CARE HOME ADULTS 18-65
The Whinnies Gateshead Road Sunnyside Newcastle upon Tyne NE16 5LG Lead Inspector
Mrs Elsie Allnutt Key Unannounced Inspection 6th February 2007 09:30 The Whinnies DS0000046256.V309155.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 Whinnies DS0000046256.V309155.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 Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Whinnies Address Gateshead Road Sunnyside Newcastle upon Tyne NE16 5LG 0191 496 0418 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) www.c-i-c.co.uk. Community Integrated Care Brenda Cawton Care Home 3 Category(ies) of Learning disability over 65 years of age (3) registration, with number of places The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14th September 2005 Brief Description of the Service: The Whinnies is a care home owned and run by Community Integrated Care (CIC), a registered charity that provides care services for people with learning disabilities. The home is registered to provide 24 hour care for three people with moderate to severe learning disabilities all of who are over 65 years and who were discharged from long stay hospital. The home is pleasantly situated in a quiet part of Sunniside, Gateshead with close proximity to health care facilities, local shops, pubs and surrounding countryside. There are frequent bus services to Gateshead and Newcastle and the Metro Centre and the service users also have use of the homes car. Service users are able to access facilities of their choice within the community with support from a trained staff team. The Whinnies is one of several bungalows in the area, which has been extended and adapted to provide accommodation for the service users in a safe and homely environment. The bungalow consists of a lounge, dining room, bathroom with a toilet and a separate shower. Each service user has an individual bedroom with en suite facilities that includes a bath or shower. The room doors have appropriately designed locks fitted and with an additional locked facility inside the room where valuables can be stored. There are special aids and adaptations throughout the home to address the physical needs of the service users. The building is surrounded by extensive well-kept gardens. The service has developed a Service User Guide that informs prospective service users about the service, the aims and how these are met. A copy of the recent inspection report is available in the home for anyone to read. The fees charged by the home are £2300 per week. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This planned unannounced inspection took 7.5 hours over one day in February 2007. The views of three service users and six members of staff were sought. As some service users have communication needs their satisfaction of the service was interpreted not only through speech, but the observations of body language, interaction with staff, discussions with staff and the examination of records. This process demonstrated that all were satisfied with the service and the care and support given by staff. Questionnaires were sent out to the relatives of the service users prior to the inspection and a representative of each service user took the time to complete and return them. All showed their satisfaction about the service delivered at The Whinnies. The quality of the living conditions was assessed and the service users’ care files and a sample of the home’s records were examined. What the service does well:
The Whinnies provides service users with a safe and comfortable environment that is well maintained, attractive and reflects the preferences of the service users. The happy and humorous chatter between service users and staff creates a relaxed atmosphere and a feeling that people get on well together and are happy to live there. The manager and staff work very hard to support service users to take part in activities that they enjoy and that sometimes they have been interested in for many years. One service user said “ I like going out for my morning paper and looking at the horse racing for the day, and sometimes I put a bet on.” Another service user who was getting ready to go to a local tea dance said; “I like to watch the ladies dance.” Staff also support service users to take holidays away. Service users confirmed that they enjoy doing this and stated that they are going to Amsterdam and Keilder this year. The very big gardens and large amount of land that stretches beyond the bungalow and that belongs to the home are well maintained and well stocked with different plants and shrubs. This provides a beautiful location and outlook for the service users who live here. Staff have encouraged service users to use this facility by developing outdoor projects in the garden areas, for example a vegetable plot proves to be very productive and many different vegetables and fruit have been produced, all of which the home has used in the kitchen.
The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 6 Meals are nutritious and attractively served and service users are involved in the menu planning, one service user stated; “The food’s good, I get plenty to eat.” All service users are supported to maintain contact with family members who they have regular contact with. Photographs around the home, in the lounge and individual bedrooms confirm this. What has improved since the last inspection? What they could do better:
Although care plans are good in relation to the amount of detail they include, they could be further improved by demonstrating the commitment made by this home to empower the service users.
The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 7 The care plans should reflect that staff support service users to take control over their own lives and that they lead their own plan of care. This could be achieved in the way the care plans are recorded, for example with a person centred approach. This is already achieved in the document All About Me. So that service users have a better opportunity of understanding the content of their contract with the home, it is suggested that pictures are used to illustrate the content of this document. So that the ownership of the home and the privacy of service users is not compromised, care should be taken to avoid the number of staff and trainees on duty together in the house, out numbering the service users living there. So that the service users are not put at risk of harm, staff must ensure that they follow the appropriate guidance when giving out medication. The home and the Company must address any mistake made, when administrating medication, seriously. 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 Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 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 Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 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 good. Good multidisciplinary preadmission assessments are in place. These demonstrate service users’ needs and aspirations and are used by the home to determine whether they can effectively offer a service to the individual. So that service users are aware of the terms and conditions of their residency they are issued with a Contract that informs them of the full cost of the fees to be paid. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care files was examined. All include preadmission assessments from the referring agencies of the individual service users and an assessment carried out by the home. The information received for one service user includes pre admission assessments from a multi disciplinary team, including the care manager, a psychiatrist and a physiotherapist. The information received also includes a person centred plan. All of the information received enabled the home to make a judgement that they could meet the service user’s needs, as well as providing a base line from which the home developed the current care plan. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 10 Any risk identified in the pre admission assessment is addressed in individual service user’s care plans. This was evident for one person in relation to challenging behaviours. Discussions with staff and reading records confirmed that a health care professional developed guidelines for staff to follow in relation to this. These were evident in the care plan. A signed Service Contract including the Terms and Conditions of the stay was evident in each service user’s care file. This includes the full cost of the service delivered and who is responsible for the payment. A discussion took place with the manager in relation to developing this document in picture format so that service users have access to it. The manager was responsive to this idea. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 11 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. Service users are supported to make decisions, which at times may include taking risks and to direct their care in the way that they prefer. This is documented in a plan of care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a care plan that is detailed and covers all aspects of the person’s life, including their health, social and emotional needs. The manager and staff team have worked hard to develop a good care planning system to incorporate guidance given by the care professionals involved in individual service user’s lives. Pictures are used in an attempt to identify to service users what different parts of the care plan are about. Any identified risks in the assessments are addressed and reduced by putting risk management plans in place. For example there are professional guidelines in place to guide staff to address challenging behaviour in relation to selfThe Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 12 harm. The manager stated that this has resulted in a consistent approach by staff that, as a result, has helped to address the problem effectively resulting in the safety of the service user. The care plans record service users’ preferred daily routines in detail. This ensures that staff respect individual service user’s preferences. This was confirmed when observing service users’ routines throughout the day and checking this with the care plan and the response of staff. One service user was observed getting up from bed late in the morning and enjoying a cigarette in the designated smoking area at different times throughout the day. Staff were observed to respond in a supportive way. The home has developed a document referred to as; All About Me. The manager stated that these documents are developed by the service user with the assistance of their key worker and are illustrated using photographs. They illustrate how the individual service user lives their life and the people that are involved in it. The information in the document is written with a person centred approach to reflect the service user taking the lead and being in control. This is a good example of service user empowerment. A discussion took place with the manager and some of the staff team in relation to how the main care plans could be further improved by using the same principles. All were receptive to this idea. The guidelines in the care plans clearly identify the amount of support service users need with different tasks while at the same time promote service users as people with dignity and self direction. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 13 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 excellent. Service users are supported to take part in a variety of leisure and community based activities, and as a result live an interesting and valued lifestyle. There is a positive effort made to include community groups in the lives of service users and vice versa. The service supports service users’ rights and successfully supports them in maintaining relationships with family and friends. The food is of good quality and sufficient to meet the dietary needs of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users living at this home are encouraged and supported to live a valued lifestyle by using community resources and facilities in the local area.
The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 14 All service users have individual weekly activity plans that are used flexibly in relation to their preferences, but in a way that gives structure to their lives. On the day of the inspection one service user was observed to go out to buy their morning paper at the local newsagent with the support of staff. Later that day they were observed studying and discussing the horse race venues. Later in the day another service user was observed being supported to access an appointment in the community while two service users were supported to get ready to attend a local tea dance. Service users enthusiastically discussed holiday experiences that they had enjoyed over the summer period and holiday breaks they had planned for this year. Venues include staying at a cottage in Keilder and a visit to Amsterdam. The manager, staff and service users discussed an exciting gardening project that the home has developed over the past twelve months. The project is referred to be as the Social Inclusion Gardening Network (SIGN) and has developed from the interest of one service user from another home requesting to use one of the allotments situated in the area of land that is owned by CIC and surrounds the bungalow. At the time much of this land was overgrown but as a result of the home offering community activity to the Youth Offending Team much of the land has now been cultivated to provide four separate allotments that other community groups will use. As an outcome of this the manager stated that service users will not only have the opportunity of being involved but will have the opportunity to extend their social networks as well as making new and significant friendships. While at the same time the manager states “activities in the fresh air, working with nature and nurturing plants will help to improve health and well being and build on service users’ self esteem and develop social skills.” To raise the finance to support the project service users and staff stated that they have had fund raising events such as car boot and tabletop sales using community facilities. A poster in the home advertised a Valentines Evening, organised by the home, to be held at a local community centre where service users will join other people in the local community, again to raise funds to go towards the gardening project. Photographs and records confirmed that service users living at this home are involved at all levels of developing this project. However to ensure that community groups working on the land do not infringe on the service users’ privacy they use a locked side entrance to the land which is situated away from the bungalow. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 15 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 good. Service users personal and healthcare needs are met in a flexible but consistent manner, reflecting how they wish to live. Medication arrangements are appropriate to the needs of service users and are generally managed in a safe manner, however a recent mistake could have put service users at risk of harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are supported to register and attend healthcare practices in the local community. Visits to the GP, dentist’s opticians and other health professionals are recorded in individual care files with the outcome of the visit. All service users were observed to be in good health and spirits. Service users’ physical and emotional needs are clearly recorded in individual care plans and records demonstrate that positive relationships have developed with healthcare professionals.
The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 16 Although records and staff confirmed that staff generally receive appropriate training to reflect the needs of service users, there was no evidence that staff have received training in relation to mental health issues. One service user’s assessments and care plans indicate that issues surround this area. So that staff are confident that they are competent to address this need the manager must arrange for training in relation to this. On the day of the inspection a member of staff supported a service user to attend a health appointment where their medication was to be reviewed by a Consultant. On return the member of staff was observed discussing the meeting and the outcome with the manager during which time they demonstrated their positive support to the service user. They were also observed recording the outcome in the care file. The member of staff stated that during the visit the Consultant had commended the member of staff for making supportive comments and giving accurate information that assisted the assessment, she also stated that; “the home has a very good staff team. The home has robust policies and procedures, in relation to the administration of medication. Medication is stored appropriately and securely in a locked cupboard, however a report to the CSCI (Commission for Social Care Inspection) recorded that the manager had identified a mistake when monitoring the medication records. Although this had no ill effects on the service user involved, the manager was reminded that such mistakes are unacceptable and procedures taken by the home to address such mistakes should indicate this to staff. The records examined on the day of the inspection were completed appropriately and no anomalies were found. The manager confirmed that all staff have attended training relating to the safe practices in the administration of medication. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 17 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 good. Appropriate arrangements are in place that protect service users from abuse and seriously addresses complaints and concerns about the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff confirmed that they have received awareness training regarding abuse and adult protection, as well as training in relation to handling verbal and aggressive behaviour. Staff were able to appropriately describe what action to take in a situation where they witnessed abuse or an allegation of abuse was reported to them. A senior member of staff confirmed that staff have received training in relation to the local authority’s POVA (Protection of Vulnerable Adults) procedures, a copy of which is available within the home. . Entries in the Complaints Book confirmed that complaints and concerns are taken seriously, recorded and satisfactorily addressed. There have been no complaints recorded since the last inspection. The complaints procedures are in picture format and all service users and their relatives were aware of whom to speak to if they were unhappy about something. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. The home is homely, comfortable, and clean and provides service users with adequate private and communal space in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well maintained, clean and tidy reflecting effective cleaning routines. The individual tastes and personalities of the service users are demonstrated throughout the home with colours and small furnishings reflecting their preferences. One service user’s bedroom was decorated prior to the last inspection and they explained that a member of staff had painted their favourite football teams loco on one of the walls. This had delighted the service user. A new service user to the home was also delighted to show their newly decorated and refurbished room and confirmed that they had chosen the colour. They also stated that a new carpet was on order.
The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 19 All service users confirmed that are consulted in any changes that are to take place in the home. The records of service users’ meetings confirmed this. The home accommodates service users with individual bedrooms with en-suite facilities as well as a lounge/dining room and a small conservatory, kitchen and bathrooms. Rails around the walls of the home enable service users to mobilise from room to room independently without risk of falls. Special appliances are also available to encourage and maintain service users’ independence. Staff confirmed that two reclining chairs had been custom made reflecting the physical needs of the service users and another was on order. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Robust recruitment & selection procedures and regular training opportunities ensure that service users are appropriately supported and protected by a competent and qualified staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was an adequate number of staff on duty to effectively address the needs of the service users in this home. Although the staffing ratio was reduced temporarily during a short period after one service user moved out of the home into more appropriate accommodation, since a third service user has again moved into the home the agreed ratio is again in place. The manager has a creative approach in relation to having an effective number of staff to support service users with their preferred activities. At the time of the inspection two social work trainees were additional resources, available to support service users with their chosen activities. Both were organised to work different shifts and with different staff in relation to designated tasks. The manager and staff felt that the extra resources allowed more activity to take
The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 21 place and gave quality time to service users. A discussion took place with the manager in relation to the risk of staff out numbering service users in their own home. The manager confirmed that this is monitored and with careful planning, should not happen. There is a well-documented and appropriate training programme in the home that includes each member of staff. A training matrix identifies individual training needs and when mandatory training needs to be reviewed. Staff confirmed that they receive appropriate training to carry out their roles. One member of staff commented, “The training opportunities are second to none.” This means that service users are constantly supported by well trained staff. Every new member of staff participates in an induction course and has to achieve elements within set timescales. The programme is comprehensive and shows how to support service users in an appropriate way. So that all staff understand issues surrounding learning disabilities all staff also carries out the LDAF (Learning Disabilities Award Framework) training award. The company provide new members of staff with a filofax type folder that includes information about the home and explains training requirements and opportunities. Staff are employed via robust recruitment procedures. A sample of staff files demonstrated that the necessary documents were in place, for example an application form, 2 written references and a satisfactory CRB check. This ensures that the staff who apply to work at the home are suitable to work with vulnerable people. Two of the files examined included those of staff that had recently been employed. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The manager, who is well supported by her senior staff and care staff teams, provides good leadership and runs a service that has effective monitoring systems that are focussed on the best interests of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of this service is a fully qualified registered manager. She has achieved the Registered Manager’s Award and NVQ4 in Care and states that she is up to date with mandatory training and attends training courses in relation to her role. Recent training includes issues relating to welfare benefits, learning skills to be a facilitator for challenging behaviours and knowledge and skills relating to supervision and appraisal. Both service users and staff confirmed that they felt valued by the manager and the Company and feel that their opinions matter. This has created an
The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 23 atmosphere of openness and respect, that reflects on the quality of care received by, and the quality of life experienced by service users. This service has a quality assurance system in place that monitors and records all aspects of the service delivered in the best interests of the service users. The Commission for Social Care Inspection (CSCI), receives regular copies of the Annual Review from the Company. The fire records and accident book were examined and records were satisfactory. Risks were identified in relation to: • • • Mistakes being made when administrating medication. Community groups accessing the allotments in relation to the gardening project could compromise the service users’ privacy. An excessive number of staff in the house could also compromise service users’ privacy as well as the feeling of being overpowered. The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 4 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 4 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 4 X 3 X X 2 X The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 13(2) Requirement The administering of medication must follow the Royal Pharmaceutical Society guidelines written in document The Administration and Control of Medicines in Care Homes. Any mistakes made must be taken and addressed seriously. The registered manager must ensure that all staff receive training in relation to mental health issues in particular those affecting service users in their care. The registered manager must address the risks identified in relation to: • • Mistakes being made when administrating medication. Community groups accessing the allotments in relation to the gardening project could compromise the service users’ privacy. An excessive number of staff in the house could
Version 5.2 Page 26 Timescale for action 28/02/07 2 YA35 18(c)(i) 12(1)(a) 30/04/07 3 YA42 12(1) 28/02/07 13(20 13(4) 12(4)(a) • The Whinnies DS0000046256.V309155.R01.S.doc also compromise service users’ privacy as well as the feeling of being overpowered. 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 YA5 Good Practice Recommendations The service user contract explaining the agreed terms and conditions should be developed into picture format so that service users have a better opportunity of understanding the content. So that service users are empowered and demonstrate that they lead their plan of care the wording of the care plan should reflect this. The care plan would be improved if it was written with the person centred approach. So that service users do not feel overcrowded in their own home, careful monitoring should take place in relation to the designation of trainees within the home. 2 YA6 3 YA33 The Whinnies DS0000046256.V309155.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Shields Area Office St Nicholas Building St Nicholas Street Newcastle NE1 1NB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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