Inspection on 06/03/07 for Stonesby House

This inspection was carried out on 6th March 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stonesby House 30/10/08

Stonesby House 26/11/07

Stonesby House 04/05/06

Stonesby House 12/01/06

Stonesby House 30/11/05

Stonesby House 08/07/05

Stonesby House 04/11/04

Stonesby House 23/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 Stonesby House 147 Stonesby Avenue Leicester Leicestershire LE2 6TY Lead Inspector Chris Wroe Key Unannounced Inspection 6th March 2007 10:35 Stonesby House DS0000028065.V331462.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 Stonesby House DS0000028065.V331462.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. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stonesby House Address 147 Stonesby Avenue Leicester Leicestershire LE2 6TY 0116 2831638 0116 2831638 bevbudred@yahoo.co.uk 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) Mr Osman Amar Saghir No registered manager currently in post Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 4th May 2006 Brief Description of the Service: Stonesby House provides a service for eleven adults with mental health needs under the age of 65. The home, an extended semi-detached house, is situated on the main Stonesby Road close to shops and other amenities. There is a bus stop near to the home and regular bus service to Leicester and Wigston. There are two double and two single bedrooms upstairs with a further five single bedrooms downstairs. All bedrooms except one have full en-suite facilities. The home is non-smoking inside (individuals living in the home are able to smoke outside), and it has a large, open plan lounge/dining room. There are small garden areas to the front side and rear of the property that are mostly paved. There is a park situated nearby. Currently the fees charged are £285 to £350 per week. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a ‘key inspection’, which included a visit to the home. We visited the home on 6th March 2007. An ‘acting manager’ helped us with the inspection. The visit started at 10.35am and lasted for five and a half hours. Some of the individuals who live in the home were at home during the inspection. Individuals helped us with the inspection, and one person chose to talk to us about living in the home. The main way of doing the inspection was using ‘case tracking’. This means looking at the care given to service users in different ways. The ways this was done are: • talking to the individuals who live in the home • talking to staff and the manager • watching how individuals are given support • looking at written records. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Details about individual people has been kept out of the report, to make sure it is kept confidential. What the service does well: Assessments are done for people who want to come to live in the home, to see what their needs are and to make sure staff can meet their needs. Members of staff have had training to enable them to support individuals living in the home. There has been improvement in care plans for individuals living in the home. There are risk assessments for each individual, which describe any issues about safety in how they wish to live their life in the home, and how staff can support them to be safe. Staff support individuals by helping to look after money for them in the home. Records and receipts are kept and individuals are enabled to have control over how they spend their money. Daily records are kept in the home, which show what each individual chooses to do each day. Care professionals hold reviews to ensure that the home is meeting individuals’ needs. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 6 Staff enable people to go out independently if they choose to, but give support to individuals as they need it. Staff enable individuals to be involved in cultural and community activities if they choose to. Individuals are supported in daily living tasks. Staff showed a good understanding of the needs of individuals, and the ways they could support them. Menus show that individuals have a choice and range of meals. Staff pay attention to dietary needs and monitor weight where there is a concern. Staff are proactive in seeking support from healthcare professionals when they need it, to make sure that individuals’ health and wellbeing is maintained. One individual living in the home said they felt well supported by staff. There are procedures and policies in the home regarding medication, to make sure staff work safely. Individuals living in the home are supported to administer their own medication if they are able to, with safety checks in place. There is a complaints procedure in the home, which is written in plain language and describes how individuals can make a complaint. Staff have recently had training in the home relating to the protection of individuals from harm or abuse. Staff were able to describe the action they would take if they had any concern that someone was being harmed. All areas of the home that we saw were clean and tidy and in an adequate state of repair. Tests and checks of equipment are carried out in the home, such as fire safety checks and maintenance of fire safety equipment. Staff receive ongoing training to help them to support individuals well. All relevant safety checks are carried out for new staff, including collecting two written references and obtaining Criminal Records Bureau checks. Staff receive supervision and support in their work. There are good quality assurance systems in place. Individuals are able to give their views about the home. What has improved since the last inspection? Care plans are reviewed regularly to make sure they are updated with any changes. An interpreter has been employed in home for six hours per week to assist with communication for one resident whose first language is not English. This is good practice. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 7 Training provided since the last inspection includes fire safety, medication, managing challenging behaviour, and health and safety. The ‘acting manager’ has set up audits for a range of practices in the home and she has prepared an over-all audit report for action. What they could do better: Contracts were found to be in place for individuals living in the home, but these had not always been signed and in at least two cases, the fees noted in the contract were not the fees currently charge – fee levels have risen. The provider must make sure that each individual has a contract in place, which specifies current fees charged. We noted from records that one individual had missed a medication prescribed for daily use on four occasions because they were asleep. The ‘acting manager’ said that professionals were aware of this and that it was not a problem – it is recommended that this is documented and signed in records by the prescribing person. Although staff had kept relevant professionals informed about some issues of concern, there were some incidents, which had not been reported to the Commission for Social Care Inspection, as the provider must do under Regulation 37 Care Homes Regulations 2001. The ‘acting manager’ was reminded of which incidents must be reported. Records of freezer temperature tests showed that for one freezer the temperature was higher than required for safe freezing over a number of days. During the inspection this was reported to the provider to be checked. It would be better if this had been reported and acted upon immediately it was noted, and it is recommended that environmental health be contacted to check the safety of continued use. Given that there is an identified risk of behaviour from some individuals which is spontaneous and may be challenging to carers, it is recommended that the provider considers having two members of staff on duty in the home at night, to ensure the safety of staff and individuals living in the home. Although there is an acting manager in the home, she will not become the registered manager as she hopes to manage a sister home. Three months have now elapsed since the registered manager left and the provider has not yet recruited someone who is intended to become the registered manager of the home. It is recommended that this is done without delay. The provider has not sent reports to the Commission for Social Care Inspection, as required, to show that checks have been carried out of the Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 8 home on a regular basis. This must be done, particularly since there is not a registered manager in post. 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. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 9 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 Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 10 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, 5 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Whilst individuals benefit from having their needs assessed before coming to live in the home, they may be vulnerable because of inaccuracies in contracts. EVIDENCE: Assessments are done for people who want to come to live in the home, to see what their needs are and to make sure staff can meet their needs. Information collected includes assessments done by social workers or healthcare professionals. Members of staff have had training in relevant aspects to enable them to support individuals living in the home. Contracts were found to be in place for individuals living in the home, but these had not always been signed and in at least two cases, the fees noted in the contract were not the fees currently charged – fee levels have risen. The provider must make sure that each individual has a contract in place, which specifies current fees charged. The acting manager contacted us on the day following the inspection to say that contracts were to be amended that day. Stonesby House DS0000028065.V331462.R02.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, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individuals living in the home benefit from improvements which have been made in ensuring their individual needs and choices are met. EVIDENCE: There has been some improvement in care plans for individuals living in the home. Care plans describe individuals’ different needs and how staff can help to support individuals to meet their needs. There is evidence that the care plans are reviewed regularly to make sure they are updated with any changes. There are risk assessments for each individual, which describe any issues about safety in how they wish to live their life in the home, and how staff can support them to be safe. Individuals have signed their agreement to any restrictions, for example, some people have their cigarettes kept for them by staff, to help them to control the amount and cost of smoking. This sort of Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 12 restriction has been done with the backing of other professionals who support individuals. Staff support individuals by helping to look after money for them in the home. Records and receipts are kept and individuals are enabled to have control over how they spend their money. There are policies and procedures in place, which tell staff about their responsibilities in supporting individuals with their finances and ensuring they are not exploited. Stonesby House DS0000028065.V331462.R02.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, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from being able to live a lifestyle they choose. EVIDENCE: Daily records are kept in the home, which show what each individual chooses to do each day. Care professionals hold reviews to ensure that the home is meeting individuals’ needs. During the inspection, most individuals spent their time in the home, some watching television. The ‘acting manager’ and members of staff said that they do try to motivate people to get involved in different activities. One person who spoke to us said that they are comfortable in the home and do what they choose to do. They said that at this time they did not feel ready to work. For best practice, it would be good if staff continue to try and motivate individuals in areas of work and self development, although Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 14 the improvements in the home are recognised, as is individuals’ right to choose what they want to do, according to how they feel. Staff enable people to go out independently if they choose to, but give support to individuals as they need it. An interpreter has been employed in home for six hours per week to assist with communication for one resident whose first language is not English. This is good practice. Staff enable individuals to be involved in cultural and community activities if they choose to. Individuals are supported in daily living tasks. One person said that they like to help to keep their room tidy. Staff showed a good understanding of the needs of individuals, and the ways they could support them. Menus show that individuals have a choice and range of meals. Staff pay attention to dietary needs and monitor weight where there is a concern. One person told us that they like the food in the home. Stonesby House DS0000028065.V331462.R02.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. Individuals living in the home benefit from good personal and healthcare support. EVIDENCE: Records showed that staff continue to support individuals in relation to their mental health needs, involving other professionals as appropriate. Staff are proactive in seeking support from healthcare professionals when they need it, to make sure that individuals’ health and wellbeing is maintained. One individual living in the home said they felt well supported by staff. Staff make sure that other healthcare needs are attended to – such as arranging optician visits, and podiatry. One person confirmed to us that their feet are taken care of. We checked a sample of medication stocks and records, and observed staff giving out medication. There are procedures and policies in the home regarding medication, to make sure staff work safely. Individuals living in the Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 16 home are supported to administer their own medication if they are able to, with safety checks in place. We noted from records that one individual had missed a medication prescribed for daily use on four occasions because they were asleep. The ‘acting manager’ said that professionals were aware of this and that it was not a problem – it is recommended that this is documented and signed in records by the prescribing person. One person said they felt well looked after in the home, and that staff call for the doctor if they are unwell and need to be seen. Stonesby House DS0000028065.V331462.R02.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. Individuals living in the home are mainly protected by procedures and staff awareness regarding complaints and protection of vulnerable adults. EVIDENCE: There is a complaints procedure in the home, which is written in plain language and describes how individuals can make a complaint. One person told us that they felt able to approach their keyworker and talk to her if they had any problems or if there was something they were not happy about. The ‘acting manager’ said that she had dealt with one complaint about staff attitude and behaviour since the last inspection, and that the member of staff involved had been dismissed. Staff have recently had training in the home relating to the protection of individuals from harm or abuse. Staff were able to describe the action they would take if they had any concern that someone was being harmed. We checked records of accidents and incidents involving individuals living in the home. Although staff had kept relevant professionals informed about some issues of concern, there were some incidents, which had not been reported to the Commission for Social Care Inspection, as the provider must do under Regulation 37 Care Homes Regulations 2001. The ‘acting manager’ was reminded of which incidents must be reported. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individuals benefit from a mostly suitable living environment. EVIDENCE: We looked at some parts of the home during the inspection. One individual showed us their bedroom, which they shared with someone else. There was sufficient space and furniture, and individuals are able to have their own possessions in the room. All areas of the home that we saw were clean and tidy and in an adequate state of repair. There are some areas, which could do with some refurbishment, for example, carpets on the landing and stairs which are starting to look a little worn. The ‘acting manager’ said that she is working on a plan of improvement as part of the business plan. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 19 The laundry is small, but staff said it was suitable for purpose. Staff generally carry out washing for individuals living in the home. The provider may want to consider whether to look into laundry provision, to look at how individuals could be supported to become involved in washing their clothes. Tests and checks of equipment are carried out in the home, such as fire safety checks and maintenance of fire safety equipment. Records of freezer temperature tests showed that for one freezer the temperature was higher than required for safe freezing over a number of days. During the inspection this was reported to the provider to be checked. It would be better if this had been reported and acted upon immediately it was noted, and it is recommended that environmental health be contacted to check the safety of continued use. A health and safety committee has been formed in the home, to look at any issues needing action. This is a positive step to ensuring the home is safe for individuals. The housekeeper responsible for cleaning has recently left, so care staff are doing the cleaning. The ‘acting manager’ and staff said that this is done at less busy times so that it does not conflict with individuals needs. The ‘acting manager’ said that she intends to employ another housekeeper soon. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individuals living in the home benefit from safe recruitment practices and good training of staff. EVIDENCE: Staff receive ongoing training to help them to support individuals well. Training provided since the last inspection includes fire safety, medication, managing challenging behaviour, and health and safety. Training planned for the coming year includes person centred planning, moving and handling and mental health. New staff receive induction training and support. One new member of staff said they felt well supported. All relevant safety checks are carried out for new staff, including collecting two written references and obtaining Criminal Records Bureau checks. Staff receive supervision and support in their work. There are two members of staff working during the day alongside the ‘acting manager’, and two members of staff in the evening (without the ‘acting Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 21 manager’) when it is not so busy. One waking member of staff works at night, and the ‘acting manager’ or another responsible person is on call away from home. Given that there is an identified risk of behaviour from some individuals which is spontaneous and may be challenging to carers, it is recommended that the provider considers having two members of staff on duty in the home at night, to ensure the safety of staff and individuals living in the home. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Individuals mainly benefit from good management of the home although they are vulnerable because the provider has not taken steps to get a permanent registered manager. EVIDENCE: The registered manager left the home in December 2006. There is an ‘acting manager’ in the home, but the provider does not intend to register her as manager in this home, because she hopes to be registered as the manager of a new home of the provider’s. Anyone brought in by the provider in the role of acting manager should be brought in with the intention of registering them with the Commission for Social Care Inspection. Three months have now Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 23 passed since the registered manager left and the provider has not yet recruited someone who is intended to become the registered manager of the home. There was no information available in the home regarding the ‘acting manager’s experience or qualifications, although she was able to show certificates of training she had done. It is recognised that the ‘acting manager’ has made considerable improvements in the home. The provider has not sent reports to the Commission for Social Care Inspection, as required, to show that checks have been carried out of the home on a regular basis. This must be done, particularly since there is not a registered manager in post. There are good quality assurance systems in place. The ‘acting manager’ has set up audits for a range of practices in the home and she has prepared an over-all audit report for action. Questionnaires are given out to individuals to get their views about the home – these are very good, in plain English with pictures. The last survey was carried out in October 2006 and a further survey is planned to take place shortly. There are staff meetings and house meetings for individuals living in the home. One individual told us that they can contribute ideas about the running of home. Health and safety measures are in place in the home and staff were able to describe how they should work safely. There are procedures, which tell staff how to work safely. Staff have had training in relevant areas - including first aid. Safety checks are carried out in the home, and staff meetings are held about health and safety. Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 25 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 Standard YA5 Regulation 17(2), 17(3) and Schedule 4 37 Requirement The provider must ensure that records (including contracts) about fees charged to service users are an accurate reflection of the actual charges The provider must ensure that the Commission for Social Care Inspection is notified of significant events under regulation 37 relating to the health and welfare of service users The registered provider must carry out unannounced visits to the home at least once per month and prepare a report of these for the Commission for Social Care Inspection Timescale for action 31/03/07 2 YA23 31/03/07 3 YA39 26 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 26 1 YA20 It is recommended that where an individual regularly misses medication on an approved basis, this is documented and signed in records by the prescribing person. It is recommended that where problems are identified in safety checks, action is taken as soon as possible to rectify the problem and relevant authorities informed as necessary. Given that there is an identified risk of behaviour from some individuals, which is spontaneous and may be challenging to carers, it is recommended that the provider considers having two members of staff on duty in the home at night, to ensure the safety of staff and individuals living in the home. It is recommended that, without delay, the provider recruits a manager who is intended to become the registered manager of the home. 2 YA24 3 YA32 4 YA37 Stonesby House DS0000028065.V331462.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Stonesby House DS0000028065.V331462.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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