Inspection on 28/03/07 for Snowdon

This inspection was carried out on 28th March 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Snowdon 17/01/06

Snowdon 02/06/05

Snowdon 12/10/04

Snowdon 17/06/04

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

CARE HOME ADULTS 18-65 Snowdon Snowdon 14 Claremont Avenue Woking Surrey GU22 7SG Lead Inspector Suzanne Magnier Unannounced Inspection 28th March 2007 09:45 Snowdon DS0000013790.V330037.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 Snowdon DS0000013790.V330037.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. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Snowdon Address Snowdon 14 Claremont Avenue Woking Surrey GU22 7SG 01483 751936 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) www.together-uk.org Together Working for Wellbeing To be confirmed Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 21 65 YEARS 17th January 2006 Date of last inspection Brief Description of the Service: The home is a detached property situated close to Woking town centre and provides accommodation and facilities for up to eight residents with mental health needs. The accommodation is set out across three floors and there is no mechanical means of access to the upper or lower floors. The facilities in the home comprise of a smokers’ lounge, a separate dining room, kitchen, office and a small non-smoking sitting room. There is good access to local amenities and public transport is available a short distance from the home. The enclosed garden at the rear of the home is a good size and well maintained. There is adequate parking for several cars at the front of the house. The current weekly fee is £727.00 Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit formed part of the key inspection and took place over five and a half hours commencing at 09.45 and finishing at 14.30 at the registered care home. Ms S Magnier Regulation Inspector conducted the inspection with the deputy manager and senior staff on duty. For the purpose of this report, the home has requested that people using the service are referred to as service users. The home is currently offering a residential service to 8 service users and has an outreach service to 3 service users in the local community. The home currently employs seven full time senior care staff and two relief staff. The inspection process included the sampling of documents which consisted of service users care plans, risk assessments, daily records, medication records, several policies and procedures; staff training details and health and safety records. The Commission for Social Care Inspection (CSCI) have also received written comments from service users, health care professionals ad service users representatives, which have been included in the report. The inspector would like to thank the service users, staff and the manager’s for their assistance and hospitality during this visit. What the service does well: What has improved since the last inspection? During the site visit the inspector discussed some further developments of the care plans, which the home was implementing. These included a document, which reflected an improved holistic approach to the support needs of the individual resident in a person centred way. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Snowdon DS0000013790.V330037.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 Snowdon DS0000013790.V330037.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, 4 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information to make an informed choice if they would like to live in the home and trial periods of stay in the home are available. The arrangements for a needs assessment for new service users ensure the needs of prospective service users are assessed and identified before admission to the home. Service users have a copy of their terms and conditions of stay in the home. EVIDENCE: The home has recently updated the Statement of Purpose and the Service Users Guide to include the provision of one intermediate care placement bed. We sampled assessments of two service users recently admitted to the home. The assessments, which had been documented by the local authority, were robust to ensure that the home could meet the needs and choices of lifestyle for the service user. The inspector met with one service user who had recently moved to the home and they told the inspector that they although it was ‘different and they had personal difficulties’ they liked the home. It was observed that the service user was relaxed in the company of the staff on duty. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 9 Both service users’ file sampled contained a copy of the terms and conditions of residency in the home. The inspector also met with another service user who was visiting the home for an overnight stay. The service user told the inspector that they really enjoyed coming to the home to have some respite care and that the staff were helpful and friendly. It was noted that the service user moved freely around the home and chatted with other residents and staff. It was apparent through observation that the service users diversity of needs and preferences of lifestyles are promoted to ensure that all service users continue to have a sense and awareness of their individuality. Service users feedback regarding admission to the home included ‘ I received the move I wanted i.e. Snowdon’ ‘Very informative pack was received’. ‘I am having a very nice stay and have settled in well,’ ‘The stay here is just like home and the cost is very reasonable’. Snowdon DS0000013790.V330037.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has maintained robust care planning and risk assessments. The documents were current and well recorded to ensure the service users wellbeing and health needs were evidenced as being met. Service users make decisions regarding their lives and participate in the running of their home. EVIDENCE: The two care plans sampled by the inspector, contained evidence that each service user had been involved in the development of their plan. For example each plan contained a variety goals relating to daily living skills such as personal care, household tasks, cooking, education and emotional support. The achievements of the service users goals/aspirations and the support required were clearly documented within the care plans and daily records. It was also noted that each care plan had been kept under review to reflect the changing support and needs of the service user. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 11 During the site visit the inspector discussed some further developments of the care plans, which the home was implementing. These included a document, which reflected an improved holistic approach to the support needs of the individual resident in a person centred way. The inspector noticed that all the service users were free to move around their home and were offered choice for example staying in bed for a lie in, visiting friends, attending appointments, going shopping or staying at home. It was evident that service users participated in the running of their home as their comments received stated ‘The house jobs are done daily’; ‘They have a diary to put comments in and there is a house meeting weekly’; ‘You help in organising the cleanliness of the home’; ‘It is relaxed and you have the freedom to do what you want’; ‘I find that the time I’ve been her everyone fits in and is pleasant’. The home has robust risk assessments, which include a variety of activities undertaken by service users. The risk assessments had been appropriately reviewed to ensure the safety and welfare of the service users and staff. It was evident through sampling records and observation in the home that staff members continued to support service users with diverse needs in a caring and individualised way in order to promote the service users individuality and sense of identity. The home has a flexible yet structured atmosphere, which promotes the service users rights to freedom of choice in their home. Comments from health care professionals included the ‘ home has a good atmosphere, operates on a holistic approach, choice, empowerment, and respect at the forefront in working with clients.’ ‘I have found the staff very supportive of my clients needs. They have been extremely accommodating of someone with specialist needs. I would not hesitate to refer other clients to Snowdon’. Snowdon DS0000013790.V330037.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. This judgement has been made using available evidence including a visit to this service. The home promotes and maintains service users involvement in their community, offers opportunities for personal development, appropriate activities and maintaining friendships. Service users are encouraged to be involved in the running of the home and improving daily living skills. The home promotes and continues to improve opportunities regarding service users choice of purchasing and planning a nutritious diet to ensure the well being of service users. EVIDENCE: The atmosphere in the home during the morning was calm and relaxed. The inspector met with all the service users at home during the site visit. The home promotes the rights of diversity and choice of the service users and this was demonstrated by sampling the care plans. The files contained individual interest/activity sheets, which included maintaining links with relatives and friends, which had been agreed by the individual service users. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 13 It was observed that staff members were proactive in supporting and encouraging service users in daily living tasks and having choices regarding opportunities to take part in social and sporting activities and courses at local colleges. The deputy manager was observed supporting one service user, at their request, regarding their financial benefits. The staff member demonstrated competency and confidence in dealing with the matters to support the resident. Information regarding activities gathered from the home prior to the site visit stated that the residents have a choice to take part in Bingo, Board Games, have access to books and magazines and other leisure activities for example watching the Digital TV and DVD’s/ Video’s, taking part in garden games, going to the local leisure centres, library and Adult Education facilities. Service users comments regarding activities included that they took part in ‘going to the ‘Gym, doing house jobs and cooking’, ‘I shop on my own initially or you can have someone to go with you’; ‘ It has a free and easy policy which is in keeping with my particular interests.’ The inspector was advised that a service users relative had donated a computer to the home which some service users used and also had access to the Internet. Records indicated that the home has maintained professional links with the family and friends of service users and visitors are welcomed to the home. The inspector noted that service users visits away from the home were promoted and one service user stated that they visit their relative at the weekends. One relatives comment included they were ‘satisfied with overall care’. The home has taken a proactive approach regarding service users having the opportunity to purchase and prepare their own meals within the homes kitchen facilities. Together Working for Wellbeing has arranged that each service user receives £25.00 per week in which to purchase their own food with the exception of dairy products and preserves. The inspector observed that each service user had their own cupboard and space in the fridges to store their food. The deputy manager and staff raised some concerns with the inspector regarding the safe storage of food with particular regard to ‘use by dates’. It was noted that a quantity of food had been disposed of during the site visit as the use by dates had expired. It has been suggested that the staff and service users take time to discuss in more detail the menu planning system in order to avoid undue food waste and to assist the service users in realistic budgeting. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 14 The staff also clarified with the inspector the need for improved records relating to individual service users diet in order to demonstrate that service users are obtaining a nutritious diet. The staff advised that service users receive staff support in the kitchen with preparation of meals and staff are vigilant regarding the service users dietary needs. A roast meal is available to all service users at the weekend. The inspector observed that staff were on hand to support service users making choices with preparing snacks and helping themselves to what they wanted to eat. Snowdon DS0000013790.V330037.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. This judgement has been made using available evidence including a visit to this service. The home has consistent recording and documentation to evidence that service users receive personal care and attend health care appointments to ensure their wellbeing and welfare. The homes medication procedures are generally robust however guidelines must be developed regarding the administration of ‘as required’ PRN medication to ensure the safety, wellbeing and protection of the service users. EVIDENCE: Care plans sampled included clear records to demonstrate that service users receive personal care in the way they prefer and health care appointments were attended for example visits to the dentist, optician, GP and chiropodist. Records to monitor the service users emotional health care concerns were also well documented and specialised health care support was offered which included self-help organisations and voluntary support groups. In keeping with the homes objectives of promoting independence the inspector observed one service user being supported by staff to make an appointment with a health care professional over the telephone. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 16 The health care records also evidenced that the home had close working relationships with health care professionals such as care managers, and specialist health care professionals. One general practitioner’s written comments included ‘Excellent staff I wish all care homes were like this one’. Records indicated that care plan reviews had taken place and the home were active in seeking advise and support from healthcare professionals should the need arise to ensure the safety and well being of the service users. The home has a comprehensive, medication policy and procedure regarding administration of medication. The home has a dossett dosage system, which is overseen by the manager and designated staff. The medication is stored in a locked cabinet within the homes premise in order to protect the service users from harm. The inspector sampled all the service users medication administration charts all of which were in good order. Records indicated that all staff had received training in the administration of medicines. The inspector observed that staff’s confidence in dealing with medication, staff supporting one service user to fill their own dossett box of medication evidenced this. The deputy manager advised that service users who wish to self medicate are supported to do so in order to promote their independence. Guidance was in place to ensure that service users were administering their own medication by staff checking medication with the service user at specific intervals and the regular reviewing of medication risk assessments. An incident, the day before the inspection, regarding a service users misuse of medication was noted by the inspector and the home’s staff had responded appropriately and sought immediate advice to ensure the safety and security of the service user. The inspector noted that one service user records indicated that prescribed medication was to be administered ‘when needed’. On examination of the records it was noted that there were no written guidelines in place to indicate the clear parameters regarding the administration of the medication. It has been required that these are developed in order to ensure the safety, wellbeing and protection of the service user. Snowdon DS0000013790.V330037.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. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure to demonstrate that complaints will be acted upon. Records regarding investigations of complaints need to be further developed. The home has a Safeguarding Adults (Adult Protection) policy and procedure to ensure that service users are adequately protected by the same policy and procedure. EVIDENCE: The home has a complaints procedure and the manager explained that two complaints had been received since the previous inspection. The records sampled included a tick list regarding the homes response to the complaint. During a telephone conversation with the manager the following day it was confirmed that no further documentation was available at the home. It has been required that more detailed records must be developed in order to evidence that all complaints, received by the home are recorded and investigated in accordance with the homes complaints procedure. One relative’s written comment stated that they were not aware of the homes complaints procedure. It is recommended as good practice that the home ensures that all visitors to the home are made more fully aware of the procedures regarding raising a concern or a complaint. The Deputy Manager explained clearly to the inspector the process of referring possible safeguarding incidents of note to the local authority. The deputy manager and staff files indicated that staff had received training in Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 18 safeguarding vulnerable adults and awareness of safeguarding issues were also explained in the staff induction training. The home has been subject to one safeguarding referral since the previous inspection, which remains ongoing under the local authority safeguarding adult procedures. Snowdon DS0000013790.V330037.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 adequate. This judgement has been made using available evidence including a visit to this service. The home offers a comfortable and homely environment. Improved hygiene standards in the homes main kitchen must be maintained to ensure the health and welfare of service users. EVIDENCE: The home offers a homely comfortable environment. One service user’s written comment stated ‘It is a communal pleasant sort of place with very little pressure’. During the tour of the premises the inspector observed the main kitchen area. It has been required that the kitchen is deep cleaned, to ensure the health and welfare of service users, in conjunction with the daily cleaning routine as the area was heavily soiled in places for example the area surrounding the ovens, the microwave and some kitchen cupboards. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 20 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home offers a good staff recruitment and induction practices to ensure the protection of service users. Further improvement is needed to ensure that all staff receives mandatory training to ensure the safety and well being of the service users. EVIDENCE: Comment cards received from service users stated ‘You can speak to staff at Snowdon’, ’Very kind staff’ ‘Snowdon has a very good reputation’ ‘The manager or deputy you can speak to or your well informed key worker if any trouble besets you’, ‘I care a lot about the people here as much as they put in their hours to care for me and that goes without saying’. It was observed that the staff on duty were confident and competent in supporting and encouraging the service users. There was a sense of ease and service users spoke favourably about the staff. Staff engaged with service users in a positive manner, which reflected dignity and respect. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 21 The home is currently employing seven full time senior care staff and two relief staff. One relief staff member is due to commence induction at the home shortly. The deputy manager advised that the home uses the services of agency staff and only regular staff from the agency are employed to offer continuity and ensure the well being of service users. The home has an agency staff induction checklist and also a recruitment checklist, supplied from the agency to verify the safe vetting procedures of the staff member working in the home. The recruitment records could not be accessed due to the security of files in the manager’s absence. The inspector contacted the manager, by telephone, the following day after the inspection in order to confirm that the organisations regional offices undertake all recruitment procedures. The manager explained clearly to the inspector the safe vetting practices and induction of the home in order to ensure the safety and protection of service users. The training records sampled indicated voids in the mandatory training of staff. All staff members must receive appropriate mandatory training in order to ensure they are able to meet the needs and ensure the safety and well being of the service users. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 22 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. This judgement has been made using available evidence including a visit to this service. The overall management of the home is robust and service users and their representative’s views are considered. Health and safety arrangements are in place to ensure the service users safety and welfare. EVIDENCE: An acting manager has maintained the day-to-day management responsibilities since the deployment of the registered manager to another service owned by the organisation in 2006. The inspector contacted the manager, by telephone, the following day after the inspection in order to clarify the management arrangements and was advised that the manager’s application had been submitted to the Commission for Social Care Inspection (CSCI) in January 2007. On investigation with CSCI it was confirmed that the Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 23 application had not been received and it is recommended that the organisation submit the managers application without delay. It was evident during the site visit that the service users were able to voice their opinions about the service and attend home meetings if they chose to. The atmosphere in the home was calm and relaxed and it was evident that the management of the home provided a consistent, effective and happy atmosphere for the service users and staff. The inspector sampled a variety of health and safety records, which included water, fridge and freezer temperatures, accident and incident records, fire drills, practices and noted that the fire extinguishers had been serviced. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X 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 2 X 3 X 3 X X 3 X Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 13. (2) Requirement Timescale for action 11/04/07 2 YA22 22. (3) 3 YA30 23.(2)(d) 4 YA35 18.(1)(a) Guidelines must be developed to indicate the clear parameters regarding the administration of ‘as required’ PRN medication to ensure the safety, wellbeing and protection of the service users. More detailed records must be 18/04/07 developed in order to evidence that all complaints, received by the home are recorded and investigated in accordance with the homes complaints procedure. The kitchen area must be deep 25/04/07 cleaned in conjunction with the daily cleaning routine, to ensure the health and welfare of service users, as the area was heavily soiled in places for example the area surrounding the ovens, the microwave and some kitchen cupboards. All staff members must receive 28/07/07 appropriate mandatory training in order to ensure they are able to meet the needs and ensure the safety and well being of the service users. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 26 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 YA22 Good Practice Recommendations It is recommended as good practice that the home ensures that all visitors to the home are made more fully aware of the procedures regarding raising a concern or a complaint. Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Burgner House 4630 Kingsgate Cascade Way Oxford Business Park South Cowley Oxford, OX4 2SU 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 Snowdon DS0000013790.V330037.R01.S.doc Version 5.2 Page 28 - 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. 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