Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: Radnor House 139 Canterbury Road Hawkinge Folkestone Kent CT18 7AX The quality rating for this care home is:
one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Grafton
Date: 0 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home
Name of care home: Address: Radnor House 139 Canterbury Road Hawkinge Folkestone Kent CT18 7AX 01303894693 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Caretech Community Services Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Radnor House is owned and operated by CareTech Community Services Ltd and is registered to provide accommodation and personal care to a maximum of 6 persons within the age range 18 to 65 who have learning disabilities. It was first registered in October 2004 under the Care Standards Act 2000. It is a detached property situated in the centre of the village of Hawkinge, Kent. The layout of the home is suitable for people who are mobile within the home. It comprises of four single bedrooms situated in the main house and two semi-independent flatlets that are accessed via the main front door. These have individual front doors within the main building that are fitted with a key code panel. All bedrooms have en-suite facilities and the flats have full bathing facilities plus kitchenette. There are two bathrooms with WC facilities and one Care Homes for Adults (18-65 years)
Page 4 of 30 Over 65 0 6 Brief description of the care home separate WC. There is a large L shaped lounge / diner that opens onto the secluded rear garden, access is often restricted. A small room off the used as a quiet area but can be used as a separate dining room if required. There is a central kitchen for the preparation of all main meals. A shingle-covered car park to the front of the premises allows parking for approximately 8 vehicles. There is an administration office for the secure storage of information and a dedicated medication room. A cellar is available for storage, however is not in day-to-day use. The current weekly fees are in the range #1542.60 - #2568.80. Copies of the statement of purpose, service user guide and previous reports can be obtained from the home, as can the action plan to address the identified improvements. Care Homes for Adults (18-65 years) Page 5 of 30 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home
peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of the service, which means that we reviewed all the information we have received since the last inspection of 13th November 2007, including a visit to the home. An unannounced visit took place on 4th November 2008 between 10.35 hours and 17.10 hours. The visit included talking to people living in the home, the manager, staff and observing the home routines and staff practices. We looked at some records, looked round the communal areas of the home and were invited to look at some bedrooms. The manager sent us some information prior to the visit, in the form of the homes Care Homes for Adults (18-65 years)
Page 6 of 30 annual quality assurance assessment (AQAA). This gave us most of the information we asked for and has been used in the planning of the visit and the overall assessment of the service. Information from the previous inspection and that received since then has also been considered. At the time of the visit there were 5 people living at the home and their weekly fees were in the range of 1,542:60 to 2,568:80 pounds. The manager has been in post for just over a year and refers to herself as the acting manager. For the purposes of this report she will be referred to as manager. At the time of the visit she had not made an application for registration, which must be done to comply with the law. However, she made a commitment to do this straight away. What the care home does well: What has improved since the last inspection? The assessments completed for each person are much more thorough and cover communication in a better way. This includes information collected before a person is admitted, which was a requirement made at the last inspection that has been met. However, as well as showing what type of support a person needs, the assessment also needs to show if the home can meet their needs (see below). There has been a lot of good work done on improving each persons own individual plan of care. These contain all the information that staff need to know when supporting people and helping them make choices. Some good communication packs have been put together so that when people have to visit their doctor, they will be helped to express how they feel. Some action has been taken to improve the maintenance support for the home. Care Homes for Adults (18-65 years) Page 8 of 30 Radiator guards that were hazardous at the last inspection have been replaced and the requirement has been met. However, there is still room for improvement, see below. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People moving into the home benefit from having their aspirations and needs assessed beforehand. The assessments seek a wide range of information that enables a judgement to be made about meeting needs. However, in order for people to fully benefit from this process, the home needs to be more vigilant in ensuring that this is matched to staff skills. Evidence: At the last inspection, it was found that assessments had been conducted for each person, but they were not thorough enough to ensure that the persons communication needs could be properly met from the time that they moved into the home. The system used has been reviewed and improved since then and we saw that detailed assessment information is being obtained. However, more recently, the home accepted a new person without ensuring that their communication needs could be fully met at the home. The Annual Quality Assurance Assessment states that the company has a robust
Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: marketing team that works closely with the home manager in understanding the service needs and that of the people who already live in the home. It also states that once the initial assessment of needs has been carried out, the manager will meet with the potential person and use the home compatibility format. We looked at the process followed for a person admitted to the home since the last inspection. We found that in this instance, the manager had not met the person before they moved in and had not been able to ensure that the compatibility format was met. We looked at the assessment documentation obtained prior to admission, the homes assessment of needs following admission and the care plan. We spoke to the manager, the person and their key worker. We found that although the person was able to communicate well with some of the staff, not all staff have the necessary communication skills in this respect. We saw that the home was in the process of doing some good work in accessing community resources to meet the persons needs and the person was indicating that they like living at Radnor House. The manager indicated that the home would be providing the right communication training for staff, but it would have been better if this had been completed prior to the persons admission. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from having their own individual plan of care showing their personal goals and needs, and how these will be met. Improvements have continued and meant that people have been able to make some decisions in their everyday lives. However it is important that planned training to increase staff communication skills takes place soon, to make sure that people can be better supported to make their needs and choices known. Evidence: Since the last inspection the manager has continued with the reviewing and updating of each care plan. These are centred around the person as an individual and form a comprehensive working tool for staff use. The manager and staff team have spent time talking with each person, as well as their families and other professionals involved with their care, and writing down what they have learnt. We looked at the records for two people and saw that they cover a wide range of needs and aspirations. They give information for staff so that they know what to do. For example, describing how the
Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: person communicates and how staff should respond to certain actions. Methods of communication include the use of pictures, symbol systems and individual communication portfolios. Some people use signing to communicate and staff need to be able to use both Makaton signs and British Sign Language (BSL). However, there are not enough staff trained in BSL (and to a suitable level) to suit the needs of some people living in the home. Staff have had to learn how to communicate with BSL as they go along. A person indicated that this had caused them to be frustrated at times. This means that opportunities for decision making could be compromised if staff with the right skills are not on duty. We spoke to two support workers and observed what people were doing. Staff described how they help people make choices, for example, using picture menu selectors, or one persons own communication book. We saw people being encouraged to make choices about things like going out, or participation in planned indoor activities. Risk assessments have been completed for each person to a standard format and provide adequate information. The manager has recently started to implement some more individual risk assessments tailored to a persons needs, which show a more person centred approach. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from having lifestyle plans offering them a range of opportunities to lead fulfilling lives. They are encouraged and supported to make choices about their diet and can take part in planning and preparing meals. Evidence: Each person has their own weekly activity schedule that they keep in their room. These show the things planned for each day and their care plans show whether they have been achieved, providing an indication of what they have gained from taking part in the activity. Care plans cover daily routines and show where one to one support is provided to develop independence skills. We saw people moving about the home as they wanted and they were asked permission to enter their bedrooms. People access a variety of activities out of the home, such as going to clubs, colleges,
Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: day centres, or work opportunity placements. Leisure activities include, swimming, bowling and trampolining. Other times they might go shopping, go for walks, do gardening, or go on car outings. Staff spoke about taking people on day trips to Brighton, Hastings, or Margate, to name but a few. Care plans show that people have good contacts with their families and friends. People are involved in choosing the weekly menus. This is done with a pictorial menu selector that staff have developed. Each week staff sit with people individually, using this and recording their choices. The weeks meals are then planned, making sure that they are varied with healthy options incorporated. People are involved in the food shopping and preparing meals. Records are kept of what they have eaten and if they decline a meal. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from having care plans that are used to make sure their health and personal care needs are met. They will know that this is done in a way that they prefer and that protects their dignity. Practices are in place for managing medication to protect them. Evidence: Each person has their own individual health action plan, which is used very much as a working tool, in conjunction with and supplementing the care plan. These provide a clear and accurate picture of the persons health. They have been well documented, showing details of medical appointments, any follow up action taken and rationale for decisions made. Where possible, individuals have been involved. The manager has been working closely with a number of health care professionals to access input to improve a persons quality of life. This has included the local deaf services team, an occupational therapist and a visual awareness specialist. The local learning disabilities community nurse has been accessed to visit a person to help manage their particular needs.
Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: They have been putting together a GP communication pack for each person with pictures of symptoms, symbols and information on how the person communicates, together with any known signs of them being unwell. Staff spoke about how these have been used to beneficial effect. They have also arranged for an interpreter to be accessed for medical appointments for people that sign with BSL. Medication remains well managed and clear records are kept. There is a dedicated medication room with appropriate locked storage and medications are administered by staff that have been properly trained. They are currently introducing individual medication cabinets in peoples own rooms and working towards teaching one person to manage their own medication. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to express their concerns using signs and symbols. However, further improvements are needed around accessible communication systems to make sure that people are fully understood by staff on duty at all times and the right follow up action taken. Evidence: People are given a complaints leaflet in a simple pictorial format. We spoke to one person who clearly understood this and was confident in speaking with staff about any concerns they may have. The person related that staff do listen and are understanding. We spoke to two support workers who know what people like and what they dislike. They described signs that would indicate a person is unhappy, saying that they would spend time with the person, listen to them and reassure them. Staff knew that they must record any concerns and had good awareness of procedures to follow to protect people living in the home. They also know how to deal with physical or verbal aggression and are trained in recognised methods of physical intervention. The manager and staff stated that this is only used as a last resort in the interests of safety. We saw records indicating that the numbers of incidents of this sort have reduced over the past few months. The manager
Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: is currently working with a Care Tech area manager and their training department to look at different means of intervention for a particular person. An Adult Protection alert has been opened by social services in respect of one person who has needs that had not been properly matched with staff skills prior to admission. At the time of the visit, a multi-disciplinary meeting was due to be held to discuss the issues and decide upon any action needed. A similar situation had occurred at the time of the last inspection. However, the manager has made good progress in involving other professionals to address some of the deficits in this case. The manager must make sure that she is personally involved with future pre-admission assessments in order to ensure that a similar thing does not happen again. Care Homes for Adults (18-65 years) Page 20 of 30 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from being provided with an environment that is clean and comfortably furnished. However, the homes maintenance and renewal programme is still not speedy enough to make sure that the environment is continually a safe place. Evidence: The home is comfortably furnished to a domestic standard. People were seen relaxing in the lounge and moving from communal areas to their own rooms. Two people were happy for their bedrooms to be seen. These were bright and clean, decorated in colours they had chosen, with coordinating bed linen and lots of personal possessions. People are involved in keeping their own rooms clean with staff support and guidance as well as participating in the cleaning of communal areas. The lounge diner and quiet room are all comfortably furnished. Since the last inspection, the ongoing problem with radiator guards has been addressed and those in bedrooms and communal areas have been replaced to make sure they are safe. However, an old style radiator cover in the quiet room has a hole in it that needs repair and there were some maintenance things apparent that had not been dealt with. For example, some paintwork damaged and plaster missing around a plug point
Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: that needs attention. Wardrobes are not routinely fixed to the wall and the risk of them being pulled on top of a person and causing injury had not been considered. At the last inspection there had been a problem with one fire door closure not shutting properly. This has been resolved, but two fire extinguishers were not fixed to the wall and posed a safety hazard. It was discussed with the manager that systems need to be in place to make sure that any safety or maintenance issues are dealt with promptly to protect people. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured that there will be enough staff on duty to support them. However, they cannot be confident that there will be enough staff on duty with the right skills, at all times, so that they consistently get the type of support that they need. People are protected by the homes recruitment practices. Evidence: There is a nucleus of full time support staff that work well together as a team to support the people living in the home. However, a number of staff have left during the past year. The manager stated that there are currently two point four full time staff vacancies, plus two point eight full time staff are needed for a person being provided with one to one support. This means that in effect there are five full time staff shifts to cover. This has resulted in a substantial number of shifts being covered by agency staff. The manager stated that they have a regular team of agency staff that know the home and people living there. This helps to provide some continuity of support. On the day of the visit there were three agency staff on duty. Discussion with staff indicated that the home has lost people with key skills, for instance two of the staff that have recently left had BSL skills that need replacing. Staff spoke about dealing with behaviours and that new staff need support until they
Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: become confident. As previously stated there are not enough staff trained in communication skills to be able to fully meet the needs of at least one person. We discussed with the manager that reasons for staff leaving and looking at ways to retain a skilled workforce could form a useful part of the homes quality monitoring processes. Staff rotas show first names only and it is difficult to assess the skill mix. Rotas do show that staff are designated to support people to attend day activities outside the home. We discussed with the manager that if staff full names and designations are recorded on rotas, it would provide better evidence that the right skill mix is being provided to meet peoples needs. The manager is currently working with the Care Tech human resources team in actively recruiting new staff. One applicant is currently being vetted and has the potential to fulfill one of the vacant roles. The manager plans to involve one of the people living in the home with the interview process. Staff praised the training opportunities they have and spoke about their thorough induction process that included shadowing an experienced staff member when they first started. They emphasised that they are not left alone to work with people until they feel confident in their role. Staff complete their National Vocational Training (NVQ) in care levels 2 and 3, plus attend a wide range of short courses to help give them the skills needed to do their job. One staff member spoke about having done all the mandatory courses, plus lots more and that more were planned. They said, they are really learning a lot, there are lots of benefits, helps them be confident when working with people, keeps them updated. Recruitment procedures make sure that the right pre-employment checks are completed. We looked at three staff files and saw that security checks include references and criminal records bureau checks. This helps safeguard people living in the home. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Continued improvements in the way the home is being managed are benefiting the health, safety and welfare of people living in the home. However, quality monitoring and safety of the environment aspects particularly need strengthening. Evidence: The manager has been in post for just over a year, but has not yet made an application for registration, which she must do to comply with the legislation. She indicated that she has recently completed the application form and would be submitting it. People living in the home and staff continue to benefit from her leadership and experienced support. This is evident in the work completed on the care planning and the healthcare and lifestyle outcomes. However, there are still a number of things that she needs to do to make sure that the home is well run. The organisation has quality monitoring processes in place, including an annual development plan, regular visits by a senior manager to look at how the home is running and doing surveys. We discussed with the manager that the quality assurance
Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: processes must examine what it was that led to placements being made, at the times of both this and the last inspection, where the homes staff have not had the skills to meet the persons needs when they are admitted to the home. Also the process needs to include looking at complaint outcomes and considering what they have learnt, so that they can do better in the future. Environmental issues still need some improvement with regard to maintenance and safety, as previously identified. Although action has been taken to address things identified at the last inspection, the systems for dealing with maintenance issues and safety hazards is still not robust enough. Some maintenance things are taking too long to resolve to make sure that the home remains comfortable and safe for people living there. The manager and organisation need to look at why this is taking so long and why certain safety hazards are being missed. Environmental risk assessments need to be focused on the individual nature of the home and be regularly reviewed. This needs to be followed up with regular monitoring of environmental safety with documented evidence of any safety hazards identified and how resolved. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 3 12 The documentation collected 31/01/2009 at assessment must be matched against existing staff skills, for example, communication, so people can be sure their needs are thoroughly met. To promote service user wellbeing 2 24 23 To keep all persons in the 16/12/2008 home safe, the environment must be risk assessed and action taken to prevent accidents. For example, fixing heavy furniture so it cannot be pulled over onto a person and securing fire extinguishers to the wall. To make sure that the home remains safe for everyone living there. Recommendations
These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. Care Homes for Adults (18-65 years) Page 28 of 30 No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!
