Inspection on 20/06/05 for Roop Cottage

This inspection was carried out on 20th June 2005.

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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roop Cottage 16/07/07

Roop Cottage 20/07/06

Roop Cottage 18/11/05

Roop Cottage 17/01/05

Roop Cottage 07/07/04

Roop Cottage 01/03/04

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Snydale Care Home

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Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Roop Cottage Wakefield Road Fitzwilliam Pontefract WF9 5AN Lead Inspector Tony Brindle Unannounced 20 June 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 Older People and 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. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Roop Cottage Address Wakefield Road Fitzwilliam Pontefract WF9 5AN 01977 610918 01977 610918 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) Dr R Kanani, Mrs M Kanani and M R Kanani Mrs Anne Egley Care Home 35 Category(ies) of 35 x Old age (over 65 years) and 13 x Physical registration, with number disability of places Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 17 January 2005 Brief Description of the Service: Roop Cottage, a home providing accommodation and care with nursing for a mixed category of service users (Older People and Younger Adults), is situated on the outskirts of the village of Fitzwilliam, a small village 8 miles from the city of Wakefield. The home is not too far from a small number of local shops and a pub. The home is privately owned and registered for older people and for younger adults with a physical disability who are accommodated in dedicated units.The accommodation is provided over two floors, older persons being based on the upper floor, younger persons on the ground floor. The rooms are single occupancy and two rooms have en-suite facilities.The gardens are accessible and of a good size. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection began at 10am and ended just after 4pm. 9 service users, and 5 members of staff and the manager and deputy manager spoken with. This was a positive and enjoyable inspection. The inspectors would like to take the opportunity to thank the service users, the manager and support workers for their hospitality and patient cooperation throughout the inspection. The following documents were read: 4 care plans, the daily records, health and safety records, the complaints log, the menus and the medication records. A service user’s invitation to see their bedroom was welcomed and accepted, and the building and gardens were seen. There have been no additional or complaints visit to this home since the last inspection in January 2005. . There have been no changes to the Registered Persons registered with CSCI. What the service does well: What has improved since the last inspection? The care planning arrangements for the people living at Roop Cottage are much improved, particularly those relating to the younger adults. A person centred approach has been adopted, and is helping staff to identify short term goals for service users. This change in approach linked with relevant training focusing on learning disability, has had a significant positive impact on the work of the staff in the home. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 6 What they could do better: 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. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. The systems and procedures operated by the staff at the home make sure that proper assessments are completed before people are offered a place at the home. The training undertaken by the staff team, their skills and abilities demonstrate that the assessed needs of the existing service user group can be met. EVIDENCE: The deputy manager said that before any new service users come to live at Roop Cottage, staff go to meet them and assess whether the home has the appropriate staff and facilities to meet the prospective person’s needs. Assessments completed by other professionals are also obtained. Assessments from social workers and the staff at Roop Cottage were found in service user’s files. Staff undertake relevant training in the care and support of older people and people with physical impairments. The manager said that a small number Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 9 of staff had recently undertaken training on the care and support of people with learning disabilities, so that the needs of the existing service user group can be better met. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. Good care planning processes and discussions with the service users, make sure that the staff know how to meet the assessed needs of the services, enabling them to live as independent life as possible, while at the same time keeping safe. EVIDENCE: The care plans provide good levels of information to staff on how to meet the assessed needs individual service users, giving details on to support service users with personal care, healthcare and social/leisure interests. A person centred approach to planning care has been introduced when working with the younger adults at the home with physical and learning disabilities. The manager said that this is in the early stages of development, but good progress has been made. She added that the person centred approach has not Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 11 been just a paper exercise, but has had a beneficial impact on the way that the staff work with the service users. The daily records give details about the every day decisions made by the service users and one service user said that she could decide on how she spends her time. The staff were seen to offer the service users choices. Individualised assessments relating to the care and support required by service users were found on file, giving details as to the way serious risks are to be reduced or removed. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. Visitors are welcomed to the home. Limited leisure and social activities are provided for the service users, however efforts have been made to improve this. Meals are well managed, providing service users with choice and variety. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 13 EVIDENCE: The deputy manager said that there are very few opportunities locally for service users to take part in activities, however, some go to the local pub and do small amounts of shopping in the neighbourhood. One staff member said that outings are organised every couple of months to places like Bridlington, Leeds and North Yorkshire. One service user said that she likes going on these from time to time. Limited leisure activities are organised by a staff member on a daily basis. One older service user said she sometimes gets involved in these, and particularly enjoys having a sing-a-long. A number of service users were seen to sit in the lounges for most of the day, with their social needs being met by the service user group, and the staff on duty. The deputy manager said that efforts have been made to find out about alternate daytime opportunities for service users, in particular the younger adults at the home. However, he added that this has been a struggle due to services users not showing any interest in some daytime placements, and lack of availability of placements within day centres etc in the local area. Some visitors were seen to come and go from the home, one saying that she can come and visit at anytime, and is always made to feel welcome. The manager said that meals are served when and where the residents choose and that a large amount of choice is available. A number of service users said that they could choose their meals from the menu and real enjoy the food. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. The systems operated at the home, and the work of the staff makes sure that service users receive individualised care and support, based on their preferences and assessed needs. The medication administration system operated by the home has the potential for placing service users at risk. EVIDENCE: Service users said that they were happy with the way staff delivered personal care and support. Not all the staff were seen to knock on the bedroom doors of service users, before entering the room. The staff talked about how they recognize that service users have the right to good quality physical and emotional health wherever they are living. The service users are supported to manage their own healthcare and have access to NHS community facilities. Specialist health, nursing and dietary requirements were seen in the service Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 15 user’s individual plans. The systems for the administration and recording of medication was checked and some major problems were identified. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. A clear complaints procedure is available at the home. The systems operated at the home, and the work of the staff make sure that service users are protected from abuse and neglect. EVIDENCE: The deputy manager said that the complaints procedure is given to all the service users (and their relatives) as part of the Service User Guide. He added that no complaints had been received since the last inspection. The complaints record confirmed this. The day after the inspection, one service user contacted the Commission, saying that that s/he had raised a complaint with the manager some time ago, but it had not been recorded or looked into properly. The manager was subsequently asked to look into this issue. A small number of staff have attended training about the ways to recognise and respond to abuse. One staff member said that she had found the training really useful and it had had a big impact on the way she worked with people. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. Although the building is homely and comfortable, the fire safety systems operated by the home do not always make sure that the service users live in a safe environment. Some of the carpets on the corridors and stairs are not of a good quality EVIDENCE: The home has 2 spacious lounges and a small conservatory with comfortable furniture. The home is equipped with adapted baths, hoists and walk in showers. Service users were seen to have access to a range of equipment such Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 18 as walking aids and wheelchairs, although the deputy manager explained that he had had some difficulty supporting one service user to obtain a specialised wheelchair due to external NHS rules. The carpets on the corridors and stairs were seen to be very thin, and frayed at the edges and may present a trip hazard. The upper floor shower outlets were seen to be in need of a thorough clean. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. Service users are now better supported by a motivated and appropriately trained staff team. The effectiveness of the staff team could be improved further if the manager was given some supernumerary time to concentrate on management issues. The taking up of inappropriate references and the failure to verify potential employees identification has the potential to place service users at risk. EVIDENCE: The staffing levels have recently been increased and the rotas show that there is a continuity of staff support, allowing service users to get to know people and develop good relationships with key-workers. The manager is currently included in the rota, and explained that she has very little supernumerary time to spend on issues such as care planning, staff supervision, training and Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 20 general administration. The personnel files show that the satisfactory recruitment checks are not always undertaken, with proof of identification documents missing and inappropriate references being taken up prior to employment. One staff member commented that she had received a good training package, with the manager supporting the team to access appropriate training and NVQ. The manager said that she finds it difficult to find the time to use her NVQ assessor’s skills as is included within the rotas. She added that a small increase in her supernumerary time could have a big impact of the running of the home. One staff member explained that she is aware of the likes and dislikes of the service users and feels that this is important when working with people. Two service users explained that the staff are approachable, one remarking that they are good listeners. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All key standards and outcomes for both younger adults and older people. The systems operated at the home, and the work of the staff make sure that service user views are sought in relation to the quality of the service provided at Roop Cottage. The use of door wedges to prop open bedrooms potentially puts service users at risk in the event of a fire, and food safety and cleaning systems need to be improved.. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 22 EVIDENCE: The unannounced monthly management visit looks at different aspects of the home’s provision e.g. service user views, environment, care plans. The portable appliance testing records show that appliances are tested appropriately. The deputy manager explained that a recent lightning strike in the local area had affected the home’s fire alarm system. He added that he had tested the alarm system that morning to make that it was working effectively. An engineer visited the home, and explained that although the system was continuously bleeping, it was operational, and he would return later on in the day to correct the problem. A number of service user bedroom doors were wedged open, including one of a smoker. In addition to this, the kitchen door was wedged open. Basic food hygiene rules were not being followed in the kitchen with milk being left out on the kitchen side instead of in the fridge, and various food items were found in the fridge without date labels. A recent report from the environmental officers said that the kitchen grill should be cleaned. The cook said that this had been done, but because night staff had used the grill it was again in need of a thorough clean. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 3 x x Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x x 2 2 2 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING 1 x x x x x 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x x 2 1 3 x x x 3 x x 1 x CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 x 37 38 39 40 41 42 43 Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 24 no 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 YA20 Regulation 13 (20 Requirement The registered person must make sure that there are safe and suitable arrangements for the administration of medication within the home. The registered person shall after consultation with the fire authority take adequate precautions against the risk of fire. Alternatives to the use of door wedges must be sought. The registered person must make sure that the recruitment practices at Roop Cottage are in line with all legal requirements. The registered person msut nsure that suitable kitchen equipment, and adequate facilities for the preparation and stirage of food, and make suitable arrnagements for maintaining satisfactory standards of hygiene in the care home. Timescale for action 20.6.05 Immediate. Agreed at time of inspection 20.6.05 Immediate. Agreed at time of inspection. 20th July 2005 20th July 2005 2. YA24 YA42 23 (4)(a) 3. YA34 19 4. YA42 16 (2) (g) (j) Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 25 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. 2. 3. 4. 5. Refer to Standard YA12 YA13 YA14 YA24 YA33 Good Practice Recommendations Efforts should continue to be made to enable and support service users to take part in age and culturally appropriate activities Efforts should continue to be made to enable service users to be part of the local community. Efforts should continue to be made to enable and support service users to take part in appropriate leisure activities inside and outside of the home. It is recommended that the carpets on the corridors and on the stairs are replaced. Increasing the time that the manager is not on the care rota would enable her to concentrate on management issues, staff training and general administration, thus improving the efficiency and effectiveness of the services provided at Roop Cottage. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 26 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. Roop Cottage J51J01_s6207_roop cottage_v219655_200605.doc Version 1.40 Page 27 - 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!