CARE HOME ADULTS 18-65
Reevy Road Resource Centre 60 Reevy Road West Buttershaw Bradford BD6 3LH Lead Inspector
Steve Marsh Key Unannounced Inspection 15th March 2007 10:00 Reevy Road Resource Centre DS0000046750.V323151.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 Reevy Road Resource Centre DS0000046750.V323151.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. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Reevy Road Resource Centre Address 60 Reevy Road West Buttershaw Bradford BD6 3LH 01274 691035 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) Bradford District NHS Care Trust Mr Gary Hoyland Care Home 24 Category(ies) of Learning disability (24), Learning disability over registration, with number 65 years of age (6) of places Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 12th July 2006 Brief Description of the Service: Reevy Road is a Bradford Care Trust unit for service users with learning difficulties. There are 24 places available and all of the bedrooms are singles. Bedrooms are located on the ground and first floor. The unit can accommodate service users with a variety of differing needs including complex health needs and semi-independence. The home is not a nursing home, however they are very well supported by the nursing services. A good range of facilities is provided within the premises including a Jacuzzi and sensory area. The current scale of charges for Reevy Road is approximately £62.30 per week. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care homes are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home, Health and Personal Care etc. An overall judgement reflects how well the home delivers outcomes to the people using the service. The judgement categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded in the body of the report. More detailed information about these changes is available on website – www.csci.org.uk This unannounced inspection was carried out between the hours of 9:00am and 5:30pm. The last key inspection was in June 2006 and seventeen requirements were made at that time. The purpose of this inspection was to assess what progress the service has made in meeting requirements and to assess the impact of any changes in the quality of life experienced by people living at the home. The methods I used included looking at records, watching staff at work and seeing how care was given to the service users, talking with residents and staff and looking round the home. What the service does well:
Improvements have been made in the way the home is managed and the manager now provides good leadership to the staff team and makes sure the service users’ rights are protected. The staff team have a caring attitude and a good understanding of the service users’ needs. The admission procedure for the home is now thorough and the manager will not admit service users unless he feels the staff team can provide the level of care/support they require. Wherever possible service users are supported in making decisions about their daily lives and are encouraged to participate in activities outside the home. The service users spoken with during the inspection were happy with the care they received. They enjoyed the meals provided and made positive comments about the staff.
Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 6 The home has established good working relationships with other healthcare professionals, which makes sure that the service users’ healthcare needs, are met. Service users are encouraged to maintain strong links with family and friends, and relatives are invited to take part in review meetings so that they can air their views and opinions of the service provided. What has improved since the last inspection? What they could do better:
The manager must make sure that all prescribed medication is clearly recorded on the Medication Administration Record sheets. This will make sure that service users receive the correct level of medication. To safeguard the service users there must also be a stock control system for medication, which cannot be put in the monitored dosage system. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 7 The central heating in the service users’ bedrooms must be maintained at a satisfactory temperature to make sure the service users are comfortable and warm during the night. The manager must review the practice of having clinical waste bins in the service users’ bedrooms and the hot water supply to the bedrooms must be consistent and maintained at a satisfactory temperature. This will make sure the service users sleep in a pleasant environment and their personal hygiene needs can be met. The recruitment of casual workers is not thorough enough and may lead to service users being cared for by staff that are not suitable to work with people who have a disability. Quality assurance monitoring systems need to be developed further to make sure not only the views and opinions of the service users and relatives are sought but also other healthcare professional. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Reevy Road Resource Centre DS0000046750.V323151.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 Reevy Road Resource Centre DS0000046750.V323151.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and relatives are provided with sufficient information to enable them to make an informed decision about the home. The admission procedure is now thorough and relatives can be sure that service users will not be admitted unless staff are able to meet their needs. EVIDENCE: The home has produced a service user guide in a pictorial format to make it easier for service users to understand. The management team are currently in the process of amending the guide to include pictures of the newly refurbished bedrooms and communal areas and the complaint procedure. Relatives and service users have been invited to contribute to the new guide and it will be available in draft form for them to comment on at the next carers meeting in April 2007. The involvement of service users and relatives in producing the service user guide is good practice and shows that the manager is consulting with them before changes are made to the document. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 10 At the last inspection concerns had been raised about the poor admission procedure carried out for a number of service users admitted from a care home that was closing. The manager acknowledged that there had been failings in the way the transfers had been carried out leading to increased anxiety levels amongst both staff and service users. However, senior management have taken on board the criticism made at that time and all admissions are now planned to make sure the home can meet the needs of the service user. Before admission service users are offered a series of teatime visits, full day visits and an overnight stay, which helps them and their relatives decide if the home is right for them. The admission information for three service users was reviewed and showed that pre-admission assessments had been carried out and staff had all relevant information before the day of admission. There was also documented evidence to show that service users and their families are supported throughout the admission process and care is taken in helping them settle at the home. Reevy Road Resource Centre DS0000046750.V323151.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records provide accurate and up to date information, which means that service users receive the support and care they need from staff to meet their health, personal and social care needs. EVIDENCE: Care plans are in place for all service users and cover all aspects of their health and social care. The manager confirmed that care plans are reviewed on a six monthly basis or sooner if the service users’ needs change significantly. There is evidence to show that services users and relatives are involved in the care planning process and the manager confirmed that they are always invited to attend review meetings so they can air their views and opinions of the care provided. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 12 The care plans reviewed were person centred and there is presently a working party looking at providing the plan in a pictorial format, which will make them easier for the service users to understand. Risk assessments are included in the care plans and where specific areas of concern have been identified action is taken to minimise potential risks without restricting the service users freedom of movement or choice. Staff confirmed that emphasis is placed on encouraging service users to make as many decisions and choices as possible within the limitations of their disability thereby improving their quality of life. The contact details of the Patient Advocacy Liaison Service Officer is made available to service users and they are encouraged to use the service if they feel they need support from an advocate. Reevy Road Resource Centre DS0000046750.V323151.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to participate in a range of activities, which helps to improve their quality of life. Meals are nourishing and take into account the likes and dislikes of the service users. EVIDENCE: The manager confirmed that no service users have the capacity to seek paid employment although one service user does attend college four days a week. The majority of service users do however attend day centres during the week, which gives them the opportunity to meet people and learn new skills. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 14 Older service users that do not attend day centres are cared for in the home and activities are planned either on an individual or group basis depending on their needs and ability. There is multi sensory room available for the service users to use, although it requires refurbishing if they are to benefit from the stimulating environment it provides. The home is fortunate to have a mini bus available, which is used to transport service users to day centres and for trips out to places of interest during the evenings and at weekends. Staff are also looking at taking some service users on holiday later in the year, which will provide them with the opportunity to develop their social skills, mix with people who do not have a disability and give them a great deal of fun and enjoyment Through discussion with staff it is apparent that they make sure that the service users lead a full and active life and are always looking at ways of providing them with new experiences and opportunities. Service users are encouraged to maintain strong links with family and friends, so they don’t feel isolated and are able to receive visitors in the privacy of their own rooms. A cook is employed at the home to provide the service users with a varied and balanced diet. Through discussion with the cook it is apparent that she is aware of the individual service users dietary needs and on the day of the visit the meals prepared looked appetising and were well presented. The cook confirmed that special diets could be catered for on request. However, as the kitchen does not have the correct facilities to prepare halhal meals these are purchased from a local supplier to respect the cultural and religious observance of some service users. Reevy Road Resource Centre DS0000046750.V323151.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Records and reports about the service users welfare show that their healthcare needs are met, and personal care is provided in a discreet and sensitive manner. However, to safeguard the service users, staff must take more care when recording prescribed medication on the Medication Administration Record (MAR) sheets and make sure excessive amounts of medication are not held. EVIDENCE: During conversations with staff it was evident that they had a good understanding of the individual needs of the service users. There is a key worker system in place, which allows staff to focus on individual service users and develop positive relationships with relatives and other professionals. Staff said that the daily routines at the home were flexible and service users are encouraged to be as independent as possible and make informed decisions and choices about their daily lives.
Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 16 The manager confirmed that service users are supported by staff in accessing healthcare services, and accompany them on visits to see their general practitioner or outpatient appointments. The input of other healthcare workers is recorded and shows that staff are seeking professional help if they have any concerns. Questionnaires returned by five healthcare professionals including a general practitioner indicate that the staff demonstrate a clear understanding of the service users’ needs and they were satisfied with the service provided. The home continues to use a monitored dosage system of administering medication (blister pack), which is securely stored on the premises. The storage facilities for medication have been improved since the last inspection and all service users now use the same monitored dosage system making it easier and safer for the staff to administer and manage. The stock control system for PRN (as and when required) medication was checked and found to be in order, which shows that it is being held and administered safely. However, the home is holding a large amount of medication for some service users, which cannot be put in a blister pack and therefore to safeguard the service users a stock control system must be put in place. It also initially appeared that the medication for one service user had not been given as prescribed, although following further investigations by the manager it was found that this was not the case. However, there remains a concern about the way the medication was recorded when brought into the home, which could have easily lead to mistakes being made and the service user not receiving the correct dosage. Reevy Road Resource Centre DS0000046750.V323151.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough complaint and adult protection policies and procedures make sure that the service users are listened to and protected from any form of abuse. EVIDENCE: The home has a complaints procedure, which will shortly be available in a pictorial format to make it easier for service users to understand. The manager confirmed that four complaints had been received since the last inspection visit and records showed that they had all been investigated within the timescales set out in the complaints procedure. Adult protection policies and procedures are in place and the manager confirmed that all staff have now received adult protection training. Staff spoken to were aware of the home’s policy on “whistle blowing” and were able to detail what they would do if they felt any practices were not in the service users best interest. Records show that in the last year there have been two adult protection investigations held at the home one of which is still ongoing. The home uses the Local Authority saving scheme to make sure the service users’ personal finances are dealt with appropriately and they are protected from financial abuse. Transaction sheets are available for all money held in
Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 18 safekeeping showing income, expenditure and a balance and receipts are obtained for all items purchased by staff on behalf of service users. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 19 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Once the refurbishment work has been completed the home will provide the service users with a pleasant and comfortable environment. EVIDENCE: Internally the home is currently being completely refurbished, which is causing some disruption to the day-to-day running of the service. However, the manager and staff are trying hard to minimise the disruption to service users and maintain a safe environment while the work is in progress. Both the service uses and relatives have been consulted about the refurbishment programme and service users said they were very pleased with the colours picked for the rooms and the new floor covering. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 20 The refurbishment is being completed to a high standard and once finished will provide the service users with a pleasant and comfortable home in which to live. However, some concerns were raised about the central heating system as even when the heating is on some areas of the home including bedrooms and communal areas can still be cold for the service users to use. One complaint recently received from a relative confirms that the heating is inadequate and staff confirmed that during the winter months extra bedding is required at night in some rooms to keep the service users warm. There are also problems with the hot water supply as the pressure can fluctuate considerably throughout the building, which causes problems when hot water is required for bathing or assisting service users with personal hygiene. This matter must therefore be addressed as part of the refurbishment programme to make sure that the home is warm and comfortable for the service users during the day and night and hot water is available at all times. Concerns were also raised about the large clinical waste bins in some bedrooms, which had soiled incontinence pads in them. Although the clinical waste bags are removed each morning, service users may have to sleep with unpleasant smells in their room. They may also open the bins and have access to soiled pads, which could lead to infection control problems. To make sure the service users’ health and safety is not compromised the manager must therefore address this matter. The home continues to experience some problems with vandalism and a number of ground floor windows have recently been broken. To make sure the service users and staff are safe additional security measures including extended the fencing to the front of the property and putting a gate across the car park entrance have been agreed. There is also currently a security officer on duty from 4pm to deter further vandalism and staff have made contact with the local neighbourhood watch forum to seek their assistance with the problem. Externally there is a pleasant garden and patio area, which service users are encouraged to use during the better weather. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 21 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment of casual workers is not thorough enough and may lead to service users being cared for by staff that are not suitable to work with vulnerable adults. There is a genuine commitment to provide staff with the training they require to meet the needs of the service users. EVIDENCE: The manager confirmed that Bradford District Care Trust have a thorough staff recruitment and selection procedure, which is based on equal opportunities and ensuring the protection of the service users. However, concerns were raised about the recruitment of casual staff as they are allowed to start work under supervision without a satisfactory Criminal Record Bureau (CRB) check being obtained or checks made to make sure they are not on the Protection Of Vulnerable Adults (POVA) register. This is poor practice and puts the services users at risk of abuse.
Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 22 The home has recently experienced some staffing problems due to sickness although the situation has improved and the service users are now receiving continuity of care. The manager confirmed that as required in the last inspection report the home has reviewed the night staffing arrangement but still consider that two waking care staff and a senior staff sleeping in on the premises is sufficient to meet the needs of the service users. Staff said that the present staffing levels were adequate and once the refurbishment work had finished the home would again move forward and provide quality care. Staff also confirmed that morale had generally improved since the last inspection visit and they were now working as a team for the benefit of the service users. A training plan is in place for 2007 and staff confirmed that training is encouraged, both to meet the needs of the service users and for their own personal development. Training records show that all new staff receive induction training and the staff on duty confirmed this. At present just under 50 of the care staff have achieved a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made in the way the home is managed and the manager now provides good leadership to the staff team and makes sure the service users’ rights are protected. EVIDENCE: Mr Gary Hoyland has been the manager of the home for a number of years and has achieved a National Vocational Qualification (NVQ) at level four in management and care. The manager confirmed that the poor report received following the last key inspection had made him more focused and pro-active in moving the service forward for the benefit of the service users.
Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 24 Staff said that the manager had an open and approachable management style and listened to their views and opinion on how they felt the service could be improved. Regular staff meetings are held to keep staff informed of any changes in policies and procedures or work practices, which makes sure care is provided in a consistent way. Consultation meetings are also held with the service users and relatives and there are now procedures in place for the minutes of the meetings to be fed back to senior management, which shows that their views and opinions are valued. Quality assurance monitoring systems are in place, however the manager is aware that they need to be developed further to make sure the home is meeting stated aims and objectives and the service users are receiving quality care.. Policies and procedures are in place at the home to ensure the health and safety of the service users, visitors and staff, and are reviewed on a regular basis to ensure they comply with present legislation. The home is supported by a number of different departments within the two organisations, and the manager confirmed that there are clear lines of accountability with external management. Bradford District Care Trust is responsible for the overall management of the service and for ensuring that suitable financial procedures are in place. Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 25 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 X 4 3 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 3 25 X 26 2 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 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 3 3 X X 3 X Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 Requirement The manager must make sure that all prescribed medication is clearly recorded on the MAR sheets. This will make sure that service users receive the correct level of medication. To safeguard the service users there must also be a stock control for medication, which cannot be put in the monitored dosage system. Timescale for action 30/04/07 2. YA26 23 The central heating in the service 30/04/07 users’ bedrooms must be maintained at a satisfactory temperature. This will make sure the service users are comfortable and warm during the night. The manager must review the practice of having clinical waste bins in the service users’ bedrooms. The hot water supply to the service users’ bedrooms must be consistent and maintained at a satisfactory temperature. This will make sure the service users sleep in a pleasant environment and their personal
DS0000046750.V323151.R01.S.doc 3. YA30 13 & 23 30/04/07 Reevy Road Resource Centre Version 5.2 Page 27 hygiene need can be met. 4. YA34 19 The manager must make sure that casual staff are not employed before the Protection Of Vulnerable Adults register is checked. This will make sure that the service users are protected from abuse and are cared for by staff suitable to work with vulnerable adults. 30/04/07 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 Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Reevy Road Resource Centre DS0000046750.V323151.R01.S.doc Version 5.2 Page 29 - 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!
