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Inspection on 23/08/05 for Reevy Road Resource Centre

Also see our care home review for Reevy Road Resource Centre for more information

This inspection was carried out on 23rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 18 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

A limited number of issues were assessed during this inspection. The positives found related to the range of staff training provided and the improved levels of NVQ level 2 qualified staff. The statement of purpose and guide for service users was up to date and was in a format, which meets the needs of many of the service users living at the home.

What has improved since the last inspection?

The broken sink taps in the respite bedroom on unit 3 have been repaired. The washing machines and dryers have been cleaned. More staff recruitment information is now available at the home.

What the care home could do better:

The environment must be improved. The building is in need of refurbishment including, redecoration, new carpets, fixtures and fittings. This will require a significant financial commitment form the registered provider. However a number of issues regarding the environment can be improved with greater awareness and commitment from the staff team. The care records for service users are confusing and information was sometimes difficult to locate. The staff do write a considerable amount of information about service users, however it needs to better organised. The home is well supported by health care specialists, however not all the service user health care records were kept up to date. This must be addressed. The issue of duplication and availability of health care records must be discussed and a level of constancy achieved. One service user was found to have very little information recorded about the care being provided at the home. There was also no information to determine whether the service user or family had any choice in the admission. The admission procedure must include choice, assessment, consultation and a trial period to determine that the placement is in the best interests of all parties. This must be evidenced within the service user records. The care records must include all the information about service users. It was clear that an important adult abuse issue was not recorded in the service users records. This recording would help to protect both the service user and any staff providing care. The adult protection issue noted at the inspection was not dealt with in the correct manner and continued to put both the service user and the staff at risk.The correct adult protection procedures must be followed at all times. Staff had been provided with training regarding adult protection, however this must now be reviewed and further refresher training provided. The morale of the staff must be addressed and the outstanding issues of new contracts resolved. Staff must only be employed at the home with the consent of the manager and be employed for the overall benefit of the home and the service users.

CARE HOME ADULTS 18-65 Reevy Road Resource Centre 60 Reevy Road West Buttershaw Bradford BD6 3LH Lead Inspector Michael Smithson Announced 9.30am 23 August 2005 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 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 Stationary 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 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Reevy Road Resource Centre Address 60 Reevy Road West, Buttershaw, Bradford BD6 3LH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01274 691035 Bradford District NHS Care Trust Mr Gary Hoyland Care home only 24 Category(ies) of Learning disability (24) registration, with number of places Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27 May 2005 Brief Description of the Service: Reevy Road is a local authority owned 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 are provided within the premises including a ball pool room, Jacuzzi and sensory area. The unit is reasonably well served by local transport and there are a small number of local shops nearby. However the local area is not suitable to be used by unaccompanied service users. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of 2 for this inspection year. The inspection was announced and a poster advertising the visit was displayed. The second visit will be unannounced. The inspection took place over the morning and afternoon and focused on outstanding requirements from the last inspection, the records, environment and the management of the home. A small number of relative questionnaires were returned prior to the visit and 2 visitors arrived during the inspection. There were very few service users present during this inspection, the majority being at day care services. The unannounced inspection will take place during an evening when all service users are present. The unannounced visit will focus on direct care issues and staff interaction. The view expressed by the visitors were relating to the environment. They had noticed a marked deterioration in the building and the facilities provided. Their view was that the building had been left to deteriorate over the past few years and was now in need of urgent refurbishment. The inspector shared this view. Reevy Road has been through a difficult period over the last few years. The protracted transfer of the running of the home from the Local Authority to the Health Care Trust has lead to problems with ongoing and planned maintenance to building and has affected the morale of the staff. A period of stability and improvement must now be implemented to see the home return to previous high standards. The poor state of the building is having an effect on the morale of the staff team and the confidence of the relatives. What the service does well: A limited number of issues were assessed during this inspection. The positives found related to the range of staff training provided and the improved levels of NVQ level 2 qualified staff. The statement of purpose and guide for service users was up to date and was in a format, which meets the needs of many of the service users living at the home. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: The environment must be improved. The building is in need of refurbishment including, redecoration, new carpets, fixtures and fittings. This will require a significant financial commitment form the registered provider. However a number of issues regarding the environment can be improved with greater awareness and commitment from the staff team. The care records for service users are confusing and information was sometimes difficult to locate. The staff do write a considerable amount of information about service users, however it needs to better organised. The home is well supported by health care specialists, however not all the service user health care records were kept up to date. This must be addressed. The issue of duplication and availability of health care records must be discussed and a level of constancy achieved. One service user was found to have very little information recorded about the care being provided at the home. There was also no information to determine whether the service user or family had any choice in the admission. The admission procedure must include choice, assessment, consultation and a trial period to determine that the placement is in the best interests of all parties. This must be evidenced within the service user records. The care records must include all the information about service users. It was clear that an important adult abuse issue was not recorded in the service users records. This recording would help to protect both the service user and any staff providing care. The adult protection issue noted at the inspection was not dealt with in the correct manner and continued to put both the service user and the staff at risk. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 7 The correct adult protection procedures must be followed at all times. Staff had been provided with training regarding adult protection, however this must now be reviewed and further refresher training provided. The morale of the staff must be addressed and the outstanding issues of new contracts resolved. Staff must only be employed at the home with the consent of the manager and be employed for the overall benefit of the home and the service users. 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. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 standard(s) 1, 2, 3 and 4. A good range of information about Reevy Road is available for prospective service users. Service users and their relatives are not always offered a choice and a “test drive” at the home. EVIDENCE: The statement of purpose has been reviewed and updated. The guide for service users is available in pictorial form, which is good practice. The manager said the information is available for service users and relatives. The records for a recent admission to the home were poorly recorded. The service user was admitted to Unit 3, which is geared to provide semiindependent living. The care plan available was from a previous placement and did not refer to the aims and objectives for life at Reevy Road. No information could be found as to the reason for the move or whether a choice had been offered to the service user or the family. There was no evidence of any pre-admission visits, trial period or “ test drive. “ Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 10 Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 standard(s) 6. The care documentation does not allow easy access to service user needs and personal objectives. EVIDENCE: The care plans for 3 service users were checked. The standards of recording and availability of information did vary. The records for one service user receiving respite care were informative and kept up to date. The service user did have a number of complex health care needs, which had been well recorded. While it is important to identify the health care needs staff should be mindful that the social and lifestyle need are equally recorded. The records did tend to focus more on the health care needs. The second care records checked were for a long stay service user on unit 1. The service user did have serious health care needs and on this occasion the information was nearly 3 years out of date. This is despite the records stating that the information must be reviewed at least every year. The daily reports included a reference to a difficult telephone conversation between a member of staff and a relative regarding a very serious issue relating to adult protection. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 12 The care plans and associated information made no reference to an incident, which had taken place. The third care records were for a service users admitted to unit 3 approximately 4 months ago. No up to date assessment information or care plans were available. The only care plan on file was from a previous placement, which was not fully relevant to the care now being provided. Unit 3 is geared to meeting the needs of service users who are working towards semiindependent living. Service users are normally assessed as to the care and input required to encourage independence. This information was not available. The review information stated that a health care assessment would be undertaken and arrangements would be made for the service user to attend speech therapy. It was unclear from the care records whether these tasks had been completed. The overall view of the records were that they appeared to lack consistency and were disorganised. Information tended to be located in different supplementary files and it proved difficult to know which file to look at for certain information. It was discussed that 1 file is used to record and reflect up to date information regarding the service users. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 standard(s) These standards were not assessed. EVIDENCE: Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19. The home provides a good range of health care support and expertise, however the records do not always reflect current health needs. EVIDENCE: Reeevy Road provides a service for a wide range of health care needs, including very complex health care needs. The care staff are supported by specialist nursing staff that provide an advice, support and training role. The health care staff do not provide direct hands on care. The staff have gained a wide range of health care skills, which help them to meet the needs of the service users. A wide range of specialist equipment is provided to support the care provided. The health care documentation seen during the inspection were not maintained to an adequate standard. One service user had no health care assessment and one was not up to date, this despite the service user having serious health care conditions. It was unclear regarding the status of the health care records kept. The manager said the health care surveillance nurse kept her own records and was unclear as to the information recorded and if it was more up to date than that recorded in the service users care documentation. This issue of where health Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 15 care records are kept must be resolved to make sure that the service user care records are kept up to date. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The service users are not fully protected from abuse. The staff are not protected from allegations of abuse. EVIDENCE: The complaints information recorded in the service user guide includes the contact information for CSCI. The Health Care Trust main policy and procedure does not. The complaints records contained a number of complaints made by family and visitors. Some of the complaints were very well recorded and include information regarding any investigations held and a written response to the complainant. However other complaints did not include the same level of information regarding the investigation undertaken and no written response to the complainant. The level of consistency in dealing with complaints must be improved. While undertaking a case study for a service user it was noted that a serious adult protection allegation had been made nearly 3 week previous. The manager at the home or the day service where the allegation was first raised had not followed the correct procedure. The local authority adult protection unit had not been made aware of the allegation. I insisted that the manager informs adult protection of the allegation. This was done on the day of the inspection. The manager said that the service users had made previous allegations, which were not proven. However no information could be found in the care plan or risk assessments. The service user and the accused where sill in very regular contact which is unacceptable for both parties. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 17 It was noted that the manager, senior staff and the care staff had undertaken adult protection training, however the correct procedures had still not been followed. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29 and 30. The building is now in need of refurbishment and does not provide a suitable environment for service users, staff and their relatives. EVIDENCE: A full building inspection was undertaken during the inspection and it was noted how much the environment had deteriorated since the last inspection. The home is in need of a total refurbishment including, redecoration, new carpets, fixtures, fittings and possibly new windows. Many of the existing windows are rotten on do not fully close. Much of the work needed will require major expenditure, however there were concerns noted which just require reorganisation and more commitment and enthusiasm from the staff team. Two areas, which highlight this, are the storage areas. Addition portable storage has been purchased and located in inappropriate areas. A potable linen shelving system has been sighted in the corridor on unit 3 which is directly opposite the designated linen cupboard which needed to be reorganised and the inappropriate items stored removed. This then provides more than adequate space for all the linen. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 19 The lounge area in the flat on the ground floor is a very useful resource for independent living. However part of it is being used to store incontinence pads and wheelchairs. Again suitable facilities are available within the flat, which are being, used to store junk. A full list have concerns noted are as follows: Ground floor Unit 1 New carpets and redecoration is required in all areas. This includes bedrooms and communal areas. The bathrooms require redecoration and refurbishment. The Jacuzzi area, which was used, as a facility to aid relaxation now looks shabby and is urgently in need of repair and redecoration. The bedroom furnishings in many rooms are damaged and require replacing. The windows in the lounge area are rotten and do no fully close. This area is often used by service users who are not mobile and during the winter may be sat in a drafty and damp environment. The independent living flat on the ground floor has inappropriate items stored in the lounge and the toilet in the bathroom is coming away from the wall and is a serious health and safety risk. The toilet must not be used. Ground floor unit 2 Again the area requires redecoration and new carpets fixtures and fittings. The bedrooms need to be redecorated and damaged furniture repaired or replaced. The bathroom requires redecoration and the broken soap dispenser replaced. The floor in the laundry area was wet and a leak was noted behind the washers and dryers. Again this is a health and safety risk and must be addressed. First floor unit 3 Many of the kitchen units are damaged and need replacing. The bedrooms require redecoration and the corridor carpet replaced. Some of the areas around the doorframes have been repaired but now require repainting. The existing standard of decoration in the corridor is poor. Furniture in some of the bedrooms need repair. No drying facilities are available in one of the toilets. The unit is used by service users who are trying to develop their independence and are being shown how to maintain good standards of personal hygiene. The lack of suitable hygiene facilities dose not allow adequate standards to be encouraged. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 20 A number of televisions were located on vanity units close to sinks. This is unsafe and televisions must be relocated to a more suitable area. The emergency call system fitted at the home in broken and has not been used for a number of years. A new system is required. During the inspection 2 relatives made me aware of their concerns regarding the deterioration they had noted in the building and facilities offered. They included many of the concerns highlighted in this report. They felt the home had significantly deteriorated over the last 2 years. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 and 36. The staffing hours are adequate to meet the needs of the service users and a good range of training is provided. EVIDENCE: A vacancy exists for a 16 hour domestic. The post has been advertised and the manager hopes to recruit in the near future. The care staffing has been increased by 29 hours to provide additional support. The staffing rotas continue to be organised around the needs of the service users. The key times when more staff are required are in a morning to assist service users going to day care services and in an afternoon when they return. A staff presence is available during the day to cover a small number of service users who do not attend day services. The recruitment records for 2 recently employed staff were checked. More recruitment information is now held on the premises. However some of this is photocopies of the originals held within the Health Care Trust human recourses section. The records checked included application forms and a CRB check. Only 1 reference was available for each member of staff. The requirement is for 2 to be available. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 22 Three of the remaining staff team have still not obtained CRB checks. This must be addressed. Good levels of training are provided. All the new staff undertake a detailed staff induction, which includes the mandatory training. The home has made good progress in achieving the level of 50 NVQ level 2 qualified staff. A programme of staff supervision is in place, however they manager did feel that his time spent outside Reevy Road did not allow him to provide adequate levels of supervision. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 and 42. The management of the home must be improved. The manager must have responsibility only for Reevy Road and must be able to choose his own staff team. The staff moral must be improved. EVIDENCE: The manager has completed the registration process and is now the Registered Manager for Reevy Road Hostel. However he still has other areas of responsibility in addition to managing Reevy Road. This appears to be detrimental to the general organisation and benefit of the home. Reevy Road requires a full time manager based at the home. Steps must be taken to resolve the issues identified. Problems were identified during the inspection regarding the attitudes and commitment of some of the staff working at the home. Concerns were raised that a number of staff currently working at the home were not chosen by him for the posts. Some have been redeployed or moved from other settings within the Health Care Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 24 Trust for various reasons and not always for the benefit of Reevy Road. The manager feels this has had a detrimental affect on the staff team. The recent changes of ownership from the Local Authority to the Health Care Trust does appear to have affected the staff morale. Changes to job descriptions and terms and conditions of employment for staff are being discussed. These need to be resolved as soon as possible to improve staff morale. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 2 1 x Standard No 22 23 ENVIRONMENT Score 2 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 2 2 1 1 3 1 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 1 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Reevy Road Resource Centre Score x 1 x x Standard No 37 38 39 40 41 42 43 Score 1 1 x x x 1 x 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 26 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 OP2 Regulation Reg 14 Requirement All new service users must be assessed to determine that the placement is suitable. The assessments must include the wishes of service users and family, The admission procedure must offer a choice to service users and relatives. Service users must be offered the opportunity to have a trial stay and test drive. The care records must be reorganised and made easy to find specific information. The care records for all service users must be kept up to date. The health care assessments must kept up to date. Complaints must be fully investigated, recorded and a written response provided for the complainant. The adult protection procedure must be followed for all cases of suspected abuse All the issues identified in the inspection report regarding the building must be addressed Timescale for action Immediate action. 2. 3. 4. OP3 OP4 OP6 Reg 14 Reg 12(2) Reg 15 Immediate Action. Immediate Action. 01/12/05 5. 6. OP19 OP22 Reg 12 Reg 22(3) Immediate Action. Immediate Action Immediate Action. Immediate Action. 7. 8. OP23 OP24 OP25 OP26 OP27 OP28 Reg 13(1) Reg 12 Reg 13 Reg 16 Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 27 OP30 9. 10. 11. 12. 13. 14. OP 33 OP34 OP36 OP37 OP38 OP42 Reg 12(5) Reg 19 Reg 18 (2) Reg 24 Reg 12(1)(a) The staff morale must be improved to make the more effective. Two references must be available for all staff. CRB checks must be completed for all staff. The staff supervision must be improved and be more effective. The day to day running and management of the home must be improved. The health and safety of the environment must be improved. Immediate Action. Immediate Action. 01/12/05 Immediate Action. Immediate Action. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations Clarification should be sought regarding the use, availability and storeage of health care assessements. Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Reevy Road Resource Centre 50020823 Reevy Road Resource Centre AN Stage 4 S46750 V237198 J52.doc Version 1.40 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!