Inspection on 25/07/07 for Swan Bank

This inspection was carried out on 25th July 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Swan Bank 19/06/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Swan Bank 2 Swan Bank Penn Wolverhampton West Midlands WV4 5QE Lead Inspector Rebecca Harrison Key Unannounced Inspection 25th July 2007 09:45 Swan Bank DS0000065428.V340881.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 Swan Bank DS0000065428.V340881.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. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swan Bank Address 2 Swan Bank Penn Wolverhampton West Midlands WV4 5QE 01902 557 995 01902 557 996 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) www.wolverhampton.gov.uk Wolverhampton City Council Miss Ann Watson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: No conditions apply Date of last inspection 19th June 2007 Brief Description of the Service: Swan Bank is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and short-term care for a maximum of four adults with a learning disability at any one time. The home currently provides a service for 17 people and is open 364 days a year. The property is purpose built and is situated in Penn, close to local amenities and on the outskirts of Wolverhampton City Centre. Accommodation is provided over two floors comprising a lounge, dining room, kitchen and four single bedrooms. The bedroom on the ground floor has en-suite facility and an overhead tracking device. A passenger lift is also provided. The property is also used as a base for independent living training, skills assessment and therapeutic intervention. The service provider is Wolverhampton City Council. The Responsible Individual is Mr Brian OLeary and Ms Ann Watson is the Registered Manager. The aim of the service is included in the Statement of Purpose and states ‘The service is to enable people with a Learning Disability and/or specific behavioural need, to access a range of short break and support services designed to assist and promote independence’. Information about this service is available from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk The fee charged per overnight stay is £9.14 up to 28 nights thereafter fees are charged based on an individual financial assessment. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 25th July 2007 by one inspector over five and a half hours. A range of evidence was used to make judgements about this service to include information from the provider sent to CSCI, discussions with the staff on duty, the manager and senior manager, a tour of the home, looking at a number of records and all aspects of care provided for two people using the service at the time of the inspection. A selection of staff records held by the organisation was reviewed by separate appointment on 9th July 2007 at Civic Offices. The staff on duty and a visitor also completed a short survey about the service and some of their views have been included in this report. The two people who were using the service at the time of the inspection were out using community facilities. The purpose of the inspection was to assess all 22 ‘Key’ National Minimum Standards for Younger Adults. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. Managers and staff on duty were very helpful throughout the inspection. What the service does well: Swan Bank is a much-needed service which enables families and carers to receive a break ensuring their relative is well cared for. Staff are committed to their work and have a good understanding of the needs of people they support. Prospective service users are introduced to the service over a long period of time to ensure they are happy with the building, like the staff and that the service is able to meet their needs. The building is equipped to a high standard and soft furnishings are of good quality and provide people with a comfortable and homely place to stay. Feedback received about the service includes: ‘The home offers safe and secure respite services which empower and promote the independence of individuals using the service’. ‘Swan Bank has accommodated my son for several years and has always provided excellent care. My son is profoundly deaf and has a severe learning disability however he enjoys his time at Swan Bank and is always excited when his bag is being packed’. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People and their representatives are provided with the information needed to decide whether this service will meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: A Statement of Purpose is available and following the last inspection a pictorial Service User Guide has been developed. The manager committed to ensuring this document is amended to comply with the changes in the Care Homes Regulations, September 2006. Swan Bank only takes referrals from the local Community Learning Disability Team. During the inspection one member of staff visited a prospective service user at his day service as part of the homes pre-assessment process. Discussion held with staff and managers on duty clearly evidence that much work is undertaken over a long period of time prior to an individual being offered a service and the transition is well planned and effectively managed. People are introduced to the service and provided with numerous opportunities to visit the home and become familiar with the environment, staff team and routines. Both files examined during the inspection contained a community Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 9 care assessment in addition to a detailed needs assessment undertaken by the management team. People who use the service are provided with a contract. These have recently been reviewed and are much more detailed and are signed by the registered manager, the service user or their representative. Swan Bank DS0000065428.V340881.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): 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. Staff are provided with detailed information to ensure service users’ assessed needs are met. The people who use the service are supported to make decisions and enabled to take responsible risks during their stay. EVIDENCE: Since the last inspection all staff have received training in the development of service user plans in addition to some staff being trained as person centred planning facilitators. It was reported that six service users now have their own person centred plan and managers plan to develop this across the service. Support plans were examined for two people using the service at the time of the inspection. Both plans were detailed covering all aspects of the person’s individual needs. One person had recently been formally reviewed by the home Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 11 in conjunction with the day service that he attends and significant other people. The other person had yet to receive a formal review but had recently been reviewed in-house by his named key worker. Staff spoken with considered they are provided with sufficient information to effectively support individuals using the service although they acknowledged that files could be better organised. Guidelines to support an individual whose behaviours can challenge and a behaviour intervention plan were available on one file examined and these were very detailed focusing on positive reinforcement. Although both files contained comprehensive information it is recommended that they be better organised to help staff access information better and that service plans be cross referenced to behaviour management plans and risk assessments. Due to the nature of the service it is not possible to hold residents meetings therefore questionnaires are sent to relatives following a stay to get feedback on the placement. The manager stated that she intends to revise the questionnaires adopting a more person centred approach. There was clear evidence on one file to demonstrate where staff had involved one person in planning activities for a future visit. Detailed risk assessments to support individuals with activities, behaviour management and personal care were available on the files examined with evidence of review. Assessments are carried out by the manager and staff sign to say that they have read and understood them. It was reported that all staff have undertaken ‘risk assessment in care’ training. Swan Bank DS0000065428.V340881.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): 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. People who use the service are able to make choices and develop their life skills. Family links are maintained, rights and responsibilities promoted and people are provided with a balanced diet in accordance with their personal preferences. EVIDENCE: Records seen evidenced that people are supported to attend their usual programme of activities and clubs during their stay. Discussion held with staff and managers indicate that people are also encouraged to try out new life opportunities and develop their independent living skills coordinated by their allocated key or link worker. Information sent to CSCI in preparation for the inspection states ‘Staff are consistently researching, networking and developing their knowledge to apply creativity, flexibility and new innovations within their practices’. This was clearly evidenced through discussions held Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 13 with two staff during the inspection. People may maintain contact with their family and friends during their stay if desired and visitors are welcome at any time and are invited to attend regular coffee mornings. People’s rights during their stay are clearly stated in the service user guide and include the right to be treated as an individual with unique needs and have their cultural, religious, sexual and emotional needs accepted and respected. Preferences in relation to routines and likes and dislikes were documented on service user plans examined. People are provided with a single room during their stay and keys are available upon request. Although the service employs catering and domestic staff, service users are encouraged to assist with domestic tasks, shopping and basic food preparation wherever possible to develop or enhance their skills. Menus seen offered choice and appeared well balanced. The manager stated that the service is looking to develop pictorial menus. Specific dietary requirements in relation to cultural observance for one individual was seen documented on his file and a record of all food eaten maintained. The service has recently been awarded a four star hygiene rating for its high standards and compliance with food safety legislation. Swan Bank DS0000065428.V340881.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): 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. Peoples’ health care needs are closely monitored during their stay and personal support provided based on their individual assessed needs. Swan Bank has a satisfactory system of handling, storing and managing medication that safeguard the people who use the service. EVIDENCE: Preferences in relation to individual support requirements were available on both files examined and individuals are appropriately supported to access health appointments or facilities in the event of an emergency. Managers are looking to develop Health Action Plans in conjunction with the community nurse following in-house staff training. The Annual Quality Assurance Assessment (AQAA) forwarded to CSCI in preparation for the inspection states ‘Swan Bank Resource Centre works closely alongside Social Workers, Community Nurses, Speech Therapist, Occupational Therapists and Psychologists. The services work closely to Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 15 provide a seamless service in relation to health care support such as seizure management, behavioural support, speech and language and specific identified needs. In the event it is identified that an individual has an identified need, then we can undertake a referral and work in a multi-disciplinary manner to ensure the provision of a seamless service and address any health care needs’. Medication procedures appeared satisfactory at the time of the inspection. The service has a comprehensive policy and procedure in place for the receipt, storage and administration of medication. Medication procedures were discussed with the manager during the inspection and it was evident that she had a clear understanding of her role and responsibilities in relation to how this is managed. Audits of records and storage are regularly undertaken in addition to competency assessments of staff responsible for giving medication. It was reported that thirteen staff have undertaken accredited training via the distance-learning route. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service and their representatives are able to express their concerns and have access to an effective complaints procedure. Appropriate procedures are in place to safeguard people from potential abuse. EVIDENCE: People have access to a corporate complaints policy and procedure, which is available in a number of formats and appropriate to the needs of the people using the service. No complaints were found recorded in the complaints log and confirmed by the manager. No concerns or complaints have been referred to CSCI regarding this service since the last inspection. The manager stated that all staff have received training in adult protection and the management of actual and potential aggression (MAPA) as confirmed with staff spoken with. The home has access to the local safeguarding adults policy and procedures, which have recently been developed in a user-friendly format. No referrals under these procedures have been made since the last inspection. Procedures for managing service users finances during their stay were discussed with the manager and staff on duty who considered that the procedures are robust and safeguard service users and staff. The management team regularly undertakes an audit of the petty cash and finances held on Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 17 behalf of service users. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to stay in a comfortable, clean and well-maintained environment, which encourages independence. EVIDENCE: A full tour of the home was undertaken accompanied by the manager. Accommodation is provided over two floors comprising a lounge, dining room, kitchen and four single bedrooms. The bedroom on the ground floor has ensuite facility and an overhead tracking device. A passenger lift is also provided. Furniture and fittings are of a high quality. It was reported that people are able to bring in some small possessions to help personalise their room during their stay however bedrooms occupied appeared rather sparse. The manager was advised to look at making rooms more personalised to reflect individuality and people’s culture during their stay if desired. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 19 The manager has developed a planned maintenance and renewal programme for the fabric and redecoration of the premises as required by the previous inspection. A new suite has been ordered for the lounge and a number of rooms are due to be redecorated, as they are now looking ‘tired’ in appearance. It was reported that there are no outstanding requirements or recommendations made by the fire service or environmental health department. The home was found clean, bright and airy during this unannounced inspection. Two part-time domestic staff are employed to assist with maintaining a clean environment. As previously stated people who use the service are also encouraged and supported to help with domestic tasks where possible. Products hazardous to health are appropriately stored and it was reported that assessments have been undertaken. The manager stated that she has attended training in infection control and is currently sourcing distance-learning training for her team through the learning and development unit. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service are supported by a trained, committed staff team however recruitment procedures need to be reviewed to ensure they are robust and fully safeguard service users. EVIDENCE: It was not possible to observe direct work practices due to service users not being present at the home during this unannounced inspection. However staff spoken with had a clear understanding of the aim of the service and of their roles and responsibilities and appeared committed to their work. It was reported that of the fourteen support staff employed, five hold NVQ qualifications and a further five are currently undertaking the award. During the inspection an NVQ assessor visited the home to meet with a member of staff currently working towards his award. Feedback gained from the assessor was positive regarding staff skills and knowledge gained over the last six months. The service provides a staffing ratio of 1:1 to reflect the needs of the people who use the service. Rotas are flexible to fit around the lifestyles of the Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 21 individuals supported and staff spoken with considered that staffing levels are sufficient. A review of personnel files was undertaken by two inspectors at the Civic Offices on 9th July 2007. A selection of staff files were examined and a number of shortfalls were found in the recruitment of some new employees who work in care settings across the authority. The findings evidenced that the registered provider is not consistent with its recruitment process in maintaining the relevant documentation required by the Care Homes Regulations 2001, as amended, potentially placing people who use services at risk. Since the last inspection three staff have been employed at Swan Bank. One person has since left. The files of two staff were examined and did not contain all of the documentation required by Schedule 2 although the manager stated that she had seen the relevant documentation held at Civic Offices. The file of a further person who has recently been offered a position was also examined and the information found more detailed. It was reported that a service user assisted with the recruitment process. The manager committed to visiting the Civic Offices to undertake a review of her staff files and ensuring copies of relevant documentation is held in the home. Staff spoken with reported that they are provided with good training opportunities. Certificates training undertaken were available on the staff files examined with the exception of first aid and manual handling. The manager has developed a team plan and undertaken a team training needs analysis and prioritised requirements to inform the training department. Information provided to CSCI in preparation for the inspection stated ‘Commissioning for training is not undertaken by individual managers, this is undertaken through learning and development. Training profiles are collated once a year and this does not accommodate for emerging trends or priorities such as Mental Capacity Act. This process tends to be inflexible and does not accommodate individual staffs needs or give room for creativity and training which is service specific’. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is effectively managed, aspects of performance are reviewed and the health and safety of service users and staff promoted. EVIDENCE: Ms Ann Watson is the registered manager of Swan Bank and has achieved the Registered Managers award and is currently undertaking NVQ level 4 Care. She has numerous years experience in care settings and has attended training courses relevant to her work. Discussions held evidenced that the manager is committed to providing a service that strives to meet peoples individual needs. Staff spoken with reported that the manager is supportive and approachable. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 23 Effective quality assurances systems are in place and the views of service users and their representatives sought through questionnaires, regular coffee mornings and reviews. Monthly visits required by Regulation 26 are undertaken and comprehensive reports of the findings held on site. The Short Break Co-ordinator has very recently audited the service and was present during this inspection. The Annual Quality Assurance Assessment (AQAA) completed by managers and forwarded to CSCI was detailed and reflects both the strengths and areas of improvement for the service. Health and Safety procedures were generally satisfactory at the time of the inspection. Service certificates were readily available and staff are issued with a copy of the health and safety policy. The manager acknowledged shortfalls in some mandatory training, particularly first aid however was able to evidence that relevant courses have been requested and committed to undertaking a first aid risk assessment and ensuring safety tests such as water temperatures are more regularly monitored. Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 4 5 3 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 (1) Requirement Documentation required by Schedule 2 of the Care Homes Regulations 2001, as amended must be available for inspection to evidence the homes recruitment procedures are robust and safeguards service users. Timescale for action 01/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations It is recommended that service user files be better organised and support plans be cross-referenced to risk assessments and behaviour management plans to aid accessibility of information. It is recommended that staff requiring first aid, food hygiene and manual handling training do so at the earliest opportunity and that a first aid risk assessment is undertaken. 2 YA42 Swan Bank DS0000065428.V340881.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Swan Bank DS0000065428.V340881.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. 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