CARE HOME ADULTS 18-65
Rosebank 52 Leyland Road Southport Merseyside PR9 9JQ Lead Inspector
Mr Paul Kenyon Key Unannounced Inspection 3rd May 2007 13:30 Rosebank DS0000005359.V332940.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 Rosebank DS0000005359.V332940.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. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Rosebank Address 52 Leyland Road Southport Merseyside PR9 9JQ 01704 535548 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) info@leylandhouse.com Mr Gerard Cunningham Louise Dorman Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users to include up to 17 LD To include up to 3 named service users with Mental Health needs Date of last inspection 16 May 2006 Brief Description of the Service: Rosebank, also known as Leyland House is situated on Leyland Rd in Southport, close to the coast road. It offers care and accommodation to up to 17 residents who have a learning disability. Louise Dorman is the current Manager. The home is a three-storey property in a residential area. The home has good access to local transport links, with buses to Southport town centre, which is approximately ten minutes journey. Transport to Lancashire & Liverpool is also accessible. The service has its own minibus as current residents have some mobility difficulties & having their own transport allows much greater freedom in travel & accessing community facilities. Parking is available at the front of the building. There is a large garden to the rear of the home. Weekly fees at present start from £325 per week although this can increase dependent on the needs of residents. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first key inspection this inspection year (April 2007 to March 2008). The home had no prior notice that the inspection was to take place. The inspection was held during the afternoon period and involved a tour of the building, examination of a number of records connected with the care and support of those who live there, discussion with individuals themselves and interviews with staff members. Comments are included within this report. National Minimum Standards for Younger Adults were used to measure the standard of support and care provided in Rosebank. What the service does well:
The service is good at ensuring that information on any individuals is received before they come to live at Rosebank so that their needs can be identified and met. The service is good at enabling individuals to make decisions about their daily lives and ensuring that any risks involved in this are taken into account. The service is good at enabling individuals to pursue any education or activities that they wish and enable the staff team to support individuals in the wider community. The service is good at enabling individuals to maintain contact with their families and friends and will promote this contact. The service is good at recognising the part that individuals should play in the running of the home. The service is good at providing meals that are in line with the preferences of individuals. The service is good at ensuring that individuals are supported in the manner they wish with an emphasis on maintaining their independence. The service is good at meeting the health needs of individuals and providing a safe system of medication. The service is good at providing a well-maintained, home like and hygienic place for people to live. Individuals benefit from a service that is managed by an experienced and qualified individual.
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 6 The service takes the views of individuals into account about the quality of the support it provides. Individual comments included: ‘I am able to do what I want and can get my money when I want it. Like to go shopping into town and watching the TV. I went to church and then I decided I did not want to go anymore. I go out with mum and dad during the week. I like the meals they are all right and nice. The staff are all right they help me. I am feeling well at the moment’ ‘I can get up late if I want-staff help me to get ready. I like to go to the market in town and go there with staff. The food is alright-I can choose what I want to eat. Staff are all right they help me to get ready and I am happy with that. They talk in a nice way to me. I have had to have an operation-I get headaches-I am going back to hospital next week-staff sorted it out quickly. I am happy at the moment but if I was not I would see the staff. I feel safe here’ ‘I get up when I want and can get my money when I want. My brother lives abroad but I keep in touch with him. Meals are alright-staff cook and we get a choice. Staff are all right. I am well but if I need to I can see a doctor. I feel safe, staff listen to me and if I was not happy I would see the staff’ ‘I am well at the moment. I like the food-we had sausage rolls and beans, I like stew, and my family visit. I go to town and to the shops’ ‘I consider the manager to be supportive and gets things done straight away’ What has improved since the last inspection?
Individuals now benefit from being able to use a key to lock their bedrooms if they wish. The health needs of one individual identified at the last inspection are now met. The risks associated with one individual administering their own medication have now been identified. All medication received is now recorded providing a more accountable system of medication. All personnel files now include two references Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Rosebank DS0000005359.V332940.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 Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One individual has been admitted into the service since the last inspection. This happened in September 2006. Initially the intention was for this person to be taken in for respite care but this stay has been prolonged. Evidence within the home that the needs of this person had been identified prior to her admission by both the funding authority and the home itself. On the day of the inspection, two new admissions were imminent. This was intended to be an emergency admission for two people to receive respite care. Information on the individuals was expected by the manager prior to them being admitted. The manager has met with the two individuals and spoke with those professionals involved in their support. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six care plans were examined. All care plans are stored securely and locked when not in use. They are held in a cabinet that is accessible to the staff team. An interview with a member of staff confirmed that the location and content of care plans was available to them. One individual was admitted since the last inspection and does not have a care plan. This is raised as a requirement in this report. Other care plans include evidence of review. This was done in February 2007 for all of them. Care plans provide clear instructions for the staff team on how to best support individuals. The contents of plans reflect the individual needs and aspirations of individuals, in respect of health and mobility, as examples. The last inspection noted the need for residents to be involved in the care planning process and where communication needs of residents are such that agreement with the
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 11 contents of the plan is limited, families friends or advocates should be invited in this process. This has not occurred. The care plans also take into account the sexuality of each person and how expressing sexuality can best be achieved. Five individuals were interviewed in respect of decision-making. All asked about the daily routines that they have and all confirmed they are able to do what they want and this was observed through the day in terms of activities. These decisions also extend to meals and other routines. All are involved in residents meetings, which occur approx every two months. Minutes provided evidenced that residents are asked to make decisions during this time on whatever they wish. All residents have bank accounts. One person is reliant on a power of attorney and another is fully independent with her finances. All residents were asked about monies and confirmed that they are able to gain access to their monies at all time. The home solely has a role to retain monies for safekeeping and appropriate facilities are in place. The Manager is intending to introduce advocacy for one person, it is recommended that this be extended to others who may have no families or have limited communication. A sample of five risk assessments was viewed. These have all been reviewed at differing times since the last inspection. The assessments showed evidence of risks peculiar to the individual, for example, health needs or mobility. Manual handling assessments have also been completed regardless of whether people need transferring. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five residents were interviewed about the activities they pursue. All confirmed that they are able to access the wider community either independently or with one to one support from staff. One person’s care plan indicated that they preferred not to join in activities but pursue their own routines. Three people are involved in tasks around the home and are included on the staff rota for doing this but clearly are not included in the staffing levels. These jobs pursued by these individuals tend to be in helping around the home in relation to cleaning and kitchen tasks. Residents confirmed that they are happy to do this and it is seen as preparation for gaining more permanent occupation outside the home as indicated in one person’s care plan. Evidence was available to suggest that community activities are significant. Some individuals are able to go to local day services, while others are involved in local clubs or
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 13 church groups. One person stated that she did not want to go to a church group anymore and was able to make that decision herself. The home has transport and is not far from the local facilities offered by the town. The day of the inspection coincided with local council elections, all residents had received voting cards but only a handful had taken the opportunity to use their vote. Examples of activities included: Men’s group Women’s group Cooking Swimming Gym Day services Hiking Church In addition to this, in house activities are also provided. Much of the afternoon was taken up with a group of residents doing in house activities with staff although not all residents wished to be involved in this and this was respected. The activities were individual to the wishes of individuals and included a degree of staff encouragement. One person spoke to the Inspector while doing these activities and clearly enjoyed them. Some residents have families but not in all cases. Those who do are able to have significant contact with their parents. Some have relatives but they tend to live in other countries. One resident confirmed that he had a brother living abroad. The Manager is looking into the feasibility of arranging for this person to go to visit them. Others do not have family members. The Manager has sought to introduce advocacy for one person but it is recommended that this be extended to others. One person had decided to write a letter to her relative during the inspection. Staff assisted her throughout with this. Some residents are involved in the routines in the home and this is recognised by the Manager within care plans. All bedrooms are lockable and residents are issued with keys although consideration is made to their abilities to use them. One person was seen actively using their key and others confirmed that they had them about their person. Staff interaction with residents was noted to be positive and friendly. Staff spent a significant amount of time talking with residents through activities or just on a one to one basis. All residents who spoke with the inspector stated that they liked the staff team. A number of residents preferred not to join in with activities and this was respected. A menu is available and is on display. Two residents independently confirmed what they had had for lunch and confirmed that they had enjoyed it. All residents stated that they liked the food and also said that they are offered a choice is they do not like what is on offer. There is no one with any specific nutritional needs although the care plan of one person indicated a desire to
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 14 loose weight through healthy eating. This individual had their weight monitored on a regular basis. The dining area is large and can accommodate all individuals. The layout of the kitchen is such that it is open plan and domestic in scale. A breakfast bar is also available with seating so that residents can interact with staff while meals are prepared. Food stocks were noted to be sufficient. No individuals need assisting with meals and no one has cultural preferences in relation to food. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five residents were spoken with and asked about their views on the way staff help them. In all cases, residents stated that they liked staff and were happy with the way they helped them. Some stated that staff helped them directly with personal care tasks while others said that staff made sure they had attended to their personal care tasks themselves. Care plans indicated an emphasis on encouraging individuals with personal care as opposed to doing it for them. Residents are able to express their own sexuality and appearance. Again this is outlined in care plans with an emphasis on residents being able to choose their own clothes, hairstyle and make up as appropriate. No service user needs transferring although manual handling assessments have been completed for all those sampled. It was noted that two individuals who spoke with the Inspector had some physical disabilities. One has mobility issues. This person was witnessed being able to access all parts of the home as he wished and did with independently and with no staff support. The risks to this individual had
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 16 been taken into account. He confirmed that staff left him to move around himself and he was happy with this. Another person has a sensory impairment and again was witnessed being able to move around the building independently and clearly was well orientated to the layout of the home. All residents have keyworkers and have been able to choose these as evidenced through the minutes of residents’ meetings. All residents who spoke with the Inspector said that they were well. One confirmed that she had not been well recently and had needed an operation. She was to attend a hospital appointment next week. Health records were available to suggest that all residents were able to have access to Doctors, District Nurses, Psychiatrists, opticians, chiropody and dental services. One person has a health condition, which is monitored by staff and Doctor’s appointments are used to monitor this. Residents are reliant on staff at present to accompany them to health appointments Medication is stored in a purpose built cabinet and only some members of staff are designated to administer this. All received medications are recorded and all medication administration forms were noted to be appropriately signed. One individual self-administers at the moment. A risk assessment has been devised for this and separate medication storage facilities are available in her room. Staff have either been on medication training or are scheduled for updates in the future. This was confirmed by training certificates. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaint procedure is in place yet this is designed with the communication needs of residents in mind and is present in both symbol and word form. All five residents the Inspector spoke with were able to confirm that while they did not have any complaints but would refer any to staff. The minutes of residents meetings also noted that the complaints procedure had been reinforced to all. Complaints records indicated that no complaints had been received. The home does not have a copy of the Local Authority procedure for the referral of allegations of abuse. This was addressed during the inspection. The service has a whistle blowing procedure, which contains the elements of public disclosure yet an interview with a member of staff did note that they were not aware of it. It is required that the procedure is reinforced to all staff. Policies on gifts, involvement in wills, dealing with physical aggression and restraint are in place. Staff have either attended or are about to attend abuse awareness training as outlined in the training plan and training certificates. All residents were asked if they felt safe and all responded that they did. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the building was undertaken. The home has undergone significant refurbishment internally over the past eighteen months. All areas are well decorated and comfortable. Lounge areas are available as well as a dining room, which also serves as a centre for activities for residents. A number of bedrooms were viewed. These are pleasant areas, which are well decorated and are furnished to a good standard. The building blends in with the local community and is close to local facilities. A garden area is available to the rear of the home and a ramp enables those with limited mobility to access this area. The garden would benefit form the use of some garden tables and chairs and this is recommended. The same tour of the building assessed the cleanliness of the home. No offensive odours were noted and the home was noted to be clean. All hand
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 19 wash areas have soap and towels available. The laundry is located in a basement area and is separate from food storage and preparation areas. The laundry is equipped with industrial appliances and is an organised facility. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A personnel file relating to a member of staff who has been recruited since the last inspection was examined. All personnel files are securely locked away thus enabling the confidentiality of the details to be maintained. The personnel file examined for one person contained two references, application form and details of supervision. A criminal records check was available but related to a previous employer. A current one is needed and this is raised as a requirement in this report. In addition to this there was no evidence to confirm the identity of the individual. This is also raised as a requirement. A requirement at the last inspection highlighted the need for one staff member to have a Criminal records check. This has been done. Another requirement highlighted the need for two references to be on file and this has also been addressed. Training records are available and are backed up with certificates of training. Training of late has included mandatory topics such as fire awareness, first aid and manual handling. In addition to this training in abuse awareness and
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 21 challenging behaviour was scheduled but was cancelled. New dates will be arranged. The home uses the services of an external training provider who informs them of forthcoming training. A member of staff interviewed was able to confirm that she had received training. The personnel files of staff contain evidence of induction. There was no evidence that the newer member of staff had received an induction. This is raised as a requirement in this report. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has had her registration to become the manager approved by the Commission for Social Care Inspection earlier in 2007. The quality assurance system in Rosebank takes a number of forms. Evidence was available that resident questionnaires had been completed earlier this year and residents were able to confirm that their views are gained on a one to one basis and that they are asked what their views are on the support they receive. In addition this, residents meetings are held on a regular basis. Minutes of these meetings confirmed that residents were asked for their views on the home. Residents have expressed an interest in identifying new
Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 23 activities, outings and holidays of late. The staff team were fully compliant and co-operative during the inspection and the Inspector was able to speak with residents in private if they wished. A number of health and safety issues were examined. Staff interviews, training plans and certificates confirmed that staff had received mandatory training or were about to have refresher training. Records relating to fire systems were checked. A fire drill had been held the day before and all alarms and emergency lighting is tested regularly. All fire extinguishers have also been serviced within the past year. Accidents are recorded appropriately. Approximately nine accidents have been recorded since the last inspection. These related to both staff and residents. One resident had had a number of falls and as a result the risk assessment had been amended to reflect this. The home is secure and all radiators are covered. Water temperatures are subject to temperature control valves yet checks are carried out anyway. Further checks include a health and safety checklist, which is completed at least once a month and enables any issues to be identified. Information is also available to suggest that substances hazardous to health are accompanied with information about possible risks. Two upstairs rooms to the front of the home were viewed. These had windows which opened wide enough to pose a possible risk to residents. It is recommended that these are restricted in such a way as to promote ventilation yet eliminate risks to residents. In addition to this it was noted that no portable appliances in the house have been tested. This is raised as a requirement in this report. Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 24 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 X 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 2 35 2 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 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 25 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. 2. Standard YA6 YA6 Regulation 15 15 Requirement All residents must have a care plan There must be evidence that residents are involved in the care plan review process Previous requirement not met The whistle blowing procedure must be reinforced to staff All staff must be subject to a current criminal records check Proof of identity must be included within personnel records All staff must receive an induction The windows identified during the inspection must be fitted with restrictors Portable electrical appliances must be checked Timescale for action 31/05/07 31/05/07 3. 4. 5. 6. 7. 8. YA23 YA34 YA34 YA35 YA42 YA42 21 19 19 18 13 23 31/05/07 31/05/07 31/05/07 31/05/07 18/05/07 15/06/07 Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 26 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 Refer to Standard YA7 YA24 Good Practice Recommendations Advocacy services should be introduced to individuals where appropriate Garden furniture should be purchased Rosebank DS0000005359.V332940.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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