Inspection on 26/06/06 for Tarn House

This inspection was carried out on 26th June 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 no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tarn House 02/06/09

Tarn House 30/06/08

Tarn House 30/08/07

Tarn House 24/11/05

Tarn House 23/06/05

Tarn House 05/01/05

Tarn House 13/09/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 Tarn House Mill Lane Walney Barrow in Furness Cumbria LA14 3XX Lead Inspector Ray Mowat Unannounced Inspection 26th June 2006 08:15a Tarn House DS0000036626.V295595.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 Tarn House DS0000036626.V295595.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. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tarn House Address Mill Lane Walney Barrow in Furness Cumbria LA14 3XX 01229 471798 01229 470125 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.cumbriacare.org.uk Cumbria Care Mrs Bernadette Eileen Calldine Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (1), Physical disability (3) of places Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users in the learning Disability (LD) category to include: Up to three service users in the category Physical Disability (PD) 1 service user in the category Learning Disability (Elderly) (LD(E) Maximum number registered 14 The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Younger Adults. When single rooms of less than 12 sqm become available they must not be used to accommodate wheelchair users and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 24th November 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Tarn House is a care home providing personal care and accommodation for fourteen adults with learning and or physical disabilities. The home is owned by Cumbria County Council and managed by Cumbria Care, an independent business unit of the County Council. It is situated in a residential area of Walney Island and is close to local amenities and a local bus route that services the island and the nearby town of Barrow-in-Furness. The Home is on two storeys and is divided into four distinct units. These are called hill view, sea view, Greenland’s and Beachwood. Three of the rooms are used for short-term respite care. Each of the units has a lounge and a separate kitchen with dining area. All the bedrooms are single occupancy, some of which are fully accessible for people with physical disabilities. To the rear of the building are two fenced garden areas with seating. To the front of the building are open plan garden areas and a large car park, which is shared with the adjoining day service. The scale of charges for the home range from £501 to £731.46 with additional charges agreed on an individual basis for personal sundry expenses. The home makes relevant information available to residents in an accessible format. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this inspection I met with all the permanent residents and also two residents who were using the respite service. I spent time with the manager and also met with the supervisor and care staff on duty. I got feedback from residents and relatives and I also had contact with other professionals involved with the home as part of this inspection. What the service does well: 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. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 6 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 Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is good. The home provides suitable information to residents in a format they can understand. Through planned visits to the home or by staying in the home for respite care, people are able to make an informed choice about moving in. Detailed assessments are completed which provide good information for staff to enable them to provide a consistent service that meets individual needs. This judgement has been made using all available evidence including a site visit. EVIDENCE: There was evidence on personal files that residents are provided with a service user guide and contract of terms and conditions upon admission to the home. These provide people with relevant information they need to make an informed choice about moving into the home. If residents choose not to keep the service user guide themselves a file note is recorded stating where it is kept, such as with a family member or representative. Many of the permanent residents were familiar with the home prior to moving in as they had stayed in one of the three respite beds. This enabled them to ‘test drive’ the home giving them a valuable insight and experience of home life. All the residents were referred to the home via social services therefore social work assessments were completed prior to admission. The resident who had most recently moved into the home had an informative pre admission assessment in place, which gathered valuable information to help staff to provide appropriate support in their preferred manner. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 8 Signed contracts of terms and conditions were held on personal files, with a copy also issued to the resident or their representative. These are updated annually with a letter outlining any changes. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 8, 9, 10. Quality in this outcome area is good. Staff are suitably trained in developing person centred care plans that help people to achieve their goals and lead a fulfilling lifestyle. Records were detailed and were kept under review ensuring they were up to date and accurate. Residents are involved in and central to the development of the care plans with support from key staff, which makes them feel valued. This judgement has been made using all available evidence including a site visit. EVIDENCE: The home was in the process of introducing person centred care plans for all the residents. Staff had completed appropriate training to support and guide them in compiling the plans, including supervisors who will take a lead role in facilitating the process. The current care plans are detailed and contain an informative pen picture, which is written in the first person and gives staff an insight to individual needs and preferences, life experiences, family history and how people like to live their lives. Support needs are also assessed for most aspects of people’s lives including the level of prompting they require ranging from full support to total independence. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 10 Each file has a review sheet, which is signed and dated each month when the file is reviewed. Annual review meetings also take place with minutes of the meeting held on file. The minutes documented changes, significant events and planned events/activities in people’s lives. It was evident residential and day service staff work closely together to ensure a consistent approach with involvement also from other professionals as required. For residents with no expressive speech a more detailed plan is compiled including a “communication passport”, these document how someone communicates and records what the meaning of common words and gestures mean to the individual. This is good practice and ensures a good continuity of care among the staff team in how they respond to people. For people with physical disabilities or mobility issues there were detailed manual handling assessments and risk assessments to ensure they and the staff are safeguarded. In addition to these the home complete both individual and general risk assessments, which ensure residents are encouraged and supported to lead an independent lifestyle to the maximum of their ability, with suitable safeguards in place. All confidential and private information is securely stored in locked cabinets or is password protected on the computer system. Staff are aware of their responsibilities in relation to maintaining confidentiality. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. There was evidence of people pursuing their hobbies and interests both in the home and in the community. The day service provides a range of experiences in addition to staff from the home supporting people to lead independent lifestyles. Based on feedback from residents they were leading a fulfilling lifestyle with their rights and choices in all aspects of their life respected. This judgement has been made using all available evidence including a site visit. EVIDENCE: All the residents attend the local day service, which provides them with a varied timetable of vocational, educational and leisure activities between 9am and 4pm Monday to Friday each week. At evenings and weekends staff encourage and support residents to pursue their own interests and hobbies either in the home or in the local community. One resident talked to me about their interest in the local professional rugby team. They explained how they go to the home games with another resident and the support of a member of staff. Another ambition was to attend a horse race meeting. This had also been achieved with the resident running a trip to the race meeting with Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 12 support from staff. The sense of achievement and satisfaction was plain to see and provided residents with a good quality of life and real sense of purpose. Other residents spoken to talked to me about activities they had enjoyed at the weekends, this included visits to the pub for a meal or a drink, the cinema, shopping and the previous weekend visiting a summer fete. They also talked about holidays and day trips they had planned for the summer months. These were obviously very important to residents and something they valued. The introduction of the person centred approach to care planning has already had a positive affect for some residents. A good example of this was a resident who now has a pet rabbit as a result of identifying an interest when developing their plan. They also purchased a summerhouse for the garden as it was identified that they liked spending time outside and enjoyed having their own space. This type of approach and developments such as these are good practice and should be encouraged with all residents. The home has been proactive in identifying opportunities for people to develop and get involved in community activities such as attending church groups, social clubs and the local night school. The home has developed what they call a “share notice board”, which is used to pass on information and advertise events or planned activities. Notices were produced in user friendly, accessible formats and included team meeting minutes, information about advocacy services, a camping experience, which had been planned to give people the chance to try it out in the garden before going away for a camping holiday. There were fund raising events planned to raise money for a garden project and adverts for other planned activities. The range of activities provided and the sharing of information in this way is good practice and have been instrumental in improving the quality of life of the residents. Relationships are well documented in care plan files, which provide staff with valuable information enabling them to give appropriate support to residents to maintain contact with friends and family. Also recorded are significant family events and birthdays, which are important to the residents and their families. Each unit manages their own menu both shopping and cooking meals independently of each other. This appears to work well for the residents whom have a lot of autonomy in choosing meals and mealtimes. The catering budget had recently been increased to ensure there is fresh fruit and vegetables in all units. The manager described how they are encouraging and supporting healthy eating with the residents and aiming to provide 5 portions of fruit and vegetables each day. The home had also introduced themed menus, with residents involved in choosing and then cooking the meals. This had proved popular with residents and enabled them to try new flavours. Most of the food storage was appropriate, however there was a cooked meal that had been frozen but had not been dated. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20,21. Quality in this outcome area is good. The home has sound recording procedures in place that are kept up to date and ensure individual personal and healthcare needs are responded to. The home works closely with other professionals to ensure specialist needs are met. Medication storage and administration has improved. This judgement has been made using all available evidence including a site visit. EVIDENCE: Care plans record all personal and healthcare needs including a record of all routine and one off appointments or health interventions. These identify the needs of the person and action required by staff and any outcomes. This ensures a consistent approach from all staff. The home complete an ‘assessment/record of support’, which identifies the level of support people require for specific activities including domestic skills, personal hygiene, food preparation and other regular activities they are involved with. Again this is a valuable resource to guide and support staff in providing a good and consistent quality of care. I spot-checked the medication records and the medication held in the home. Records were appropriately completed and were up to date and medication was safely stored and recorded. Protocols were in place to guide staff in the administration of PRN medication, ensuring they are administered appropriately and consistently. There was a medication risk assessment Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 14 completed including a self-administration risk assessment, which is good practice. Religious and cultural beliefs are recorded including terminal care, resident’s wishes upon death, funeral arrangements and family involvement, this ensures individual cultural and spiritual needs are known and responded to appropriately. Tarn House DS0000036626.V295595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. The systems and policies in place ensure resident’s views are heard and they are protected from abuse and neglect. Records were up to date and appropriate. This judgement has been made using all available evidence including a site visit. EVIDENCE: The home has a suitable complaints policy and procedure in place in line with the requirements of the National Minimum Standards. Residents and families are aware of the procedure, which has been produced in an accessible format using Widgit symbols (a pictorial symbol describing the word) to support the typed text. There was one recorded complaint since the last inspection, which had been investigated and the complainant responded to. The home also has a suitable mistreatment policy and procedure in line with good practice and the local procedures. Training in this subject is planned with supervisory staff using a training pack with a video presentation and questionnaires. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is poor. There is no planned programme of repairs and renewals as required by regulation. This means both residents and staff are not aware of when work will take place. Decoration in the areas identified is poor and no timescale is in place to make improvements. The design and layout of some bedrooms can create hazards and should be improved, particularly the provision of electrical sockets. This judgement has been made using all available evidence including a site visit. EVIDENCE: Although the home has recently completed a condition survey there is not a programme of repairs and renewal in place as required by the Care Home regulations. There is no indication when work required will be completed. This is subject to a requirement. I toured the building with the manager and noted the following issues that must be addressed. In the Greenlands unit the kitchen is in need of decoration, residents had chosen the paper but no further progress has been made. The upstairs toilet floor covering is stained and must be replaced. One of the bedrooms is in need of decoration with the present paper peeling off. This room also has a small built in wardrobe, which the manager was hoping to have removed to Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 17 create more space and accommodate a chair, as this room is under the size requirements of the National Minimum Standards. In the Beachwood unit the radiator guards are in need of painting and the kitchen is in need of decorating. Water damage in a bedroom caused by a leak in the shower room must be redecorated. Also there was a malodour in one of the bedrooms, which was caused by a stained bed base, which must be replaced as planned. Also in the respite room the chest of drawers are broken and must be repaired. The respite flat in the Seaview unit is in need of decoration as is the bathroom in the Hillview unit. Also in the Hillview unit in two bedrooms residents had to plug in an extension lead with the cable trailing from one end of the room to the other to enable them to watch television. This is not only inconvenient but also a trip hazard and must be addressed. Also the television reception was poor in these units and remedial action must be taken to improve this. The radiator guards throughout the home are a metal mesh which gets chipped and looks unsightly, also they have an “institutional look” and should be replaced with a more suitable domestic looking alternative. Also pipes are protected with grey insulation wrap and black tape, which again is unsightly and should be at least be decorated or the pipes more appropriately covered. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36. Quality in this outcome area is good. The home has a stable staff team who have developed good relationships with residents. They have a good understanding of individual residents needs. They work well as a team and receive regular supervision and support to guide their practice. This judgement has been made using all available evidence including a site visit. EVIDENCE: The home has managed to maintain a stable staff team, which has improved the continuity of care for residents and has had a positive effect on staff morale. Staff have developed good relationships with residents and had a good insight to their individual needs and desires. Staff were clear about their roles within the home with the supervisors working closely with the manager to supervise, support and guide staff. All staff have a continuous professional development file, which is used to record all training and personal development activities, including copies of relevant qualifications and training course certificates. These confirmed that some staff were receiving appropriate training. However some of the records were either not up to date or staff had not recently received training. The home must review their training records and produce a planned programme of training and development needs for all staff. I examined the supervision records of staff, which confirmed that supervision was taking place in the required timescale. Staff said management support and supervision was “regular and they could discuss any issues”. Records Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 19 were maintained which both parties sign. Annual appraisals also take place for all staff, which are used to reflect on individual practice, strengths and weaknesses and to set individual goals. In addition to this there is also a team appraisal where the staff team come together to review their effectiveness focussing on what has worked well, what has not worked and to measure the achievements of the service in relation to the organisations and the home’s business plan targets. Team meetings are used effectively to ensure information is shared between the management and staff team and a consistent quality of care is maintained. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42. Quality in this outcome area is good. It is evident the home is well run and residents are involved in all aspects of life in the home. The manager gives clear guidance and leadership and works closely with the supervisors and staff team to ensure residents lead a full and valued lifestyle in the home and in the community. The health, safety and welfare of residents is ensured. This judgement has been made using all available evidence including a site visit. EVIDENCE: The manager of the home is experienced and knowledgeable and gives good leadership and support to the residents and staff. It was evident there is a healthy respect between the manager and the staff team and there is a positive atmosphere in the home. The manager is aware of individual residents needs and is skilled at deploying the resources of the home to meet these needs. It was evident the manager and staff team are committed to maintaining and developing a good quality of life for the residents. As well as regular informal consultation with residents on a 1-1 basis, the home has formal systems to record feedback from residents and significant others. All permanent residents completed an annual quality assurance survey Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 21 and family, representatives and other professionals completed further 39 surveys. Based on this feedback the home has produced an action plan, in an accessible format, in response to the issues raised, which is good practice. This included the following, helping residents to increase their independence, developing relationships with other residents, listening to people properly and more involvement with the running of the home. I examined the records related to the running of the home and required by legislation. These were readily available and were up to date and accurate including the fire log, water services and routine health and safety records and checks. Manual handling equipment was due for inspection, which had been arranged with the home’s contractor. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 22 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 3 4 3 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 1 25 2 26 2 27 2 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X 3 2 X Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 23 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 The home must develop a programme of repairs and renewal to ensure all areas of the home are suitably maintained and decorated to a reasonable standard. All areas of the home must be reasonably decorated. This must include; Greenlands unit kitchen and bedroom. Beachwood unit kitchen and bedroom. Sea view unit respite flat. Hill view unit bathroom. The stained floor covering in the toilet must be replaced. The bed base must be replaced as planned. The chest of drawers must be repaired The home must review their training records and produce a planned programme of training and development activities for all staff. The home must provide an adequate electrical supply/sockets for resident’s bedrooms in line with the DS0000036626.V295595.R01.S.doc Timescale for action 01/09/06 2 YA24 23 01/11/06 3 4 5 6 YA24 YA24 YA24 YA35 23 23 23 18(C) 01/09/06 29/06/06 01/08/06 01/09/06 7 YA42 13 01/10/06 Tarn House Version 5.2 Page 24 National Minimum Standards. 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 5 Refer to Standard YA17 YA25 YA24 YA24 YA41 Good Practice Recommendations All food must be clearly labelled and dated when stored in the fridge or freezer. It is recommended the built in wardrobe identified is removed to create more floor space. It is recommended the metal radiator guards be replaced with a more suitable domestic style alternative. It is recommended that pipes that are protected with grey insulation wrap and black tape should be at least decorated or more appropriately covered. It is recommended the home review the content of staff files ensuring they contain all relevant information including a recent photograph. Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Tarn House DS0000036626.V295595.R01.S.doc Version 5.2 Page 26 - 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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