Inspection on 01/11/07 for Sefton Park Residential Care Home

This inspection was carried out on 1st November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sefton Park Residential Care Home 21/11/06

Sefton Park Residential Care Home 12/01/06

Sefton Park Residential Care Home 01/09/05

Sefton Park Residential Care Home 24/03/05

Sefton Park Residential Care Home 17/07/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Sefton Park Residential Care Home 10 Royal Crescent Weston Super Mare North Somerset BS23 2AX Lead Inspector Nicola Hill Unannounced Inspection 1 & 9th November 2007 09:30 st Sefton Park Residential Care Home DS0000050772.V351872.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 Sefton Park Residential Care Home DS0000050772.V351872.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. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sefton Park Residential Care Home Address 10 Royal Crescent Weston Super Mare North Somerset BS23 2AX 01934 626371 01934 626371 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) Mercia Care Homes Limited Mr Adrian Patrick Cole Care Home 28 Category(ies) of Past or present alcohol dependence (28), Past or registration, with number present drug dependence (28) of places Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to two residents who are over 65 years of age. Date of last inspection 21st November 2006 Brief Description of the Service: Sefton Park provides a residential therapeutic program for up to 24 people aged 18 - 64 years who have alcohol or drug dependency issues. The home is an attractive spacious property situated near the seafront within walking distance of the town centre. The home provides a variety of well furnihed communal areas; there are eight double bedrooms (all en-suite) and ten single rooms. The fees are £545 for week one then £495 thereafter. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We undertook the unannounced key inspection of Sefton Park with the registered manager, Adrian Cole. We spent two days visiting the site and during this time we looked at various records, and spoke with staff and the people who use the service. We also used information from the Annual Quality Assurance Assessment and questionnaires sent to people using the service to inform the judgments made in this report. Sefton Park has been assessed as providing a good level of service. What the service does well: What has improved since the last inspection? The home now lease an allotment for residents to access as well as small greenhouses in the rear courtyard which residents used to raise bedding plants.The home has undertaken a programme of refurbishment which includes the refitting of bathrooms, new carpets and furniture. The manager ensures that policies and procedures are reviewed on a regular basis and are appropriate to the size and purpose of the home. Sefton Park Residential Care Home DS0000050772.V351872.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. Sefton Park Residential Care Home DS0000050772.V351872.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 Sefton Park Residential Care Home DS0000050772.V351872.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): 1-4 Quality in this outcome area is GOOD. This judgement has been made using available evidence including a visit to this service. The home provides a Statement of Purpose that is specific to the individual home, and the resident group they care for. Admissions are not made to the home until a full needs assessment has been undertaken. EVIDENCE: The statement of purpose and the preadmission information were discussed with the manager because the service questionnaire responses that identified that the information had been unclear. We read through the information and noted that there was potential to change the wording so that it cannot be misinterpreted. This action had been taken when we visited on the second day. We also discussed the information given to people who use he service as some responses in the questionnaire recorded that people did not know how to complain. The manager was able to give us a copy of the documentation given to people which had the required information and stated his intention to laminate a copy to remain in each bedroom so it could not be used for other purposes. We discussed the admission process with the manager. Prospective service users can make a telephone inquiry. At this point details are taken in relation to the type of addiction and health status. Based on this initial information a decision is taken whether or not to proceed to the next stage of the process. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 9 The majority of potential service users then visit Sefton Park for their preadmission interview with either the manager or the counselling staff. At this interview information covering all aspects of the person’s life and addiction are obtained and recorded. All potential admissions are reviewed and discussed within the clinical team prior to admission. When situations arise where it is problematic for people to visit the unit, for example those within the penal system or in the process of a detoxification programme, the manager has the capacity to visit them in person. Potentially people can be assessed and admitted on the same day, however, this does not often happen unless agreed in advance following a telephone interview. We discussed with people using the service their experience of the process. Their choices had been influenced by other people such as personal recommendation, either from care managers or from people who had already been through the programme. Both people who spoke with us had attended in person for an assessment and found that the experience of seeing the home and meeting with the assessment team was very reassuring. This was felt to be positive as it took the fear of the unknown away. Sefton Park is situated close to the local shops and facilities. The extent to which people can access the community is dependant on the stage they are at in the programme. People who use the service are supported to go out into the community and participate in therapeutic activities, AA or NA in order to relate to the support networks available to them on discharge. The care home contract for fee payments is made directly with the funding authorities. We saw evidence of financial assessments on people’s files that explained what contribution they were expected to make toward their placement. The service users at Sefton Park are a mixed ethnic group with an age range of 18-55. Equality and diversity is addressed at the initial interview and through the individual care planning. Most areas in the home are accessible to a wheelchair user. Sefton Park Residential Care Home DS0000050772.V351872.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): 6-10 Quality in this outcome area is GOOD. This judgement has been made using available evidence including a visit to this service. The care plan is a working document reviewed regularly involving the person and their representatives if agreed. It is kept up to dated and focuses on how individuals will develop their skills and considers their future aspirations. EVIDENCE: We were able to see evidence that all of the people who use the service had an individual care file. People had their individual treatment needs reflected on the assessments. There was evidence that plans were reviewed and evaluated on a regular basis. Care files included admission assessments, individual care plans, progress documented on daily records and other information relating to the residents’ progression through the programme i.e. peer group feedback. The home also maintains a diary, which is a reflection of the daily lives/events of residents whilst going through the programme of rehabilitation. We discussed with the manager that there was a lack of detail on some care plans and therefore insufficient evidence of the range of activities and methods used to support people through the programme. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 11 The layout of the documentation is good and allows for clear records to be kept however the clinical staff must record interventions so that the care documentation at the home links together and can be used to track people’s progress from the initial referral with the presenting care needs to working through the programme, and the after care required on discharge e.g. housing. The manager agreed to address this with the clinical staff. By the second visit the care documentation had been revised so that interventions are recorded, and that the daily events that had been recorded in the diary, were being recorded individually for each person. This then allowed for cross referencing the therapeutic interventions and progress for each person. The home follows good practice by ensuring that everyone has the house rules explained to them alongside the contract for treatment and the confidentiality contract. We saw evidence of these of file having been signed and dated by staff representatives and people who use the service. The unplanned discharge risk assessment has been expanded to include relapse prevention. Individual choice and decision making is subject to the limitations of the programme, however, the people who use the service stated they were treated as individuals and supported as such. The strict routine and house rules do require a period of adjustment, which varies with the individual. Sefton Park Residential Care Home DS0000050772.V351872.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): 11-17 Quality in this outcome area is GOOD. This judgement has been made using available evidence including a visit to this service. The service has a strong commitment to enabling people who use services to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. EVIDENCE: The programme is abstinence based and has strict limitations on personal freedom. The weekly programme is very full and allows time for therapeutic duties and for completion of written work. The home operates a programme of group therapy and group support so that people learn to deal with issues that arise for them and to support others. The people who spoke with us talked about the disciplined routine and the system for warning people for breaking house rules or not working effectively within the programme. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 13 The system of verbal and written warnings can lead to discharge, and has done so for some people. The positive aspect for these systems was that the people living at the home have to take responsibility for themselves and as part of the community of the home. It was acknowledged that house rules and regime have been successful for many people and should not be changed to accommodate individuals. One person commented that they felt safe within the group and that what was discussed in sessions was confidential and not taken to outside agencies. We asked people their opinion of how the therapeutic duties work at the home. We were told that the duties were good, and that having a house leader who was near completion of the programme was something to work toward. We discussed with the people who use the service if the programme met their needs and were told that the staff were very skilled in their roles; for example, the counsellors discuss the significant daily events on a daily basis. This meeting allows the team to identify and focus on specific issues affecting the residents either individually or as a group. The home is planning to provide additional educational sessions, which give people an opportunity for personal achievement. There are opportunities for people in a group living situation to develop cooking skills, or receive support with issues such as literacy when producing assignments. Limited recreational facilities are provided however some people reflected on the fact they would have preferred more recreation whilst others felt that detracted from the work they were there to do. Contact with friends or family members is limited but people can maintain contact through phone calls and letters; as they progress through the programme people go for structured home visits at weekends. The people who use the service praised the food, its quantity and quality and reaffirmed to us that options were always available to them. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 14 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. Personal support is responsive to the varied and individual needs and preferences of the people who use services. The home has an efficient medication policy supported by procedures and practice guidance, which staff understand and follow. EVIDENCE: None of the people currently at Sefton Park requires support with personal care. All the people who use the service require support through the programme, which is provided through counselling on a one-to-one basis and through group therapy. The house rules are clear on the expectation that people attend to their personal care and are clean and tidy. Some of the people who use the service have health care needs which require external appointments such as hospital treatment, these needs are assessed on admission and local services accessed when necessary. The people who use the service are supported to achieve optimum health and well being. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 15 The medication system was reviewed with the home manager; medication is dispensed from original containers, this is supplied by the chemist and administered by staff who have received training. People are assessed toward the end of the programme for their ability to self medicate. However the prescribed medication is stock controlled and recorded by the staff. We reviewed with the manager the current medication system at the home and found the system to be satisfactory. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 16 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 home has an open culture that allows residents to express their views, and concerns in a safe and understanding environment. EVIDENCE: There is a complaints procedure in place at Sefton Park for people to use. The people who spoke with us stated they were able to raise concerns directly with some staff at the home, and were happy with their response. People can also raise issues through the house leader and at the weekly house meetings. In response to comments receive by us on service questionnaires, the manager has provided additional information about the complaints procedure around the home. We examined the records and found that no complaints had been received at the home. All the staff receive training in abuse awareness and safeguarding procedures; all of the staff provide references and CRB checks are completed prior to starting work. Sefton Park Residential Care Home DS0000050772.V351872.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): 24,30 Quality in this outcome area is GOOD. This judgement has been made using available evidence including a visit to this service. The home is a very pleasant, safe place to live. EVIDENCE: We toured the building with the registered manager. The home is in a good state of repair with adequate funds allocated for maintenance. The rooms are individually and naturally ventilated with windows that have restricted opening. The rooms are centrally heated and where possible there is a thermostatic control accessible people. Emergency lighting is provided throughout the home. On the tour of the home it was noted that the home was very clean and free from offensive odours. The manager is aware of infection control measures, and we were able to see universal infection control measures in place. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 18 There are suitable laundry facilities available for the home. We were able to see the personal protective equipment around the home which is also available for people when carrying out therapeutic duties. The accommodation for people is comfortable and efforts have been made to ensure that furniture matches and that each person has sufficient space. There is a mix of shared and single rooms, but all were very clean and tidy. The manager has ensured that areas of the home have been refurbished i.e. bathrooms, and has embarked on a furniture replacement programme. The people who use the service work together and complete household tasks as part of the therapeutic duties. The grounds are small but there is access to outside space, in addition to this the home has an allotment for people to work in if they wish to. The house has one internal room where people are allowed to smoke, and smoking is also allowed in the rear courtyard. Sefton Park Residential Care Home DS0000050772.V351872.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): 31-36 Quality in this outcome area is GOOD. This judgement has been made using available evidence including a visit to this service. People who use services have confidence in the staff that care for them. Staff members undertake external qualifications beyond the basic requirements. The manager encourages and enables this and recognises the benefits of a skilled, trained workforce. EVIDENCE: Since the last inspection Sefton Park has employed three new staff. The staff all have individual files that contains evidence of a good recruitment process. All staff have relevant qualifications and provided evidence of this through certification. There are references and CRB checks taken up on all employees prior to them commencing work at Sefton Park. The recruitment process followed the established procedure, and we were able to read the induction process new staff follow including the completion of shadow shifts. The manager was able to provide a staff rota, which demonstrated that there are sufficient staff, counselling and ancillary, to maintain the support for people using the service over a 24-hour basis. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 20 The manager also provided individual staff records of training; the courses attended by staff were role specific and enhanced the skill mix and experience of the staff team. We discussed that although the staff team are well trained and experienced the amount of training undertaken over the past year fell short of the expected standard. The manager acknowledged this and will be taking action to access further training for the team and himself. The staff team are supported in various ways, i.e. feedback sessions after therapy groups, daily meetings. The staff receive individual supervision for personal development and training, supervision is given by an outside agency for counsellors, and individual staff groups have staff meetings and one to one sessions. The manager discussed with us the placement of counsellor and social work students at the home. There are records available relating to the student currently on placement, which demonstrated that, a comprehensive programme of education was in place. All students are interviewed prior to the placement, for suitability, and the staff team use this interview as a selection process. References for students are not kept on premises, but are available from placing colleges/organisations should they be required. Sefton Park Residential Care Home DS0000050772.V351872.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): 37,38,40-43 Quality in this outcome area is GOOD. This judgement has been made using available evidence including a visit to this service. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is person centred in their approach, and leads and supports a strong staff team who have been recruited and trained to a high standard. EVIDENCE: The registered manager for the home Adrian Cole is very experienced and continues maintain close contact with people as they work through the programme. We discussed the implications of being the organisational ambassador with a brief for marketing the service as well as achieving the administrative tasks expected of a registered manager. We discussed the potential for additional administrative staff for support. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 22 We observed that there is a strong team identity amongst the staff; we also observed that there were good relationships between the staff and the manager. The registered manager maintains a positive presence in the home, and gives a clear sense of leadership for the staff that enable them to work cohesively as a team. The outcomes for the people who spoke with us were stated to be very positive because of the supportive atmosphere and ‘open approach’ style adopted at the home. There is a degree of informality however this is underpinned by the house rules. The people who spoke with us said they were very satisfied with the service, and felt able to recommend the service to other people. We discussed with the manager the quality assurance carried out at the home which includes collation of information relating to retention rates, satisfaction and completion rates of people who use the service. The home also holds regular reunions, which are well attended and give an indicator to the success of the programme. The homes policies and procedures are reviewed on an annual basis and reflect current legislation and good practice guidance for rehabilitation programmes. The records examined on this visit include :care files daily records medication records health and safety records quality assurance questionnaires staff training information all of which were found to be up-to-date. Records are stored securely in order that access to them is restricted. Individuals can access records on request to the manager. All records held on computer are password protected in accordance with the Data Protection Act 1998. Health and safety, including fire safety, audits are carried out by an external organisation who provide the manager with an plan of action for them to complete. We discussed some of the issues raised by the auditor e.g. COSHH records; there were no areas that presented a risk to the safety and welfare of people who use the service. The manager has purchased health and safety training videos for the home which cover statutory training for first aid, fire safety and food hygiene. In addition to this we observed staff and people who use the service attend a fire lecture on the second day of the site visit. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 23 We looked at the accident records retained at the home, there have been a number of minor accidents since the beginning of 2007; any minor incident which had lead to treatment from an external agency was reported to the Commission via the Regulation 37 process. We were shown records of testing and maintenance of equipment such as the lift. The portable appliance testing records were up-to-date. The fire alarm system testing had been implemented appropriately, with regular testing of equipment. Whilst touring the building there were no areas of concern about the health and safety implementation in the home. The financial accounts for 2006 were available to us and indicated that Sefton Park is financially viable. Sefton Park Residential Care Home DS0000050772.V351872.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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 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 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 X 3 3 3 3 Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 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 Refer to Standard YA35 Good Practice Recommendations The manager must ensure that staff receive up to date training to support developments in the delivery of the programme of rehabilitation provided by Sefton Park. Sefton Park Residential Care Home DS0000050772.V351872.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Sefton Park Residential Care Home DS0000050772.V351872.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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