Inspection on 24/04/07 for Park Road 9

This inspection was carried out on 24th April 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

Park Road 9 28/11/05

Park Road 9 07/06/05

Park Road 9 02/02/05

Park Road 9 07/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Park Road 9 9 Park Road Harrogate North Yorkshire HG2 9BH Lead Inspector David White Key Unannounced Inspection 24th April 2007 09:00 DS0000061604.V334137.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 DS0000061604.V334137.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. DS0000061604.V334137.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Road 9 Address 9 Park Road Harrogate North Yorkshire HG2 9BH 01423 521014 F/P01423 521014 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) Foresight Residential Ltd Post vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places DS0000061604.V334137.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 12 adults with a learning disability, some of whom may have an additional physical disability and/or sensory impairment. 28th November 2005 Date of last inspection Brief Description of the Service: 9 Park Road is registered to provide residential personal and social care to 12 people with learning disabilities and associated sensory impairment. The home is situated a short distance from Harrogate town centre and with good access to the towns services and amenities. The registered provider is Foresight Residential with the responsible individual being Mr P Coldwell. At the time of the site visit the fees for the home ranged from £695 upwards and did not include costs for hairdressing, chiropody, toiletries, reflexology and holidays. A Statement of Purpose is displayed in the home providing information about the home and the most recent inspection report is available for people to look at. DS0000061604.V334137.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the deputy manager on a pre-inspection questionnaire. Comment cards returned from 2 relatives. This report follows an unannounced site visit undertaken on the 24 April 2007. This visit was carried out by one Regulation Inspector and took 7 hours with 4 hours preparation time. Time was spent talking to four residents; three care staff, the cook and the manager. Records relating to residents, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity in the home. This helped in gaining an insight into what life is like for residents living in the home. The manager was available throughout the inspection and the findings were discussed with her at the end of the site visit. What the service does well: Residents say they are happy living at the home and feel that they are encouraged to make their own choices about how they live their lives. Residents enjoy a range of activities, which enables them to pursue their interests and have involvement in the local community. The home has good relationships with other services and this helps to ensure that residents are able to access and receive specialist support in order to maintain and promote their good health. Residents feel confident that their concerns will be listened to and acted on by the management of the home and this makes them feel safe. Relatives feel that the home keeps them well informed of important matters so that they are aware of any issues with their relative. Staff receive a good range of training to equip them in caring for and meeting the needs of the residents. One relative made comments that the staff provide “excellent care and services for the residents”. DS0000061604.V334137.R01.S.doc Version 5.2 Page 6 The manager runs the home in the best interests of residents and involves them in the running of the home so that they are involved in decision-making about the care and services they receive. A resident describes the manager as “brilliant”. 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. DS0000061604.V334137.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 DS0000061604.V334137.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 and 5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper pre-admission procedures are in place so that prospective residents can feel confident that their needs will be met by the home. EVIDENCE: No residents have been admitted into the home since the previous inspection visit. However proper pre-admission procedures have been followed in the past to make sure that only suitable people are admitted to the home. All prospective residents are visited prior to admission where possible and the home carries out an assessment of the individual’s needs in order to help them in making a decision about the person’s suitability. Information about the person’s care needs is also collected from all available sources such as the placing authority. People who are thinking about moving into the home are offered the opportunity of spending time at the home before making any decision about moving in. Each resident has an individual contract explaining the terms and conditions of their stay at the home and they are provided with a service user guide which gives specific information about the home. All of the information is available in DS0000061604.V334137.R01.S.doc Version 5.2 Page 9 large print and Braille format to assist those residents who have visual impairment and in the care records it is recorded when staff have read information to residents. The records show that terms and conditions of residency have been agreed with each resident and/or their representatives. DS0000061604.V334137.R01.S.doc Version 5.2 Page 10 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 and 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents are encouraged to make their own choices about how they live their lives and their care is usually well planned although this could be improved by better recording in some aspects of the care planning documentation. EVIDENCE: Each resident has a care plan that sets out how they are to be supported in achieving their goals. The focus of the care planning is to maximise residents’ independence and to enable them to live their lives as they choose. The information in the care plans is generally informative and person centred. One resident is experiencing mental health problems and the care records show that following a referral, an assessment of the resident’s needs has undertaken by the Learning Disability Community Resource Team. From their assessment they made a number of recommendations that are generally being followed. However, there is no information in the resident’s care plan about this area of DS0000061604.V334137.R01.S.doc Version 5.2 Page 11 need and without this there is a risk that the resident’s health needs may not be fully met. Residents said that they are involved in discussions with staff about the care they are receiving and describe the staff as “helpful and friendly”. A key worker system is in place and this enables staff to spend time with residents on an individual basis. Key worker meetings are held to review residents’ care and residents are involved in this process. More formal care plan reviews take place for each resident and their relatives and professionals who are involved in their care are invited to attend. Residents said that they are encouraged to make their own decisions and be independent. Each resident’s care plan has a range of good individual risk assessments that have been carried out to support residents in achieving their aims whilst taking into consideration any risks from this. This includes carrying out daily living activities such as using the toaster and making drinks. One resident enjoys horse riding and the risk assessment supported the resident in being able to pursue this activity safely. Some of the residents have challenging behaviour. In one resident’s care records there is no risk assessment in place to identify risks to the resident and others from the behaviour or of any actions that need to be taken to minimise any risks. In another resident’s care records there is a behaviour strategy plan in place, however this provides only basic guidance to staff on how to respond to a resident’s behaviour. The risk assessments are reviewed on a regular basis to reflect changing needs. Residents said that they like being involved in the running of the home and are involved in regular house meetings. The records from these meetings show that a number of aspects of the home are discussed and residents’ views are acted on. Relative surveys indicate that they feel residents receive good standards of care and this could be supported through observation at the time of the site visit. DS0000061604.V334137.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents enjoy a lifestyle that meets their social and leisure needs and enables them to be involved in the local community. EVIDENCE: Each resident has an individual activity programme that they plan with staff in order to develop their skills. Residents have the opportunity to be involved in a wide range of appropriate activities. Most of the residents attend local day services where they are involved in such activities as arts and crafts groups and beauty sessions. Some residents go horse riding whilst others enjoy swimming and attending a gym. In one resident’s bedroom there are a number of certificates on display showing the resident’s achievements at a local college. Residents said that they enjoy their involvement in the local community with regular visits to the pub and other nearby attractions. One DS0000061604.V334137.R01.S.doc Version 5.2 Page 13 resident enjoys a drink and has a fridge in their bedroom to store beer. The home has access to a minibus that is used to take residents on trips out. The manager said that she is looking at ways of further developing the social and recreational opportunities for residents. Residents feel that they have a lot of opportunity to spend time out of the home if they choose to do so but also feel that they are not pressurised into doing things they do not want to do. Residents receive support in maintaining relationships with family and friends and relatives made comments that they are encouraged to have involvement with the home. Visiting arrangements are flexible and residents can see family and friends whenever they want. Some residents’ keep in regular contact with family by telephone and a number of them go on holidays with their relatives. Residents said that the meals on offer at the home are good and that there is “plenty of choice available”. Most feel that the quality of food has improved since the recent appointment of a new cook. Fresh meat and vegetables are purchased throughout the week and the menu considers healthy eating options. In one resident’s care records it was noted that the resident had gained a lot of weight and in agreement with the staff had decided to eat more healthily with good results from this. A mealtime was observed and residents could be seen enjoying a nicely presented meal. Residents and staff have their meals together. DS0000061604.V334137.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents’ receive personal support in a dignified manner and have access to healthcare support and other specialist services. EVIDENCE: Residents said that the staff are “respectful” when assisting them with any personal support and this could be observed at the time of the site visit. Each resident has a General Practitioner (GP), a dentist and a chiropodist visits the home regularly. Referrals are made to specialist services as appropriate as in the case of a resident experiencing some mental health problems. Staff support residents in attending appointments and care records are kept up to date about the reasons for appointments and outcomes from these. Regular checks are made of each resident’s weight so that any issues from this can be addressed. Generally any health care needs are recorded in the resident’s care plan although sometimes the care planning information needs to be more detailed to ensure that all health care needs are being met. DS0000061604.V334137.R01.S.doc Version 5.2 Page 15 Relatives’ comment cards indicate that the home keeps them informed of any important matters affecting their relative. One relative made comments that the staff provide an “excellent service” and are “caring and understanding”. The medication systems in the home are satisfactory. The new manager is intending to review the current medication arrangements in the home to look at ways of improving them. All the staff team receive appropriate medication training and this is periodically updated. DS0000061604.V334137.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents feel confident that their concerns are listened to and acted on. Proper actions are taken in response to allegations of abuse and this safeguards residents from harm. EVIDENCE: The home has not received any complaints since the previous inspection visit. The home has a complaints procedure detailing how any concerns would be dealt with and this is available in large print and Braille formats. Residents know who they would need to speak to if they wish to raise concerns and staff said they would be able to be aware of concerns through observations of residents’ behaviour for those residents who may have difficulty in communicating. Information about how to complain is included in the resident’s terms and condition of residency at the home. Since the previous inspection visit there has been an adult protection matter at the home following allegations made about misappropriation of residents’ monies. The senior management of the organisation sought advice from the Commission for Social Care Inspection (CSCI) on this matter that was then referred to the appropriate agencies. The matter was fully investigated and the organisation took appropriate action to deal with it. The home has a satisfactory system in place for looking after residents’ monies. Since this DS0000061604.V334137.R01.S.doc Version 5.2 Page 17 incident arrangements have been introduced for better recording of incoming and outgoing residents’ monies that are now checked by two members of staff and signed for. The manager and her deputy are carrying out weekly audits of the financial systems in the home although these are not being recorded. Staff have attended abuse awareness training, which is also covered in the induction period for new staff. Staff meeting records show that issues around abuse are discussed at every meeting so that staff are constantly kept updated. The home has an adult protection policy and procedure, however the information in this is not clear and the manager said that this would be reviewed so that it more accurately reflects the safeguarding procedures of the local authority. DS0000061604.V334137.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents live in comfortable surroundings and the home is generally well maintained, however some aspects of the environment need improving to promote the comfort and safety of residents. EVIDENCE: Residents said that they like living together and could be observed to be getting on with each other. Accommodation is over four floors and can be accessed by stairs. There is no lift and no ramped access to the home so the premises would not be suitable for people with mobility problems. Residents made comments that they are pleased with the standard of their accommodation and all bedrooms are personalised and lockable to offer residents privacy. Two residents share a bedroom and it is clear that both are satisfied with these arrangements. There DS0000061604.V334137.R01.S.doc Version 5.2 Page 19 are a sufficient number of toilets, baths and showers with appropriate aids and adaptations to promote residents’ independence and mobility. The furniture and fittings are of a good standard and most are well maintained although some issues need addressing to reduce risks to residents. Whilst some parts of the home are bright, the lighting in areas with low energy light bulbs needs to be improved to maximise residents’ mobility, independence and safety. One resident with partial vision said that the lighting “could be better”. In the second floor bathroom there is a cracked window and in the top floor bathroom the windowsill is in need of attention. The maintenance book shows that these jobs have been reported and are awaiting attention from the maintenance worker for the organisation. The home is clean, tidy and well maintained. A cleaner is employed to make sure that standards of cleanliness are maintained and the home has an infection control policy to instruct staff on good hygiene procedures. A fire risk assessment of the premises has been carried out and this is satisfactory. Systems are in place for the monitoring of hot water temperatures and any problems are referred to the maintenance worker for the organisation. A random check of the hot water temperatures was found to be within safe limits. The kitchen is clean and the necessary checks are made to promote good food safety practices. DS0000061604.V334137.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents receive a good standard of care from a well-trained staff team. EVIDENCE: Staff are on duty in sufficient numbers to meet the needs of the residents. Additional staffing is arranged at busy times such as supporting residents to attend appointments and when doing activities. Residents said that they feel there are “always enough staff about”. Some staff continue to work up to 14hour shifts and said that they actually prefer this way of working as it helps to maintain consistency in providing care to residents. At the previous inspection this was having an impact on attendance at staff meetings, however the manager said that these are now better attended and the staff meeting records supported this. The manager did say that the current shift patterns are being looked at in order to make sure that staffing levels are based around residents’ needs at all times. All new staff receive a formal induction and are given information about a number of aspects about the home. This includes guidance on how to promote DS0000061604.V334137.R01.S.doc Version 5.2 Page 21 equal opportunities for residents. Staff receive a range of training to enable them to carry out their job role effectively. The home is accredited with the Royal National Institute for the Blind (RNIB) and staff receive specialist training from them to help with their understanding in meeting the needs of people with visual impairment. A member of staff said that they have attended a deaf awareness course to help them to be able to communicate more effectively with residents who have hearing difficulties. Whilst some staff have received some training in managing challenging behaviour others had limited training in this area and would benefit from having more specialist training that is specific to the resident group. Staff made comments that the training is “very good” and most staff have either completed or are doing the National Vocational Qualification (NVQ) programme and this has developed the skills of the staff team. Staff could be seen to be interacting well with residents and relatives made comments that they feel staff have the right skills and experience to be able to meet the residents’ needs. The home has a recruitment policy and procedures that are being followed in order to safeguard residents from potential harm. All the necessary checks take place prior to care staff starting work at the home. The recruitment processes are non-discriminatory and the home has a policy on male workers working with female residents and female workers working with male residents to provide guidance to staff on considerations around this. DS0000061604.V334137.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Recent management changes have led to some improvements in the running of the home. The home is run in the best interests of the residents and overall proper attention is given to health and safety matters although some issues need addressing to protect the residents from harm. EVIDENCE: A new manager has been in post for six weeks following the dismissal of the previous manager. The manager has experience of being a deputy manager in another home that is owned by Foresight Residential Ltd. She has completed the Registered Manager’s Award and is in the process of applying to register as DS0000061604.V334137.R01.S.doc Version 5.2 Page 23 the manager of the home with the Commission for Social Care Inspection (CSCI). Both residents and staff feel that there have been improvements in the running of the home since the new manager took over. Residents feel that the manager is “very friendly and approachable” and one described her as “brilliant”. The staff made comments that “the atmosphere in the home has improved” and “staff morale is better”. One member of staff said that “we feel more valued and concerns are now listened to and acted on” and all the staff feel that they are now “more involved” in decision-making. At the site visit it was evident that the manager has made a positive impact on the running of the home and this is helped by her “hands on approach” to management. Systems are in place to encourage people to have their say about how the home is run. House meetings are regularly held to seek their views and these are recorded. All the residents spoken to say they are very happy living at the home. Staff meetings offer staff the opportunity to voice their views and opinions and they receive supervision to help support them in doing their jobs and to discuss their individual performance and any training needs. A senior member of the organisation carries out regular visits to the home to make sure they are fully aware of the service’s performance and can monitor the activities in the home. Required health and safety certificates seen are up to date and satisfactory. All staff receive a range of health and safety training and accidents are clearly recorded in the home’s accident book to safeguard the interests of residents. At a recent inspection of the home’s electrical wiring systems a number of issues were identified that need addressing to prevent any possible risks of harm to the residents. Whilst some arrangements have been put in place for the necessary work to take place as yet this has not been started. As previously mentioned under the heading of individual needs and choices, some of the record keeping needs to be improved so that measures are in place to reduce risks from residents with challenging behaviour. As previously mentioned earlier in the report under the heading of environment, lighting in some areas needs to be better, and actions need taking to address the problems with the cracked window and a windowsill in two bathroom areas to promote residents’ safety. The manager is aware of these issues and is taking action to address them. DS0000061604.V334137.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 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 Score 2 3 X 2 x LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X DS0000061604.V334137.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15 (1) Requirement All residents must have a detailed care plan. This will make sure that they receive person centred support that meets their needs. Risk assessments must be carried out on residents with challenging behaviour to identify risks from the behaviour and actions that are to be taken to reduce risks to the resident and others. Timescale for action 24/07/07 2 YA9 13 (4) (c) 24/05/07 3. YA42 13 (4) (c) & 23 (1) (a) Actions must be taken to address 24/05/07 the issues that have been identified from a recent check of the home’s electrical wiring systems. This will minimise risks to the residents’ safety. DS0000061604.V334137.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA23 YA23 Good Practice Recommendations The weekly auditing of residents’ monies should be recorded. The home’s policy and procedure for the safeguarding of residents from abuse needs reviewing so that it more accurately reflects the local authority procedures. This will provide staff with clearer instruction about what to do if abuse is suspected or has occurred and will safeguard residents from possible harm. Arrangements should be made to provide adequate lighting in all parts of the building to assist residents with their independence, mobility and safety. The problems with the windowsill in the top floor bathroom and the cracked window in the second floor bathroom should be addressed to promote the comfort and safety of residents. Staff should have some training in managing people with challenging behaviours to better equip them with the skills and knowledge in meeting their needs safely. 3. YA24 4. YA24 5. YA35 DS0000061604.V334137.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 DS0000061604.V334137.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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