Inspection on 23/08/06 for Prospect House Residential Home

This inspection was carried out on 23rd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Prospect House Residential Home 31/07/07

Prospect House Residential Home 24/01/06

Prospect House Residential Home 02/08/05

Prospect House Residential Home 16/03/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Prospect House Residential Home 4 Prospect Road Cinderford Gloucestershire GL14 2DY Lead Inspector Mr Paul Chapman Key Unannounced Inspection 23 and 31st August 2006 09:00 rd Prospect House Residential Home DS0000061957.V303588.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 Prospect House Residential Home DS0000061957.V303588.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. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prospect House Residential Home Address 4 Prospect Road Cinderford Gloucestershire GL14 2DY 01594 826246 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) The Silver Rooms (Stroud) Ltd Mr Graham Clive Emery Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (9) of places Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Prospect House is a detached residential care home set in its own spacious grounds near the centre of the town of Cinderford. It is registered for nine adults with Learning Disabilities. All of the bedrooms are single and some have en-suite facilities. On the ground floor there is a lounge, dining room, kitchen, toilet, shower room with a toilet and three bedrooms, one of which has its own entrance. On the first floor there are six bedrooms, a bathroom, toilet, laundry room, storeroom and sleep-in room/office. The cost for living at the home ranges between £520 to £1200 per week. Prospect House Residential Home DS0000061957.V303588.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. It was completed over a period of 8 hours over 2 days, the 23rd and 31st August 2006 and was unannounced on the first day. Information received by the CSCI since the previous inspection was taken into account when planning the inspection. The purpose of the inspection was to assess whether peoples needs were being met appropriately with a particular regard for ensuring that the outcomes for them were good. To achieve this people living at the home were asked for their opinions, and observations of daily living and the care provided were noted. The premises were inspected as well as the written documentation relating care, protection and the ongoing management of the home. Staff on duty were spoken with and observed going about their duties. The principle method used to gather evidence was case tracking. This involves examining the care notes and other related documents for a select number of people living at the home. This is followed up by talking to them or their relatives/representatives, or observing them. This provides a useful, in depth insight as to how people’s needs are being met from more than one source of evidence. At this inspection both of the people living at the home were case tracked. As no relatives or representatives were at the home the senior support worker was asked for the names and addresses of family members and other professionals involved in the care of people in the home. The CSCI will send surveys to these people and their comments will be taken into account at the next inspection. What the service does well: People living at the home are supported by a committed staff team that enable them to live varied lifestyles. People are supported by a competent staff team that have completed extensive training over recent months. Communal areas of the home provide ample space for the people living there. A person living at the home commented that “I really enjoy living here” and that the “staff are really nice”. The newsletter to parents and relatives provides a good source of information to others outside the home and should help to develop better relationships. People living at the home are involved in the recruitment process of new staff. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 6 People have the choice of a good range of food and meals. 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. Prospect House Residential Home DS0000061957.V303588.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 Prospect House Residential Home DS0000061957.V303588.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 No one has been admitted to the home since the previous inspection. It is therefore impossible to confirm the procedure followed by the manager and his team when admitting someone to the home. EVIDENCE: Prospect House Residential Home DS0000061957.V303588.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, 9 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Care plans are not detailed in most cases and not regularly reviewed which leads to out of date guidelines being available for staff. Limited detail in the care plans make it difficult to measure peoples success in meeting their needs and achieving their goals. People are able to make decisions about their lives by themselves or with the support of the staff when needed. People live varied and fulfilling lifestyles. People are put at unnecessary risk due to limited assessments being completed by the staff team. EVIDENCE: The previous inspection report made 2 requirements and 1 recommendation in relation to standard 6. The requirements for this standard were for peoples needs to be reassessed and to ensure that care plans then comprehensively cover all the areas of support required for people living at the home. It was Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 10 recommended that care plans should contain more detail of the support people need to manage and understand their finances. In discussion with the manager it was clear that they understand the importance of re-assessing peoples needs. This process has started and evidence was available in 1 of the files examined. This process must be completed as a matter of urgency. As part of the inspection 2 peoples care packages were examined with the senior support worker on duty at the time. Care plans examined showed a number of issues: 1. A number of the care plans had not been reviewed in the past 6 months, in some cases since they were created. 2. Talking to the staff on duty it was clear that 1 care plan was no longer relevant as the person did not follow this routine any longer. 3. 1 care plan examined was very complicated including various elements that should have individual care plans to support the person to develop a number of skills. 4. 1 care plan referred to a risk assessment to support the actions taken in the plan. Further investigation was unable to identify the risk assessment referred to. 5. 1 care plan examined restricted a person’s choices. Unfortunately there was insufficient detail recorded as to why the restriction was required. This was discussed with the manager, owner and senior support worker. In discussions with the manager and the senior support worker the importance of care plans being S.M.A.R.T (specific, Measurable, Achievable, Realistic and Time-constrained) was discussed. The manager must ensure that as care plans are reviewed, or new ones are developed that they are S.M.A.R.T. In addition to care plans the manager has introduced Learning Support Plans (LSP). The aim of these is to highlight a person’s needs and provide guidelines to staff on how they can be achieved. The LSPs seen in peoples files had not been completed other than highlighting the goal. A person living at the home spent some time with the inspector discussing their care. They stated that they were happy with the care they received. They were aware of their care file and its contents. When asked about whether they could make choices about their life they stated that they were able to, further discussion with them provided examples of where staff also support them to make decisions. It was difficult to identify in peoples records were this had happened and the manager must ensure that where staff support people to make decisions they record the reasons why. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 11 Risk assessments were found to be limited. For the 2 people whose files were examined only 3 risk assessments were present. This is a major concern as people lead active lifestyles in and outside the home. Examples of where risk assessments should be present include: 1. When people travel in the home’s transport. 2. When one person goes swimming. Obviously these are just examples and the manager must review the activities people are involved in and ensure that risk assessments are completed. At present each person living at the home has 2 personal files. In discussion with the manager the reason for the 2nd file was discussed. They explained that they had introduced it when they first became the manager (at that time documentation was extremely limited for each person). Examination of this file during the inspection showed that it duplicated a significant number of the documents contained in the day-to–day file. It is recommended that the use of the secondary file is reviewed. The 2 requirements of the previous inspection report will be carried over as part of this report. It is expected as part of this process the recommendation relating to people’s finances will also be reviewed. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities completed by people are varied and led by their needs. People are supported to maintain relationships with relatives where it is required and guidelines ensure a consistent approach is achieved. People benefit from a healthy and varied diet that helps enable them to lead an active lifestyle. EVIDENCE: From speaking to a person that lives at the home, a member of staff and from examining records it is clear that people live active lifestyles. This is an area that has vastly improved since the current provider took over the home. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 13 On the day of this site visit people were going to Cribb’s Causeway shopping and to have some lunch, whilst 2 others remained at the home drawing and painting. Activities completed regularly by various people included attending the triangle club, the pub, bingo, ten-pin bowling, college courses, day services, the cinema and shopping trips to different towns. During the summer various trips have taken place locally and further afield. These trips have included picnics locally, West Midlands safari Park, Weston Super Mare and Barry. Earlier in the year people went to Disneyland Paris for a midweek break and it is planned that they might go on a 3-day cruise to Spain in the coming months. The home held an Easter party which they invited friends and relatives to. Lots of photos were taken by staff and copies of these have been sent to people who attended the party. In addition to this one of the senior support workers has started a newsletter that will be produced quarterly and sent to parents and relatives. It is intended that the newsletter will tell relatives what people have been doing. In addition to this the same senior support worker has created a photo album to record the activities people are involved in. The album is available as a book and also a DVD to play on the TV. Staff support people to maintain their relationships with relatives and friends. A care plan seen in 1 file highlighted what was required by staff to support a person maintain their relationship with a relative. Another good practice is the quarterly newsletter. The home operates a 7-week rota for meals. Examination of the rota on the fridge in the kitchen showed that people were offered a wide range of different meals. The staff and people spoken with agreed that if a person did not want what was on the menu they could have something else. The person who lived at the home stated that they thought the food was really nice. Staff explained that the menu had been developed with the people living at the home. One person has been assessed for food allergies and their meals have been adjusted to take account of those findings. One shortfall identified during this visit was where one person was on a diet. Staff had started giving them smaller portions of food, but it is recommended that the staff seek advice from a dietician. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s personal care needs are not identified, or up to date which may put them at risk. Records of appointments are thorough and help to ensure people’s needs are being met. Medication administration is managed correctly and minimises the risk of people being affected by a medication error. Information detailing the wishes of people in ageing, illness, and death empower people take control of this part of their life. EVIDENCE: As identified earlier in this report 1 of the files examined identified personal care needs, but was out of date and was in need of review. The manager must ensure that all of the people requiring support with their personal care have detailed guidelines identifying what support staff must provide. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 15 Records of appointments with other professionals like Doctors, Dentists, Opticians, etc were present. The staff ask the other professional to complete the appointment record detailing the findings of the appointment. This is good practice. At the time of this site visit staff were in the process of completing health and hospital assessments with each person. The senior support worker explained that he had spent the day with the person he key-works at their parents to enable him to complete an assessment. The work completed to date is of a good standard but the manager must ensure that each person has completed both of these assessments. Examination of the home’s medication showed it to be managed correctly. The people’s files examined contained information to meet the criteria of standard 21 identifying their wishes. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure enables people to make a complaint if they are unhappy. Training in the protection of vulnerable adults provides staff with the necessary information to minimise risks to people living at the home. EVIDENCE: The person who spoke to the inspector confirmed that they had a copy of the complaints procedure in their bedroom and that they knew how to make a complaint if they wished. When visiting the bedroom with the person a complaints procedure was displayed. Staff were able to give a good description of the steps they would follow if someone made a complaint. The home has a complaints and comments file. It contained 1 complaint made since the previous inspection. This had been dealt with appropriately. Records showed that 9 staff have completed training in the protection of vulnerable adults. The financial records for each person provide evidence of their income and expenditure. The only recommendation would be that each person should have Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 17 an individual container where their money is held, instead of it being held communally. The previous inspection report made 3 requirements against this standard. The first related to the CSCI being informed about incidents that adversely affect people living at the home (Regulation 37 notification). The CSCI have not received any notification since the previous inspection and the manager stated there had not been any incidents that required reporting. The other 2 requirements against this standard related to recruitment of staff. (See standard 34, evidence about recruitment since the previous inspection). Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The fabric of the building has improved significantly providing people with a homely and comfortable environment. The communal areas provide people with sufficient space. EVIDENCE: As part of this inspection a tour of the premises was completed with the senior support worker on duty. The fabric of the home has significantly improved over the months since the new provider has been in charge. All of the rooms were decorated just after they took over. The provider is now in the process of re-decorating these rooms again. The lounge had been finished and is equipped with a television, digital television and a DVD player. The dining room was being completed at the time Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 19 of the inspection and is equipped with a stereo, 2 tables and some comfortable lounge furniture. A new kitchen was fitted earlier this year. None of the bedrooms were looked at on this occasion as people were out with staff and it was impossible to ask their permission to visit their bedroom. In discussion with the provider it was agreed that a plan for the re-decoration with realistic timescales should be agreed. It becomes a requirement of this report that this plan is supplied to the CSCI. Inspection of the bathrooms and toilets showed that the main bathroom upstairs requires decorating whilst the others seen were satisfactory. The main bathroom has a “spa bath”. The homes laundry needs a non-permeable floor to be fitted to minimise the risk of infection control. On the first day of this site visit the first floor landing had a strong smell of urine. The senior support worker stated that this was unusual and it did not normally. When completing the 2nd site visit a week later this area was revisited and did not smell of urine. At both site visits the home was clean and tidy. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive comprehensive training that enables them to meet the needs of the people living at the home and minimises potential risks. The checks completed as part of the recruitment procedure are thorough and minimise the potential risks to people. EVIDENCE: Staff receive comprehensive training and records examined showed that the following courses had been completed by the majority of the team: Protection of vulnerable adults, safe handling of medication, first aid, fire safety, induction. Some team members have also completed infection control, food hygiene, safety compliance and positive communication. 6 staff are booked to complete Makaton training and all staff are going to complete PRT training. In addition to this 6 people are completing their NVQ level 2. Both of the senior support workers have completed their NVQ level 3. Evidence of training being completed was provided in a well-organised file that contained certificates for each staff member. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 21 Only one person has been employed since the previous inspection and the records of the recruitment process were examined. The process of gathering information about the person was thorough and meets the criteria of these regulations. The only shortfall identified related to the interview process where the manager had not kept the notes and scoring of the interview, they must ensure that this is done in the future. A good practice identified in the recruitment process was people from the home being involved on the interview panel. The previous inspection report required that the manager supply the CSCI with information relating to a complaint made against a staff member. This was done by the manager and the CSCI were satisfied with the manager’s actions. Both of the senior support workers have completed training in supervision skills and will now supervise a number of the staff. Records of previous supervisions showed that they were not completed regularly, this should improve now that the manager is not solely responsible for completing them. The previous report made a requirement that staff receive supervision regularly. This is carried over as a recommendation of this report. Staff spoken with during the site visits were positive about the manager approach and the training they have received. Comments included that they felt the “team was working as one”, and “people get more choices”. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Outcomes for people living at the home have improved as they have more choices in their day-to-day lives. Paperwork systems are in need of review to ensure that resources are being used effectively. Quality assurance is not monitored effectively at present. Records of testing fire safety equipment are poor. People living at the home are being put at unnecessary risk. EVIDENCE: The manager has significant experience of working with this client group and has completed the registered managers award. From this site visit it is clear that the manager has made significant process in developing an effective Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 23 paperwork/recording system. The manager must now review these processes to ensure that all the systems in place are effective. Records seen, and observations during the site visit confirm that outcomes for the people living at the home have significantly improved over recent months with people being able choose what they would like to do, access the local community and attend day services that meet their needs. The manager must develop a quality assurance system that is underpinned by what people living at the home say about the service. In August 2005 the manager asked relatives to complete a questionnaire about the service provided at the home. It is recommended that as part of any quality assurance system that the manager could survey parents, relatives and other professionals. Examination of the fire safety equipment showed the following: • • • • A qualified engineer had checked all equipment in February 2006. Evacuations had been completed. Records indicated that alarms were not being checked regularly each week. Records indicated that emergency lighting was not being checked regularly. The last 2 points above were a requirement of the previous inspection report. This MUST be addressed as the people living in the home are being put at an unnecessary risk. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 1 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 2 3 X 2 X X 2 X Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 25 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 14 and 15 Requirement Complete reassessments of needs for all service users and ensure these are reflected in care plans (previous timescales 30/11/05 and 31/03/06) Ensure care plans comprehensively cover all areas of support for service users (previous timescales 31/01/06 and 31/03/06) The manager must ensure that risk assessments are completed for each person that minimise the risks presented by completing activities in their day to day lives. The manager must ensure that where staff are not appropriately qualified to meet people needs that other appropriately qualified professionals are used. The manager must ensure that people’s personal care needs are identified and guidelines are available for staff. The proprietor/manager must supply the CSCI with a plan including timescales for the DS0000061957.V303588.R01.S.doc Timescale for action 01/12/06 2. YA6 15 01/12/06 3. YA9 13 01/12/06 4. YA17 13(1) 01/12/06 5. YA18 15 01/12/06 6. YA24 23 01/12/06 Prospect House Residential Home Version 5.2 Page 26 completion of outstanding decoration around the home. The laundry must be fitted with a non-permeable floor covering. 7. 8. YA39 YA42 24 23(4) The manager must ensure that the home has an effective quality assurance system. The home must ensure that all fire tests are carried out and correctly recorded (previous timescale 31/03/06) 29/12/06 20/10/06 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. 3. Refer to Standard YA6 YA18 YA36 Good Practice Recommendations Care plans should contain more detail about the support needed for service user’s to manage and understand their finances. The manager should ensure that health action plans are completed for each person. The manager should ensure that all of the staff receive regular supervision. Prospect House Residential Home DS0000061957.V303588.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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. 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