Inspection on 22/10/08 for Park Road South (7-9)

This inspection was carried out on 22nd October 2008.

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

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

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Park Road South (7-9) 7 - 9 Park Road South Birkenhead Wirral CH43 4UN The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michael Perry Date: 2 2 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 36 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 36 Information about the care home Name of care home: Address: Park Road South (7-9) 7 - 9 Park Road South Birkenhead Wirral CH43 4UN 01516536863 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Potensial Limited Name of registered manager (if applicable) Stefan McLoughlin Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 21 0 care home 21 learning disability Additional conditions: The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Learning Disability, Code LD, maximum number of places 21 The maximum number of service users who can be accommodated is: 21 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 36 A bit about the care home Number 7-9 Park Road West is a care home for adults who have learning disabilities. The home is situated close to Birkenhead town centre and is on a main road across from Birkenhead park. The home was originally two buidings but has been converted to one care home. It is owned and run by a company caled Potens.ial Ltd. The registered manager is Stefan McGloughlin. The fees for the service are from 575 to 1200 pounds. Care Homes for Adults (18-65 years) Page 5 of 36 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 36 How we did our inspection: This is what the inspector did when they were at the care home Before we visited the home the manager filled out a form we sent and returned this. It had a lot of information about the home and how the people are supported to live their lives. We visited the home without telling the staff we were coming so that we could see how things work normally. We spoke with many of the people who live there and watched how they spend their day and how the staff support them. We looked at the records kept on people who live in the home and other records to do with how the home is run. We looked around the home to see if it was clean and a nice place to live and some of the people living in the home showed us their bedrooms. We also spoke with a nurse who visits the home to ask for their views as to how the home helps to manage peoples health Care Homes for Adults (18-65 years) Page 7 of 36 care. What the care home does well The home is good at helping people to make choices about what they want to do Care Homes for Adults (18-65 years) Page 8 of 36 each day. We saw that people were free to come and go as they pleased and staff helped residents to go out of the home and join in activities in the local community. This helps people to live better lives. We found the staff have a good understanding of the way residents want to be cared for and this is helped by good records describing he care in the home. Staff have good relationships with residents and this helps the residents to feel more secure and relaxed. One person said: This is one of the best places Ive been in. There is a good atmosphere. Another said: Staff help me with washing in the morning. I like to have a shower and they help me with this. We found that the home are good at supporting people who have other, more diverse, needs such as those with difficulty with walking. The home has been designed so that these people can get around by themselves. This is important because it shows the home supports people with different kinds of disability. Page 9 of 36 Care Homes for Adults (18-65 years) We found that people are supported to get involved with social activities. Some told us about social clubs they go to and another person was having a birthday celebrated on the day of the inspection., Others were involved with staff in organizing a Halloween party. We found very good attention paid to supporting people with their health care. All residents have a health passport on file which outlines health care needs and how health support services are organized. People told us that they felt safe in the home and that staff listened to their concerns and would help them. Staff knew Care Homes for Adults (18-65 years) Page 10 of 36 how to help somebody who complained and also knew how to report any concerns about peoples safety. We looked at records and were satisfied that staff who work in the home are checked by the managers to ensure that they are fit to work with vulnerable people. This helps to ensure that people in the home are safe. We found that the managers and people running the home listen to peoples ideas about how things can be improved and this helps to improve the home in the best interests of the people living there. What has got better from the last inspection The home are introducing person centred planning. This is welcomed as this approach meets good practice and should ensure that residents can be more involved in their care and will help to identify personal needs. Care Homes for Adults (18-65 years) Page 11 of 36 What the care home could do better Some of the information that people can read needs to be updated with some details about the home. This so that anybody reading the information is clear about who owns the home and the homes rules. We spoke to a person who had not been given the information when they first came into the home. This is important because good information helps the person settle into the home. We found that some of the records about people could be filled in better and be appropriate such as the assessment documents when somebody is first admitted. We spoke to the manager about what happens when people who are having an intimate relationship in the home. This was not clear and there is no written information to guide people. Page 12 of 36 Care Homes for Adults (18-65 years) The medicines where managed well and people are given their medicines safely. Some residents are on medicines that are given only occasionally. It would be recommended that these medicines are also mentioned in the care plans so that everybody is sure why these are given. We also think that people living in the home should be encouraged, when possible, to manage their own medicines as this helps them to feel more in control of their lives. The home was clean but we would recommend that the toilets and bathrooms are supplied with paper towels and liquid soap as this will help stop any germs spreading. The staff have good training but we would recommend that the manager check the training staff have when they first start work and make sure that it covers everything that staff need to know to support people living in the home. We would recommend that the homes manager give out some survey forms to Care Homes for Adults (18-65 years) Page 13 of 36 people in the home so that they can tell the manager how things could be improved further. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Michael Perry 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. Care Homes for Adults (18-65 years) Page 14 of 36 You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 15 of 36 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 16 of 36 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are assessments carried out so that people are admitted to the home appropriately and their care needs can be understood. Evidence: We spoke to a resident who had recently been admitted as an emergency. The person said that staff had been a good support during the admission. We asked the manager for any written information that had been supplied. The manager showed us the Service User Guide which is well written and easy to understand. The resident concerned was able to read and understand the document when shown it but said that this had not been produced at the time of, or soon after admission. This is important as information given at the time of first coming into the care home may assist in helping the person to settle in and feel more comfortable. We also discussed the homes Statement of Purpose. This is a fuller document which outlines the service as a whole. This has not been updated with details of the newly registered company. We saw some admission assessment documents for people who had come into the Care Homes for Adults (18-65 years) Page 17 of 36 Evidence: home. These included assessments from social workers and health professionals showing that the home liaise well with professionals involved with residents. The homes own assessments were not always completed fully however. For example the health care section of one assessment and the family background on another were not completed. The manager pointed out that the information is actually recorded elsewhere and felt that the assessment document needs to be streamlined as it is very long and repetitive. The manager said that residents are assessed over a period of weeks to build up a picture of the care needs so that a care plan can be devised. This was supported by the other documents seen in the care file which included further assessments. The pre inspection information supplied by the home [AQAA] states that the home are introducing person centered planning [PCP]. This is welcomed as this approach meets good practice and should ensure an assessment and planning process that the resident can be more involved in and which helps to identify personal needs. Care Homes for Adults (18-65 years) Page 18 of 36 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living in the home are able to make decisions about their daily life so that they can live as independently as possible. Evidence: We looked at the care plans and records for some of the residents. These were completed by staff to a good standard. For example there was a very clear plan for one resident who has some destructive behavior. There were clear guidelines about how to approach this so that the person could be helped to live more appropriately. There was also evidence that the key worker for the resident had spoken with a health care professional who was able to offer further support and advise. This is good practice and helps ensure that the resident gets the right support. The care plans are reviewed regularly and these reviews clearly described any progress made so that it was easy to follow the care. The resident was spoken with and felt that the home was good and that staff were helpful. Another resident said: This is one of the best places Ive been in. There is a good atmosphere. I like to have a shower and staff help me do my washing. I have a Care Homes for Adults (18-65 years) Page 19 of 36 Evidence: key to my room. Residents reported that they can make decisions about their daily life such as what time to get up in the mornings and when to go out. Residents were seen coming and going during the day. Any person who presents with behavior or care needs that involve some risk are assessed and are assisted to carry out activities. For example one resident spoken with has poor mobility and this had been identified on the care plan and measures put in place to ensure that the person was being kept mobile. Staff have to be with me sometimes. Staff have got me using stairs for exercise which is doing me good. The manager reported that care records are currently not geared to involving residents directly although they could view them when they needed to. There is no real references in the care notes to evidence that residents are involved in the care plans. The proposed introduction of person centered planning should improve this. The manager showed us some initial work with one resident and this displayed good involvement by the resident who has been able to identify some personal care needs. Care Homes for Adults (18-65 years) Page 20 of 36 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The social life in the home is relaxed and residents are generally supported to live their chosen lifestyle. Evidence: We spoke with staff who explained about the gateway project. This is an award that people with a learning disability can join in with. It offers self development and interest. Currently three residents are involved and we were able to see some of the work completed which showed good resident involvement. There are also some people doing courses at college. For example one person doing glass painting and gardening. Some go to a music group and the home have acquired some instruments. This shows that the home are encouraging self development for people. People living in the home were seen to be socilaising well and some had clearly made Care Homes for Adults (18-65 years) Page 21 of 36 Evidence: friends. The manager reported that a couple had been married and lived in the home together. We asked about the broader issues around people sexuality and how preferences and lifestyles could be supported. There is currently no information available in the home around this and no policies for guidance. The managers comments supported the fact there appears to be little forward planning or attention to peoples needs or risk factors associated with peoples behavior / lifestyle. This area of care needs some development so that there is clear guidance for residents and staff to support diversity. There is a staff responsible for organizing activities for people in the home. There are regular trips out side the home and this includes visits to local amenities such as the museum. One resident said; I like to do crosswords. I recently went out for a trip to the zoo which i then wrote about. All residents spoken with enjoyed the food. There is a flexible approach. For example breakfast is an open choice and residents are free to get up when they wish. A cooked breakfast is available at weekends. A staff member was seen approaching residents to ask what their choice was for meals. There is a lot of home baking and cooking and this was appreciated by the people spoken with. Special occasions are celebrated and there was a birthday celebration on the day of the inspection. Some residents told us about the forthcoming Halloween party that they were looking forward to. One person showed us his bedroom which was very well personalized with evidence of hobbies and interests on display. Some people spoke about the Wednesday club which offers a chance to socialize outside the home. Care Homes for Adults (18-65 years) Page 22 of 36 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There is good liaison with health care professionals and staff support residents in their personal care so that health and personal care needs are met. Evidence: Residents reported that staff assist when needed and help with washing and dressing. All residents seen were clean and appropriately dressed which shows that staff are keen to support peoples dignity and self respect. We found very good attention paid to supporting people with their health care. All residents have a health passport on file which outlines health care needs and how health support services are organized. One resident has undergone some stressful investigations in hospital and has been well supported by staff. Anther person has had an assessment completed by an occupational therapist for disability aids to assist with walking. Care files showed that people recieve regular reviews by psychiatric service when needed. A health care professional spoken with said that the home referred and worked well with professionals and were very realistic when supporting people. Medication policy in the home is comprehensive. There is good references to understanding peoples diverse lifestyles and how this may affect taking medicine. For Care Homes for Adults (18-65 years) Page 23 of 36 Evidence: example people who have a religion that dictates fasting at certain times. This shows that the service is prepared to support diverse lifestyles. We asked about people self medicating and the manager displayed a paternalistic approach saying that he preferred to monitor all medication. This was discussed and the benefits to individuals in terms of living independent lifestyles balanced against safety is well understood by the manager. We would encourage a more proactive approach to encouraging some independence for residents if possible. Two people were reviewed who had medication that is given when necessary [PRN]. Currently there is no reference in care plans for this and we would recommended that any such medicines are monitored through the care plan to ensure consistent understanding amongst staff about when the medicine is given. All medication records seen were up to date and easy to follow. Residents reported that they always received their medicines. Care Homes for Adults (18-65 years) Page 24 of 36 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are policies and procedures and staff are trained so that peoples concerns are listened to and reported and they are protected. Evidence: There is an easy read complaints procedure available for people in the home. Those spoken with were very relaxed around staff and said that they were listen to so that any concerns could be addressed. We looked at the complaints recorded in the complaint book. These were not clear and lacked detail. For example what action the manager had taken. We would recommend reviewing the way complaints are recorded so that they are better monitored and audited. The pre inspection information sent by the manager says that there has been six referrals to the social service safeguarding team since the last inspection. Two of these concerned allegations about staff behavior towards people in the home. Both of these allegations were appropriately dealt with by the manager and attention was paid to the local policies agreed with social service for the reporting and investigating of such incidents so that residents received full protection. The other four referrals were for incidents of resident altercations which were managed through the safeguarding procedures so that residents received needed reviews. Staff spoken with have received training in how to recognize and report abuse and Care Homes for Adults (18-65 years) Page 25 of 36 Evidence: where knowledgeable about this. Care Homes for Adults (18-65 years) Page 26 of 36 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is well maintained and clean so that people living there enjoy comfortable surroundings. Evidence: We were shown around the home by one of the residents and spoke to other people living in the home during the visit. We found the home to be relaxed and welcoming and residents spoken to and observed were clearly at home and enjoyed the positive atmosphere. All areas seen were clean and the domestic staff on duty was also observed to be interacting and supporting residents. We were invited to look at some of the residents bedrooms and found these to be very personalized and well maintained so that individual lifestyles were reflected. Those people spoken with had keys to their rooms and said that privacy was respected. The external grounds are easily accessible. We spoke with one resident who has difficulty with mobilizing and the home have made it possible for this person to move freely around the home by providing ramped access for example. This shows that the management have considered people with physical disability and have taken time to ensure they can access facilities in the home. Care Homes for Adults (18-65 years) Page 27 of 36 Evidence: Residents said that they had access to bathrooms and toilets. These are on each floor. We observed that not all communal bathrooms and toilets had liquid soap provided and none had paper towels. These are strongly recommended in order to reduce the risk of cross infection in the home. Care Homes for Adults (18-65 years) Page 28 of 36 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff are recruited and trained appropriately so that people living in the home can have their care needs met. Evidence: There were 14 people supported in the home at the time of the inspection by four care staff [including the manager]. Care staff have flexible duties and this was shown by one staff member having kitchen duties as well as organizing some of the activities in the home. The care staff are supported by domestic staff on a daily basis. Staff spoken with felt that generally they were supported by the management and that there was enough staff to carry out the care needs of the residents. Staff spoken with clearly understood the care needs of the people in the home and could explain their role in providing support. We observed the staff to be warm and supportive in their interactions with the residents and this was confirmed as consistent by speaking to residents. Most staff are involved with some training. four of the eleven care staff have already completed a National vocational Qualification [NVQ] and most other staff are on these courses. Staff files seen and staff spoken with evidenced ongoing support around training which is monitored through regular supervision sessions with the manager. This shows that the staff have the basic skills to care for people in the home. Care Homes for Adults (18-65 years) Page 29 of 36 Evidence: We discussed the homes induction programme. This covers many areas of care but some staff spoken with had had no introduction to learning disabilities. One staff in key worker to a person with epilepsy but had had no induction training [or ongoing training] around this. It would be recommended that the current induction pro gramme is audited against the common foundation standards from Skills for Care so that any changes or additions to the current induction pro gramme can be made. We looked at some staff files and found that the checks required for each staff prior to employment had been made and that staff were recruited thoroughly. This ensures that staff who work in the home are fit to do so. Care Homes for Adults (18-65 years) Page 30 of 36 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Their are management systems in place so that the home is run in the best interests of the residents. Evidence: The manager is Stephan McLaughlin. We spoke at length and he was able to give a clear outline of the current needs of the service in supporting residents with learning disability and also outline how future developments would fit in with best practice. For example the introduction of the person centered planning [PCP] approach to care which should encourage better resident involvement with their care and care planning. We asked how the service promotes peoples views and suggestions and was told about the regular community meetings so that residents can air any views or concerns. Currently the service does not canvass opinions of residents through surveys and this would be recommended as another useful way for people to provided feedback about the service and feel more involved in the running of the home. The manager discussed the various internal audits that are carried out including regular environmental checks and also visits by senior management who also complete Care Homes for Adults (18-65 years) Page 31 of 36 Evidence: a monthly audit [Regulation 26 report] which provides further feedback for the manager. We found that the management of health and safety in the home was good. The preinspection information [AQAA] completed states that all safety certificates are up to date and some of these were spot checked on the inspection. This ensures that the environment for people is safe and maintained. The Health and Safety policy has the manager named as responsible person. The training completed by the manager is the basic update for all staff and it would be recommended that, as part of his development, he complete a higher level course to ensure full awareness in this area. Care Homes for Adults (18-65 years) Page 32 of 36 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 33 of 36 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 All people admitted to the home should have a copy of the service user guide given to them. The homes Statement of Purpose needs to be updated with information on the newly registered providers. 2 2 The homes assessment documents should be reviewed and streamlined as discussed and should be developed with reference to the intended introduction of person centred planning. The proposed introduction of person centered planning[PCP] should help the care to be more individualized and involve the residents to a greater degree. It is strongly recommended that the service develop policies and guidelines regarding how the service will support individuals in loving / sexual relationships. We would recommend that following risk assessments residents capable of self medication are encouraged and Page 34 of 36 3 6 4 15 5 20 Care Homes for Adults (18-65 years) supported. We would recommend that any persons on PRN [give when required] medicines are monitored through an entry in the care plan so that there is a consistent approach. 6 22 We would recommend that the way complaints and concerns are recorded and monitored is reviewed as discussed. It is strongly recommended that all communal bathrooms and toilets are provided with liquid soap and paper towels to reduce the risk of cross infection in the home. We would recommend that the current induction programme for staff is audited against the common induction standards to ensure a full program is maintained. We would recommend that people using the service are surveyed periodically so that further feedback can be sought. We would recommend that the manager complete a higher level qualification in health and safety. 7 30 8 35 9 39 10 42 Care Homes for Adults (18-65 years) Page 35 of 36 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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