Inspection on 19/09/07 for Pershore Short Term Breaks Service

This inspection was carried out on 19th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pershore Short Term Breaks... 25/09/06

Pershore Short Term Breaks... 24/01/06

Pershore Short Term Breaks... 08/03/05

Pershore Short Term Breaks... 08/09/04

Pershore Short Term Breaks... 09/02/04

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 Pershore Short Term Breaks Service 48 Station Road Pershore Worcs WR10 1PD Lead Inspector Dianne Thompson Key Unannounced Inspection 19th September 2007 14:00 Pershore Short Term Breaks Service DS0000037468.V352242.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 Pershore Short Term Breaks Service DS0000037468.V352242.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. Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pershore Short Term Breaks Service Address 48 Station Road Pershore Worcs WR10 1PD 01386 552978 01386 553018 pershore sb@worcestershire.gov.uk www.worcestershire.gov.uk Worcestershire County Council 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) John Masterson Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate people for short-term care only. Date of last inspection 25th September 2006 Brief Description of the Service: The home is situated on a service road, off the main A1041, in a pleasant residential area approximately one mile from Pershore town centre. The home is situated at the end of a building shared with a day centre and provides a short-term respite care service. Worcestershire County Council operates the home and the responsible individual is Stephen Chandler. A new manager, Mr John Masterton who commenced in July 2006 has become the registered manager with the Commission for Social Care Inspection. The main entrance to the home and car park are shared with the staff and users of the day centre. The home has its own front door and apart from the joint use of a bathroom and the garden, the accommodation is self-contained. All the accommodation used by service users is on the ground floor with staff facilities on the first floor. The home can accommodate a maximum of five service users at any particular time for short periods of care. All the people who use the service have learning and physical disabilities. The aim of the home is to offer a service based on the principles of dignity and respect in a safe, warm and friendly environment. The fees for staying at Pershore Short term Breaks service are currently £9.00 per night. Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to see what the service was like to live in for the people who live there. The inspector talked to some of the people who were staying at the service and some of the staff working there. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. We spent some time looking at records in the office. What the service does well: What has improved since the last inspection? People are now offered more healthy and varied meals from the menu that is available. Individual care plans are being revised and updated for everyone who uses the service. Things are written down so staff can follow this where there are any health worries or concerns. Worcestershire County Council checks on the quality of the service being provided at Pershore Short Term Breaks. They ask many people for their views about the home. A report is then written and plans are then made to make any changes that are needed. Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Pershore Short Term Breaks Service DS0000037468.V352242.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 Pershore Short Term Breaks Service DS0000037468.V352242.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Detailed assessments are completed before people use the service at Pershore Short Term Breaks. Information is provided so that people can make a choice about using the service. EVIDENCE: The Statement of Purpose and the Service User Guide were updated following the previous inspection to reflect the changes to the service and the change of manager. This meets the requirement of the previous inspection. A thorough and detailed procedure is in place and followed when people are assessed to use the service. This involves information gathering from a variety of sources such as families, relatives, previous or current schools, from the Learning Disability team, and any interested parties. Where care plans are already in place Pershore Short Term Breaks incorporates these into their assessment processes. The assessment procedure is being completed for an individual with sensory needs. A recent stay at the service enabled staff to complete a more detailed assessment that determined the ability of the service to meet this persons needs. This was carefully managed with appropriate networks in place and at Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 9 a time when other people were not using the service. From this focussed assessment additional sensory training needs for staff were identified. Pershore Short Term Breaks Service DS0000037468.V352242.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): 6, 7, 9, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans provide staff with information about individual’s assessed needs. They include risk assessments to show how risks are to be reduced and how to promote independence. People who use the service are supported to make choices and decisions in their daily lives and routines. EVIDENCE: Files for four service users were examined. Case tracking provides a view of how the service responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the service. Personal files are currently being developed to provide accurate and up to date information using a more effective system. Completed files were seen and it is evident that information is easier to find and provides individual plans for each person. This includes details of peoples’ likes and dislikes, and eating and drinking. There is evidence to show that care plans are reviewed regularly, Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 11 and often in conjunction with other agencies such as day centres, as people using the service stay for short visits. Communication within the service has improved through the use of contact sheets that are kept in a communication file. A separate sheet is maintained for each person who uses the service and then transferred into personal files. The manager said that communication has improved significantly using this system. Risk assessments are being reviewed and will be transferred to the new Worcestershire County Council’s (WCC) risk assessment system. A draft of this format was seen. Risk assessments were examined and discussed with the manager. A risk assessment on choking specified that the control measures in place include ‘all staff are to be first aid trained’. This was discussed with the manager and concerns about the vulnerability for all concerned where first aid training for all staff is not up to date. Where control measures are in place they must be valid and compliant. The manager was further advised that agreed guidelines on how to respond in a given situation promote consistency and confidence, as well as being good practice. Pershore Short Term Breaks Service DS0000037468.V352242.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): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service receive help and encouragement to take part in activities and are supported to access facilities within the wider community. EVIDENCE: People stay at Pershore Short Breaks Service for short stays. Some people attend day centres such as Kingfields near Droitwich, Evesham and Pershore day services. During the week people go to the short break service from either their day centres or from home, for overnight stays or longer if their main carer or family is away on holiday. Evening activities tend to be more focussed on in-house sessions such as listening to music, watching TV, social activities, puzzles and craft sessions making such things as glove puppets. The daily record sheets have been improved since the previous inspection and now include a clear record of all activities that take place. There is evidence to Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 13 show choices that have been made, such as when to go to bed, what to eat and the choice of activity. There has been a significant improvement in the quality of the food being prepared and offered to people using the service. Fresh vegetables and fruit are regularly included in meals. The menu demonstrates a variety of meal options such as home cooked chow mein, roast meat dinners with fresh vegetables, and home made sponge pudding and custard. On the evening of the inspection visit home made sausage casserole was cooked and offered to the people who were staying for the night. Although people were unable to fully communicate they were able to make it known that they were happy with the choice of meal on offer. Pershore Short Term Breaks Service DS0000037468.V352242.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): 18, 19, 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are identified in care plans. The plans provide information and promote consistency of care and support for people who use the service in a way that takes into account their preferences. The home has a medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: Pershore short-term breaks provide health support according to agreed health action plans (HAP’s) where they are used, or agreed assessment plans. As people using the service stay for relatively short periods, main carers or families usually manage their health support. As each person arrives for a period of stay at the service an admission process is completed. During this process health information updates are recorded to make sure that individual needs can be met and that any changes to routines or medication are identified. Copies of reports from other agencies such as the Speech and Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 15 Language Therapist are included in the information gathering process to make sure staff are fully informed. The service has developed a process called ‘keeping me healthy’ that guides everyone and makes sure all areas of health are covered when reviewing health needs. The manager said ‘this procedure is work in progress’ but is pleased with the way the system is developing. Everyone who uses the service will benefit when this system is fully operational. Emergency contact and procedures are in place should additional support be required during a persons’ stay. Manual handling assessments are completed to make sure everyone is kept safe. Medication administration was observed and all procedures were followed. Records were checked and information demonstrates that medication is being well managed. All medication is clearly labelled in individual containers. This meets the requirement of the previous inspection. A discussion with a senior member of staff took place with regard to the safe administration of medication when out on outings or day trips. Current practice should be supported by written guidelines that should be agreed and regularly reviewed. Although the service has medication policies and procedures in place, additional guidelines are needed for specific situations such as day trips and outings. An information sheet that lists details of each person’s medication and all possible side effects is being produced for each person who uses the service. A student nurse currently on placement within the service has initiated this. The manager said that senior staff would continue this good practice for everyone who comes for short breaks. Pershore Short Term Breaks Service DS0000037468.V352242.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): 22, 23 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Pershore Short Term breaks service has suitable policies and procedures in place to make sure that everyone who uses the service is kept safe. Financial procedures are followed to make sure people are supported to manage their money for the duration of their stay. EVIDENCE: A copy of the complaints policy and procedure is available in individual files and copies are posted on notice board throughout the building. Evidence was seen to show that copies of the revised and updated complaints procedure have been sent to all families and carers. This was a recommendation of the previous inspection and has been met. The service has received two complaints since the previous inspection. Both complaints have been fully investigated with documentation available to support this. The outcome of the investigations has seen actions put in place to address the issues raised. The Commission for Social Care Inspection (CSCI) has received no complaints since the previous inspection. Suitable policies and procedures are in place to support people to manage their money. Evidence was seen to show that the procedures are being followed and records are being maintained. Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 17 The security arrangements to the front door have been improved following the previous inspection and meet the previous requirement. Pershore Short Term Breaks Service DS0000037468.V352242.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): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Pershore Short term Breaks provides accommodation that meets the needs of people who use the service, and offers a spacious and comfortable environment. The home is kept clean which ensures that good hygiene and infection control is maintained. EVIDENCE: Pershore Short Term Breaks service is in a residential area of Pershore, close to the local amenities of the town and surrounding areas. The building adjoins the local day services facility and shares the entrance and driveway. The service is able to accommodate a maximum of four people to stay at any one time. There is a large lounge, a separate dining room and kitchen. All bedrooms are on the ground floor and of single occupancy. The rooms are well furnished and decorated. Specialist equipment is available where required and includes specialist beds and mattresses. Additional sensory equipment includes rope lights and tactile décor to assist many people who stay at the Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 19 home. During the inspection visit people using the service were observed using their own sensory equipment and communication aids. The garden has a decked and grassed area complete with handrails to make it accessible to everyone who uses the service. The garden is attractively laid out and people are supported to enjoy the facilities when the weather permits. The home is pleasantly decorated and is clean and tidy. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Communal bathrooms have paper towels and liquid soap available. All cleaning materials are stored in locked cupboards in the laundry room. Staff were observed wearing appropriate protective wear for the work they were doing. The laundry is situated on the first floor of the building. Although plans to resite this have been discussed there is no date agreed for the work to commence as yet. Pershore Short Term Breaks Service DS0000037468.V352242.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. There are sufficient staff on duty with the right skills and knowledge to meet the needs of people who use the service. Staff work together to provide consistent and good quality care. WCC’s recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone using the service. EVIDENCE: A committed and stable staff team work at Pershore Short Term Breaks service. The staff team are well motivated and actively seek ways to improve the lives of the people who use the service. The manager said that the staffing situation continues to improve and this is helping to develop the service. A new senior member of staff has been appointed since the previous inspection and the recruitment of an additional senior is planned. The existing senior is currently on maternity leave. A Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 21 student nurse on a placement has been beneficial and supportive to the development of the service. More flexibility has been created within the staff rota to meet the needs of the people who use the service. Previous to these changes two members of staff would sleep in to provide night-time support. The service now has a waking night staff and one sleep in person, plus an on call system of support. A copy of the staff rota was seen and shows appropriate staff on duty as required. Appropriate staffing levels were observed during the inspection visit. Plans to assist staff to develop their computing skills are to be facilitated. It is hoped to convert the room previously used as a second sleep in room for staff into a room that will accommodate computing equipment. WCC provide regular staff training. New staff complete mandatory training such as Health and Safety, Fire Safety, Food Hygiene, Moving and Handling, Infection Control and Vulnerable Adults. Bereavement training has recently been completed in house for all staff. The manager is planning to include ‘keeping healthy’ and ‘team building ‘ sessions into the training programme. Midazolam and epilepsy training has been completed which enables staff to use the knowledge gained, and their experience in the safe administration of this medication. Two staff are currently doing NVQ’s. One member of staff was working with her assessor during the inspection visit. First aid training for all staff has not been completed. New staff complete first aid training as part of their induction but refresher courses for existing staff are yet to be arranged. This is of concern where risk assessment action plans indicate that all staff should be first aid trained as part of the management of the identified risk. A training plan has yet to be submitted to CSCI as required at the previous inspection. Evidence was seen on the staff supervision overview that all staff receive supervision from the management team. Staff meetings are held regularly. Staff spoken to confirmed that they felt supported and enjoy working at the home. WCC’s recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. A new member of staff confirmed recruitment procedures had been followed. Pershore Short Term Breaks Service DS0000037468.V352242.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): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service is well managed and staff receive the leadership and support they need. Worcestershire County Council (WCC) monitors the home in various ways to make sure that the health and welfare of people using the service is protected. EVIDENCE: The manager John Masterson has successfully completed his application as registered care manager with the CSCI. John has many years experience in residential care and is qualified to NVQ level 4 Diploma in Management of Care Services. John completes training courses relevant to the needs of people who use the service. Senior staff and an administrator support the manager. Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 23 Staff confirmed that the manager is approachable and supportive. Additionally, WCC support the management of the home in various ways. For example there are training and human resource staff to provide advice and support as required. The provider’s monthly visits are one of the ways that WCC monitors the service and how it is being run. These visits include interviews with staff and people who use the service. An audit of relevant parts of the service including records, environment, complaints received, finance and safety is completed. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and copies are regularly sent to the CSCI. A quality assurance audit was completed in May 2007 and the report is intended to form an annual development plan for the service. This report will include views on the service from people who use the service, stakeholders and interested parties. The manager showed the action plan that is being compiled as a result of the quality review audit. As part of the service review the manager promotes a monthly carers day as an ‘open house’ where people can drop in to talk about the service, or an informal coffee and chat. The manager also arranges times to meet with people at day centres or individual homes if this is more convenient. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Generic risk assessments are in place. Pershore Short Term Breaks Service DS0000037468.V352242.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 X 3 X 3 X X 3 X Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 25 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 YA42 Regulation 13,18 Requirement Opportunities for on going training must be available for all staff, in particular first aid and safe working practices. A training programme must be submitted to CSCI. Previous timescale of 30/11/06 not met. Timescale for action 19/09/07 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 YA9 YA19 YA20 Good Practice Recommendations Where control measures are in place they must be valid and compliant. People who use the Short Break Service would benefit from having health action plans. Although the service has medication policies and procedures in place, additional guidelines should be produced for specific situations such as day trips and outings. Pershore Short Term Breaks Service DS0000037468.V352242.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Pershore Short Term Breaks Service DS0000037468.V352242.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. 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!