CARE HOME ADULTS 18-65
Scotch Orchard 55 Scotch Orchard Lichfield Staffordshire WS13 6DE Lead Inspector
Mr David Cowser Announced Inspection 10th December 2005 08:30 Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 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 Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 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. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Scotch Orchard Address 55 Scotch Orchard Lichfield Staffordshire WS13 6DE 01543 264755 01543 268970 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) Staffordshire County Council, Social Care and Health Directorate Miss Kelsay Suzanne Johns Care Home 14 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (2), Learning disability (14), Learning disability of places over 65 years of age (2), Mental disorder, excluding learning disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (2), Physical disability (5) Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 1 September 2005 Brief Description of the Service: Fifty-Five Scotch Orchard is a Local Authority Home that can accommodate fourteen younger adults with learning disabilities; two of the beds are for respite care. The home is located within private grounds in a residential area of Lichfield. Local shops are within walking distance, and the town centre is accessible by public transport. Service users have the use of a minibus. The accommodation comprised of 10 single bedrooms on the first floor and four bedrooms on the ground floor. There are four bathrooms, two of which have an assisted bath, and adequate toilet facilities. The ground floor consists of three lounge/dining rooms, a patio lounge, and a hallway with a seating area. There are adequate service facilities including kitchen and laundry areas. There is a separate respite area on the ground floor incorporating a kitchen/diner, a lounge and two of the ground floor bedrooms. There is a patio area to the rear leading to a large grassed garden. A registered care manager, her deputy, and teams of support workers provide care. NHS professionals and facilities are accessed as and when required. A local GP practice and a pharmacist service the home. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This routine announced visit was made on the 10 December 2005 at 08.30hrs. The inspection was undertaken using the National Minimum Standards for Younger Adults as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to seven hours (excluding time spent on producing/processing the report). The registered care manager was in charge of the home, accompanied by her deputy and five support workers. There were 12 residents in the home, including one person on respite, all receiving care and support for conditions associated with learning disabilities. The inspection included the following elements; a tour of the building, inspection of records relating to provision of care, discussions with residents and relatives, discussions with the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing, quality assurance and health & safety. Since the last inspection there had been no changes to the management of the home. No complaints had been received during the past 12 months, and no additional visits had been necessitated. What the service does well:
Service users had been subject to an in depth assessment prior to admission, and provided with information enabling them to choose the home. They had been able to visit the home and decide that it would meet their aspirations. Written contracts had been signed and agreed by residents/representatives. Residents asked communicated that they were happy with their placements and that they wished to remain in the home. The above aspects had ensured that each resident had been suitably placed, and that the home had the ability to meet their assessed needs. Comprehensive care plans had been completed which addressed the following, individual needs and lifestyle aspects for residents; decision making, participation, risk taking, confidentiality, personal development, education, community activities and social inclusion, leisure aspects, relationships, daily routines including meals and mealtimes. Two residents acknowledged that they understood the care being delivered to them, and that they were in full agreement. The documentation seen on the above had contributed to ensuring that individual needs, choices, and lifestyle preferences had been met.
Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 6 Personal support and healthcare needs of residents had been identified and documented. Healthcare professionals had been involved and NHS facilities had been accessed when required. There was a safe system for the receipt storage, administration and disposal of medicines. A relative and two residents spoke of the staff being very good when they had been required to intervene in health and personal care situations. All the above had contributed to residents personal and healthcare needs being met. No complaints, or resident related concerns, had been raised during the past twelve months. Service users had been protected from all aspects of abuse, and no incidents had been reported. A relative spoke of the very good communication with the management and staff, and that any query or observation was always addressed. The above had contributed to the protection of residents. The premises were fit for purpose and provided a safe environment for residents, staff and visitors. A homely atmosphere had been created, and the premised were clean, warm and tidy. Adequate areas for residents were provided including: communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities including catering and laundry were adequately provided. Two residents asked stated that they were very pleased with the home and the facilities. Staffing levels were adequate to meet the assessed needs of service users. Staff collectively had the necessary skills and abilities required, and further individual training was being undertaken. Staff were seen working well as a team, and their was very good interaction with residents. Visitors spoke highly of the manager and her staff. Staff supervision had been undertaken and documented. Three residents indicated that they were very happy with the staff. The above staffing issues had contributed to the support and protection of service users and the high standards of care delivered. The home was managed well and run in the interests of service users. There was an open and positive approach by the manger and her deputy. Quality assurance aspects were addressed and the policies and procedures of the home were seen to be up to date and relevant. Health and safety aspects had been given a priority and safe working practices were evidenced. Monthly inspection visits were undertaken, and recorded, by the line manager for the home. The reports seen were very positive. The above had contributed to the protection and well being of service users, staff and visitors. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 7 What has improved since the last inspection? 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. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 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 Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3,4,5 Service users had been suitably placed in a home that had the ability to meet their established needs. Individuals had been able to make an informed decision about choosing to stay in the home, which met their aspirations and needs. EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been able to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Two residents spoken to have visited the home prior to deciding to stay, and this was seen documented within the care plans. A full assessment of each residents needs had taken place before admission and this was seen documented. The community care management assessments provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. A resident asked confirmed that he had been fully involved and was in agreement with the assessment. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 10 A resident and a relative asked were aware of the service users guide. The guide and the statement of purpose for the home were seen available, and were up to date and correct. All of the above had contributed to residents and their representatives being able to make an informed choice about a stay in the home. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,8,9,10 Service users needs and choices had been fully documented and met, with individual consultation and involvement. EVIDENCE: Two service users, and a relative spoken to, all commented positively about the care being provided. The personal centred plans and associated documentation seen were well written, meaningful and reflected the current status of residents. The plans seen covered all aspects of care and levels of support, including details of any agreed restrictions. Hazards and risks had been identified and risk assessments were seen completed for the home and the individual, including behaviour management strategies. Individuals had been supported in taking risks where appropriate. A total of three plans were examined in greater depth, with a check on all aspects of care starting at the pre admission assessment stage. All plans seen had been regularly reviewed. The involvement of the service user/representative had been recorded.
Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 12 Three residents communicated that they understood the arrangements in the home and the activities that they would be involved in during that day. The system of pictorial communication symbols should be further developed for the benefit of the residents identified, as agreed. Residents were seen involved with the day to day running of the home and were encouraged to participate. This was also evidenced in the documentation seen. Records were seen securely kept, and also assurances were given that confidences had been maintained. The service users were observed being supported to make decisions and be involved in the running of the home. All were encouraged and assisted, by key workers knowledgeable of individual preferences, to make decisions on aspects such as handling money and promoting independence. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11,12,13,14,15,16,17 Service users have opportunities for personal development and a community presence, including leisure activities and both personal and family relationships. A healthy diet is promoted with a flexible approach. The rights and responsibilities of individuals are reinforced, along with autonomy and choice. EVIDENCE: Independent living skills were seen being promoted, with autonomy and choice being encouraged. The service users were involved in valued and fulfilling activities and this was seen documented. There was an involvement with the local community where a good relationship existed. Leisure activities had been accessed and recorded. Documentation confirmed that local transport had been used to access local facilities such as leisure centre, shops, and pubs. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 14 The feedback from the homes quality audits, and the reply cards from residents/relatives seen, had all been positive about the above aspects. Each resident attended a day centre during the week where there was a structured approach to activities, and they spoke of their appreciation of this. Annual holidays had been arranged and enjoyed by three service users during the summer, following consultation. However one service user who had not been given the opportunity to go on a holiday had previously expressed disappointment. All Service users should have the option of a minimum sevenday annual holiday. It is understood that this is currently being considered. Links had been maintained with the service user’s family and friends, and two residents and a relative confirmed this. One parent had been unable to visit the home, and the staff had arranged transport and facilitated visits for her. Daily routines in the home were seen promoting independence and choice. Catering standards were good, and dietary requirements and preferences were being met, with flexibility. Residents were encouraged under supervision to use two kitchen areas within the home for preparation of meals and drinks. The main kitchen was staffed on a daily basis and the quality and presentation of meals was good. All catering documentation seen was up to date and correct. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20, Personal and health care needs were being well met, with appropriate support being given, and a safe system was in place for medicines. EVIDENCE: Personal support was being delivered in a flexible and sensitive manner, which promoted independence, privacy and dignity. Reference to these aspects was seen within the policy documentation and staff confirmed their knowledge of this when asked by the inspector. Service user views had been accommodated by staff having sound knowledge of the individual. Same gender care was being delivered in privacy. NHS facilities and professional staff such as district nurse, community psychiatric nurse, and speech and language therapist had all been accessed when required and records evidenced this. Identified healthcare needs were seen being met and recorded. Residents had been helped to make their own decisions with their GP and health professionals and this had been documented. Where appropriate weights had been recorded. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 16 The manager had been in regular contact with professional services and the sessions for residents with councillors and psychologists were seen documented. Since the last inspection two resident had been referred to an accident and emergency department. Staff had been made aware of potential accidents/incidents during their supervision and this was confirmed to the inspector. A safe system was seen in place for the receipt, storage and administration of medicines, and no errors were noted. Self-medication was not appropriate for the current service users. Certificated training had been completed for all staff administering medicines. The community pharmacist had conducted regular inspections, which were seen documented. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23 An open culture existed where complaints are listened to and acted upon, residents are protected from all forms of abuse, and their legal rights are also protected. EVIDENCE: An inspection of the records showed that no complaints had been received since the last inspection. Several ‘thank you’ cards and positive comments, from relatives and service users, had been received. A complaints procedure was on display and available to all service users and visitors to the home. One resident and a relative told the inspector they had no problems with making a complaint and that they were happy with the home. The manager and a support worker when asked knew how to handle a complaint and how to comply with the published complaints procedure. Policy documentation was seen which covered safeguarding service users against abuse of all kinds. The care staff when asked was knowledgeable on the vulnerable adults policy. Aspects such as whistle blowing and bullying were covered in policies. These matters had been discussed at supervision and were part of the induction. No incidents or allegations of abuse of any kind had been reported or brought to the attention of the home manager or the CSCI. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,26,27,28,29,30 The home was clean, pleasant and hygienic, and provided a suitable and safe environment for the provision of care. EVIDENCE: A tour of the buildings, and a check on the maintenance documentation, evidenced that the premises were fit for purpose, clean warm and tidy, and were being maintained. All bedrooms were single occupancy. Two residents were happy to show their rooms and said that they were happy with their surroundings. The lounges and communal areas had been tastefully furnished and there was a very homely atmosphere in existence. The laundry and catering facilities were also good. The toilets, baths and showers, provided were suitable and well placed within the home. Independence of residents was promoted with adaptations and equipment being provided when required. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 19 The duty rosters evidenced that adequate ancillary staff were employed. Staff when asked had knowledge on hygiene issues, and referred to the relevant documentation. Adequate hand washing facilities were available throughout the home. The home was very clean and it was evident that the manager and her staff had high standards. The records evidence that maintenance of the premises was being given a priority. The grounds and gardens were seen to be well maintained and were appreciated by residents spoken to. There are no outstanding issues known from the Fire Prevention or Environmental Health departments. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,32,33,34,35,36 Adequate numbers of suitably trained and experienced staff are correctly employed to support, protect and meet the assessed needs of residents. EVIDENCE: The records seen and a discussion with the staff evidenced that, individually and collectively, they had the necessary experience and skills to meet the assessed needs of the current service users. The registered care manager was in charge of the home, accompanied by her deputy and five support workers. There were 12 residents in the home, including one person on respite, all receiving care and support for conditions associated with learning disabilities. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 21 The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. A manager and five support workers had been on duty or exceeded for the 13 service users (currently one on leave). Residents communicated that the staff were there when they wanted them. The four vacancies should be filled with support workers on permanent contracts. (Temporary staff that regularly attend and provide continuity are currently covering these shifts). Additional staff hours were provided for hospital appointments or activities, as required. The home employed a multi skilled team who worked together well to meet the needs of the service users. It was evident during the inspection that staff were approachable, accessible and listened to the residents. The manager and support workers present demonstrated that they understood the disabilities and specific conditions of each service user, and they had the knowledge and skills to meet those needs. The records seen evidenced that in addition to the registered manager 18 support workers were employed, of which seven (39 ) were trained to NVQ level 2 or above. The records evidenced that induction and NVQ training had now been given a high priority. This training should continue to ensure that 50 care staff achieve NVQ level 2 qualifications. All staff were now involved in the learning Disabilities Award Framework (LDAF) training. Staff files seen confirmed that a variety of training is offered to staff within the home. The training certificates seen included; fire prevention, manual handling, medicines, health and safety, risk assessments, first aid, basic food hygiene and conflict management. A training needs assessment had been carried out for each member of staff, and training was now being given a high priority by the manager. Training was being facilitated to meet the changing needs of the service users. Regular staff supervision had taken place, where training issues had been discussed. The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff asked stated that they had job descriptions and contracts of employment. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,38,39,40,41,42,43 A competent and well-experienced care manager is managing the home, in the best interests of service users, and in an open an inclusive atmosphere. The home has safeguards for the health, safety and well being of residents’, staff and visitors. EVIDENCE: The registered Care Manager has achieved the required qualifications and has the necessary skills and experience to run this home. Throughout this visit the manager portrayed excellent managerial qualities and knowledge in this field. An open positive and inclusive atmosphere was evident in the home during the inspection, and was confirmed by a member of staff, two service users and a visitor. A relative and a service user asked told the inspector that they would have no problem in raising a perceived problem or making a complaint to the manager. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 23 The line manager monitors the home on a monthly basis for quality. Quality assurance questionnaires had been sent out to service users and relatives, and monitored. It was pleasing to note that a good relationship had been established with relatives and that their comments to the manager on the running of the home had been taken into consideration. The manager stated that the yearly development plan was linked to the service users individual plans and the stated aims and objectives of the home. The home written policies and procedures were observed to comply with current requirements and legislation. Professional standards and relevant topics were addressed. The police documentation seen had recently been amended and updated, as previously discussed. Records were kept up to date and securely stored. Service users told the inspector that they had access to their personal records if they wanted. Their signatures were seen on relevant documents, and it was evident that each service user had been fully aware of the documentation held about them. There were no breaches noted of the Data Protection legislation. Throughout the inspection, and tour of the premises, no breaches of health and safety legislation were noted. Health and safety issues were high on the manager’s agenda and a support worker when asked was knowledgeable on this subject. The fire alarm tests, emergency lighting tests, portable electrical equipment tests and hot water checks were all seen up to date and accurate. A ‘Landlords gas safety certificate’ should be completed on an annual basis, as previously agreed with service development manager. The overall management of the service had ensured that the home was adequately funded, with no shortfalls. Assurances were given that the Local Authority adopted suitable accountancy and financial procedures. The current public liability insurance certificate was see as correct. Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 4 3 3 3 Standard No 22 23 Score 4 4 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 4 16 3 17 Standard No 31 32 33 34 35 36 Score 4 3 3 4 3 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Scotch Orchard Score 4 4 3 x Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 3 3 4 DS0000034865.V269917.R01.S.doc Version 5.0 Page 25 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard YA14 YA8 YA33 Good Practice Recommendations Service users should have the option of a minimum seven day annual holiday. This is currently being considered. The system of pictorial communication symbols should be further developed for the benefit of the residents identified, as agreed. The four vacancies should be filled with support workers on permanent contracts. (Temporary staff that regularly attend and provide continuity are currently covering these shifts). A ‘Landlords gas safety certificate’ should be completed on an annual basis, as previously agreed with service development manager. Training should continue to ensure a minimum of 50 care staff achieve level 2 NVQ qualifications, as agreed. 4 5 YA42 YA32 Scotch Orchard DS0000034865.V269917.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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