Inspection on 13/02/06 for The Merchant`s House

This inspection was carried out on 13th February 2006.

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 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Merchant`s House 04/04/07

The Merchant`s House 18/08/05

The Merchant`s House 25/02/05

The Merchant`s House 09/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 The Merchant`s House The Merchant`s House 80 Prenton Road East Prenton Birkenhead Wirral CH42 7LH Lead Inspector Leila Mavropoulou Unannounced Inspection 13th February 2006 12:30 The Merchant`s House DS0000059613.V284315.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 Merchant`s House DS0000059613.V284315.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 Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Merchant`s House Address 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) The Merchant`s House 80 Prenton Road East Prenton Birkenhead Wirral CH42 7LH 0151 0151 Inclusive Lifestyles Mr Andrew Frankel Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To maintain the agreed staffing level of three staff at all times until further discussion with the CSCI 18th August 2005 Date of last inspection Brief Description of the Service: Merchants House is a large detached property in the Prenton area on the Wirral. It is close to Birkenhead town centre and short walking distance to local shops and public transport. It has an enclosed garden to the rear of the property. The home provides support and personal care to six younger persons (age 18-65) that have a learning disability. The accommodation provided is in single bedrooms with an en-suite facility. The accommodation in the home is specifically designed and equipped to meet the needs of the service users such as: walk in showers, sensory water taps, and specialist wall covering in the ensuites which is has a high resistance to knocks. The annexe on the ground floor is specially designed and equipped to meet the needs of one of the service user. All of the service users require one to one and in some instances two to one staffing level during the waking day. On the ground floor, there is a lounge, dining room with a second lounge on the first floor. Merchants House provide therapeutic programme to promote the service users independence and inclusion into all aspects of community life with the support of staff. Many of the staff have the NVQ qualification in care and training and support to staff is ongoing to ensure that they have the necessary skills and knowledge to meet the needs of the residents. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted five and half hours. During the inspection two service users and five staff were spoken to including the registered manager. A sample of service users and staff files were seen as well as other records the service is required to maintain. Service users bedrooms were seen and the communal areas. What the service does well: The service provides highly individualised care to service users through taking a holistic approach of the care required by the service users. This is to enable service users to maintain their interests, develop new skills and access a wide range of community facilities. This is achieved through detailed care planning, risk assessments, regular monitoring of needs of service users and care provided, which is supported by a trained and committed staff group to achieving the aims and objectives of Merchant’s House. Training is provided to staff to ensure that they have the necessary skills and knowledge to deliver the care to service users. The philosophy of Merchant House is to deliver high quality care that reflects the individual needs of service users. This is achieved through the registered manager providing strong leadership to the staff group and by reviewing all operational aspects of the service regularly, to ensure that they are efficient and continue to promote the health and safety of service users. The registered manager has regular staff meetings, staff supervision and promote an environment whereby staff are able to contribute to the development of the service. The individual activity programmes for service users provide a wide and varied range of activities to ensure that the service users engage in mix of recreational and therapeutic activities. The staff supports the service users to maintain contact with their family and individual arrangements are made by the service to minimise stress and anxiety to service users and their family on visits to their family home and to the care home. The physical environment is well maintained and is furnished to meet the specific needs of service users. Furniture purchased for service users are directly linked to their assessed needs to promote their safety, yet maintaining a domestic appearance. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 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 Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 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 Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4, The service carries out a lengthy pre-admission assessment of service users needs to ensure that the move to Merchant’s House causes minimal disruption and anxiety. EVIDENCE: The registered manager from Merchant’s House would assess prospective service users needs following a referral/enquiry to the service. Once the initial assessment is made and it was agreed that the needs of the service user would be met at Merchant’s House staff would work with the service user in their current home for several weeks to enable staff and service user to get to know each other and reduce service user’s anxiety. Staff would accompany service users to Merchant House for short visits, with each visit lasting a little longer. Through the assessment period specific staff training would be identified and organised to ensure that the staff had the necessary skills and knowledge to meet the needs of the service user once they move into the care home. Initial care planning and risks assessments would be developed and where necessary input from other health professionals would be incorporated into the service user plan. Through the whole pre-admission assessment process there is consultation with the service user, their representatives and others that have input in the provision of care to service users. The service should consider their capability of meeting the needs of service users from minority groups. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 9 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): 6,7,8,9,10 Service users have detailed service users plans and risk assessments to ensure that their needs are met and risks identified are minimised. EVIDENCE: The format of the service user plan has recently been streamlined to reduce duplication of information whilst continuing to provide detailed information of how the service users needs would be met. This is accompanied by detailed risk assessments. The key worker develops a risk assessment for new activities service users engage in every time the event takes place, which is then approved by the registered manager. This process is continued until the manager and staff group are confident that the risk assessment in place covers identified risks through participation in the activity. The service users care is reviewed weekly and over a six weeks period all staff involved in the service user care contribute in the review of the service user plan. This is achieved through a review system of a care team meeting, which is followed by a key worker meeting with Project Leaders and then a meeting with the registered manager. In addition, there are regular external reviews with health professionals at Ashton House or the Health Authority where the service users family are invited. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 10 The service users at Merchants House have one to one care throughout the day and detailed care plans and risk assessments have been developed to minimise incidents of aggressive behaviour or self-harm. Service user reviews demonstrate that the frequency of aggressive behaviour and self-harm is reducing. For one service user this has resulted in half an hour every day at a fixed time where they are not directly supervised. The service users make decision over daily lives within their assessment process. This is demonstrated by choosing whether to participate in an activity, choosing activities they would like to do, where they wish to spend their time, choice of meals etc. as evidence in their daily records. The service is looking at different ways in which service users and their representatives would be able to increase their participation in the day-to-day running of the service within the constraints of service users needs and their safety. The service has various policies and procedures which are accessible to service users and their representatives. Where necessary policies would be provided in large print. The service should consider providing some policies e.g. complaints procedure, abuse policy in different formats to make it easier for service users to understand the contents of the policy. Staff support service users to take responsible risks within their individual care plan and risk assessments, which are reviewed weekly. The service has a missing person policy, which would be implemented if there was an unexplained absence of a service user. Confidentiality of service users information is maintained and improved through creating an office on the ground floor, which is used by staff to maintain service user records. The office is kept locked and service users records are kept in locked filing cabinets. As part of the staff induction the service policy on confidentiality of information is discussed. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 11 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): 12,13,14,15,17 Service users are supported to develop new skills, access community facilities and maintain contact with their family to promote their wellbeing. EVIDENCE: Staff would support service users to attend college if it was identified in their service user plan as an assessed need. Currently, three service users attend college. The service users are integrated into community life by accessing a variety of community services such as: local shops, leisure centres, restaurants etc. Discussion with the registered manager indicated that he is encouraging staff to consider accessing activities in other areas, as there are no restrictions on staffing or transport. Each service user has an individual activity plan which reflect their interests. This includes keeping rabbits, visits of safari park, use of PAT (Pets as Therapy), swimming, collecting drink tins to earn extra income, gardening etc. Observation of service users activities and their bedrooms showed that they are supported by staff to pursue their own interests such as: watching Western film, collection of ornaments, soft toys etc. A holiday is included in the weekly fees at Merchants House and service users holidays reflect their interests and The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 12 choice. Service users would access entertainment in the community to promote integration in community life. Staff support service users to maintain contact with their family and friends. The service has an unrestricted visiting policy. Service users are able to choose where to see their visitors. However, on occasions this maybe restricted depending on the needs of other service users. As part of one of the service users’ package of care, staff would accompany the service user to their family home for the weekend to promote their emotional and psychological wellbeing. Observation of service users and service user records showed that their rights are respected in making choices over their daily lives. This is evidenced by service users choosing to spend time in their bedroom, deciding not to go to college, where to have their meal etc. Service users have access to all parts of the home. Currently, service users do not assist in household tasks. Service users have a nutritional assessment and meals are provided to reflect their dietary needs. New menus have been devised since the last inspection to provide choice within a healthy eating plan. Staff would support service users at mealtimes as necessary. Observation of mealtime showed that the staff provide assistance to service users in a manner that promote service user dignity. A record is kept of all food provided to service users. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 13 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 Staff monitor closely the physical and emotional health of service users to ensure that they receive appropriate care from other health professionals. EVIDENCE: Staff assist service users with personal care in their bedroom, as all bedrooms have an en-suite facility. Service users daily records show that there activities of daily living are flexible and that they exercise choice over their daily lives. The service user chooses staff that work with them closely through their interaction with staff and other non-verbal communication. In addition monitoring of certain activities, which are linked directly to particular staff members is used as an indicator as to the suitability of staff working with the service user. Staff monitor all aspects of the service user’s health through various assessments and significant changes are referred to the service user’s GP. Where service users require assistance with transferring an occupational therapist assesses the needs of the service users and suitable aids are obtained. Appropriate training is provided to staff in the use of the equipment. The staff at the care home access support and advice from speech therapist, psychologist, continence adviser and other specialist health professionals as necessary. The service users receive’ regular health checks from the optician, dentist and chiropodist treatment regularly to ensure that their physical health needs are The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 14 met. All service users receive regular aromatherapy treatment to promote their emotional wellbeing, which is included in their weekly fee. The service operates a monitored dosage system for the administration of the service users’ medication. Records are maintained of service users medication received into the care home. Inspection of the service user medication records showed that medication was administered which was not recorded. Each service user has a homely remedy medication list which has been approved by their GP. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 15 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 The home has various policies and procedures in place to protect the service users from abuse. EVIDENCE: The home has a complaints procedure. Service users, family and staff are encouraged to use the home’s complaints procedure if they are dissatisfied with any aspect of the service provided at Merchant’s House. The home maintains a record of complaints and has given timescales in responding to complaints. Various policies and procedures are in place to protect the service users from all forms of abuse. Staff receive training in managing physical and verbal aggression and protocols are developed for the management of individual service user where necessary. The training used by Inclusive Lifestyles for the management of physical and verbal aggression is Holistic Approach towards Physical Intervention (HAPI), which is an accredited course. Policies and procedures are in place regarding service users’ monies and a secure place is provided for the storage of service user’s monies/valuables. Records are kept of all income and expenditure of service users monies. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 16 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): 24,26,27,28,29 The environment is regularly maintained to promote the safety and wellbeing of service users. EVIDENCE: The accommodation in the home is bright and cheerful, as many of the rooms have very large windows. The communal areas are furnished with quality modern furniture reflecting the age of the service users and their needs. The communal areas can be used for a variety of purposes and all areas on the ground floor are accessible to all of the service users as there is a chair lift to assist wheelchair users over a few steps from the annexe to the dining room and the main lounge. Bookshelves, pictures and new dining room chairs have been purchased recently to improve the appearance of the service. The communal areas were being repainted at the time of the inspection and the ceiling in the dining room was re-plastered and painted. The premises comply with the local fire service requirement. The environmental health officer inspected the service and no requirements were made. The building has a planned renewal and maintenance programme. New furniture has been ordered for one service user bedroom and the bedroom is to be decorated to reflect service user needs. Where possible The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 17 service users are encouraged to choose the wall decoration and to bring personal belongings into the service. This was confirmed through a tour of the building. The service users would be provided with a key to their bedrooms once they are assessed as being able to so safely. All bedrooms have an en-suite facility where there is a walk in shower and taps at wash hand basins are controlled by a sensor. A thermostatic valve is used to control the hot water temperatures at the shower and wash hand basin, which are tested regularly. Policies and procedures are in place for the prevention of spread of infection and the laundry facilities is sited away from the food preparation area. Staff receives as part of their induction training in Heath and Safety. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 18 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): 31,32,33,34,35,36 Staff at Merchants House receives ongoing training to ensure that they have the necessary skills and knowledge to meet the changing needs of the service users. EVIDENCE: The home staffing level is governed by the assessed needs of the service users. Most of the service users have a one to one staffing and another has two to one. The service offers a high level of support and supervision service users as identified in their service user plan. Observation of staff showed that the level of observation provided to service users are as least intrusive as possible within the constraints of the service user plan and risk assessment. Discussion with the staff indicated that they are satisfied with the level of support provided by the management of the home. The service has a full staff complement and structures have been implemented that provide staff with a clear career development path within the organisation and the training available to facilitate development within the organisation. There is a dedicated training budget and a planned programme of staff training. This allows staff to plan their training and maintain the staffing level required by service users. Recent training courses attended by staff included: Principles of Care and Risk Assessments, Food Hygiene, Holistic Approach towards Physical Intervention, Active Model Support, Therapeutic Intervention and Social Inclusion, Protection of Vulnerable Adults as well as many staff working towards their NVQ level 2 and 3 care qualification. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 19 The service recruitment process promotes the safety of service users as all staff have a Criminal Record Bureau check, two written references, job description, conditions of employment and forms of identification in their record. The service ensures that staff’s CRB check is obtained before the employee commences their employment at the care home. The staff induction consists of three days shadowing another member of staff and all core training is completed within specified times in accordance within the Skills for Life. Each staff is issued with a code of conduct and handbook, an information folder and workbooks covering various areas of practice, which the staff member must complete. These are discussed with Project Leaders during supervision and signed off when completed. Discussion with the registered manager showed that he is aware that the staff group does not reflect the cultural diversity of the immediate and surrounding areas and is looking for ways to address this. Weekly team meetings are held to discuss and review the service user’s care plans. Staff meetings are held every Wednesday afternoon as this ensures that all staff attend the staff meeting over a three weeks period. Also, regular team meetings are held and where necessary an external facilitator would be made available to provide support to the staff. Observation and discussion with staff showed that they are accessible and knowledgeable about the needs of the service users and are committed to providing a high quality of care to service users. Staff commented that they feel supported by the management of the home and that the company values their employees through the level of training and supervision provided to staff to enable them to carry out their roles and responsibilities. The Project Leaders provide one to one supervision to the Support Workers and the Project Leaders have individual supervision with the registered manager. All staff receive training on managing physical and verbal aggression and policies and procedures are in place to provide guidance to staff. The registered manager appraises staff every six months to review their performance. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 20 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): 37,38,39,40,41,42 The management of the service is continually reviewing the operations of the service to improve the quality of care provided to service users. EVIDENCE: The manager’s registration with the Commission was completed in October 2005. He is an experienced manager and has demonstrated his knowledge and skills in improving further the service delivery and quality of care provided at Merchants House through systems implemented. He is currently working towards a Masters qualification in Mental Health. Discussion with staff indicated that the registered manager is accessible at all times and listens to the concerns of staff and service users. Through weekly staff meetings, monthly supervision the registered manager is able to provide strong leadership to staff group. The management team of Merchants House monitors regularly the quality of care provided to service users through regular internal and external service users reviews and the detailed monthly visit reports by the Responsible Person. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 21 The service maintains detailed records of service users care, which clearly shows changes/improvements in individual aspects of service users care. The record keeping is good and records are well maintained. Service users or their representatives would have access to their records in accordance with the service’s access to information policy. The health and safety of the service users and staff is promoted through regular review of service users risk assessments, staff training and development, maintenance of equipment and the premises. Inspection of the service fire logbook showed that the weekly fire checks had not been carried out. Discussion with staff on duty told the inspector that they were done, but not recorded. Hot water and food temperatures are maintained. The staff informed the inspector that the Environmental Officer that they were impressed by the knowledge of the chef and the cleanliness of the kitchen area. The home notifies the Commission of significant incident/accidents to the service users or events in the care home and what action has been taken. A current Public Liability Insurance was displayed. There are clear lines of accountability with the registered manager and external management of the care home. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 22 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 4 3 3 4 3 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X 3 2 3 The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 23 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 YA20 Regulation 13 Requirement The registered person must ensure that medication administered to service users is recorded. The registered person must ensure that fire checks are carried out and recorded in accordance with the recommendation of the local fire authority. Timescale for action 13/04/06 2 YA42 23 13/04/06 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. Refer to Standard YA1 YA3 Good Practice Recommendations The registered manager should review the homes Statement of Purpose to clearly reflect the aims of Merchants House. The registered person should consider its capability of meeting the needs of service users from minority groups. The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Liverpool Local Office 3rd Floor, Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Merchant`s House DS0000059613.V284315.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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