Inspection on 14/04/06 for The Laurels

This inspection was carried out on 14th April 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Laurels 22/11/05

The Laurels 27/04/05

The Laurels 11/01/05

The Laurels 11/05/04

The Laurels 09/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Laurels The Green Wilmcote Stratford On Avon Warwickshire CV37 9UU Lead Inspector Maggie Arnold Key Unannounced Inspection 14th April 2006 10:00 The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Laurels Address The Green Wilmcote Stratford On Avon Warwickshire CV37 9UU 01789 262547 01564 795388 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) Mrs Jillian Amy Desperles Mrs Jillian Amy Desperles Care Home 3 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (1) of places The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Accommodation: When the existing service user no longer occupies the top floor attic bedroom this room must not be used for any other service user. Use of Rooms: The registered person must seek agreement from the Commission for Social Care Inspection, in advance, to the use of any other room to be used as a bedroom by service users. 22nd November 2005 Date of last inspection Brief Description of the Service: The Laurels is located in the village of Wilmcote, which is approximately two miles outside of Stratford upon Avon. The village, including parts of the Home, has a number of links with Shakespeare, which date back to Shakespearean times, the Home was known as a public house at that time. The Home provides accommodation and support to three people. It is privately owned and managed by the proprietor, opening in the early 1990’s. There is a shop and public house in the village and tourist attractions. The Home is domestic in nature and is a detached property on the village green. There is a garden to the front of the property, which is easily accessible to the residents. The accommodation in the home is over three floors, and accessed by two staircases. Each resident has their own bedroom. One bedroom is on the second floor of the property, the resident has the sole use of a bathroom on the same floor. The second bedroom is on the first floor of the property with the third bedroom being on the ground floor. Two residents share a shower facility that is on the first floor of the property. Shared indoor space in the home consists of a large family kitchen cum dining room, laundry area, downstairs toilet and residents have their own separate sitting room. The Laurels is also home to a number of family pets and as such in not a suitable placement for people who do not like cats and dogs. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The residents live within the registered owner/manger’s family home, which is managed more in line with Adult Placement standards. In view of Warwickshire Social Services not having an adult placement scheme, this provision, by default, falls under the more robust National Minimum Standards for Care Homes for Younger Adults 2001. In order not to detract from this small homely service the Commission has made the decision to inspect the home with a ‘lighter touch’. The focus of inspection undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The inspection took place between the hours of 10.00am and 2.00pm. All three residents and two family members were at home at the time of the inspection. The first hour of the inspection was spent meeting the residents on both a group and individual basis. Staff were not present during this process. The owner/manager’s daughter accompanied the inspector in the process of inspecting the regulatory records. The owner/manger’s daughter-in-law was also interviewed during the course of the inspection. Evidence that forms this report was collated from residents and staff views, scrutiny of statutory records, a tour of the environment and observations throughout the inspection process. Although seven requirements and one good practice recommendation arose from this inspection the overall outcome for the residents continues to be good. What the service does well: The three residents have lived in the home at The Laurels for a significant length of time and live as part of the extended family. The residents indicated that they continued to enjoy living in the home and felt that they were well supported by the family. The staff are very familiar with the needs and preferences of the residents. Care and support is provided in a ‘common sense’, discrete and relaxed manner. Residents are encouraged to participate in routine homely tasks such as making drinks, snacks, feeding the animals and occasionally washing the dishes. Whilst being mindful of the residents’ various disabilities and levels of dependency the residents are encouraged to make their own decisions and live as independently as possible. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 6 The family continues to endeavour to ensure that the increased need for more detailed records and risk assessments does not detract from the homely and relaxed daily routine of the home. What has improved since the last inspection? What they could do better: The registered person must ensure that residents are provided with a costed contract/statement of terms and conditions between the home and the resident. More detailed records are to be maintained of the concerns and views of a resident’s particular health care concerns that were discussed during the course of the inspection. The present risk assessments for self-medicating residents are to be reviewed. The registered person must ensure that more detailed records are maintained of the residents’ finances. The records should also include details of the person managing individual resident’s finances and weekly routines for collecting personal allowances. Details such as whether the resident has a saving account and who holds the book should also be recorded. Financial records should also include details of monies paid to residents for volunteering to undertake additional tasks in the home. The registered person is to make arrangements for the 2nd floor bath to be reenamelled or replaced. Records of any internal training such as health and safety are to be maintained. The registered person must forward documentation to the Commission to evidence that the home has a current Public Liability Certificate. Evidence is also required to demonstrate that essential maintenance checks are undertaken on gas, electric and fire safety equipment. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 7 It is also recommended that home refer to the Care Homes Regulations: National Minimum Standards: Standards 42.3 and 42.4 for further guidance regarding statutory health and safety records and certificates that are to be made available for inspection by the Commission. 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 Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 the following standard(s): 2&5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are only admitted on the basis of a full assessment. This helps to ensure that the home can meet the needs and aspirations of prospective residents. Contracts between the home and residents are to be routinely updated. This will help to protect the best interests of the residents. EVIDENCE: No new residents have been admitted to the home in the last eleven years. The three residents were admitted to the home between fifteen and eleven years ago. Mrs L. Desperles advised that most of the pre-admission information was passed on verbally. The inspector was advised that the residents and their social workers had visited the home prior to admission and discussed their needs and aspirations with the family. Two of the three residents confirmed that this to be the case. The home is aware of the procedures to be followed in the event of any future admissions. Contracts between the home and residents are to be reviewed and updated to include current charges. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 the following standard(s): 6,7 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Up to date care plans work towards ensuring that residents’ needs and aspirations are recognised and met by the home. Communal and individual risk assessments ensure that residents’ rights to make decisions are only limited when deemed in their best interests. EVIDENCE: Records demonstrated that all three residents have a current individual care plan that has been based on recent social services reviews and the residents’ needs and personal goals. One care plan was selected for closer scrutiny. The care plan, dated March 2006, was well ordered with an index at the front of the document. The care plan, which is in the form of a pen picture, detailed the resident’s daily routines and weekly activities. Details of health and social activities were also included. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 11 The residents’ daily records are maintained in individual diaries. An inspection of the diary evidenced that the care plan was being implemented. For example, the care plan advised that the resident routinely visited a friend. The resident confirmed that the visits took place and these visits were detailed in the resident’s daily diary. The file also included both general and individual risk assessments. Individual risk assessments included self-care and independent travel. General risk assessments covered the use the washing machine, cooker and kitchen knives. Records showed that the risk assessments had been updated in March 2006 with the next review date given as March 2007. The home was reminded that risk assessments are also to be updated in the event of any changes in the physical or mental health of the residents. Refer also to Standards 17 and 20. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 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. Residents are given opportunities for personal development and enjoy a varied lifestyle that includes both individual and group activities. This helps to foster a positive sense of identity and good quality of life. EVIDENCE: Prior to talking to the staff and looking at records the inspector had a group meeting with all three of the residents. Each resident then showed the inspector his or her bedroom, which also offered an opportunity for a one to one discussion. Two of the three residents have good verbal skills and are able to exercise a degree of independent. The third resident requires a higher degree of support in all aspects of their life. Discussions with the residents and staff confirmed that residents are encouraged to be involved in age, peer and culturally appropriate activities. Residents said that they continue to be responsible for cleaning their own bedrooms and helped with the preparation of meals and drinks. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 13 For example residents offered to make drinks for both the staff and inspector during the course of the inspection. Residents also advised that they have areas of special responsibility. For example, one resident is responsible for feeding the animals. The resident said that it was her decision to undertake these tasks for which the manager/owner pays her. The manager/owner is to ensure that such details are recorded in the residents care plans. Residents also continue to use local facilities such as the Post Office where they collect their benefits. Two residents confirmed that, subject to risk assessments, the home encourages them to be as independent as possible. The more dependent resident accompanies staff on trips out and has regular shopping trips to Stratford on Avon with a member of staff. One resident advised that, in order to help adjust towards approaching retirement age, attendance at their day centre was being reduced and consideration was been given to alternative activities. Care plans and discussions with the residents and staff confirmed that the home is proactive in supporting the residents to maintain appropriate friendships and family relationships. Records showed that one of the residents has regular overnight stays with their family. Residents do not enter each others bedrooms or those of the family. The residents have their own lounge and free access to the communal kitchen cum dining area. Residents also spend time in the family lounge with the agreement of the family members. The residents eat their meals with the family in the large kitchen cum dining area. The residents confirmed that they continued to have a choice of meals and snacks, which they often helped to prepare. The home has provided a sample menu but in practice, in common with most families, menus are generally decided on a daily basis. Refer also to the section headed Personal and Healthcare support. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. More detailed healthcare records and robust risk assessments will improve the safety and welfare of the residents. EVIDENCE: The records pertaining to personal and healthcare support have improved since the previous inspection and included the relevant risk assessments. With one or two minor exceptions the residents manage their own personal care without practical help from the staff. Support is provided by close monitoring and prompting as necessary. Records seen combined with discussions with residents and staff evidenced that the home is proactive in working towards meeting the physical and emotional health of the residents. A discussion took place as to how the records could be further improved. For example, more detailed records are required regarding how the home promotes healthy eating and any views of the residents. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 15 At present none of the residents require specialist aids or equipment to aid their independence. Two of the three residents have recently been risk assessed as competent to manage their own medication. Both residents showed the inspector their arrangements for the safe keeping of their medication. Both residents said they liked being responsible for their own medication. The residents clearly demonstrated that they were familiar with their medication and advised the inspector what each tablet was for and of the daily dosage routine. It was noted that one resident held an excess of medication. Subject to a risk assessment the quantity is to be reduced to a maximum of one months supply. The manager/owner is required to review the risk assessment for self-medication. It is also strongly recommended that the registered person ensures that regular monitoring checks are carried out to ensure that the residents are adhering to their drug regimes. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are confident that their views are listened to and acted on. This helps to promote confidence and self-determination. Improved financial records will help to safeguard the residents from the risk of financial abuse. EVIDENCE: Prior to talking to the staff and looking at records the inspector had a group meeting with all three of the residents. Each resident then showed the inspector his or her bedroom, which also offered an opportunity for a one to one discussion. Two of the three residents felt very confident that their views were listened to and acted on. The third resident has limited verbal communication skills. It was observed that she frequently chose to spend time in the company of the staff and appeared confident when communicating with them. It was noted throughout the inspection process that the staff involved the residents in conversation and often referred back to them. It was also observed that the residents were treated with respect. For example, during the course of the inspection, one resident asked to sit in with the inspector and staff member. The staff member explained that this wasn’t possible due to other residents’ confidential records being discussed but that the resident may join her later. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 17 It is pleasing to note that there have been no complaints or concerns regarding the service. A discussion took place regarding how the residents’ financial records are to be improved. For example, records must detail who manages the residents’ monies, including their personal allowance. Records should also note how the money is collected and managed. The home adopts the good practice of giving the residents a small allowance for household tasks undertaken on a voluntary basis. Individual residents’ files should hold information regarding any such agreements. Records are also required of any monies given to the resident. It should be noted that there is no evidence or suggestion of the misappropriation of residents’ finances. There was evidence that Criminal Record Bureau checks had been undertaken on the family members who live or work in home. The manager/owner is reminded that the police checks must be routinely repeated in accordance with the guidance. The home has also made links with the Local Authorities Vulnerable Adult Awareness co-ordinator and one of the staff have attended a Vulnerable Adult Awareness training course provided by the Local Authority. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 the following standard(s): 24, 27, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ safety, comfort and dignity is promoted by a homely and comfortable environment. EVIDENCE: As noted at the beginning of this inspection report, the home has a Condition of Registration which restricts the use of the second floor bedroom and bathroom being used for any other resident when no longer occupied by the present resident. The present occupant showed the inspector her room and clearly demonstrated that the rooms continued to be easily accessible to her and met her needs and preferences. The Laurels continues to be a homely and comfortable family environment, which meets the needs of the present residents. Areas seen were clean, orderly and free from unpleasant odours. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 19 Since the last inspection a number of home improvements have taken place. For example, some of the windows have been replaced and work to upgrade the garden is almost completed. The residents showed the inspector their individual bedrooms, which with one or two exceptions were decorated and furnished to an acceptable standard. All of the bedrooms were comfortable and personalised to suit the needs and preferences of the occupants. For example, one bedroom has a double bed, which takes, up a significant amount of floor space. The resident said that he had been offered a single bed but much preferred the present arrangements. Plans are in progress to upgrade a resident’s bedroom, landing and guest room. The resident said that he was looking forward to having his room refurbished. The home is required to re-enamel or replace the resident’s bath on second floor. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 &35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owner/manager and her staff team have the required competencies and qualities to meet the needs of the present residents. This works towards ensuring that the home works towards meeting the residents varied needs and wishes of the residents. EVIDENCE: As noted in the summary of this report, the staff team consists of the owner/manager, her daughter, daughter-in law and granddaughter. The owner/manager’s daughter-in-law works in the home every weekday with other family members working as required. In addition to supporting the residents on a part time basis, the owner/ manager’s daughter also has the responsibility for organising the residents’ files and over viewing the safe management of medication. The owner’s daughter-in- law is primarily responsible for the day-to-day routine. For example, her duties generally include one to one activities with one resident in particular and the cooking, cleaning and shopping. The granddaughter of the owner assists as required and if necessary sleeps at the premises. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 21 One staff file was selected for scrutiny. It is pleasing to note that the file was well-ordered and easy to cross-reference. Discussions with the manager’s daughter and daughter in law combined with records seen demonstrated that staff training has commenced. Contact has been made with Warwickshire Social Services and one family member has attended Vulnerable Adult Awareness training. The same person has also attended a Learning Disabilities Awareness Training (LDAF) course. The inspector was advised that the owner/manager’s daughter, who undertakes the relevant core training in her full time professional capacity trains and advises other family members accordingly. Records should be maintained of any such internal training or updates. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 at least once during a 12 month period. 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. The residents’ sense of identity, well being and confidence is promoted by living in an open, supportive and positive family environment. EVIDENCE: The registered owner/manager was away from the home on the day of the inspection. Previous interviews with the owner confirmed that she is experienced and competent in overseeing the day-to-day running of the home. The registered person has previously demonstrated an awareness of her regulatory responsibilities and, as necessary gives a clear sense of direction and leadership. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 23 As noted throughout this report the residents live in the owner’s family home with various members of the family working together as a team. With the exception of bedrooms and bathrooms the family and residents tend to intermingle in most of the communal areas. Consequently the residents live as part of the family group and are routinely involved in the day to day running and decision making in the home. For example, the residents said that they are involved in decisions such as the decorating of their communal and individual rooms, menus and holidays or day trips. The residents also advised that they had been involved in discussions regarding plans to purchase another pet dog. One resident accompanied family members on the day trip to collect the pet from the breeder. The home does not have a formalised quality assurance system. Discussions with the residents and staff combined with evidence seen demonstrated that the management and development of the home has routinely improved since it was registered with the Commission for Social Care Inspection (CSCI). For example, there has been a vast improvement in the maintenance of statutory records and the safe management and security of medication and confidential records. With a few exceptions the health, safety and welfare of the residents is promoted and protected. The inspector was advised that electrical and gas equipment is routinely checked by suitably qualified persons. However not all of the relevant documents were available for inspection T home’s current Public Liability Certificate was missing. The inspector was advised that evidence of the safety checks and Public Liability Certificate would be forwarded to the CSCI. At the time of writing this report the relevant documents remain outstanding. It is recommended that home refer to the Care Homes Regulations: National Minimum Standards: Standards 42.3 and 42.4 for further guidance regarding statutory health and safety records and certificates that are to be made available for inspection by the Commission. The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 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 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 2 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 x 3 x 3 x x 2 x The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 25 Yes 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 YA5 Regulation 5.3 Requirement The registered owner/manager must develop a costed contract/statement of terms and conditions between the home and the resident. Outstanding from the previous inspection. 2. YA19 12(2) 30/06/06 The registered owner/manager must ensure that more detailed records are maintained regarding any dietary concerns of the residents. The registered owner/manager is required to review the present risk assessments for selfmedicating residents. 30/06/06 Timescale for action 31/07/06 3. YA20 13(2) The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 26 4. YA23 13 (6) 5. YA24 23(2)(d) 6. YA35 18(1)(c) 7. YA42 23(2)(c) The registered owner/manager is required to ensure that more detailed records are maintained of the residents’ finances. Records are to include details of the person managing individual residents finances and weekly routines for collecting personal allowances. Details such as whether the resident has a saving account and where this is held should also be recorded. Records are also to be maintained of monies paid to residents for undertaking additional tasks in the home. The registered owner/manager is to make arrangements for the 2nd floor bath to be re-enamelled or replaced. The registered owner/manager must ensure that detailed records are maintained of any internal training. The registered owner/manager must provided documentation to the Commission to evidence that the home has a current Public Liability Certificate. Evidence is also required to demonstrate that appropriate maintenance checks have been undertaken on electric and fire safety equipment. 31/07/06 31/07/06 31/07/06 30/06/06 The Laurels DS0000004358.V291322.R01.S.doc Version 5.1 Page 27 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 YA42 Good Practice Recommendations It is recommended that home refer to the Care Homes Regulations: National Minimum Standards: Standards 42.3 and 42.4 for further guidance regarding statutory health and safety records and certificates that are to be made available for inspection by the Commission. 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