Inspection on 09/06/05 for The Drive

This inspection was carried out on 9th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Drive 11/05/06

The Drive 25/01/06

The Drive 19/12/04

The Drive 25/08/04

The Drive 04/02/04

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 The Drive 17 The Drive Sidcup Kent DA14 4ER Lead Inspector Maria Kinson Unannounced 9 June 2005 09:20 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 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 Stationary 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. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Drive Address 17 The Drive Sidcup Kent DA14 4ER 020 8309 0440 020 8309 1532 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Drive Residential Home Ltd Dennis Shattell Care Home 12 Category(ies) of Learning disability (12) registration, with number of places The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 12 Male or female - LD (Learning disability) Date of last inspection 21.03.05 Brief Description of the Service: The Drive offers a permanent home for up to twelve adults who have a severe or profound learning disability with associated and complex needs. Complex needs include mobility needs, arising from sensory deprivation, communication needs or behaviour that challenges. The home is located in a residential area within walking distance of the local town and public transport. The Home has it’s own transport which is used to provide opportunities outside of the Home. Staff support is provided 24 hours a day. Opportunities for leisure and occupation are provided by the Home and some service users attend a day service provided by their sponsoring authority. This is determined by the assessment of need and in negotiation with the commissioning authority. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 09.06.05 between 09.20am and 16.10pm. The inspector undertook a partial tour of the home including the kitchen, bathrooms, laundry, two bedrooms and communal areas. A selection of documentation was examined including the homes Service User Guide, care, money and medication records. During the course of the inspection the inspector spoke with three members of staff and eight comment cards were sent to relatives and health and social care professionals. Two comment cards were returned to the commission and the inspector had the opportunity to speak with one person on the telephone. The manager was attending training on the day of the inspection but was given verbal feedback on 13.06.05 by telephone. The home was full at the time of this inspection. What the service does well: The arrangements for the admission of new service users to the home were good. Service users had access to clear information about the facilities and support provided in the home and were encouraged to visit and spend time in the home prior to making a decision. Staff arranged and accompanied service users to regular health checks and hospital appointments. Staff recognised when service users wanted to spend time alone or peace and quiet. Staff took prompt action to preserve service users dignity. The home has a comprehensive adult protection and complaints procedure. Both procedures were easy to follow. Food prepared in the home was presented in an appetising manner and was adapted to meet service users individual needs where necessary. The building was maintained to satisfactory standard and the manager addressed health and safety issues promptly. Fire drills and alarm checks were carried out regularly and the fire alarm and extinguishers were serviced at regular intervals. All areas were clean and tidy and odour free. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Access to specialist health care services for people with learning disabilities was poor. To ensure that future service users can gain access to these services the registered person must discuss and agree in writing the arrangements for meeting service users health care needs prior to admission. The provision of activities had improved but further work is required to ensure that each of the service users has a programme of meaningful activities to meet their individual needs. Adequate supervision was not provided for staff that were working in the home without a full police disclosure. Staff with a POVA first check must work under the direct supervision of a named member of staff. The management of medication was mostly good but closer monitoring is required to ensure that all medication is administered as prescribed. Access to training for bank staff was poor. It is essential that all staff working in the home receive appropriate training. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 7 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 Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2. The information provided by the home assists service users and their representatives to make an informed choice. The admission procedure ensures that staff had adequate information to meet service users needs on admission to the home. EVIDENCE: The home has a comprehensive Statement of Purpose and Service Users Guide. All of the service users living in the home have difficulties with communication, comprehension and a number have a sensory loss. This has made it difficult for the manager to prepare a service users guide in a format that would be suitable for all of the service users living in the home. A Service Users Guide using pictures and symbols was developed recently and the manager has agreed to consider other options on an ongoing basis. One service user has been admitted to the home since the Care Standards Act was introduced. The admission process for this service user was assessed during a previous inspection and was found to be satisfactory. See standard 18. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Comprehensive information about service users health and welfare needs and potential risks was accessible to staff. This information should enable staff to meet service users individual needs. Staff supported service users to make decisions for themselves and requested input from relatives where this was not possible. EVIDENCE: The care records for two service users were examined. The manager had recently reviewed and updated service users care plans. Both of the plans seen included specific information about the individual’s physical, social and personal needs, guidance about the management of challenging behaviour and instructions for staff about the frequency that service users should be supervised when they were spending time alone. Support plans were reviewed and updated regularly. All of the plans seen were prepared by the manager and there was little evidence that support staff were involved or took any responsibility for updating plans when service users needs changed. Both files included a risk assessment and specific strategies to minimise risk. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 11 The majority of the service users living in this home have difficulty communicating and were not able to understand or make decisions about everyday issues. For this reason staff try to involve and obtain the opinion of service users relatives, care managers and representatives when significant issues occur or difficult choices have to be made. There was evidence on the files that Care managers and relatives were consulted. Despite the difficulties highlighted above service users had established ways of communicating with staff and making their wishes known. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17. Access to activities in the home and community were improving and further work was in progress to provide a regular programme of stimulating and fulfilling activities for all of the service users. The variety of food provided in the home met service users nutritional needs. Service users lives were enriched by regular contact with family members and friends. EVIDENCE: Action had been taken since the last inspection to increase the provision and choice of activities provided in the home and community. Contact had been made with local colleges and organisations to assess the availability of specialist activity sessions for service users. Very little response had been received and staff had resorted to increasing activities in the home and providing additional recreational facilities. A computer had been provided in The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 13 the lounge for clients use and two of the clients were now using this regularly. A widget style programme had been installed. Some staff were not familiar with the programme and were not able to support service users with this activity. A music therapist, aromatherapist and reflexologist visit the home regularly. Some of the clients, that were previously cautious about joining these sessions, were becoming more confident once they become familiar with the therapists. Resident’s files and care notes included some information about their interests and activities, but there were no individual activity programmes and it was not clear from the records whether some activities listed in support plans were actually taking place or not. The deputy manager told the inspector that individual programmes were being developed but some activities were being trialled as service users sometimes responded in a positive manner, and on other occasions refused to take part. See recommendation 1. On the day of the inspection hand massage and music sessions were in progress, two service users went shopping and staff assisted service users to use the organ, play games on the computer and listen to music. The majority of service users living in the home do not have the assessed capacity to undertake work or vocational training. Two service users attend day care services and some of the other service users attend computing and pottery classes. Staff were working hard to obtain information about other suitable classes for residents. One of the clients enjoys music. Staff had accompanied him on a trip to a local theatre to see a musical production. The client, despite encouragement, refused to enter the theatre, and instead spent time with the staff member having a drink at the bar. A different member of staff took the client back to the theatre the next evening, and was able to persuade the client to watch the show. This level of commitment by staff to establish new interests, and explore new links in the community, is commended. Senior carers had been asked to plan a holiday for a group of service users. Staff were carefully considering the needs of the group prior to making specific arrangements. Resident’s friends and family were able to visit at anytime. Some concerns had been expressed in the past about obtaining information from the person in charge. In response to this issue the manager had set up a board in the reception area to display the names of the staff that were on duty for each shift. Some service users visited or stayed with relatives of a weekend. The lunch provided for service users was well presented and appetising. One of the service users required different food as he had difficulty chewing. The food provided corresponded with the planned menu displayed in the kitchen. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 14 The majority of service users were not able to advise staff about food choices but staff said that service users would indicate that they did not like food by pushing the plate away or leaving the table. An alternative dish would then be prepared. The long serving staff were familiar with service users likes and dislikes and were able to prepare specific food for individuals who did not like the food listed on the menu. Staff were planning to provide photographs of meals for service users who were not able to verbalise their preferred choice of food. Staff encouraged service users to become involved in the running of the home and to take responsibility for keeping their personal space clean. Staff were seen asking service users to help hang washing out, lay the table, take their tea cups back to the kitchen and assist with dusting. Plans were also being made for individual laundry baskets to be placed in each service users room and for staff to assist service users to launder their clothing on a set day each week. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, and 20. Access to specialist health care services was poor. The arrangements for accessing specialist health care services for people with a learning disability must be agreed in writing with the funding authority prior to admission. The management of medicines was mostly good but additional monitoring must be undertaken to ensure that service users receive all of their prescribed medication. EVIDENCE: Support was provided to meet service users personal hygiene needs, where possible. Some of the service users declined assistance with shaving or bathing at times. Service users privacy was maintained and respected. Two comment cards were received back from health care professionals, both indicated that staff worked in partnership and communicated effectively. Access to regular health care services such as the Dentist and GP were satisfactory. The home was not able to obtain advice or input from the local learning disability team as all of the service users were placed from outside the borough. The only exception to this was where a service user developed a new problem whilst living in the home. Because service users living in the home The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 16 have complex needs it is essential that the Registered Person discusses and obtains written agreement from the funding authority about how specialist services such as speech and language therapy, psychology, psychiatry and occupational therapy will be accessed and who will pay for these services. This information must be agreed in writing prior to new service users being admitted to the home. See requirement 1. The management of medicines was mostly good. Records of receipt and disposal of medication were satisfactory but there were two gaps on one of the charts examined. It was not clear whether the prescribed medication was administered on these dates. The temperature in the medicine room was satisfactory. An additional supply of medication was kept in a named box for some of the service users who have regular seizures. The inspector was told that the boxes remain with the service user on trips outside the home. See requirement 2. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has a comprehensive complaints and adult protection procedure for responding to complaints or allegations of abuse. These procedures should protect service users. EVIDENCE: No complaints had been received in the home or by the commission since the last inspection. The home’s complaints procedure was easy to follow and includes a time-scale for receiving a response and the contact details for the Commission. Since the last inspection one unexplained injury had been investigated under the local authority adult protection procedure. Initial feedback indicated that the injury was likely to be due to an accident but some poor practice was identified in relation to record keeping and the supervision of service users. It was evident during this inspection that action had already been taken to address these issues. A copy of the adult protection procedures for Bexley and Greenwich council were kept in the home and were accessible to staff. Staff on duty had a fair understanding about abuse and knew that they should report concerns to senior staff. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. Action had been taken to improve the appearance of the home. This work should result in a more attractive and homely environment for service users. EVIDENCE: The home was clean, tidy and odour free. The building was maintained to a satisfactory standard but as indicated in the previous report some of the carpets were stained and worn. The vinyl floor covering in one of the bedrooms on ground floor was damaged. The inspector was told that the flooring in this room would be replaced when the carpet replacement programme commenced. Since the last inspection the ground floor toilets, laundry room and bathroom had been tiled and one toilet re sited to make more space for one of the service users who requires hoist transfers. Similar work was in progress on the first floor of the home. A new bed had been purchased for one of the service users. The registered provider advised the commission that all of the communal areas would be redecorated in July 2005 and new carpets fitted in these areas once the decoration was complete. The previous recommendation to fit thermostatic valves on all of the radiators had not been met in full. The manager said that this work would be undertaken The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 19 once the work in the bathrooms and toilets was complete. See recommendation 2. The national minimum standards for adults states that it would be good practice to organise the home into two separate units / flats by 2007. The registered provider should start to discuss this issue with service users, relatives and other interested parties and provide feedback for the commission. The kitchen was clean and tidy and refrigerator and freezer temperatures were closely monitored. The inspector was told that two thirds of staff had now completed food hygiene training and other sessions were planned for the remaining staff. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 34 Weekday staffing levels were satisfactory. Weekday staffing levels will be reassessed during future inspections to ensure that service users social needs can be met. Communication between staff and service users had improved. The arrangements for supervising staff without a full criminal record bureau disclosure were inadequate. This practice could place service users at risk of harm. EVIDENCE: There were six staff on duty when the inspector arrived at the home. A health and safety and fire awareness study day was taking place in a venue outside the home. The manager and a number of the permanent staff were attending this session. The off duty roster for the week beginning 6th June 2005 indicated that there were at least four staff on duty on each day- time shift and two staff of a night. The manager is supernumery and works Monday to Friday. The home also employs a part- time cleaner and full time driver/maintenance person on weekdays. Care staff were responsible for supporting residents, shopping, preparing and serving meals and cleaning the home of a weekend. Staffing levels appear satisfactory of a week- day when The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 21 additional support was provided by the manager and ancillary staff. Weekend staffing levels will be reassessed at the next inspection. Because the needs of the service users living in this home are very complex it is essential that the home has a stable team of staff who know the service users well and can provide consistent care. The manager was working hard to recruit a full establishment of staff. A number of the permanent staff were attending a study day on the day of the inspection and most of staff on duty were bank staff. One of the service users was given a cup of tea by a bank member of staff but became quite distressed and agitated. The Team leader who is a permanent member of staff was able to advise the staff member that the service user preferred their tea in a specific cup. The tea was changed and the service user immediately drunk it. The majority of staff on duty communicated effectively and were sensitive to service users needs. Service users received prompt attention when they required assistance and it was apparent that some of the service users were very comfortable with staff. The inspector spoke with two bank staff that had started work in the home during the previous three months. Both members of staff had not received any training other than induction. See recommendation 3. A criminal record bureau disclosure had been obtained for one member of staff and the other member of staff had a POVA first check. There was no evidence that the staff member that did not have a full disclosure was being directly supervised. See requirement 3. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40, 41 and 42. This home is managed by a competent manager who is committed to improving standards of care and supporting staff. EVIDENCE: The manager was attending training on the day of this inspection. Staff provided some information but did not have access to confidential staff records. The manager was assessed by the commission to be a suitably experienced and qualified person to manage a care home but is required to achieve a NVQ level four qualification in care by 2005. Staff said that the manager was approachable and helpful. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 23 Records required by regulation were maintained and policies and procedures were accessible to staff. Unannounced visits to comply with Regulation 26 take place regularly and copies of the reports from these visits were forwarded to the commission. The registration certificate and public liability certificate were displayed. Good attention was paid to health and safety issues. Gas appliances, the mains electricity installation and equipment such as hoists and passenger lifts were serviced regularly and water temperatures were monitored. Fire safety arrangements were good. Re- chargeable torches had been fitted around the building for staff to use if there was a power failure. The homes accident and incident procedure had been reviewed but still only requires staff to record accidents that result in an injury to the service user. Including all slips, trips and falls may make it easier for staff to account for some unexplained injuries. See recommendation 4. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 2 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Drive Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 x G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 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 2 & 18 Regulation 13(1)(b) 14 (1)(d) Requirement The Registered Person must obtain written agreement from the funding authority about how specialist services for prospective service users will be accessed and who will pay for these services if necessary. This information must be agreed in writing prior to new service users being admitted to the home. The Registered Person must ensure that staff administer medication as prescribed or insert a non- administration code. The Registered Person must ensure that staff who start work in the home with a POVA first check work under the direct supervision of a named individual. Timescale for action 14th October 2005 2. 20 13 01 November 2005 01 November 2005 3. 34 19 Schedule 2 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. The Drive Refer to Standard Good Practice Recommendations G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 26 1. 2. 14 26.2 3. 4. 35 42 The Registered Person should prepare an individual and up to date activities programme for each service user. The Registered Person should ensure that thermostatic valves are fitted on all of the radiators. Arrangements should be made to ensure that the valves are accessible to staff and service users. (This recommendation has been carried forward from the previous inspection) The Registered Person should ensure that bank staff receive appropriate training. The Registered Person should review the homes accident reporting procedure to include all accidents and incidents, regardless of whether the service user sustains an injury. (This recommendation has been carried forward from the previous inspection) 5. The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection River House 1 Maidstone Road Sidcup Kent, DA14 5RH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Drive G51 G01 S6811 The Drive V214380 09.06.05 Stage 4.doc Version 1.30 Page 28 - 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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