Inspection on 21/10/08 for Selwyn House

This inspection was carried out on 21st October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Selwyn House 25/10/06

Selwyn House 09/01/06

Selwyn House 03/12/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Selwyn House Selwyn House 52 Southway Drive Yeovil Somerset BA21 3ED     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: kathy McCluskey     Date: 2 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Selwyn House 52 Southway Drive Selwyn House Yeovil Somerset BA21 3ED 01935479143 Telephone number: Fax number: Email address: Provider web address: SEDougherty@somerset.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Sandra Dougherty Type of registration: Number of places registered: Somerset County Council (LD Services) care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Service Users may be admitted who have concurrent physical disabilities and/or sensory impairment Service Users will be admitted for a maximum of 3 months between each admission and discharge Date of last inspection Brief description of the care home Selwyn House is registered with the Commission for Social Care Inspection to provide short term respite care for up to 10 people who have a learning disabilty. They may also provide care to those who have a concurrent physical disability and/or sensory impairment. The home is not registered to provide nursing care. The registered provider is the Somerset County Council (LD Services). The responsible individual is Mr David Dick. The registered manager is Mrs Sandra Dougherty. The home is situated in a quiet residential area close to the town of Yeovil. Accommodation is arranged at Care Homes for Adults (18-65 years) Page 4 of 32 Over 65 0 10 Brief description of the care home ground floor level. The home has been suitably adapted to meet the needs of people with a physical disability. Care Homes for Adults (18-65 years) Page 5 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced key inspection was conducted over one day (5.5hrs) by CSCI regulation inspector Kathy McCluskey. The registered manager was available for the duration of the inspection. We were given unrestricted access to all parts of the home and all required records were made available to us. The homes completed Annual Quality Assurance Assessment (AQAA) was returned to the Commission within agreed timescales. The AQAA is a self assessment which focuses on the quality outcomes for the people using the service. It also provides us with some nummerical information. Extracts from the AQAA have been included in the Care Homes for Adults (18-65 years) Page 6 of 32 report as appropriate. At the time of this inspection, nine people were using the service. We were able to meet with four people and talk to two indepth. We were able to speak with all staff on duty. Comments have been included in the report as appropriate. We would like to thank all concerned for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the care home does well: What has improved since the last inspection? What they could do better: Although the home have procedures in place to ensure that people thinking about using the service are appropriately assessed before a placement is offered, we found at this inspection that this was not always being followed. We found that a person had been placed at the home and that the home had not been given the opportunity to conduct an appropriate assessment. The home did not have any information on the needs of the individual and the registered manager and staff expressed concerns about being able to meet the individuals needs. A statutory requirement has been raised. We also found that some people had been using the service for longer than the required respite stay of three months. To ensure that the home provides a service in line with its statement of purpose and conditions of registration, a requirement has been raised. Care Homes for Adults (18-65 years) Page 8 of 32 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 32 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 32 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with information about the home which will assist them to make an informed decision about using the service. People are given the opportunity to test drive the home so that they can be sure the placement is right for them. The home are not always ensuring that people are appropriately assessed before being offered a placement at the home and this means that an individuals assessed needs are not always met. The home need to ensure that placements are only offered to people who require short term/respite care which does not exceed three months. Evidence: The home has produced a service user guide and statement of purpose which provides people using the service, people thinking about using the service and their Care Homes for Adults (18-65 years) Page 11 of 32 Evidence: representatives with information about the home and the services offered. The registered manager told us that the service user guide was also available in alternative formats and that this document was currently being updated in a more simplified format. The homes completed Annual Quality Assurance Assessment (AQAA) stated that preadmission assessments are completed by the team leader during the first visit with the individual thinking about using the service. We were able to see evidence of a preadmission assessment in a care plan examined. During the inspection we raised concerns regarding one person who had been recently admitted to the home without having had their needs assessed and it was apparent that the home were unable to meet this persons needs. Concerns were also expressed by the registered manager and by two staff spoken with. We were informed that the home had not been invited to attend any discharge meeting and had been advised that the individual would be admitted to the home. The home had no information about the individuals assessed needs and did not have a copy of the hospital discharge summary. The individual was admitted from hospital following an operation for a fractured hip. The home had no information about any aftercare, physio or special equipment required and there was some confusion regarding current medication prescribed. During the inspection a GP visited the individual as the home were concerned about his health. We were advised that the GP indicated the individual was inappropriately placed and would be more appropriately placed in nursing care. Although it is acknowledged that both the registered manager and staff raised concerns about the appropriateness of the placement, the registered manager must ensure that nobody moves to the home without having their needs fully assessed and that any available assessments are obtained from appropriate health care professionals. Placements must not be offered unless the registered manager can demonstrate that an individuals assessed needs can be fully met by the home. No concerns were raised about the homes ability to meet the needs of other people using the service and staff confirmed that they had the skills and training to meet peoples needs. We were informed that there were currently three people using the service who had exceeded the homes conditions of registration of a maximum of three months stay. The registered manager advised that a planned discharge had been planned for one person and that appropriate accommodation was currently being finalised for another. The home must ensure that placements are only offered to people in line with the homes Statement of Purpose (Short term/respite care) and conditions of registration. The homes completed AQAA stated that people thinking about using the service are given the opportunity to visit the home before making a decision to move there. The Care Homes for Adults (18-65 years) Page 12 of 32 Evidence: registered manager told us that people are invited for tea and overnight visits to enable them to make an informed decision to move there. Care Homes for Adults (18-65 years) Page 13 of 32 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensure that people have a plan of care which is reflective of their assessed needs and aspirations. People are supported to make decisions about their lives and any restrictions are agreed as part of the risk assessment process. People can be confident that information about them is handled appropriately. Evidence: We examined two care plans in depth. These contained detailed an up to date information about the assessed needs of the individuals. Information about how the individuals assessed needs should be met were clearly set out and details about the individuals preferences, abilities and goals had been included. Communication and behavioral support plans were also in place. Detailed information was also in place relating to any moving and handling needs. There was evidence of specialist heath Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: care professional input and evidence that people had access to GPs. We were informed by staff that regular meetings are held where people using the service are discussed and their care needs reviewed. We were able to see documented evidence of this in the records examined. We spoke with three care workers during this inspection and all confirmed that they were fully involved in the care planning process. We were able to speak with two people who had recently used the service and both were positive about the care and support they had received. People are supported to make decisions about their lives and any restrictions are agreed with risk assessments developed where appropriate. Those seen were up to date and had been signed by all staff. Given the nature of the service provided, people are advised to only to bring in small amounts of personal monies. At the time of this inspection we were informed that the home were not assisting anybody to manage their personal finances. At the time of this inspection, all information pertaining to people using the service was found to be up to date and appropriately stored. The home has policies for staff in relation to confidentiality. Care Homes for Adults (18-65 years) Page 15 of 32 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to develop and maintain independent living skills. The home ensure that people have access to a range of leisure activities which meet with their preferences and abilities. People are able to choose from a healthy menu and the home ensures that any dietary preferences or needs are catered. Evidence: People using the service are supported to maintain and develop independent living skills. All staff have received appropriate training to enable them to communicate with people who have communication difficulties. During the inspection we observed positive interactions between staff and the people using the service. On arrival at the Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: home one person was vacuuming and they confirmed that this was something that they liked to do. The home supports people to continue with any educational or work placements during their stay. Two people using the service told us that they were supported to access a local day centre. The home does not have transport but we were informed that designated staff transport people using their own cars for which they have appropriate insurance. We were informed that people are also supported to attend local churches if they wish. We were able to see evidence that people are supported to maintain contact with their families. One care plan examined contained detailed information regarding agreed contact details and this had been produced in an appropriate format for the individual concerned. As previously mentioned, the home supports people to continue with any work, educational or recreational activity during their stay and a programme is developed for each person. The routines within the home are flexible to meet the needs of the people staying there and people are supported to spend their free time as they choose. This was confirmed by two of the people spoken with during the inspection. They told us that they made choices around what time they got up and went to bed and that they could choose where to spend their day. One person showed us their bedroom which they had personlised with some of their possessions from home. People are given a key to their bedroom door and it was evident that staff respect peoples privacy. Care plans examined contained information about peoples dietary preferences and also included details of any special dietary needs. We were able to see that the home had liaised with family members as appropriate. Information was also available in the kitchen area of the home. The home has a four week seasonal menu which is produced in pictorial format for people. The days menu was seen to be clearly displayed. We were informed that as many people are out during the day, the main meal is enjoyed at tea time. This meal is prepared by staff though people are supported to make sandwiches and snacks. This was observed during the inspection. People using the service told us that the food was good and that there was plenty to eat. Staff told us that they had been given training to meet the needs of people who had specialised dietary needs. Training records confirmed this. Care Homes for Adults (18-65 years) Page 17 of 32 Care Homes for Adults (18-65 years) Page 18 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensure that people are offered assistance to meet their personal hygiene needs in line with their preferences and assessed needs. People have access to appropriate health care professionals and are able to remain with their own local practitioners. The homes procedures for the management and administration of peoples medication are generally good though action to address some good practice recommendations would further improve this. Evidence: Care plans contained information for staff as to individuals preferences and needs with regard to meeting personal hygiene needs. Care plans also contained evidence that people have access to appropriate health care professionals. We were informed that, providing it is within the local area, people can remain with their own GP. Details regarding an individuals contact with health care professionals are clearly recorded in the plan of care. Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: We examined the homes procedures for the management and administration of peoples medication. All medicines were seen to be securely stored and staff involved in the administration of medication have received appropriate training. The home records all medication brought into the home by an individual and this is checked and confirmed by two staff. To reduce the risk of any errors, it is recommended that two staff also sign the hand transcribed entries on the medication administration records. The home need to ensure that they record the strength and dose to be administered for any medicines brought in to the home as this was not always being recorded. Clear information was available for staff as to procedures to be followed in the event of any rescue medication being required. Staff confirmed that they had received appropriate training in medicines used for people with epilepsy. Care plans contained protocols for the use of as required medication and it has been recommended that this information is also maintained with the medication administration records to enable staff to have easier access. Care Homes for Adults (18-65 years) Page 20 of 32 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a complaints procedure in place which ensures people feel confident in raising concerns. Appropriate procedures are in place to reduce the risk of harm or abuse to the people using the service. Evidence: The home has a complaints procedure which is also displayed in an easy read format for people using the service. We spoke with two people and both confirmed that they would feel confident in raising concerns if they had any. The home have received two complaints since the last inspection and we were able to see that these had been fully investigated within the agreed timescales. The home has policies in place to reduce the risk of harm or abuse to the people using the service. Staff spoken with confirmed that they were aware of the local Safeguarding Adults policy and were aware of action to be taken should they suspect any form of abuse. Training records confirmed that all staff had received training in the protection of vulnerable adults. The home follows robust staff recruitment procedures and staff do not commence Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: employment until receipt of an enhanced criminal records check (CRB) and protection of vulnerable adults checks (POVA). Care Homes for Adults (18-65 years) Page 22 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides a comfortable, homely and well maintained environment and people are able to personalise their bedrooms. The home has a range of bathing facilities so that peoples needs and preferences can be met. The standard of cleanliness is good and appropriate procedures are in place to reduce the risk of the spread of infection. Evidence: During this inspection we were able to view all communal areas and sample a few bedrooms. The standard of decor and furnishings was of a good standard and people appeared comfortable in their surroundings. The home has a rolling redecoration programme and furniture is replaced as required. People are able to choose from two comfortable lounges, one of which has the provision of a sensory area. One lounge has recently benefited from new furniture and one of the garden areas has been paved. Both garden areas are easily accessible to people using the service. Care Homes for Adults (18-65 years) Page 23 of 32 Evidence: All bedrooms are for single occupancy. Adjustable/profiling beds are available in each bedroom. It was evident that people are encouraged to personalise their bedrooms during their stay. Lockable space is available in each room so that people can safely store any valuables/private items. All bedrooms have the provision of a wash hand basin. Four bedrooms are fitted with an en-suite toilet, one has a shower facility and one has a bath. The home has been fitted with a range of adaptations to assist people with mobility difficulties. Overhead tracking is fitted to five of the ten bedrooms. One communal bathroom has a walk in bath and one is fitted with a hi low bath. There is also a walk in shower facility. Grab rails are appropriately sited. We found the home to be clean and free from malodours. We were able to see that staff had access to a good supply of protective equipment. staff hand washing facilities are appropriately sited. The laundry area is well equipped and washing machines have a sluice cycle. Care Homes for Adults (18-65 years) Page 24 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met by adequate numbers of staff who have been appropriately trained. Systems are in place to ensure that staff are appropriately supervised. Evidence: All staff have a job description and staff told us that they were very clear about their roles and responsibilities. The homes completed AQAA told us that of the 28 care staff employed, 7 have achieved a minimum of an NVQ level 2 in care. This equates to 25 which falls below the recommended 50 of the National Minimum Standards. The homes AQAA did state however that currently 12 staff were working towards this award and 1 was working towards an NVQ level 3 in care. We were told that the home has a stable staff team and that during the day 4 care workers are on duty. Nights are covered by 2 waking night carers. The registered manager informed us that staffing levels are increased as required to meet the needs of people using the service. The registered manager works during the week in addition to the care hours identified. Care Homes for Adults (18-65 years) Page 25 of 32 Evidence: The home employs a cleaner who works 2.5 days a week. No concerns were raised by staff about staffing levels or of the ability to meet peoples assessed needs. We examined the homes staff recruitment procedures. Two files were examined and these were found to contain all required information. There was evidence that staff did not commence employment until the receipt of two satisfactory references, an enhanced criminal records check (CRB) and protection of vulnerable adults check (POVA). Staff follow an appropriate induction programme on commencing employment. Training records examined demonstrated that staff receive appropriate mandatory and specialised training. Staff spoken with were positive about the training opportunities available to them and all confirmed that that they had the skills to meet the needs of the people using the service. Recruitment records contained evidence that staff receive formal supervision at least six times a year. Appropriate records are maintained. Staff told us that they felt very well supported. Care Homes for Adults (18-65 years) Page 26 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to ensure that the home is effectively managed. The registered manager promotes an open and inclusive style of management. Effective quality assurance procedures are in place which seek the views of the people using the service and their representatives. The home takes appropriate steps to ensure the health and safety of persons at the home. Evidence: The registered manager is Sandra Dougherty and she has achieved an NVQ Level 3 in Care and an HNC in management. The registered manager is supported by a deputy manager who also has a management qualification. The registered manager informed us that she receives good support from the homes network manager. Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: Staff spoken with were very positive about the registered manager and of the support they received; We get very good support and the office door is always open, The manager is very supportive and approachable, She will always listen and act on what you say. Staff have the opportunity to attend staff meetings on a monthly basis. Minutes are maintained. The home has effective quality assurance procedures in place. The home sends questionnaires to families on an annual basis and also seeks peoples views following an individuals stay at the home. Regular newsletters are also produced and these are sent out with a copy of the homes most recent CSCI inspection report and the homes complaints procedure. Quality questionnaires are sent out to staff on an annual basis and results are analysed by the registered provider. The home has effective procedures in place to ensure the health and safety of persons at the home. Staff training records indicated that all staff had received up to date mandatory training. Up to date servicing records were available for the homes hoists and assisted bathing facilities. Appropriate fire safety procedures are followed and there was evidence that staff have received up to date fire safety training. Regular fire drills are also held. Annual testing on portable electrical appliances was found to be up to date. The registered manager is aware of the requirement to inform the Commission of any significant events at the home. The home maintain appropriate records for all accidents at the home. Care Homes for Adults (18-65 years) Page 28 of 32 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 32 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 2 14 The registered person must 31/10/2008 not offer a placement to an individual unless their needs have been fully assessed by a suitably qualified or trained person, that copies of any other assessments have been obtained and that there has been appropriate consultation regarding the assessment with the individual or their representative. The registered person must demonstrate that they are able to meet the assessed needs of any individual before a placement is offered. The home must ensure that people are assessed before a placement is offered. 2 3 12 The registered person must not offer a placement to an individual unless the home can fully meet their assessed needs. 31/10/2008 Care Homes for Adults (18-65 years) Page 30 of 32 The home must ensure that assessed needs can be fully met. 3 3 16 The registered person must ensure that placements are only offered to people in accordance with the homes Statement of Purpose and conditions of registration. The home offers a short stay respite facility and this is a condition of registration. 31/10/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 To further reduce the risk of any errors, two staff signatures should be obtained to confirm any hand transcribed entries on the medication administration records. The home should consider maintaining information about protocols for the administration of as required medication within the medication administration records. The home should ensure that the strength of any medication and the dose to be administered is recorded for any medicines received into the home. The home should aim for 50 of the care staff team having achieved a minimum of an NVQ Level 2 in Care. 2 20 3 20 4 32 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - 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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