CARE HOME ADULTS 18-65
Penang Charles Road St Leonards on Sea East Sussex TN38 0QX Lead Inspector
Jason Denny Unannounced Inspection 20th October 2005 11:35 Penang DS0000036588.V254334.R01.S.doc Version 5.0 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 Penang DS0000036588.V254334.R01.S.doc Version 5.0 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. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Penang Address Charles Road St Leonards on Sea East Sussex TN38 0QX 01424 420484 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) Communitas Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Residents must be aged between eighteen (18) and sixty-five (65) years on admission The maximum number of residents to be accommodated is six (6) Residents with a learning disability only to be accommodated Date of last inspection 14th April 2005 Brief Description of the Service: Penang is a care home registered to provide services for 6 adults with learning disabilities. The home is located in a residential area of St Leonards-on-Sea, close to local transport and amenities. The sea front is approximately 2 miles away. The home is large with mainly spacious rooms. The home has three floors although the registered service user accommodation is set over the ground and first floor only. There is a front and rear garden although there are currently not accessible or maintained. All bedrooms are single. There are sufficient toilet and bathing facilities, including a walk-in-shower on the ground floor. The Organisations day centre used by some residents for actitvities, and staff training with no plans for a replacement venue. Minster pathways have managed the service since July 1, 2005 on behalf of the new purchasers of Communitas Ltd. The current registration status of Communitas and the home is currently being discussed with the Commission including the Responsible Person situation. The home has its own mini-bus type vehicle. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [second of two planned before April 1st 2006], which took place between 11.35am and 2.40pm. The Inspection found that of the 19 National Minimum Standards inspected, that 5 had been fully met with some nearly met. The inspector observed and spoke with 2 of the 5 residents the home provides services for. The purpose of this inspection was to follow up on the more detailed previous inspection, which was undertaken by two inspectors. This report should be read in conjunction with the previous inspection report of April 14, 2005. The inspector spent half of this inspection reviewing progress since the last inspection with the regional manager who has been closely supporting this home over the last 10 months [acting manager was on sick leave]. This also included discussion about the future of the home and the plans of the new organisation, which took over the home in July 1st. Most requirements, which continue to remain unmet, date back to 2002/03. The inspector observed activities, looked at care-records and meal arrangements as well as touring communal areas of the home. What the service does well: What has improved since the last inspection?
It is disappointing that the rate of improvement indicated at the last inspection has not continued. Previous improvements have been maintained mainly through the regular supervision of the home by the regional manager who oversees 5 other homes. After a high number of ineffective acting managers the home has appointed an experienced manager who has yet to commit to the organisation by sending the Commission an application to be registered. The home has made no real progress with meeting the high number of core shortfalls that go back several years. However the new organisation Minster Pathways which took over Communitas and the home in July have sent the Commission plans to bring the home up to the minimum standard before April 2005, and the next inspection. The organisation sends the Commission detailed and effective monthly reports of their own inspections. Plans to improve the environment and create proper access have been formulated.
Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 6 New furniture has been purchased for bedrooms and communal areas along with continuous redecoration. Care-plans more accurately reflect resident’s needs. Proper contracts are being formulated and just await signature by an advocate. Medication arrangements have tightened up and been reviewed. Activity day centres are being explored for residents who require more things to do. The Regional manager ensures that the home carries out regular supervision of staff. A resident has been referred for an occupational therapist assessment. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Penang DS0000036588.V254334.R01.S.doc Version 5.0 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 Penang DS0000036588.V254334.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3 and 5 The Home’s guide is not up to date and needs review to accurately reflect the new owners and management of the organisation. The home continues to lack a clear written Purpose based on the current residents along with admittance criteria. Information available to visitors lacks accuracy and comprehensiveness. Assessment information on residents is confused in some areas, which can affect care practice. Residents or their representatives are yet to sign the contract of care, which the home purports to provide which could contribute to confusion about what is on offer. Although improved, the communication needs of residents are not being fully addressed which affects outcomes for them in terms of choice. EVIDENCE: The inspector looked at the home’s guide, which also contains the statement of purpose. It was evident that despite some useful photographs of the home that no progress had been made on a suitable statement of purpose. Some mention was found of the new organisation Minster Pathways but not of the external management structure and the fact that the new owners and a management company took over the home from July 1, 2005. The management structure has changed based on correspondence sent to the Commission with this not reflected in the guide. At the time of the inspection, the home and the Commission only had a Po-box address for the new Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 9 organisation. The rest of the guide was found to contain all other necessary information, except resident’s views. It has been a long-standing requirement that the home produce a statement of purpose, which accurately reflects the needs of current residents and the future direction of the home. This is still to be completed. This uncertainty has existed for over 3 years and has an affect on all such documentation such as care planning. Residents have a number of assessments in their file although work has begun on ensuring, which one is to be currently followed. The regional manager confirmed that Staff require specialist training to be able to communicate effectively with residents. Plans are being developed according to correspondence from the organisation and discussions with the regional manager to address this major shortfall. It was evident from observing staff at this and other inspections how vital this training is. The regional manager discussed how she is seeking to revisit previous speech and language therapist recommendations, which have not been acted upon, and build this into to care and training plans. The organisation has indicated that if the home is improved that it can meet the needs of the two residents over 65 years old. The home has again asked to confirm the suitability of the home for these two people and indicate what improvements will be made, and when. Penang DS0000036588.V254334.R01.S.doc Version 5.0 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 the following standard(s): 6 and 7 Care plans were found to have significantly improved in terms of accessibility, clarity and frequency of review. Staff also confirmed that this information was easier to follow. Goal plans and referring to assessment information in the care-plan will benefit from greater attention. Care-plans contain guidance on how assessed needs will be fully met in practice with most specialist information now transferred over. Much of this progress has been achieved by the supervision of the home by the Regional Manager. The home continues to improve its advocacy links. Risk assessments have improved. The care-plans will benefit from being better organised to assist newer staff to access the key information. The regional manager has identified that key staff require greater clarity about the expectations of their role. EVIDENCE: See report of April 14 for a full details on care-plans. On this visit the inspector discussed care-plans with the regional manager and looked at 2 examples.
Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 11 The regional manager has recently been working with the home and manager to improve the presentation and organisation of the plans and how they are filled in and reviewed. The regional manager stated that some plans could still be improved to be easier to follow for new staff. The regional manager has made references to how care-plans can improve during her monthly inspection section 26 reports which are sent o the Commission. The most report of 18/10/05 made some points on how careplans can improve. Most care-plans looked at had properly organised assessments, others still needed this information to be better organised as confirmed by the regional manager. The home showed evidence in letterform of how the paid advocate is currently being involved in explaining contracts/agreements to residents before they are eventually signed. This still has not been completed although the regional manager discussed plans on how the advocate is going to be more involved. A report is now completed by the home following each visit by the advocate. The advocate also completes a report. Improvements to staff communications skills and further input for residents will improve choice. The limited ability of residents to make choices was observed during the inspection. The regional manager confirmed that following a visit to a specialist that a resident described over the last 12 years as visually impaired has in fact been completely blind. This fact will result in adaptations to this person’s care. Penang DS0000036588.V254334.R01.S.doc Version 5.0 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 the following standard(s): 11,12 and 17 Meaningful activities are required for those residents who are less able and who have communication difficulties. Some activities have been withdrawn without new ones being created. Some residents require further educational input to assist with the development of skills such as communication. It continues to be the case over successive inspections that the home has plans but little action. Two particular residents continue to be observed over successive inspections to have a shortage of activities. Meal arrangements were found to be good with residents benefiting from a range of fresh food with one exception. EVIDENCE: The evidence from this inspection is similar to the last inspection. The inspector again found two particular residents in the home mainly unoccupied on arrival at 11.35am with two staff. It was evident from observation that better planning and opportunities are required, an observation shared by the visiting regional manager. Activities when they occurred consisted of domestic talks from what the inspector observed at various times between arrival and
Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 13 3.40pm. The television was on in the lounge on arrival with no one in that room with one resident walking around the home. Staff confirmed that they have found a suitable day centre which would meet their needs and provide more stimulation but are awaiting funding and budgets from the new organisation who manage Communitas. Both of these residents used to visit the Communitas owned day centre several times a week before the new organisation closed it immediately on taking over. This day centre was historically found not to be fully meeting needs but was popular with one of the residents referred to. The regional manager confirmed that budgets are being looked and that managers needed to submit costed activity proposals as well as look at how they are currently supporting residents and developing meaningful routines. Two other residents were found to be on a supported holiday. A recent report by an advocate showed continued concerns about activities for a particular resident. Food stocks which were found to be plentiful with a range of fresh ingredients. In relation to fresh fruit the inspector found one apple. Staff explained that it was a shopping day but accepted that there should be ample fruit available on a daily basis. Menus were found to be based on a varied and balanced diet with some preferences of residents recorded. Food served is recorded in resident’s daily reports. Penang DS0000036588.V254334.R01.S.doc Version 5.0 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 the following standard(s): 20 Medications arrangements were found to be sound with improvements made to training and monitoring. EVIDENCE: Medication arrangements were inspected in full at the last inspection 140405. This inspection involved following up on the recommendations both of which the Regional manager confirmed had been acted upon. All staff now receive in-house monitoring training where their competence is checked by a senior staff person. Some residents have also had medication reviews as confirmed in records examined and discussions with the regional manager. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 15 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 the following standard(s): Not inspected on this occasion. Standards 22 and 23 inspected at the last inspection 140405 where both standards were fully met. EVIDENCE: Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 24 and 29 A homely environment has been achieved since the last inspection with resident’s bedrooms highly personalised with plans to further extend this throughout the home. The garden continues to be unsafe to access for most residents and continues to pose an unnecessary risk. An occupational therapist assessment of the building is necessary for those residents with mobility needs. The home needs to ensure that important maintenance jobs are identified and promptly addressed. EVIDENCE: The inspector toured the home and found that resident’s bedrooms were or had been personalised with new furniture including comfortable chairs, new wardrobes, with decoration according to resident’s preferences. Two bedrooms and a hallway were found to be in the process of decoration. The front and rear gardens are large but poorly maintained with steep banks and no level access. The regional manager confirmed plans to replace flooring downstairs and create a level access to the garden particularly important to a blind resident and those over 65. The new organisation has indicated that they have resources to achieve this and make the home fit for life for all residents. A newly admitted resident with mobility needs has not had an occupational therapy assessment to ensure that all adaptations are in place. This also
Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 17 applies to another resident who is blind. The inspector has received a letter to show that these persons are on social services waiting list. It was evident that a toilet lock needed repair although this was not evident to the inspector until the incident occurred. The home was asked to ensure that all toilets had paper-towels as one had used cotton towel with no other handdrying facilities. The home particularly the hallways evidently needed a clean although it was taken into account that a team of decorators were present decorating the first floor. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35 and 36 Basic Staff training has been good over the last 2 years although there is current uncertainty about future plans. The number of staff with the basic National Vocational Qualification is still too low although all but one staff person is now enrolled on the course. Staff urgently require specific training to meet the needs of the resident group. Staff are now regularly supervised with the regional manager ensuring that she received written evidence to confirm this. EVIDENCE: The new organisation are closing the training/Day centre and have yet to outline what their training plan is for the Communitas homes. What the budget is, who will co-ordinate this training and in what form it will take. Less than 50 of the full care staff team have at least National Vocational Qualification level 2. Staff have since the last inspection benefited from training organised by the psychotherapist who has since been relieved of his duties. This training was described as improving the overall service to residents. All staff employed during the last 18 months have experienced 3 week Induction’ covering TOPSS, all mandatory training such as Moving and handling, food hygiene and First aid, and the foundational course level 2 in Care Practice, which leads to an NVQ 2. A basic introduction to the company’s philosophy of care is also included, leading to the in-house structured written induction found in each home. This type of induction where the staff person
Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 19 spends three weeks at the training centre before starting work in the home is not continuing as the centre has been closed by the new organisation. It was evident from observations the difficulties staff have communicating with residents with complex needs. The regional manager is aware of this and wants the organisation to invest in some specific training linked to a new revised statement of purpose. The regional manager stated that the organisation is looking to appoint a training manager. Evidence showed that staff are all regularly supervised at least every 2 months. The Regional manager confirmed that supervisions have improved due to her insistence that the home send her written evidence. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 and 42 It is not yet clear that the home is being well run although the regional manager gives the home effective external support. A permanent manager is needed who can drive the home forward, establish a clear purpose, and be less reliant on the regional manager. The home has appointed an experienced manager but is it not yet clear that this is permanent. An application for registration is needed within 2 months to confirm intentions. The lines of communication between the home and the new organisation who own and manage the home need to be clarified along with the lines of accountability and responsibility. The new organisation Minster Pathways needs to improve how it communicates with all stakeholders. Quality assurance systems have improved with the Commission now receiving useful and timely monthly reports on the home by a competent person. The views of residents in the home need more focus and attention to show that they are fully involved in running the home. Overall health and safety arrangements are good [with one exception] and well documented. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 21 EVIDENCE: The organisation has employed an experienced manager in the home since the end of April 2005. The manager was on sick leave at the time of the inspection. It is not clear if the manager intends to make her position permanent with no completed application to be registered yet sent to the Commission. It was not possible to evidence the contribution of the new acting manager. The home has also been managed externally by the Regional manager who carries out regular visits and monthly inspection reports which indicate that the home needs to focus more on care-planning and outcomes for residents, with staff given greater direction and training such as key-working. The inspector could not find any evidence in the home to indicate the takeover of the Communitas group on July 1, 2005 with the organisation now managed by Minster Pathways. The inspector has spoken with the area/Operations manager who stated that areas of who will manage recruitment and training is still being finalised. It was not clear who the Responsible Individual is, and whether this person has had checks carried out by the organisation. The regional manager stated that a proper address for the new organisation is being published. Section 26 monthly reports of inspections of the home by the regional manager are now being sent to the Commission on a monthly basis within a week of the actual visit date. The regional manager indicated that some questionnaires have been filled in by the home’s independent advocate on behalf of some residents. The Regional manager indicated that she was due to meet with the advocate later that day to get them to complete their current work on surveys and contracts for all residents. An inspection of Health and Safety documents showed that all was in order except a Mains electricity certificate. A requirement was not made as the Regional manager showed evidence that the organisation was obtaining various quotes for the work, which is due to commence shortly. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 1 2 2 X 2 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 1 X X X X 2 X LIFESTYLES Standard No Score 11 1 12 1 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 X X 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Penang Score X X 3 x Standard No 37 38 39 40 41 42 43 Score 2 2 2 X X 2 x DS0000036588.V254334.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 5 Requirement That the homes Service user guide is reviewed, to be updated to reflect the new ownership and management of the home. That the guide is kept accurate. That the future purpose of the home is clarified along with the admittance policy. That a copy of the guide incorporating the statement of purpose is sent to the Commission within the timescale indicated. [Requirement made at the last 6 inspections. Requirement first made October 2003] That the home must introduce an appropriate Statement of Purpose that also clarifies the intended service user group it aims to provide services to. That this statement is completed in line with a clear admittance policy. [Requirement made at the last 2 inspections. Requirement first made April 14, 2005] That the home confirms in
DS0000036588.V254334.R01.S.doc Timescale for action 20/12/05 2 YA1 4 20/12/05 3
Penang YA3 14[1][d] 20/12/05
Page 24 Version 5.0 4 YA3 5 YA5 6 YA11 7 YA12 8
Penang YA24 [2]&23[2][a] writing to the Commission the suitability of the 2 placements [over 65] out of category and how it will meet their needs. That all recommendations from the socials services assessment are carried out for both people. [Requirement made at the last 4 Inspections. Requirement first made December 2004] 12[1][a] That service users must have appropriate individualised communication tools to assist them to get their needs met. [Requirement made at the last 2 inspections. Requirement first made April 14, 2005] 5[1][b][c] That contracts are produced that are specific to the service user and homes provision including the individual fees charged. That the individual’s representative signs that such contracts. [Requirement made at the last 6 inspections. Requirement first made October 2003] 16[m][n] That service users are given regular opportunities to develop holistic skills and access educational opportunities. [Requirement made at the last 6 inspections. Requirement first made October 2003]. 16[m][n] That all service users have opportunities to take part in fulfilling activities and develop skills. That this forms a timetabled weekly schedule. [Requirement made at the last 6 inspections. Requirement first made October 2003] 16[1][2] That all service users have
DS0000036588.V254334.R01.S.doc 20/02/06 20/12/05 20/03/06 20/03/06 20/03/06
Page 25 Version 5.0 [c]23[2] [n] 9 YA24 12[4][a] 10 YA35 18[1] 11 YA35 18[1] 12 YA37 Sec10.62 [1]22[2]& 24Reg9 24 13 YA39 access to all parts of service user’s communal and private space by the provision of equipment and adaptations to achieving this. That the garden is accessible for all service users. [Requirement made at the last 8 inspections. Requirement first made April 2003] That the home must be conducted so to respect the privacy and dignity of service users and visitors by ensuring that toilets/bathrooms have working locks. That the home ensures that all staff receive suitable training in communication techniques with adults with learning disabilities and help service users develop their own appropriate communication aids. [Requirement made at the last 3 Inspections. Requirement first made December 2004] That the Registered provider [new organisation/owners] send the Commission their Staff training and development plan to show that it meets Sector Skills workforce training targets and ensures that staff fulfil the aims of the home and changing needs of service users. That this plan has a dedicated training budget, designated person with responsibility for training. That the manager of the home must be registered. That a completed application is sent to the Commission by the date shown. To establish a quality assurance and monitoring
DS0000036588.V254334.R01.S.doc 27/10/05 20/03/06 20/12/05 20/12/05 20/12/05 Penang Version 5.0 Page 26 system based on service user views. [Requirement made at the last 6 inspections. Requirement first made October 2003]. That the results are published in the home’s guide. 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 4 5 6 Refer to Standard YA2 YA6 YA17 YA29 YA32 YA38 Good Practice Recommendations That the home’s assessment information is organised. That the Care-plan is logically organised and clearly presented. That adequate quantities of fresh fruit are available at all times. That an Occupational Therapist assesses the home in relation to the newest service user. That at least 50 of Care staff are trained to National Vocational Qualification Level 2, or are working towards this by December 2005. The process of managing and running the home are open and transparent. That there are clear lines of management accountability from the home, through to the organisation who own and oversee Penang. Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Penang DS0000036588.V254334.R01.S.doc Version 5.0 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
