Inspection on 18/10/06 for Silvermead

This inspection was carried out on 18th October 2006.

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

Other inspections for this house

Silvermead 22/02/06

Silvermead 01/11/05

Silvermead 18/01/05

Silvermead 28/10/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Silvermead 262 Fort Austin Avenue Crownhill Plymouth Devon PL6 5SS Lead Inspector Tina Maddison Unannounced Inspection 18th October 2006 09:30 Silvermead DS0000003518.V302549.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 Silvermead DS0000003518.V302549.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. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silvermead Address 262 Fort Austin Avenue Crownhill Plymouth Devon PL6 5SS 01752 709757 01752 700830 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) Mrs Eileen Isobel Barker Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service Users with a Learning Disability who may also have a Physical Disability Age 18-65yrs One Named Service User over the age of 65 Date of last inspection 22nd February 2006 Brief Description of the Service: Silvermead is a care home providing personal care and accommodation for thirteen adults aged 18-65, with learning disabilities, who may also have a physical disability, although the home is not adapted for anyone with a mobility difficulty. The home is privately owned by Mrs Barker. Silvermead is located in the residential area of Crownhill, Plymouth and is close to local shops, facilities and amenities. The home was opened in 1986 and consists of a detached two storey house and a single storey annexe which is not attached to the house. There are nine single bedrooms, three of which have en suite facilities and two of these have en suite baths. In addition to the en suite facilities there are three bathrooms and four toilets. On the ground floor there are separate lounge and dining rooms. The home has a large attractive garden that is well maintained and easily accessible. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 18th October 2006. Prior to the inspection a pre inspection questionnaire was returned by the Manager. Four service user survey forms were sent out and one was returned. Four relatives/visitors comment cards were sent out and two were returned. Two service users were spoken with during the inspection, and two members of care staff were interviewed during the inspection. The tour of the home was undertaken with Mrs Lakey, the Manager. Four service users were case tracked using documents and files relevant to them. A range of policies and procedures were examined in a variety of areas during the inspection. Thank you to the Manager, staff and service users at Silvermead for their assistance during the inspection. What the service does well: Silvermead offers a homely environment and skilled and caring staff. The service users living at the home have all lived there for a number of years and know each other well. There is little staff turnover at the home, and the staff are consequently fully aware of how to meet the service users care needs, and are able to interpret requests and the needs of the non verbal service users. There are two en suite bedrooms contained in an annexe that provides accommodation for two more independent service users. Two survey forms returned by relatives stated that families and friends are always made welcome at Silvermead, and one wrote that “we find the home friendly and happy.” A range of meals are offered at Silvermead that are nutritious and wholesome. All of the service users spoken with at the inspection said that they liked the meals. The two service users who were spoken with at the inspection said they were very happy living at the home, and liked their bedrooms. Relatives surveys returned also stated that they were satisfied with the overall care provided. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: It was found that not all of the service users files contained a contract/statement of terms and conditions between themselves and the home that were signed by the service user or their representative. Not all of the service users had a care plan on file that detailed individual care needs and how each need would be met by the care staff at Silvermead. A bathroom door on the first floor does not have a lock fitted that would ensure the privacy of the service user using this room. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 7 Staff and service users would benefit from the construction of a covered walkway between the main house and the annexe especially during inclement weather. Not all staff files contained documented proof of identity, and one staff file did not contain two written references. Formal Supervision had not been offered to the care staff every six weeks. It is a recommendation of this report that staffing levels be kept under review, especially in view of the fact that the local authority are withdrawing day services from service users who live in care homes. Currently there are two members of staff plus a Manager for thirteen service users, many of whom have increasing care needs. An additional member of staff would enhance activity opportunities for the service users during the day. It is a requirement of this inspection that individual interest paying savings accounts are opened for the service users for whom the Provider manages their money. 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. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is adequate because prospective service users have the information that they need to decide if the home is able to meet their care needs. Not all service users had a contract /statement of terms and conditions agreed with the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new service user admissions to Silvermead in the last year. The Manager has produced a service users guide and statement of purpose that is available to prospective and existing service users. These documents give service users the information they need to make an informed choice about where to live. All existing service users had an assessment of needs prior to their admission to the home, that covered personal support needs, social needs, health and physical needs and details of family contact. Interests and hobbies were also listed and there was documented evidence of the Managers liaison with health and social care professionals. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 10 The Manager confirmed that prospective service users would have the opportunity to visit the home prior to admission to meet the staff and service users and stay for a meal. An overnight visit could be arranged if appropriate. The Manager stated that she is in the process of ensuring that all service users have a contract /statement of terms and conditions, as examination of two service users files evidenced that they did not have these documents on file. The other two service user files did evidence a signed contract/statement of terms and conditions was on file and contained all the relevant information and was signed by the service user or their representative. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9. Quality in this outcome area is adequate because not all care plans detail for staff how individual care needs will be met. Risks and choices are appropriately balanced and service users at Silvermead are encouraged to safely participate in all aspects of daily living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four individual care plans were examined as part of the case tracking process. One care plan listed assessed care needs but did not specify how staff would meet these care needs. The Manager could evidence in care plans that liaison had taken place with the learning Disability Service and they had provided advice and support to ensure that staff at the home had the knowledge and skills to meet the needs of a service user who has epilepsy and diabetes. Two of the service users at Silvermead have one to one staffing ratios during the day. This restriction on freedom is detailed in their care plans and had been agreed with relevant professionals and families. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 12 The staff and manager at Silvermead had worked closely with the Challenging Behaviour Service in order to manage one service users aggressive behaviour, and it was documented that the behaviours that had been challenging staff were now well managed and had become less frequent. The two service users who were spoken with at the inspection confirmed that they were able to choose their own clothes, had a choice of meals and could choose their leisure activities. The Manager produced minutes of the residents meetings that are held on a regular basis at the home. Two of the service users have the input of enablers and advocates through Mencap advocacy service. Most of the service users living at Silvermead have limited verbal communication, but it was observed during the inspection that staff were able to interpret their wishes through non verbal communication and the use of symbols. Service users confirmed that they are encouraged to be as independent as possible in the home and can help with the cooking and housework tasks. From discussion with the manager, staff and service users, and the examination of risk assessments on file, it is apparent that risks and choices are appropriately balanced at Silvermead. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,14,15,16,17. Quality in this outcome area is adequate because service users are supported to participate in a variety of educational and leisure pursuits. Familes and friends are made very welcome at Silvermead. Privacy is not always ensured for service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From details on care plans, and discussion with the Manager, staff and service users, it was evidenced that service users enjoy a range of activities inside and outside of the home, however from 2007 Local Authority Day Centres will not be offering a service to people with a learning disability living in care homes, and this will have staffing implications for Silvermead. A review of all of the service users affected is taking place, and an activity plan will be introduced following a review. An inreach team from the Local Authority is assisting with this process. Evidence of individual interests and hobbies was observed, and the Manager is currently working on an activity planner for all service users using photos of Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 14 their favourite activities. Leisure activities available include visits to the pub, cinema and city centre shopping centre. A five day holiday to a holiday camp or individual day trips if preferred were taken in the summer by the service users. One service user undertakes voluntary work, and another has a place at a local College. It is evident from care plans that the staff ensure a range of activities is available for the service users, although staff commented that sometimes this was limited by the number of care staff on duty. Daily routines are flexible at Silvermead. Service users privacy and security is ensured in their bedrooms, as appropriate locks are fitted to the doors. However, the first floor bathroom door is not fitted with a lock. Menus were seen at the inspection, and this is written on a weekly basis with the input of the service users. Staff undertake the cooking as part of their duties and service users can assist if they wish. Menus evidenced a variety of wholesome and nutritious meals, and service users said that they liked the meals. One relatives survey form was returned prior to the inspection, and the relative said that they were always made to feel welcome at the home and could visit when they wished to. There was evidence in care plans of liaison with families and support for service users to maintain contact with friends and families. Silvermead DS0000003518.V302549.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. Quality in this outcome area is good because service users individual health, emotional and personal care needs are met by the care staff at Silvermead. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of four service users individual care plans evidenced that healthcare needs are documented and how these needs are to be met was also documented. The manager confirmed that the service users are registered with a general practitioner of their choice, and access dental services in the local community. Opticians are also accessed in the community. Care plans evidenced that the home has positive working relationships with the Learning disability challenging behaviour services, speech and language services, epilepsy advisors. One service user benefits from the visits of the district nurse on a regular basis. The care plans examined also evidenced that service users health needs are monitored by staff, including weight checks, seizure charts, and behavioural Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 16 charts that monitored the effects of interventions by staff following advice from the challenging behaviour services. None of the current service users are able to manage their own medication and consent has been obtained to administer medication at the home. The home has a policy and procedure regarding medication, and the two care staff interviewed were aware of procedures and recording processes. The duty officers at the home administer the medication, and medication records were examined and found to be accurate and up to date. There is information available for staff that detail possible side effects of medication kept in the home. Homely remedies are documented as having been approved for use by the general practitioners. Medication was found to be securely stored in an appropriate metal locking cabinet. Silvermead DS0000003518.V302549.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 poor because service users financial best interests are not protected at Silvermead. Complaints and concerns are appropriately managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Silvermead has a complaints policy and procedure and a copy of this is displayed in the home in a format that is accessible to the service users in the home. There have not been any complaints made to the Commission for social care Inspection in the last twelve months. The two service users spoken with said that they were aware of whom to complain to and felt that they could make a complaint if they needed to. Two of the relatives responded in the surveys sent out prior to the inspection that they had not seen the homes complaints procedure, although it is displayed in the home. The Manager has agreed to send these relatives a copy of the procedure. The Manager was able to produce copies of the vulnerable adults procedure and policies that are operational in the home. Two Staff spoken with at the inspection were familiar with these working documents. The Provider has opened a service users current bank account, but service users for whom the Manager manages their money still do not have an individual interest bearing savings account. This means that large amounts of cash are kept insecurely on the premises and do not gain interest. This is a requirement from the last inspection that has been not yet been met. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 18 The service users mobility element of their disability living allowance is retained by the Provider to finance the minibus and the use of taxis. This has been agreed by the service users or their families. Silvermead DS0000003518.V302549.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): 24,30 Quality in this outcome area is good because Silvermead provides a homely, safe and comfortable environment for the service users to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Silvermead provides a homely environment for the service users who live there. It is generally well decorated, and on the day of the inspection was found to be very clean and warm. The hall area of the home has recently been decorated, and new double glazed double doors have been fitted in one bedroom, and look out on to the garden, which makes the bedroom very light and offers a pleasant view. Conversion of the conservatory into a sensory room is underway and on completion will offer a positive resource to the service users. Building plans have been submitted to the relevant authorities to convert a double bedroom in the home to two single rooms, and this will enhance the privacy offered to the two service users who currently share a bedroom. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 20 It was found that one of the rooms in the annexe room had suffered a leaking pipe, and had water damage. The Manager assured the Inspector that the builder was due to call to remedy this problem. There is not a covered walkway between the main house and the annexe bedrooms, and it would benefit service users and staff to have this shelter during inclement weather. There are adequate bathroom facilities in the home, although the bathroom on the first floor is not fitted with an appropriate lock that would ensure privacy. The gardens at Silvermead are large and level, and well maintained. These gardens are fully accessible to the service users. Service users are able to individually decorate their bedrooms, and the two service users spoken with during the inspection said that they liked their rooms, and there was nothing that they would want changed in them. Silvermead DS0000003518.V302549.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): 32,34,35,36. Quality in this outcome area is adequate because staff are well trained, competent and skilled to meet the service users care needs. An additional member of staff on duty during the day would enhance the service users opportunities for personal development. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas and discussion with the Manager, and staff on duty evidenced that two members of staff are on duty throughout the daytime, with the support of the Manager, and at night times there is one sleeping in member of staff and one waking member of staff. Care staff undertake all cooking, cleaning and shopping duties. The Manager stated that extra staff could be brought in if there was an activity planned. It is recommended that staffing levels be kept under review, due to the increasing care needs of the service users, and the forthcoming closure of the Local Authority Day Centres, which will mean staff intensive activities will have to take place at the home. Training plans and certificates held on staff files evidenced that a variety of training is available for the staff that ensures that they are appropriately skilled Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 22 in caring for the service users at the home. This training includes fire safety, moving and handling, first aid, autism awareness, challenging behaviour and infection control. Three staff files were examined and evidenced that all contained a completed application form, CRB check, induction procedure, and training record. Only one reference was found on one file, and none had documented proof of identity. The supervision records of staff evidenced that whilst supervision had taken place for all staff, it was not on a regular basis. Staff spoken with during the inspection stated that they received ongoing informal supervision, in addition to the formal supervision and felt that they were well supported by the Provider and Manager. Service users said that they liked the staff at the home and that they were kind and helpful. Two survey forms were returned by relatives, and both stated that they believed that the staff at Silvermead always treated the service users well, and one stated that the staff were always welcoming and helpful. Two members of staff were spoken with during the inspection and they stated that there is a good relationship between the Provider, Manager and the staff. The shorter hours now worked on a shift had been positive for staff. Silvermead DS0000003518.V302549.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): 37,39,42 Quality in this outcome area is good because health and safety topics are well managed at Silvermead, and this will ensure the safety of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Silvermead is owned by Mrs Isobel Barker, who oversees the running of the home. A Manager, Mrs Mandy Lakey, is responsible for the day to day management of the home. Mrs Lakey is undertaking an NVQ4 in care, and hopes to finish this qualification shortly. Mrs Lakey has implemented a quality assurance system and in July sent out questionnaires to service users and parents, and is now in the process of collating the results in order to improve the quality of care given to the service users. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 24 Fire prevention records were examined, and evidenced that staff have received appropriate training, fire prevention equipment is well maintained, and staff interviewed during the inspection were clear about what action to take in the event of a fire. A record of accidents was examined, and evidenced that appropriate action had been taken by staff on the rare occasion that an accident had happened. Gas and electrical equipment and systems records showed that they had been recently serviced. Appropriate insurance cover is in place at Silvermead. Vehicle records evidenced that the vehicles used by the service users are appropriately taxed, insured and have a current MOT test certificate. Daily record books were examined, and evidenced that communication between staff is clear and details are comprehensively written in appropriate language. Risk assessments are in place for all safe working topics. Not all hot surfaces in Silvermead such as radiators are covered, but where they are not covered, a risk assessment has been completed. Hot water outlets have temperature control valves fitted that will ensure that service users are not at risk of burning themselves on hot water. Silvermead DS0000003518.V302549.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 2 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 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Silvermead DS0000003518.V302549.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 12(2) The Registered person shall so far is practicable enable service users to make decisions with respect to the care they are to receive and their health and welfare. 17(2) The Registered person shall maintain in the care home the records as specified in schedule 4. Schedule 4.9(a)(b) – A record of all money or other valuables deposited by a service user for safekeeping or received on the service users behalf, which(a) shall state the date on which the money or valuables were deposited or received, the date on which any money or valuables were returned to a service user or used, at the request of the Version 5.2 Page 27 Requirement Timescale for action 30/01/07 Silvermead DS0000003518.V302549.R01.S.doc service user or used, at the request of the service user, on his behalf, and where applicable, the purpose for which the money and valuables were used;and (b) shall include the written acknowledgement of the return of the money or valuables. Large amounts of cash belonging to service users must not be kept on the premises. Individual interest bearing savings accounts must be opened. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. YA 1. 2. 3. 4. 5. Refer to Standard YA5 YA6 YA16 YA24 YA33 Good Practice Recommendations Each service user should have a written contract/statement of terms and conditions on their file that is signed by them or their representative. Each service user should have an individual care plan on file that lists all of their care needs and how these will be met by staff. In order to ensure the privacy of service users, a lock should be fitted to the first floor bathroom door. Consideration should be given to constructing a covered walkway between the main house and the annexe accommodation. The numbers of care staff on duty should be kept under review because of the increasing care needs of the service DS0000003518.V302549.R01.S.doc Version 5.2 Page 28 Silvermead 6. 7. YA34 YA36 users, and the forthcoming reduction of Local Authority day care provision. Staff files should contain proof of identity and two written references. Staff should have regular recorded supervision meetings at least six times per year with the Manager. Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Silvermead DS0000003518.V302549.R01.S.doc Version 5.2 Page 30 - 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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