Inspection on 26/06/07 for 20 Rye Road

This inspection was carried out on 26th June 2007.

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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

20 Rye Road 25/01/06

20 Rye Road 08/09/05

20 Rye Road 16/02/05

20 Rye Road 16/07/04

20 Rye Road 27/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Rye Road, 20 London SE15 3AZ Lead Inspector Ms Alison Pritchard Unannounced Inspection 26th June 2007 Rye Road, 20 DS0000007112.V343196.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 Rye Road, 20 DS0000007112.V343196.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. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rye Road, 20 Address London SE15 3AZ 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) 0207 639 8401 www.choicesupport.org.uk Choice Support See standard 37 Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: 20 Rye Road is a care home providing personal care and accommodation to two people with a learning disability. Both of the current residents are men and there are no vacancies. Choice Support, a voluntary organisation, provides the care and owns the building. Choice Support manages a significant number of residential and other services for people with learning disabilities. The home is an end of terrace house situated in a residential street; it is indistinguishable from the other houses in the area. The home is within walking distance of public transport routes and community facilities, which include shops, churches, pubs and cafes. The two single bedrooms and bathroom are on the first floor. There is a garden to the rear. Information about the current cost of placements, the home’s systems for informing potential residents about the service and current residents about CSCI reports has been requested for inclusion in the final report. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out over the afternoon and early evening in late June. The inspection methods included observation of care practice; discussion with residents and staff; inspection of residents’ files and a range of records and policy documents. Involved professionals were sent survey forms so that they could contribute to the inspection process. The CSCI also has access to information gathered through notifications from the home. A CSCI document called ‘Annual Quality Assurance Assessment’ was completed by the Assistant Service Manager of the home in advance of the inspection and returned it to the inspector. All of this information has been taken into account in compiling this report. The Assistant Manager, residents and a support worker assisted with the inspection. They were helpful and courteous throughout the process. What the service does well: What has improved since the last inspection? When an inspector last went to the home they said that some things had be improved. the things that have improved since then are: • The kitchen has been improved by fitting a new worktop; buying a new refrigerator and freezer; there is enough space to eat at the dining table. • There is better contact with other people involved with residents’ health care. • A permanent manager was been appointed in November 2006. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 7 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 Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 8 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): 1, 2, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home and a potential resident have enough information to decide whether it would be an appropriate place for the person to live. Residents have a contract to make sure that they are told about their rights and responsibilities. EVIDENCE: The ‘service user guide’ for the home is written using plain English and pictures. The information is clear, easy to understand and would give anyone thinking of going to live at the home a good idea of what it is like. The document is also available in other formats, including on tape, CD or in a range of languages. Choice Support plans to make the service user guide available on a DVD during the next year. There are no vacancies and there have been no admissions since 2005. Choice Support’s policy is to encourage people who are thinking of moving to any of their homes to visit and meet the other residents so that they can all decide whether the move would be a good thing. Information is gathered from the referring authority before someone moves to the home so that they are clear about the person’s needs. When someone moves to the home there is a twelve week trial period so that the resident and the home can then review how the placement is going and make any changes necessary. Each of the residents has been given a copy of the contract which describes the rights and responsibilities. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 9 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, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported to make decisions about their daily lives and goals for the future. Residents’ views are incorporated into the management of the organisation generally. EVIDENCE: The home uses the person centred planning model for care planning and both of the residents have support plans in place. Residents are fully involved with the planning system, they meet with their key worker every six to eight weeks to look at how they are progressing towards their goals and to make any necessary changes. Reviews of the placements have taken place shortly before the inspection. residents attended the meetings and people involved with their care including their advocate, social worker, health care professionals and representatives from Choice Support and the home attended the meeting. The residents’ goals were defined on the plans. Programme plans describe how staff should support them to achieve the goals. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 10 The managing organisation has links with a service called ‘Customer Watch’ which is a forum through which people with learning disabilities can express their views on the services provided through Choice Support (Southwark). This ensures that the opinions of service users generally are included in the overall planning of the organisation. Residents’ files included risk assessments to support them in activities which may include some degree of risk. These included consideration of residents’ safety while away from the home. The assessments identify the action to be taken to minimise the risks involved and are regularly reviewed. Residents’ personal information is stored with due regard for confidentiality. Choice Support is registered under the Data Protection Act and there is a confidentiality policy to ensure that staff handle residents’ personal information with care. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 11 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): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents have active lives and take part in a range of activities both in the community and at home. They are supported to keep in touch with family and friends. Meals are good and meet residents’ nutritional needs. EVIDENCE: Both of the residents have active lifestyles, attending day provision for people with learning disabilities and general provision in the community. One of the residents has a part time job working at a City Farm. The residents attend an art project and examples of their work were displayed in their rooms. Other activities include trampolining, line dancing, cycling and attending a social club. The residents travel to activities using public transport. All of the activities in which the residents take part are appropriate for their ages and cultures and enable them to mix with a range of people. They use local resources, such as libraries, leisure centres, pubs and cafés and have formed relationships with their neighbours. Both of the residents attend a local church. The home plans to support both residents to choose and book Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 12 holidays. Plans for summer day trips were being discussed at the most recent staff meeting. Residents also take part in household tasks with the assistance of staff, for example planning and preparing meals, vacuuming, doing the laundry and shopping for the home. Residents are supported to keep in touch with their families and friends. One of the residents had held a barbecue in the garden for his birthday party and invited a lot of friends to the event. The resident said how much he had enjoyed it. Residents can choose when to spend time alone. There are no unnecessary or unreasonable restrictions on the residents’ movement about the home. Residents have keys to their bedrooms. Menus are planned with residents to meet their cultural and nutritional needs and their preferences. One of the residents said that he likes the food in the home. Food stocks and menu records showed that the meals are varied and include fresh items. A bowl of fresh fruit was available in the kitchen and there were stocks of fresh vegetables available. The evening meal on the day of the inspection was of fish and vegetables, it looked tasty and nutritious. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 13 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, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the consistent care which the small staff team is able to provide. Some of the documents about the residents’ health care needs contain inaccuracies and need changing so that staff have full information about residents’ needs and how to meet them. The residents’ safety with regard to medication will be further assured if staff always record the reasons they gave medication on an ‘as needed’ basis. EVIDENCE: The low staff turnover and rota arrangements ensure that there is consistency of care for the residents. Each resident has a key worker who is familiar with their needs. Guidelines are in place to ensure that the staff team are all aware of care planning goals and how they can assist residents to achieve them. The goals include encouraging independence in personal care tasks. Three of the staff team are male as are the two residents, however none of the staff team share their ethnic background. Occasionally there are disagreements between the residents. The staff have reference to guidelines to deal with these incidents so that there is consistency of approach. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 14 The residents’ health care needs are described in a booklet called ‘my health’. One of the documents had some entries which had been typed wrongly making it difficult to understand. This could indicate that the document was not proof read after typing and is referred to infrequently. There are good relationships with health care professional from the multidisciplinary team specialising in the health care needs of people with learning disabilities. There was information that showed regular contact from the home with the GP, speech and language therapists, psychiatric services, chiropody and dentistry services. If a procedure is such that a resident is unable to give consent then ‘best interests’ procedures are followed to reach a decision about what is the best course of action to take. A range of interested people, including family members and advocates are involved in this process. None of the residents look after their own medication. The medication administration record showed that staff are giving the regular medication properly. One resident has an item of medication to be given on an ‘as needed’ basis. the record was completed for when this was given, but the reasons why it was given were not recorded on the reverse of the medication record as required. Medication is stored safely and there are systems in place to make sure that enough medication is in stock. A pharmacist from Southwark PCT visited the home in January 2007 and found that medication was ‘generally well managed – no concerns’. Medication reviews are arranged with the GP. Staff undertake training courses in the management of medication and their competence to administer medication is assessed annually. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 15 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, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints and adult abuse policies and procedures contribute to the safety of residents. Records of complaints must be available in the home for inspection. EVIDENCE: The residents have a range of formal and informal methods that they could use to express concerns. The complaints procedure meets the legal requirements and is included in the information given to residents at the time of their admission. There were no records of previous complaints available for inspection although there had been a complaint made to the home in 2006. The inspector was informed that the previous complaints records had been archived. The complaints record is one of the records that must be available for inspection in the care home for a period of not less than three years so a requirement has been made about this. Residents’ meetings are held each month and can be used for discussion of problems, as could discussions with key workers and informal contact with staff. There are clear procedures in the home to make sure that residents’ finances and valuables are kept safe. Checks of the financial records are carried out by the Team Manager each week. The Assistant Service Manager also makes checks of the records and will recommend improvements to the systems as necessary. The Annual Report issued by Choice Support includes information that the organisation has conducted a thorough review of their policies, procedures and Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 16 training to ensure that they are aimed at the protection of people who use their range of services. Choice Support introduced a new ‘safeguarding adults policy and procedure’ in March 2007. The judgement of the CSCI is that this is a thorough document, which is clearly written, and links all the aspects of safeguarding. The policy also introduces a new initiative of an internal protection committee. Staff have received training in adult protection issues. It is judged that this demonstrates that Choice Support is actively working to improve processes and practice. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 17 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, 25, 27, 28, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents benefit from comfortable and homely conditions. A better standard of cleaning in the dining area will improve conditions. Residents’ privacy must be protected by ensuring that curtains and blinds are fitted to the bathroom and a bedroom without delay. EVIDENCE: The home has had some redecoration undertaken and is homely, comfortable and safe. The communal areas consist of a living room and a kitchen–dining room, both located on the ground floor. There is access to a back garden from patio doors in the kitchen. On the first floor of the home are the two residents’ bedrooms, a bathroom and an office, which doubles as a sleeping in room. The two residents showed the inspector their bedrooms and pointed out things that they like about their rooms which included their photographs, artwork and decorative lighting. One of the bedrooms had a wardrobe from which the door had become detached. A new wardrobe was to be bought and consideration taken of the need for a good quality item to withstand wear and tear. A lampshade was missing from one bedroom and needs to be replaced. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 18 One of the bedrooms had only net curtains at the window and the inspector was concerned that these did not adequately protect the resident’s privacy. This was discussed with the Assistant Manager who showed the inspector new curtains, which had been chosen by the resident, were in the office and fitting had been requested. This matter was also discussed with the Manager of the home on the day after the inspection and she agreed to ensure that the work was carried out that day. The bathroom was of a satisfactory standard in terms of cleanliness but concerns were raised about the privacy afforded to residents. The roller blind was broken and although the window was frosted it did not assure residents sufficient privacy. The living room is comfortable and new furniture and curtains have recently been provided for the room. A resident had recently bought a fish tank and fish for the room and he is pleased with the purchase. New garden furniture has been bought for the garden which is a pleasant space. The residents are keen to do gardening and it is planned that improvements will be made to make this easier for them. The kitchen has a dining area with table. It is a good sized room and suitable for its purpose. However the walls by the dining table were stained and an air conditioning unit on the wall was very dusty. The room needs to be cleaned to a higher standard and consideration given to redecoration to improve conditions. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 19 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): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough well trained staff to meet residents’ needs. EVIDENCE: The staff team consists of the Manager, an Assistant Manager and three support workers, one of whom is part time. Vacancies caused by annual leave and sickness are generally filled by members of the staff team working additional hours, this was the case on the day of the inspection visit when the Assistant Manager worked an additional shift. This also allows consistency of care for the residents. There is a low turnover of staff with just one person having left their post at the home over the least year. Three of the staff team are male allowing same gender care to be provided for a proportion of the time. None of the staff team share the residents’ ethnicity. The rota showed that in the afternoon and evening there are always two members of staff on duty allowing individualised care to be provided. At nighttime one staff member sleeps in the home. Additional assistance and advice is available from managers through the on call system. 80 of the staff team hold an appropriate qualification (NVQ2 or higher, or an equivalent qualification). This exceeds the standard required. During the visit staff demonstrated good awareness of residents’ needs. The training and development plan for the home reflects the residents’ needs. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 20 There is a ‘debriefing’ service which staff may call if they are involved in dealing with difficult incidents. Staff meetings take place regularly, the most recent was at the end of April 2007. Supervision takes place at approximately six weekly intervals. Information was provided prior to the inspection confirmed that all of the people who work at the home have had satisfactory pre-employment checks. The organisation plans to involve residents in the recruitment process. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 21 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, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the organisation takes into account residents’ views in the planning and monitoring of services. Health and safety is well managed but confirmation is needed that staff are trained in safe food hygiene practices. EVIDENCE: The team manager was appointed in November 2006, she is also managing another registered home in East Dulwich, which is also part of Choice Support. The manager has informed the inspector that she is gathering all of the information and documents required to make an application for registration under the Care Standards Act 2000. The information provided prior to the inspection is that she is experienced in working with people with learning disabilities and holds appropriate qualifications in management and care. The Assistant Service Manager visits the home regularly to provide additional management support. Visits by other managers take place as required by regulation. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 22 The managing organisation, Choice Support, has a business plan from which objectives for the home have been drawn. These are centred on the further involvement of the residents in the running of the organisation, for example through Customer Watch and through taking part in staff recruitment. The Directors, Managers and Trustees of Choice Support meet regularly with representatives of service users who sit on a ‘service user forum’. They are involved with reviews of policies and procedures and two people with learning disabilities are part of the organisation’s Quality Assurance sub-committee. The health and safety log showed that the manager confirmed on 6th June 2007 that the appropriate checks have been conducted. Tests of the electrical equipment were made in April 2007, the operation of the fire alarms is tested weekly (most recently on 22nd June 2007), a fire drill took place in the last six months and a fire risk assessment is in place. The information provided prior to the inspection visit was that none of the staff have received training in safe food handling. Other information confirmed that the appropriate checks have been undertaken and training provided. Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 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. 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 4 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 2 26 X 27 2 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 3 X X 2 X Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 24 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 YA19 Regulation 12(1)(a) Requirement Timescale for action 01/09/07 2. YA20 13(2) 3. YA22 17(3)(b) 4. YA25 16(2)(c) The Registered Person must ensure that the documents describing residents’ health care needs are accurate. The Registered Person must 15/08/07 ensure that records are made of the reasons for giving medication given ‘as needed’. The Registered Person must 15/08/07 ensure that records of complaints are available for inspection in the home for a period of three years from the date of the last entry. The Registered Provider must 15/08/07 ensure that the residents’ bedrooms are kept homely by fitting a light shade The Registered Provider must confirm that residents’ privacy is maintained by fitting a blind in the shower room and curtains in the front bedroom. The Registered Person must improve cleanliness in the kitchen by cleaning the walls by the dining table the air conditioning unit on the wall was DS0000007112.V343196.R01.S.doc 5. YA25 YA27 12(4)(a) 16(2)(c) 15/08/07 6. YA30 23(2)(d) 15/08/07 Rye Road, 20 Version 5.2 Page 25 very dusty. 7. YA42 16(2)(j) The Registered Person must confirm that staff have had food hygiene training so that they know how to deal with residents’ food safely. 15/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 © 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 Rye Road, 20 DS0000007112.V343196.R01.S.doc Version 5.2 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. 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