Inspection on 07/03/07 for Summon Bonum

This inspection was carried out on 7th March 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Summon Bonum 01/02/06

Summon Bonum 02/12/04

Summon Bonum 22/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Summon Bonum Summon Bonum 56a St Marychurch Road Torquay Devon TQ1 3JE Lead Inspector Graham Thomas Key Unannounced Inspection 7th March 2007 09:30 Summon Bonum DS0000018436.V327430.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 Summon Bonum DS0000018436.V327430.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. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summon Bonum Address Summon Bonum 56a St Marychurch Road Torquay Devon TQ1 3JE 01803 293512 NONE 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) Mrs Jenny Whitney Mrs Jenny Whitney Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (9) of places Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons with a Learning Disability and an additional Mental Disorder up to and over 65 years can reside at the Home. 1st February 2006 Date of last inspection Brief Description of the Service: Summon Bonum provides residential care for up to nine adults with learning disabilities up to and over the age of 65, some of whom may have additional mental health problems. The house is a Victorian villa set in its own gardens close to local shops, and half a mile from Torquay town centre. Seven bedrooms are single, one double. Service users are encouraged to use public transport, and the home uses its people carrier for outings of all sorts. The homes emphasis is on promoting independence, encouraging them to develop their skills, follow their own interests, and value and encourage each other. At the time of this inspection, fees for a place in the home ranged between £315 and £819 per week. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is what the Inspector did for this inspection. • Before the inspection Mrs. Whitney sent the Inspector some information. • Service users, staff and relatives answered questions about the home. The Inspector looked around the home. Service users and staff spoke with the Inspector. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 6 The Inspector looked at Care plans. Mrs Whitney and her daughter showed the Inspector other records about the home. What the service does well: Each service user has a care plan. Staff talk to service users about their plan. Staff help service users to look after their health. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 7 Service users can make choices about how they want to live. Service users can choose activities they want to do. Service users get help to keep in touch with family and friends if they want. Staff listen to service users and protect them from harm. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 8 Summon Bonum is comfortable and clean. Staff are taught how to do their jobs properly. The home is well managed. Service users, staff and relatives are asked how it can be improved. What has improved since the last inspection? Some rooms have new carpets. Some rooms have been decorated Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 9 What they could do better: Some changes are needed to the building. This would help service users who find it difficult to walk. The home must make better checks of staff before they work in the home. 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. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 10 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 Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can feel confident that their needs will be properly assessed before moving into the home. EVIDENCE: There have been no new admissions to the home since 2001. Each of the four care plans sampled contained the assessments of referring authorities and the home’s own assessments. Assessment material from other professionals was also seen in the files. Risk management plans contained details of any agreed restrictions on freedoms and choices. Verbal and written feedback from relatives indicated a close working relationship, which was balanced with respect for the autonomy of individual service users. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 12 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 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are well supported to make choices about their lives. They can feel confident that they will receive the right support to meet their needs. EVIDENCE: A detailed plan had been produced for each service user. At the time of inspection visit, a new format for the plans was being introduced to make them easier for service users to read. Records showed that the plans had been reviewed regularly with service users. Work undertaken with service users by key workers had also been reviewed as part of the staff supervisory process. The plans included details of personal social and healthcare needs. Risk assessments and management plans were included in the files. These showed how service users could be supported to take reasonable risks to increase their independence and enhance their lifestyles. For example, one risk assessment concerned the use of public transport. Restrictions to normal facilities and activities were recorded in the plans. An example in one file was about permission to remove a door lock from one service user’s room. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 13 Correspondence was seen in the plans concerning individual healthcare appointments. This included, for example, dental care, optical care and an impending appointment with an Occupational Therapist. One service user had a diagnosis of dementia. A life story had been prepared to assist staff and a separate version for the service user. In a survey, most service users stated that they always made decisions about what they did each day. Staff were seen consulting service users and offering them choices. Service users had the opportunity to join a local advocacy group. One service user was attending this group occasionally. On the first day of the inspection, a visitor from the Pension Service was attending the home to deal with pension issues for one service user for whom the Registered Provider was the Appointee. One relative commented, “The great strength of Summon Bonum is that it is small and has a family atmosphere. It seems more like a shared home than a ‘Home’. Residents have a say in their care, how their rooms are decorated and what they would like to eat or wear.” Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 14 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 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are helped to follow the lifestyle that suits their needs, interests and goals. EVIDENCE: During the inspection, service users followed individual routines, which were appropriate to their ages’ needs and interests. One service user with a diagnosis of dementia was receiving individual attention from a staff member (for which additional funding had been secured). Another visited the local shops. Older service users were relaxing, chatting and watching the television. Some were participating in the home’s domestic routines. Evidence around the home and in service users’ rooms demonstrated their achievements in activities supported by the home. Certificates from college courses were on display in some rooms. One service user showed the Inspector objects he made at a local pottery class. Daily records and discussion with service users confirmed attendance at keep fit and cookery classes, arts Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 15 and crafts, swimming, friendship groups. For older service users, attendance at local tea dances had been supported. One service user had attended a knitting circle. Service users spoke about shopping trips visits to the pub and meals at local restaurants. The home’s newsletter described holidays in Somerset, Edinburgh and Greece. Service users’ relationships with family and friends appeared to be well supported. The newsletter described how a group of service users were supported to take up an invitation to a cream tea at the home of one service users’ sister. All the relatives who responded to the Commissions’ survey stated that the home “always” or “usually” helped service users to keep in touch with them. One relative commented, “I can ring my son at any time. I can see him whenever I want to. I can arrive whenever but I would always ring first. I am immediately offered a cuppa and made welcome.” Another stated “…I cannot visit (my relative) like I used to but he comes every two weeks to see me”. Issues of rights and responsibilities were examined. A high degree of interaction between service users and staff was observed during the inspection. All the interactions were respectful and good humoured. Those service users, who are able, participate in the domestic chores of the home. Where there were limitations on the usual facilities or personal freedoms, these were documented. In discussion, service users were aware of the home’s rules regarding smoking, which had recently changed. Menus had been produced in pictorial form, showing a varied and balanced diet. Fresh fruit vegetables were seen to be available and in use. Service users, staff and relatives confirmed that eating arrangements were flexible to enable service users to eat alone or with relatives if required. One service user had a separate, individual menu, which catered for particular dietary needs. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 16 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, and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can feel confident that they will receive appropriate personal and healthcare support. EVIDENCE: Service users were seen to be following their own preferred routines during the inspection. Staff and service users confirmed that privacy was respected where personal support was required. Some service users required guidance regarding personal hygiene. This was detailed in care plans and commented upon positively by one relative who returned a survey. Service users dressed in their own clothes according to their own taste and were seen to be encouraged to take a pride in their appearance. Healthcare assessments including health action plans were seen on individual files. There was also evidence of appointments for routine checks and treatments such as dental and optical care. Discussion with the Registered Provider and Assistant Manager demonstrated that service users changing personal healthcare needs are monitored and responded to appropriately. This was confirmed in individual plans. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 17 Individual records provided evidence of the involvement of specialist professional support including Psychiatric services, Physiotherapy and Speech and Language Therapy. One service user had an appointment with an Occupational Therapist during the inspection. Two service users had been provided with walking frames and one service user had adapted footwear. The Inspector, Registered Provider and Assistant Manager discussed the increasing needs of one service user with mobility difficulties. A number of options were discussed including the rearrangement of accommodation to enable the person to occupy a ground floor room. Service users’ preferences were clearly recorded and respected and a key worker system was in operation in the home. Advocacy is available to service users if required. The home’s system for the administration of medicines was inspected. The medicines were securely stored in a locked cabinet. There were no controlled drugs in use at the time of this inspection. However, the Registered Provider was aware of the additional requirements for storage and recording if needed. Homely remedies in use were recorded on a professionally approved list. A sample of four medicines administration records was examined. These records were up to date and in good order. One “as required” medicine was identified. Some improvements to staff guidance on the use of such medicines was discussed with the Assistant Manager. Certificates of staff training in medicines administration were seen. This training was supplemented with formal observation of practice to demonstrate competence, a record of which was seen. This observation had been repeated to ensure that experienced staff continue to follow good practice. The system had been checked by the local pharmacy in August 2006 and found to be operating correctly. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 18 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 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives can feel confident that any concerns will be taken seriously and acted upon. There are properly robust systems in place to protect service users from abuse. EVIDENCE: Of six surveys returned by service users, five could identify the person they would speak to if they were not happy. Five relatives commented that the service always responded appropriately to any concerns and one stated that this was usually the case. Two of the six relatives who responded stated that they had never felt the need to complain and another commented, “Any suggestions made are always taken seriously”. A complaints record was available for inspection. A clear complaints procedure was available which has been produced for service users in a user friendly format. This is further reinforced by a whistle-blowing policy. One service user had a separate complaints record as part of an agreed plan of care, which is overseen by relevant professionals. There was a very evident openness in the relationships between staff, service users and their relatives, which enables concerns to be aired with confidence. A procedure about protecting service users from abuse has been produced. The staff interviewed were clear about their action in the event of any concerns or allegations. Details of procedures concerning abuse had been discussed at a staff meeting in February 2007, notes of which were seen. Alerter’s training is provided through the use of a locally produced video as part of the induction Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 19 process. Challenging behaviour was understood by staff as a way of communicating needs. General policy guidance was in place and guidance concerning individual service users was seen in care plans. Staff had received training in de-escalation and restraint techniques. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from a pleasant and generally well-maintained environment. However, further adaptation is needed for the home effectively to meet the increasing needs of older service users. EVIDENCE: During this inspection visit the Inspector toured the premises and looked at the home’s maintenance records. One service user’s room was not seen as the service user was ill and in bed. Since the last inspection, some redecoration had taken place in communal areas and some bedrooms. There was also some new carpeting. All areas of the home were clean, well decorated and free from offensive odours. Service users benefit from accommodation in a large, comfortably furnished Victorian villa within easy walking distance of local shops and not far from Torquay town centre. Visits are facilitated by parking for up to nine cars on a flat gravelled and paved area. There are level and easily accessible gardens for Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 21 service users’ use. Furnishings and fittings are bright and attractive. The ground floor is well designed for accessibility, and all but one of the less mobile service users have their bedrooms on the ground floor. One service user’s mobility has declined significantly since the last inspection. This was discussed with the Registered Provider and Assistant Manager who have been exploring various options to meet this person’s needs. These included a re-arrangement of the existing accommodation and/or the provision of a stair lift. Assisted bathing facilities are provided on the first floor and toilet facilities are sited close to communal areas. Two rooms have en-suite facilities and one service user had been provided with a commode chair. The existing laundry facilities were not sufficient to meet the increasing continence management needs of the older service users. For example, there is no sluicing facility. The Registered Provider had identified this problem and had applied for planning permission for an extension to the building. However, this had been refused and alternative arrangements were being considered. Evidence was seen of routine safety checks such as those for fire extinguishers and electrical equipment. Hot water to baths was regulated and risk assessments had been produced for other hot water outlets. It is recommended that environmental risk assessments should be made specific to individual service users. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 22 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 and 36 Quality in this outcome area is adequate. Staff at Summon Bonum receive the training they need to do their jobs well. However, recruitment procedures do not protect service users well enough. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector interviewed two staff during the inspection and received written feedback from three others. Other staff were spoken with informally. Training records and a sample of staff files was examined. Detailed training plans have been produced for the home’s staff. These have been based on an analysis of job specifications as well as individual training need. Over 60 of the current staff group have a national vocational qualification in care at level 2 or above. One of the staff was undertaking a qualification at level 3. Evidence was seen concerning a variety of training relating to the work in general and specific needs of service users. This included for example, first aid, food hygiene, challenging behaviour, falls prevention and dementia. Training records and discussion with staff showed that the Registered Provider and Assistant Manager have considered training in a broader way than the purely immediate and functional. For example, some staff have received training in anger management to assist them in dealing Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 23 with challenging behaviour. Staff attending training courses are expected to complete a detailed evaluation of the training for the home. Since the last inspection the Registered Provider has employed the services of a consultancy to assist in employment issues. A new staff handbook had been produced as a result. Staff files showed that a formal recruitment procedure was in place, which included the completion of an application form, two references and a job interview. A recent recruit also confirmed that she had the opportunity to visit the home and meet service users and staff before taking up the post. Records of a formal induction process was shown in staff records and each contained a job description. Two staff were still awaiting the return of criminal records checks. There was no evidence of checks of the national register for protection of vulnerable adults in respect of these staff. No supervisor had been allocated to monitor their work until these checks were completed. One volunteer had no checks in place though these had been had been applied for. In the feedback received in staff surveys and verbally, all but one staff member felt well supported. All but one felt that they had received enough information about service users to do their jobs. Supervision records showed that the frequency of formal staff supervision had fallen since the last inspection. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 24 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, 38, 39 and 42 Quality in this outcome area is good. Summon Bonum is a generally well run home with a strong commitment to continuous improvements for the benefit of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Summon Bonum is managed jointly by the Registered Provider and her daughter who is the Assistant Manager. Both have now completed the Registered Manager’s Award and have undertaken a wide range of additional training. Both show a commendable attitude to the development of the staff as well as their own development. This inspection confirmed the findings of previous inspections, that there is a strong commitment to the continuous improvement and development of the service. Evidence included changes to the care plans and discussions regarding changes to the accommodation. The views of service users, staff and relatives about the service had been sought in the summer of 2006. Suggestions from Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 25 these surveys had been incorporated into the development plan for the home. For example, the suggestion for a newsletter had been followed up and a copy was provided for inspection. Notes of regular meetings for both staff and service users were seen. Those for service users had been produced using pictures and symbols. The ethos of the home is reflected in comments from service users relatives. For example, one relative wrote, “They involve all as if they were brothers and sisters. In my experience they (particularly Mrs Whitney and her daughter) have been good listeners. They are always able to talk to you if the need arises”. Another commented, “There is a wonderfully happy and homely atmosphere there radiated by the owners (reference to Mrs. Whitney and her daughter)” Records concerning health and safety for staff and service users were examined. Evidence of staff training was seen in health and safety topics such as first aid, fire prevention, food hygiene and falls prevention. Servicing and maintenance records showed recent checks of fire equipment, heating and water system testing, electrical and gas maintenance and checks. Risk assessments had been conducted in respect of environmental risks. It is recommended that these should be made specific to individual service users. Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 26 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 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 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 x 32 3 33 X 34 1 35 3 36 2 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 4 X X 3 X Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 27 Yes 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 YA34 Regulation 19(1)(b), (9) and (10) Requirement “19 Fitness of workers (b) subject to paragraphs (6), (8) and (9), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2 (9) Where the conditions set out in paragraph (10) are satisfied, the registered person may permit a person (“the new worker”) to start work at a care home notwithstanding that paragraphs (1)(b) and (5)(d) have not been complied with in so far as they relate to paragraph 7 of Schedule 2. (10) The conditions are— (a) a criminal record certificate (“a criminal record certificate”) has been applied for in respect of the new worker pursuant to section 113 or, if applicable, section 115 of the 1997 Act; and (b) full and satisfactory information in respect of the new worker has been obtained in relation to paragraph 7 of Schedule 2 in so far as it relates, where applicable, to sections DS0000018436.V327430.R01.S.doc Timescale for action 01/05/07 Summon Bonum Version 5.2 Page 28 113(3A) or 115(6A) of the 1997 Act and sections 113(3C)(a) and (b) or 115(6B)(a) and (b) of that Act.” In particular, the Registered Provider must ensure that CRB / POVA checks are undertaken for all newly recruited employees. In the case of those recruited from abroad these must include a UK CRB check. (Previous timescale of 01/03/06 not met) Also, 1.Such checks must be completed prior to the commencement of duties. Where this is not practicable, a 2. “POVA First” check must be obtained and the new employees member must be supervised at all times by an experienced colleague. 3. New employees must not accompany service users away from the premises alone 4. Volunteers must be considered as employees and all the above checks similarly completed. 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. 2. Refer to Standard YA20 YA24 Good Practice Recommendations Specific guidance for staff should be available concerning the use of “as required” (PRN) medication. The Registered Provider should review and prioritise modifications to the home’s environment to meet the needs of the service user whose mobility has recently declined. DS0000018436.V327430.R01.S.doc Version 5.2 Page 29 Summon Bonum 3. 4. YA30 YA36 Laundry arrangements should be reviewed and modified to ensure that they meet the needs of service users with increasing continence needs in a safe and hygienic way. Staff supervision should be restored to its previous frequency Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Summon Bonum DS0000018436.V327430.R01.S.doc Version 5.2 Page 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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