Inspection on 21/06/06 for Pia - 136 abc Manor Court Road

This inspection was carried out on 21st June 2006.

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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pia - 136 abc Manor Court Road 13/10/05

Pia - 136 abc Manor Court Road 12/05/05

Pia - 136 abc Manor Court Road 08/09/04

Pia - 136 abc Manor Court Road 14/04/04

Pia - 136 abc Manor Court Road 02/03/04

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Polesworth Group 70 Long Street

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

CARE HOME ADULTS 18-65 Pia - Manor Court Road, 136 abc 136a Manor Court Road Nuneaton Warwickshire CV11 5HQ Lead Inspector Kevin Ward Key Unannounced Inspection 21st June 2006 07:45 Pia - Manor Court Road, 136 abc DS0000004474.V300328.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 Pia - Manor Court Road, 136 abc DS0000004474.V300328.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. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pia - Manor Court Road, 136 abc Address 136a Manor Court Road Nuneaton Warwickshire CV11 5HQ 02476 643776 02476 640146 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) People in Action Mrs Julie Ann Morrissey Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2005 Brief Description of the Service: 136 Manor Court Road is a registered care home for four people with learning disabilities. People in Action provides 24 hours care and support for the people living in the home. The home is situated on one of the main routes into the town of Nuneaton, which is easily accessed by the people living in the home. The ground floor accommodation consists of a kitchen and lounge, two service user bedrooms, each having an ensuite facility. On the first floor of the property there are two service user bedrooms, a lounge, bathroom with toilet and an office/sleeping room for staff. There is a large garden at the rear of the property, which provides lawned and patio areas. There is parking space for one car in the driveway to the house. The charges for the service (21/6/06) range between 686.86 – 1358.00 per week. Service users pay a contribution to the costs of their care based on an individual financial assessment. Service users pay for additional items, e.g. hairdressing, toiletries, holidays, recreation, clothing, transport and other personal items. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection focused on assessing the main key Standards and on reviewing progress to meet the requirements that were made at the last inspection. As part of the inspection process the inspector reviewed information about the home that is held on file at the Commission, such as notifications of accidents and incidents. The manager of the home also completed and returned a questionnaire containing further information about the home, as part of the inspection process. The inspection involved meeting with the four people living at the home. Questionnaires were sent to service users prior to the inspector’s visit, 3 of which were completed and returned with support from staff at the home. The inspection also involved talking with all the staff and team leaders who were on duty. A number of records, such as care plans, staff files and fire safety records were also sampled for information as part of this inspection. What the service does well: Care plans and risk assessments are in place for the people living at the home, including details of their routines and their likes and dislikes so that staff have the essential information necessary to meet people’s care needs in the way they like. People’s health needs are addressed using support from the GP and good range of appropriate health professionals. Staff are provided with a good range of training, including safe practice, such as first aid and moving and handling, as well as care courses, such as epilepsy, autism, sexuality and diversity training. Staff are also supported to attend NVQ training courses to equip them for their work. The people living at the home are provided with support to go out locally on a regular basis, such as shopping trips, and visiting parks. One person often goes out independently and has been provided with her own front door key to enable her to come and go freely. The home provides a 4-week menu based on people’s stated likes and dislikes and supports people to shop and choose groceries. The people living at the home looked comfortable and at ease in the company of staff and spoke positively about the support they received. One person said that the best thing about living at the home was her keyworker. Specialist equipment, including a hoist, bed and bathroom equipment has been provided for a person with changing health needs. The home is reasonably accessible downstairs. There is one downstairs bedroom with an en- suite shower room, suitable for a wheelchair user. Procedures are in place at the home to enable people to complain and monthly meetings provide another opportunity for people to raise any concerns they Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 6 may have. Staff are provided with access to suitable procedures and training to enable them to recognise adult abuse and to report any concerns they may hold about people’s welfare. What has improved since the last inspection? 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. Pia - Manor Court Road, 136 abc DS0000004474.V300328.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 Pia - Manor Court Road, 136 abc DS0000004474.V300328.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The judgement for this outcome group is good. Satisfactory admission procedures are in place; people’s needs are assessed and they are allowed to visit to enable them to make an informed choice about living in the home. EVIDENCE: No new service users have moved into the home during the last year, so it was not possible to re-assess the home’s current admission practices. The last inspection report, 13/10/05, indicates that service users’ needs had been assessed and relatives consulted before people moved into the home. Service users were supported to visit on several occasions before moving in. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 9 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): 6,7 and 9 The judgement for this outcome group is adequate. Systems are in place for reviewing people’s needs with their involvement. Care plans need to be updated in the new format to reflect changes agreed at review meetings. EVIDENCE: Assessments and care plans are in place for all the people living at the home. One care plan has recently been updated in a new format, since the last inspection. Overall the information in this particular care plan was very helpful and informative. The team leader stated that the manager also plans to update other people’s care plans into the new format shortly. The care plan has been signed by people’ present at the review, including the initials of the service user. Comments by people confirmed that they are encouraged to take part in their review meetings with their key workers. One person recently asked for visits to the pub to be added into her care plan. Letters were seen on file, inviting relatives to attend review meetings, encouraging their involvement in care planning where they are able to do so. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 10 In some cases care reviews have been carried out and proposed amendments to the care plan have been recorded on the review sheet, but the care plans still have yet to be amended. People’ s care plans contain satisfactory information about their daily routines and their likes and dislikes, as a means of them exercising some control over the way in which their care is provided by staff. The people living at the home confirmed that they take part in shopping for groceries and for personal items, such as clothing, with support from staff. This enables them to choose the things they like. People’s risk assessments have recently been reviewed. A well detailed moving and handling risk assessment was seen, containing guidance to help staff to safely support a service user whose mobility needs have changed recently. Staff training records verify that training in moving and handling and the use of a hoist has been provided to support safe practices. Guidelines were seen to be available, advising staff on how to respond to occasional challenges presented by a service user. Comments by a member of staff demonstrated a good awareness of the challenges presented and of appropriate strategies for responding appropriately. Comments by staff and entries in training records confirmed that challenging behaviour training is provided at the home. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16 and 17 The judgement for this outcome group is good. The home supports people to enjoy a satisfactory range of activities in the community and provides meals that people enjoy. EVIDENCE: Two people living at the home are supported to take part in day service activities part of the week and two other people are supported to attend art and music sessions. On the days that service users are at home they are supported to take part in flexible social activities, such as hot tub, shopping, bowling, parks and outings. Several people commented that they had enjoyed attending a local carnival at the weekend. One person explained that she was planning a Birthday party shortly and intended to invite her boyfriend and other people. Comments by service users confirmed that they have been involved in planning their holiday arrangements for the coming year and person stated that she had recently enjoyed a weekend away in London. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 12 Another person confirmed that she receives regular visits from her friends to help her to attend church, in keeping with her wishes, as stated in her care plan. Comments made by staff confirmed that they intended to support her with party arrangements. Comments made by service users and staff confirmed that people are encouraged to take part in light domestic tasks, such as cleaning and hovering. This helps people to maintain a degree of independence and a sense of pride in their home. Residents meeting are taking place at the home. Comments made by the people living at the home and entries in past meeting notes indicate that people are consulted over everyday issues at the home, e.g. décor colours and holiday arrangements. Keys have been provided for people to lock their bedroom doors if they wish to do so and one person also has a front door key to let herself in to the home when she goes out independently. The home encourages people to maintain contact with friends and relatives. One service user explained that she enjoys going to town with her boy friend at weekends. People’s relatives are also invited to support them at their review meetings where they are ale to do so. Discussions with staff and entries in training records confirmed that they are provided with sexuality and personal relationships training to help them to support people appropriately. A 4 week menu is in place at the home based on people’s likes and dislikes, providing a suitable variety of wholesome meals. As previously noted people are also supported to shop and choose groceries for the home. One older person user has recently received support from a dietician to take account of nutritional needs associated with her increasing age. Comments made by the people living at then home indicated that they enjoy the food provided at the home and are able to enjoy some snack foods between main meals. A fruit bowl was seen in the lounge for people to help themselves to fresh fruit. Three people eat at the kitchen table and one person prefers to eat separately in his room. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 13 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): 18,19 and 20 The judgement for this outcome group is good. Appropriate support is provided to meet people’s personal care and health needs and suitable procedures are in place for monitoring medication practices at the home. EVIDENCE: Comments by service users and responses recorded in questionnaires (sent to people as part of the inspection process), indicate that people enjoy living at the home and are happy with the care provided. In one questionnaire a person says that the good things about living at the home are the location, the manager and the staff. Another person also told the inspector that the best thing about living at the home was her keyworker. Staff were seen to be supportive and to respond in a friendly manner to people’s needs. Comments made by two people confirmed that they are able to enjoy flexible bedtimes and rising times, in keeping with their choice. There are two male staff employed at the home which helps in providing gender sensitive care most of the time. People were dressed in well laundered, age appropriate clothing and were well groomed. One lady was supported to set her hair in rollers, indicating that people are encouraged to take a pride in their self-image. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 14 Entries in people’s health records indicate that the home supports people to access appropriate healthcare support where required. One person’s records demonstrate that he has been supported to access an extensive range of consultants and health professionals and provided with specialist equipment to meet his changing health needs. One person confirmed that she was receiving support to attend appointments for a new hearing aid. A sample examination of people’s health records indicates that people are supported to access routine checks, such as GP appointments, dentist and optician check ups. Comments made by a member of staff giving out medication demonstrated a satisfactory knowledge of the home’s medication procedures. A sample examination of recent medication sheets indicates that medication is appropriately signed for by staff at the home. A monitoring record was seen, providing evidence that medication is being monitored with staff and that any errors / issues are appropriately followed up. A member of staff confirmed that staff have been briefed regarding medication practices and have seen the procedure. Two staff also explained that medication training has been provided in the form of short courses and distance learning. This was verified in staff training records. Protocols have been explaining the circumstances under which PRN (as required) should be given. Systems are now in place for keeping count of service users’ medication in order that medication is properly accounted for. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 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): 22 and 23 The judgement for this outcome group is good. Staff are provided with access to suitable procedures and training to enable them to respond appropriately to any concerns they may hold, so that people are properly protected from harm. EVIDENCE: A complaints procedure is available for staff and complaints information has been devised with symbols for the people living at the home, to make it more accessible to them. Monthly meetings take place with the people at the home. A team leader explained that is used as an opportunity to check if people have any concerns that need addressing, as well to consult with them over everyday living issues. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. There has been one recent complaint made directly to the home, which is recorded in the home’s complaint log. These notes indicate that appropriate action has been taken to follow up the complaint and to respond in writing to the complainant. A Prevention of adult abuse policy is available in the home. Discussions with two staff demonstrated a good knowledge of the organisation’s adult abuse policy, including recognising signs of abuse and how to report any concerns. Comments by staff also confirmed that they are made aware of the adult abuse procedure as part of their induction and provided with training on this subject. This was verified by information in staff training records. The team leader confirmed that there have been no adult abuse investigations held at the home since the last inspection. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 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 30 The judgement for this outcome group is good. People are provided with a comfortable homely environment to live in. EVIDENCE: The home is based in an ordinary house on a busy street and fits in well with the other houses in the neighboured. At the last inspection plans were being made for people to have their bedrooms decorated. This work has since been completed and the people living at the home confirmed that they had chosen the colours of the décor. The two lounges are well decorated homely and comfortably furnished. People’s bedrooms contain ample evidence of personal belongings, photographs and other items to confirm that people have been supported to personalise these areas to their own liking. As previously noted there is one bedroom downstairs hat is wheelchair accessible, with a walk in en-suite shower room fitted with disability equipment. This bedroom also has double doors to allow wheelchair access to the garden. Due to a recent leak the wallpaper near the French doors has peeled off and needs replacing. The team leader confirmed that this had been reported and will be addressed shortly. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 17 The paintwork in the hallway is chipped and needs redecorating. The stair carpet is badly soiled and needs replacing. The team leader stated that plans are also in place to address these issues. The home was cleaned to a reasonable standard and staff were seen to carry out some cleaning tasks during the day. A cleaning schedule is in place that staff sign to confirm they have carried out cleaning tasks. Comments by the team leader indicate that the management of the home also monitors the cleaning schedule. Suitable protective clothing is available for managing personal care tasks and bags are available for the removal of continence wear. A suitable clinical waste bin is available and infection control training has been provided to some staff at the home. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 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, 34 and 35 The judgement for this outcome group is good. People are supported by well trained staff that are properly vetted, to ensure they are suitable to work at the home. EVIDENCE: An examination of recent staff rotas indicates that the home continues to provide at least two staff on duty during the day and evening. Comments made by staff indicate that this is currently manageable without placing undue pressures on the staff team. Comments made by the people living at the home confirmed that they have sufficient staff to meet their needs and to assist them to venture out into the community at a reasonable frequency. The home provides one sleep-in worker at nighttimes and on occasions there has been a waking staff member to meet the needs of one person at the home. A record is being kept by staff to monitor the time that they are required to be up at night to provide care support. The team leader confirmed that where staff are up for prolonged periods the worker concerned is sent home to recover in the morning and a different worker is brought in to cover the day shift. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 19 There has been one new member of staff employed at the home since the last inspection and one worker has transferred from another home in the organisation. An examination of the most recent starters file demonstrated that proper procedures are in place for recruiting staff, including taking up two references and a criminal record bureau check, to ensure that they are suitable top work at the home. Comments by staff confirmed that they receive regular planned supervision. This was verified in staff supervision records. Staff explained that they are provided with a good range of training opportunities, on an ongoing basis, including safe practice subjects, such as first aid, moving and handling, food hygiene, fire safety and medication training. Similarly they gave examples of a good range of care courses that they had attended, including epilepsy, autism, challenging behaviour, sexuality and diversity training. This was also verified by information contained in staff training records. Two staff also confirmed that they are provided with thorough induction training when they first start at the home, to prepare them for their work. This includes completing Learning Disability Award Framework training. Discussions with staff confirmed that training is an agenda item that is discussed regularly at monthly management supervision. There was no evidence of training being provided to raise awareness of the changing needs of older people(one person is 85 years old). Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 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): 37,39 and 42 The judgement for this outcome group is adequate. Overall the home is well run. The rating for this Standard is compromised by the outstanding need to seek the views of relevant people about the running of the home. EVIDENCE: The manager of the home has eleven years experience of working with people with learning difficulties and holds the Advanced Management in Care qualification. The manager is also in the process of completing the Registered manager’s qualification to further equip her for her role. As previously noted meetings are held at the home so that people can be consulted about everyday matters, such as planning for holidays and to provide an opportunity for them to raise any concerns they have. No evidence was available to indicate that any formal consultations have taken place with service users, relatives and professionals (e.g. quality assurance questionnaires) this year. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 21 The team leader explained that the home’s development plan is currently under review by the manager and should be available shortly. Monitoring reports are being carried out by the line manager for the home and are followed up with an action plan, produced by the home manager to address any shortfalls. Systems are in place for monitoring medication, care plans and cleaning at the home. Fire Safety records were examined. The records indicate that alarm tests are now carried out regularly each week and that fire drills are carried out involving service users and staff. Hot water is now being monitored to ensure that it stays at a safe temperature and risk assessments have been reviewed in keeping with the requirements of the last inspection. The landlord gas safety certificate indicates that a gas safety check was due, 19th April 06. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 x 3 2 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 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 2 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 3 3 3 x 3 x 2 x x 2 x Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement Update care plans in the new format to include the amendments that have been identified at their care reviews. Proceed with plans to decorate the hallway, replace the stair carpet and replace the wallpaper where it was damaged due to a leak in a bedroom. Emergency lighting in the home must be tested monthly and a record of the test documented. Arrange for gas equipment to be checked and for a landlord gas safety certificate to be issued. Timescale for action 20/08/06 2 YA24 23(2) (d) 21/08/06 3 4 YA42 YA42 23 23 30/06/06 30/06/06 Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 24 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 Refer to Standard YA6 YA35 Good Practice Recommendations It is recommended that changes to care plans be amended into the care plan format. It is strongly recommended that training be provided increase the staff teams awareness of older people’s health needs, e.g. changing skin care needs, dietary needs, health screenings. Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Pia - Manor Court Road, 136 abc DS0000004474.V300328.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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