Inspection on 08/08/07 for Silverdale Residential Home

This inspection was carried out on 8th August 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Silverdale Residential Home 06/08/08

Silverdale Residential Home 31/05/06

Silverdale Residential Home 09/12/05

Silverdale Residential Home 01/06/05

Silverdale Residential Home 01/12/04

Silverdale Residential Home 30/06/04

Silverdale Residential Home 30/10/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Silverdale Residential Home 8 Buregate Road Felixstowe Suffolk IP11 2DE Lead Inspector John Goodship Key Unannounced Inspection 8th August 2007 09:00 Silverdale Residential Home DS0000024488.V348356.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 Silverdale Residential Home DS0000024488.V348356.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. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale Residential Home Address 8 Buregate Road Felixstowe Suffolk IP11 2DE 01394 278424 01394 278424 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) Mr David Austin Mr David Austin Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2006 Brief Description of the Service: Silverdale is a privately owned care home registered to provide personal care and accommodation to up to 8 service users with a learning disability, some of whom are over the age of 65. It is owned and managed by Mr & Mrs Austin, who operate with a family ethos and whose son is also involved in the administration and maintenance of the home. The home is situated in a residential area of Felixstowe town, close to the sea front and the town centre, where there are amenities such as shops, pubs and churches. The building is a three-storey Victorian terrace with a small front and back garden and onstreet parking. Only 1 single bedroom has an en suite toilet and shower facility. Stannah stair lifts give access to all three floors. All bedrooms are used as single rooms at present. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a weekday afternoon and evening and lasted five hours. The wife of the registered manager, who organises the care, was present throughout. There were six residents living in the home and all six were present, with between two and four staff. The inspector toured the home, and spoke to some of the residents, both individually and in a group. The inspector also examined care plans, staff records, maintenance records and training records, and spoke to staff. A questionnaire survey was sent out by the Commission to residents, relatives and to staff. Two relatives and three staff replied. Their answers to the questions and any additional comments have been included in the appropriate sections of this report. The manager had also completed the Annual Quality Assurance Assessment required by the Commission. This was a new form encouraging managers to describe how the home was performing and plans for the future. Information from this document has been used in the report. What the service does well: The home is able, because it only caters for up to 8 residents, to provide a homely environment where residents can play a proper part in deciding many aspects of day-to-day life. Staff support and encourage residents to lead as independent a life as possible, with some of them able to go out of the home on their own after assessing the risks and helping them gain the confidence and knowledge to do so. Care plans give full information about each resident, with their likes and dislikes recorded. These plans, which are agreed with each person, are reviewed regularly. This is especially important for the older residents whose needs for personal care are increasing. The family who own the home are dedicated to the support of the residents, and make it as close to a real family home as possible. A relative wrote: “My relative is happier there than they were at their previous home. Silverdale seems to me to be a very happy and rewarding home to live in. The staff seem to be very kind and helpful with any concerns.” Another wrote: “We have always been very happy with the care and attention given to our relative over the many years they have been a resident at Silverdale.” Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Silverdale Residential Home DS0000024488.V348356.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 Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4. Quality in this outcome area is good. New residents can be assured that they will only be admitted to the home if it can meet their needs, and they will have sufficient information to assess for themselves if the home will be suitable for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two new residents had joined the home in the previous twelve months. In both cases, the home’s admission procedures had been followed with comprehensive assessments being gathered by the home from previous care providers and the manager’s own assessment. Visits had been made to the home accompanied by their then carers, to meet the staff and the other residents. Two staff from Silverdale had visited the prospective admission in their home or care home. The records showed that new residents had a review after two months with the funding authority, including reports from day services. Indicators that the person was settling in well included the effect on behavioural problems and the improvement in daytime continence. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 9 The Statement of Purpose and a Service Users’ Guide were available. Fee information was included explaining the range of fees and what they covered. The main factor determining the fee level was whether the home was required to provide a full day care service, or if this was provided by an external provider usually the local authority. The home had contracts with two local authorities and all residents were funded through them. Six of the eight registered places were filled on the day of inspection. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Quality in this outcome area is good. Residents are fully involved in deciding how to live their lives. They can participate as much as they wish or are able in the day to day running of the home. They will be encouraged to become as independent and responsible as they are able within a risk-assessed plan. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans for three residents showed that they were regularly reviewed every month by the home, and once a year with the social worker. Two residents had had their annual review that month. No changes to their care plans or other aspects of their daily lives were required. There was a summary sheet as the front page of the plans, which acted as the handover summary. It highlighted any matters which staff needed to refer to in the main care plan. Plans covered Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 11 health and social needs, and contained relevant risk assessments eg going out with minimal support for a walk, smoking, trigger points for agitated behaviour, use of the kitchen. These assessments were dated with a usual review date of twelve months time. One person was finding it difficult to manage their money so there was guidance for staff on how to support them in trying to plan expenditure. Information on one person’s daily record did not give a account of what the person did during the day apart from the personal care given. This person was able to describe to the inspector what they normally did each day and in the evening and showed that they were able to choose what they did, and their likes and dislikes. They were able to go out without staff support. It would be important to record information on these activities. There was evidence of the choices which residents could make about their lives. These were discussed with them by the inspector, and included the décor of their rooms, what time they got up, what they did each day, what they had for their meals, and who they chose to be friends with. They also helped to decide what evening and weekend activities all or some of them would go on. Residents were observed talking to staff about aspects of their lives, either in communal areas, or in private rooms such as the office. They appeared at ease with all the staff. Silverdale Residential Home DS0000024488.V348356.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): 11,12,13,14,15,16,17. Quality in this outcome area is good. Residents have opportunities for leisure and social activities to suit their choice and abilities. Residents are supported to take part in a variety of activities within the local community. They are helped to maintain family links, and their wishes are respected. Residents are supported to eat well both inside and outside the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents received full time day care from the home. The others received a mixture of services from the local authority’s day centres, between one and three days a week. The care review of one person showed that one day activity had stopped as it gave no benefit to the person. The oldest resident did not have a regular programme of outside day care or other activities outside the Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 13 home, because of their frailty and lack of mobility. They were encouraged to do suitable activities with staff support, such as craft work, and staff took them out in wheelchairs when the weather, and their health, were suitable. Another resident was no longer attending their day centre as the day service felt they were unable to meet their needs. However the resident was able, with some support, to cross the road, to go out by themselves, and liked to walk along the promenade. A risk assessment for this activity was filed in the care plan. One resident told the inspector that they went to the local pub on their own some evenings, as they liked the karaoke. They also went to services on Sundays, and were taken there by someone from the Salvation Army. Another resident was eager to show the inspector their collection of military items. Another resident confirmed that they were well fed and well treated. This person had asked to speak to the inspector. This happened with the owner present, which the resident agreed to. The issues which were discussed revolved around the person’s memories of their previous care and family history. The owner and other members of staff were well informed about these and showed skill and consistency in calming their agitation and re-directing their attention. This resident was also concerned about being wound up by another resident. Again the staff were able to diffuse the situations. All occasions when this resident had spoken on these matters had been recorded in their care plan. One resident said that they liked colouring and drawing, walks to the beach, and playing games in the lounge. Some residents helped with domestic tasks in the house, especially in keeping their own rooms clean and tidy. All the residents appeared to have good relationships with the staff which encouraged the family ethos in the home. Meals were prepared by the staff who had all taken the local council Food Hygiene certificate. The kitchen had been refurbished within the last two years and was clean and hygienic. Sometimes residents could assist staff under their supervision. The main meal was in the evening during the week. Staff were aware of the preferences of the residents. All food in the fridges was dated if opened, and daily temperature checks were recorded. The residents were talking during the inspection about going out that night to a local restaurant which they liked. Four of them were going, and all told the inspector what they would choose from the menu. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 14 Comments from relatives showed that the home had a good relationship with the families who were in touch with a resident. “The staff will always ring me with any concerns they have.” “My relative likes the freedom, and the outings that the staff take them on.” “The staff are always welcoming when we visit and contact us when needed.” Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Quality in this outcome area is good. Personal healthcare needs including specialist health, nursing and nutrition requirements are clearly recorded, with guidance for staff, to ensure that residents’ needs are met. Residents are protected by the home’s medication policy and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans recorded all contacts with health professionals and social care professionals. One person was being supported by the community psychiatric nurse following clinical reviews. This resident had also had a medication review in June 2007. The oldest resident had been seen in the last twelve months by the speech therapist because of swallowing difficulties, and by the physiotherapist for correcting some distortion of their legs. Suitable equipment had been obtained. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 16 This resident’s bed had been fitted with bed rails for their safety. Consent to this had been given by the next of kin. The home was visited by a chiropodist, and the continence adviser came when asked. All appointments at GP surgeries and the hospital were recorded. The staff had been concerned that one resident appeared to be deteriorating earlier in the year. The GP ordered some tests but in the end their condition improved. In the last year the home had changed to a monitored dosage system (MDS) from their pharmacy supplier. The manager believed this to be a safer system for administering medication and also would help if any resident became able to self-medicate. None could do so at that moment. The current stock was checked against two blister packs and the medication administration record (MAR) sheets. The amount of medication remaining was correct, and the MAR sheets were complete and signed. There were records that four staff had been trained by the pharmacy supplier in the safe administration of medicines. Other staff had been trained in-house by one of the owners although the content of this training and the verification of competence were not kept. The three staff who completed the staff survey said they had all received training by being shown over several shifts how to administer safely, including night shifts. Another staff member said that they had received this training under supervision during their first few months. At the last inspection, it was noted that the home had handled the death of a resident with care and sensitivity, with regard also to the feelings of other residents. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. Residents can be assured that they are protected from abuse, with staff aware of the Inter-agency policy, and proper accounting procedures for residents’ monies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There had been no complaints since the last inspection, either to the home or to the Commission. The AQAA reported that the home had made a referral under the Protection of Vulnerable Adults [POVA] procedure in March 2007. This had been triggered by the behaviour of one resident towards another. The correct reporting route had not been followed, although action was taken by the home and the healthcare professionals to deal with the behaviour. Although the three staff who completed the staff survey all said that they knew about the POVA procedure, another staff member who had been in post for six months said they had not yet received training in this area. Certificates or other confirmation documents that training in POVA had been given were not available. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 18 Procedures for the handling of residents’ monies was reviewed. All transactions requires two signatures, either two staff or the resident if they were able. The cash held for one resident was checked against the ledger and the receipts. Everything was in order. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30. Quality in this outcome area is good. Residents can be assured that they live in a safe and well-maintained home, and that they will be encouraged to personalise their rooms as much as they wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Rooms were highly personalised by décor and equipment. Residents were supported to keep their rooms clean, and as tidy as they wished. There was a stair lift to both upper floors, and a variable height bed was in use to meet the care needs of the older resident. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 20 The AQAA reported that the hallways had been repainted in a light colour as residents had said they were too dark. New carpets were planned for the corridors and the stairs. The bedrooms in use for the six current residents were all singles. There was still a plan to move the office to an extension at the back and create another single room. This was subject to building regulations approval being granted. The home presented as clean and well looked after. Residents played a part, as they were able, to keep their rooms clean. A monthly check was carried out of all hot water outlets to ensure the safety of residents. The record of the check on 28/07/07 was seen. All temperatures were within safe parameters. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36. Quality in this outcome area is adequate. Residents cannot be assured that staff are properly and safely recruited, and supervised. Residents cannot be assured that they will be cared for by suitably trained and competent staff until there is a proper training programme for new and existing staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files for two recently appointed members of staff were examined. In both cases, the certificates from the Criminal Records Bureau [CRB] had been received before the start dates. One stated on the application form that they had NVQ Level 3 but there was no information in the file on the subject taken, or the date or a copy of the certificate. There were no copies of training certificates in either file. Nor were there any identification documents, although these must have been seen before forwarding the CRB form. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 22 References were not complete. One had no reference from the immediate past employer. The manager said that the applicant had asked Silverdale not to contact this employer, a domiciliary care agency, as she wished to continue working occasional shifts for them. This is not acceptable, as previous employment history must be verified. The main employer also needs to know the total number of hours worked by a member of staff in all occupations for the purposes of total working time. One reference was headed: “To whom it may concern”. This is not acceptable as the reference must relate to the specific job for which the reference is requested, and should follow the home’s normal reference request format to ensure full information is provided. Of the 7 care staff, excluding the owners, only one had obtained NVQ Level 2, and none were studying for it. The AQAA stated that 2 staff had received training in safe food handling. The owner was not aware of the Common Induction Standards which new care staff were expected to follow. A staff member who had been appointed at the beginning of February 2007 said that they had not yet had training in POVA, moving and handling or food hygiene. There had been a three month review of their progress but they were not having two monthly supervision sessions. Two of the three staff surveyed said they met regularly with their manager but one said they did not. The manager accepted that supervision sessions were not being programmed. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 23 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): 37,38,39,40,41,42. Quality in this outcome area is good. Residents benefit from the homely and family feel of the home, with the close involvement of the owners in meeting their needs. The Residents are protected by the health and safety procedures of the home, but will be better protected when all staff have received formal training in adult protection, and the home meets the legal requirement to report serious incidents to the Commission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The family who owned the home gave a significant commitment to the running of the home and the care of its residents. The registered manager was Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 24 spending less time in direct management of the home. This was being taken on by his wife managing the care, and his son managing the administration of the home. The latter had almost completed his NVQ Level 4 in Care and Management. The owner told the inspector that the Fire Officer had visited the home in January 2007. However she was unable to find any record of a letter following that visit. The fire risk assessment was available. It was noted that it was due for review that month. The fire log, showing fire drills, and the maintenance of equipment, was up-to-date. The hot water temperatures were checked monthly and the record was up-todate. Bath temperatures were checked at each time of usage, and these records were up-to-date. It was clear that, at all times, residents felt able to speak to staff about any aspect of their lives, either in groups or individually. Staff meetings were also held quarterly. The last one had covered the changing needs of residents. Minutes were kept of these meetings. The home had a quality assurance policy but there was little evidence of how that was being implemented. The owners of the home were still not discharging their legal obligation to inform the Commission of incidents under Regulation 37 of the Care Homes Regulations. They do not know the correct way to report incidents under the Protection of Vulnerable Adults policy and procedure. Although these occasions would be rare, it is vital that they are actioned immediately for the protection of all concerned. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 25 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 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 2 36 2 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 3 3 3 2 3 3 2 X Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 26 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA23 Regulation 13(6) Requirement The Inter-agency policy and procedure on the protection of vulnerable adults must be followed. Timescale for action 08/08/07 2 YA23 13(6) 3 4 YA32 YA35 YA41 18(1)(c) 37(1)(e) All staff must be trained to 08/10/07 recognise and act on instances of abuse. This is a similar requirement to one imposed at the previous inspection.. Staff must receive training 08/10/07 appropriate to their work. The Commission must be 08/08/07 informed without delay of any event which adversely affects the well-being or safety of any resident. 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 YA23 Good Practice Recommendations A programme of training in the protection of vulnerable DS0000024488.V348356.R01.S.doc Version 5.2 Page 27 Silverdale Residential Home 2 3 4 5 YA32 YA35 YA34 YA36 YA39 adults should be implemented to ensure that new staff receive the training as soon as possible, and that existing staff have refresher training at suitable intervals. There should be an annual training plan for staff to ensure that all mandatory training is completed, and that the Common Induction Standards are followed for new staff. The information held on staff records should include those items listed under Schedule 2 of the Care Homes Regulations. A schedule of staff supervision sessions should be drawn up, implemented and the outcomes recorded. All elements of the home’s quality assurance policy should be implemented. Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Silverdale Residential Home DS0000024488.V348356.R01.S.doc Version 5.2 Page 29 - 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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