Inspection on 30/05/07 for Peacock Hay

This inspection was carried out on 30th May 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Peacock Hay 20/10/08

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Peacock Hay Peacock Hay Road Talke Stoke on Trent Staffordshire ST7 1UN Lead Inspector Ms Wendy Jones Key Unannounced Inspection 30 May 2007 12:15 Peacock Hay DS0000068617.V338051.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 Peacock Hay DS0000068617.V338051.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. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peacock Hay Address Peacock Hay Road Talke Stoke on Trent Staffordshire ST7 1UN 01543 437030 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) Milbury Victoria Anne Vernon Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users will be ambulant but may have an additional physical disability Date of last inspection Brief Description of the Service: This was the first key inspection for Peacock Hay, a new service initially registered with the Commission for Social Care Inspection in November 2006. The home is privately owned by Milbury Care Services and is registered to accommodate 7 adults with learning disabilities. The home is situated on Peacock Hay road, off the main A500 at Talke, Staffordshire. The premises was formerly a guesthouse has extensive grounds, adequate parking and has been converted into a spacious care home. The property sits in an estimated ¾ acre of land. The immediate area around the home has been developed to provide suitable gardens and patio areas for residents. Since registration suitable fencing has been erected around a garden and drive way to the home, this was considered essential at the time of registration as the home is located on a busy road where there are no pavements The main driveway is up a steep incline that leads to the large car park to the right of the home. Access to the front entrance is via a ramped pathway, which has handrails positioned on each side. The manager reported that the fees for the home were levelled at £1,760 per week Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the service. All core standards for the National Minimum Standards for younger adults were looked at. The inspection site visit took place on the 30 May 2007, during a period of 6 hours. Pre inspection methodology included receipt of relevant information for the service in the form of an Annual Quality Assurance Audit; contact with relevant health and social care professionals. On the day of the inspection, the home was accommodating three people. The inspection included an examination of records, indirect and direct observation of practice, discussion with the manager and the staff on duty and case tracking of two residents care. Four staff records were examined, training records and staff rosters were also seen. The Medication storage system and medication administration records were inspected, and a tour of the communal areas in the home was undertaken. Serving of lunch was observed. What the service does well: What has improved since the last inspection? What they could do better: Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 6 All staff must take part in fire drills and a record of attendance maintained. The current issue that has resulted in the sensory room being emptied must be resolved. 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. Peacock Hay DS0000068617.V338051.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 Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents receive the information they need to make a decision to move into the home in a format that is adapted to make it more user friendly. Their needs are assessed to ensure that the service is appropriate for them. EVIDENCE: The service has a Statement of Purpose that outlines the philosophy and aims of the organisation. A resident guide has also been produced which incorporates all of the required elements, is in a user-friendly format, and a copy is included in each individuals care file. Along with this information each resident has a service agreement which outlines the terms and conditions of residency, the fees and cost of the service. Their supporters or family have signed service agreements on behalf of individuals. The quoted aims of the service include “We aim to provide high quality, good value services which are responsive to the needs and aspirations of the people who use them. We encourage the people living at Peacock Hay to achieve their maximum potential in social skills and everyday living skills and so they may live as independent a life as possible.” Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 9 A sample of care records showed detailed assessments had been carried out for individual residents. Including pre admission assessments by the home and funding authority. There was evidence that prospective residents had an opportunity to visit the home on a number of occasions before admission and further evidence that staff from the home had worked with them through an agreed transition, the duration of which had been determined between all agencies involved and dependent on the needs of the individual. Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Care plans for each resident were in place and gave a wealth of information which ensures that staff can provide care appropriately and residents can be sure that their needs can be met. EVIDENCE: Care files included a copy of the resident guide and Statement of Purpose, and a contract of terms and conditions. Residents have detailed support plans based upon the assessed needs identified. There was evidence that a “ my daily routine” have been recorded which outlined the individuals usual routine through a 24 hour period of day, based upon the evidence from the pre admission assessments, discussion with family and previous carers and observations. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 11 “My plan of support” or support plans are in place and reflect the areas of need identified at assessment and Person Centred Planning meeting. They have been subject to regular review and change, there is evidence that plans are in place to address specific areas of care and risk assessments are cross referenced in to all of these areas. Daily records included monitoring of the plans, and monitoring of care and health needs. Each resident has a communication passport in place, this provides staff with the information they need to communicate effectively with, and understand residents. There is a focus on principles associated with learning disability services, such as community presence, independence, and community participation. Each resident has a named key and co-worker to offer support and some consistency of approach. Following discussion with one staff it was established that this role was subject to change and where residents are able to express a preference for a specific member of the support team this would be respected. The service follows person centred care principles; this was evidenced from the information seen. The manager stated that each service user has their own person centred care plan in their bedrooms, and work was being undertaken to ensure that any areas for further development were acted upon for the benefit of the individual. It is understood that there are plans to develop the documents into a more user-friendly format. As all three resident have verbal communication difficulties are not literate, and use alternative methods of nonverbal communication such as Makaton, picture referencing, PECS. In one example it had been identified at a PCP that a resident would benefit from a trampoline this had been discussed with health and safety officers and determined to be too high a risk, due to the high incidence of injury. The service has wanted to pursue this for the benefit of the resident and agreed that a trampette would provide the resident with the same experience but in a more manageable and safer way. This item had been purchased. At the time of this inspection it was not clear how involved residents are with care planning, but the manger stated that each resident is supported with their PCP and gave an example of a resident who was in the process of creating a family tree . Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Efforts have been made to ensure that residents have an active lifestyle that meets their assessed needs and their indicated aspirations, while some work has been clearly successful, more work is needed to ensure that residents have meaningful community presence. EVIDENCE: Exchange diaries are used to communicate between the service, family and day services. Planned activities are recorded on a weekly activity sheet, the service also uses evaluation charts to record the type of activity, quality of the experience, identify any issues to ensure that if the activity is planned again any areas of concern are not replicated. Residents have a number of daytime opportunities in including attending college placement, specialist day service, and other structured activities, a range of recreational opportunities are also provided. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 13 Once a fortnight individual resident will go out for the day with staff on a day trip of sorts. The home has vehicle that is on a lease. Each service user is asked to contribute an amount towards the vehicle. Individual contribution is calculated dependent on the amount of Disability Living Allowance they receive there for the cost can be as high as £108 per calendar month or as low as £35. There are methods in place to monitor the usage of the vehicle to ensure equality. Fuel costs are paid for out of the homes petty cash system. Two residents have public transport passes and on occasions use taxi’s although this is not often and the public transport service is particularly good in the area. The organisation has a policy on staff expenses when out of the home on activities with residents; this is to ensure that residents don’t incur unnecessary additional costs. As part of the service agreement Milbury commit to a contribution of £200 towards an annual holiday. During this visit, one resident was on a family holiday, and both of the other residents had been out on an activity out of the home. Activities records showed that each resident had a number of in house activities they were involved with including sensory therapeutic session, 1;1 activities and music etc other activities included swimming shopping etc. For all the residents, the service is quite new and they and staff continue to learn what activities and outings are the most beneficial or enjoyed. Community presence and participation remains a challenge. Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal and health care needs are met and the systems for the administration and handling of medication are appropriate ensuring resident receive the medication they are prescribed. EVIDENCE: Observations of practice showed that residents were treated with respect and as adults. Staff knock on bedrooms doors and wait for a response before entering, and are respectful of residents rights. Health care needs are known and recorded, and there is evidence that residents have been referred to the appropriate primary health care services. Each resident has a health action plan in place and the manager reports that relevant specialist health professionals have been involved during the transition of residents to the service and continued to be available for advice and support. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 15 Medication: The storage facility is suitable for the purpose, a secure metal cabinet fixed to a wall within a cupboard space, there was also an additional lockable facility within it for storing of controlled drugs, although none were being used at the time of the visit. The service has policies and procedures in place for staff to follow and staff have received training in the safe administration and handling of medication. Medication records in respect of received, administered and returned medication are appropriately maintained. There are protocols in place for those residents prescribed as required medication; photographs of resident have also been taken. A medication reference book is available so that staff can check the effects, purpose and dose of the medication prescribed. It was recommended that topical treatments are stored in an area of the cupboard that is separate from the oral medication. It is also recommended that staff monitor the temperature of the medication store facility to ensure that it doesn’t exceed the recommended safe temperatures. Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Procedures are in place to ensure that any complaint is properly managed and resolved and residents are protected from the risk of abuse. EVIDENCE: Information in the Annual quality assurance assessment for the service, indicates that the service is currently trying to produce a complaints procedure document in a format that is more user-friendly and accessible to service users. At present the procedure is verbally explained and reference pictures are used but it is recognised that there is a limited. Resident’s ability to verbally communicate any concerns is also limited, but the staff team have the skills necessary to make observations and to interpret changes in behaviour, which may indicate a resident is concerned. A copy of a complaints procedure was displayed in the home and is included in a user-friendly format in the resident guide and Statement of Purpose. The manager stated that complaints are managed effectively and responded to promptly even if they are verbal. A complaints log is in place, which also includes evidence of how any issues are resolved and what action if any is necessary to prevent repetition of the circumstances that led to the complaint if poosible. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 17 The manager is aware that there are independent advocacy services available if required and indicated that if needed their advice and service would be accessed. All staff have had Protection of Vulnerable Adults checks and Crimininal Record Bureau disclosures the information from these checks are kept on individual personal files. Vulnerable adults polices and procedures are available in the home and accessible to staff. Staff have received guidance and instruction to ensure that they understand how to recognise and report suspected abuse. Additional training has been provided in Non Violent Crisis Intervention (NVCI), this ensures that all staff have the skills to effectively safeguard residents at times of crisis, through the use of techniques to reduce anxiety and the risk fo injury. This could include talking to, distracting, or moving the residents away from the situation, using approved methods to do this. Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The service provides an environment that is maintained to a good standard, reflects the age range of the residents, promotes independence and is safe. EVIDENCE: The interior has been commissioned to a high standard. There are four communal rooms including a well-equipped sensory room and an activities room, a choice of two dining areas and lounges and a spacious kitchen. A call system is fitted, for staff to use in an emergency or if they require assistance. All lounge and dining areas are furnished and decorated appropriately in a modern style that reflects the age range of the resident group. The kitchen is of domestic design with sufficient storage space and work surfaces. Residents have free access to this area. There is also a sensory room that residents can use to relax or engage in a therapeutic sensory session, it is understood that staff have been trained in its use. At the time of this visit, the room was not Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 19 being used, as the service had experienced some problems with fumes, the exact cause was not known, but action had been taken for investigations and remedial work to be undertaken. It was advised that the room is well ventilated at all times and the manager should contact the local environmental health officer for further advice. There are seven good sized single bedrooms all have en suite bathroom or shower facilities and are suitably furnished. The manager stated that all residents have been involved in choosing the décor, furnishings and fabrics of their rooms. A sample of empty bedrooms showed that they were appropriately equipped. One resident kindly, but briefly allowed access to her bedroom, the evidence was of a very pleasant environment in which she felt safe and had some control. Doors are fitted with locks that can be easily overridden if necessary, but allow residents privacy if they choose it. Window restrictors have been fitted to the 6 first floor bedroom windows. A 7th bedroom is located on the ground floor, to be used by any resident who may have mobility difficulties or who cannot safely or confidently manage the stairs. The home does not have a lift to the first floor. There is a communal toilet on the ground floor, but no other communal bathing or toileting facilities in the home as each resident has en-suite bathing or showering facilities and toilets. There is a separate laundry facility. High-risk areas such as the laundry, COSHH and medication stores are locked, to prevent the risk of harm. There is a substantial garden with approximately 3/4 of an acre of land that is mainly grass. An enclosed patio area has been created and the immediate garden area has been fenced to ensure resident safety. There is also a smaller enclosed lawn, where the garden shed is located. The manager discussed plans for the further development of the gardens, and was keen to enable and support resident to keep pets, such as rabbits and possibly goats. The home is clean and tidy throughout, there are arrangements in place to monitor and record hot water temperatures, in bath rooms and en-suites. All hot water outlets have been fitted with thermostatic controls. Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing levels are sufficient to meet the needs of the residents. Recruitment procedures are robust and mandatory training has taken place. EVIDENCE: The service provides a minimum of a 1:1 staff ratio, additional staff are provided dependent on the assessed needs of the individual. There are currently 13 fulltime and 2 part time staff employed, efforts have been made to employ staff who are of the same gender as residents, there is currently an imbalance favouring the female gender. This has been recognised by the manager. A sample of staff recruitment records showed that recruitment procedures are robust, there is evidence of application forms, indication of previous employment, details of qualifications, POVA and CRB checks, 2 written references and evidence of identity. There is also evidence that staff have received a contract of employment, which includes their terms and conditions, weekly hours and rate of pay. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 21 All staff have received a basic introduction to the home, and are expected to shadow other staff as part of their induction to the residents and the routines in the home. They then follow a more comprehensive induction schedule, which includes all mandatory training. 3 staff have achieved a National Vocational Qualification (NVQ) at level 2 and 2 staff have achieved level 2. 4 others are undertaking the training, this equates to 60 of the workforce. The manager stated in the Annual Quality Assurance audit that the service is committed to provide all staff with the opportunity to undertake an NVQ. Staff meetings are held regularly, the manager and a member of staff confirmed that a programme of staff supervision and appraisal is undertaken. Peacock Hay DS0000068617.V338051.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents can be assured that that service is operated in their best interests and health and safety matters including risk assessments are given priority. EVIDENCE: The manager has been registered and approved by the Commission for Social Care Inspection as a fit person to manage the service. She is a qualified nurse, RNLD. She is undertaking the Registered Care Managers award and will forward evidence of completion to the Commission for Social Care Inspection at that time. Monitoring of the quality of the service is taken seriously. The manager said that resident, relative and other questionnaires are sent out twice a year. The outcomes of the questionnaires will be used to inform the development plan for the next 12 months. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 23 The manager provided evidence in the Annual Quality Assurance Assessment, that all equipment in the home had been serviced regularly. Staff had attended mandatory training and had participated in Fire Drills. Appropriate policies and procedures are in place, reviews will take place as they are required. Individual and generic risk assessments are in place. Peacock Hay DS0000068617.V338051.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 3 2 4 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 4 26 4 27 4 28 4 29 3 30 4 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 3 3 3 3 Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 25 Not applicable 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 YA24 Regulation 13 Requirement Ensure that every action has been taken to safeguard residents by resolving the problem with the sensory room following receipt of advice from Environmental Health officers. Timescale for action 06/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA20 YA20 YA13 Good Practice Recommendations Monitor the temperature of the medication store to ensure that it does not exceed recommended temperatures. Ensure that oral and topical medication is not stored together. Continue to improve residents opportunities to be an active part of the community and to have meaningful community presence. Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Peacock Hay DS0000068617.V338051.R01.S.doc Version 5.2 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. 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