Inspection on 15/11/05 for Priory Road

This inspection was carried out on 15th November 2005.

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

Other inspections for this house

Priory Road 16/05/06

Priory Road 08/07/05

Priory Road 01/03/05

Priory Road 05/10/04

Priory Road 12/03/04

Similar services:

Oakmount Hostel

Ark House

St Anne`s Alcohol Services - Leeds

Lynwode Park

Parkfield Rest Home

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

CARE HOME ADULTS 18-65 Priory Road 9 Priory Road Nether Edge Sheffield South Yorkshire S7 1LW Lead Inspector Paula Loxley Unannounced Inspection 15th November 2005 09:45a Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Priory Road Address 9 Priory Road Nether Edge Sheffield South Yorkshire S7 1LW 0114 281 3183 0114 281 3183 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) Sheffield Alcohol Advisory Service Mr Stuart Hawkshaw Care Home 6 Category(ies) of Past or present alcohol dependence (6) registration, with number of places Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th July 2005 Brief Description of the Service: The Sheffield Alcohol Advisory Service at Priory Road project is a residential home with facilities to care for up to six men and women with alcohol related problems. Priory Road is a large detached house located in an attractive residential area of the city, situated close to local amenities and public transport. The home has one double and four single bedrooms and all rooms are individually furnished and arranged according to the personal preferences of each service user. There is a large garden to the rear of the home with a pond, attractive paved areas, garden ornaments and seating provided. One to one support and group counselling is provided by the staff of the home, with the aim of reshaping lifestyles and routines to enable service users to learn to enjoy life without drink. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day between 9:45 am and 14:30 pm. As part of the inspection process the inspector met with two service users and interviewed the registered manager and deputy who were on duty at the home. Several areas of the building were inspected and a number of records were examined. The inspector was pleased to note that service users were very relaxed around staff who were observed to be extremely supportive and sensitive to their current needs. The inspector would like to thank service users and staff for their commitment to the inspection process. The inspector checked the progress made on any previous requirements outstanding from the last report and checked all key standards that had not been assessed on the last inspection in July of this year. What the service does well: The service continues to work positively with all service users and priority is given to meeting each individuals needs. Service users confirmed that all staff were extremely supportive and sensitive to their needs and wishes. They said that they could relate well to staff in the comfortable and relaxing environment of the home. Staff encouraged and supported service users with taking responsibility for their own lives and worked closely with each individual to achieve daily goals and aspirations. Daily feelings meetings identified any anxieties or concerns and coping mechanisms were then developed to ensure that each person could work towards their goals without dependence on alcohol. On-going support, that service users say is invaluable, continues to be provided by the floating support worker once service users leave the home to live in the local community. Service users said they were happy and comfortable in their rooms and they were pleased with the redecoration programme underway at the home. More bedrooms were to be decorated in the near future and it is planned for a walk in shower to be installed in the bathroom. The personal and health care needs of each person had been identified and service users had been supported with medical appointments and admissions to hospital as and when required. Specialist advice had been sought when needed and links had been developed and maintained with several other agencies such as health, education, housing, benefits and employment. The home is well managed and all staff employed by the home had the required skills to work sensitively and proactively with each service user. The manager was keen to develop the service further to ensure that they can continue to meet the changing needs of their client group. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 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. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. A detailed statement of purpose and service user guide had been produced and minor additions would ensure that service users had all of the necessary information regarding the home and the levels of support provided by staff. Service users individual care needs had been fully assessed prior to their admission, however the written assessment had not always been forwarded to the home. It could therefore not be ensured that staff were fully aware of each service users needs or that the service was appropriate to meet each individuals needs. EVIDENCE: The statement of purpose and service user guide, were available in the home for service users and staff. These clearly detailed the services, staff support and facilities provided by the home. Details of staff experience had not been included and the manager confirmed that he would ensure that this was documented. Service users said they had all the information they needed about the home prior to their admission and this had ensured that they were clear about the house rules and the role of staff. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 9 Discussions with the manager confirmed that full needs assessments had been completed by the referring social workers from the homeless or substance misuse team. However he was concerned that despite several requests these were not always forwarded to the home and he was aware that they were not receiving all of the required information regarding each individuals needs and current situation. Recently one service user had left the home shortly after his admission as it had become clear that the service could not meet some of his specialist needs. The manager had not been made fully aware of his specific problems and difficulties prior to his admission and this had not only placed the individual at risk but also the service users already living at the home and the staff team. The manager confirmed that he would write to the referring social workers to remind them that in line with the regulations and standards for the service, service users could not be admitted until he had received a detailed copy of the full needs assessment. Without this he could not determine that the service user was appropriately placed, could not complete a detailed care plan specific to the persons needs and could not ensure that there was a satisfactory assessment and management of risk. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7. The care needs, preferences and personal goals were not fully recorded in each section of the care plan. Some sections were not up to date. Therefore it could not be ensured that staff were fully aware of each individuals current needs. Service users confirmed that they were always encouraged by staff to make decisions about their lives and the appropriate levels of staff support were provided throughout the duration of their stay at the home. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 11 EVIDENCE: The inspector checked three service user plans of care. Service users had been included in the development of these and said that they could have access to the information when they wished. Two care plans had been signed by the service user and their key worker. The care plan had not always been developed from the initial care needs assessment, as these had not always been available – please see standard 2. Detailed notes had been made following the formal weekly counselling section however these had not always been signed or dated by staff. A copy of the contract was included however this did not include a breakdown of the fees charged. Some aspects of the care plan were in need of up-dating as details had not recently been recorded for leisure, family contacts or training undertaken. One plan did not have the medication section up to date and it did not detail any possible side effects that staff may need to be aware of. Some entries in the healthcare section did not have any follow up treatment or action taken recorded. The main goals being worked on for each individual could not always be easily identified and there was insufficient information to confirm that the plans had been regularly reviewed. Not all plans contained fully completed risk assessments and the manager had not signed all plans to confirm that he was monitoring them on a regular basis. Two care plans did not contain a photograph of the service user. Service users interviewed said that all staff employed by the home were extremely supportive and that they always encouraged them to develop and maintain their independence. Daily meetings gave them the opportunity to discuss any issues that they had and to identify a goal for the day that would help them to take control over their own lives. They confirmed that they were supported by staff in the individual and group counselling sessions to make decisions about all aspects of their life and to move forward positively towards a life without dependency on alcohol. One service user said he now felt confident about his future, once he left the home, and that staff had empowered him to take responsibility for his own life. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 16 and 17. Service users were able to take part in fulfilling activities that are age, peer and culturally appropriate. Service users confirmed that their rights were respected and that their daily routines encouraged and developed their independence. Service users were provided with nutritious food that they enjoyed and that ensured that they maintained a healthy diet. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 13 EVIDENCE: Service users confirmed that they were supported and encouraged by staff to undertake training courses and to find voluntary or paid employment. They said that staff had supported them to develop links with local training organisations and courses had been undertaken on a range of subjects including money management, counselling, PAT testing and social sciences. One service user that had recently left the home, to live independently in the local community, had been offered employment following a successful work placement as a volunteer. Service users said that the floating support worker was keen to ensure that service users had the opportunity to take up any training or employment that they were interested in and that he was a constant source of encouragement to them. Service users had daily access to a computer at the home and this helped to support them with their training. Service users and staff interviewed confirmed that the house rules and daily routines promoted and actively encouraged independence, freedom of movement and individual choice. Any restrictions imposed had been discussed at the time of their admission to the home and information relating to this was seen in the care plans checked. It included details of the daily breathalyser test to ensure that all service users maintained sobriety for the duration of their stay at the home. Service users had signed to confirm that they understood the house rules and that they would comply with them as part of the terms and conditions of their tenancy at the home. The daily routines were discussed on a regular basis with each service user to ensure that each person accepted responsibility for specific tasks. This was seen as an important aspect of each individuals care as it provided them with the chance to gradually take more and more responsibility for their own life whilst aiming for change and recovery. Service users said they could choose how they wished to spend their time at the home and that they could choose if and when they wanted to be with others or have privacy in their own room. Service users said that they prepared and cooked their own meals. They said they could choose what and when they wanted to eat and that in the main they catered for themselves. There were weekly deliveries of food to the home, by ‘Crisis Fareshare’. The service users then chose the food they wanted and stored it in their own section of the fridge/freezer or food cupboard. Service users contributed towards a weekly housekeeping fund and this was used to purchase tea, coffee and milk for the home. Service users said they were provided with a range of healthy meals that were nutritious and they thought they ate well. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. Service users were able to take responsibility for retaining, administering and controlling their own medication where appropriate. Some of the homes procedures relating to the recording of medication, that had been received and administered by staff, did not ensure that service users were fully protected. EVIDENCE: The manager confirmed that in the main service users self-administered medication. (The exceptions to this were where an individual had been prescribed a more intensively controlled programme of medication relating to substance addiction). Service users were responsible for ordering their own medication via their GP and lockable facilities had been provided in bedrooms for safely securing any items. Service users had been provided with a copy of the homes medication policy and procedures and signed agreements were seen on service users files. Service users were aware that they had to inform staff of any changes to their medication. It was noted that for one item of medication, that had been delivered daily to the service user at the home, staff had not signed to confirm that they had received it and there were no signatures to confirm that it had been administered at a weekend. One care plan checked did not contain a medication profile or details of any sensitivity or possible side effects for staff to be aware of. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Service users confirmed that their views and opinions were listed to and acted on as required. The home had adult protection policies and procedures in place however these did not include all of the required information to ensure that service users were fully protected. EVIDENCE: The home had the appropriate complaints procedure in place and service users were aware of this and the timescales involved. Staff were clear of the procedures and service users said that were actively encouraged to complain about any issues or concerns that they may have. A new file for recording complaints had been developed by the manager since the last inspection and this included details of the complaint, any agreed action and the outcome. The manager confirmed that service users were asked at weekly house meetings if they had any complaints. Four minor complaints regarding the environment of the home had been recorded since the last inspection and these had all been dealt with satisfactorily and the appropriate records had been maintained. The home had Adult Protection policies and procedures in place at the home and they included whistle blowing and the Department of Health Guidance ‘No Secrets’. However it was noted that they did not contain up to date information relating to the current local procedures. All staff had completed training on Adult Protection. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30. All areas seen were comfortable, homely, suitable for their purpose and well maintained. Bathrooms and toilets had the appropriate locks fitted to ensure the privacy of service users. The shower was fitted over the bath and discussions with the manager previously had confirmed that the safety of service users with mobility problems could not always be ensured when accessing the shower. All areas of the home checked were clean and fresh smelling. EVIDENCE: The dining room had recently been redecorated and at the time of the inspection the hallways and staircases were in the process of being redecorated. The manager confirmed that all bedrooms were to be redecorated and work had already started on this. Service users had been consulted about the colour schemes and they said they were going to help with the redecoration of their rooms. The manager said that the home had a planned maintenance and renewal programme to ensure that the home was well maintained. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 17 Bathrooms and toilets had been redecorated during the summer and service users said that they were functional and easily accessible. The manager confirmed that a walk in shower was to be installed in the large bathroom in the near future. All areas of the home seen were clean and free from offensive odours. Service users confirmed that they shared the responsibility for keeping the home clean and that there were no issues relating to this as it had been agreed at the time of their admission to the home. Service users were able to wash their clothes in the homes laundry and this was sited away from the kitchen. Policies and procedures were in place for the control of infection. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35. Service users were extremely well supported by the homes recruitment policy and practices and this ensured that all individuals receiving care at the home were protected. Service users were supported by staff who were trained appropriately and this ensured that their individual and joint needs were met. EVIDENCE: All of the required documentation had been obtained for all staff employed by the home. Copies of references, qualifications and proof of identity had been retained on individual staff files. All staff had completed a satisfactory CRB check at the enhanced level. Staff had received a copy of their job description and a statement of their terms and conditions. All staff employed by the home had completed training on a regular basis. Statutory training had been undertaken and refresher training had been organised for those staff requiring this. Discussions with staff confirmed that they were committed to further training and their own personal development. The deputy was in the process of completing NVQ level 4 training in care and management. The manager confirmed that all staff had a training and development plan and that any issues relating to this were discussed in supervision. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 19 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, 41 and 42. Service users benefit from a well managed home. Service users views of the service provided were sought on a regular basis. This ensured that staff were continuing to meet each individuals needs in line with the stated aims and objectives for the home. In the main records checked were well organised and information could be easily accessed. However some records did not contain all of the required information and therefore the rights and best interests of service users could not be fully promoted. The home had the appropriate health and safety policies and procedures in place at the home and staff had completed the required training. Written risk assessments had not been completed for all areas of the home as required and therefore the health, safety and welfare of service users and their visitors could not be fully ensured. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 20 EVIDENCE: The registered manager and his staff team were committed to maintaining and developing the standards of care provided to service users. The manager has many years of experience of working with people with alcohol related problems. He said that he hopes to complete his NVQ level 4 training in care and management in the next few months. The manager was clear of his roles and responsibilities and he has regular contact with his external line manager who is clearly committed to supporting the service and completes detailed monthly regulation 26 reports. Any issues identified were documented and the appropriate action had been taken to address any problems. The manager said that service users were regularly asked for their opinion of the care provided by the home. This had been done via individual and group discussion with service users. He confirmed that the registered organisation were keen to develop the homes quality assurance systems and that it was planned that an independent person would do this in the future with all service users. A member of the executive committee is to be allocated to complete this and they plan to develop questionnaires for other professionals who work with service users that live at the home. A selection of records were checked and in the main the information required was available for inspection. General improvements had been made to a number of records since the last inspection. Some of the homes policies and procedures were not dated. The fire safety log confirmed that the fire equipment had been serviced as required and that weekly tests of the fire alarm system were being conducted. However the records of fire instruction and drills for staff did not include details of the procedures or of the action taken by the staff present. The accident records confirmed that there had been no accidents since the last inspection. The manager confirmed that a Health and Safety Officer had visited recently and that he had raised a number of issues that required action by the home. The COSHH risk assessments had been updated to ensure that they were completed for all cleaning substances used in the home. Copies of these were available for service users. The manager said that he was in the process of completing written risk assessments for all areas of the home. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 1 X X X Standard No 22 23 Score 4 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 4 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X X X 3 4 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Priory Road Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X 2 2 X DS0000003003.V264974.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4 Requirement Timescale for action 15/01/06 2 YA2 14 3 YA6 17 The statement of purpose must be updated to ensure that it includes all of the required information. Detailed full needs assessments, 15/11/05 completed by the referring social worker, must be received by the home prior to each individual’s admission. All sections of the care plan must 31/01/06 be fully completed and must be kept up to date. All plans must be regularly reviewed and records of this must be maintained. All entries made by staff must be signed and dated. The care plan must include the identified goals being worked towards for each individual. The contract must include a breakdown of the fees. Copies of each individual’s risk assessments must be included and the manager must sign to confirm that he is monitoring the files. The health care section must include details of any follow up appointments or of the outcome. DS0000003003.V264974.R01.S.doc Version 5.0 Priory Road Page 23 Care plans must include a photograph of the service user. 4 YA20 13 All medication received by the home must be signed for by staff. All controlled medication administered must be signed for by staff as required. Care plans must include (as appropriate to each individual) a medication profile and details of any sensitivities or possible side effects for staff to be aware of. The homes Adult Protection procedures must include all of the required information. The homes policies and procedures must be dated. The records of fire training must include details of the outcome/action taken by staff. (Previous timescale of 31/08/05 not met). Written risk assessments must be completed. Staff and service users must be aware of these. (Previous timescale of 30/09/05 not met). 15/11/05 5 YA20 13 31/12/05 6 7 8 YA23 YA41 YA41 13 17 17 31/12/05 31/12/05 31/12/05 9 YA42 13 31/01/06 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 YA27 YA37 Good Practice Recommendations A walk in shower should be installed at the home. The registered manager must hold qualifications at NVQ level 4 in management and care by the end of 2005. Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Priory Road DS0000003003.V264974.R01.S.doc Version 5.0 Page 25 - 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!