Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/02/09 for Rockville House

Also see our care home review for Rockville House for more information

This inspection was carried out on 13th February 2009.

CSCI found this care home to be providing an Poor service.

The inspector found no outstanding requirements from the previous inspection report, but made 8 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.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rockville House 2a Rockville Park Plymstock Plymouth Devon PL9 7DG The quality rating for this care home is: zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stella Lindsay Date: 1 8 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 33 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Rockville House 2a Rockville Park Plymstock Plymouth Devon PL9 7DG 01752407130 01752481624 sm.bailey@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Independence South West care home 3 Number of places (if applicable): Under 65 Over 65 3 0 physical disability Additional conditions: Age 18-65yrs Date of last inspection 1 1 0 1 2 0 0 8 Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Rockville Respite Centre is owned and managed by the registered charity Independence South West. There is room for three people at a time to stay. People who have a physical disability and who may also have a learning disability come for short stays, for a break from home. Rockville is in Plymstock, and is close to shops. The centre has the use of two minibuses. There is a standard fee of 110 pounds per night. Care Homes for Adults (18-65 years) Page 5 of 33 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: Choice of home zero star poor service Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 33 How we did our inspection: This is what the inspector did when they were at the care home This inspection was carried out by one inspector who visited the home without telling anyone she was going to come. She came on a Friday afternoon to meet the people who would be staying for the weekend, and came back the next week to look at papers and meet more staff. Throughout this report, the term we will be used as the report is written on behalf of the Commission for Social Care Inspection. We looked at the care records of three people who stay at the home. We sent surveys to the home, for people who use this service to tell us what they think, and for staff as well. Care Homes for Adults (18-65 years) Page 7 of 33 Before the inspection an Annual Quality Assurance Assessment (AQAA) was completed by the Responsible Person for the service, Mrs Jennifer Giquel. What the care home does well The staff are kind to the residents. Rockville has plenty of room and it is easy for people to move around. Care Homes for Adults (18-65 years) Page 8 of 33 There is a lovely bath and a separate shower. The living room has comfy sofas and a large screen television with satellite channels. What has got better from the last inspection A new Manager and some new staff have come to work at Rockville. Care Homes for Adults (18-65 years) Page 9 of 33 What the care home could do better Staff should make sure all the care plans are up to date, and that the residents have been consulted about how they like to be helped and what they want to do. The Manager should make sure that staff know the best way of looking after medication. Arrangements must be made so that medical help can be arranged if a resident becomes ill while their family are away. There should be more things to do, especially at weekends. Staff should have more training so that they know the best ways of helping people. Care Homes for Adults (18-65 years) Page 10 of 33 It should be clear who is responsible for making decisions and ensuring that residents’ views are listened to. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stella Lindsay CSCI 4th Floor Colston 33 Bristol BS1 4UA Tel; 0117 930 7110 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 33 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 33 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is available for prospective service users, but could be further developed to help people understand. People can be confident their care and support needs will be fully assessed before they are offered a service at Rockville House. The contract was not clear about the time the service is available. Evidence: We were given a Service User Guide, concisely written to describe Rockville Respite Centre, with small photos to illustrate the facilities. The Manager said she would further develop it with symbols and more photos, and could produce a version to meet the particular needs of any prospective client, to aid their understanding. The Statement of Purpose is available in small print. It has been updated to include information about the new Manager, but did not include all information required by the regulations, for example, arrangements for consultation with the service users, or emergency procedures. There had not been a new service user since the last inspection. The home had a format for assessment. The Manager said she would review this procedure. During our visit to the service we found there was an understanding that the residential service was not available during normal office hours, as people would either be in the day centre, or attending other day opportunities. This was not in the Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: contract, which referred simply to a nightly fee. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning is not up to date. Risk assessments had not been carried out. Residents have not been enabled to develop their independence. Evidence: We looked at the information about residents care needs that was available to staff in the respite unit. It was not up to date. Staff told us that reviews were carried out in the day centre, but the information was not reliably brought to the residential service. Recently a support worker had consulted with a residents parent and obtained advice from a physiotherapist with regards to encouraging a service user to walk, but they said that some staff were resistant to this initiative, preferring the safety of keeping to the wheelchair. We found that there was not always the expectation that peoples independence would be promoted, but that they would keep to what they normally did. We saw one service user who was independently mobile. We asked a Support Worker whether they go to the shop unaccompanied. They said this was not possible, but we did not see that this risk had been assessed, or any plan made for working towards this. We saw that a risk assessment had been recorded for one resident, covering their mobility and challenging behaviour. It was dated 09/02/04, and there was no evidence of a review. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities for residents should be further developed, particularly at weekends. Evidence: Several staff reported to us that they would like to see more activities offered at weekends. There is not always a driver on duty, which restricts opportunities for outings. During this inspection, one resident was going out on the Friday evening, and was excited about the prospect. This had not been arranged by Rockville. Staff were prepared to let them in whatever time they arrived home. The other residents spent the evening having personal care and watching television. It was a relaxed atmosphere. We did not see on file advice for staff on the safety of activities, or advice on what people might do. Some residents had communication books, where their activities and any messages concerning their well being were recorded, to keep their carer at home informed. We saw that good records had been kept of meals eaten by residents. One relative said in a survey, they make nice cups of tea, and nice food. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are not always offered choice in their personal care. Staff are not in possession of up to date information about peoples health care needs. Medication was not all being administered in accordance with regulations. Evidence: We did not see on care plans evidence of choice in personal care being discussed with residents. Staff reported they had offered a resident the choice of a bath or a shower. The resident chose to have a bath, then the staff member was told by their colleagues that this person always has a shower. Staff who showed me how the bed sides work said they are used for everybody. Information on residents care plans was in some cases very old. One of the Support workers told us she had been gathering information from web sites to inform the team about conditions suffered by some of their service users. She said she had found that people with cerebral palsy were being treated as if they had low intelligence, though there was no evidence that this had been tested. We saw no evidence of assessments of peoples capacity for making decisions. We saw a Moving and Handling assessment that had been up-dated over a year ago. Staff on duty told us that it was still appropriate. It should be reviewed regularly, along with other elements of the care plan. On the same file a document about the persons condition said that they were awaiting new guidelines. This was dated 04/06/07, which meant it was a year and a half old, and they were still waiting. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: Service users are registered with GP services at their home addresses in Plymouth, Cornwall, and other parts of Devon. They are not admitted if they are unwell, their stay is postponed or cancelled. However, some stays are arranged to offer care while the persons normal carers are on holiday, possibly out of the country. There was no evidence that arrangements had been made to register service users as temporary residents with a local surgery. The Manager told us that she had ordered a new Medicine Cupboard and Controlled Drugs register, in line with regulations. Standard Medication Administration Record sheets had recently been introduced, which are clearer, and staff were in the process of becoming accustomed to them. We saw that the drugs had been properly documented on the Friday evening, for the people who were staying at that time. The following week, we saw that the audit trail was not accurate, so that some suppositories were not accounted for. Furthermore, staff had been carrying out an invasive procedure without training from the health care professional who had responsibility for this treatment. Some drugs were administered PRN, or as needed. There was no record of who made this decision, or why. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users have not been protected by the homes procedures or by staff knowledge. Evidence: The complaints procedure is included in the information given to new service users and their representatives, and people who completed surveys said they would know how to make a complaint. One had been recorded by the home since the last inspection, and concerned restricted food offered to a resident. The record said it had been resolved. However, we have been informed that various concerns had been raised with the Learning Disability team, which shows that the service users representatives did not feel able to approach the people who were running the service, or did not find that they dealt effectively with issues. During the autumn there was a safeguarding alert. The person who was Acting Manager at the time was not aware of current practice, and therefore did not follow current guidelines, and the allegation was not reported properly. The Alerters Guidance (provided by the local authority) was in the office, and four staff had signed to say they had read it. The homes own policy did not meet current guidelines, though it was dated August 2008. It needs to be up-dated to include the correct reporting protocols, and the correct information with regard to consent, confidentiality and the service users right to have a professional assessment of their capacity to make decisions. The new Manager undertook to update the homes policy. The Trustees have, since this came to light, booked training for staff on the Protection of Vulnerable Adults, at the earliest opportunity. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Rockville respite unit offers a safe environment for residents, but it could be more stimulating and homely. Evidence: The Respite unit at Rockville comprises a suite of rooms along the side of the main building which houses the day centre. Residents have access to all the facilities, which include a sensory room and physiotherapy room. The laundry is also upstairs in the day centre. During the inspection a problem with plumbing was identified. The administrator immediately made arrangements to deal with it. There are gardens and patios to the front and rear of the building. Staff told us they were keen to develop them with wind chimes and other items of interest to people with sensory problems. There had been internal decoration, with the walls painted cream, so all was light and smart. However, there was not a homely feel. There were no examples of residents artwork on display, or evidence that they had a choice of pictures or other decoration. There are three bedrooms for service users. All have hi-lo beds with removable cot sides. One has an alarm that alerts staff if the occupant starts to have an epileptic fit. Lockable storage had been provided in bedrooms, in so far as locks had been fitted in bedside cabinets. They were unattractive, as plates had not been fixed to the front, so the appearance was of a hole gouged in the door. Staff on duty at the time were not aware of the new locks, so would be unable to help residents make use of them. There were appropriate locks on bedroom and bathroom doors. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: There was a choice in bathing facilities, with a Parker bath with shower attachment, and an accessible shower. Liquid soap and paper towels had been provided, and there were sound surfaces in all bathrooms to maintain good hygiene. The lounge had comfortable sofas, and a large screen television. Satellite channels are available. The kitchen had good cleanable surfaces. It was not adapted for use by disabled people, who could sit to the dining table if joining in food preparation. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are employed in sufficient numbers to meet the needs of residents, but need more training and better supervision to provide a service that is safe and enables residents to develop their capabilities. Evidence: A residents relative said in a survey, that the staff are very nice and supportive. Another said that whether the staff listen and act on what the resident says depends on who is on duty, as some do not always understand. The Trustees have recently made some very good appointments. However, the homes recruitment policy had not always been carried out. Criminal Records Bureau clearances had been obtained, except in the case of a young person. Advice was given that the age of criminal responsibility in this country is 10 years, and anyone over that age in contact with service users must have a clearance. One staff member had information on their CRB. There was no evidence in the file that this had been discussed, or any record of assessment as to whether any risk to residents was indicated. References had not always been obtained in a timely way, one we saw was requested five months after the person started work, and two had been requested but had not been chased up. Two people had been working in the home while not appointed to any position. Recruitment of volunteers must be thorough. Induction training had been informal and involved introduction to residents, but not a full induction training that meets the specifications of the Skills for Care common induction standards. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: Some staff had attended Moving and handling training in September 2008, but some had not had their training up-dated, one not since 2002. Some staff had received training in epilepsy care. Food handling and First Aid had been booked for early in the year. Training in specific conditions of residents, communication skills, person centred care and promoting independence is needed. We saw records of assessments carried out by a previous manager after staff members probationary periods. Records showed that staff attitudes to residents had not always been inappropriate in that they sometimes treated them like children, though it was not clear what action was taken to combat this. The new Manager told us she had introduced a new contract for staff supervision and would be meeting with all staff individually. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home had not been run in the best interests of the residents, due to lack of effective leadership over the past year. Evidence: Mrs Jennifer Giquel is Responsible Individual for the company, which is Independence South West, a registered charity. The Board of Trustees had made some sterling appointments, including the new Manager. She had been in post for five weeks at the time of this inspection, and had applied to register with the Commission for Social Care inspection. She is a qualified Learning Disability Nurse, with extensive experience in Community and residential nursing. However, lines of accountability within the service are not clear. People have worked in the home without being appointed staff members, or having a position which makes them accountable to the Manager who is qualified to ensure that work is always carried out in accordance with the homes policies and procedures and with current best practice. The Board of Trustees have told us of their continued efforts to find a suitable replacement since the resignation of the last registered manager shortly after the last inspection. Now that this has been successfully achieved, the supporting role of the trustees may be reconsidered, with networking and promotional work to the fore, and the need for links to be forged with other organisations that promote and develop good Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: practice in the fields of disability. The service has a contract with a firm that provides advice on employment and personnel issues, and ensures that the staff handbook is kept up to date. Surveys had been distributed to service users, for the purposes of quality monitoring. We found that more attention needs to be given to ways of enabling service users to express themselves in their daily lives, and in the future development of the service. Policies were not all compliant with current professional standards, or in the best interests of residents, as evidenced in a previous section (Complaints and Protection). Records were not all up to date, as evidenced in a previous section (Individual Needs and Choices). We saw that safe working practices were in place in the home. There were no upstairs windows needing restriction. The fire precaution system was maintained in good order, with staff training provided twice a year. All surfaces were sound and easily cleanable, and accidents were recorded and reported. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 33 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 6 15 Care plans must be revised 27/03/2009 regularly, in consultation with the service user or their representative so that staff know how they prefer their support to be provided. 2 18 13 Staff must not carry out any invasive procedure without the responsible health care professional approving their competence 27/03/2009 in accordance with the guidance, to assure the safety of the service user. 3 18 13 27/03/2009 No form of restraint, including the use of bed guards, may be used without professional advice Care Homes for Adults (18-65 years) Page 29 of 33 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action to show that the restraint employed is the only practicable means of securing the welfare of the service user. 4 19 13 Arrangements must be made 30/04/2009 for medical care when service users normal carers would not be available so that medical attention may be received in a timely way. 5 19 13 When any medication is administered as required, the reason for giving it must be recorded 27/03/2009 to be sure that it is in the best interests of the service user. 6 23 13 Policies, procedures and staff 27/03/2009 training must all be in place to assure the protection of vulnerable adults from abuse of all kinds so that they can be sure they will be safe from harm and their rights will be protected. 7 34 19 The recruitment process 02/04/2009 must be complete for all people who work in the home Care Homes for Adults (18-65 years) Page 30 of 33 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action to enable the Manager to ensure the home is run safely according to regulations. 8 43 12 Lines of accountability within 02/04/2009 the home and with external management must be clear so that decisions can be seen to be taken in line with recognised professional standards and in the best interests of service users. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 All information offered to the public should be comprehensive, and available in various forms to aid understanding. Each person should have individual comprehensive risk assessments, which should include risk assessments for all activities undertaken inside and outside Rockville. Service users life style at the home should be reconsidered, increasing work to help them develop their skills and explore social activities. Up to date information about residents conditions should be available to staff, to guide them in possible areas for development, as well as alerting them to areas of concern. This should include information about the medication taken by service users during their stay, any side effects or effects of non-compliance. 2 9 3 11 4 19 Care Homes for Adults (18-65 years) Page 31 of 33 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 5 35 Staff should receive training on specific conditions of service users, person centred care and promoting independence. Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 33 of 33 - 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!