Inspection on 01/10/07 for The Heathers

This inspection was carried out on 1st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Heathers 76 Rockingham Road Kettering Northants NN16 9AA Lead Inspector Stephanie Vaughan Unannounced Inspection 1st October 2007 09:00 The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Heathers Address 76 Rockingham Road Kettering Northants NN16 9AA 01206 224100 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) debravsteps@yahoo.co.uk www.concensusupport.com Consensus Support Services Ltd Mrs Deborah Anne Ravenscroft Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons 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 are within the following category: Learning disability - code LD and code LD(E). The maximum number of residents who can be accommodated is 12. 2. Date of last inspection New Service Brief Description of the Service: The Heathers is registered to provide personal care for twelve residents with Learning Disability and secondary dementia. The premises comprise two converted semi detached period residences with ample communal space. There are twelve bedrooms for single occupancy; all have ensuite facilities and appropriate fixtures and fittings. The premises are well maintained and provide residents with a safe and conformable place in which to live. The home is close to the town centre, local amenities and has good transport links. The current fees range between £525:00 and £1,200 per week with additional charges for newspapers, hairdressing, toiletries and other personal items. The Service provides information to existing and prospective residents through the Statement of Purpose, Service Users Guide and residents meetings. The Commission for Social Care Inspection reports are available on request. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to this statutory inspection, a period of two hours was spent in preparation. This comprised reviewing the registration report, the service history and other documentation. No Comment cards were returned from residents or their representatives, as the service did not receive the appropriate pre inspection material. The Commission have received no complaints, concerns or allegations about the service. The Commission have a focus on Equality and Diversity and issues relating to this are included in the main body of the report. This site visit to the home was conducted over a period of seven hours during which the inspector made observations and spoke to residents and staff. A limited tour of the premises was conducted which involved viewing the communal areas and a selection of the private accommodation. Case tracking is the method used during inspection where of a sample of two residents were selected and all aspects of their care and experiences reviewed, including individual plans of care and associated documentation. The Registered Manager was present during this visit. What the service does well: People who use the service have the right information to allow them to make decisions about the home. Staff make sure that they have the right information about new residents so that they can be sure that they can care for them properly. Admissions to the home are managed well and new residents are able to visit the home, meet the staff and other residents before deciding if they would like to live there. Each resident has an individual plan of care, which tells staff how the resident is to be cared for. These are being improved to make sure that they contain more detailed information about the resident’s particular needs and choices. Residents can be involved in the development and review of their care plans if they wish to be. Residents said that they felt well cared for and were able to make choices about their clothing, routines and how to spend their time. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 6 Residents are able to take risks in their daily lives such as going out into the local community, cooking and gardening. The staff have been working in the home for a long time and know the residents well. Residents are treated as individuals and are supported to keep in touch with their families, religion and culture. Residents consulted about their views and are able to get involved in the running of the home. Residents are able to attend local day centres; clubs and some have part time jobs. There are also some in house activities provided. Residents said that they liked the food that was provided. They are involved in the menu planning and are able to make choices about the food that they want for each meal, on the day. Residents can be are involved light household chores such as shopping, preparation of food and drinks if they wish. Te staff make sure that the residents have the right health care by working closely with doctors, nurses and other specialists and residents receive their medication safely. When residents are unable to make decisions for themselves about their healthcare treatment the management make sure that they consult all the right people to make sure that any decisions made are in the residents best interest. There is a good complaints policy that staff and residents know how to use. Complaints are investigated properly and the right records a kept. Staff are trained and understand how to protect residents from abuse. Residents said that they felt safe living at The Heathers. The home is a safe and comfortable place for the residents to live. There are good sized communal areas and resident have their own rooms with all the right fittings. Residents are able to personalise their rooms and bring their own things into the home. The home is accessible for wheelchair users. Arrangements are in place to make some improvements to the home including covers to radiators and pipes and the fire safety doors. There are enough staff working in the home to care for residents properly. Staff are well trained and the management check to make sure that they are doing their jobs properly. The Registered Manager has the right training and experience to run the home. Residents and their representatives are consulted about their views on the way that they are cared for and the way that the home is run. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 8 be made available in other formats on request. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 9 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 The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4, & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service receive clear information to enable them to make a choice about whether or not they might wish to live in the home. EVIDENCE: The Statement of Purpose has been reviewed to accommodate changes in ownership pf the service. This contains the required information as specified in Schedule 1 of the National Minimum Standards. The Service provides two Service Users Guides; one conforms to the criteria specified in Standard 1 of the National Minimum Standards. The other provides a pictorial summary to ensure that residents who may not be able to read traditional print are able to access the information. All residents have access to both the Statement of Purpose and Service Users Guide. There has been one fairly recent admission and there was evidence in the individual plans of care that admissions are managed well. The home obtains assessments from funding authorities and also conducts their own assessments prior to admission to ensure that the service is able to meet the needs of the prospective residents. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 11 Staff spoken to confirmed that residents are able to visit the home, have overnight stays to meet the other residents and staff before deciding whether they would like to live there. The resident spoken to was also able to confirm this and expressed satisfaction with the way that the admission had been managed. Individual plans of care evidenced that residents have appropriate contracts in place. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have control over their lives, which promotes their choice and independence. EVIDENCE: The preadmission assessments are used to develop individual plans of care. These provide basic information relating to the residents’ health, personal and social care needs. Resident’s specialist requirements and behaviour management are also addressed. Plans are regularly reviewed and evidence that residents are involved in this process if they wish to be. Residents have access to Key workers. Residents appeared well presented and were able to confirm that they felt well cared for. There was some evidence that residents are consulted about the way that they are cared for and are able to exercise choice in the their clothing and appearance. Routines appear flexible and residents are able to choose The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 13 how and where they wish to spend their time. Privacy and dignity appears to be managed well. Staff have recently had training in the provision of person centred care and are currently reviewing the format of individual plans of care to ensure that they provide more detailed instruction to staff about how care is to be provided, the residents individual choices and records to demonstrate that the care has been provided as specified. The Registered Manager is also exploring other means of capturing the resident’s views about how they wish to be cared for. Individual plans of care evidenced that residents have access to individual advocacy services. Residents are supported to take risks within their daily lives and chosen activities. There is some evidence that risk assessments are conducted for some activities such as accessing the local community however there was little evidence that risk assessments are routinely conducted for activities such as gardening and the cookery club. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed are creative and provide daily variation and interest to the people living in the home. EVIDENCE: The Residents benefit form a stable staff team who know the residents well. This means that the staff are able to promote the residents equality and diversity in all aspects of their lives. Residents are consulted about their views of the running of the home and are treated as individuals. Staff were seen to relate well to residents and to refer to them by their chosen form of address. Residents with disabilities are supported well and have access to appropriate equipment. The Registered Manager is currently reviewing the transport arrangements to ensure that this is accessible to wheelchair users. Residents are also supported to maintain their faith and culture. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 15 The Registered Manager is liaising with other homes within the vicinity to establish a local Branch of the British Institute for Learning Disability in which residents are able to take an active role. Residents are supported to pursue individual activities such as attendance at local day centres and some have paid employment within the community. Residents are active within the local community and attend local churches, clubs and involvement with an allotment that has been recently secured by the service. Residents are supported to go on outings such as shopping trips and visits. Residents are supported to maintain links with their family and friends, visiting times are flexible. There is also evidence that staff support residents to maintain contact with their relatives through alternative means such as the Internet. Staff promote residents independence by supporting them to participate in light household tasks such as food shopping and washing up. Residents spoke enthusiastically about the cookery club that the service operates. The weekly activities within the home are advertised in a white board in the hall and include gardening; walks in the park and an organised keep fit session. Residents were also keen to relate their experiences of a recent holiday at Wells Next the Sea and a further short break to London is planned for the near future. Residents confirmed satisfaction with the food provided. There is a formal menu that is developed during residents meetings and reflects the choices made by residents. Staff were seen to actively involve residents in the choice of sandwiches for their lunch. A choice of desert was also available. A hot meal is provided for the evening meal and on the day of inspection comprised toad in the hole with mashed potatoes and onion gravy or Cornish pasties, mashed potatoes and beans. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Guidance is sought from appropriate healthcare professionals to ensure that resident’s healthcare needs are met. EVIDENCE: Residents have access to a range of external health professionals such as general practitioners, chiropodists, dentists, opticians and speech and language therapists. There is also evidence that the staff work closely with the District Nursing Service. Individual residents are assessed for the risks of pressure and nutrition through the district nursing service and specialist equipment is also accessed this way. Although the service is newly registered many of the residents have been living in the home for many years. As such they are by virtue of there increasing age becoming more frail and dependent. The management are mindful of the need to monitor resident’s dependency to ensure that they are The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 17 able to continue to meet their needs. The Registered Manager currently estimates resident’s levels of dependency to calculate staffing levels, however there is no formal means of assessing residents increasing dependency. Individual plans of care evidenced that residents are assessed for the use of bedrails and the associated risks. However where these are required the service should obtain consent from the resident or their representative and this should be included in the individual plan of care. There is some evidence that residents are assessed for basic Movement and Handling requirements however these need to be further developed to ensure that they contain detailed instruction to staff and include information about the residents preferences. Although the District Nursing Service assess residents that are referred to them for the risks of pressure and nutrition this information is not consistently available to staff working in the home. The Registered Manager has agreed to develop these assessments for all residents living in the home to ensure that problems can be identified at the earliest opportunity and that staff have consistent access to this information The management seek appropriate medical guidance and involve advocates and relatives in decisions about the healthcare of residents who may not be able to make decisions for themselves. There is evidence that these decisions are taken in the resident’s best interest. Medication systems were reviewed and found to be in good order. The service uses the Co-Op pharmacy, which conducts regular audits, previous recommendations have been addressed. Medication is supplied in a monitored dose system Medication Administration Records were well maintained and corresponded the remaining stocks. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a robust complaints procedure and good staff awareness and attitude regarding the Safeguarding Adults so that residents felt safe and are well protected EVIDENCE: The service has a robust complaints procedure, which is available to residents through the Statement of Purpose, Service Users Guide and is also displayed within the home. Resident’s confirmed that they knew how to complain should they need to. Staff have a good understanding of their responsibilities to act in the residents best interests and are supported by an appropriate whistle blowing policy. The service has received one complaint since Registration concerning the interaction between one staff member and a resident. This was fully investigated and the appropriate responses made. There have been no Safeguarding Adults referrals about this service; staff receive appropriate training in the prevention of abuse. The service has obtained the new Local Authority Guidelines for the Safeguarding of Adults. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 19 Residents confirmed that the staff were nice to them and they felt safe living at the Heathers. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good, providing residents with a safe and conformable place to live. EVIDENCE: The premises are suitable for the stated purpose, being two large semi detached period buildings, close to local amenities. The premises provide ample communal space with two sitting rooms and two kitchen diners. Residents have individual bedrooms fitted with ensuite facilities privacy locks and appropriate furnishings and fittings. Residents are able to personalise their rooms and to bring in their personal possessions. Residents conformed satisfaction with the standard of the environment. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 21 The Provider has conducted an environmental audit and arrangements are in place to fit covers to exposed radiators and pipe work and improved seals to the fire doors. The standard of the external environment is good and there is wheel chair access to the main entrance. The home is clean and hygienic throughout and staff confirmed that there are adequate supplies of hot water. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment procedures are not sufficiently robust to ensure that residents are fully protected EVIDENCE: Staffing levels in the home are good, the Registered Manager is mindful of the need to regularly review staffing levels according to the changing needs of residents. The current staffing levels ensure that there are at least three care staff on duty throughout the daytime shifts, one waking and one sleeping staff on duty throughout the night. Residents and staff were able to confirm that staffing levels were appropriate. 80 of staff have a minimum National Vocational Qualification in Care level 2, some of these have level 3 and more are undertaking training. A sample of staff files were viewed and found to be in general good order. Recruitment processes are in place with staff providing two references prior to The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 23 commencement of employment in the home. Staff files also evidence that Criminal Records Bureau Clearances are obtained however one of the records identified that the date of the clearance predated the employment date by a significant period, suggesting that the clearance was not specific to the current employer. Staff files evidence appropriate induction training for new staff, and training in the safe administration of medication, Safeguarding Adults, First Aid, Basic Food Hygiene, Fire Safety & Movement and Handling. A recent audit of staff training has been conducted and further training is being planned to ensure that all staff have up to date mandatory training. There is evidence that staff have training appropriate to the specific needs of residents such as Epilepsy and seven staff have a formal qualification in Dementia Care. Staff have also recently had training in the delivery of person centred care and the administration of rectal medication. Staff files also evidence that staff receive appropriate and timely staff supervision. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate leadership, guidance and direction means that the home is managed in the best interests of residents. EVIDENCE: The Registered Manager is qualified and competent to run the home. She has obtained her National Vocational Qualification level 4 and Registered managers Award and has several years of experience in caring for the residents living at the Heathers. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 25 She is currently developing a business plan to develop the service and is able to access funding from the new provider for general expenses and developments. Individual plans of care evidenced that formal arrangements are in place for obtaining the views of residents and their representatives about the service provided. Responses demonstrate a high level of satisfaction. Other quality assurance activities include audits of the environment, medication, policies and procedures, staff training and residents money. The staff hold small amounts of money for some residents. This is stored appropriately, within individual wallets. Expenditure is recorded and receipts are retained. A spot check was conducted and in this instance the amount of cash exceeded the amount recorded in the balance brought forward by a small amount. Through discussion with the Registered Manager it was established that the residents often hands in loose change that is not consistently recorded. Appropriate staff training and supervision assure safe working practices. Accident records are appropriately maintained and there is some evidence that risk assessments are developed as the need is identified. Arrangements are being made to improve the safety of the environment by the fitting of covers to exposed radiators and pipe work and the seals to fire doors. No further hazards were identified. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 27 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 YA34 Regulation 19 Requirement All staff working in the home, including volunteers or the selfemployed must have appropriate Criminal Records Bureau Clearances, which cite the name of the current employer. Timescale for action 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA9 YA19 YA19 YA19 Good Practice Recommendations Risk assessments should be further developed to ensure that they address all of the risks in which residents participate. A formal system of assessing residents dependency should be utilized. Written consent should be obtained from the resident or their representative for the use of bedrails. Frail residents and residents over the age of 65 should have formal and detailed assessments in place to reduce and manage individual risks and the risks associated with movement and handling, pressure, nutrition and falls. Staff should have appropriate training and formal authority to undertake specified treatment that is delegated by the DS0000070122.V352244.R01.S.doc Version 5.2 Page 28 5 YA19 The Heathers 6 YA39 District Nursing Service Accurate records of money stored on behalf of residents should consistently be maintained. The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Heathers DS0000070122.V352244.R01.S.doc Version 5.2 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. 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. 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