CARE HOME ADULTS 18-65
Smithfield Detoxification Unit Thompson Street Collyhurst Manchester M4 5FY Lead Inspector
Val Bell Unannounced Inspection 21st April 2008 10:15 Smithfield Detoxification Unit DS0000021657.V362929.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 Smithfield Detoxification Unit DS0000021657.V362929.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. Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Smithfield Detoxification Unit Address Thompson Street Collyhurst Manchester M4 5FY 0161 839 8829 0161 839 8825 ruth.anson@turning-point.co.uk 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) Turning Point Manager post vacant Care Home 32 Category(ies) of Past or present alcohol dependence (32), Past or registration, with number present drug dependence (32) of places Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Past or present drug dependence - Code D Past or present alcohol dependence- Code A The maximum number of people who can be accommodated is 32 Date of last inspection 12th October 2007 Brief Description of the Service: The Smithfield Project is a registered service providing a residential detoxification service. Since the last inspection the Commission has varied the home’s conditions of registration at the Turning Point’s request to provide 32 places for people with primary alcohol and/or primary drug dependency. Alcohol detoxification is generally based on a 10-day programme and drug detoxification is based on a 28-day programme. The project is situated very close to Manchester City Centre, with easy access to public transport routes. The building also contains administrative offices. Bedroom accommodation is situated on the ground floor and the first floor. All bedrooms are single with hand washbasins. Communal space is provided on both floors along with a range of kitchen, dining and laundry facilities and a lift is provided for clients with restricted mobility. Clients attend support groups, participate in the therapeutic programme, and share the communal activities room. Registered nurses and support workers are on duty throughout the 24-hour period. The fees vary according to the service being provided and are usually paid by the relevant Primary Care Trust or, very occasionally, privately.
Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes.
This was a key inspection, which included a site visit to the home. This visit was unannounced which means the manager was not informed beforehand that we were coming to inspect. During the visit we spent time talking to four people living in the home, three members of staff on duty, management and the responsible individual. An Annual Quality Assurance Assessment (AQAA), which is a self-assessment document, had been completed and returned to us prior to this visit. Satisfaction surveys are usually sent with the AQAA. However, they were not issued on this occasion as the home was closed when the pre-inspection information was requested. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. What the service does well:
People using this service are provided with accurate and up to date written information about the facilities and support provided. Additionally, agreements detailing the terms and conditions of stay have been introduced. This ensures that people are informed of their right to expect a good quality service. Staff take time to listen to individuals’ views and suggestions for improvement are taken on board, wherever possible. Care records were in good order and the outcomes of providing support had been recorded in detail. People using the service said that staff encouraged and supported them to make choices and decisions that affected their lives. Evidence in this area demonstrated that the National Minimum Standard had been exceeded and this was commended. Four people spoken to thought the staff were friendly, approachable and professional. One person said he was surprised at the amount of emotional support he received from his key worker. He added that this had helped him to feel confident about a successful recovery. The discharge process ensures that people have information on community resources that provide support and opportunities for personal growth. People interviewed and a relative visiting at the time of the inspection praised the quality of the meals provided. Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 6 Robust systems are in place to afford protection to the welfare and safety of people using the service and staff had been trained in abuse awareness and the procedure for reporting abuse. What has improved since the last inspection? What they could do better:
A requirement made at the last inspection was reiterated in this report. This was for a senior manager in the organisation to conduct unannounced monthly Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 7 visits to the home and to prepare a report detailing the conduct of the service. This will provide evidence that the quality of the service is being maintained. Three good practice recommendations were made. Preferences relating to how people would like to spend their free time should be recorded when assessing individuals’ needs. The temperature of the medicines room should be monitored to make sure medicines are not stored at temperatures in excess of manufacturers instructions. Lastly, it was recommended that staff records include learning outcomes for staff that have attended training events. This will provide evidence that staff are confident in putting their learning into practice. 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. Smithfield Detoxification Unit DS0000021657.V362929.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 Smithfield Detoxification Unit DS0000021657.V362929.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 and 5 Quality in this outcome area is good. People admitted to the home can be confident that they will be asked about their needs and how they would prefer them to be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide had been reviewed and amended since the last inspection to incorporate changes that had taken place, including the variation to the home’s conditions of registration. People using the service had been involved in this process and copies of these documents had been provided to the Commission. This information is provided to people enquiring about the service, enabling them to decide if the home will be able to meet their needs. Information in the two documents will continue to be reviewed as further planned developments take place. Referral forms had been amended to ensure that as much information as possible was obtained prior to a person’s admission to the home. Comprehensive needs assessments were undertaken by a nurse on admission with a medical assessment carried out by the doctor within 24 hours of admission. The three people being case-tracked confirmed that they had been fully involved in the assessment of their needs. The requirement and
Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 10 recommendation made at the last inspection to consider the mental health needs of people admitted had been addressed. Staff had received training in mental health and assessment of needs and links were being made with local mental health networks. This was evidence of good practice in person-centred care. People admitted to the home had been issued with agreements detailing the terms and conditions of their stay in the home. Smithfield Detoxification Unit DS0000021657.V362929.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 and 9 Quality in this outcome area is good. People using this service are treated as individuals and receive support to make decisions that are important to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans belonging to three people using the service were examined. Significant improvements had been made since the last inspection, providing a full audit trail to evidence how individuals’ needs had been met. Attention had been paid to ensuring that physical and mental health needs were monitored within a robust risk management framework. The three people had fully participated in the development of their care plans in consultation with their key workers. Care plans had been reviewed at timely intervals, ensuring that individual’s changing needs continued to be met in a person-centred way. Outcomes of key worker meetings had been recorded in detail. This demonstrated that significant improvements had been made to the way
Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 12 information is communicated between staff and external health and social care professionals. Four people using this service were spoken to during the inspection visit. They confirmed that they had been asked about their preferences in how they would like to be supported. This demonstrates that staff are committed to supporting people to make choices and decisions that affect their lives. One person said that he was moving on to a residential rehabilitation service. He said that his key worker had liaised with staff there and had obtained a copy of their last inspection report and service user guide for him. He added that the information obtained for him had been crucial in alleviating his anxiety about the move. One person commented that he was surprised at the amount of emotional support he had received from his key worker and that this had helped him to feel confident about his future recovery. He said, “This is an excellent service. So supportive and staff are open. I don’t want to leave. I cannot say a bad thing about it. I am leaving today and have said I would like to come back as a volunteer. I want to put something back in for the support I have received.” A visiting relative said that the family were very pleased with the quality of the service. This approach to supporting people with decisionmaking is evidence of best practice and is commended. Smithfield Detoxification Unit DS0000021657.V362929.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): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. People using this service are supported to make choices and express preferences in line with their chosen lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information packs had been collated on available resources in the community that provided support and opportunities for people recovering from addiction. This information was used to plan individuals’ discharge by providing them with support networks and opportunities for personal growth. This is evidence of good practice. Staff encourage people to maintain and re-establish relationships with their families and friends. A visiting relative said that he had been encouraged to become involved in his brother’s recovery and that staff always made him welcome when he visited. He praised the quality of the food and valued the opportunity to join his brother for meals in the home.
Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 14 The regime of detoxification is based around a therapeutic programme that requires people to attend group sessions and key worker meetings. At other times, people can choose how they spend their time. It was pleasing to note that one service user had received support to go for daily walks. This had been carefully risk assessed to ensure his safety in reaching his personal goal. One person suggested that there should be more provided in the way of structured activities, although not all people using the service agreed with this. However, such preferences should be recorded when assessing individuals’ needs. The four people accommodated at the time of the visit praised the quality and choice of meals provided. Since the last inspection facilities for making drinks and snacks between meals had been provided. People using the service have the option of eating their meals in the dining room or in private. Smithfield Detoxification Unit DS0000021657.V362929.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 and 20 Quality in this outcome area is good. People receive flexible and sensitive support to maximise their physical and mental wellbeing. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Significant improvements had been made to provide sensitive and flexible support in a person-centred way. Evidence of this was found in care records and during conversations with three of the people accommodated. One person commented, “I got a lot from my key worker sessions and this helped me to understand my addiction.” Another person said, “This service has saved my life. I now have everything to live for.” The information in care records was accurate and up to date and provided a full audit trail from assessment to monitoring and review. Prompt action had been taken to investigate health concerns and detailed records had been made to describe the outcomes of receiving support. Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 16 During the inspection the pharmacist inspector looked at how safely medicines were being managed. Medication polices and procedures had been re written and these provided clear guidance for staff on how to handle medicines safely. The policy regarding obtaining pre-admission information was very good and ensured that new residents would have the treatment they required from the time they arrived at the home. Policies regarding ordering, recording and disposal of medication were also very good. Clear policies had been written to provide guidance in specific areas such as how controlled drugs, benzodiazepines and illicit substances should be handled and these provided good guidance. One of the nursing staff that we spoke to during the inspection showed a good understanding of the new policies and demonstrated that they were being followed. The records about medicines were generally accurate and could show that medication could be accounted for and that medicines had been given to residents as prescribed. We looked at the medicines and the records about medication for a new resident who was due to come into the home on the afternoon of the inspection. We found that good information about this resident’s medication had been obtained from their current doctor well in advance and we saw that their medicine had been ordered and received and would be available when he arrived at the home. The records made about this person’s medicines were clear and accurate and gave enough information for his medicines to be audited to make sure they could be accounted for. We also looked in-depth at how another resident’s medicines were handled. We noted that a fax from her General Practitioner, which had arrived before admission, was on file and all the medicines had been available to be administered on the day of admission. The quantities of drugs, which arrived, were accurately recorded and all the medicines were signed for when they were administered. We saw that the stock balances on the day of inspection showed clearly that all medicines had been administered as directed. There were clear records of additional medicine being prescribed by the doctor and this medicine was obtained for the resident speedily. There were some minor concerns regarding the record keeping of some stock medicines. Staff had recorded that the quantities were incorrect but no action had been taken to investigate why the medicines could not be accounted for properly. It is important that actions are taken to find out why medicines cannot be accounted for properly to prevent possible mishandling of medicines. We looked at how well controlled drugs were handled. Records regarding controlled drugs were generally accurate and they showed that all controlled drugs could be accounted for. However, there were some concerns that
Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 17 controlled drugs, which were awaiting destruction, had not been properly identified and staff had not followed the new procedures. It is important that medicines awaiting destruction can be identified easily so they do not get mishandled or misused. The medicines storage room was also used for medicines administration and this room was clean and tidy and the medicines were all stored safely. We noticed that the temperature in the room was very warm. It was recommended that the temperature of the room be monitored to make sure that the drugs do not spoil due to excess heat and also to ensure that residents are not administered their medicines in an uncomfortable environment. Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 18 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 and 23 Quality in this outcome area is good. People using this service are confident in expressing their views and are afforded protection from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four people accommodated in the home confirmed that they had been informed about the procedure to follow if they had concerns or complaints. Complaints records were examined and this provided evidence that the procedures were being followed. During the inspection visit a service user met with the manager to discuss his concerns over an incident that had taken place the previous weekend. The service user said that he felt reassured that the manager had taken his complaint seriously and had explained how it would be dealt with. The home has policies and procedures in place to deal with suspicions or allegations of abuse. Staff had been trained to follow the procedures and had a good awareness of what constituted abuse. Since the last inspection there had been two referrals to the local authority under safeguarding procedures. The Commission had been informed about the incidents and these had been managed in accordance with safeguarding procedures. Two people using the service understood their right to be free from harm and they said that they felt safe in the home. Smithfield Detoxification Unit DS0000021657.V362929.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 and 30 Quality in this outcome area is good. Refurbishment has provided people using the service with a safer and more pleasant living environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is currently undergoing an extensive refurbishment in complying with regulations and to further enhance the facilities provided for people using the service. Ground floor bedrooms had benefited from refurbishment along with the majority of communal areas. Anti-ligature furniture and fittings had been installed in bedrooms to protect the welfare and safety of people using the service. Requirements made at the last inspection had been addressed. The home is expected to be fully operational by June 2008. Employing a dedicated in-house domestic team has resulted in a consistently clean and hygienic environment. Manchester Primary Care Trust had undertaken an audit of infection control procedures in the home. Furthermore,
Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 20 at the time of the inspection visit a new maintenance contract was being negotiated. The home has been designated a non-smoking environment, although a smoking shelter has been installed in the garden area. Smithfield Detoxification Unit DS0000021657.V362929.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 and 36 Quality in this outcome area is good. Staff deployment and the systems in place for recruiting and training staff afford protection to the rights of people using this service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Turning Point has committed considerable capital investment in order to address requirements made at the last inspection. This involved closing the home for three months to provide intensive staff training and development and to redesign the service model in the best interests of the people using the service. Staff spoken to, said they were confident that this was being achieved. It was pleasing to find that staff rota’s had been amended to improve the quality of service provision. Employing an in-house domestic team had freed up support worker time to do more service user focussed work. This was evidence of good practice within a person-centred approach. Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 22 A new member of staff confirmed that the required pre-employment checks had been obtained before he was confirmed in post. He said that he had completed an application form and had been interviewed for the post. He had also been told that he would have an induction and that further training opportunities would be available to him. Other staff on duty said they had achieved National Vocational Qualifications (NVQ) and had recently received training in assessment, care planning, person-centred care, record keeping and medicines management. It is recommended that training records include learning outcomes for staff that have attended training events. This will provide evidence that staff are confident in putting their learning into practice. More senior staff were being sponsored to undertake training as NVQ assessors. Staff spoken to confirmed that a regular programme of 4 to 6-weekly supervision had been implemented. Supervisors were due to receive refresher training in this area. Smithfield Detoxification Unit DS0000021657.V362929.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 and 43 Quality in this outcome area is good. The home is run in the best interests of the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An experienced manager has been appointed and she is currently studying for a post-graduate diploma in managing health and social care. The manager confirmed that she would be submitting an application for registration with the Commission. People are asked to complete satisfaction surveys at the point of discharge from the home. These were examined and found to contain positive comments about the quality of the service provided. Where suggestions for improvement had been made, these had been taken on board through discussion at
Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 24 management meetings. The home’s Internal Quality Assessment tool is based on the National Minimum Standards. As part of this quality assurance system, policies and procedures have been reviewed and updated to reflect the new service model in place. Two sets of policies and procedures are easily accessible to staff and people using the service. Four people spoken to were complimentary about the service they received. One person said, “Smithfield has saved me from certain destruction. I cannot thank the staff enough.” Staff were described as ‘friendly’, ‘approachable’ and ‘professional.’ A requirement was made for a senior manager in the organisation to conduct unannounced monthly visits to the home and to prepare a report detailing the conduct of the service. This will provide evidence that the quality of the service is being maintained. No health and safety issues were found during this inspection. Smithfield Detoxification Unit DS0000021657.V362929.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 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 3 Smithfield Detoxification Unit DS0000021657.V362929.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 YA43 Regulation 26 Requirement A senior person in the organisation must visit the service monthly and prepare a report on the conduct of the service. Copies of the reports must be submitted regularly to the Commission providing evidence that the quality of the service is being maintained. Timescale for action 21/05/08 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 YA14 Good Practice Recommendations The assessment process should detail individuals’ preferences on how they would like to spend their free time during their accommodation in the home. It is recommended that the temperature of the medicines room be monitored to make sure medicines are not stored at temperatures in excess of manufacturers instructions. Staff records should include learning outcomes for staff
DS0000021657.V362929.R01.S.doc Version 5.2 Page 27 2. YA20 3. YA35 Smithfield Detoxification Unit that have attended training events. This will provide evidence that staff are confident in putting their learning into practice. Smithfield Detoxification Unit DS0000021657.V362929.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Smithfield Detoxification Unit DS0000021657.V362929.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
