Inspection on 07/08/08 for South West Independence

This inspection was carried out on 7th August 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

South West Independence 31/01/08

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 South West Independence Gordon Villa 15 Taunton Road Bridgwater Somerset TA6 3LP Lead Inspector Jane Poole Unannounced Inspection 7th August 2008 11:00 South West Independence DS0000070448.V367401.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 South West Independence DS0000070448.V367401.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. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South West Independence Address Gordon Villa 15 Taunton Road Bridgwater Somerset TA6 3LP 01278 458018 01278 458018 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) Ms Sarah Jane Minton Mr Ben Chidgey Care Home 3 Category(ies) of Learning disability (3) registration, with number of places South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. 3. Learning disability (Code LD) The maximum number of service users who can be accommodated is 3. The age range for admission to the service is for persons aged 16-25 years only. 31st January 2008 Date of last inspection Brief Description of the Service: South West Independence is a small service providing care to people who have a learning disability. The home is situated close to Bridgwater town centre and close to shops and amenities. Accommodation is provided over four floors. There is a selfcontained flat for one person, with a staff sleep-in room on the ground floor, and further accommodation for a further two people arranged over the upper floors. Accommodation is spacious and there is a large garden at the rear of the premises. South West Independence is registered to provide personal care for three people who have a learning disability who are aged 16-25 years. The Registered Provider is Sarah Minton and Ben Chidgley is the Registered Manager. Weekly fees range between £3867.15 and £2726.54. detailed within individual peoples’ contracts. Additional costs will be South West Independence DS0000070448.V367401.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. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This inspection was carried out over a one-day period. During this time the inspector was able to meet with people living and working at the home. The inspector was able to view the premises and all records requested were made available. Prior to the inspection the manager of the home completed an Annual Quality Assurance Assessment (AQAA) giving details of the homes achievements and plans for the future. Both people living at the home and 6 members of staff completed questionnaires before the inspection. Some of their comments have been incorporated into this report. The following is a brief summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: What has improved since the last inspection? Since the last key inspection the home has worked extremely hard to raise the standard of care and provide a service that is appropriate to young adults. The statement of purpose has been up dated to give clear details of the service provided and people have received service user guides in appropriate formats. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 6 The manager now gives clearer leadership and direction and demonstrates a good knowledge of relevant guidance and legislation regarding adult care. He has completed a National Vocational Qualification in care at level 4 and other relevant training courses. Care plans are now more informative and have been drawn up in consultation with the people living at the home. Each person has a ‘person centred behavioural plan’ these are well written and very personal to the individual. Risk assessments in respect of various activities have been simplified and are now more meaningful. Staff have attended training in various subjects including health and safety, the protection of vulnerable adults and medication administration. A new induction programme has been introduced which in line with the ‘Skills for Care’ core standards. All staff who completed questionnaires said that they received a good induction and ongoing training appropriate to their jobs. Some additional specialist equipment has been made available to one of the people living at the home and staff who have not received training in British Sign Language will begin training courses in September. The home has begun to use a Monitored Dosage System (MDS) and Medication Administration Records (MARs) for medication. They have sought and followed advice from the dispensing pharmacy. Recruitment practices have improved and now minimise the risks of abuse to people living at the home. What they could do better: Although care plans have greatly improved since the last inspection the manager needs to ensure that they are kept up to date. This will make sure that they always reflect peoples’ current abilities and wishes. Some improvements to the way in which medication administration is recorded were discussed with the homes manager. This includes making sure that the quantity of medication handed over to people who self-administer is recorded on the MARs. All staff have received statutory training and the home now needs to look at individual training plans for staff in subjects that are specific to the needs of the people who live at the home. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 7 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. South West Independence DS0000070448.V367401.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 South West Independence DS0000070448.V367401.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 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People wishing to move to Gordon Villa have their needs assessed by the home and other professionals. Prospective residents have opportunities to visit the home and spend time getting to know the people who live and work there. EVIDENCE: Since the last key inspection the home has up dated their statement of purpose and service user guide. The statement of purpose is more appropriate to a service caring for adults and gives accurate information about the home. The service user guide has been personalised to each person living at the home and is written in an appropriate format. Both people living at the home completed a questionnaire before the inspection. Both stated that they had been asked if the wished to live at the home and that they had received adequate information. No new people have moved into the home since the last inspection. One person has shown an interest in becoming a resident and has recently visited South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 10 the home. The manager was able to demonstrate that an assessment of need has begun for this person and a short stay has been arranged. The manager and staff demonstrated that not only were they considering the needs of the possible new person but also their compatibility with people already at the home. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to make decisions about their daily lives and the activities that they take part in. Risk assessments are in place to ensure people can safely access activities and develop independent living skills. EVIDENCE: Each person living at the home has a personal folder containing their care plan and other relevant information. The care plans give a clear picture of the person and their goals for the future. It was apparent that care plans had been drawn up in full consultation with the people living at the home. It is important that these plans of care are up dated to ensure that they are fully reflective of current needs and preferences so that staff are aware of any changes. This was discussed with the manager who gave assurances that care plans will be fully reviewed. Each person also has a ‘person centred behavioural plan’ these South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 12 were well written and gave clear guidance about the individuals’ behaviour and the support they needed. Risk assessments are in place and since the last inspection some of these have been simplified to ensure that they give clear guidance to minimise risks. The provider of the home was acting as a financial appointee for one person and has controlled their access to personal monies. This situation has been reviewed with the care manager and a new bank account has been opened to ensure that the person is able to access their personal finances at anytime. At the time of this inspection this account was not yet fully operational. Staff write daily records for each person living at the home. These give details of significant events, appointments and general well being. They demonstrate how people have been able to make decisions about their day-to-day lives and activities. Both people living at the home completed questionnaires before the inspection and both stated that they are able to decide what they do during the day, evening and at weekends. On the day of the inspection the inspector observed that people living at the home decided what they did and where they went. Any routines in the home are dependent on the activities and wishes of people living there. There is evidence that people are involved in all aspects of the running of the home including the attendance at house meetings for staff. South West Independence DS0000070448.V367401.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, 15 & 16 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at the home are able to choose how they spend their time and are supported to access leisure facilities in line with their interests. EVIDENCE: People living at the home are able to decide how they spend their time. There are no set times to get up or go to bed. The inspector noted that people have unrestricted access to their parts of the home. People have keys to their accommodation. One person attends college but at the time of this inspection was on summer vacation. The other person undertakes work experience at a farm owned by the provider and washes cars at the local police station one afternoon a week. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 14 One of the people living at the home is able to access the community without staff support and uses public transport. People are able to choose how they spend their day, bedrooms have been personalised to include entertainment equipment such as TVs and computers. Both people have access to local facilities and amenities. On the day of the inspection people were planning with staff what they wanted to do for the day. The staff encourage people to take part in activities appropriate to their abilities. One person is deaf and staff assist them to attend a club when they wish to go. People are helped to stay in touch with family and friends. Both have access to email facilities so that they can communicate with people of their choosing. People are able to have visitors at the home and one person told the inspector that they had been on holiday with a family member. There are no set menus in the home. One person shops for their own food and cooks for themselves. The other person assists with cooking and is able to make decisions about the meals that they eat. Staff encourage people to eat a healthy diet but are aware that people may not always choose to follow this advice. The Annual Quality Assurance Assessment completed by the manager prior to the inspection stated that in the future the home plans to get people more involved in tasks around the home to assist people to learn and develop independent living skills. Under the section ‘What does the service do well?’ one member of staff wrote on their questionnaire “Helps to develop clients adult skills and promotes the right to choose.” South West Independence DS0000070448.V367401.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. People have access to healthcare professionals according to their individual needs. The recording of medication administration would benefit from further development to ensure a clear audit trail and promote safe practice. EVIDENCE: The people who currently live at the home require minimal support to carry out their personal care. People choose their own clothing to reflect their personal preferences. The home employs both male and female carers giving people a degree of choice about the people who work with them and their key worker. People are registered with GPs and other healthcare professionals according to their individual needs. Staff assist people to attend appointments outside the home if requested to do so. During the inspection the manager gave evidence that staff listen to people about their views on their own healthcare and take appropriate action. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 16 Daily records show that staff are very aware of the emotional needs of people as well as the physical needs. The manager stated that they are currently looking for training courses that will be appropriate to the individual needs of the people living at the home. All staff working in the home have completed training on the administration of medication. Since the last inspection the home has begun using a Monitored Dosage System (MDS) for medication and has Medication Administration Records (MARs) in place. The home has sought and followed the guidance provided by their dispensing pharmacist. One person at the home administers their medication and a risk assessment is in place to determine how much medication can be passed to the person. The risk assessment would benefit from being clearer to ensure that it can be adequately reviewed to enable the person to further develop in this area. Currently the MARs do not clearly show the amount of medication that staff have passed to the person. MARs should be signed to show when medication has been passed to a person to self-administer and when staff have administered it to the person. South West Independence DS0000070448.V367401.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. Reasonable steps have been taken to minimise the risk of abuse to people living at the home. Staff are aware of what to do if anyone raises concerns with them. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. People living at the home stated on their questionnaires that they knew how to make a complaint and one person commented that they had a form in their room with information on. Both answered ALWAYS to the question “Do staff listen and act on what you say?” All staff who completed questionnaires answered YES to the question “Do you know what to do if a service user or advocate has concerns about the home?” No complaints have been made since the last inspection. All staff working at the home have undertaken training in the protection of vulnerable adults and there is a copy of the local procedure in the home. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 18 On the day of the inspection there was a relaxed atmosphere within the home with people having unrestricted access to all areas. Independent advocates are available to people. South West Independence DS0000070448.V367401.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, 26, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Gordon Villa provides a comfortable and spacious environment for the people who live there. EVIDENCE: Gordon Villa is a large Victorian house located within easy walking distance of the town centre and other local amenities. Accommodation is spread over 4 floors. On the lower ground floor is a self contained flat which is occupied by one person with room for a member of staff to sleep in. The main part of the house can accommodate a further two people and two sleep in staff. A fire detection and emergency lighting system has been installed throughout the home. Since the last inspection some specialist equipment has been put in place, this includes lights that flash when the doorbell is rung or when the fire alarm sounds. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 20 All areas are pleasantly decorated and furnished. Bedrooms are personal to the individual. One person told the inspector that they had chosen the colour scheme for their bedroom. People are able to have keys to their accommodation if they wish. At the previous inspection the only outdoor space for the flat was a small yard, which staff used as a smoking area. This area is no longer a smoking area and the person living in the flat has access to the larger back garden. All areas of the home seen by the inspector were clean and tidy. Both people living at the home who completed a questionnaire answered ALWAYS to the question “ Is the home clean and fresh?” South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-motivated and happy staff team supports people living at the home. Recruitment procedures have improved and they now minimise the risks of abuse. EVIDENCE: The home employs 11 care staff, 5 have a National Vocational Qualification (NVQ) in care at level 2 or above. Other members of the team are currently working towards this award. All staff who completed a questionnaire prior to this inspection stated that they had received an induction that covered everything that they needed to know and received ongoing training that was relevant to their jobs. The home has introduced a comprehensive induction programme in line with the ‘Skills for Care’ core standards. Records of this induction programme were seen in a recruitment file. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 22 In addition to induction training, records show that all staff have undertaken training in First aid, food hygiene, health and safety, protection of vulnerable adults, medication administration, infection control and nappi (non-abusive psychological and physical intervention.) Some staff have recently attended training courses on the Mental Capacity Act and Equality and Diversity. One person living at the home communicates using British Sign Language (BSL.) The manager explained that there is always a member of staff on duty who has received training to BSL level 1. Other staff working in the home will begin this training in September and the home is currently investigating more advanced training. The inspector observed that staff working with this person appeared to be able to communicate well and assisted the inspector to talk with the person. Staffing levels in the home are dependent on the needs of the individual. Currently one person is supported on a one to one level and the other person has two staff throughout the day and one person overnight. Staff seen on the day of inspection and those who completed questionnaires felt that there was good communication between staff and that it was a happy place to work. Everyone stated that they were able to meet with the manager on a regular basis. All staff receive formal supervision and appraisal that is well documented. Records of supervision sessions showed that a wide variety of issues are discussed as well as training needs and interests. People living at the home appeared very relaxed with the staff working with them and there was constant friendly interaction. One new person has been employed since the last inspection. The inspector viewed the recruitment file of this person and it gave evidence of a robust recruitment process. Written references and an enhanced Criminal Records Bureau (CRB) check had been obtained prior to the person commencing work in the home. South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is now being effectively managed taking account of the views of people living and working at the home. EVIDENCE: The registered manager of the home is Ben Chidgey who has just completed a National Vocational Qualification in care at level 4. He has also recently attended training on Equality and Diversity and the Mental Capacity Act. Since the last key inspection the registered manager has worked hard to improve the management and leadership within the home to ensure that it provides an appropriate service for young adults. The manager now South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 24 demonstrates a good understanding of the National Minimum Standards and the Care Homes Regulations 2001. Policies and procedures within the home have been reviewed and updated to reflect the service offered. The AQAA completed by the manager demonstrated that the home has a commitment to improvement and seeking peoples views. Daily records demonstrate how staff have consulted with people about their opinions on the home and their ideas about future development. A development plan with dates is in place. All staff now receive regular supervision and appraisals. Records of these showed that a wide variety of topics are discussed including training needs and career development. Everyone who completed a questionnaire stated that they were able to meet with the manager on a regular basis. People spoken to said that the manager was open and approachable. The provider of the home was acting as a financial appointee for one person and has controlled their access to personal monies. This situation has been reviewed with the care manager and a new bank account has been opened to ensure that the person is able to access their personal finances at anytime. At the time of this inspection this account was not yet fully operational. Reasonable steps have been taken to ensure the health and safety of people living and working at the home is promoted. All areas of the home are well maintained. There are regular fire drills for staff and people who live at the home. All have attended fire safety training. Since the last inspection equipment has been provided for the person who is deaf to make them aware of when the fire alarm is sounding. This has been incorporated into the homes fire risk assessment. The manager informs the Commission for Social Care Inspection of significant events in the home. Up to date certificates of registration and insurance are displayed. South West Independence DS0000070448.V367401.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 3 5 x 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 3 27 x 28 x 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 3 3 3 x 3 x South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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 (2) [b] Requirement Care plans must be kept up to date to ensure that they reflect peoples’ current abilities and wishes. Medication Administration Records must clearly state the quantity of medication that has been handed over for selfadministration. Timescale for action 30/09/08 2 YA20 13 (2) 30/08/08 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 YA39 Good Practice Recommendations The home should consider issuing surveys to relatives and others involved in the people’s care. Recommendation made at last inspection. All staff should have a training programme to ensure that they receive training specific to the needs of the people living at the home. 2 YA3 YA32 South West Independence DS0000070448.V367401.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 South West Independence DS0000070448.V367401.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. 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