Inspection on 23/06/05 for South Street Residential Home

This inspection was carried out on 23rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 21 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

South Street Residential Home 28/02/07

South Street Residential Home 31/01/06

South Street Residential Home 16/02/05

South Street Residential Home 17/08/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 South Street Residential Home 17 South Street Palfrey Walsall West Midlands. WS1 4HE Lead Inspector Lesley Webb Unannounced 23 June 2005 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 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 Stationary 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. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service South Street Residential Home Address 17 South Street Palfrey Walsall West Midlands. WS1 4HE 01922 642057 01922 642057 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Royal Mencap Society Mrs Dawn Jones Care Home 9 Category(ies) of LD Learning Disability (9) registration, with number of places South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16th February 2005 Brief Description of the Service: 17 South Street is a residential home for up to nine adults with a learning disability. Accord Housing Association owns the premises and the service is run/managed by MENCAP. It is located in the Palfrey area of Walsall and is within easy reach of the town centre. There are also a number of local shops within walking distance, as are a number of community facilities and places of worship. The home is well maintained both internally and externally and blends in well with the surrounding properties. The home has a large back garden and offers car parking space for visitors to the front. It has nine singe bedrooms and a number of bathrooms, showers and toilets. There is one lounge, kitchen and dining area, and a laundry on the ground floor. The ethos for the home is to actively promote the maximum degree of of each individual, to enable full access into the community whilst maintaining and building selfesteem. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived unannounced at the home at 7.50am and stayed until 2.30pm. On arrival there were four service users preparing to go to various day centres, with the remaining people still in bed. There was one member of staff on duty and the inspector was informed that there should have been two but an agency worker had not arrived to undertake their shift. The inspector spent an hour and a half talking to service users about life in the home and observing care practices at which point then the manager and another member of the care team came on duty. Time was then spent looking at records and talking to the manager to see how the home had progressed to meet Requirements identified in the previous inspection, formally interviewing staff and looking around the building, before giving feedback on the visit to the manager. Since the last inspection the manager has been away from the unit for eight weeks, however the inspector could find no evidence of this having a detrimental effect on the levels or quality of care given to people who live at the home. All staff that were spoken to stated that they had ‘pulled together’ to ensure service users still received the same levels of care. They did also state however, that they would have liked more support from senior management during the manager’s absence with one person stating, “ we all pulled together, we received no help from higher management, we were given work to do but without the authority to do it”. What the service does well: When asked what is the best thing about living at South Street every service user said the staff, with comments received including, “ the staff are very nice, they help me to do things and take me out shopping” and “the staff help me to sort things out, they make it a nice place to live”. The inspector found that these comments reflect practices within the home, where staff assist service users to make choices and be involved in decision making processes relating to the care they receive. All staff that were spoken to demonstrated a commitment to providing a good service and were very service user focused, resulting in an atmosphere within the home where service users feel safe to voice their opinions. This South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 6 commitment was demonstrated further, when asking staff what the best thing about working at the home was everyone stated the service users, with comments such as, “ l love working with the residents, you feel like your achieving something” received. All service users spoken to were able to name staff that they could talk to and who would listen to them, with additional praise given to key workers and the manager. The home is maintained to a very high standard creating a pleasant and homely place for people to live. Several service users were proud to inform the inspector of their involvement in colour schemes and choices of furniture throughout the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2. A multi-disciplinary approach is used when assessing prospective service users needs in order that the home can meet those needs in full. EVIDENCE: There have been no new service users to move into the home for several years, however all files sampled contained Community Care Assessments completed by the relevant placing authorities. None of the service users spoken to were able to remember how long they had been living at the home without assistance from staff, but two did say that it was better than where they lived before and one also confirmed that they came to look around the home before they moved in. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7. Care planning needs to be developed further in order to promote peoples independence fully. The systems for service user consultation in this home are good with a variety of evidence that indicates that service users views are both sought and acted upon. EVIDENCE: Only one of the four services users spoken to confirmed that they were aware that they had a care plan and knew what this contained. Also, only the same person confirmed that reviews take place stating, “we talk about different things, what’s going on in my life”. All service users were, however able to confirm that they had an allocated key worker with comments received including, “ my key worker sorts thing out for me” and “my key worker looks after me when I’m bad”. All staff that were interviewed were able to give detailed accounts of the contents of service users care plans, but when asked about specific aims and goals for individuals relating to independent living skills confirmed that these were not in place. One member of staff stated that they had been involved in a road safety programme for one individual to promote their safety and independence, however the manager confirmed that a written programme relating to this had not been maintained within the care plan. The inspector explained to the manager that as many of the service users who live South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 10 at the home are able and that the ethos of the home is to promote independence to the maximum of each persons potential independent living skills programmes should form part of the care planning process, detailing aims and goals for individuals. Additional evidence to support this was seen during the day with all service users participating in domestic duties including laundry, cleaning and kitchen tasks. Several service users also informed the inspector that these tasks form part of their ‘training’ days where they stay at home to maintain or learn new skills. The home should be commended for its efforts to involve service users in decision-making processes. Every service users that was spoken to informed the inspector that they have monthly residents meetings where subjects are discussed including holiday choices, decorating of the building, activities, concerns and meals. Records of these meetings also confirmed that issues raised are followed through, with service users informed of outcomes. Minutes are recorded in easy to read language and picture format and displayed on the notice board for everyone to refer back to. Staff and service users spoken to recognised the importance of these meetings with one member of staff stating, “ the meetings are for the service users, they are free to discuss anything, we also put an agenda on the notice board where they put down their thoughts and views which we discuss in the meeting, with their choices recorded”. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 17. Staff’s awareness of service users rights and responsibilities ensures an inclusive atmosphere within the home. The meals in this home are good offering both choice and variety to service users. EVIDENCE: Staff demonstrated knowledge and awareness of service users rights and responsibilities to lead as ordinary life as possible. For example one person stated, “ people should always have the right to make choices, maintain links with families, go to work, shopping for own items, try to make life like our own”. Records also confirmed that service users have been made aware of their rights and responsibilities, for example each service users file contained a service user guide that includes rights and responsibilities and terms and conditions of residency signed by individuals and the manager of the home. Domestic duty rotas are also used within the home, where service users agree to undertake tasks. These are discussed and agreed in the monthly residents meetings, giving service users the opportunity to make alterations with the agreement of everyone else living in the home. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 12 All the service users spoke positively about the food offered in the home, with comments ranging from, “its alright, I do my own toast and cups of tea and coffee” to “ its very nice, we always have a choice what to eat”. Discussions with staff and viewing of records also confirmed that fresh fruit, vegetables and salad are regular options along with pasta, rice and fish. Throughout the visit service users were seen helping themselves to food and drinks, independently or with assistance if required. The inspector found meal times to be relaxed, informal and very sociable events. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20. Medication practices do not encourage independence, within a risk management framework. Recording and storage of medication must be improved to ensure service users are not placed at risk. EVIDENCE: Four service users were asked if they look after their own medication with everyone stating that they did not. When asked why this was, again no one knew the reason. The inspector then asked staff why service users did not manage their own medication with comments received including, “ they have been risk assessed and might forget” and “we have been trained, we have asked them if they want to but they say no, they are not confident”. When looking at the risk assessments for self medicating the inspector found that they were all based on someone’s ability to be totally self sufficient rather than tailored to the individuals needs and abilities. The inspector discussed this with the manager and how it conflicts with the homes ethos of promoting independence based on each person’s abilities. When checking the recording, storage and administration of medication the inspector found that none of that months medication (apart from one item) had been booked in and an out of date cream was being stored in the medication cabinet. The inspector also advised the manager to seek advice regarding storage temperatures of creams and lotions once opened. The South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 14 supplying pharmacy visits the home quarterly to complete medication audits and offer advice. Within one of these visits the home had been instructed to date creams when opened, however this was not in place on the day of inspection. The inspector was pleased however, to find that all staff who administer medication have completed accredited medication training. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has a good complaints system, with evidence that service users feel that their views are listened to and acted upon. Staff’s excellent knowledge and understanding of Adult Protection issues provides a safe environment to protect service users from abuse. EVIDENCE: Four service users wee asked if they knew who to talk to if unhappy or wanted to complain. Everyone stated either the manager or their key worker, with one person adding, “They listen and sort things out for me”. Staff confirmed their roles as advocates when being interviewed stating that they were their to “support individuals” and to “make them aware of their rights”. The inspector found that each service users file contained the homes complaints procedure in tape format and was also informed by the manager that the complaints procedure was in the process of being developed further by MENCAP. All staff interviewed confirmed that they had undertaken Adult Protection training and gave examples such as being aware of changes in moods, listening to what people say and reporting and records as ways of protecting service users from abuse. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24. The standard of the environment within this home is very good, providing service users with an attractive and homely place to live. EVIDENCE: Since the last inspection the home has addressed Requirements previously identified, and continues to provide a clean environment. Several service users commented on the decoration of the building, confirming their involvement in colour schemes. In addition to this an abundance of summer plants have been grown by one particular member of staff and a service user adding to the already high standards throughout the environment. Areas that now require attention are: * The extractor fan in the toilet/bathroom by the office requires cleaning to ensure it works effectively. * The water damage to the ceiling on the first floor requires attention in order that the decoration is maintained to its current standard. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 and 35. The staff have a very good understanding of the service users support needs, this is evident from the positive relationships that have been formed between staff and service users. Time must be allocated for staff to undertake domestic and kitchen duties that does not impact on the needs of service users. EVIDENCE: The staff group is made up of individuals from various backgrounds, with differing skills and experience that complement the service user group presently living at the home. This was further confirmed within interviews with staff all of which were able to give detailed accounts of the needs of service users and how they support them to meet those needs from either life skills or knowledge gained through further education and training such as MENCAP’S induction and foundation training (which meets Learning Disability Award Framework accreditation). Particular praise regarding the induction and foundation modules was given by one member of staff who stated, “these course altered my outlook towards people with disabilities, I now know we are all equal”. As mentioned earlier in the summary of this report, when the inspector arrived at the home at 7.50 am only one member of staff was on duty due to an agency worker not arriving. After checking staffing rotas the inspector was South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 18 satisfied this was not a regular occurrence, however instructed that it should not happen again. During the morning when only one member of staff was on duty the inspector witnessed service users being assisted with personal care and breakfast, with the staff member attempting to meet all their needs. The morning was however, very rushed with service users having to wait in order for assistance to be given. No progress has been made to ensure either separate domestic and kitchen staff or allocate specific hours for these duties to be completed separate from time when service users require assistance. The inspector recognises that the people who live at the home are able and willing to undertake domestic and kitchen duties, but there are still tasks that are required to be undertaken by staff solely. Staff recruitment and selection records were found to be complete in full for permanent staff, however no records apart from CRB disclosures were available for agency staff. Records and interviews with staff verified that an abundance of training is provided in order that staff have the appropriate knowledge in which to fulfil their roles including, equal opportunities, challenging behaviours, epilepsy and NVQ’s. Also staff were aware of the importance of training with one person stating,“ Training helps me to deal with any circumstance”. Previous Requirements to implement a training and development plan for the home and individual assessments for staff still require addressing in order that a holistic and proactive approach to training can be gained. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 and 42. Work is still required to ensure the home regularly reviews aspects of its performance based on the views of service user and their representatives. Requirements made by the Environmental Heath Department must be acted upon quickly to ensure the health and safety of service users. EVIDENCE: No progress has been made to introduce an annual development plan for the home, include the results of service users questionnaires in the Service Review, seek the views of families and other interested parties and complete an annual review of the Service Review. The Commission for Social Care Inspection has received an action plan that states that these Requirements will be addressed by 31st January 2006, and therefore until that time the Requirements will remain outstanding. The inspector also noted when looking at staff rotas that the person who had been visiting the home in a managerial capacity during the Registered Managers absence had not entered any details nor had they signed in the South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 20 visitors book resulting in the inspector unable to verify the amount of time spent at the home and support given to staff. A previous Requirement to comply with a Requirement identified by the Environmental Health department relating to the fitting of a fly screen remains outstanding. The manager stated that the home was having difficulty finding a suitable screen due to the close proximity of the road, however the inspector read an email from the Environmental Health officer, which offered a way of solving this problem. The inspector also noticed that an electrical fly exterminator was located in the kitchen but was not switched on at any point during the inspection. In addition to this the Environmental Health Department visited the home again in March 2005 and made four Requirements one of which remains outstanding (relating to the temperatures maintained by the fridge and freezer). The inspector noted that staff record fridge and freezer temperature in fahrenheight and recommended this be done in Celsius for ease of monitoring. Training records confirmed that staff undertake all mandatory training, including two fire training sessions per year. It was also pleasing to note that service users are also included in the formal fire training, with certificates issued for attendance. South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 4 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x 3 3 Standard No 31 32 33 34 35 36 Score x 3 2 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 South Street Residential Home Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 x 2 2 x E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 22 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 YA6 Regulation 15 Requirement Independent living skill programmes must be included in care plans that details specific aims and goals for individuals The home must assess service users to self medicate based on individuals abilities and introduce programmes to support people based on those abilities All medication must be recorded when entering the home Out of date prescribed medication must not be used or stored in the home All prescribed creams and lotions must be dated when opened The extractor fan in the toilet/bathroom by the office requires cleaning The water damage to the ceiling on the first floor requires attention Either separate domestic and kitchen staff must be employed or specific hours be allocated for domestic and kitchen duties to be completed, separate from time when service users require assistance (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) Timescale for action 30/09/05 2. YA20 13(2) 30/09/05 3. 4. 5. 6. 7. 8. YA20 YA20 YA20 YA24 YA24 YA33 13(2) 13(2) 13(2) 16(1) 16(1) 18(1) 24/06/05 24/06/05 24/06/05 30/09/05 30/09/05 30/09/05 South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 23 9. 10. YA33 YA34 18(1) Schedules 4, 6 11. YA37 9(2) 12. YA37 9(2) 13. YA39 24 14. YA39 24 15. YA39 24 16. YA39 24 17. YA39 24 18. YA41 17 There must be a minimum of two staff on duty in the morings until 10am The home must be able to validate that agency staff have the required documentation for employment as list in Schedules 4 and 6 of the Care Homes Regulations 2001 There must be a training and development plan for the home (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) All staff must have individual training and development assessments completed (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) There must be an annual development plan for the home (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005 The results of service user surveys and questionnaires must be analysed with the results linked to the Service Review (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) The Service Review must take place annually (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) The views of families, friends, advocates and stakeholders in the community must be sought and included in the annual Service Review (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) The home must be able to demonstrate that the results of the Service Review impact on the development plan for the home (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) Staff rotas must detail everyone who works at the home, 25/06/05 31/07/05 30/09/05 30/09/05 31/01/06 31/01/06 31/01/06 31/01/06 31/01/06 25/06/05 Page 24 South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 regardless of their position 19. 20. YA41 YA42 17 13(3-6) Everyone who visits the home must sign in the visitors book The home must comply with any requirements made by the Environmental Health Department (REQUIREMENT ORIGINALLY MADE FEBRUARY 2005) The electrical fly exterminator must be switched on whenever food is being prepared or cooked 25/06/05 30/09/05 21. YA42 13(3-6) 30/06/05 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. 2. Refer to Standard YA6 YA20 Good Practice Recommendations It is recommended that care plans are discussed in the residents meetings in orde that service users are fully aware of their contents It is recommended that the home seeks advice from the pharmacist regarding storage temperatures for creams and lotions South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA National Enquiry Line: 0845 015 0120 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 South Street Residential Home E55 S20838 South Street V233526 230605 Stage 4.doc Version 1.30 Page 26 - 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!