Inspection on 23/11/07 for The Homesteads

This inspection was carried out on 23rd November 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

The Homesteads 07/11/06

The Homesteads 08/08/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 The Homesteads 216 Southend Road Stanford Le Hope Essex SS17 7AQ Lead Inspector Diana Green Unannounced Inspection 23rd November 2007 10:00 The Homesteads DS0000060828.V355430.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 Homesteads DS0000060828.V355430.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 Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Homesteads Address 216 Southend Road Stanford Le Hope Essex SS17 7AQ 01375 402444 01375 401937 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) Mr Steven Monaghan Mr John Charles O’Connor Ms Janice Tyrrell Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 8th bedroom (on the ground floor in the room converted from an office) will only be used to accommodate a resident following written approval from the commission. 7th November 2006 Date of last inspection Brief Description of the Service: The Homesteads is a corner plot establishment on the main Stanford le Hope road. The home provides personal care for 8 young adults with a learning disability. It is situated within a reasonable distance of local facilities and there is a bus stop outside the home. The home has 2 floors and provides 8 single bedroom en-suite facilities. There is a reasonably sized patio/garden area to the rear of the property. A current copy of the home’s Statement of Purpose is available upon request. All residents are provided with a ‘user friendly’ Service User’s Guide, and additional copies are available upon request. The fees range from £684.29 - £1120.00 weekly. Additional costs apply for chiropody, toiletries, sundries, hairdressing and newspapers. This information was provided to the CSCI on 3/01/08. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection undertaken on the 23/11/07 and lasted 5.5 hours. The inspection process included: discussions with the manager, the deputy manager, care staff, five residents, one visitor and feedback from relatives and health and social work professionals; a tour of the premises including a sample of residents’ rooms, bathrooms, communal areas, the kitchen and the laundry; an inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). Surveys were distributed to residents, relatives, care managers and health care professionals and the views from those completed and returned to CSCI have been included in the report. Information from the home’s Annual Quality Assurance Assessment has also been included in this report. Twenty-two standards were inspected and one requirement and one recommendation made. The manager, deputy manager and staff were welcoming and helpful throughout the inspection. What the service does well: The Homesteads is well managed and provides a good level of care for residents with a learning disability. Information provided about the home is in a ‘user friendly’ pictorial format ensuring residents are fully informed about life at the home. Care planning is person centred and residents are actively involved in the development of their care plan and daily life at the home. Each resident is fully supported to achieve or maintain their own personal goals. Staff enable all residents to have a full and active lifestyle with numerous social activities accessed in the local community. There is a stable workforce who are motivated and supported by regular updated training and effective management. Communication between representatives of people living at the home is excellent. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 6 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 be made available in other formats on request. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 1, 2. The home ensured prospective residents had the information they needed to make an informed choice about where to live. The home was able to meet the needs and aspirations of people living there through comprehensive multidisciplinary assessment and consultation with the people using the service. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The home had a Statement of Purpose and Service User Guide that were comprehensive documents and that met regulatory requirements. The statement of purpose clearly set out the aims and objectives of the home, service users rights and civil rights and the facilities offered. Feedback received from relatives indicated they were provided with a copy of the statement of purpose to enable them to make a decision. Those spoken with confirmed that a visit had also been arranged where they were able to view the room and service, i.e. the laundry and also met with the key worker. The service user guide in an easy read format was provided to each resident and was also seen in their room. A full assessment of care needs was undertaken prior to admission with residents and their representatives involvement and any social /health The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 9 professional where relevant. Feedback from relatives indicated they had full information and this was also confirmed from the records inspected. Potential restrictions on choice, freedom, services or facilities were discussed and agreed in the care plan as part of the assessment. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent based upon sampled inspected standards 6, 7 & 9 People living at Homesteads are in control of their lives and are fully involved in planning their care and independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were viewed. All were person centred and detailed the resident’s involvement. Each care plan included their views together with their family/friends and care manager’s views. The care plans were comprehensive and included a resident’s profile and history and detailed assessments for physical health; mental health; personal hygiene; dressing skills; continence; mobility; meal-times; domestic skills; etc. and literacy & numeracy; socialisation; communication; sexuality; difficult behaviours etc. All residents had a key worker allocated to them. Monthly review of care needs was undertaken and seen on the files viewed. Care reviews were undertaken at six monthly intervals with the family and social worker. Feedback from relatives The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 11 indicated they were kept informed of changing needs and found the care excellent. Where residents were enabled to made decisions the reason was recorded in the residents’ records. Information on advocacy services was available in the home and the records confirmed that advocacy referrals were made on behalf of residents. Residents were supported to manage their own monies, all having their own bank account with card and pin access. Risk assessments were recorded where there were limitations or where these were a risk to others. The records included risk assessments demonstrating that residents were supported in taking responsible risks and that risks were minimised as far as possible. For example one resident was taken on shopping trips and gradually left for longer periods to enable them to gain confidence in interacting with people when shopping and meeting up with staff later. Another resident was supported to have their own money and to spend it as they chose. Residents were enabled with staff support to have experiences outside their usual routines such as going on holidays and outings. Policies and procedures in place demonstrated the home’s commitment to minimising identified risks and hazards and promoting the health and safety of residents. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 12, 13, 15, 16, 17. Residents’ lives are enhanced by the support and encouragement they receive to maintain contact with friends and family and to engage in educational and social activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Due to the complex needs of residents, none were able to find paid employment. Some residents attended college and day centres. Staff spoken with said they provided support and advice on financial benefits where possible. Residents were individually assessed and activities planned with them to meet their needs and preferences. Regular activities included daily housekeeping, e.g. laundry, shopping with staff, assisting with food preparation etc. Some The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 13 residents spent time in craft activities, making jigsaws, watching horseriding and other TV programmes and listening to music. Staff described the various outings that residents were supported to attend. These included outings to the pub, shopping trips, colleges, day centres and the theatre and were confirmed from the records viewed. A resident spoken with said they were looking forward to the visiting pantomime group that had been arranged to attend the home in the next week. The manager confirmed that staff accompanied residents on social outings in the evenings as part of their role. Some residents had their own television and music systems in their rooms and a TV was also available in the lounge for communal use. Since the previous key inspection a holiday had been arranged to Bognor Regis for all but two residents who chose to go for days only accompanied by staff. From the photographs seen residents had clearly enjoyed their time away from the home. Visiting was open access and the home’s policy detailed in the statement of purpose made reference to respecting residents’ rights. Feedback received from relatives indicated they were always welcomed into the home and could visit at any time. Residents were supported to develop personal relationships outside the home, for example one resident was enabled to meet their friend at a social club, at their supported living scheme and at Homesteads. The daily routines of the home were generally very relaxed. Staff were observed to engage with residents in a friendly but respectful manner and to address them by their preferred name as detailed on their care plans. From observation it was evident that residents were able to spend time alone in their rooms rather than to take part in an activity. Door locks were provided to individual residents’ rooms and keys were available but none of the residents had chosen to use them. The records confirmed that nutritional needs were fully assessed on an individual basis and regular weight monitoring was undertaken. Menus was regularly reviewed with residents and offered a full choice. Specialist diets and reducing diets were also provided as relevant to their needs. The minutes of residents’ meetings viewed at the site visit included consultation with residents on their likes and dislikes of food and suggestions for flexible meal times to fit in with residents’ social activities. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 18, 19, 20 Residents’ individual personal and healthcare needs are met with dignity, respect and privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A detailed assessment of residents care needs that was undertaken on admission and regularly updated, ensured residents received personal support in the way they required and preferred. Residents were allocated a key worker and staff said they were able to choose their own key worker. From discussion with the manager it was evident that residents were enabled the support of same gender staff where possible. Residents spoken with said they were happy with the staff and the support they received. Comments received from relatives indicated they felt the standard of care was very good e.g. ‘staff have given the care, compassion and support they deserve’; ‘they are well cared for, thanks to the excellent staff’; ‘they fully understand residents’ needs and these are always full met or exceeded’. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 15 All residents were registered with a local general practitioner and attended the surgery as needed. The records confirmed that residents were seen regularly by the home’s GP and were referred to community nurses, continence advisers, epilepsy nurse specialists, chiropodists, dentists, opticians and aroma therapists as needed and were supported to attend outpatient appointments as required. The home had a medication policy and procedures for staff guidance. Systems were in place for receiving, disposal and return of medication and these were well adhered to. Medication was supplied monthly by the local pharmacy in a monitored dosage system and individual containers. These were stored in a cabinet in the staff room that was kept locked when not in use. A Controlled drugs (CD) cupboard for storage of controlled drugs was available that met requirements. A drug refrigerator was provided but there was no monitoring and recording of room and refrigerator temperatures being undertaken and recorded to ensure they remained within recommended levels. Care staff with relevant training administered all medication and evidence of training was seen. Three residents’ records were inspected. Records were well recorded. A profile of medication including side effects was recorded for each resident that is acknowledged to be good practice. In preparation for one resident moving to a supported living scheme, staff were assisting them to self-administer their medication. However in doing so they were transferring medication to a dosset box (secondary dispensing), which is contrary to medication regulations. This was discussed with the deputy manager who agreed to take appropriate action to resolve the issue. Creams were administered during personal care and confirmed by the signature of the deputy manager and not the care assistant who applied the cream. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 22 & 23. Complaints are handled objectively and residents are confident that their concerns will be listened to and taken seriously. Individuals are protected by safeguarding adult procedures that are adhered to by well-trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a complaints policy and procedures that included timescales for a response. The procedure was included in the statement of purpose and service user guide. A user-friendly wall chart and booklet were seen on display in the home. There had been no complaints received by the home or the Commission since the previous key inspection. Information received from the home stated that all staff had received training on how to deal with concerns, complaints and protection issues. Feedback from relatives confirmed they were very satisfied with the care provided at Homesteads and confident that any concerns raised would be dealt with appropriately. The home had a protection of vulnerable adults policy and procedures and a whistle blowing policy. All staff had received updated training on protection of vulnerable adults since the previous key inspection and this was confirmed from the records. There had been no incidents/allegations of abuse. The homes policies and practices regarding residents’ personal monies were inspected. Some residents had an advocate/representative to manage their finances on their behalf. Others had a personal bank account with pin card to enable access with staff support. Personal allowances were held for all residents and The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 17 the home had secure facilities for the storage of any money looked after on behalf of residents. The personal monies of three residents were inspected and found to be correct with records and receipts held. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 24 & 30. Homesteads provides residents with a clean, bright and homely place to live with their room being decorated and furnished to suit their lifestyle and to promote independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the previous key inspection and with the agreement of residents and the commission, changes have been made to the premises to increase the number of residents that can be accommodated to eight. All rooms are single with ensuite facilities and are of sufficient size to meet residents’ needs with space for their own television, music system, computers etc. All rooms viewed were clean, comfortable, homely and well personalised. Residents spoken with said they could choose their own colour schemes. The records and staff practices confirmed that the building complied with the requirements of the local fire service and environmental health. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 19 The home was clean and hygienic with no malodorous smells. The laundry was domestic in size and was fitted with one washing machine and one drier. Systems were in place to minimise risk of infection via the use of red bags for any laundry soiled by body fluids, placed directly in the washing machines; washing machines had the capacity to carry out sluice wash cycles. The home had corporate health and safety policies and procedures in place for staff guidance that were kept under review. Information received from the home confirmed that most staff had received updated training on infection control. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 32, 33, 34 & 35. Staff are competent, skilled and clear of their role and responsibilities, giving confidence to residents they will be well cared for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had good retention of care staff and residents were therefore well known to them. Throughout the site visit care staff were observed to engage with residents in a friendly and relaxed way demonstrating sensitivity to their needs. There were two staff with NVQ level 2 qualifications and a further six working towards NVQ level 2 qualifications comprising 66 of the care staff team. Feedback received from relatives indicated their satisfaction of the staff at Homesteads; e.g. ’the staff are caring, compassionate and attentive’; ‘all staff truly care for residents and their needs.’ There were eight residents at the home. From observation and the records inspected care staffing levels were appropriate to meet the personal and social care needs of residents and to enable staff to receive training and supervision. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 21 The recruitment records for three staff were inspected. Relevant checks had been undertaken prior to employment for all (two satisfactory references, identification, Criminal Records Bureau Disclosure (CRB) and full employment history etc. Staff were employed in accordance with the General Social Care Council (GSCC) code of conduct and practice and had been provided with their own copy. The records detailed regular updated sessions having been provided for all staff. The training records confirmed that since the previous key inspection training had been provided on NVQ level 2, first aid, health and safety, fire safety, Protection of Vulnerable adults, Control of Substances Hazardous to Health (COSHH), safe handling and administration of medication, epilepsy, infection control and autism. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 37, 39, 41 & 42. Homesteads is well run and the service users benefit from the management style which is clear and open. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is experienced in the care of people with learning disabilities and is near to completion of an NVQ level 4 qualifications. The home operated within philosophy of care based on residents’ rights to privacy, dignity, respect, choice etc. that was evident in care practices and was reinforced through staff training and supervision. The home had a quality assurance programme with internal audits undertaken and regular feedback obtained through relative and service user The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 23 questionnaires. Since the previous inspection the outcome from these had been used to develop an annual plan for the home that was viewed during the site visit. The home monitored all complaints and compliments and information received from the manager stated their intention to also introduce a suggestion box for residents and visitors feedback. Records held on behalf of residents were kept up to date and stored safely in secure facilities in a locked office in accordance with the Data Protection Act 1998. Records viewed at this inspection included: care plans, medication records, statement of purpose, service user guide, staff recruitment and training records, residents personal allowances, maintenance records, accidents/incident records and fire safety records. The home had a health and safety policy and procedures for staff guidance. All staff received regular training updates in health and safety subjects. To date this had not included manual handling but information received following the inspection confirmed training had now been provided for all staff. Evidence of a sample of records viewed showed that there were systems in place to ensure the servicing of equipment and utilities (e.g. gas, electricity certificates, hoists, annual PAT testing etc.), and there was evidence of appropriate weekly and monthly internal checks being carried out (e.g. checks on fire equipment and door closures, fire alarms and emergency lighting, hot tap water temperatures, etc.). The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X 3 3 x The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13(2) Requirement To ensure residents are safeguarded and have their medication as prescribed: 1.There must be no secondary dispensing of medication. 2.Prescribed creams must be confirmed by the signature of the person administering the cream. 3. Monitoring of room and drug refrigerators temperatures must be undertaken daily and recorded with appropriate action taken as needed. Timescale for action 11/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA30 Good Practice Recommendations To ensure staff and residents are protected from risks of infection, paper towels and liquid soap should be provided in en-suites where personal care is provided. The Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Homesteads DS0000060828.V355430.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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