Inspection on 29/06/06 for Storrington

This inspection was carried out on 29th June 2006.

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 no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Storrington 10/09/07

Storrington 25/11/05

Storrington 10/05/05

Storrington 21/10/04

Storrington 15/06/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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Dovedale Court

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

CARE HOME ADULTS 18-65 Storrington Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG Lead Inspector Pauline Long Key Unannounced Inspection 29th June 2006 12:00 Storrington DS0000013804.V302022.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 Storrington DS0000013804.V302022.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. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Storrington Address 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) Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG 01428 607606 Robinia Care Limited Ms Lydia Bukowski Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 18-50 YEARS 25th November 2005 Date of last inspection Brief Description of the Service: Storrington is a detached home situated in the centre of Beacon Hill Village, with easy access to the local community and shopping area. There is good access to the home with plenty of parking spaces available outside the home and within a public parking area provided for shopping. The Home is owned and run by Robinia Care Group plc. Accommodation is provided for five young adults between the ages of 18-50 years that have complex care needs. Each resident has their own bedroom and the home has a communal lounge and a large communal conservatory. Residents also have access to a well maintained garden and patio area. The fees at the home range from £900.00 to £1276.00 per week. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of the CSCI key inspection year and was unannounced. The inspection was carried out by one inspector and lasted for five and a half hours. The Commission for Social Care Inspection is reviewing the Surrey homes owned and managed by the Robinia Care Group plc as part of a protection of vulnerable adults concern. The review is not yet complete and a report will be provided under separate cover once the review has been concluded. During this inspection the residents were observed having their lunch time meal. Discussions were held with the care staff, the organisations service manager and a manager from another one of the organisations services, who for the purpose of this report will be referred to the “acting manager”. Documents sampled, included service users files, care plans, staff records, and service files. A full tour of the home took place. Verbal feedback from the resident’s at home on the day was limited, in view of their profound and complex needs and communication difficulties. However their body language, facial expressions and sounds indicated general wellbeing. This was a positive inspection, however some areas for improvements were identified. The CSCI would like to thank the residents, and all of staff for their hospitality and co-operation during the inspection. What the service does well: The care staff demonstrated an open and inclusive approach. The care staff team is a stable one, and provides a consistent standard and level of care to the residents. On the day they demonstrated a good understanding of the residents care needs. The home promotes and encourages contact with family/friends and the local community. Care needs assessments and care plan documentation is of a good standard, providing staff with comprehensive information on a resident. The care plans are reviewed regularly and contain detailed information regarding the residents’ needs. Residents bedrooms were well equipped and reflects that of any other young adults room. The home is well equipped with many pieces of sensory equipment, which were good for the residents with communication difficulties. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The organisations Protection of Vulnerable Adults procedure is somewhat confusing and does not reflect the guidelines of the local authority procedures, which could potentially lead to a delay in reporting an abusive situation. Residents dignity was not promoted in respect of incontinence aids. The storage of these aids must be reviewed to ensure that aids are only used for those residents they are prescribed for. Staff recruitment practices were poor in respect of some of the references. It was not clear as to how the references were obtained, references had “to whom it may concern” written on them, indicating that they had been brought with the member of staff. To ensure the protection of the residents the organisation must provide clarity as to how staff references are obtained. There were concerns around some health and safety and infection control aspects. The storage of hazardous substances was poor, there were no hand towels in residents bedrooms for staff to dry their hands. Paving stones in the garden were uneven and could potentially be trip hazards, some of the foliage needs to be pruned. The home is adjacent to a public car park and there was a concern around the ease of access to the back garden. Requirements have been made in these areas. Please refer to pages 26 and 27 of this report. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Needs assessments are completed prior to a resident being admitted to the home. Contracts/placement agreements are provided at the home. EVIDENCE: The home has been fully occupied since it opened and therefore has not admitted any new residents in some time. Files sampled did not evidence any social care team community care needs assessments, however there were comprehensive assessments of daily living activities carried out by the home. The acting manager stated that once a referral was received from a social care team the manager would visit the prospective resident to carry out their initial care needs assessment. If appropriate the prospective resident would be encouraged to visit the home several times prior to admission, in order to further assess their needs. The visits could range from a lunch time visit to a weekend stay, enabling prospective residents to become familiar with the home. Once admitted the needs assessments would be on-going. The organisation and home have recently developed new contracts/placement agreements for all of the residents. Due to the residents profound and complex needs they have been unable to sign these contracts/placement agreements. All of the contracts/placement agreements were sent to the Social Care Management teams on the 06/04/06 for their consideration and have yet to be returned to the home. The home provided a copy of the letter and contract/placement agreements for the CSCI as evidence. It was suggested to Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 10 the service manager that a copy of the contract/placement agreement and the covering letter be placed in each residents file to provide evidence that tis standard had been met. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive and holistic care plans are in place for the residents. The staff had a good understanding of the resident’s needs and choices. Residents were encouraged and supported to help in decision making at the home. EVIDENCE: The staff on duty on the day had a good understanding of the resident’s personal care needs. This was evident from the positive interactions and relationships observed. Care plans were sampled, and were found to be well written, to include a holistic overview of daily living activities. The care plans gave clear instructions and guidelines to the reader about a residents care needs, demonstrating that the care staff would be aware of these needs. However for the reader they were somewhat cumbersome due to the number of pages. The service manager commented that the organisation was reviewing all of the documents in order to improve the ease of use. Each care needs deficit had been risk assessed. Risks were clearly documented and guidelines in place to minimise the risks. All care plans and risk assessments had been regularly reviewed. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 12 Staff were observed supporting the residents in respect of decision making and choices for example: where would like to sit, would you like a drink, what activity would you like do. This support was offered in a respectful, sensitive and unhurried manner. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are encouraged and enabled to maintain fulfilling lifestyles in and outside the home. The home promotes contact with family, friends and the local community. The meals offered in the home are wholesome and nutritious. EVIDENCE: The routines in the home were determined only by the timings of the visits to and from the day services, and to other appointments. On the day, one of the residents went out to a day services activity. The remaining residents were taking part in activities at the home, for example foot and leg massage, manicures, or just relaxing to some music. Their body language facial expressions and the sounds they made gave the impression that they were happy to be taking part in these activities The home is committed to ensuring that the residents maintain their relationships with their family and friends and the local community. Families and friends are encouraged to visit the home, some are regular visitors and some keep contact by phone. One visitor to the home commented that the home was always welcoming and very homely. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 14 The care staff discussed various activities for example: hydro-pool, aromatherapy, visits to the shops and to the local pub and the sea side. It was evident that the residents also enjoy watching the many various multi sensory pieces of equipment around the home. The care staff stated, that residents are encouraged to choose their meals from pictorial and written menus. They explained that whilst the home has proposed menus, they are not always adhered to, depending on resident’s likes and dislikes on a given day. On the day of inspection the majority of residents were observed to enjoy a lunch time meal of pasta and bolognaise sauce or macaroni cheese and fresh fruit juice. All of the residents required support and help with eating their meal. Staff were observed supporting the residents in a respectful and unhurried manner. However it was noted that the care staff stood up whilst helping residents eat their food. This was discussed with the acting manager and care staff, who indicated that under normal circumstances they would be seated whilst helping the residents with their food. Kitchen cupboards and the freezer were found to be well stocked. The fridge contained fresh fruit and vegetables, but was somewhat low on other provisions. The care staff commented that the shopping would be done later in the day and produced a shopping list to evidence this. A recommendation was made in respect of mealtimes. Please refer to pages 26 and 27 of this report. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the residents physical, emotional and health support needs, this was evident from the positive interactions and relationships observed. Residents are protected by the home’s policies and procedures for dealing with medicines. However there needs to clarity in respect of the codes used on the medication record sheets. EVIDENCE: As discussed earlier in this report care plans included clear guidelines on any support each resident required with personal, emotional and health care needs. Daily records included visits to the doctor, various health related appointments such as physiotherapy and reviews of care. Care staff were observed to be carrying out many aspects of personal support for the residents, this support was offered in a respectful and dignified manner. On the day residents needs were observed as being well met. It was noted that continence aids were stored in the homes bathrooms, and there was no means of identifying whose aids they were. This was viewed as poor practice and indicated communal use. Discussions were had with the care staff in this respect. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 16 Medication procedures and storage were sampled. All of the medication record sheets were checked and were found to be properly completed. However there was some confusion in respect of the coding used, it was not clear as to what the coding meant. This was discussed with the acting manager and staff, who agreed that it was somewhat confusing and steps would be taken to address the matter. Medication storage was satisfactory. There was evidence in the files sampled that, residents wishes around death and dying had been discussed with their relatives and care management teams. Requirements and a recommendation were made in respect of these standards. Please refer to pages 26 and 27 of this report. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has satisfactory policies and procedures in place for dealing with concerns, complaints. However further work is required to ensure the organisations protection of vulnerable adults policy and procedure is clear, easy to follow and reflects that of the local authority guidelines. EVIDENCE: The CSCI have received no complaints about this home since the last inspection. Improvements have been made in respect of the complaints procedure. The homes complaints records were sampled and no complaints had been reported for some considerable time. Discussions with staff indicated that they were conversant with the homes complaints procedures. The Commission for Social Care Inspection is reviewing the Surrey homes owned and managed by the Robinia Care Group plc as part of a safeguarding adults concern. The review is not yet complete and a report will be provided under separate cover once the review has been concluded. The safeguarding adults policy and procedure used by the organisation is unclear and members of staff might take some time to understand what might be required of them. The service manager stated that the organisation is in the process of reviewing the policy and procedures. Various scenarios in respect of abuse and abusive situations were put to staff. They had a Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 18 reasonable understanding of the procedures and commented that they had received training in the protection of vulnerable adults. A requirement has been made in respect of the organisations safeguarding adults policies and procedures. Please refer to pages 26 and 27 of this report. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the interior home is very good and meets the needs of the residents. However the exterior of the building requires attention in respect of security concerning the positing of the adjacent public car park. EVIDENCE: The home provides a clean, pleasant and homely environment for the residents to enjoy. The fabric and decoration is well maintained and reflects that of any other domestic setting. The resident’s bedrooms reflected that of any other young adults room, for example: pop posters and photographs on the walls, music centres, soft toys and several pieces of sensory equipment. The bedrooms were well decorated, and were bright and clean. Cupboards and storage areas were clean and tidy, residents clothing was nicely folded and stored appropriately. The care staff should be commended on the level of comfort in the bedrooms and standard of the multi sensory equipment provided for each of the residents. It was noted that in the residents bedrooms there were no arrangements in place for staff to dry their hands. This was discussed with the acting manager and care staff, who stated, they would go into one of the adjacent bathrooms Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 20 to dry their hands. This was viewed as unsatisfactory and had the potential to have a negative impact on the control of infection in the home. The communal areas of the home provided various comfortable seating for the residents. There were various pieces of equipment in place to ensure that a resident who was ambulant could move around in safety, thus promoting her independence. The standard of cleanliness was excellent, staff commented that they took pride in the home and wished it to provide a comfortable environment for the residents. This was evident throughout the site visit. The garden was reasonably well maintained and provided a nice place for residents to spend time. However there were a few areas of concern. Some of the paving stones were uneven and could be potential trip hazards. One tree was very overgrown and staff had to crouch to get under it. The home is built adjacent to a public car park, and there was a concern that the garden and the back of the home could be accessed easily by anyone, this was viewed as a risk to the resident’s and staff security. Requirements were made in respect of these standards. Please refer to pages 26 and 27 of this report. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs a stable efficient, appropriately trained and supervised staff team. However some recruitment practices were unsatisfactory. EVIDENCE: The staff team at the home has remained constant providing consistency of care for the residents. There have been no new staff recruited since the last inspection. A requirement was made at the previous that the home review the level of communication training in light of the diverse ethnicity of the resident and staff group and the complex needs of the residents. This was discussed with the service manager, who, stated that further communication had been provided for care staff, however it was not as in-depth as the training the manager had. Training records were sampled and evidenced this and other statutory and good practice. Staff are undertaking National Vocation Qualifications (NVQ) 50 of the staff are enrolled on an NVQ course and the remaining 50 are due to start in September 2006. Equality and Diversity training has also been scheduled for September 2006. Discussions were had with the staff on duty and they demonstrated an awareness of their individual roles and responsibilities. Work based observations evidenced competent and confident staff carrying out their various tasks. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 22 Two staff files were sampled and there was a concern around the references provided. It was not clear if the organisation had requested the references or if the staff in question had simply brought them with them, as the references were addressed “To whom it my concern” there were no records in the files to evidence that letters had been written requesting the references from the previous employer. There is a formal one to one staff supervision programme in the home. Staff commented that they meet with the manager on a regular basis and that she is always there to offer guidance and advice. The staff team received regular documented supervision, a number were sampled during the inspection and were found to meet the standard. A requirement has been made in respect of staff references. Please refer to pages 26 and 27 of this report. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42,43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from the ethos management approach, their views are listened to and acted upon. The health, safety and welfare of the residents is promoted and protected inside the home, however attention must be paid to the exterior. EVIDENCE: The care staff on duty demonstrated an open and inclusive approach to the residents. From observation of their interactions with the residents it was clear that there was an atmosphere of openness, understanding and respect. The service manager stated that the organisation was trying to develop a process in which the residents could be supported and enabled to express their views. She also commented that the resident’s profound and complex needs presented challenges in this respect. Service users questionnaires are being developed as part of the organisations Quality Audit. The service manager Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 24 stated that it would be the managers responsibility to distribute these and formulate a report from the responses. Health and safety checks are routinely carried out at the home. All equipment in use on the day of inspection was properly maintained and had received the yearly service check. Records evidenced that water temperatures, fire drills and fire bells were regularly checked. Kitchen records in respect of fridge, freezer and food temperatures were well kept. The cupboard under the stairs was found to be unlocked and contained COSHH substances ( Control of Substances Hazardous to Health), it should be noted that the service manager accepted responsibility for leaving this cupboard unlocked. There were some uneven paving stones and an over grown creeper in the garden. As discussed earlier in this report there was a concern about the safety and security of the home due to ease of access from the adjacent public car park. During the previous inspection a shortfall was identified in the accounting procedures in respect of residents transport fees. The organisation advised that these short falls would be addressed and the resident’s accounts reimbursed. However having sampled the residents personal account records it was evident that only one resident had received this reimbursement. Requirements were made in respect of these standards. Please refer to pages 26 and 27 of this report. Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 2 X X 2 2 Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 26 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 YA23 Regulation 13(6) Requirement The registered person(s) must ensure that the Protection of Vulnerable Procedures are reviewed and re-written to provide ease of use and to reflect the guidelines of the Local Authority Procedures. The registered person(s) must ensure that a resident’s dignity is respected and protected at all times. Continence aids must not be communally used. The registered person(s) must ensure that arrangements are in place in each bedroom for staff to dry their hands. The registered person(s) must ensure that all COSHH substances are stored safely. The cupboard under the stairs must be kept locked. The registered person(s) must ensure that there is clarity as to whom staff references are requested by. The registered person(s) must ensure that the uneven paving stones in the garden are repaired. The registered person(s) must DS0000013804.V302022.R01.S.doc Timescale for action 29/08/06 2. YA18 12(4)(a) 06/07/06 3. YA42 16(2)(j) 29/07/06 4. YA42 12(1)(a) 13(4)(a) 30/06/06 5. YA34 18 Schedule 2 12(1)(a) 13(4)(c ) 12(1)(a) 29/08/06 6. YA42 29/07/06 7. YA42 29/07/06 Page 27 Storrington Version 5.2 13(4)(c ) 23(2)(o) 8. YA42 12(1)(a) 13(4)(c ) 23(2)( o) 5(1)(b(c ) 13(6) 9. YA43 YA23 ensure that the overgrown tree in the garden is cut back to provide safer access. The registered person(s) must ensure that the security of the home is reviewed in respect of the ease of access from the adjacent public car park. The registered person(s) must review the procedure and practice around the reimbursement of the resident’s transport costs, to ensure that all residents who are entitled receive their reimbursements. 29/07/06 29/07/06 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 YA17 Good Practice Recommendations Consideration should be given to how meal time activities are conducted. Care staff should be encouraged to sit down beside residents whilst supporting them to eat their meals. In order to minimise confusion, consideration should be given to the coding on the medication record sheets. 2. YA20 Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Storrington DS0000013804.V302022.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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