Inspection on 13/02/09 for The Beeches

This inspection was carried out on 13th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Beeches 22/02/08

The Beeches 16/03/07

The Beeches 15/11/05

The Beeches 16/05/05

The Beeches 31/08/04

The Beeches 19/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Beeches 35 Ethelbert Road Canterbury Kent CT1 3NF     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kim Rogers     Date: 1 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: The Beeches 35 Ethelbert Road Canterbury Kent CT1 3NF 01227769654 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): canterbury.thebeeches@virgin.net Mr David John Barzotelli Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 18 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 18 The maximum number of service users who can be accommodated is: 18 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home The Beeches is a care home, which has been registered to provide personal care, support and accommodation to 18 people with learning disabilities. People at this home should all be over 18 years of age. The home is located in a residential part of Canterbury, not far from the city centre and close to public transport. There is parking space for up to eight vehicles at the front of the house and also some on road parking, though this is subject to restrictions. The home consists of a large detached building with an extension to the rear. All Care Homes for Adults (18-65 years) Page 4 of 32 Brief description of the care home bedrooms are single. At the rear of the house is a garden area, with seating, greenhouse and shed, which is well maintained and accessible. The owner is Mr David John Barzotelli, who also owns another home in the area and domiciliary care services. Mr Christopher Dives is currently the acting manager. The basic fee payable is £633.93 per week. Any extra care (e.g. for personal care, toileting, feeding, speech programmes or extra / specialist community integration) is charged for on top of the basic fee. Transport costs and day centre sessions are also extra charges payable. Information on the homes services and the CSCI reports for prospective clients should be detailed in the Statement of Purpose and Client Guide. For more information about the fees and services please contact the provider. Care Homes for Adults (18-65 years) Page 5 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of the service and included an unannounced site visit by one inspector. The site visit was carried out over about four hours. The previous key inspection was carried out on 22.02.08. The three requirements made at the last inspection have been met. We spoke to service users, staff and the acting manager. We sampled records, made observations and had a look around the home. The acting manager is referred to in the report as the manager. We looked at the Annual Quality Assurance Assessment or AQAA that the acting manager completed. This gives information about what the home does well and how Care Homes for Adults (18-65 years) Page 6 of 32 they intend to improve. We looked at other information we have received about the home including any concerns, complaints and notifications about incidents and accidents. What the care home does well: What has improved since the last inspection? What they could do better: There must be a registered manager in post so service users know that the person managing the home is a fit person and has passed the fit person process. This has been ongoing for some time and must now be addressed. Administration records relating to medication must be recorded properly by staff so it is clear if people have had their medication or not. Hand written entries by staff on medication administration records must be detailed, clear and checked and countersigned by a second member of staff to keep service users safe. Staff should have one to one supervision meetings to give them the support they need to do a good job. The induction for new staff should include an element about learning disabilities to give staff some underpinning knowledge about service users needs. Care Homes for Adults (18-65 years) Page 8 of 32 The assessment carried out before a person moves in should include information about the persons personal goals and aspirations. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 32 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 32 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 have their needs assessed before they move in. There is some information about the home to help people decide about moving in. Evidence: There is some information in text about the home. Currently the information may not be meaningful to everyone so people may not have the information they need to help them make a decision about the home. The manager said he has plans to improve the information so that it is meaningful to everyone. As required at the last inspection the manager has reviewed the Statement of Purpose and service user guide to make sure they contain the required information. Some people have moved into the home since the last inspection. We found that assessments are obtained from care management before a person moves in. The home also carries out an assessment to make sure they can meet the persons needs. We found that the assessment tool used by the home focuses on the persons needs and does not include information about the persons personal goals and aspirations. Care Homes for Adults (18-65 years) Page 11 of 32 Evidence: This means that the home are not currently getting a complete picture of the person. That is, who they are, where they are from and what sort of life they want. The manager agreed to review the assessment tool to ensure they find about a persons aspirations before they move in. Care Homes for Adults (18-65 years) Page 12 of 32 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this 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 know that their needs will be assessed, recorded and supported.Communication is supported so people have the support they need to make choices and decisions. Evidence: We found that each person has a service user plan. This details the persons needs and what staff need to do to meet those needs. This means that people get the support they need in the way they prefer. We found that a start has been made on developing individual person centred plans (PCP). The manager has developed a planning tool that key workers are completing with each person. The person centred plans find out about the persons personal goals and aspirations for the future. The manager said he would then include a plan of action for staff to follow to ensure people are supported to achieve their goals. The new plans include information about how people communicate. This is clear and Care Homes for Adults (18-65 years) Page 13 of 32 Evidence: detailed to ensure that people have the support they need to make choices and decisions. Although staff are working to complete each plan with individuals the manager said that no one has had training in person centred planning. This means that the work may not be meaningful as staff may not fully understand what person centred planning is and how it should work. Without the right in depth training and support for staff in PCP there is a risk this could become a paper exercise and not change peoples lives for the better. We found that potential risks to people are identified and assessed. Action is recorded that staff must take to reduce risks. We found that risk assessments are reviewed on a regular basis. The manager agreed to include a record of when a risk last occurred to ensure that risks assessments are still relevant. We found that the environment supports communication in that information is displayed in a meaningful way. For example people can see what activities are on offer, what is for dinner and who is on duty. This means that people can find out for themselves and do not have to rely on staff to tell them. Care Homes for Adults (18-65 years) Page 14 of 32 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this 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 have support to access a range of activities and life long learning opportunities. People have support to keep in touch with family and friends. Food is wholesome and nutritious and people have support to be involved in planning and preparing meals. Evidence: We found that people have the opportunity to take part in a range of activities including furthering their education. Some people attend college at Canterbury and local day services. Some people are attending courses on how to develop and increase their life skills. We found that each person has an activity planner so people know what they are doing and when. The manager says he plans to make this information more meaningful to people so everyone knows what is on offer. Activity choices are displayed on a board in Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: the lounge to help people choose what they would like to do. Staff facilitates activities held in house. We found that hobbies are supported, for example, one person enjoys gardening and growing vegetables so has a green house and vegetable plot to use. Some people have support to attend church. There are also visiting churches and entertainers invited into the home. We found that people have the support they need to keep in touch with family and friends. Families are invited to review meetings if service users wish to have them there. We found that people are involved in planning and preparing meals at the home. Although most of the food is purchased on line and delivered to the home, people go to the local shops for small items. This means that people get to experience the sights and sounds of shops and supermarkets. There is a cook who prepares most of the food. We found that service users help in the kitchen and saw people washing up and loading the dishwasher. There is a separate kitchen, which means that service users can have support to make drinks and snacks when they want them. The menu choices of the day are displayed in pictures so people can make a choice about what they want to eat. Special diets are supported and weight and nutrition is monitored to ensure people stay well and healthy. Care Homes for Adults (18-65 years) Page 16 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is potential for service users to have more control of their medication with the right support. Records relating to medication and the audit of records needs to better to protect service users. People know that their personal and health needs will be supported. Evidence: We found that peoples personal care needs are recorded in their individual plans. This means that people are supported with personal care in the way they prefer. Although there are no en suite bedrooms toilets and bathrooms are sited close by. This means that people can have a bath or shower when they want to. We found that health needs are recorded with action by staff to meet those needs also recorded. We found that there is a record of health appointments and outcomes. The home has worked closely with health professionals to ensure that people have the support they need with their health. The manager has introduced health action plans that staff are in the process of completing with individuals. This means that service users will have the support they need to take more responsibility and control over their Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: health. We found that records of monitoring of health needs are kept. This means that staff can recognise any changes at an early stage. We looked at medication storage and found this to be safe. There is a central medication cupboard and service users come to this cupboard for their medication. The monitored dosage system is used. At present staff control medication as no one has any control of their own medication. The manager agreed that there is potential for some people, with the right support to have some control of their medication. The manager said he would talk to service users and re assess peoples support needs. We sampled medication administration records and found some gaps in recording in three records sampled. We found for one person that the medication had been given but not signed as given by staff. For the other two it was difficult to find out if they had had their medication or not. On one record the error happened a week ago, on another record the error happened two weeks ago and the last record showed the error happened three weeks ago. The manager was not aware of the gaps until shown by the inspector. This means that staff had not reported the errors and the audit and monitoring system had not picked it up. We found that staff have written hand entries on some medication administration records. One in particular was not clear at all with crossings out and changes. We found that staff had not signed the entries and no one had checked that the entry was right and countersigned it to say so. This means that service users could be at risk of having the wrong medication or wrong dose. The manager said he would be addressing these issues with individual staff members through supervision and staff meetings. However because of the potential risks to service users we made a requirement for improvement. Care Homes for Adults (18-65 years) Page 18 of 32 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 is a complaints procedure with plans to make this more meaningful so people know how to use it. People are protected from harm and abuse. Evidence: We found that there is a complaints procedure. This is displayed in the home and given to all new residents. The manager is developing a more meaningful procedure with pictures and photos. This means that the procedure will be more accessible for everyone. There is some information available to people about local advocacy services should they need them. No one currently has an independent advocate. Neither the home nor the Commission have received any complaints about the service since the last inspection. The home has a policy and procedures to follow to ensure that people are safeguarded from harm and abuse. We found that staff have training in how to safeguard vulnerable adults. When asked staff could say what abuse is and how they would respond to it that is, whom they would report to. The manager said he would report any suspicions of abuse to the Provider, care management, next of kin, CSCI but only mentioned the adult protection coordinator at Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: social services after prompting. The adult protection coordinator at social services takes the lead role in investigating safeguarding alerts and therefore should be the first point of contact. Care Homes for Adults (18-65 years) Page 20 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users live in a clean, comfortable, safe home. Evidence: We found that the home is safe and well maintained. All areas of the home, apart from one bedroom, have been redecorated since the last inspection. We found that the home is clean and that service users have support to take part in household chores. This means that people are included and involved in the day to day running of the home. All bedrooms are single although none have en suite facilities. Toilets and bathrooms are sited near to bedrooms. Some bathrooms have been updated and a wet room has been created to offer people the choice of a shower. People can access the garden from the house that has seating, patio area, vegetable plot and green house. The size of the garden has been reduced as an area of the garden has been sectioned off due to some building work. Some people have keys to their rooms. One person has a front door key. Assessments are carried out to see if people can use and keep keys safe. The manager said that he Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: is aware that any imposed restriction should be the least restrictive option and made in service users best interest. Any restrictions must be regularly reviewed to see if it is still necessary. Care Homes for Adults (18-65 years) Page 22 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough trained staff to meet service users needs. Outcomes for service users will be improved if staff have training related to service users needs including person centred planning. Recruitment checks are carried out protecting service users. Evidence: We found that staffing can be flexible so that there is enough staff to meet peoples needs. For example an extra member of staff comes in for four hours one day a week to support a community based activity. The home employs support workers, domestic staff and a cook. There are waking and sleeping staff on duty at night. There is a manager and deputy manager. All staff are permanent staff and have job descriptions and contracts. This means that service users have continuity of care and support. Names of people on duty are displayed so service users know who will be supporting them. One staff said I love working here. The staff team is stable and some staff are long standing so know service users well. Care Homes for Adults (18-65 years) Page 23 of 32 Evidence: We found that staff have access to mandatory training by way of training films. Staff watch the film then answer written questions. There is a training matrix so the manager can see who is due for refresher training. We found that training relating to service users needs including learning disabilities and person centred planning is limited. We found that staff new to the home and new to learning disability services are given a typed sheet of information about learning disabilities. We found this information to be out of date. For example it includes the phrases mentally handicapped and tantrums and other inappropriate and out of date terminology. They use a test sheet to find out what staff know about learning disabilities then fill in any gaps in knowledge by talking to staff. Staff may then retake the test paper one month later to see if they have retained the information. We found the induction used to ensure new staff know about the service is adequate. The manager said there are plans to improve the induction. We found that staff have access to a range of mandatory training but that no one has had training in person centred planning, PCP. The manager said he would buy the PCP training film and get all staff to watch it and answer the questions. This will give staff an idea of what PCP is about and what it means. The manager may find that staff need further training and support to fully implement and embed PCP into the service so that it is making a difference to peoples lives. We found that service users get the opportunity to meet prospective staff when they have a look around the home. People complete an application form and the manager takes up references and carries out checks to ensure that service users are protected. We sampled staff files and found that checks have been done to ensure people are safe to work at the home. We found that there are regular staff meetings so the staff team get a chance to discuss issues as a group. We found that staff do not have the one to one supervision they need. This means that they do not get a chance to meet on a one to one basis with a line manager to get coaching, mentoring and support. The Minimum Standard requires that staff have at least six recorded supervision sessions each year. A recommendation was made to ensure staff have the supervision, support and mentoring they need and to ensure that service users are supported by properly supervised staff. Care Homes for Adults (18-65 years) Page 24 of 32 Care Homes for Adults (18-65 years) Page 25 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this 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 adequately managed but the manager must be registered so that people know he is fit to run the service. People who use the service have the opportunity to air their views and opinions about the home. People know that their health and safety is protected. Evidence: The same manager is in post as at the last inspection. A requirement was made at the last inspection for the manager to be registered with the Commission. This is to ensure that people who use the service know that the person is fit to manage the home. The manager has not yet applied to the Commission to be the Registered manager. This means that the home has not had a registered manager for some years now and that people cannot be sure that the manager is a fit person to manage the home. There is an action plan as required at the previous inspection showing the current manger has support from the Provider and the manager of another company home. However, the manager must apply to become the registered manager and go through Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: the fit person process of checks and an interview. The manager has several years experience at the service but does not yet have the qualification required by the Minimum Standards. The manager does not have a qualification in learning disabilities. This means that he may not be up to date with latest research and best practice developments in the learning disability field. We found that service users views are sought at service user meetings. The manager said they have acted on people views by organising more activities and outings and having two separate holidays this year instead of one. This gives people more choice. The manager said he plans to increase the frequency of service user meetings and introduce regular one to one meetings with key workers. This will enable people who do not like group meetings to have the opportunity for a one to one meeting with someone who knows them well. Surveys are sent out to stakeholders like family and staff twice a year. People give their views and the manager produces a report and action plan for improvement. This is shared with stakeholders so they can see how the home intends to improve. As required at the last inspection there is an annual development plan showing how they intend to improve the service. Although the quality assurance systems are in place internal monitoring of the service needs to improve. For example, errors on the medication administration records made some weeks ago had not been picked up. This means that service users could be at potential risk so auditing of practice and records needs to be better to protect service users. The manager completed the Annual Quality Assurance Assessment or AQAA. This was well completed and gives evidence of what the service does well and how they intend to improve. The AQAA says that they feel no improvements are needed to further promote equality and diversity. The manager should review this to ensure that issues relating to service users equality and diversity are supported and improved. Without plans to improve, outcomes for service users will not be improved. The AQAA shows that health and safety checks are carried out on the premises and equipment. This protects service users. We found that the fire equipment is checked regularly and that fire drills are held. Records showed that some staff have not taken part in a drill so may not know how to evacuate the building and call the fire brigade in an emergency. Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: The manager agreed to hold a fire drill for those who need to attend one. Care Homes for Adults (18-65 years) Page 28 of 32 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 32 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 The registered person must ensure that medication practice is safe in that staff must record when they administer medication, staff must record if they do not for whatever reason administer medication, hand written entires of administration records must be checked and signed. To ensure that service users are protected from harm and that medication practice is safe. 30/04/2009 2 32 18 The staff team must have 31/08/2009 the in depth training they need relating to service users needs including person centred planning. To ensure that staff know what person centred planning is, how it works and how to work with individuals to develop plans. To ensure that each person has a plan that details the Care Homes for Adults (18-65 years) Page 30 of 32 life they want to lead. To ensure that people get the right support to fulfill their ambitions and lead the life they want to lead. 3 37 9 The manager of the home must be registered with the CSCI. His application must be submitted within the timescale. To ensure that service users know he has passed the fit person process and is a fit person to manage the home. 31/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 35 The induction for new staff should include and up to date element about learning disabilities to ensure that staff are aware of issues relating to service users needs. Staff should have one to one meetings, supervision, at least 6 times a year with a line manager. To ensure that staff have support, coaching and mentoring they need to do a better job. 2 36 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!