Inspection on 23/05/07 for Templar Street, 16

This inspection was carried out on 23rd May 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

Templar Street, 16 16/09/05

Templar Street, 16 08/04/05

Templar Street, 16 21/02/05

Templar Street, 16 03/11/04

Templar Street, 16 16/03/04

Templar Street, 16 05/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Templar Street, 16 Camberwell London SE5 9JB Lead Inspector Sonia McKay Unannounced Inspection 23rd May 2007 10:00 Templar Street, 16 DS0000022761.V338037.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 Templar Street, 16 DS0000022761.V338037.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. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Templar Street, 16 Address Camberwell London SE5 9JB 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) 0207-274-3687 0207 737 7035 h4056@mencap.org.uk H46013@mencap.org.uk Royal Mencap Society Mr Patrick Joseph Barry Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th September 2005 Brief Description of the Service: 16 Templar Street is a staffed home for five adults with a learning disability run by the Royal Mencap Society. It is located in a semi-detached property in a residential area and there is a small rear garden. The home is within walking distance of shops and public transport links. The building is not accessible to people who use wheelchairs. Fees are £872.15 per week. A copy of the most recent CSCI inspection report is available in the home on request. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit began at 10 a.m. and was completed in five hours. The inspection consisted of discussion with four residents, staff and the home manager. Records relating to the care of the residents and home safety were also examined and there was a tour of the premises. The home manager completed a pre-inspection questionnaire to provide additional information about the service provided. What the service does well: What has improved since the last inspection? Written plans have been developed with each resident. Plans are accessible to each resident and provide staff with information about the personal goals and life aspirations of each person, in addition to known care needs. Health action plans are being developed with each resident. This ensures that issues of preventative healthcare are addressed. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 6 A communal lounge has been redecorated and there has been extensive work to improve the garden. 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. Templar Street, 16 DS0000022761.V338037.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 Templar Street, 16 DS0000022761.V338037.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 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Detailed information about the cost of this service must be added to the pack given to prospective residents to ensure they are able to make an informed choice about moving to the home. Procedures are in place to ensure that a persons needs and aspirations are assessed before a placement is offered in the home. EVIDENCE: The information provided to people using the service must be revised in accordance with recent changes in the Care Homes Regulations of 2001 that came into force in September 2006. The ‘Service Users guide and associated individual contracts must provide greater detail relating to the standard package of services provided. The terms and conditions (including fee levels) that apply to key services (both personal care and food) and the payment arrangements (resident contribution/local authority contribution) must be stipulated. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 9 The guide must also state whether the terms and conditions (including fees) would be different in circumstances where a person’s care is funded, in whole or in part, by someone other than the resident. (See requirement 1) The five residents have all lived in the home for a number of years. There are no current vacancies. The people who live in the home have input from the local community team for adults with a learning disability when necessary. The team are able to advise the staff on managing behaviours and individual risk assessment. Staff are trained in communication and were observed to interact well with the residents using communication support tools appropriate to each, for example picture boards and photographs and clear simple language. Procedures are in place for the formal referral of prospective residents, assessment of their care needs, introduction to the home, and probationary placement. Templar Street, 16 DS0000022761.V338037.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 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make decisions about their lives with as much independence as possible, although staff are mindful of personal safety issues. Individual needs and short and long term goals are documented in accessible and creative care plans that are patiently developed with input from each resident. EVIDENCE: A requirement was made in the previous inspection report for person centred care plans to be developed. There is good progress in developing these plans and the requirement is met. Staff recently attended training on working with residents to make planning documents that are accessible and centred on the resident’s own aspirations and life goals. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 11 The plans are in a format that is suitable to the needs of adults who may need information presented in a variety of ways, using simple clear language, illustrations and photographs. For example, the plans have photographs of residents taking part in activities and of people who are important to the resident instead of just a list of activities and names. The plans aim to identify goals to be achieved in one month, two months, and three months and also consider longer-term life goals. A designated keyworker meets with each resident every month to look at progress in achieving the goals and any other issues that have arisen. The outcomes of these meetings are recorded by the keyworker and a report is kept on file. Each keyworker has responsibility for compiling the person centred plans. A computer is available and staff are working creatively to make the plans accessible to residents, for example, one keyworker is creating a visual family history using old photographs with one resident. Placing authorities have completed annual reviews for each resident and actions identified have been incorporated into plans for care. Residents are encouraged and supported to make decisions about their own lives where possible. There are weekly ‘residents’ meetings to discuss house issues and plans for the coming week. Records of these meetings show that residents raise issues and make decisions about meals and household chores. Staff assist residents by having pictures and photographs available to assist with discussion and decision-making. Some residents access the community without staff support. In some cases this places them at significant risk. There is evidence that the home manager and staff respect the rights of individuals to make decisions, but that issues are referred to appropriate authorities in the persons ‘best interests’ if the persons decision or behaviour presents a risk. This allows for a multi-disciplinary approach to risk assessment and enables residents to access support from a range of services, such as personal safety training and information about safe sex. A risk assessment audit tool is in place and known areas of high risk have written management plans in place. Risk assessments and management plans are reviewed regularly. The impact of the behaviour of one resident on others in the home, with one resident being particularly affected, is of concern. Although there has been ongoing input from the behaviour support team, interventions have not decreased the behaviour and the home manager is currently attending risk management meetings with the local authority under safeguarding adults protocols to ensure the safety of the resident who is being targeted. Templar Street, 16 DS0000022761.V338037.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, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities for personal development and leisure and they are part of their local community. Residents rights and responsibilities are recognised a healthy diet is available. Residents have appropriate support to maintain family links, friendships and relationships. EVIDENCE: Residents attend a variety of daytime activities including supported employment, college courses in art and gardening and attending day centres. One resident is being considered as a mentor for younger students because of his lengthy experience in the field of horticulture. The staff team have good knowledge of local facilities and services and residents access a wide range of leisure facilities. There are also leisure activities including sports, discos, pubs and cinema trips. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 13 One resident said that the residents had formed an indoor bowling team and were now called the ‘Templar Street Tigers’. The resident is looking forward to a local bowling competition. Residents are supported to keep in touch with family and friends by either visits or telephone calls. One resident was supported to arrange and go on a short holiday to the seaside with a close friend. Activities such as art, movies and music are available at home. Daytrips and holidays are planned either individually or in small groups. One resident is attending Lourdes with a faith group later this year. The house rules are available and mostly deal with issues of respect and shared living. Residents are responsible for cleaning their bedrooms, but may need staff support to complete some areas of housekeeping. The home has recently employed a part time cleaner to assist in with the communal areas. Daily routines are based around individual needs rather than that of the group and the staff rota is flexible to allow support to be available at the right time of the day for each activity. Each resident takes a turn to choose and prepare an evening meal for everybody, with an appropriate level of staff support. Residents prepare their own breakfasts and lunches. Kitchen equipment is robust and carefully chosen for ease of use. One resident was having a kitchen skills development session with an occupational therapist during the inspection. Records of meals served in the home indicate that a variety of meals are served. Residents were observed to use the kitchen to prepare drinks and snacks independently and when they wished. Food stocks were adequate with fresh fruit and vegetables available. The kitchen is clean and tidy and well organised. One resident was happy to have a day off from college and get up a little later than usual. Residents require support to understand letters that are sent to them and usually request support from staff to do so. Written permission to open letters has been obtained. Residents who wish to have a front door key and a key to their own bedrooms. Staff seek permission before entering bedrooms. Templar Street, 16 DS0000022761.V338037.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 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and require and their physical and emotional needs are addressed and met. Residents are protected by the homes procedures for assisting residents to take their medication. EVIDENCE: Personal care support is minimal in most cases and, if needed, is carried out by a member of staff of the same sex. Written guidance is available for staff about the appropriate level of support to be provided to each individual and their personal preferences. Each time a resident attends a health appointment a detailed record is kept of the outcome of the appointment and any health advice or treatment needed. Records indicate that residents receive a wide range of healthcare input and routine health checks (for example, visits from a community nurse, occupational therapist, speech and language therapist, behaviour support therapist and visits to the GP, Dentist, Optician and hospital outpatients). Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 15 There are also close links with the local team for adults with a learning disability who provide advice and staff training. There has been one medical emergency since the last inspection visit. A resident experienced an unexpected seizure. An ambulance was called immediately and the resident is currently being supported to attend neurology appointments at the local hospital. Health action plans are being developed with input from each resident, as required in the previous inspection report. To be effective these plans should be shared with health professionals who can then provide advice on preventative healthcare and any particular health issues or problems in accessing appropriate health services. (See recommendation 1) All residents require support to obtain and take their medication. • All staff are trained to administer medication • Detailed information about each prescribed medication is available • The GP has agreed a list of ‘over the counter’ medicines that can be used by current residents • A measured dose system is supplied by a local pharmacy who attended a staff meeting to explain the system • Stock checks are simple and take place each week • Action is taken to investigate any discrepancy • Medication is reviewed by the GP at least annually or during appointments for ill health • Medication administration records are well kept with no gaps in recording • Medication is stored in a locked cabinet Templar Street, 16 DS0000022761.V338037.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The views of residents are listened to and acted upon and systems are in place to protect residents from abuse, neglect and self-harm. EVIDENCE: The complaints procedure is adequate and has also been produced in a pictorial format and on audiocassette for greater accessibility for service users with a learning disability. Residents meet together with staff both individually and as a group. This provides an opportunity for residents to raise and discuss any concerns they may have. The record of complaints made indicates that staff assist residents to make complaints and record what action is taken as a result. There have been four recorded complaints since the last inspection visit. All four complaints were substantiated and involved concern about the behaviour of a fellow resident. There has been ongoing input from the behaviour support team in regard to the challenging behaviour of one resident that is often directed towards another resident. The home manager is liaising with the placing authority to reach a satisfactory outcome. Issues of compatibility and placement suitability are currently being considered. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 17 There are adequate procedures in place for responding to suspicion or evidence of abuse. However, the home does not have a copy of the local authority safeguarding adult’s procedures and it is recommended that these be obtained for staff reference. (See recommendation 2) Adult protection training is part of the Mencap induction and foundation training that all staff undertake. Physical restraint is not used in the home and staff demonstrate an understanding of the issues that may trigger challenging behaviours. Staff have also attended training in managing challenging and aggressive behaviour. Emphasis is placed on good support with communication and this reduces the likelihood of challenging behaviour occurring in some cases. A resident made an allegation against a member of relief staff after an incident of challenging behaviour involving one resident taking a set of keys from another. This was reported to the local authority and the Commission. The member of staff was suspended during an investigation that proved inconclusive. The member of staff no longer works in the service. Each resident requires support to manage their finances and budget their money. Personal allowances are stored in a locked area in the office and records and receipts are kept for all personal expenditures. This protects residents from financial abuse. Templar Street, 16 DS0000022761.V338037.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, 25, 26, 27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment, with bedrooms that suit their individual needs and shared spaces that complement and supplement individual bedrooms. EVIDENCE: The premises are in keeping with the local community. On the day of the inspection the home was bright, cheerful, airy, clean and free from offensive odours. The home offers good access to the local community, local transport and relevant support services. The communal areas of the home include two lounges, a kitchen and laundry and a small rear garden with patio area and garden furniture. The rear garden is well maintained and the lounge has been redecorated since the last inspection visit. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 19 Although the laundry room can only be accessed via the kitchen area, staff are fully aware of the need to remind residents that soiled laundry cannot be carried through the kitchen whilst food is being prepared or eaten. The communal areas are well furnished, homely and comfortable. The home manager confirmed that he has a repairs and renewals programme for ongoing refurbishment in the home. Residents said that they were happy with their bedrooms. The bedrooms viewed reflected the personal choice and taste of the occupants. Bathrooms and toilets are of a sufficient number, with adequate facilities and they are well maintained. Hot water temperatures are restricted to within safe limits and tested regularly. Records examined indicate that emphasis is placed on environmental checks and safety. A new garden shed has been purchased, and it is kept locked when not in use, as recommended in the previous inspection report. Templar Street, 16 DS0000022761.V338037.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, 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 staff team are well trained and motivated. Staff have been adequately vetted during recruitment and are well supervised. This provides residents with protection. EVIDENCE: There is a registered manager, four full time support workers and one parttime support worker. Relief cover is provided by a small team of Mencap ‘bank’ staff, who are known to the residents, and occasionally an agency worker is used to cover staff absence. Staff were observed to be approachable and accessible to the residents and were knowledgeable of their disabilities, health matters and current social and communication needs. Discussion, observation and training records examined indicate that staff are understanding of and trained in supporting residents whose behaviour presents a challenge at times. Staff were also observed to be skilled in the promotion and development of independent daily living skills. Overall, the staff present themselves as caring, Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 21 interested, motivated and committed. Two staff are currently for an NVQ level 3 studying NVQ training is underway. A full training plan for the forthcoming year is available. One member of staff provides sleepover cover at night. The staffing level ensures that there are an adequate number of staff on duty to support residents with community access during the evenings. Records relating to recruitment provide evidence of thorough vetting of new staff, induction training in accordance with Skills For Care Guidance and ongoing supervision and appraisal. The team meets regularly together and the home manager receives supervision from his line manager. A member of staff said that she felt well supported in her role. Templar Street, 16 DS0000022761.V338037.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 & 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 well managed and monitored by the registered provider. EVIDENCE: The registered manager has been in post for a number of years and is currently undertaking the Registered Managers Award, after which he intends to complete the NVQ level 4 in Care. He is experienced and has undertaken other training appropriate to the role. Residents and staff said that they were able to approach the home manager with problems. A member of staff confirmed that the home manager is supportive and takes time to listen to their ideas. Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 23 Team meetings and residents meetings are held regularly and extensive minutes of these meetings are maintained. Mencap conducted a service review as part of the quality assurance programme in January 2007. A report of the findings of this review is available and the home manager has developed an improvement action plan. The home’s policies and procedures have been reviewed and are available in the staff office. Records are well maintained and organised and stored securely where necessary to maintain confidentiality. Records examined during this inspection provided evidence of: • Visitors to the home. • The dates and times that staff have worked in the home • Regular checks conducted on fire detection and fire fighting equipment • Regular fire evacuation drills • Regular health and safety checks • Safety checks on small electrical appliances and the homes fixed wiring. • Safety checks on gas installations. • Regular monthly unannounced inspections conducted on behalf of the registered provider • Employers liability insurance cover • Any accident in the home • Any complaint or concern about the home • All meals served in the home • Medication administered in the home • Financial records held on behalf of service users in the home • Regular temperature testing of the refrigerator and freezers • Regular temperature testing of hot and cold water supplies Templar Street, 16 DS0000022761.V338037.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 2 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 X 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 Templar Street, 16 DS0000022761.V338037.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 YA1 Regulation 5 Requirement The registered person must revise the service users guide in accordance with recent changes in legislation. Timescale for action 31/08/07 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 YA19 Good Practice Recommendations The registered person should ensure that Health Action Plans are discussed with relevant health professionals to ensure that residents receive advice about preventative healthcare and any known healthcare issue. The registered persons should obtain a copy of the Lambeth Safeguarding Adults policy and procedures and ensure that all staff are familiar with them. 2. YA23 Templar Street, 16 DS0000022761.V338037.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Templar Street, 16 DS0000022761.V338037.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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