Inspection on 10/05/07 for Spinal Unit Action Group The

This inspection was carried out on 10th May 2007.

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

Other inspections for this house

Spinal Unit Action Group The 18/10/06

Spinal Unit Action Group The 09/02/06

Spinal Unit Action Group The 17/11/05

Spinal Unit Action Group The 30/06/04

Similar services:

Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

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

CARE HOME ADULTS 18-65 Spinal Unit Action Group The 6 Weld Road Birkdale Southport Merseyside PR8 2AZ Lead Inspector Ms Lorraine Farrar Unannounced Inspection 10th May 2007 11:25 Spinal Unit Action Group The DS0000005364.V333027.R02.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 Spinal Unit Action Group The DS0000005364.V333027.R02.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. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spinal Unit Action Group The Address 6 Weld Road Birkdale Southport Merseyside PR8 2AZ 01704 563633 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) The Spinal Unit Action Group Mr Graham Sharpe Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 12 PD Date of last inspection 18th October 2006 Brief Description of the Service: 6 Weld Road provides accommodation and support for up to 12 adults who have a disability associated with spinal injuries. The service is operated by a local charity and managed by Mr Graham Sharpe. The house is situated in a residential area of Birkdale. It provides easy access to public transport, the town of Southport and many local facilities. The propriety is a detached Victorian house, which has been converted to meet the needs of the people living there. Inside there are twelve single bedrooms, a communal dining room and games room, with bathrooms and a kitchen on each floor. Outside there is off street parking and a large, enclosed back garden. There are many adaptations within the house to support the people living there with their mobility. These include a lift, lowered switches and adapted bathrooms and dining tables. Staff work at 6 Weld Road twenty four hours a day to provide support for the people living there. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. An unannounced visit took place for seven hours on the 1oth May 2007. This included reading records and looking at the building. Time was spent looking at the support three of the people staying at 6 Weld Road receive. This included looking at the support they get with their personal and health care, care plans, medication, money, activities and environment. The inspector spoke with three of the people living at 6 Weld Road and two members of staff. Any information the Commission for Social Care Inspection (CSCI) has received since the last inspection of 6 Weld Road is also taken into account in writing this report. This includes information provided by the manager on a pre-inspection questionnaire and comment cards sent to the people living at 6 Weld Road. Seven comment cards were received from the people staying at 6 Weld Road and their views are incorporated within this report. It currently costs between £472 and £517 each week to live at 6 Weld Road. What the service does well: 6 Weld Road provides a specialist service for people who have had a spinal injury. Staff are knowledgeable about providing support to people who have had a spinal injury and one person living there described the service as, “The most suitable home there is, for long term spinal injuries” The people living there are happy with the service provided, their comments including, “I myself asked to move into this home” and “Weld Road is like a home from home. I am very happy here”. The people living at 6 Weld Road are independent in running their lives and this is fully supported by the staff team. People make their own decisions and explained that staff will offer advice but that the final decisions lies with themselves. Staff have built good relationships with the people living there and are friendly but respectful of their choices, taking time to chat and to consult with people whilst respecting their right to privacy. Visitors are welcome at any time and are able to have a meal or to stay overnight by pre arrangement. The people living there are confident in expressing their views and that any concerns or complaints they have will be listened to and acted upon. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 6 The house is fully adapted to support people to be as independent as possible with adapted bedrooms, shared room and kitchens. There is also sufficient space for people to get about freely and access the large garden at the rear of the house. 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. The summary of this inspection report can be made available in other formats on request. Spinal Unit Action Group The DS0000005364.V333027.R02.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 Spinal Unit Action Group The DS0000005364.V333027.R02.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): 2&4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are provided with sufficient information to help them decide if they want to stay at 6 Weld Road. Limited information is obtained about the person before they move in which could affect whether the service can meet their needs and choices. EVIDENCE: The people staying at 6 Weld Road all said in their comment cards that they received sufficient information about the service to help them decide if they wanted to live there. One person explained, “Information pack sent to me. Also home visits to show me the facilities” and another that they had a “trial period of two weeks. Liked it and still here”. The Deputy Manager explained that before anyone moves in staff meet with the person and complete an assessment of their needs, the person is also required to complete an application form and the hospital Consultant to support their application. Records for one person who moved in within the past 12 months confirmed that staff had carried out a basic assessment of the persons needs and had obtained a Consultants letter stating the person was, “medically fit to reside at Weld Road”. This information helps to ensure that 6 Weld Road can prepare for and meet the persons’ needs and choices. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 9 However no completed assessment from the persons Social or Health Worker had been obtained. These assessments identity the support the person requires and that is being purchased for them and help staff gather as much information as possible so they can plan and ensure they can meet the persons needs and choices. Spinal Unit Action Group The DS0000005364.V333027.R02.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 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at 6 Weld Road are in control of the support and care provided for them. However a lack of recording in this area may mean staff do not always have sufficient information available to provide this support safely. EVIDENCE: The people living at 6 Weld Road said that they make their own decisions each day and decide how to spend their time, with one person explaining, “very flexible within the home. No pressure added onto me”. It was evident through discussion with the people living at 6 Weld Road and staff and in observing daily life in the house that staff consult with people continually and are aware that 6 Weld Road is their home and act accordingly. Although individual care plans are in place for everyone living at 6 Weld Road, these are very limited and do not reflect the support staff provide. For example one plan for supporting the person with their skin care simply states,” mattress / cushion”. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 11 Some of the people living at 6 Weld Road explained that staff are good at checking that their skin is not becoming red or breaking down and advising them on what action to take if this occurs. Although the people living at 6 Weld Road are able to discuss with staff the support they need, the lack of clear guidelines for staff to follow may mean that they do not understand information in care plans or quickly note and act upon any issues that arise. Records showed that where people’s actions may be a risk to themselves or others, they meet with senior staff and other professionals involved in their care to discuss the issue and agree guidelines. This ensures that everyone is aware of the actions they can take and risks are identified and minimised. Spinal Unit Action Group The DS0000005364.V333027.R02.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): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living at 6 Weld Road are able to lead a lifestyle of their choosing with staff support available on request. EVIDENCE: The people living at 6 Weld Road are independent and spend their time as they choose, whether staying at home or going out and about using public transport. Whilst at home people can use the games room located downstairs, which provides a place to meet, music, games and a pool table. One of the people living there explained that this is not used often as it is rare that everyone is at home and people prefer to spend time in their room or visiting each other. There is also a well kept and fully accessible garden that people can spend time in. Staff do go out and about with people if they request it and there is a mini bus available that is adapted for use by people in wheelchairs. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 13 One of the people living there explained that visitors can come at any time and there is now a facility available for them to stay overnight if they wish. A small kitchen is available that can be used for drinks and snacks by the people living there and their visitors. A larger kitchen caters for meals, which one person described as,” absolutely fabulous”, explaining that the chef “will accommodate” different choices, save meals and cook one off meals if people decide to buy their own tea. Visitors are also welcome to have a meal whilst visiting the people living there and staff were seen to provide drinks on request throughout the day. The people living at 6 Weld Road explained that routines in the house are flexible, they agree with staff and each other who will have support to get up and go to bed at certain times and they go out and about whenever they choose. Staff request that people tell them when they are going out, for safety but respect their privacy and do not ask where they are going. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of the people living at 6 Weld Road are identified and met in partnership with themselves, staff and healthcare professionals. However management of medication within the service needs to be improved to ensure it is safe. EVIDENCE: One of the people living at 6 Weld Road explained that each evening staff go around and talk to everyone living there. They then record the time each person wants support to get up and go to bed, to be turned and to have their medication. He described staff as “so accommodating” and explained the routine “is flexible” and if more than one or two people want support at the same time then they negotiate this amongst themselves. There are a variety of aids and adaptations available to support people with their personal care, this includes call bells, moving and handling equipment and adapted shower and bathing facilities. One person explained that staff support him to get into the bath but also leave him to have some privacy whilst there. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 15 A care plan for one person explained that they are sometimes more independent than at others times and provided information for staff to follow on the support they need to offer depending on the persons health. This is good practice as it enables people to retain their independence and control the support they are offered. Records showed that staff support people to get medical advice from their GP and District Nurses when needed and staff spoken with were knowledgeable about peoples health care needs and the effects a spinal injury can have on their health. However this is not always recorded in their care plan to ensure all staff have the information readily available and can support people when needed. All of the people living at 6 Weld Road manage their own medication and one person explained that he keeps his medication out of sight in his room, describing the manager as “hot” on reminding people to ensure it is safely stored and out of sight. Staff support people to take their medication by putting the tablets into a container and handing it to them or physically giving it to them. No record of the medication received into the house or taken by people is kept. As staff have some responsibility for supporting people with their medication a record of this should be kept to ensure there is a clear audit trail and to lessen the risk of mistakes being made. One member of staff had received training in dealing with medication, however other staff have not. Training in this area would enable staff to have more knowledge about the medication they are supporting people to take and would, again, lessen the risk of mistakes occurring. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 16 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 people living at 6 Weld Road are confident that any concerns they have will be listened to and acted upon. EVIDENCE: The people living at 6 Weld Road all said that they know who to speak to if they are not happy and how to make a complaint. One person explained, “management, senior staff, care staff are all supportive” and another that they “do know about complaints procedure”. One man explained that issues are usually resolved through discussion and that if anyone is unhappy with “staff or anything” they can talk with senior staff who will “sort it”. Polices and procedures are in place for dealing with any complaints or allegations that arise. Training has been undertaken or arranged for some, but not all staff in identifying and dealing with adult protection issues. This training along with the polices in the home helps staff to identify and deal with any issues that arise and support the people living there to have their concerns dealt with appropriately. No concerns or complaints have been received about 6 Weld Road since the last key inspection. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 17 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): 24,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 6 Weld Road provides a comfortable home for people to live in that has been well adapted to support their mobility and independence. EVIDENCE: 6 Weld Road is located in a residential area of Birkdale and is close to the town centre, shops, amusements and facilities. Accommodation is provided over two floors, which are fully accessible via a passenger lift and ramps. Aids and adaptations are provided throughout the house to meet peoples’ individual needs and support them to be as independent as possible. These include adapted bathing facilities and dining tables, ramps and call bells, lowered door and light switches and accessible wardrobes and storage. . Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 18 All bedrooms are single and provide enough space for peoples possessions, their adaptations and lifestyle. In addition there is a communal dining room, small kitchen and downstairs snooker / party lounge. Outside there is parking available and a well-maintained, accessible garden. A guest room has been recently created which enables people to have their visitors stay over night. In their comment cards Residents said that the home is always fresh and clean and this was observed during the site visit. A laundry room is based in the cellar, accessible for the people living there. Systems are in place to prevent and control any outbreak of infection. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 19 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 people living at 6 Weld Road are confident in the staff team and receive the support they need. However recruitment practices may place the people living there are risk. EVIDENCE: The people living at 6 Weld Road said that staff always or usually treat them well and always listen and act on what they say. During the site visit staff were seen to treat the people living there with respect and consult with them before providing any support. Staff spoken with were knowledgeable about the support people need and clear about providing it in a way that meets the persons choices as well as their needs. Most of the staff team have a recognised qualification in care and have undertaken some basic training to help them support the people living there. Some of this basic training such as moving and handling people is out of date. The deputy manager explained she has compiled a training plan to record basic training undertaken and ensure staff are kept up to date with courses. This Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 20 will help to ensure staff are as knowledgeable as possible about how to support people safely. In discussions with staff it was evident that they have received training in the past on more specialised areas of supporting the people living at 6 Weld Road. This includes skin care and spinal injury. However no records of this training have been maintained, therefore it is not possible for senior management to audit staff skills and ensure they have the required knowledge to support people and meet their more specialised needs. Staff files were looked at for three members of staff. Only one written reference was available for a new member of staff and no check had been made to ensure they were not on the protection of vulnerable adults register. This provides information on whether or not the person is considered unsuitable to work in care services. Obtaining two written references also helps the organisation to decide whether the person is suited to working with people with support needs. Copies of staff references had been obtained for the other two members of staff and the service had carried out a Criminal Bureau Check (CRB) to establish whether the person had a conviction and help them decide if they were suitable to be employed. The deputy manager was able to demonstrate that she had begun the process of auditing staff files to ensure the service has all relevant information about members of staff. Once complete this will help them identity and rectify any information not available and ensure they are employing suitable staff to support the people living there. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 21 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 adequate. This judgement has been made using available evidence including a visit to this service. 6 Weld Road is managed for the benefit of the people living there. However checks on the quality of the service are not comprehensive and health and safety checks are not always up to date to ensure people receive a safe, good quality service. EVIDENCE: Mr Graham Sharpe has been the manager of 6 Weld Road for many years. He is an experienced manager with a good knowledge of supporting the people who live there. A member of staff spoken with expressed confidence in the management of the service, explaining, “they help sort any issues. Very prepared to listen”. The people living there also expressed confidence explaining that the manager always finds time to talk with them and is willing to sort out any issues that arise. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 22 6 Weld Road has started to put systems into place to look at the quality of the service they offer and plan improvements. This includes the audits of care plans, staff training and files that have commenced. Each month a member of the committee visits 6 Weld Road and looks at how life is in the home fore of the people living there, they then prepare a report on any issues that arise for the manager. These checks help to quickly identify any issues and plan for improving the service offered. However no evidence was available that the people living at 6 Weld Road are invited to take part in quality assuring the service. For example no surveys have taken place to establish their views. Although the people living there are clear that they talk with staff and they are listened to, a formal way of seeking peoples views and advice on planning improvements for the service would ensure that they can become more involved in the running of the service. A sample of health and safety records were checked during the site visit this included, fire records and gas safety, which were satisfactory and up to date. However the service last had a check on the mains electrics in December 2001, the certificate was valid for five years, until December 2006. The lack of a current electrical test and certificate means that the house may not be safe to live in. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 23 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 X 2 2 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 X 27 X 28 X 29 4 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 2 X X 2 X Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 18(1)(a) All staff dealing with medication must receive training in this area. This will help to lessen the risk of mistakes occurring and ensure suitable support is provided to people who manage their own medication. This is a requirement from the previous key inspection 2. YA34 17(2) Staff files must be audited to ensure all recruitment checks have been carried out and evidenced. Any information not available must be obtained. This will help to ensure that the people working at 6 Weld Road are suitable to work with people who have support needs. This is a requirement from the previous key inspection. 20/08/07 Requirement Timescale for action 20/09/07 Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 25 3. YA6 15 Care plans must contain sufficient information and guidelines about the support people require. This will ensure that staff are aware of how to support people safely. 20/08/07 4 YA20 13(2) Records must be kept of medication received and of any medication staff support people to take. This will lessen the risk of errors occurring. 30/06/07 5. YA42 13(4)(c) A satisfactory, up to date electrical certificate must be obtained for the house. This will help to ensure 6 Weld Road is a safe place to live. 20/06/07 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 YA2 Good Practice Recommendations A copy of the person’s social or health care assessment should be obtained before they move into 6 Weld Road. This will help to ensure the service can plan to meet their needs and choices. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 26 2. YA23 Training should be arrange for all staff in g adult protection issues and related procedures. This will equip staff with the knowledge to identify and act upon any issues or allegations and provide more protection for the people living at 6 Weld Road. 3. YA35 A training plan for staff should be compiled based upon the specialised areas of support the people living at 6 Weld Road have. This will help to ensure staff have up to date knowledge and information about how to support peoples safely and meet their needs. 4. YA39 Systems should be established to formally obtain the views of the people living at 6 Weld Road on the service they recvied. This will ensure people are involved in the running of the service and improvements are planned around their needs and choices. Spinal Unit Action Group The DS0000005364.V333027.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Spinal Unit Action Group The DS0000005364.V333027.R02.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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