Inspection on 05/12/07 for St Aiden`s Cottage

This inspection was carried out on 5th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

St Aiden`s Cottage 26/09/06

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

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

CARE HOME ADULTS 18-65 St Aiden`s Cottage St Aiden`s Cottage Auton Style Bearpark Durahm DH7 7AA Lead Inspector Ms Kathy Bell Unannounced Inspection 5 December 2007 10:00 St Aiden`s Cottage DS0000067579.V355278.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 St Aiden`s Cottage DS0000067579.V355278.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. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Aiden`s Cottage Address St Aiden`s Cottage Auton Style Bearpark Durahm DH7 7AA 0191 373 1124 0191 373 3659 nevillesx@aol.com 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) Durham Careline Ltd Mrs Geeta Sharma Care Home 10 Category(ies) of Physical disability (10) registration, with number of places St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Bedroom 9 will not be occupied by any resident whose mobility is restricted to a wheelchair. One named individual within the PD(E) category of registration. Not to exceed total number registered. 26th September 2006 Date of last inspection Brief Description of the Service: St Aidens Cottage is a purpose-built home, which is registered to provide care for 10 people aged between 18 and 65 years who have physical disabilities. It does not provide nursing care. The home opened in 2006 and at the time of the inspection 10 residents were living there. The building has two floors, with bedrooms and living space on both floors. It was built to meet the needs of people with physical disabilities and the facilities include adapted bathrooms and toilets and a kitchen which can be used by residents. The bedrooms are large, all single, and each has its own toilet. St Aidens Cottage is in the village of Bearpark, on the outskirts of the city of Durham. There are local shops, pubs etc and a bus service to Durham. Specialist transport can also be arranged by the home. The home charges £600-£717.50 a week. This information was provided to CSCI in January 2008. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one day in December 2007. The home has had one previous key inspection, which took place within six months of the home opening. At that time the home had still to develop many of its systems. Two random inspections took place during the last year and these showed that the home was making good progress. The Inspector received completed surveys from four residents, two relatives and one care manager. She spoke to four residents, five staff and to the manager who is overseeing the home, while the registered manager has been absent. During the visit, she looked around the building, although not in every room, and looked at records. What the service does well: What has improved since the last inspection? The home has made steady progress since the last key inspection. Staff have received essential training so they can work safely. The home has set up a system to find out the views of residents and people involved with their care. Staff use this to make sure that they are providing a good quality service. Each resident has a detailed care plan so that staff know what they must do. More leisure activities are available for residents. More staff were recruited. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. People who use the service experience excellent quality outcomes in this area. The home makes sure it will be able to meet peoples needs by obtaining full information about them before they are admitted. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Records showed that the home obtains an assessment by a care manager before it considers admitting someone. Staff also arrange for people to be assessed by occupational therapists or physiotherapists so they can set up the right level of care from the beginning. Records also included full information from the hospital when someone had moved from hospital into the home. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9. People who use the service experience excellent quality outcomes in this area. Each person has a detailed care plan so staff know what help each person needs and wants. People can make choices in their daily lives. The home helps people be independent but protects them from harm as far as possible. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Each resident has a care plan which explains the care and support they need. Each persons plan contains information which is relevant for them. For example a resident with major physical disabilities has detailed information about how he is to be fed and cared for. For other people the focus is on increasing their independence and abilities. Some people have a plan of physiotherapy exercises and these are explained in detail in their plan. For other people the goal is that they carry out simple household tasks, like making a drink and staff record how well they have managed this. Information about social and leisure needs, relationships and religious or cultural needs is also included. Every three months staff evaluate progress on the care plan. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 10 For some people, staff have produced a list of individual goals, and if they had been achieved, as part of the process of helping people become independent again following injury or illness. This is valuable but not as useful as it should be because staff had not dated when the goals had been achieved. This meant it was not clear whether someone was already able to do this when they came into the home or whether they had achieved it since then. Staff had received the care plan for a resident who had only just come into the home, from his previous home. This meant that they had the information they needed, and they were adding to the care plan as they got to know the person. Records of daily life in the home showed that people were making individual choices. While some attended the same activities, others could follow their particular interests, like an art class for one person. Residents said they could stay in their rooms if they wanted to and could get up and go to bed when they wanted. One person explained she likes to shower early in the morning and staff always do this for her. They had also put up Christmas decorations for her in her room, as she wanted. The manager who is overseeing the home in the registered managers absence showed that she was aware of the Mental Capacity Act. She explained how she had been working with care managers so that a residents ability to make decisions could be assessed. Care plans include assessments of any activities which might put the person at risk. These risk assessments are done properly, describing the benefits someone may gain from carrying out the activity (usually independence) and explaining what staff must do to make it less likely they will come to harm. For example, for one person, they describe the support needed so she can go out independently. For another, they explain that supervision is needed while she is ironing. The risk assessments are reviewed regularly to make sure they are up-to-date. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11,12, 13, 14, 15, 16 & 17. People who use the service experience good quality outcomes in this area. The home supports people to retain or improve their independent living skills and provides a range of leisure activities. But they should record how successful they are in meeting each persons individual leisure needs. People can make choices in their daily lives and the home recognises the importance of family relationships. Residents have a choice of meals and a varied diet and staff look after the needs of people with special diets well. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Records showed that people are encouraged and supported to keep up or learn independent living skills. Their goals and progress in this are included in care plans and records. One resident said that staff had helped her become more independent. One relative said that their family members disability was recognised from the beginning and full consideration has been given to this and due to this she is developing new skills and progressing very well. Mrs Ennis described how they have supported one resident to use the computer in the home and have been trying to arrange further educational opportunities . St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 12 Residents use local community facilities and shops and, where possible, public transport. Some residents go to social events at the local community centre on a weekly basis. With support from staff, some go out and about in the local area, to shops etc while some people can go out independently. The home arranges weekly visits to the gym and swimming pool for those who are interested. Others take part in individual activities such as an art class at a local community centre. Some residents described cooking sessions in the kitchen available in the home. Others would not be able to take part in leisure activities without staff support and their care plans explain how staff should suggest what they could do and prompt them. The reviews of the care plans did not always include whether the home had been successful in meeting peoples leisure interests. One resident said he felt the home could do more in the area of activities. Mrs Ennis said that extra staffing was available to help make activities possible. Relatives confirmed in surveys that the home always helps their relative stay in touch. One said, every member of staff ensures that we are informed about Ps progress. A member of staff spends time with Ps family at each visit and when we telephone. If there is an urgent matter we are informed by telephone immediately. when we inform the staff about the time of our visits they organise her activities and meals to make our visit possible. One care plan included a record of which people one resident would like a visit from, and which not. Bedrooms have keys which are used so residents have privacy. Residents confirm that they could choose when to be in their rooms and when to use the communal areas. A lounge downstairs is rarely used by residents so is available for visitors. For some residents, their risk assessments explain that they need staff to go out with them but others only need to let staff know that they are going out. Records are kept of the meals each resident eats, and if a special diet, diabetic or puréed is needed. There are two choices of main course and pudding for the two main meals each day. Menus show a varied and nutritious diet. The records show that two of the residents usually have something different from planned menu which shows they can make choices. One resident explained that she only likes a very limited range of food and the records of food provided confirmed this is what she receives. In a recent survey, one care manager said special diets are catered for. One resident is fed with a special technique, and there is detailed guidance available for staff and records kept of how much he eats. A recent review recorded that, the dietician was impressed feeding regime is being followed so well. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20. People who use the service experience excellent quality outcomes in this area. Residents personal and health care needs are well met by a skilled group of staff. Medication is handled safely. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home meets a range of needs. Records showed that they were providing a good standard of personal care and ensuring healthcare needs were met for one severely disabled man. The care plan made sure staff knew how to keep him as comfortable as possible. Clear detailed records were kept of visits from healthcare workers and the home had asked for specialist advice when necessary. They had recognised when they could no longer continue to meet his needs and had requested reassessment. For other residents, staff are working to help them regain their fitness or mobility or learn again the skills they need to live independently. The records showed that some have planned physiotherapy programmes and staff record when they have carried out these exercises. Residents have the opportunities to cook or to carry out household tasks. Five of the staff are qualified in either nursing or physiotherapy which helps the home provide this level of care. But they ask for nursing support outside the home when nursing tasks are needed, as they have to do because the home is not registered to provide nursing care. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 14 Records showed that staff help people receive routine care such as dental checkups and chiropody. One resident described how staff provided her care at the time she chose and she felt they did treat her with respect. The home has obtained a sensor for someone with epilepsy. This means they no longer have to disturb her sleep and privacy by checking her regularly through the night. Another felt that staff had helped her become more independent. Relatives and care professionals are pleased with the care provided. A comment by a care manager was recorded in a review, her mobility and balance have improved a great deal. A relative said, X has had some health problems and these have been attended to promptly and skilfully and her care is of a very high standard. Xs care is more than her family expected and agreed upon. She also said, in the short space of time X has spent at St Aidans she has received a very high quality of care. This is reflected in her progress. All of Xs needs are met. A care manager commented that there was very close interaction with health services and said the home was very good in responding to the different needs of individual people. Both relatives who commented in surveys of this said that the home always gives the support or care agreed. Medication practice was not looked at in detail on this inspection but there seemed to be safe systems for storing, giving out, recording and disposing of medication. The only error was that they did not have a photograph of each resident on the record of when medication had been given. This is a safeguard to help make sure that the correct medication is given to the right person. In the home of this size, with few staff changes, this is unlikely to have caused problems. But the photographs must be provided, just in case the home ever needs to use temporary staff in an emergency. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 21 & 22. People who use the service experience good quality outcomes in this area. Residents and relatives can make complaints and the home encourages people to comment. Residents are kept safe from harm as far as possible. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home has a satisfactory complaints procedure. All four residents who completed a survey said they did know who to speak to if they are not happy and knew how to make a complaint. Both relatives also said they knew how to make a complaint. One said that the home has always responded appropriately if concerns were raised. The home also seeks comments from residents etc by way of surveys.These feed into their system for checking on the quality of the care they provide. A complaint was made to care managers by a relative, several months after a resident had left the home. The manager said she was pleased that the Inspector looked into the records of this persons care, so that there was an independent person checking what had happened. The inspector found that the home had acted correctly, had provided good care and acted always on the instructions of responsible doctors. All staff have had training in safeguarding adults. Mrs Ennis has shown in the past that she understands the procedures homes must follow when there are concerns about residents. Staff were reminded of the whistleblowing policy in a staff meeting recently. This policy describes the responsibilities of each person to report any concerns they have about the way residents are treated. There are good, clear records of personal money handled for residents. Someone from the contracts section of the council visited in October 07 and commented, clear to understand and well operated and spent appropriately. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 16 Staff have been properly checked before they start work to make sure they are suitable people to work in a care home. St Aiden`s Cottage DS0000067579.V355278.R01.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): Standards 24 and 30. People who use the service experience excellent quality outcomes in this area. The home provides a pleasant place to live which meets peoples needs. It is kept clean. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home was built with the needs of people with physical disabilities in mind. All the bedrooms are singles and all are large with their own ensuite toilet. There is a dining room/lounge on each floor and adapted bathrooms. There is a small kitchen where residents can prepare snacks if they wish. The building is bright and spacious. It was decorated and furnished to a good standard for its opening in 2006. In surveys, all four residents said the home is always fresh and clean. It appeared clean on the day of inspection. All but one member of staff has had training in infection control. Hand wash dispensers are located around the home to make it as easy as possible for staff and visitors to prevent the spread of infection. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 18 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): Standards 32, 33, 34 & 35. People who use the service experience excellent quality outcomes in this area. The home has enough staff, with the right qualities and skills to meet residents needs. They have a recruitment procedure so people are checked before they start work to make sure they are suitable to work a care home. Staff receive the training they need to work safely. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The staff seem to have the personal qualities needed and are available when needed. Residents said, staff are friendly and helpful, easy to talk to, very good.One said that they are there for him if he needs anything. Another said that staff are very good, listen to what she wants, are able to help her quick enough, go and get what she wants from the shop and had time to put up her Christmas decorations. Another said that the staff are nice, always ready to help. Two relatives in surveys said the home always met their relatives needs. One said all the staff have the right skills and professional experience. Four of the staff are qualified nurses, one a physiotherapist and the other two have NVQ 2 in care. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 19 The current rota shows a minimum of two staff on duty throughout the day 7 a.m. to 10 p.m. A member of staff from St Bedes comes in from 1 pm to 3 pm so that one of the people on the 7 am to 3 pm shift is freed up to do activities. The staff doing the waking night shift and sleep-in shift work until 8 am, so four people are on duty from 7-8 am. This means they have plenty of time to help people get up in the mornings. The physiotherapist employed as a fulltime care coordinator has just left but a physiotherapist who used to work in their other home has begun work. Anita Ennis said that staff can work extra hours to take people to appointments and extra hours for specific activities are provided. She said they are still recruiting staff. Also the deputy manager works three days a week but deals with records rather than hands-on care. There is a commitment to equality in the home-in a staff meeting staff were reminded of the racial harassment policy. All but one of the staff have done first aid training, all have had training in food hygiene, moving and handling, safeguarding adults and fire safety. They are doing equality and diversity training. All but one staff has had training in the safe handling of medicines. Some training in working with people whose behaviour could be difficult has been provided. It was not possible to check how the home has carried out checks on new staff recently, because no new staff had started work. (The newest employee was already employed at the companys other home so did not need to be checked again.) However the last inspection found that the home had carried out the checks needed to make sure people are suitable to work in a care home. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39 & 42. People who use the service experience good quality outcomes in this area. The home is well managed and run safely. The owners of the home find out what residents, relatives and care managers think of it so they can provide the service people want. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The manager has the experience and qualifications needed to run this home. She is well supported by family members who are directors of the company and are closely involved with the running of the home. She has had to be absent from the home sometimes during the last year because of sickness or family commitments but the manager of the adjoining home, run by the same company has taken responsibility for the home. The part-time deputy manager has remained at work during these times and the home seems to have continued to run well. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 21 The home has set up a system to find out the views of residents and people involved with their care, so that they can continue to improve the service and meet peoples expectations. They carry out surveys twice a year and analyse the results. The home is a new building and has safety features, like an up-to-date fire safety system, low surface temperature radiators and thermostatically controlled hot water, to avoid risks of people burning themselves. Staff carry out the regular checks required such as hot water temperature checks and fire safety checks. Fire drills have been done but the manager must make sure that all staff take part in these regularly. There is a planned system for regular servicing and checking of equipment. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 22 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 4 3 X 4 X 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 4 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 4 X X 3 x St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 23 No 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. 2. Standard YA20 YA42 Regulation 13 13 Requirement A photograph of each resident must be fixed to the record of the medication given to them . All staff must take part in regular fire drills. Timescale for action 31/01/08 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA14 Good Practice Recommendations As part of care planning and reviewing, staff should record how they are meeting residents needs and wishes for leisure activities. St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 St Aiden`s Cottage DS0000067579.V355278.R01.S.doc Version 5.2 Page 25 - 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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