Inspection on 11/12/06 for Sussex Road, 113

This inspection was carried out on 11th December 2006.

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

Other inspections for this house

Sussex Road, 113 10/10/07

Sussex Road, 113 08/03/06

Sussex Road, 113 02/11/05

Sussex Road, 113 05/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Sussex Road, 113 113 Sussex Road Southport Merseyside PR8 6AF Lead Inspector Mrs Elaine Stoddart Key Unannounced Inspection 11th December 2006 3:30 Sussex Road, 113 DS0000005295.V308712.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 Sussex Road, 113 DS0000005295.V308712.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. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sussex Road, 113 Address 113 Sussex Road Southport Merseyside PR8 6AF 01704 531025 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) Speciality Care (Rest Homes) Limited Mrs Greta Morphet Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 8th March 2006 Date of last inspection Brief Description of the Service: 113, Sussex Road is a large semi-detached, converted property, which is registered to provide care and support, for 38 weeks, for up to 3 young adults with a learning disability. There were 3 students resident at the time of the inspection who are in their final year of college and will be moving on to further placements at the end of the educational year. The home is located in a residential area close to the town of Southport. The amenities close by include shops, pubs, cinema and leisure facilities, which are accessible via the local transport services or within walking distance. One member of staff in on duty per shift. The students access Arden College for their educational needs. The home is registered with Speciality Care (Rest Homes) LTD. The home manager is Colin Munro and the registered manager is Mrs Greta Morphet. Peter Kavanagh is the Responsible Individual. The home provides a homely environment for the students’ resident. There are no disabled facilities required. All students have their own rooms. Communal areas include a lounge, dining/kitchen and enclosed rear garden. The weekly charge for the service ranges from £800.00 to £1,000 per week. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one evening. It was an unannounced inspection (site visit) and was carried out as part of the regulatory requirement for care homes to be inspected. A full tour of the home was conducted and care records and other home records were viewed. Discussion took place with the home manager; one of the care staff and the three residents accommodated at the time of the inspection. During the inspection two residents were case tracked (their care files were examined and their views of the home were obtained). This process was not carried out to the detriment of other resident who also took part in the inspection process. All the key standards were inspected and also previous requirements from the last inspection in March 2006. Satisfaction survey forms “Have Your Say About …” were distributed to the residents prior to the inspection. Comments included in the report are taken from the survey forms and also during the site visit. What the service does well: The home provides a comfortable, homely setting for the students. The activity programme in place involves the students in day-to-day activities both in the home, the local community and trips out i.e. to the cinema, bowling and theatre. The students have the opportunity to contribute to the running of the home and their educational programme as they take part in tutorials, student meetings and reviews of their care. One student had just taken part in his review of care with representatives of his family, college and the home. The student commented that he had taken part and felt it “Went very well”. One of the students resident is a member of the student council and takes the views of the students to the meetings. All three students are to move onto new placements and are taking part in their transition meetings to discuss their future. A ‘welcome to 113 Sussex Road’ is displayed in the entrance showing pictures of the staff and students resident. Each student has completed a brief description on ‘himself or herself’. The home uses a pictorial format to assist communication in daily living tasks, dealing with safety issues i.e. crossing the road and personal care needs. The students displayed their understanding of the pictures and the explained tasks involved. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 6 The students are supported by a core group of four staff, a home manager, Colin Munroe, and three support workers. There is one staff member on duty per shift. The staff spoken with confirmed that support is available should they require assistance and Greta Morphat, Director of Residential services visits regularly to monitor progress. A pleasant relaxed atmosphere was present and the staff and students were observed to interact positively together. What has improved since the last inspection? What they could do better: A full tour of the premises was conducted with the help of one of the students. A number of areas of improvement were noted and the students took part in highlighting the areas in need of repair and attention within their accommodation. These would raise the standard of the accommodation and improve the homely environment provided to the students living there. Those areas in need of attention include: the outstanding requirements not met from the last report, fitting of radiator covers/or a risk assessment in place to ensure the safety of the students. The home would benefit from redecoration throughout within the maintenance programme due to wear and tear and new flooring in the kitchen due to the damage done since the fitting of the new fridge freezer. The staff bathroom pipes need blocking in, fit blinds/curtains in kitchen/diner for privacy, repair to student bathroom water outlet due to recent leak, new chair in ground floor students room, which is ‘soiled and wobbly’ and repair to the washer control. Discussion with the home manager confirmed that repairs and replacements are recorded and requested from head office, however as one maintenance person is employed to cover all the establishments within the Arden College network, repairs have to be prioritised. Up to date certificates for services such as gas and electricity were not available to view and these must be forwarded to the CSCI. The home manager is to set up formal supervision for the care staff in the New Year. Staff spoken with confirmed that ongoing informal supervision is in place as they discuss any issues daily, within staff meetings and have regular visits from Greta Morphet, Director of Residential services. The home should review the medication procedures to provide clear guidance when students take medication home during family visits. Sussex Road, 113 DS0000005295.V308712.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. The summary of this inspection report can be made available in other formats on request. Sussex Road, 113 DS0000005295.V308712.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 Sussex Road, 113 DS0000005295.V308712.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. 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. A full assessment of need is completed prior to admission. EVIDENCE: Full assessments of need are completed prior to admission and include medical details, pen portraits, communication needs, risk assessments, hobbies and interests. Individual care and educational programmes show the assessed needs of the students both within the home and their college programme. There have been three new admissions since the last inspection, however the students have been known to the service for some years and have moved into the home to complete their final year. All three students are in transition and are to move onto further placements at the end of term. All three students were present during the visit and discussion and observation confirmed they had settled well into their new home. Comments include: “I have settled in very well” “I enjoy living here” Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Individual plans of care are in place and students are consulted and participate in all aspects of life at the home. Staff support the students to lead as independent lifestyles were possible. EVIDENCE: Two care files viewed showed that the students’ care needs have been assessed and identifies were staff support is needed. Care plans identify health, personal care, communication and behavioural care needs. All care is reviewed regularly to assess changing needs and the students, tutors, staff, family and other professionals are involved in the reviewing process. One student had just taken part in his review and he said, “It went very well”. Formal reviews take place every six months and records viewed confirmed this. Long and short-term targets are set for each student and these are monitored within their evaluation records, which are completed by staff daily. The targets set are simple and achievable and encourage the students to progress. The targets are set in a picture format to aid communication and understanding. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 11 These are used for tasks such as, crossing the road safely, communicating effectively, undertaking daily tasks and promoting independence. The students spoken with showed their understanding of the pictures and the tasks that they referred to. The students are supported to make decisions through reviews, student meetings, weekly tutorials and the students’ council. One of the students is the spokesperson for the home and attends student council meetings. The students are encouraged to make their own choices were possible and these are outlined within the target evaluation programme were goals are set and are monitored closely. Weekly tutorials take place at the home and the students are involved in choosing their educational programme, which range from drama, horticulture and daily living skills. The students are encouraged to manage their own finances where possible and records and receipts are kept for all transactions made. Risk assessments are in place for each student and they cover areas of daily living. Students are supported to take risks as part of promoting their independence. Action is taken to minimise risks and the students are given training about their personal safety. This is communicated in picture format and the students demonstrated their understanding of this as they described the pictures and their meaning. The risk assessments are reviewed annually or before should needs change. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students’ rights are respected and independence is promoted. Students take part in appropriate activities and maintain links with families and the community. A healthy diet is promoted and meal times are relaxed. EVIDENCE: All three students have the opportunity to take part in education and activities of their choice. This is provided within their educational programmes, care and activity plans seen during the visit. The students are involved in deciding what activities and college courses they wish to take part in through weekly tutorials, student meetings, reviews and council meetings. One student is on an outdoor pursuits programme and is involved in kiting, kayaking, golf, bowls, skiing and climbing. Pictures of him taking part in these were viewed. The students are supported to undertake activities within the local area, which include cinema, swimming and theatre trips. A college mini bus is available to take them on trips out. The students are able to mix with other peer groups and develop personal relationships. They said that they are looking forward to Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 13 the college Christmas party with all their friends. Family contacts are encouraged and all three students are looking forward to spending Christmas at home and had purchased presents for their families. Family contact is maintained by phone, home visits and families are made welcome to call anytime to see them. The students are encouraged to take part in the daily routines of the home and undertake daily living tasks. These are displayed in picture formats to aid communication. The students were observed to happily carry out their tasks on their return from college and tidied their rooms and helped to prepare the evening meal. Activity plans are in place, which show the activities taken part in weekly. These are flexible as the students choose what they wish to take part in and when. Photos were on display of the recent Halloween party held at the home and the students expressed that they had a good time and showed pictures of their friends and staff who attended. The three students have their own rooms for privacy or they can choose to mix collectively in the lounge or dining area. Staff were observed to interact positively with the students as they discussed the events of the day and helped prepare the evening meal on their return from college. All three students are in their final year and reviews are being organised to discuss their future placements. Meals and meal times are flexible to meet the needs of the students who attend college during the week. Menus are displayed and students help to shop and prepare the food. Menus are often discussed at student meetings to obtain their likes and dislikes. Discussion took place individually and collectively with the students and comments were received on their involvement in the day-to-day running of the home. “I like to keep my room tidy” “I enjoy doing the dishes” “The food is good” Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Physical and emotional needs are met in the way they prefer and are recorded within their plan of care. Medication is administered safely. EVIDENCE: Records are in place to show the personal support required and any visits to other healthcare services. The students have access to an educational psychologist and language therapist via the college. All visits are recorded within their care plans. Medication policies and procedures are in place and medication training is provided for staff. In view of a recent incident at the home a review of the procedures for medication transferred during family visits should be reviewed. Medication is securely stored and records are maintained for all administrations. Only one student is in receipt of medication. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The student’s views are listened to and acted upon. Complaints and abuse policies and procedures are in place. EVIDENCE: The students have the opportunity to air their views via student tutorials, residents meetings and reviews. Records are maintained of all meetings held. One student acts as the spokesperson on the student council and raises any issues on the other students’ behalf. An advocacy service is available should the students require this. All students have regular contact with their families and one student received a phone call from his parent during the inspection. All three students have regular home visits and spending Christmas with their families. The students said that if they had any concerns they would tell their families or the staff. A complaints procedure is in place for students and relatives to access. There have been no complaints made since the last inspection. Abuse policies and procedures are in place and staff spoken with are aware of what to do should this occur. A copy of the ‘Safeguarding Adults procedures are held at the home for staff reference. Abuse is included in the staff training plan. The students are encouraged to manage their own monies were possible, however the manager confirmed that their families usually undertake this. One Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 16 student has his own bank account. All transactions are recorded and receipts obtained. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,26,27,28,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and comfortable. Sufficient shared and private space is provided. Improvements and repairs are required to raise the standard of accommodation. EVIDENCE: A full tour of the premises was conducted with the help of one of the students. A number of areas of improvement were noted and the students took part in highlighting the areas in need of repair and attention within their accommodation. These would raise the standard of the accommodation and improve the homely environment provided to the students living there. Those areas in need of attention include: the outstanding requirements not met from the last report, fitting of radiator covers/or a risk assessment in place to ensure the safety of the students. The home would benefit from redecoration throughout within the maintenance programme due to wear and tear and new flooring in the kitchen due to the damage done since the fitting of the new fridge freezer The staff bathroom Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 18 pipes need blocking in, repair to student bathroom water outlet due to recent leak, fit blinds/curtains in kitchen/diner for privacy, new chair in ground floor students room, which is ‘soiled and wobbly’ and repair to the washer control. Discussion with the home manager confirmed that repairs and replacements are recorded and requested from head office, however as one maintenance person is employed to cover all the establishments within the Arden College network, repairs have to be prioritised. Individual rooms were viewed and were found to be comfortable and clean. The students have decorated their rooms with their own personal items i.e. posters. All rooms are lockable. Space is available for students’ personal possessions and music systems, TV’s and videos. There is large bathroom, shared by the three students, which is lockable. The laundry facilities are located in the utility area. Water temperatures are recorded on outlets. The students commented that they are satisfied with their rooms, however eagerly pointed out the repairs and improvements needed and would like these to be done. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,33,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes recruitment and selection process is robust to protect the students. Training is provided to ensure the staff are equipped to carry out their roles. EVIDENCE: Two staff files were viewed and showed evidence of an up to date Criminal Record Bureau checks and two references. These are required prior to employment of staff to ensure the students are protected. The two files viewed contained the up to date information on the training needs required. An ongoing training programme is in place and covers all the statutory training required, which includes first aid, food hygiene, moving and handling. Additional training to meet the client group they care for is provided in the form of challenging behaviour and medication. The staff are encouraged to take NVQ qualifications and discussion with two staff and records viewed confirmed that the home manager and two care staff are taking NVQ Level 3 and hope to complete this early next year. Staff confirmed that regular staff meetings are held and minutes are recorded. The home manager is to organise a formal staff supervision process in the New Year and this will be provided on a regular basis for all staff at the home. The Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 20 staff are regularly in contact when handovers take place at the beginning and end of each shift and through staff meetings. The home manager has regular supervision with Greta Morphet who also conducts monitoring visits to the home. A core group of four staff provide the care and support to the three students resident. One member of staff is on duty per shift and the staff confirmed that support is always available should they need assistance. The Director of Residential Services is available ‘on call’ should they need her. Duty rotas seen confirmed the staff on duty. The staff were observed to interact positively with the students and a pleasant, relaxed atmosphere was in place at the home as staff and the students chatted freely together. The students spoken with said they are happy with the staff employed and commented: “They are all good” “They take us out a lot” “I am very happy here” Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the students. EVIDENCE: The registered manager is Greta Morphet who is qualified and has years of experience in working with this client group. The home manager, Colin Munro has recently been appointed to manage the day to day running of the home and since his appointment has improved and organised the recording systems in place. The home is run in the best interest of the students who are actively involved in the day to day running of the home via meetings and tutorials. The students were observed to be relaxed in their environment and a pleasant atmosphere present. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 22 Policies and procedures are in place, made available to staff and regularly updated. Records are maintained of water temperatures and a safe system is in place to regulate the water temperatures. Certificates for services were not available to view for gas and electric and these must be forwarded to CSCI. All accidents and incidents, which take place at the home, are recorded. Fire training is conducted annually for staff. Fire drills take place monthly and are recorded. No emergency lighting is in place, however the home manager must record when smoke alarms have been tested. The last fire risk assessment was done in June 2005. The home should provide an up to date risk assessment for the building. Fire procedures are displayed in a picture format to assist the students understanding. Portable appliance testing is conducted on all appliances, however the home should obtain this for the new TV in place. A staff training programme is in place and all staff are regularly up dated with the training required. Monthly quality monitoring visits are conducted to assess progress. Annual surveys are undertaken to obtain feedback from the students and relatives. These are forwarded to head office and were not available to view. Results of these should be published and made available for the students, relatives and CSCI to view. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 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 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 23 Requirement Timescale for action The registered person shall make 30/04/07 the following improvements to raise the standard of the premises: Paint exterior, refurbish kitchen. Repair broken radiator covers. (Outstanding from last inspection. Time scale not met). Repair hall light fitting and replace/clean lounge suite. (Outstanding from last inspection. Time scale not met). Improvements required from this inspection: Provide radiator covers/or ensure risk assessments are in place, fit blinds in kitchen for student privacy, repair water outlet in student bathroom, repair broken washer control and provide a new chair in ground floor student bedroom which is ‘soiled and wobbly’. 2 YA42 23 The registered person must DS0000005295.V308712.R01.S.doc 31/12/06 Version 5.2 Page 25 Sussex Road, 113 forward copies of up to date certificates for gas and electricity to CSCI and carry out an up to date fire risk assessment. 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 3 4 Refer to Standard YA24 YA36 YA39 YA20 Good Practice Recommendations Redecorate the home throughout due to wear and tear and replace kitchen flooring due to damage. Formal supervision for staff to be developed. Results of surveys should be published and made available to service users, relatives and CSCI. The home should review the medication procedures to provide clear guidance when students take medication home during family visits. Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sussex Road, 113 DS0000005295.V308712.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!