Inspection on 07/06/06 for Riverside Park (12)

This inspection was carried out on 7th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverside Park (12) 30/06/08

Riverside Park (12) 03/07/07

Riverside Park (12) 05/01/06

Riverside Park (12) 23/08/05

Riverside Park (12) 17/01/05

Riverside Park (12) 12/08/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Riverside Park (12) South Hylton Sunderland SR4 0RT Lead Inspector Mrs Elsie Allnutt Key Unannounced Inspection 30th May and 7th June 2006 10:00 Riverside Park (12) DS0000015757.V296458.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 Riverside Park (12) DS0000015757.V296458.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. Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside Park (12) Address South Hylton Sunderland SR4 0RT 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) 0191 534 6695 0191 534 6695 www.c-i-c.co.uk. Community Integrated Care Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Riverside Park is a service run by Community Integrated Care, a registered charity, and has been opened since 1995. The home is registered to provide a residential service for four younger adults with learning disabilities. The home is situated amongst other new and varied housing near to the river in the South Hylton area of Sunderland. It was built as a domestic building and still retains that appearance. There is a large garden at the back and a drive at the front, which is spacious enough to allow four cars to park. There are local shops and other resources nearby. Each person has a single bedroom that locks, and the use of the communal areas of the building that includes a lounge, dining room, kitchen and two bathrooms. Staff are available 24 hours per day, seven days a week to support people in their daily lives and to provide sleep in night cover. A consistent approach to all areas of service users needs is achieved by a key worker system. The aim of the service is to offer the people who live here a good quality of life by promoting independence as far as possible and a valued lifestyle through access to community based activities. The home has developed a Service User Guide that informs prospective service users about the service, the aims and how these are met and a copy of the recent inspection report is available in the home for anyone to read. The fees charged by the home are £817.08 per week. Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took 11.5 hours over two days in May and June 2006. The judgements made are based on; the evidence available to the inspector during the inspection, the pre-inspection questionnaire supplied by the registered manager, and the comment cards. The comment cards were sent out to service users and their relatives prior to the inspection, four of which were returned from service users who indicated their satisfaction with the service. Discussions took place with four service users and five members of as part of the inspection process. As some of the service users do not have effective verbal communication their satisfaction of the service was interpreted through the observations of body language, interaction with staff, discussions with staff and the examination of records. This showed that all were satisfied with the service and the care and support given by staff. A tour of the building took place, and a sample of staffing and service users’ records was inspected and the inspector took a light lunch with service users. What the service does well: This home is nicely decorated and has comfortable and attractive furniture. Any repairs needed are seen to directly and staff and service users carry out good cleaning routines that keeps the home clean and tidy and free from any risk of infections. Service users were pleased to show their individual rooms that were decorated attractively and according to their wishes. One service user proudly showed a new piece of furniture that had recently been delivered. Some of the staff have worked at the home for many years and have attended training that has given them qualifications that have helped them to understand and carry out the relevant level of support people living here need. Service users and staff now know each other well and get on well together. This makes a friendly and warm feeling in the house. Staff assist service users to live an interesting life and encourage and support them to use facilities in the local area where they live. During the inspection process everyone in the house was involved in some sort of activity. One service user had just returned from college and another was planting pansies in the garden, the other two were involved in individual hobbies in their rooms. Activity programmes pinned to the notice boards in individual bedrooms remind service users what they are doing each day. Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: So that all staff have a good understanding how to support service users who may experience epilepsy, staff working at the home must receive training about this. Any medicines that have been stopped by the doctor must be returned to the chemist as soon as possible. This is so service users are protected from any possible mistakes being made. So that staff know what to do if a service user has not been treat correctly, all staff must receive training from the local authority about how and to who this should be reported. So that there is no confusion about who is responsible for reporting any allegations about abuse the names of the staff responsible for this must be recorded. So that the health and safety of the service users is protected any possible risks that may be observed when service users use the step from the lounge into the garden must be recorded. The names of staff receiving instruction about the homes fire procedures during the three monthly fire drills must be recorded so that there is a record that everyone has received appropriate training as recommended by the Fire Brigade in their Fire Precautions Log Book. The appearance of the outside of the building could be improved by repairing the flaking paintwork and the safety of the step into the garden must be monitored to make sure that service users continue to manage this safely. Riverside Park (12) DS0000015757.V296458.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. Riverside Park (12) DS0000015757.V296458.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 Riverside Park (12) DS0000015757.V296458.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of information, that is accurate and up to date, is available which enables service users to make a fully informed choice about where they would like to live. A detailed assessment process is in place and confirms that the home can meet service users needs. EVIDENCE: Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 10 The home has developed a comprehensive Statement of Purpose and Service User Guide. The Service User Guide has been tastefully developed into a format that is accessible to the service users with the use of photographs and illustrations. Both documents have been recently reviewed and changed to reflect the current change in management. All of the service users living at this home have lived here since the home opened. Pre admission assessments were carried out prior to the service users moving into the home and the care plans in place reflect the assessed needs and risks identified. Service users confirmed that their aspirations are met. One person discussed the choices they make and how they are accommodated in their weekly activity programme. The manager explained the process she would follow prior to agreeing to a prospective service user moving into the home. This reflected good practice and the homes policies and procedures. Riverside Park (12) DS0000015757.V296458.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 area is good. This judgement has been made using available evidence including a visit to this service. Each service user has a care plan that is easy to understand considers all areas of their lives and includes risk assessments. EVIDENCE: The service has a good system that encourages and enables service users to play an active part in the developing of their care plans. Each file is identified by a distinctive colour and when requested a service user was able to collect the file from its storage area and guide the inspector through its content. A good care planning system, that covers all health, welfare and social issues, is in place. Information is written in the person centred approach and the addition of a picture format system gives service users access to information written about them. The guidelines in the care plans for staff to follow clearly identify the amount of support needed by service users with different tasks and provide a consistent approach. However not all staff felt that all the team were always following these. The challenging behaviour of one service user has recently escalated, Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 12 possibly due to recent changes in the home. So that a consistent approach is given guidelines, developed by a medical professional are in place in the care plan for all staff to follow when such challenging behaviours are demonstrated,. So that this is addressed in a consistent manner and appropriate support is given to the service user by all staff, the guidelines must be followed. Staff confirmed that service users are encouraged to be as independent as possible and to take control over their own lives. Records confirmed this. Records also confirmed that the care plans are monitored by the service user and their key worker monthly and reviewed annually when other people involved in their lives are invited. Riverside Park (12) DS0000015757.V296458.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a variety of leisure and community based activities, and as a result live a valued lifestyle. The service supports service users’ rights and successfully supports them in maintaining relationships with family and friends. The food is of good quality and sufficient to meet the needs of service users. EVIDENCE: Each service user has a weekly programme that includes a variety of activities that they choose to enjoy in the local community. This also includes the daily activities they are involved in at home. Service users were observed clearing up after lunch, washing dishes and being supported by staff to put personal laundry away. Entertainment equipment in individual bedrooms enables service users to listen to music and watch TV in the privacy of their own room if they choose. Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 14 Service users discussed the variety of activities that they enjoy including venues they hoped to go to for holidays away. Some talked about an outing they had experienced the previous weekend when they went to a hospital garden fete, an opportunity that enabled them to meet up with old friends. One service user spoke about the gardening work they did at a local horticultural centre and in the home’s garden and greenhouse. Another discussed their visit to the local theatre. One service user was out at college attending a DIY class. A light lunch was taken with the service users and staff where much of the discussions took place. This was a pleasant experience where nutritious food that service users had chosen prior to the meal, was served at the dining table. A service user who had celebrated a recent birthday offered everyone the final pieces of their birthday cake for dessert. Service users confirmed that the meals were generally good and they always had a choice. Records proved that nutrition is monitored. One service user spoke about a family member and records and photographs confirmed that the home encourages contact with family and friends to be maintained. Riverside Park (12) DS0000015757.V296458.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 area is good. This judgement has been made using available evidence including a visit to this service. Service users personal and healthcare needs are met in a flexible but consistent manner, with the aim of allowing service users to take the lead. Medication arrangements are appropriate for the needs of service users and are managed in a safe manner. EVIDENCE: Staff support service users to address their individual healthcare needs by; following guidelines in the care plans, supporting service users to access medical specialist advice and assisting them to visit local GPs and attend hospital appointments. The outcomes of such visits are recorded in the care files. Although all of the service users are independent in relation to some personal tasks, staff were observed to give prompts and support where needed. Clear information is recorded in the care plan in picture format clearly identifying what tasks are carried out independently and what tasks need support. Guidelines are in place in relation to one service user’s epilepsy and how this is managed, with an emphasis on how to maintain the person’s dignity, while Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 16 also listing possible links in relation to what may trigger a seizure. Risk assessments and management plans are in place, so that the risks that epileptic seizures pose are reduced significantly. However staff training records, demonstrate that only three members of staff have received training in relation to epilepsy. So that all staff have a good understanding of this condition and have the knowledge and skill to support the service user appropriately all staff should attend training related to this. Apart from a shower seat and grab rails in the bathrooms, service users do not need any special aids. Staff confirmed that they have attended training in the administration of medication and their knowledge and the way medication was stored reflects this. However some medicines that had been discontinued by the GP, a few weeks earlier, were stilled stored in the medication cupboard. The manager was advised to return these to the pharmacist as soon as possible. Riverside Park (12) DS0000015757.V296458.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 area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to help protect service users from abuse and to seriously address complaints and concerns about the service. EVIDENCE: The home has a Complaints Procedure that is also in picture format. The Complaints Book confirmed that complaints and concerns are taken seriously, recorded and satisfactorily addressed. Staff confirmed that they have received awareness training regarding abuse and adult protection, as well as training in relation to handling verbal and aggressive behaviour. In discussion staff were able to appropriately describe what action to take in a situation where they witnessed abuse. The local authority’s adult protection procedure is available within the home, to guide staff on what to do and the people to contact in the event of witnessing abuse or having an alleged abusive situation reported to them. However the key people with responsibilities in relation to these and whose names are recorded in the procedures manual are no longer working in the service therefore must be changed to avoid confusion. Some staff have attended training in relation to these procedures, however some have not. The manager must continue to seek training opportunities with the local authority. The home keeps clear records of service users’ financial affairs. These were appropriately kept and showed clear evidence of how service users monies were spent. Each service user has a bank account where any money paid to Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 18 them is deposited. Service users access this with support, all were aware of this practice. Riverside Park (12) DS0000015757.V296458.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 at least once during a 12 month period. 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. The standard of the environment of this home is good, providing service users with a spacious, attractive, hygienic and homely place to live. EVIDENCE: This home maintains its high standards of décor and furnishings. Service users bedrooms are attractively decorated to suit individual preferences. However the outside paintwork is now showing signs of wear and tear and should be addressed so that the building is well maintained both inside and out. The gardens are extensive and well furbished to accommodate the individual interests of the service users. There is a green house where one service user showed the plants that they are growing. There are also areas where different ball games are played. The garden is also well equipped with garden furniture however due to regular use, it is now showing signs of wear and tear. The manager stated that new furniture is to be purchased. The step into the garden from the lounge is relatively high and although service users currently negotiate this safely, this must be monitored and plans put in place if needed to make it safer. Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 20 Service users have a choice of bathing facilities and have individual bedrooms that reflect their individual tastes and preferences. The kitchen that is large and well designed has appropriate appliances and is a safe and hygienic area. Staff were aware of the measures to take to reduce the risk of cross infection due to having the washing machine sited in the kitchen area. Risk assessments in relation to this are in place as well as individual risk assessments related to service users doing their own laundry. Staff confirmed that they have attended training in relation to the control of infection. Records and observations of their domestic and care practices confirmed this. Riverside Park (12) DS0000015757.V296458.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment and selection procedures, regular training opportunities and supervision ensure that service users are appropriately supported and protected by a competent and qualified staff team. EVIDENCE: Currently this home is fully staffed and although one member of staff explained that they would be leaving at the end of the month, a new member of staff has been appointed and is currently awaiting their CRB clearance. This forthcoming vacancy therefore has been well managed. The staff team at this home are enthusiastic about their work and eager to support and empower people living there. Staff demonstrated this in the following statements: “I love working here it’s the best job I’ve ever had.” “It’s wonderful seeing service users going out into the community and enjoying life.” “It’s great to see service users being treat as individuals with rights and to work for a Company that promotes this.” Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 22 “It’s great to see service users empowered and to be able to work with service users at their own pace.” The above comments also reflect the content of the records examined and observations made of life in the home. Staff also commented how the Company offered a good training programme and that they all had individual training plans. Records showed that all staff have or are working towards NVQ and are up to date with mandatory training. However some staff still need to attend training in relation to the local authority’s Protection of Vulnerable Adults procedures and epilepsy. Examination of a sample of recruitment records showed that the company’s recruitment procedures are followed. Of the files examined all had completed application forms, 2 references and satisfactory CRB checks. Riverside Park (12) DS0000015757.V296458.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager, who is well supported by her staff team, provides good leadership and runs a service that has effective monitoring systems that are focussed on the best interests of the service users. EVIDENCE: The manager has only been in this post since March 2006. However she has been a manager for the Company for the past 4 years, managing Supported Living schemes. Application forms to be the Registered Manager for Riverside Park have been submitted to CSCI. The manager has the necessary experience to run the home but needs to familiarise herself more with the National Minimum Standards for Adults (1865 years) and the Care Homes Regulations 2001. Currently the manager is doing the Registered Managers Award (the RMA) and NVQ 4 in Care and is up to date with mandatory training. She is also a qualified instructor for CPI (Non violent crisis intervention) that is accredited through BILD. Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 24 This service has a quality assurance system in place that includes the provision for asking service users their views on the service provided. This is monitored internally monthly by the manager and annually by an external person. This ensures that the home’s policies and procedures are being followed and that the service is lead in the best interests of the service users. Health and safety procedures are in place and staff practices reflect acknowledgement of these. However the names of staff receiving fire instruction during fire drills must be recorded separately, so that it is clear who has carried out fire procedure practices and received fire instruction and who has not. Riverside Park (12) DS0000015757.V296458.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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 2 X 3 X X 2 X Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 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 YA6 YA18 Regulation 13(1)(b) Requirement Guidelines developed by medical professionals and are part of care plans must be followed by all staff so that a consistent approach is given. Timescale for action 30/06/06 2 YA18 YA19 3. YA20 18(1)(a)(c All staff must receive training in )(i) relation to Epilepsy so that they are equipped with the knowledge and skills to support service users. 13 (2) Staff must follow the home’s procedures in relation to the Safe Administration of Medication at all times and return any unused medication to the pharmacist as soon as possible. 13(6)&18 (1)(c)(i) All staff must receive training in relation to the local authorities POVA procedures known as MAPPVA and any person left in charge of the home must up date this training. (Timescales of 31/11/05 and 30/03/06 not met.) The names of the key people recorded in the local authority’s POVA procedures file and DS0000015757.V296458.R01.S.doc 30/09/06 30/06/06 4. YA23 30/06/06 Riverside Park (12) Version 5.2 Page 27 responsible for carrying out the procedures must be changed to reflect the recent changes in management in this home. 5 YA24 YA42 13(4)(a) With the health and safety of service users in mind, the safe use of the step by service users, from the lounge into the garden, must be monitored. The manager must familiarise herself with the National Minimum Standards for Adults (18-65 years) and the Care Homes Regulations 2001. Her application for registration as the Registered Manager for this home must also be successful. 7. YA42 23(4) The names of staff receiving fire 31/08/06 instruction during fire drills must be recorded separately, so that it is clear who has carried out fire procedure practices and received fire instruction and who has not. 31/12/06 6. YA37 8&9 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations It is strongly advised that the plan to address the flaking paintwork to the outside of the building goes ahead. Riverside Park (12) DS0000015757.V296458.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Riverside Park (12) DS0000015757.V296458.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!