round the house, examined some key records, and interviewed the manager. What the service does well: What has improved since the last inspection? The Service Users’ Guide has been updated and it contains useful information to help service users, and their representatives, to decide whether or not the home will be suitable. The complaints procedure has also been amended to make it clear that residents, and others, have a right to make complaints directly to the CSCI if they wish. Outreach is regularly checking standards in the home by means of monthly, unannounced visits to the home by managers. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 standard(s) 1 The Service Users’ Guide contains useful information about the home. It gives prospective residents information that can help them decide whether the home is suitable. EVIDENCE: Since the previous inspection, the Service Users’ Guide had been updated. It contained useful information about the home including details of its facilities, the number of places provided, the experience and qualifications of the manager and staff, and a selection of residents’ views of the home. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 Residents know about their individual plans, and they are involved in reviewing their needs and goals. They know that these are regularly updated to reflect any changes. The home encourages residents to be as independent as possible, helping them to keep any risks to their health and welfare to a minimum. EVIDENCE: The manager and staff members were asked about the needs of two of the residents. They were consistent in their descriptions of how they assisted them, and this matched with the information given by the residents, and the details recorded in their individual care plans. The two care plans that were looked at gave guidance to staff members about how each person was to be supported. There was also a care plan summary held in a separate folder for quick reference. Care plans were centred upon the “eight accomplishments” of community presence, independence, choice, individuality, status, respect and dignity, continuity, relationships, and culture. They included each resident’s preferences and goals, and reflected the home’s objective of encouraging residents to be as independent as possible. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 10 Records showed that residents’ needs and goals were reviewed every month, More formal review by the resident and a designated support worker. meetings, to which relatives and social workers were invited, took place approximately every six months. Residents said that they knew about their written records and they said that they had attended meetings to discuss their support needs. Records showed that potential risks had been assessed, and balanced against the resident’s right to choice and independence. One resident said that the manager was going to draw up a plan aimed at helping him to go out to the local shop or synagogue unaccompanied. The residents who were spoken with during the inspection said that they were happy with the support given to them by staff. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 16 Residents choose how they spend their time, and take part in activities that they enjoy doing. They participate in the community, with staff support, enabling them to lead more fulfilling lifestyles. Practices in the home respect residents’ rights to privacy, dignity choice, and independence. Cultural needs are supported. EVIDENCE: Residents needed staff support for most community activities. Residents gave examples of the community facilities that they used such as public transport, cafes, shops, health centres, and synagogues. One enjoyed going to 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. One resident said that all the residents had recently had a holiday in Blackpool. At home, residents enjoyed pastimes such as watching television, listening to music or reading. Written records contained details of residents’ preferences in respect of their daily routines. Residents said that they could choose what time they got up or went to bed, and that they could choose how they spent their time. They gave OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 12 examples of how staff members helped and encouraged them to do things for themselves, for example make their bed, tidy their rooms, or do the washing up. Staff members gave examples of how privacy and dignity were promoted in the home, for instance when attending to personal care. Residents were satisfied that their privacy was respected, for example nobody entered their bedrooms without knocking. It was observed that staff members and residents spoke with each other in a natural, friendly manner. Residents said that staff treated them well and spoke politely to them. One said, “ Staff are OK. They treat you well”. Cultural and religious needs were included in care plans. Residents gave examples of how staff members helped them to adhere to their cultural beliefs, for example by accompanying them to the synagogue, and ensuring that a kosher diet was provided. Staff induction covered guidelines on Judaism. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20 Residents are assisted to be as independent as possible, and they are included in decisions about how staff will support them. Any changes in health needs are dealt with in liaison with the appropriate specialist health services. Medication storage and procedures promote good health and safety. EVIDENCE: One of the aims of the service was to assist residents to be as independent as possible. Residents and staff members were consistent in their descriptions of individual support needs, and these descriptions matched with the information recorded. Residents could 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 or went to bed. Residents and staff 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. Residents said that they used community healthcare services such as opticians, dentists, chiropodists, and GPs. Details of all contacts with health OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 14 professionals were recorded. Records showed that the home requested assistance from specialist health workers if necessary. For example, one person was seeing a speech therapist and had a daily programme of exercises aimed at improving communication. Another had been referred to the Community Learning Disability Team. The manager was clearly aware of the physical and emotional needs of the residents. The home had written guidelines covering medication. It was recommended that these guidelines include reference to how non-prescribed medicines should be managed, for example if a resident tells a staff member that they have bought medicines to treat minor ailments such as coughs or colds. It was also recommended that the guidelines include details of the procedure for administration of medicines outside the home, for example if a resident were to go on weekends away with their family. There were records of medication received, administered, and disposed of. Not all residents had signed a “Consent to Medication” form. Staff members who were consulted during the inspection said that they had completed training in safe handling of medication. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 standard(s) 22 The home has a written complaints procedure, and residents feel that any concerns will be listened to and dealt with. EVIDENCE: The home had a written complaints procedure. Since the last inspection it had been updated to make it clear that complaints could be made directly to the CSCI. Residents said that, if they had any concerns, they would speak to the manager. They said that they were confident that any complaint would be properly dealt with. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, and 30 118 Kings Road provides a clean, homely, comfortable, and pleasant environment for residents, suited to their lifestyles. In order to keep up these standards the home needs to attend to three items of work. EVIDENCE: 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. Ongoing redecoration and refurbishment had been taking place, in line with the written maintenance plan, to ensure that satisfactory standards were maintained. However, there was an outstanding requirement from the previous inspection in respect of the upgrading of the porch. The manager said that the owners of the property (Irwell Valley Housing Association) had agreed to do the work. She said it was expected that it would be finished OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 17 within the next 4 weeks. There was also a need to attend to the damp patch on the kitchen ceiling. The manager said that this had been caused by water seeping down occasionally from the upstairs bathroom. She said that there were plans to refurbish the bathroom within the next few weeks. Part of the refurbishment will be the replacement of the bath, which is very small, with a shower unit. She said the planned refurbishment would solve the water seepage problem, and that the kitchen ceiling would then be repaired. Rooms were furnished in a comfortable, homely way. All bedrooms were single. They were personalised with residents’ own belongings. Residents said that they were pleased with their rooms, and with the home in general. However, two people did comment upon the small bath, and said that they would be pleased when the new shower was fitted. The home was warm and clean, and odour free. Residents said that the home was always clean. Liquid soap and paper towels were provided for hand washing in the bathroom and kitchen but cotton towels were being used in toilets. The manager was asked to put paper towels in toilets in order to prevent the spread of infection. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36 Thorough pre-employment checks are carried out in order to promote the safety and protection of the residents. 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. Staff members are appropriately supported and supervised to help them to develop professionally and provide a good service to residents. EVIDENCE: Some staff recruitment records were kept at the Outreach Head Office. A sample of these were looked at during a visit to the office in July 2005. They contained most of the required information. The files held at the home also had some of the required documents. Between the two, all the necessary information was available. During the visit to the Head Office in May, the service was advised to keep a full set of recruitment documents in one place. Employment checks that had been done included obtaining employment histories, 2 written references, medical declarations, photographs, CRB (Criminal Records Bureau) disclosures and POVA (Protection of Vulnerable Adults) register checks. Records for recent recruits showed that gaps in their employment records had been looked into. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 19 Records showed that new recruits received induction training. The training booklet included a section covering Judaism, and how to respond to residents’ cultural and religious needs. Staff members gave examples of some of the training that they had done. These included food hygiene, medication, and health and safety. One person said that she had also done moving and handling and first aid. Another said that she was booked to go on courses covering moving and handling, and fire safety. On looking at staff records, it was noted that not all training certificates were available. The manager said that some had not been received. The training files need bringing up to date to ensure that they accurately reflect the training that has been completed, and enable the manager to easily identify any gaps. The manager was asked to provide the CSCI with an up to date training plan listing all the mandatory topics, and the date each staff member had done, or was expected to do, the training on that topic. Staff training will be looked at again during the next inspection. Staff members said that they felt well supported by managers. They said that there was always someone on call in case they needed help or advice. On looking at staff files, it was noted that formal 1to1 meetings took place monthly, with minutes recorded. Records and discussions also showed that regular staff meetings were held. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42 Service Users benefit from the open management approach of the home and they are able to openly express their wishes and opinions. The opinions of residents, and others, have been sought to help the home to review quality, and improve standards. However, the home has yet to produce a written plan that will show residents and others how their views are being used to improve the service. In order to promote the safety and welfare of residents and staff, some health and safety matters need attention. EVIDENCE: The manager has been home leader at 118 Kings Road since 1996, and registered manager since March 2004. She has worked for Outreach since 1988. She has completed NVQ level 4 in care, and the Registered Manager’s Award. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 21 At the time of the last inspection, a requirement was made in respect of the need for the manager to update her training in some of the mandatory courses. This had been done although she said that she was now due for a refresher course in fire safety, and that a training date had been arranged. It was clear, from observations and discussions, that the Registered Manager encouraged an open, inclusive atmosphere within the home. Regular meetings took place, for staff and residents, where they could express their views. Residents knew about the things that affected them, for example the fitting of the new shower. During the inspection, it was observed that service users and staff had no hesitation in approaching the manager if they had anything they wished to discuss. The manager said that the home had recently done a satisfaction survey involving residents, relatives and staff. The completed questionnaires had been sent to Outreach Head Office. The manager said that a report was to be written, summarising the outcomes of this exercise. She said that the report would include an action plan for future improvement. She was asked to make sure that a copy of the report was made available to residents, and others, so that they know that their views have been noted and, where applicable, acted upon. A copy also needs to be sent to the CSCI. Records showed that standards in the home were also being checked by means of monthly, unannounced visits to the home by other Outreach managers. Several safety records were checked. These included the electrical installation certificate, the portable electric appliance tests, Legionnaire testing, and servicing of fire alarms, and emergency lighting. The gas soundness inspection was overdue. Examination of the fire book showed that alarms had not been tested every week. During the last service of the stair lift (in January 2005), the engineer had said that the appliance no longer met with safety regulations. The manager had at that time intended to have it removed, as the residents currently living in the home did not use it. This had not been done. The manager was asked to make a decision about whether to repair, or remove, the stair lift. Discussion took place about a recent incident of physical aggression that had occurred in the home. Details had been recorded, and risk assessments and action plans were in place. However, the details should have been reported in writing to the CSCI. OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 OUTREACH Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 2 x F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 23 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 24 Regulation 23(2)(b) Requirement Attention is needed to the peeling paintwork around the front porch. (Timescale of 31 March 2005 not met) Attention is needed to the repair and re-decoration of the kitchen ceiling. Paper towels must be provided for hand drying in toilets. The ongoing programme of staff training must continue so that all staff members have received up to date training in the mandatory topics. The home must provide the CSCI (by the date in the end column) with an up to date training plan, listing all mandatory topics, and the date each staff member has completed, or will complete, training in that topic. Following the quality review, a quality development plan must be produced. The plan must be made available to residents, the CSCI, and other interested parties. The registered person must arrange for a gas safety inspection without delay. A copy Timescale for action 31 October 2005 2. 3. 4. 24 30 35 23(2)(b) (d) 16(2)(j) 18(1)(c) 31 October 2005 31 August 2005 30 September 2005 5. 39 24 30 November 2005 6. 42 13(4) 30 September 2005 Page 24 OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 7. 8. 42 42 23(4)(c) (v) 13(4) 9. 42 37 of the certificate must be sent to the CSCI by the date in the end column. Fire alarms must be tested weekly. The registered person must arrange for either the removal of the stairlift, or the upgrading of the appliance in line with safety regulations. (Timescale of 28 February 2005 not met) The registered person must provide the CSCI with written details about the recent incident of physical aggression that occurred in the home. 24 August 2005 30 September 2005 9 September 2005 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 20 Good Practice Recommendations The home is advised to expand the medication procedures to include management of non-prescribed medicines, and medicines taken outside the home (for example on weekends away). Where possible, consent to medication should be recorded. 2. 20 OUTREACH F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 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 F56 F06 S8440 118 Kings Road (Outreach) V215555 010805 Stage 4.doc Version 1.40 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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