Inspection on 22/05/07 for Pines

This inspection was carried out on 22nd May 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 no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pines 11/11/08

Pines 27/11/07

Pines 10/07/06

Pines 20/01/06

Pines 26/07/05

Pines 07/02/05

Pines 06/09/04

Pines 03/03/04

Pines 06/02/03

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

CARE HOME ADULTS 18-65 296 Old Worting Road (Pines) Basingstoke Hampshire RG22 6NX Lead Inspector Liz Palmer Unannounced Inspection 22nd May 2007 10:30 296 Old Worting Road (Pines) DS0000012310.V336191.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 296 Old Worting Road (Pines) DS0000012310.V336191.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. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 296 Old Worting Road (Pines) Address Basingstoke Hampshire RG22 6NX 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) 01256 333 686 www.together-uk.org Together Working for Wellbeing Mrs Yvonne Michelle Rabson Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th July 2006 Brief Description of the Service: 296 Old Worting Road opened in 2004 and is a detached house in a quiet suburban street. It is within walking distance of some local facilities and on a bus route to the centre of Basingstoke. The home is registered to provide care and accommodation to seven residents who have mental health issues. The home has of seven single bedrooms, one sitting room, a kitchen/diner and laundry facilities. There is a large garden at the back and front of the house. 296 Old Worting Road encourages people who use the service to retain their own privacy and supports them in reaching their own personal goals. Fees are paid through a block contract with the Primary Care Trust with residents’ contributions varying dependent on income. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection, which included a visit to the home. The visit took six hours. The key standards were assessed by case tracking three people who live in the home. Time was also spent observing staff practice, talking to three staff and talking to people who live in the home. The acting manager was present for the end of the inspection. Some time was spent reviewing a random selection of documents and a tour of the premises was carried out. Other information used to make judgements about the home included an Annual Quality Assurance Assessment (AQAA) completed by the acting manager. This arrived after the closing date and the site visit and gave basic information. Incident reports and the most recent inspection reports on the home where also used. Surveys were received from four residents; one relative and four health care professionals involved with the home. Their comments have been reflected in this report. People using the service said they would like to be referred to as ‘residents’ in the report. Therefore this term has been used. What the service does well: Residents are encouraged to be independent and say they have choice and control in their lives and enough freedom. They say they have enough to do and can choose what they do. Residents also say they like staff and feel understood and well looked after. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 296 Old Worting Road (Pines) DS0000012310.V336191.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 296 Old Worting Road (Pines) DS0000012310.V336191.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. Suitable arrangements are in place to ensure that prospective residents individual needs and aspirations can be met in the home. EVIDENCE: No new residents have moved into the home since that last inspection. There is currently one vacancy for which a prospective resident is currently being assessed. Arrangements are in place for an overnight stay next week. The home’s AQAA states that all prospective residents have their individual needs assessed prior to visiting and staying overnight. They then move into the home for a months assessment. Care managers and other professionals are involved in the process to ensure the placement is suitable and the individual’s needs can be met in the home. 296 Old Worting Road (Pines) DS0000012310.V336191.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments are in place and generally reviewed and kept up to date to ensure people’s changing needs are met. However this must be in place for all residents. EVIDENCE: Three residents were case tracked. Their care plans were basic but written with their involvement. Two care plans were up to date and detailed the care needed. These were reviewed on a monthly basis. One care plan dated back to March 2004 in one part with no changes recorded. One staff member said this was because the person’s needs had not changed. However, other written evidence showed the person’s needs had changed significantly. The acting manager and two staff felt the home could not meet this person’s needs and alternative accommodation was being sought. One health professional’s survey stated the needs of one person were not being met by the home. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 10 Three residents spoken to say they regularly reviewed their care plans with their key worker and felt in control of the decisions made about their lives. For example, shopping for and choosing their food to prepare their own lunch and breakfast. Another example is being able to go out independently as part of a risk assessment framework. Residents spoke about support given by key workers and other written evidence showed the importance of this one to one support in people’s lives. Risk assessments were seen and there was evidence that they had been recently reviewed. A risk assessment has been written for each person on evacuating in the event of a fire. This was a requirement made at the last inspection. The home supports risk taking and is focused on independence and giving choices to residents. 296 Old Worting Road (Pines) DS0000012310.V336191.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service have the opportunity to exercise their rights and responsibilities, however improvements could be made to the arrangements to participate in social and community activities. Healthy and varied meals are provided with the involvement of residents. EVIDENCE: Residents are encouraged to pursue their hobbies and interests in the home and have for example, their own televisions and stereos in their bedrooms. One person told the inspector about their interest in gardening and that a member of staff had supported them to plant some vegetable seeds. Residents have daily chores, which they spoke about. Support is given on an individual needs basis. There is a lot of focus on the daily chores and not 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 12 much evidence of residents being supported in leisure activities outside the home. The staff said they try to encourage and motivate people to go out but residents are often content to stay at home. For example, on the day of the inspection two staff members had gone out to buy garden furniture and visit another resident in hospital. A member of staff said a resident was offered the opportunity to go but had declined. Residents said they had enough to do. Two said they go out once a week but often it is less than that. One resident does not go out at all due to his high physical needs. Another resident says they can go out whenever they like. Residents said they are able to keep in touch with families and friends. There is a pay telephone in the entrance hall. One relative said on their survey that they would like to keep in contact more but as their relative is hearing impaired telephone calls are not possible. They said they would like the home to look into methods of how they can support the resident to overcome this. This was discussed with the acting manager who agreed to look into some specialist telephone and communication systems. Details of personal relationships are recorded and one resident says their friends often visit. One relative survey said staff are always friendly when they visit. Residents use the local shops however there was no other evidence of community involvement. Meal times are flexible and residents are involved in shopping and cooking for their own lunch and breakfast. Staff, with the involvement of residents, provide the evening meal. Evidence of this meal times being flexible was seen on the day. The focus is on residents being independent. Residents said the food is good and they are happy with the arrangements. 296 Old Worting Road (Pines) DS0000012310.V336191.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements are generally in place for supporting residents to maintain their health and receive personal care in a way that meets their individual needs and preferences. However, changing needs of residents must be met and reflected in their care plans. Residents are protected by the home’s policies and procedures for storing, recording and administering medication. EVIDENCE: Individual needs and preferences regarding their personal care, emotional needs and health care are recorded in their care plans. Individual preferences are noted and taken into account for example; one person prefers a shower to a bath. Another care plan says how personal care needs should be met and includes details of how dignity should be maintained. Residents said their choices, privacy and dignity were respected. However the changing needs regarding personal care of one resident were not reflected in their care plan. One member of staff said they did not want to provide personal care, however 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 14 the manager stated that all the personal care needs of this resident were being met. Two other staff spoken to confirmed they were providing the personal care needed. Residents are supported to maintain their health and well being by having their own General Practitioner (GP). Support is given if needed to keep GP’s appointments as well as dental and optician appointments. Specific health issues are noted in care plans, including mental well-being. Specialist healthcare professionals are involved when necessary. Evidence of regular contact with consultants, psychiatrists and other relevant healthcare professionals was seen. Residents spoken to said they could see their GPs and other professionals if they need to. There was written evidence of healthcare professionals being called in and professional advice being acted on. Procedures for storing and administering medication were sampled and found to be secure and suitable. No errors or omissions were found in the recording. Controlled drugs are suitably stored and recorded this involves them being double locked within a fixed cabinet, records are kept separately and are signed for by two staff and a running total is checked and recorded after each administration. Protocols are in place for any medication that is prescribed to be administered ‘as and when required’. Risk assessments are in place for people who wish to look after their own medication. Protocols are in place for this. Individuals wishes regarding terminal illness and dying were seen on two care plans. Details of where people might go if the home could not meet their needs were included. Both residents had expressed and interest in making a will and no evidence of this being followed up was seen. The home should follow up people’s wishes to make a will when this is requested. 296 Old Worting Road (Pines) DS0000012310.V336191.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements need to be made to the way concerns and complaints are dealt with so that all residents feel able to talk to someone if they are unhappy or want to make a complaint. Arrangements are in place to protect people from abuse. EVIDENCE: The home provides residents with a complaints procedure. When spoken to about complaining one resident said they could complain, one said it was not worth complaining. Another said ‘if you complain too much they get rid of you.’ Another resident said she had made a complaint and got an advocate to support her. There were mixed views on the surveys returned from residents; when asked if they knew how to make a complaint one said sometimes, two said always and two said hardly ever. When asked if they knew who to speak to if they are not happy one said no and three said yes. The one who said no said staff are always busy. When asked on the survey if staff act on what they say two said yes and two said no. During the inspection residents were heard speaking openly to staff about things they were not happy about, staff responded openly to these. The relative’s survey said yes to knowing how to make a complaint. No complaints have been recorded by the home in the last twelve months so it was not possible to assess whether complaints are dealt with according to the home’s policy. The home does record negative comments and ‘grumbles’ 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 16 made at residents meetings and the deputy manager gave an example of things that had changed as a result of these. Ways of enabling all residents to feel confident about complaining whether formally or informally should be looked into. This was discussed with the deputy manager who agreed. Staff are trained in Adult Protection and are aware of their responsibilities within the home’s policies and procedures. Through discussion with the acting manager it was evident that they are aware of how to respond to allegations and when to involve other professionals. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Improvements need to be made to the home to ensure residents live in a clean and hygienic home. EVIDENCE: Several areas of the home are in need of updating, including the kitchen and bathrooms. The bathrooms were being cleaned during the inspection however the floors were worn in places and mouldy at the edges. At the last inspection the inspector noticed that communal hand towels were being used in the bathrooms used by staff and residents. At the time, the deputy manager, who is now the acting manager, acknowledged the risk of cross infection. It was agreed that a system would be put in place to reduce this risk. However during this inspection only one hand towel was available in the downstairs bathroom and an outbreak of scabies had been recorded two days earlier. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 18 The entrance hall carpet was dirty and worn in places and the walls were marked and dirty. The lounge, which is also the designated smoking area, also looked in need of updating and cleaning. The windows were streaky; there were cobwebs on the beams and stains on the wall. The shelves were dusty and there was a dead plant and an empty, dirty plant tray in the room. There was an old television on the floor and the carpet was also worn and dirty. The bedrooms were also looked at. One had a broken lock which had been broken for ten days, The resident in this room said they were unhappy about not being able to lock their room and felt they had waited too long. A member of staff said all the locks were due to be replaced in April. The acting manager said they are still waiting for the housing association to agree to the work being done. The sinks in the bedrooms needed cleaning and the carpets were dirty. The laundry room was seen. This is used by residents on a daily basis. There were safety notices and hazardous substances were seen to be suitably stored. Gloves were available for staff use. However, the laundry room worktops were dusty and the floor dirty. At the front of the house there were piles of rubbish, including old carpet and broken furniture. Residents said they liked their home and thought they had nice rooms. One resident said staff offer to help them tidy their rooms. Another resident said they would like their room redecorated. New garden furniture had been bought that day and was assembled by a staff member. Residents were seen enjoying their garden and obviously got a lot of pleasure from that. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 19 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): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the recruitment procedures and are supported by trained and competent staff. EVIDENCE: Three care staff and the acting manager was spoken to during the inspection. The staff spoken to were competent and confident in their roles. Residents spoken to said that staff were nice and that they understood their needs. The homes AQAA says that each member of staff holds their own portfolio of training. Over 75 of team is or will soon be NVQ qualified. Two portfolios were seen and there was evidence of staff being trained in the mandatory courses, such as First Aid, Fire Safety, Health and Safety, Food Hygiene and Infection Control. Staf also receive training in Challenging Behaviour, Adult Protection, Mental Health and are supported to undertake National Vocational Qualifications (NVQs). Three staff have almost completed NVQ level three. Training specific to the needs of individuals in the home is provided to staff to enable them to support people appropriately. For example, staff have been trained in Hearing Voices and Personality Disorders. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 20 Staff said they thought the organistation provided good training and they felt well supported by their line manager. The standards for recruiting staff were assessed and met at the last inspection. No new staff have been employed since the last inspection and there have been no changes to the homes policies or procedures for this. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 21 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 and 42. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents would benefit from a permanent manager in the home to provide accountability, leadership and consistency. Residents would benefit from being confident that their views are being taken into consideration. Improvements need to be made to ensure the health and safety of residents is maintained. EVIDENCE: The home has not had a registered manager since June 2006. There have been two acting managers since the registered manager was seconded to another home. The current acting manager has been in the position for six months. Previously they were deputy manager for two years. This has offered some continuity, however a permanent manager registered with the commission is required. Staff said they thought it was a well run home and 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 22 they were well supported. However, they felt things were ‘up in the air’, there was ‘no continuity’ and the home had ‘no real goals’ and ‘a few issues need to be resolved’. One member of staff said ‘we are not always working together or feeling supported’. Care planning and meeting health and personal care needs are not consistently met for all residents. The general cleanliness and upkeep of the home must also be improved to ensure the health and well being of all the people using the service. Residents said they had regular meetings where they could talk about menus, shopping and décor for the home. However, one resident said they are consulted on the décor but staff make the final decision. The home promotes independence and consults residents on a daily basis. This was seen during the inspection where people were consulted about their laundry and their meals for example. The home’s AQAA gives an example of how residents were supported to change their method of rent payment following consultation with them. Regular monitoring visits take place in the home and the commision is kept informed of notifiable incidents. The home has it’s own corporate quality assurance system in place which is worked on monthly by the manager. However, no programme for the redecoration and upkeep of the home was available. Staff receive training in Health and Safety and evidence of regular fire checks including weekly alarm testing and servicing of the fire alarm system and the stair lift were seen. However, the risk of cross infection through the use of shared hand towels has not been addressed and the requirement for staff to receive fire training, made at the last inspection, although adressed at the time has now lapsed again and training is overdue. 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 23 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 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 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 3 1 X 2 X X 2 X 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 24 No 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 All care plans must be reviewed and kept under regular review to reflect the changing needs of residents. Residents must be supported to access local, social and community activities. A record of this must be kept. Residents’ changing personal care needs must be recorded and those needs met. The home must be well maintained at all times. This includes the cleaning of walls and carpets as necessary. The home must be kept clean and hygienic at all times. The registered provider must appoint an individual to manage the home and make arrangements to submit an application for registration. The health, safety and welfare of residents must be maintained at all times. This includes safeguarding against cross infection and regular fire training for staff. Timescale for action 22/06/07 2 YA13 16 22/07/07 3 4 YA18 YA24 12 23 22/06/07 22/06/07 5 6 YA30 YA37 13 8 22/06/07 22/07/07 7 YA42 13 22/06/07 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 25 The requirement regarding fire training was made at the inspection on 10th July 2006 and on 20th January 2006 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 296 Old Worting Road (Pines) DS0000012310.V336191.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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