CARE HOME ADULTS 18-65
The Old Mill House 99 Pall Mall Chorley Lancashire PR7 3LT Lead Inspector
Mrs Marie Cordingley Unannounced Inspection 31st October 2007 10:00 The Old Mill House DS0000005924.V347231.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 Old Mill House DS0000005924.V347231.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 Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Old Mill House Address 99 Pall Mall Chorley Lancashire PR7 3LT 01257 274678 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) dalesview@tiscali.co.uk Dalesview Partnership ****Post Vacant**** Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability: Code LD 2. The maximum number of people who can be accommodated is: 6. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 20th July 2006 3. Date of last inspection Brief Description of the Service: The Old Mill House is currently registered to accommodate six residents with a learning disability. It has been home to the current residents for a number of years. Within the home there are five bedrooms, two single and one shared room on the ground floor, and two single rooms on the first. Bathrooms and toilets are located on both floors and a single room on the ground floor has en-suite facilities. The home’s kitchen/diner is located at the rear of the building and the lounge at the front overlooks the road. There is a garden area to the side of the home. The home is situated on Pall Mall, which is one of the main roads leading into Chorley town centre. The town offers a range of leisure and shopping facilities which residents are supported to access. The home is one of a number owned by the Dalesview Partnership. At the time of the site visit the home had an acting manager in post. The current fees for the service are £600-£800 per week. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection of this home included a site visit which was unannounced, therefore the manager, staff and residents didn’t know it was going to take place until the inspector arrived. During the visit we spoke with residents, staff and the manager and examined a selection of documents including people’s individual care plans and staff personnel files. We also carried out a tour of the building looking at people’s communal living areas and private bedrooms. As part of the inspection, we carried out a case tracking exercise which involved us looking very closely at selected people’s care from the point that they started using the service. Prior to our visit, we asked the acting manager of the home to complete a comprehensive questionnaire which provided us with a lot of information about how the home is managed. The questionnaire also gave us information such as staff qualifications and some details about the needs of people living there. We also sent some written questionnaires to people who live at the home and their families to ask them about their opinions of the service. Unfortunately, we didn’t receive any completed questionnaires back. What the service does well:
We observed a number of residents during our visit who were unable to talk to us, but appeared very happy and relaxed in their surroundings. We watched the residents spending time with carers, which they seemed to enjoy very much. The interaction between staff and residents appeared natural and very pleasant. The home has an excellent approach to assessing the needs of residents and planning their care. Care planning is very much based on residents’ individual needs and their preferences are taken into account to as great an extent as is possible. The residents’ preferred daily routines are rightly seen as very important and clearly stated in their individual plans. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 6 There is a comprehensive health care plan in place for each resident which contains very useful information and provides guidance for staff in how to ensure people access community health care when they need it. Residents are encouraged to express their views and opinions and have access to independent advocates for support in doing so. Independent advocates also support residents to be involved in their own care planning. In addition, some of the people who live at the home are part of a local community advocacy group. Residents at The Old Mill House have the opportunity to take part in a variety of activities both inside and outside the home. Each person’s individual plan describes their hobbies and the pastimes they enjoy. We found that people regularly took part in various activities including swimming, bowling and pub visits. Residents at this home are also offered the opportunity to go on a holiday each year. During our visit, we saw photos from the residents’ last holidays, which had been put on display throughout the home. This home is well maintained and furnished and decorated to a good standard. There are a variety of communal areas for residents to access including a craft room and a sensory room. During our visit we found all areas of the home to be clean, warm and comfortable. The manager ensures that staffing levels at the home are adequate to meet the needs of people living there. We were also able to confirm that additional staff are available to support people to take part in activities of their own choosing on a regular basis. The home has a good approach to training with a core training programme in place for all staff members. The programme includes all the mandatory training areas such as moving and handling and first aid, as well as additional courses relevant to carers’ roles such as personal relationships and sexuality and person centred planning. There are processes in place to help the acting manager monitor quality within the home and residents are involved in these in a number ways. For example, a service user council is now in place for residents across all the Dalesview homes. The council regularly meet and discuss issues such as staffing, activities and menus. The acting manager of the home was able to provide evidence of changes that had been made as a direct result of points raised by the service user council. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
At the time of the inspection the home was without a registered manager. There is an acting manager in post who throughout the inspection, demonstrated that she has the suitable knowledge and skills to run the service effectively. However, it is important that a manager be proposed for registration as soon as possible to provide stability and consistency for residents and staff. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 8 All prospective residents are provided with a very useful document called a Service User Guide which gives information about daily life at the home such as the activities available and the people who work there. The home provides the document in various formats including an easy read pictorial version. It is recommended that the guide is also made available in a video format. We also recommended that the manager consider developing pictorial menus for people who do not read. There is a procedure in place which advises people how to make a complaint and what will happen if they do so. Currently the home provides the complaints procedure in a number of formats including an easy read pictorial version. It is recommended that the procedure is also made available in a video format. Currently, 3 out of 7 staff members hold National Vocational Qualifications in care at level 2 or above. This means that the home are falling slightly short of the national minimum standard of 50 . However measures are being taken to address this shortfall and several carers at the home are enrolled on the course. During our visit we recommended that the core training for senior carers be reviewed. Additional training in areas such as supervision should be provided to help people carrying out senior duties to develop their management skills. Records within the home confirm that the last residents meeting was held in September 2006. We advised the manager to resume these meetings as soon as possible and hold them on a regular basis. When viewing medication administration records, we found some errors in relation to a short term course of medicine that had been prescribed for one resident. We advised the manager to ensure that regular checks are carried out of medicines and administration records to ensure no similar errors occur in the future. Records of charges made to residents in respect of activities and transport need to be more detailed so that residents and their representatives know exactly what they are paying for these services, and how these charges are being assessed. This was discussed with the acting manager at the time of the inspection. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 9 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 Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 10 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 Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 11 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Carers have a good understanding of people’s needs before they move into the home. This means that people can be assured they will receive the help they need straight away. EVIDENCE: People who are considering moving to The Old Mill House are given information to help them make their decision, including a pictorial Service User Guide. Whilst this is a very useful document, we recommended that the manager also considers developing a video or DVD Service User Guide for people interested in moving to the home. In discussion, the manager advised us that people considering a move to the home are encouraged to visit, meet other residents and staff and get a feel for the home. During our visit, a prospective resident came to have a look around with his social worker. When somebody is interested in moving into the home the manager starts the pre-admission assessment process. This involves the manager and the lifestyle coordinator from the Dalesview group, meeting the prospective resident and
The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 12 getting to know them. They spend time assessing the person’s care needs in a variety of different settings such as in their current home and at any day services they attend. This process assists the manager in ensuring that the home would be appropriate for the prospective resident. We viewed a number of assessments and found them to be very comprehensive. Assessments covered all areas of daily living and the information included in them was addressed in each resident’s care plan. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 13 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): 6, 7,8 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a person centred approach to care planning which means that care is provided in line with people’s individual needs and preferences. Residents are encouraged to make decisions about their lives. EVIDENCE: As part of the case tracking exercise we examined a number of residents’ individual plans. The plans we viewed were of an excellent standard, covering all areas of daily life and having a strong emphasis on people’s individual needs and preferences. Preferred daily routines were covered in great detail and included information about all areas of daily living such as personal care, diet and mobility. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 14 The level of information included in people’s individual plans was of sufficient detail to help staff provide person centred care, which is tailored to each individual. We were able to confirm that all residents have access to advocates who are independent of the home. Advocates are trained to support people who may need some assistance in expressing their views and opinions. As with other homes in the Dalesview group, there are procedures to ensure that advocates support people during their care planning process where appropriate. This is an additional measure to ensure that the home are planning care which is in line with residents’ individual needs and wishes. The manager and staff at the home have a positive approach to risk taking and have an understanding that well managed risk taking is positive and often necessary for personal growth. As such, there are processes in place to ensure that risk assessments are carried out where appropriate. We viewed individual risk assessments that had been completed in relation to a number of areas for example, activities such as swimming. The risk assessments were comprehensive, clearly identifying risks and action required by staff to reduce risks to an acceptable level. Parts of the assessments contained pictures making them more meaningful and accessible to residents. There are a number of measures in place to involve residents in the daily running of the home. These include the newly appointed ‘service user council’. This council is made up of a number of residents from all the homes within the Dalesview group who meet regularly to discuss issues such as activities and menus. The last residents’ meeting within the home was held in September 2006. The manager explained that a lot of discussions with residents are held on an informal basis. However, we recommended that residents’ meetings be resumed and held on a regular basis. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 15 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at this home are provided with regular opportunities to take part in fulfilling and enjoyable activities. EVIDENCE: On the day of our site visit the home was very busy with all the five residents getting ready to go out and enjoy various activities. Through discussion we were able to confirm that this was a usual day and that residents were regularly offered the opportunity to carry out activities of their own choosing. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 16 We viewed individual records for residents which confirmed that people are able to take part in a variety of activities such as music, drama, aerobics and arts and crafts. In addition, a number of residents attend their local college to do courses such as cookery, animal care and photography. Many of the activities enjoyed by residents take part in the community, such as swimming, bowling and pub visits. Residents at the home have access to a vehicle to assist them to access their local community. Residents are supported to maintain contact with their families and friends and people’s individual plans contain details of their needs in this area. Staff are currently undergoing training in personal relationships and sexuality to help them provide sensitive and effective support in this area. Residents’ individual plans contain good details about their dietary needs and preferences, and records of food served confirmed that these are catered for. We were also able to confirm that people are given the opportunity to get involved in food preparation and grocery shopping. We were advised by the manager that residents are also regularly asked to take part in the development of menus. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 17 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ health and well being is closely monitored by staff. Support is provided to enable residents to access health care when they need it. The manager should carry out regular checks of medicines and medication records to ensure that residents’ medication is being carefully managed. EVIDENCE: Each resident’s individual plan contains very detailed information about their health care needs. One plan we viewed contained good guidance to staff in assisting the residents to carry out exercise that had been recommended by her GP to maintain good health. In addition, residents’ individual plans contain evidence that they are supported to access advice and treatment from health care professionals when they require it. We also noted that residents at the home receive regular input from a physiotherapist and speech therapist who are privately employed by the Dalesview group.
The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 18 People’s individual plans contain in depth information about their communication. For residents who do not communicate verbally, there is guidance in the ways they express themselves. This information assists staff greatly in getting to know residents and understanding their needs. We viewed the home’s medication store and examined a number of medication administration records. We found that medicines were stored safely and securely. However, in viewing records we found some errors in relation to a short term course of medicine that had been prescribed for one resident. Further investigation confirmed that this error was only in relation to the paperwork and that the resident had received her medication as prescribed. We advised the manager to make regular checks of medicine and medication administration records to ensure that no future errors are made. The manager confirmed that all carers at the home who handle residents’ medicines have been provided with training in the safe handling of medication. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at this home are encouraged to express their concerns. There are systems in place to protect people from abuse. EVIDENCE: The home has a complaints procedure which explains to people how to raise a concern and what will happen if they do. The complaints procedure is provided in a number of formats including a pictorial easy read version. We discussed this with the manager and advised her to consider making the complaints procedure available in DVD or video format. Records viewed and discussions with the manager confirmed that there have been no complaints received at the home since the last inspection. In addition, there have been no complaints received at the Commission for Social Care Inspection since the home’s last inspection. There are written procedures in place which give staff guidance on the action they should take if they become aware or suspect that an incidence of abuse has taken place. New staff members are also made aware of the home’s whistleblowing procedures during their induction. Whistleblowing procedures encourage staff to express any concerns that they have and provide reassurance that there will be no negative consequences in the event that they do raise a concern.
The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 20 Some residents need help in managing their money and we were able to confirm that careful records are made of any assistance residents have received in this area. However we viewed records of charges made to residents in respect of the activities and transport they had been provided and found that these were not detailed enough. We advised the manager that these records should be improved to provide more detail for residents on what they have been charged and how these charges have been assessed. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 21 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents at the home are provided with safe, comfortable accommodation which is furnished and maintained to a good standard. EVIDENCE: During our visit we carried out a tour of the home and found all areas to be warm, clean and comfortable. We also noted that residents’ private and communal accommodation was well maintained and nicely furnished and decorated. There are a number of communal areas in the home for residents to access including an area on the first floor which has a craft room and a sensory room for residents to relax in. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 22 We looked at people’s bedrooms which were all nicely furnished and decorated. People’s bedroom were all individual and personalised with items such as pictures and ornaments. The manager confirmed that residents are able to have a key for their bedroom if they so wish. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 23 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a thorough recruitment procedure in place to ensure that only suitable people are recruited to work with residents. EVIDENCE: We viewed a selection of staff files which contained the necessary information such as original application forms and full employment histories. We also noted that the necessary background checks had been carried out for all new staff members including references and Criminal Record Bureau checks. There are procedures in place to involve residents in the recruitment of new staff. Currently residents are asked to take part in setting interview questions for prospective staff members. Discussion took place as to how this could be developed further. We recommended that consideration be given to involving residents in interviews. There is a good approach to training at this home with staff being provided with a standard induction which is in line with Skills for Care standards.
The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 24 Ongoing training includes all mandatory areas such as moving and handling and first aid as well as additional courses such as person centred planning. We talked with the manager about the training provided to senior carers. We recommended that the core training programme for people in this position should be reviewed, and that training be provided to assist them in carrying out the supervisory aspects of their role. Currently there are 3 staff members (out of 7) who hold National Vocational Qualifications in care at level 2 or above. The home are currently falling slightly short of the recommended 50 , however a number of carers are currently working towards this qualification. We viewed records within the home that confirmed that all staff members are provided with one to one supervision on a regular basis. This is an important aspect of staff support and gives carers and their line manager the opportunity to discuss any concerns they may have as well as other issues such as personal development and work performance. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is currently managed well and in the interest of service users. However, a manager should be proposed for registration with the Commission to provide more stability for residents and staff. EVIDENCE: The home is currently without a registered manager but there is an acting manager in place. Throughout our inspection she demonstrated that she was suitably competent to manage the home effectively. However a manager should be proposed for registration with the Commission without delay. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 26 There is a good approach to quality assurance with a number of measures in place to assist the acting manager in monitoring all areas of the service. Such measures include regular audits, self assessments and resident satisfaction surveys. In line with a recommendation made following the last inspection, results of the satisfaction surveys are now published in the Service User Guide. An unannounced visit is made to the home by one of the owners of the home on a monthly basis. The Commission for Social Care Inspection regularly receive reports of these visits which demonstrate that residents and staff are consulted throughout them. We viewed a selection of health and safety records including records of safety checks on equipment within the home. We were also able to confirm that all staff had been provided with appropriate health and safety training in areas such as moving and handling and food hygiene. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 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 2 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 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 x 3 2 x 3 x x 3 x The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 28 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA37 Regulation 8 Requirement A manager must be proposed for registration with the Commission for Social Care Inspection. Timescale for action 31/03/08 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. 2. 3. 4. 5. Refer to Standard YA1 YA17 YA22 YA20 YA23 Good Practice Recommendations The Service User Guide should be produced in a video/DVD format. Pictorial menus should be developed for people who do not read. The home’s complaints procedure should be provided in a video/DVD format. Regular checks should be carried out of residents’ medicines and medication administration records to ensure people’s medication is being administered correctly. Charges made to residents in respect of activities and transport should include more detail so that residents know how their charges are being assessed. At least 50 of carers should hold National Vocational Qualifications in care at level 2 or above. Consideration should be given as to how residents can be
DS0000005924.V347231.R01.S.doc Version 5.2 Page 29 6. 7. YA32 YA34 The Old Mill House 8. 9. YA35 YA8 offered the opportunity to have more involvement in the recruitment of new staff. The core training programme for senior carers should be reviewed to offer training to assist in the supervisory aspects of their role. Meetings for residents should be resumed and held on a regular basis. The Old Mill House DS0000005924.V347231.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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
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