Inspection on 05/07/06 for Radnor House

This inspection was carried out on 5th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Radnor House 04/11/08

Radnor House 13/11/07

Radnor House 21/08/07

Radnor House 14/11/05

Radnor House 13/04/05

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Radnor House 139 Canterbury Road Hawkinge Folkestone Kent CT18 7AX Lead Inspector Ms Patricia Green Unannounced Inspection 5th July 2006 5.00P Radnor House DS0000061367.V300719.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 Radnor House DS0000061367.V300719.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. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radnor House Address 139 Canterbury Road Hawkinge Folkestone Kent CT18 7AX 01303 894693 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) Caretech Community Services Limited Mrs Toni Frances Zinzan Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: Radnor House is owned and operated by CareTech Community Services Ltd and is registered to provide accomodation 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. At the time of inspection, there were 4 residents living at the home. It is a detached propertey situated in the centre of the village of Hawkinge, Kent. The layout of the home is not suitable for persons using wheelchairs for internal mobility. The home comprises of four single bedrooms situated in the main house and two semi-independent flatletts that are accessed via the main front door. The flatletts have individual front doors within the main building that are fittled with a key code panel. All bedrooms have ensuite facilities and the flats have full bathing facilities plus kitchenette. There are two bathrooms with wc facilities and one separate wc. Residents benefit from a large L shaped lounge / diner that opens onto the secluded rear garden. A small room off the lounge is available, this is 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 carpark 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 £1500 - £2457. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was unannounced and took place on 6th July 2006. During the visit the premises were toured and a range of documentation was viewed; the registered manager, senior support worker, staff on duty and service users were spoken to; however judgements in this report have been made in part through observation due to limited verbal communication by service users, whom in the main communicate with staff by various methods, including the use of Makaton. It was evident from this site visit that the management have given much attention to addressing the Requirements and Recommendations as outlined during the previous Inspection of the home. The organisation’s aim is to offer a person-centred service and from this site visit, evidence gathered demonstrates that in the main they are achieving this aim; however as highlighted within this report, there are some areas outstanding that need addressing. What the service does well: The service provides a relaxed and easy- going atmosphere where there is much interaction between Service Users and staff. Service users benefit from living in an environment where they can move around freely, accessing their own room, communal parts of the home, as well as the garden. There is much opportunity to be involved in a broad range of activities, to fulfil personal interests and to enjoy an extensive range of leisure activities and days out to places of interest. There is much consultation with the Service Users to involve them in decisions. Service Users are supported by staff who have their best interests at heart and support Service Users to maintain/work towards as much independence as possible. The home is well furnished and offers very comfortable accommodation; there are two flat-lets within the premises to meet specific needs. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 6 Training is an area that is given much focus within the organisation, with permanent staff having the opportunity to undertake all mandatory training, a specific care practice and NVQ training. The home is well managed and regularly monitored by senior management within the organisation. What has improved since the last inspection? What they could do better: Communication is an area that needs to be developed further, with additional training for staff (Makaton etc). Further training in ‘safe handling of medication’ is required. There is a need for staff recruitment, with the aim of a permanent staff team being employed to support Service Users. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 7 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. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 8 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 Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4 & 5 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Service Users are well informed of services and facilities at the home and are safeguarded by an assessment process, which is developed into detail care planning. EVIDENCE: The organisation has produced a Statement of Purpose and Service User Guide; to assist the Service User a document has been produced with ‘picture information’, which aids communication for the Service User to gain an understanding of the services provided by the home; this information is kept within the Service User’s own room. On admission a ‘resident’s service contract’ is drawn up; evidence of this was seen. Assessment information has improved and this is incorporated into a detailed care plan for the individual; the normal process for receiving referrals would involve an initial assessment by a company representative, with this referral then being passed to the home’s manager. The referral would normally come via the social services department, with the Care Manager and family being very much involved in this initial process. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 10 In undertaking the initial assessment of need, compatibility within the home is assessed and is seen as being an important component of this process. The actual admission process in practice, visiting the home etc., before moving in assessed on an individual basis according to the needs of the individual. Communication in the use of Makaton has improved generally; the assessment of the prospective Service User may be through the use of Makaton and therefore would involve a senior member of staff whom is skilled in this area of communication. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 11 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 GROUP IS ADEQUATE. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. The care needs of the Service User’s are clearly identified through the care planning process and they are safeguarded by the risk assessments undertaken, linked to support needs. However further training in appropriate communication methods is still necessary to ensure that Service Users are appropriately supported at all times. EVIDENCE: Written documentation relating to care planning and risk assessments has been developed; staff members are asked to sign the written record to confirm they have read and understand the identified needs within the care plan. Included within the care plan documentation, is a section on ‘Individual Support Requirements’ written in the ‘first person’ (as by the Service User), giving a good account of the needs of the Service User. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 12 Risk assessments are in place and well documented, relating to support needs. One Service User living at the home currently occupies one of the flatlets within the premises; this Service User is being supported in gaining further independence, with the aim to progress to an independent living situation in the future. Each Service User has an allocated Key-worker; once a month a ‘talk time’ is arranged with the Service User, when the Key-worker/staff member will spend time with the Service User reviewing their care needs and in the process gaining their views on their experience of life within the home. Staff communicate through the use of Makaton; all staff have some knowledge of this communication method including agency staff covering shifts at the home; although developing communication techniques between staff and Service Users does still need to be focused upon, so as to ensure staff have a full understanding of the Service User’s needs and wishes at all times. The use of agency staff within the service may hinder the tracking of training in this area and ensuring that staff working with Service Users are fully competent in using appropriate communication methods. However in general positive interaction was observed between the staff and Service users. Training for staff in medication procedures and safe administration has improved, however as the home currently has a high use of agency staff this makes it difficult to closely monitor training needs in this area with these staff and effective ongoing monitoring of daily practice; however it was confirmed by the senior support worker on duty at the time, that only ‘named persons’ who are assessed as competent in medication procedures are involved in giving medication to Service Users. It was agreed however that there is a need to closely monitor practice in this area, with the need for continuing/updating training in ‘safe practice’ (see Healthcare Support section). Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 13 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, 14, 15, 16 & 17 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Service Users benefit from living in a home where they are encouraged and well supported to be involved in a broad range of activities. EVIDENCE: Evidence gained from observation, talking with staff and Service Users and viewing documentation, demonstrated that much focus has been given to supporting individual Service Users to have a good quality of life with opportunities created to be involved in a range of activities; within the home there is a separate room allocated, adjoining the lounge area, which has been set aside for in-house activities, such as painting, craft work etc. Service Users are involved in a variety of community activities, each Service User having their own ‘social diary’ of activities they are involved in during the week; during the time of the site visit, two of the Service Users were preparing to go out for the evening to a local disco. During the visit much positive interaction was observed between the Service users and staff; Service Users were noted Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 14 to be ‘very relaxed’ with the staff, approaching them freely and engaging in much communication, mainly through the use of Makaton and ‘gestures’. Holidays are currently being arranged with the Service Users; the Service Users taking an active part in choosing and planning their holiday. Involvement with family is encouraged, with the Service User being supported to visit a family member if they are unable to travel to the home. At the time of the visit one Service User was away on holiday with family. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 15 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 QUALITY IN THIS OUTCOME GROUP IS ADEQUATE. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. The Service Users healthcare needs are identified as part of overall care planning, with support given to attend medical appointments; however there is a need to ensure close monitoring of medication practices for the protection of Service users. EVIDENCE: As part of care planning documentation the healthcare needs of Service Users are recorded; the Service User is supported to attend GP and other medical appointments as necessary. The ‘Individual support requirements’ which are included within care planning records, clearly set out the daily support needs of the individual and give clear guidance of how that support should be carried out. In discussion with management it was evident that there is good monitoring of daily needs with the management working closely with the staff team in the daily care and support of the Service Users. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 16 Administration procedures in regards to ‘safe medication’ practices has improved; medication is stored securely and medication sheets were seen to be signed up to date; medication administration sheets now have a photograph and description of the individual Service User on the front sheet of these records. However there is still a need to ensure that written records kept clearly indicate the process used for ordering, receiving and the return of medication to the pharmacy. Some staff have received training in ‘safe practice’ relating to medication procedures; however there is still a need for this to be extended to all those who have not undertaken this or for ‘refresher’ purposes. Due to the high number of agency staff used within the service, this may create difficulty in monitoring the training needs of these staff in regards to medication practices; the senior on duty however said that only ‘named staff’, deemed to be competent in medication procedures, are involved in giving medication to Service Users. Within a very short time following the site visit, the Commission were notified of an incident occurring at the home which involved prescribed medication; the Commission has been informed of action being taken by the management of Radnor House in response. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 17 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 GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Service Users are protected by the home’s complaints process and by being supported by staff who have undertaken training in Adult Protection. EVIDENCE: The home has a written complaints procedure in place and in addition Service Users are protected by the introduction of a pictorial complaints process; this information is given to each Service User as part of the resident’s contract/service user guide. As part of the ongoing training programme in place for staff, this has included training in Adult Protection; further training for staff in this area is planned in the near future (September 06). Radnor House DS0000061367.V300719.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, 25, 26, 28 & 30 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Service Users benefit from living in premises that are clean and comfortable and where their privacy is respected. EVIDENCE: The home offers Service Users a comfortable and homely environment, which is kept to a good standard of cleanliness; there are some minor internal repairs required, which is anticipated will be completed in the near future. The Service Users bedrooms are very individual, with lots of personal items; some Service Users have a key to their own room and may choose to keep their room locked when not occupied; one of the Service User’s communicated and demonstrated how he likes to keep his room locked when not in use and take charge of his own key. There are two flat-lets within the home; it is anticipated that one of the Service User’s currently occupying a flat-let will move to independent living accommodation in the future; the flat-let offering a stepping stone in this direction. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 19 As highlighted during the last Inspection of the home, Service Users have been asked if they wish to have a mirror for their room; two Service Users have chosen this. Access to garden areas for Service Users has been reviewed; in addition to the keypads on exit doors to the garden, ‘push buttons’ have been installed for ease of use by the Service User to access the garden as they choose. In discussion with staff they demonstrated a good awareness of Health & Safety issues, with H&S training being undertaken by staff as part of mandatory training. The ‘Gravel’ parking area at the front of the premises is currently under review for improvement. Radnor House DS0000061367.V300719.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 GROUP IS ADEQUATE. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Service Users are safeguarded by being supported by a consistent staff team; however due to the high use of agency staff this does not foster an inclusive staff team, where management are able to monitor training and development needs for the overall good of the service. EVIDENCE: Recruitment procedures are robust and include an application form, identity checks, written references and CRB/POVA checks. Induction training is in depth and follows a programme of up to six months, during which time mandatory training is undertaken. There has been a recent recruitment drive, with newly employed staff now in post, however there are still a number of permanent vacancies still to be filled at the home. To cover the vacant posts, the home has used staff employed through a local agency; this has been the position for a considerable time and there has been a high use of agency staff working at the home. The senior confirmed that five agency staff have worked at the home for approximately a year (or more) and therefore know the Service Users well, which has undoubtedly helped to create stability within the home; however so as to Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 21 ensure an inclusive staff team, which are able to be monitored for consistency and the achievement of a high skill level to meet the aims of the service, there is a need for the recruitment of a permanent staff team. Communication (Makaton etc) with Service Users is an area that needs to be developed and closely monitored. However it was confirmed that all agency staff employed will have undertaken required mandatory training through the agency; documentation was seen during this visit, from the agency, confirming that this training had been undertaken by the staff working at the home. Evidence was seen during the visit of training undertaken in a broad area of care practice, relating to the permanent staff group; further training has been arranged in the near future in the areas of Health & Safety, Moving & Handling, First Aid, Infection Control, Adult Protection, Autism and Makaton. Staff are supported to undertake NVQ training; currently two staff have obtained this qualification at Level 3, with one staff member due to start studying at this level shortly; two staff have nearly completed at Level 2, with two staff due to commence at this level in the very near future. Radnor House DS0000061367.V300719.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 GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Service Users are protected by a strong management system in place, where there is close monitoring of the delivery of the service and where their views are welcomed. EVIDENCE: The manager of the home works closely with the staff team and during this visit evidence was gained of positive relationships between the manager and staff team; evidence was gained that staff felt well supported in their role and were able to approach the manager over any issues/concerns. Good interaction between staff was observed. Discussed with management the need for staff team to be permanent members of staff, whom are able to be directly line managed through the line management structure in place. Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 23 One to one supervision is in place for staff, with a record kept of these sessions. Staff meetings are held monthly. The Manager is well supported by the Area Manager, whom visits the home regularly; Regulation 26 reports sent to the Commission monthly as required. The manager attends a meeting once a month with other managers of local Care Tech Homes for support and sharing of information. Key-workers have monthly ‘talk time’ sessions with Service Users, to gain feedback on their experience of the service, plus carrying out a personal review of support needs. Residents meetings are also held at regular intervals. Care Tech has designed a Quality Assurance system, which requests the views of those using the service and their relatives, however the results of this were not seen on this occasion. Radnor House DS0000061367.V300719.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 3 2 3 3 3 4 3 5 3 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 3 25 3 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA7 Regulation 14 Requirement Communication training to be in sufficient depth to enable staff to make a thorough assessment of the Service User’s needs and keep this under review. Previous requirement, timescale of 01/01/06 partly met; Staff who administer medication must have training from a qualified source that will give them the skills to meet the needs of the service. There is a need for recruitment of permanent staff at the home, so as to ensure a staff team is employed who will undertake all relevant training, including communication training, and can be closely monitored by the home’s management. Timescale for action 01/09/06 2. YA20 13(2)18 (1,a,ci) 01/09/06 3. YA35 18 (1 2) 01/09/06 Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Radnor House DS0000061367.V300719.R01.S.doc Version 5.2 Page 28 - 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!