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Inspection on 12/04/05 for Park Way

Also see our care home review for Park Way for more information

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home makes potential new service users feel welcoming and provide useful information. The staff have a good understanding of service users` wants and needs. Service users have a stimulating and varied life at the home. They plan and cook their own meals helped by the staff if necessary. Visitors and existing relationships are encouraged. The service users participate in various activities including social clubs, creative centres and other hobbies and work placements. They are able to discuss and plan days out and holidays individually with their lead care and at the regular service user `house` meetings. The staff team are well trained and able to meet the needs of the service users. The great strength within the home are the staff who are skilled, knowledgeable, well trained and able to meet the needs of the service users. The service users felt safe and comfortable at the home. The standard of care is good and the home has a happy lively atmosphere.

What has improved since the last inspection?

The decoration and furnishings are being gradually improved and many areas within the home are now looking better.

What the care home could do better:

The home generally has a good system for the recruitment and employment of staff. However, there was one example were the home had yet to undertake a check of the potential new workers against the register for the Protection of Vulnerable Adults. The owners were unsure how this was done when they employed the last member of staff. However, since then the owners have found out how to request the check. One service user`s en-suite was seen on the day to be untidy and dirty. The home is working with the service user to improve their cleanliness. However, the manager has agreed on this visit to undertake a thorough clean of this ensuite.

CARE HOME ADULTS 18-65 Park Way 76 Alexandra Road Farnborough GU14 6DD Lead Inspector Isolina Reilly Unannounced 12.04/2005 10:00am 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. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Park Way Address 76 Alexandra Road, Farnborough, GU14 6DD 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) 01252 547782 Mr Lawrence Alexander Miss Lisa Mitchell CRH 13 Category(ies) of MD - 13 registration, with number of places Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Service users are not to be admitted under the age of 18 years Date of last inspection 9/11/2004 Brief Description of the Service: Park Way provides care for up to thirteen male and female younger adults with mental health disabilities and associated behavioural support needs between the ages of 18 to 65 years. Mr and Mrs Alexander own the home and Mrs Diane Alexander is the registered manager and is supported by a deputy manager. Mr And Mrs Alexander own the ‘Park Group’ of services that consist of Park View, Park Way and Park Avenue homes and an ‘Outreach service’. The home is located in Farnborough with easy access to local shops and other amenities. The home is on a main bus route. The building is a three-storey domestic detached house built in the late 1990’s, comprising of seven single and three double bedrooms. One of the single rooms provides an independent flat facility on the second floor. The home’s communal space comprises of two lounges and separate dining room, a small conservatory and a further conservatory that provides a smoking facility. There is a mature garden laid mainly to lawn and parking is available at the rear of the premises. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of the inspection, the opportunity was taken to look around the home, view records and talk to service users and staff. Most of the service users were seen during the inspection and several were spoken with. Several staff were also spoken with. There were several residents from Park Way Outreach Service who visited the home and told the inspector what they thought of the home. What the service does well: What has improved since the last inspection? The decoration and furnishings are being gradually improved and many areas within the home are now looking better. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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) 2 and 5 The home’s procedures are very good for admitting service users on the basis of a full assessment. This makes the experience for individuals welcoming, informative and understandable. Each service user has an appropriate and informative written contract that stipulates the cost of their care and residency. EVIDENCE: The manager had explained to the inspector that the home’s statement of purpose and service user guide is in the process of being reviewed and up dated. Three service users explained that they visited the home at various times and stayed for meals before they choose to come and live at the home. Two of the three service users had been admitted over two years ago and as far as they can remember the service users were interviewed by Mr Lawrence and had various discussions about what their needs and wants also involving their family and Social Services Care Manager. All the service users were talked through the home’s rules and found them useful. The three service users files sampled and evidence of pre-admission assessments records undertaken by health and Social Services and the home. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 9 All the service users spoken with said that the staff patiently explained the contract and cost of staying at the home before they signed it. The staff spoken with confirmed this. The inspector was able to look at three contracts and found them to be satisfactory and signed. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 The staff have a good understanding of service users’ support needs and aspirations that is backed up by a good system for recording information that fully involves the service user. EVIDENCE: The inspector was able to sample three files records with the individual service user. The service users were all familiar with the records and their signatures were seen throughout the records. The individual records were clear and the service users confirmed that they are regularly checked with their Key Worker to see how they are progressing. The service users explained that they are encouraged to participate in different activities and the staff support them when needed. The types of activities being undertaken by the service users spoken with include attending college, day centres and look for jobs. One of the service users explained that he was chairman of a project for ‘Health Users and Leisure’ and attended Jazz Group, psychotherapy sessions, day trips and holidays. On reading the care plan with the service users they confirmed that they were correct and covering their Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 11 main issues, desires and wishes. The files seen also held records of risk assessments and service users abilities. The staff spoken with confirmed that they had had training on how to write care plans and risk assessment putting the service user first. So that the service users can be supported to make their wishes, desires and ambitions become a reality in a safe and enjoyable way. One service user explained how the staff were helping him to manage his money by looking after the money and teaching him how to budget. The records in the service user file confirmed this. The inspector observed that staff and service users interacting well to each other and the service users stated that they feel respected. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17 The home has a supportive and service user led ethos that develops and maintains daily living skills including social and leisure activities within the local community. The service users are fully involved in the provision of nutritious variable meals of their own choose that develop individual skills, confidence and is part of the empowering and rehabilitation aims of the home. EVIDENCE: A service user described the home as flexible, nice place to live with great staff and generally very relaxed atmosphere. The service users spoken with explained that they each have a weekly programme of activities that the staff support them to plan. This plan was seen in the records. The plans seen had activities such as visits to the gym, going out for walks attending local social clubs, food and clothes shopping, going to creative response clubs, activity centres and work placements. One service user said he was looking for work. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 13 The inspector noticed that there were several different newspapers available in the home and the service users spoken with confirmed that the home buy the newspapers for them. All the service users felt that the routine within the home is dictated by their only schedule and likes. They explained that the staff are very flexible about the daily routine and treat them with respect. One service user stated that she enjoys he part time job at Park View Residential Home giving out teas. Another service user explained that he had been keeping up with the election information but has yet to make his mind up as to whom he will vote for. The staff spoken with confirmed that the service users are encourages and supported to make new friends and join in the local events. These are either discussed individually or at the fortnightly ‘house meeting’ that are attended by the service users and records made. The House Meeting notes were sampled and include may of the subjects discussed with the service users. The service users spoken with explained that they decide and plan their own meals, go shopping weekly for food and cook their own meals. They all agreed that the staff help them to choose healthier food. The staff confirmed that all service users within the home choose and plan their own meals with the support of the staff if this is necessary. Records of food prepared by service users are kept on their individual file. The records showed that the food was varied and nutritious. The staff explained that some service users require more prompting than others but most will need some prompting to ensure that balanced and healthy meals are eaten. The home pays for the food bought by the service users and they get a weekly budget to shop with. The staff monitor the shopping receipts closely and use this opportunity to check for healthy eating and good budgeting skills. The Key worker then discusses any issues that may arise. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 The personal and emotional support, and health care in the home is offered in such a way as to promote service user independence, privacy and dignity. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure service users medication needs are met. EVIDENCE: The staff spoken with confirmed that several service users need to be prompted to get out of bed in the morning and to shower or bath regularly. This was seen in the records sampled. One of the service users spoken with stated that they look after themselves and do not need staff to help them to wash and dress, although three service users said that sometimes the staff will tell them if they miss their bathing and give them the occasional wake up call. One service user described the staff as being very good, giving them freedom without meddling and “they know what they are doing”. The service users spoken with confirmed that they are able to call their doctor at any time or if very unwell will ask staff to call them. One service user explained that he has to have regular blood tests. Another service user explained that to him it was very important to attend his weekly Psychotherapy session. The individual files seen held copies of ‘Care Plan Approach’ (CPA) and the service users confirmed that they had been present. All the service users spoken with had recently attended or have an appointment to attend Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 15 opticians and dental appointments within the community. The records seen had information on individual medical visits and other appointment letters. The home is situated on a main bus route and the service users spoken with confirmed that they also have the use of the home’s car and staff will drive them. One service user spoken with had a good knowledge of his medication and stated that the staff regularly checked he is happy and safe to look after his own medicines. The records sampled confirmed this. The staff spoken with confirmed that service users who self-administer are regularly risk assessed and monitored to ensure that they are safe to do so and understand the importance of the medication they are taking. This was reflected in the records sampled. The staff were observed and discussed with the inspector good medication administration practices that are reflected in the homes policy and procedures that were briefly sampled. The medication receipt, administration and disposal records were seen by the inspector and found to be satisfactory. The manager showed the inspector the home’s medication storage cupboard that was clean with medication stored correctly in date and in sufficient quantities. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has a satisfactory complaints procedure that service users are able to use. The staff have an excellent knowledge and understanding of Adult Protection issues that protects service users from abuse. The home has very open and positive approach listening to service users views and improving. EVIDENCE: All the service users were very clear how and to whom to complain to if they are not happy. One service user said that if he is not happy he goes t the person in charge and the matter is resolved. They all stated that the staff are very good and always listen to individuals concerns. The home also holds regular ‘house meetings’ were the service users get together to discuss issues within the home. The records of past house meeting were scanned. The service users spoken with direct the inspector to the notice board where the ‘How to complain’ leaflet can be found. The inspector saw a poster on how to complain up at each notice boards within the home. This poster included the address for the Commission and that all complaints will be dealt with promptly within 28 days. The home’s complaint records were seen and corresponded with information from the service users. The staff spoken with confirmed that the complaints log is kept up to date. The staff had a very positive attitude towards complaints and stated that they see them as a way of improving things and an opportunity to look at the way things are done with a view to improving them. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 17 The staff confirmed that they receive training in Abuse of vulnerable adults. There has been no allegation of abuse at this home. The home has a copy of the Hampshire County Council ‘Protection of Vulnerable Adults’ policy and procedure that is available in the home’s office. The inspector was able to read the home’s policy and procedure on the ‘Protection for Vulnerable Adults’ and found that it informative and follows Hampshire County Council policy. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The home presents as a homely, comfortable and suitable environment for the service users. The standard of the décor within the home is good with evidence of improvements through maintenance and future planning. EVIDENCE: The service users stated that the home is clean and warm. They also confirmed that there has been on going decorating and refurbishment with the first floor bathroom looking very good now. One service user confirmed that British Gas service engineer had recently visited to look at the boiler. Another service user stated explained that over the last year there has been a lot of decorating. All service users’ spoken with felt there were enough toilets and bathrooms or showers. The staff confirmed that the upstairs lounge, bathroom and bedroom fifteen have been redecorated. The service users like the home and all were very happy with their rooms. One service user stated that they help with the cleaning of the home and have certain tasks they do weekly like vacuuming and polishing. They feel the home is always clean and mostly tidy. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 19 The inspector was able to look around the home and viewed most of the bedrooms except those where the service users asked not to enter. The selfcontained flat on the second floor was found to be in need of a thorough clean especially the bathroom, toilet and replacement of very dirty cleaning clothes and flannels. The manager explained that they are working on improving the individual’s cleanliness and this is an on-going issue. However, the manager agreed with the inspector that the room needs thorough cleaning and confirmed this would be done as a matter of urgency. The owners are currently looking at the feasibility of improving the home by providing single bedrooms and additional staff training facility. The Environmental Health Officer last visited the home in December 2003. The letter from Environmental Health stated that no issues were raised. During the tour of the home the inspector noticed that all the communal hand sinks have liquid soap for washing hands and disposable paper towels. The staff spoken with confirmed that they have had recent training in ‘infection control’. They also have had training in the safe use of chemicals for cleaning and the importance of hand washing. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 35 The staff morale is high resulting in an enthusiastic workforce that is skilled, knowledgeable and works positively with service users to improve their whole quality of life. The home has an excellent ethos towards developing staff as individuals and this is reflected in the service users feeling safe and comfortable at the home. There is a need to ensure the homes recruitment procedures are fully implemented and new staff are checked against the Protection for vulnerable Adults register. EVIDENCE: The service users spoken with described the staff as ‘knowing what they are doing, friendly, helpful and easy to get on with.’ All the service users spoken with said there was sufficient staff around. One service user explained that staff are positive and will coax him to calm down if necessary. On the staff notice board the inspector noted lists of staff training days, meeting and support meetings dates, service user house meetings, the accident and incident procedure and duty rotas for April and May. The rotas showed that a minimum of two staff were on duty each shift. The service users said that there was always enough staff to look after them and that they felt safe. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 21 The staff spoken with felt that the recruitment process within the home is thorough. The service users also confirmed that they are asked their opinion on new staff coming to look around and have put together interview questions for the manager to ask at interviews. The inspector was able to sample three different staff records and found that they were detailed and that the necessary checks had been taken to ensure staff are fit to work at the home. However, it was noted that one of the staff had recently started working that had not been checked against the Protection of Vulnerable Adults (POVA) list when the Criminal Record Bureau check had been undertaken. The manager confirmed that the owners had at the time been unaware of how to requested this check. Since then the owners have identified the method of request and the manager assured that all new staff will undergo this check. Another staff member is an overseas student and the manager was aware of the restricted hours of working for this person as set out by the Home Office. The staff spoken with stated that they have been working or the home for some time and recall that the induction programme run by the home was very useful. The files sampled held records of the individual staff home’s own induction’ including the signatures of the staff member and trainer. The staff spoken with also stated that they have completed a Care Skill’s Council induction training. The staff spoken with confirmed that the home continues to provide and support staff to achieve qualifications in care and Promoting Independence to National Vocational Qualification level 3. The home’s training records show that the home undertakes training done by staff and management with specialist skills and qualifications, and also various external training courses. The staff confirmed that they undertake training regularly and that most of them have achieved a care qualification since working for Park Group. The inspector was able to sample training certificates and other records of training undertaken by the staff. The home has a positive supportive ethos to staff training and carer development. The training records seen showed that courses that are aimed at ensuring health and safety practices, and environment increase knowledge and skills of staff regarding mental health illness, general principles of care and supervision and management skills. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 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 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 and 42 Service users benefit from a positive and inclusive ethos within the home. There is a clear leadership with a supportive management approach. The home is well run ensuring the safety of service users. EVIDENCE: The service uses spoken with all expressed their liking for the managers finding them approachable and always available when you want them. One service user describe the managers as ‘very helpful, friendly and approachable.’ The staff said that the management were open, positive and inclusive. All the staff felt very supported. The inspector was able to seen the maintenance certificates for the home’s electrical and gas systems and appliances demonstrating that the home is maintained. The service users confirmed that the home has regular visits from maintenance persons. Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 23 The home has a system of testing the fire alarm weekly. All the service users state that the staff do set off the alarm to ensure that it is working. They also said that sometimes the alarm goes off and everyone has to go outside, although there is no fire. The staff explained that the evacuation undertaken by the home includes the service users. The inspector was able to view records that confirmed that the home has tested the fire alarm, undertaken visual checks of fire extinguishers, emergency lighting and smoke alarms. There were also recent maintenance certificates for all fire safety equipment within the home. The inspector was able to see the home’s file and risk assessments for the safe storage and use of chemicals that may be hazardous to health. The records sampled were found to be informative containing risk assessments completed by the staff on each of the chemicals’ usage around the home. The service users stated that they felt safe at the home. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Park Way Score x 3 x Standard No 22 23 Score 3 3 H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 24 4 5 x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x 3 Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 25 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 30 Regulation 13(3) Requirement The home must ensure that the service users en-suites are maintain at a cleanliness level that ptomopts good infection control practices. The home must ensure that all new staff have a satisfactory check against the Protection of Vulnerable Adults (POVA) list prior to commencing work. Timescale for action 01/05/05 2. 34 19(1)(a) (b) (ii) Schedule 2 (7) 01/05/05 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 Good Practice Recommendations Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 26 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Park Way H54 S12057 Park Way V221658 120405.doc Version 1.20 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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