Inspection on 22/09/09 for Templefields

This inspection was carried out on 22nd September 2009.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Templefields 26/09/07

Templefields 10/10/06

Templefields 09/01/06

Templefields 15/12/04

Templefields 08/07/04

Templefields 18/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report CARE HOME ADULTS 18-65 Templefields Templefields House Temple Road Dewsbury West Yorkshire WF13 3QE Lead Inspector Paula McCloy Key Unannounced Inspection 22nd September 2009 09:30 Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Templefields Address Templefields House Temple Road Dewsbury West Yorkshire WF13 3QE 01924 461056 01924 461008 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) VALEO Limited Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: 2. Learning Disability, Code LD The maximum number of service users who can be accommodated is: 14 26th September 2007 Date of last inspection Brief Description of the Service: Templefields is a care home for 14 people with learning disabilities and associated challenging behaviours. Templefields is located on Temple Road, Dewsbury, off the main Huddersfield Road. The home is close to public transport links and Dewsbury with all its facilities is close by. The accommodation at Templefields is arranged in two buildings. There are ten bedrooms in the main house has ten places and four bedrooms in the Coach House. All of the bedrooms in the home are single and each building has its own lounge, dining room, bathrooms, laundry and kitchen. There is also a hydrotherapy pool and aromatherapy room available on the same site. . Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star – adequate service. This means the people who use this service experience adequate quality outcomes. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted approximately 6.50 hours. The acting manager completed the Annual Quality Assurance Assessment (AQAA) that we asked for. This gave us lots of information about the service. We have used some of this information in this report. During the visit we spoke to two people living in the home, 3 members of staff and the manager. We also observed staff delivering care, looked at various records and looked around the home. Surveys were sent to 10 people living in the home, 10 staff and 5 health care professionals; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Seven people using the service, two members of staff and three health care professionals wrote to us with their comments. Their comments have been used in this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the service does well: Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 6 Anyone who is thinking of moving into Templefields House is assessed before a place is offered. This makes sure that staff are able to provide the care and support people need. Care plans give staff some good information about how people like to be supported with their personal care. This means that staff know what people’s personal preferences are. Staff get training that is relevant to their job. Over half of the staff have a qualification in care, which means they have been assessed as being competent at their job. Staff understand the safeguarding procedures and take appropriate action when necessary. This means that people living in the home are kept safe. There are some good quality systems in place. Shortfalls in the service have been recognised and staff know what they have to do to make improvements. We asked people living in the home and staff what the home does well. These are some of their comments: ‘Supporting staff and seeing to the service user needs.’ ‘We have enough staff to take people on holiday and these are well organised.’ ‘Some staff are pro active in getting information about places of interest for people to visit.’ What has improved since the last inspection? The complaints procedure has been put on display and more staff have completed their National Vocational Training in Care. The lack of consistent management has made it difficult for the home to progress and staff acknowledge this. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 7 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 4 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual needs are assessed before any decision is made about people moving in. People are provided with information about the service and invited to visit to see if it is the right place for them. EVIDENCE: There is a Statement of Purpose and Service User Guide available that contain a lot of information about the service. The Service User Guide is also available in an easy read style if people want the information presented in this way. The managers are aware that the information is out of date and are going to address this. Everyone is assessed before they move into the home to make sure that their needs can be met there. We looked at the records for two people and found good assessment information about people’s care needs. Staff told us that usually people visit the home before they move in, come for a meal and stay overnight as many times as they wish, so they can see for themselves if they like it. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 10 Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans need to be updated and involve people in planning their future care and support. EVIDENCE: In the annual quality assurance assessment (AQAA) the home told us that everyone has an individual file containing support requirements and risk assessments. We looked at care plan and risk assessment records for two people who live at the home. We found they gave clear information about peoples needs and the action staff must take in order to meet those needs. We also found that there were some clear agreements that had been made with people about managing their finances. The care plans, however, were not up to date and there were no plans in place to show how people’s social needs would be met. Staff told Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 12 us that the care planning system they are using is going to be replaced by a format that is more person centred. Staff are confident that this will improve the care planning process. There was very little evidence in the care plans about how people had been involved in developing their plan. One person we spoke to told us that they had asked for specific help with a problem. We did find that staff had acted promptly to their request and had taken the right action. The staff we spoke to know a lot about people, what their needs were and their likes and dislikes. The introduction of the new planning system will give staff the ideal opportunity to involve people in their plan and to use the information they already have to inform and improve people’s care support and opportunities. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 13 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): This is what people staying in this care home experience: 12, 13, 15, 16 & 17 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s social, educational and occupational needs are not always being met. EVIDENCE: There was nothing in the care plans that showed how people’s social care needs are going to be met in any planned way. We found some good information about people’s individual interests but no plans as to how staff were going to support them with their interests. For example staff had noted one person liked swimming, snooker, bowling, going to the cinema and music. We spoke to this person and they attend a music group once a week and will be starting college soon for two days per week to do English and maths. They told us that they couldn’t do more because they had to pay for any activities they do and they can’t afford to. We talked to staff about this. There is no budget for activities and people are expected to pay for things themselves. This means that for some people it isn’t possible for them to experience a Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 14 range of activities, develop their skills and interests and social contacts. There are some people living in the home who require very little personal care support but do need to develop their social skills and interests so that they can develop. This needs to be addressed through the care planning process. People living in the home use the local shops and hairdressers and the facilities in Dewsbury. People go out to the pub, shopping and for walks to the local park. Some people go out independently and some with support from staff. The staff we spoke to had some good ideas about other things they could access locally to improve people’s contact with the local community and these should be encouraged. People are given support to keep in touch with family and friends. Some people go and visit their families and friends. People can also invite relatives and friends to their home if they want to. There is a weekly menu that is prepared in consultation with people living in the home and it incorporates their choices. Staff are aware of people’s particular likes and dislikes and make sure an alternative meal is available if people don’t want what is on the menu. Some people regularly prepare and cook their own meals. People are encouraged to take part in the domestic routine of the home, for example, cooking meals and doing their own laundry and cleaning. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples general health care needs are met and based upon their individual needs. EVIDENCE: The care plans contain clear information about how people like to be supported with their personal care. Good records are kept of health appointments and their outcomes. Staff make sure that people are given support to attend appointments to meet their health needs. We could see that people have seen opticians, dentists, doctors and psychologists. In the AQAA staff told us that health action plans need to be completed with people, involving individuals where ever possible. These action plans detail very clearly what health care professionals are involved and give an overview of peoples health care needs. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 16 We found that staff had recorded advice that was given from a psychologist, but did not find any evidence in the records or from talking to the individual that they had followed this advice. It is important that staff follow advice that is given by professionals and document fully what they have done. This will make sure it is easy to find out if doing different things improves life for the individual concerned. The medication system is well managed and people get their medication at the right times. There is clear information about when any ‘as required’ medication should be given. This means that people will only be given these if they are needed. Staff who administer medication have all received training. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and are protected from abuse. EVIDENCE: The home has a clear complaints procedure which is on display in the home. In the surveys people told us that that they know who to talk to if they were unhappy about anything. The home has a complaints log in place where staff record any complaint that is made together with the action they have taken to resolve it and the outcome. This means that complaints are dealt with properly. Staff have received training and are aware of their responsibility to safeguard people in their care. The staff we spoke to were clear about what they would do if they felt there were any practices in the home that were not in the best interests of the people living there. This means people are being kept safe. Staff have reported safeguarding issues to us and the safeguarding team in Kirklees. The company have taken appropriate action when allegations have been made about staff to make sure that people living in the home are properly protected. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 18 The home does hold money for safekeeping if people want them to. Records are kept of every transaction and receipts are attached for any purchases that are made. All money held is checked regularly by staff to make sure the records are accurate. This means that people are protected from any financial abuse. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 30 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and tidy but there are some areas that are in need of redecoration and general refurbishment to bring them up to standard, EVIDENCE: Templefields is located on Temple Road, Dewsbury, off the main Huddersfield Road. The home is close to public transport links and Dewsbury with all its facilities is close by. The home was last inspected by environmental health in June 2009 and was awarded 3 Stars for hygiene. This means that adequate standards of cleanliness are being maintained. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 20 We looked around the home and there are areas that are in need of general refurbishment and redecoration. The bathrooms are in need of attention. Paint is flaking off, the floor coverings are stained and wallpaper is peeling off. Some people living in the home told us that they would like new furniture for the lounge because the sofas and chairs are stained and not very comfortable. We could see from the residents meetings that people had asked for the home to be redecorated. The company need to draw up a redecoration and refurbishment plan for the home. This should show what area is due for improvement and when the work will be completed by. This will mean the manager can keep people living in the home informed and up to date. It will also make sure that people know they are being listened to and that their ideas are being taken into consideration. The home was clean and tidy when we visited and people told us in the surveys that this is always the case. There are laundry facilities available for people to use with support from staff if needed. There is an infection control policy but none of the staff have completed any infection control training. We talked to the manager from one of the other homes about this and she told us staff will be completing a computer based course to cover this. This will mean that staff will be aware of infection control issues and will work in a safe way. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff to meet people’s needs. Staff are receiving training that is relevant to their role. EVIDENCE: The main house and the Coach House are staffed separately. There are four people living in the Coach House. There are two staff on duty all day and one waking member of staff on duty at night. Staff told us that these staffing levels were adequate. The people living in the Coach House are settled and we saw that they were getting on well with the staff that support them. There are six people living in the main house. There are four staff on duty throughout the day and one waking member of night staff. An additional member of staff is currently working from 10:30 am to 6:00pm to support one person, who needs one to one support. We saw that staff were available and were involved with people in the home. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 22 On the Annual Quality Assurance Assessment we were told that there are twenty eight staff working at the home, fifteen of whom have completed their National Vocational Qualification (NVQ) training in care at level 2/3. All new staff complete an induction course before they start working in the home. Staff also complete the Learning Disability Qualification (LDQ). Staff told us that the training they get is good and relevant to their role. Recruitment files are held at head office. The home has a summary of the checks that have been completed, however, these lacked detail. There were no dates against the Protection of Vulnerable Adult (PoVA) or the Criminal Records Bureau (CRB) checks. In the two files we looked at staff had started their induction before references had been received. We spoke to a member of the team in head office who explained that sometimes people start the induction training course before all the checks are received. These courses are run externally to the home and staff do not have any contact with people using the service. If any of the checks were unsatisfactory a decision would be made about that persons’ suitability before they started working with people. It is important that the records show exactly when checks were received, when staff were completing their induction training and when they started working in the home. This will make it easy to check that the recruitment process is robust and that people working in the home are suitable and safe. At the time of our visit a manager of another service was completing a training matrix so that they can see what training staff need to do. When this is completed staff will be offered training or up dates. This will make sure that staff are up to date with their training. She is also aware that staff need to complete Mental Capacity Act and Deprivation of Liberty training so that they fully understand this legislation. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The changes in management of the home have made it difficult for the service to develop and keep some records up to date. EVIDENCE: The registered manager left the home this year after a long period of leave. There have been a number of people who have taken over the acting manager role, but for a variety of reasons there has not been any consistent management. The area manager and a manager from one of the companies other homes have been offering support, but, the lack of a permanent manager has affected the service. Staff were very honest about the things that are not up to date and about the improvements that are needed. A new manager has been recruited and was undertaking her induction training when Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 24 we visited. She is aware that she will need to register with us as the manager and complete the National Vocational Qualification at level 4 and the Leadership and Management of Care Services Award. This will make sure there is someone that is legally responsible and qualified to manage the home. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This self-assessment tool focuses on how well outcomes are being met for people using the service. This told us about improvements that have been made and what the home hopes to do in the next 12 months. People living in the home are consulted about the way it is managed through residents meetings, however, they have not been getting any feed back about their requests and think nothing is happening. For example they told us that they had asked for a new TV, but nothing had been done. Staff told us that a new television was being ordered. It is important that people living in the home are kept up to date and told about what action is being taken to meet their requests. This will make sure they feel valued and that their suggestions are taken seriously. There are some good quality assurance systems in place. The company have their own quality assurance team who visit the home and look at how the home is being managed. These visits highlight any action that needs to be taken to improve the service to the people living there. The report they produced in March 2009 shows where the service needs to improve. The new manager now needs to act on the recommendations made in that report. There is no one currently living in the home who is subject to a deprivation of liberty authorisation. In the AQAA we were told that all of the servicing of equipment and insurance certificates are in place. We looked at the gas safety report and the small electrical appliance test records and found they were up to date. This means that equipment in the home is being kept in good working order. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 25 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 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 2 X 3 X X 2 X Version 5.3 Page 26 Templefields DS0000026311.V377731.R01.S.doc 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 YA6 Regulation 16 Requirement Care plans must identify what people’s social care needs are and identify how these are to be met. This will make sure people’s social care needs are met. All of the care plans need to be reviewed and brought up to date. This will make sure they accurate and are identifying people’s current support needs. Staff must deliver the care and support that is detailed in the care plan. This will make sure people’s needs are met. A redecoration and refurbishment programme must be drawn up and implemented. This will make sure all areas of the home are maintained to a good standard. The information about staff recruitment must give details of the dates PoVA and CRB checks were received. This will make sure that staff are suitable and safe to work with vulnerable people. All staff must complete infection control training. This will make DS0000026311.V377731.R01.S.doc Timescale for action 30/11/09 2 YA7 15 30/11/09 3 YA19 12 30/11/09 4 YA24 16 30/11/09 5 YA34 19 31/10/09 6 YA35 18 31/12/09 Templefields Version 5.3 Page 27 sure they are working safely. 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 YA1 Good Practice Recommendations The Statement of Purpose and Service User Guide should be reviewed and information brought up to date. This will make sure that people receive the right information about the home. The daily records kept for people should reflect the content of the individual’s care plan and whether or not outcomes of the care plan have been met for the individual. All staff should complete Mental Capacity Act and Deprivation of Liberty training. This will make sure that they fully understand the implications in their day to day work. The manager needs to make sure that staff are offered training courses or updates that are identified once the training matrix is completed. This will make sure everyone is up to date with their training. 2. YA6 3 YA35 4 YA35 Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 28 Care Quality Commission Care Quality Commission Yorkshire & Humberside Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.yorkshirehumberside@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 29 Templefields DS0000026311.V377731.R01.S.doc Version 5.3 Page 30 - 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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