Inspection on 28/11/08 for Pedros

This inspection was carried out on 28th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Pedros Hastings Road Telham Battle East Sussex TN33 0SH     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: Caroline Johnson     Date: 2 8 1 1 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. the things that people have said are important to them: They reflect 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. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 31 Information about the care home Name of care home: Address: Pedros Hastings Road Telham Battle East Sussex TN33 0SH 01424775675 01424751641 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Owen Patrick Nolan Type of registration: Number of places registered: Hastings and Rother Primary Care Trust care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Pedros is an adapted bungalow, which is situated on the main road between Hastings and Battle. Access to bus and rail routes run near to the home. The home is registered to accommodate five adults with learning disabilities and challenging behaviour. Accommodation consists of five bedrooms four of which have en-suite facilities, the fifth resident has full use of a bathroom close to their room. Communal rooms comprise of a lounge, kitchen, kitchenette, bathroom facilities, two laundry rooms, Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 5 Brief description of the care home garden and a conservatory. There is under floor heating throughout and all facilities are at ground floor level. Off road parking is available at the front of the home. In April 2008 Hastings and Rother PCT became the registered providers for this service taking over form the Kent & Medway NHS and Social Care Partnership Trust. The Trust manages nine other homes within the Hastings, St Leonards and Rother area. Care Homes for Adults (18-65 years) Page 5 of 31 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 peterchart Poor Adequate Good Excellent How we did our inspection: For the purpose of this report the people living at Pedros will be referred to as residents. As part of the inspection process a site visit was carried out on 28 November 2008 and it lasted from 10:00 until 4.45pm. The registered manager facilitated the inspection. Over the course of the inspection there was an opportunity to meet and have lunch with two of the residents. In addition time was spent with two members of staff in private. A full tour of the home was undertaken. Two care plans were examined in detail. In addition records seen included; staff rotas, training, medication, menus, health and safety, quality assurance and leisure activities. Care Homes for Adults (18-65 years) Page 6 of 31 In advance of the inspection process service user surveys and health care professional surveys were sent to the home to distribute. One health professional survey was returned. This was ticked as positive in all areas. In relation to one question asking what do you feel the care service does well. It stated In all aspects. The current fees for the service provided range from 1,331 to 1,366 pounds per week. This is the first inspection of the service since they were taken over by the Hastings and Rother Primary Care Trust in April 2008. What the care home does well: What has improved since the last inspection? What they could do better: Four requirements were made as a result of this inspection. These relate to the need to Care Homes for Adults (18-65 years) Page 8 of 31 keep a record of all correspondence entered into on behalf of residents. In addition all staff should receive regular supervision support. Whilst the day-to-day management of residents finances were in order the registered person needs to review the management of residents finances generally to ensure that residents have sufficient money to met their needs. In relation to fire safety, fire doors must not be propped open and staff must receive regular opportunities to participate in a fire drill. 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. 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 9 of 31 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 10 of 31 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents receive information about the services on offer in a format that can be easily understood and work is underway to enhance this further. Evidence: There is a detailed Statement of Purpose in place, which has been reviewed and updated within the last year. Each of the residents has a service user guide, which is stored in their individual bedrooms. The guide is currently in written format and the manager advised that there are plans to put the guides on to DVDs to ensure that they are more person centred and meet the individual requirements of the residents. The organisation is continuing to work on the production of a new terms and conditions of residence and a license agreement with the housing association. There have been no new admissions to the home since the last inspection. The needs of each of the residents have been assessed and reviewed at regular intervals. There is detailed information provided in each care plan about each residents ability to communicate. Where verbal communication is limited there is information about Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: various sounds/vocalisations individuals make, what staff think it means and how they should respond. Care Homes for Adults (18-65 years) Page 12 of 31 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. The quality of the support plans in place is very good and with better record keeping in some areas this could be enhanced even further. Evidence: Two care plans were examined in detail during this inspection. The home has carried out extensive work to make care plans person centred and as stated previously each residents needs and abilities are clearly assessed. Following on from the assessment the home uses a PATH system to identify a plan for each individual. This clearly sets out an individuals goals and dreams, what they can currently do, who will support them and how, details of the first steps to be taken, what will be achieved within a month and then within three months. A planning meeting was held on each area identified. There was a chart on display in the office for each of the residents showing the goals and dreams that had been identified for each individual. Training days had been held where staff came up with Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: the ideas and identified the steps that would need to be taken for each goal to be realised. A record is maintained showing that each of the staff have read each of the care plans in place. Care plans include a wealth of information about the needs of the residents and their individual routines. Where residents require support in relation to behaviour that can be challenging this is clearly stated. Risk assessments have been drawn up identifying perceived risks and how accident/incidents can be minimised. Attention needs to be given to ensuring that risk assessments are reviewed regularly. Daily support records are kept showing the support given to residents but these mainly refer to activity programmes. On a positive note it was evident that the level of information recorded had increased in recent weeks. Each of the residents has an annual review. The manager advised that the placement authority are always invited but dont always attend. Records are not kept of the invitation to attend these meetings. However, it was noted that reviews are held and where possible residents choose the venue for the meeting. Due to the complex needs of the residents and their limited communications skills formal residents meetings are not held. The manager advised that staff meet with residents individually at regular intervals but other than the planning meetings these meetings are not always recorded. An advocate from My Choice has been contracted for two hours a month to work with the residents. They particularly focus on one of the residents, as this resident has no relatives that are actively involved in their care. Care Homes for Adults (18-65 years) Page 14 of 31 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. Residents are benefiting from having regular opportunities to participate in a range of activities to meet their individual needs with support from a staff team that know them well. Evidence: Around the time of the inspection a number of changes had been made to the way activities had been organised and managed. The organisation has a contract with a day care provider to provide activities for the residents three days a week. These activities were held either at the home or at the local day centre. However, it was noted that there had been an increase in behavioural problems within the home. When this was explored by staff one of the possible reasons for the increase in behaviour was the recent changes to the staff team within the home. In addition the day care provider was experiencing problems with staff sickness and this led to further changes Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: in staff. A decision was therefore taken that the homes staff would support residents with day activities and although they continue to use the day centre for some activities, residents are supported by staff from the home. In addition staff used to receive support with their NVQ (national vocational qualification) at the home but this support is now provided at the local office. It was reported that the changes made have led to a reduction in the incidences of challenging behaviour. The manager advised that between the hours of nine and five the home is run as a day centre. The home has two cars and one resident is staffed on a one to one basis. It was reported that in order to work effectively with the residents you need to know them well and therefore the new system is much more beneficial. Staff now take digital cameras with them to take photos of the residents participating in their various activities. They have put together various slide shows of the activities. Slide shows seen during the inspection included a resident horse riding and a resident on their annual holiday. The manager advised that some of the residents like looking at the slide shows but they have also found that it is also very important to the families of the residents to see their relatives participating in activities. It was reported that since the staff took on the responsibility of providing activities they have been able to make the activities for individuals much more person centred. Whilst each resident has a programme of activities in place, staff take into consideration the residents mood on a given day and respond with arranging an activity that is suitable. Care plans include a list of the preferred activities and records seen for the week prior to the inspection showed that each individual was given the opportunity to participate in a range of activities from their preferred list. Activities that residents enjoy include trampoline, aromatherapy, flower arranging, cooking, growing concern, swimming, horse riding, outward bound, pub trips, walks and for some, attendance at church. Two of the residents have a vegetable patch in the garden and one resident has some fruit trees. One resident has their daily routine displayed in their bedroom wall. Staff regularly work through the order of activities with the resident, as they need constant reassurance of which activity is occurring in which particular order. Staff were observed carrying out this task during the inspection. A record is kept of each activity attended and if the resident participated and enjoyed the activity. Records in recent weeks show that staff are recording more detail about the outcome of each activity and staff should be encouraged to continue building upon this good progress. Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: Each resident is encouraged to participate at some level with activities of daily living. Records showed that some residents participate in hoovering, cooking and cleaning and on the day of inspection a resident was involved in making a fruit salad for the evening meal. Residents continue to be supported to maintain contact with their families and friends. There was an opportunity to speak with a relative of a resident during the inspection and they advised that the home supported their relative when they were in hospital and that this wouldnt have been able to happen previously but as the staff team is now bigger this was possible and they were very grateful for that and for all that was done in support. They went on to say that the home are very good at keeping them informed of any changes in the welfare of their relative. There is a six-week menu in place, which was varied and balanced. A cooked breakfast is provided on Saturdays. Staff advised that although they give residents choices in relation to the food they eat, generally they eat whatever they are given. They acknowledged that a couple of residents could possibly choose meals based on looking at photos. Care Homes for Adults (18-65 years) Page 17 of 31 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. Residents are protected by the systems in place to manage their healthcare needs. Evidence: The PCT has recently updated their policy and procedure on medication and the manager advised that he would now personalise it to Pedros. Records seen in relation to the storage and handling of medication were in order and there were good systems in place for the auditing of medication. In addition there was information about all medication prescribed on an as required basis along with the side effects and reasons when this medication could be given and how to administer. Each of the residents has a health action plan, which is reviewed and updated regularly. Records showed that residents are supported to attend a wide range of health care appointments as necessary to meet their individual needs. There are annual dental and optician appointments and regular chiropody appointments. If residents require specialist support then arrangements are made for this to happen. Staff observed in the course of their duties were professional and showed respect to Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: the residents and there was a relaxed atmosphere in the home. Care Homes for Adults (18-65 years) Page 19 of 31 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 procedures in place to ensure that anyone wishing to make a complaint can do so. Evidence: The manager advised that there had been no complaints made to the home since the last inspection. There is a detailed complaint procedure in place. It was reported that a new complaint procedure for service users had been issued two days prior to the inspection. However, the manager advised that it was not person centred. It was noted that it doesnt refer to the Commission for Social Care Inspection but that it does refer to the Healthcare Commission. The manager advised that he would be taking further advice on the use of this document and in the interim they will continue to use the simplified version of the complaint procedure that is included in the current service user guide. At the time of the inspection it was noted that the adult protection folder was at the head office. The numbers of adult protection alerts has reduced significantly and this is generally put down to increased staff levels and a more consistent staff team approach. All staff receive training on adult protection and prevention of abuse and there is a detailed policy in place on the subject. Care Homes for Adults (18-65 years) Page 20 of 31 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 provides a good standard of accommodation for the residents. Evidence: It was reported that the conservatory is no longer used as a dining room. Blinds have been fitted to control light and heating is designed to provide either hot or cold air as required. Some areas seen during the inspection have been highlighted as in need of refurbishment. The manager advised that new flooring would be fitted in the lounge area and hallways. In addition it was noted that bathroom areas are not as homely as other parts of the building. It was reported that one of the shower rooms is due to be refurbished. Both laundry room doors and the kitchen door were propped open during the inspection despite the fact that door guards were fitted and were in working order. Additional storage space has been obtained by fitting extra cupboards in one of the bathrooms. Bedrooms seen had been personalised and reflected the individual tastes and interests of the residents. One of the residents has artwork on display in the dining room and Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: their recent flower arranging was displayed in their individual bedroom. Another resident has a small aquarium in their bedroom. All areas of the home seen during the inspection were clean and there were no unpleasant odours. The majority of the staff team have received training on infection control. Care Homes for Adults (18-65 years) Page 22 of 31 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 receive good training opportunities that equip them well in meeting the complex needs of the residents. Evidence: The staff rota showed that there are between four and five staff on shift through the day. The home tries to ensure that there is a 50/50 gender balance of staff on duty at any one time. The manager is mostly supernumerary. The home is fully staffed so they rarely use bank staff now but there is now a facility in place to use bank/agency staff as required. The manager is involved in the recruitment of new staff. It was recommended that he ensures that he signs that he has read and is satisfied with all checks carried out. Staff training records were examined and it was noted that although there were some gaps the majority of the staff team were up to date on all mandatory training. In relation to training that has been identified as essential to working at Pedros it was noted that all staff were up to date on Pro Act Scip. A staff member who is fairly new to the team advised that they have completed the homes in-house induction and the majority of their mandatory training. However, they Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: had not had a formal supervision or a six-week review. Five staff are currently doing a LDQ (learning disability qualification) and four staff are currently studying for an NVQ at level three. One staff member is working towards NVQ level four and a number of staff are on a waiting list to do level three having already completed level two. Senior staff receive supervision on a regular basis. However, it was noted that support staff do not receive regular formal supervision. A staff member spoken with stated that they are planned but depending on what is happening in the home they dont always go ahead. However, they described the manager as very supportive and good at listening. Care Homes for Adults (18-65 years) Page 24 of 31 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. The home is run well in the interest of the residents accommodated. Evidence: The Registered Manager is a qualified nurse holding the RNLD qualification. He also has a recognised management qualification (post graduate certificate in management). The manager advised that the addition of a computer in the care home has been very beneficial enabling him to work from the home and not to have to go to head office to complete administration tasks. Staff meetings have not been held regularly. However there have been two planning meetings in recent months that in retrospect could have been classed as staff meetings. The manager acknowledged that there is a need to reinstate formal staff meetings. Staff spoken with felt well supported and stated that they could speak with the manager if they had a problem or needed support. A staff member stated that at the handover there is a clear sense of direction given. Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: They consider the diary, individual planners, moods and wishes of residents and the day is then planned accordingly. Sometimes they will have planned an activity in advance but the moods of the residents on the day dictate that an alternative is required so they always need to be prepared to be flexible. As part of the homes quality assurance system satisfaction questionnaires were sent to the relatives of the residents. The forms were not dated but responses received via the head office showed that one relative had dated the form July 2008. Six questionnaires were sent out and five returned. The outcome of the questionnaires were very positive but it was not clear if the responses had been collated and feedback given to those who completed the form. There are a range of forms in place for seeking the views of the residents about the quality of the care provided. A member of senior management completes the form with support from the residents keyworker. Where a resident is unable to verbally respond to a question the staff must find or observe evidence of the outcome for each section. At least one form is completed each month and the outcome and any action required is then sent to the home. A member of the senior management team visits the home once a month unannounced to report to the Trust on the conduct of the home. The duration of these meetings had generally been one hour but the manager advised that a visit had been carried out the day prior to the inspection and this had lasted two hours. A range of areas are explored during these visits and the format for recording these visits has recently been changed to allow for more detailed record keeping. As part of the inspection process a range of surveys were sent to the home for distribution to residents and any visiting professionals. Due to the complex needs of the residents it was felt that residents would not be able to complete the forms. One form was returned from a visiting professional. This was ticked as positive in all areas. In relation to one question asking what do you feel the care service does well. It stated In all aspects. The administrator audited the homes finances on the day of inspection and generally the findings were in order but some recommendations were made to the home. The auditing was thorough in that as well as checking receipts the administrator also checked that the items purchased were in the home. Daily expenditure records seen were in order. In relation to one resident case tracked it was noted that their rent exceeded their income. This was discussed with the manager and it was agreed that a further assessment of income received and spent needs to be carried out. Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: There was a range of certificates in place showing that equipment in the home had been tested and serviced at regular intervals. It was noted that only one fire drill had been carried out and it was acknowledged that the frequency of drills needs to be increased to ensure that all staff have the opportunity to take part in a drill particularly as there have been changes to the staff team. Care Homes for Adults (18-65 years) Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R 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 28 of 31 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 Requirement 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 Requirement Timescale for action 1 10 17 The registered person must 12/03/2009 ensure that a copy be kept of all correspondence entered into and received on behalf of a resident. Detailed record keeping would demonstrate that the needs of residents are being met. 2 36 18 The registered person must ensure that all staff receive supervision at regular intervals. Service users benefit from well supported and supervised staff. 27/03/2009 3 41 17 The registered person must 31/03/2009 clarify the arrangements in place for the management of residents finances. Record keeping in relation to the management of residents finances must be transparent. Care Homes for Adults (18-65 years) Page 29 of 31 4 42 13 The registered person must ensure that fire doors are not propped open. In addition they must ensure that all staff receive regular opportunities to participate in a fire drill. To ensure that service users are kept safe/protected from fire. 21/03/2009 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 34 The registered person should ensure that they have signed that they have read and are satisfied with all checks carried out in relation to staff recruitment. The registered person should ensure that staff meetings are carried out on a regular basis. 2 38 Care Homes for Adults (18-65 years) Page 30 of 31 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 © (2009) 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. Care Homes for Adults (18-65 years) Page 31 of 31 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!