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Inspection on 18/11/05 for Turning Point (Hoole Road)

Also see our care home review for Turning Point (Hoole Road) for more information

This inspection was carried out on 18th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There have also been a number of successes with people who initially stayed at Westminster Rd and moved on to stage 2, semi independent living in one of the two other properties owned by Turning Point. They now have their own tenancies and will be leaving Turning Point before Christmas. All of the residents spoken with said that they felt well supported by the staff and that the staff had a good understanding of their addiction.

What has improved since the last inspection?

The entrance hall has been painted since the last inspection. There have also been a number of successes with the residents who have spent time living at Hoole Rd. Some documentation has been updated and others introduced to the service, which has made it clearer to see what has been happening both for residents and staff.

What the care home could do better:

The house in Hoole road looked `shabby` and needed upgrading. Particular attention should be given to the kitchen and the carpets of the hall and office.

CARE HOME ADULTS 18-65 Turning Point 27 Hoole Road Hoole Chester Cheshire CH2 3NH Lead Inspector Judith Morton Unannounced Inspection 18th November 2005 09:30 Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 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 Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 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. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Turning Point Address 27 Hoole Road Hoole Chester Cheshire CH2 3NH 01244 314320 01244 325875 jill.bell@turning-point.co.uk 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) Turning Point Limited Mrs Jillian Bell Care Home 21 Category(ies) of Past or present alcohol dependence (21), Past or registration, with number present drug dependence (21) of places Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of Service Users must not exceed 21 21 of the Service Users may be A 18 of the Service Users may be D Service Users to be accommodated as follows:18 Service Users may be accommodated at 27 Hoole Road 3 Service Users may be accommodated at 38 Phillip Street 21st January 2005 Date of last inspection Brief Description of the Service: The service, which is run by the national charity, Turning Point, aims to provide a “supportive substance free environment where residents can examine their lives to date, reach a greater understanding of their substance misuse and develop ways of achieving changes...” The residential project comprises the main ‘first-stage’ house at 27 Hoole Road, which provides 12 places. There are also two ‘second-stage’ properties - 30 Tomkinson Street, 66 Philip Street and 38 Philip Street - each providing 3 places. All properties are located within a mile of Chester City Centre, and are very well served by community facilities and amenities. Referrals are accepted from all areas of the United Kingdom and service users’ duration of stay is usually between 6 and 12 months. As part of the project’s philosophy, service users participate in a range of individual and group activities, including: one-to-one support; relapse prevention; stress/anxiety management and relaxation. Alternative therapies such as auricular acupuncture, aromatherapy and Indian head massage are also available to service users. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five and a half hours. Six of the residents were spoken with and a further two ex-residents who had been through the rehabilitation programme a number of years ago were also spoken with. Three residents files and two staff files were checked. A tour of the building was also made. Additionally a visit was made to 38 Philip Street and one resident was spoken with. What the service does well: 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. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 6 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 Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 7 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): 1, 2, 3, 4 & 5 The residents have sufficient information available that would fully inform them as to what services they can expect while living at Hoole Road. Their involvement in the assessment process means that all their needs are identified and discussed. EVIDENCE: There was a detailed service user guide and an introductory brochure about the services available at Hoole Road. Prospective residents will know what is available for them and what any rules and restrictions are when they move into Hoole Road. Residents are included in a multi disciplinary assessment before moving in, to make sure that the service can fully meet their needs. Any restrictions on their rights are fully discussed and agreed before the resident moves in. There is an understanding that prospective residents would visit the home to meet the staff and other residents there. They can view the property and their room and discuss any specific needs that may be identified from the visit. One resident spoken with said he had visited the home before moving in. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 8 Each resident has a licence agreement, which they sign on their arrival, agreeing to the terms and conditions of the home. The room they are to occupy is stated on the contract and a copy is kept on their individual file. However, although the cost of the placement is stated on the contract, the residents’ own contribution to this amount is not recorded. This should be added to the contract so that the residents are fully aware of what their contribution is. (See recommendation 1) Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 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 The resident’s involvement in their assessment and development of the care plan means that they are fully aware of how their needs will be met. Although they are aware of the content of their file, greater involvement in completing and signing the daily records would make sure they were aware of what is being written about them. EVIDENCE: The residents are involved in every aspect of their care at Hoole Road. Their identified needs are reviewed with their involvement and they are fully aware of any changes being made to their care plan and why. The care files viewed showed clearly that the residents had been involved in drawing up their care plan and they had signed them. The residents spoken with said that they can make decisions about things that effect their immediate situation and their later life once they leave Hoole Road. Evidence of this was seen in practice and on the care files. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 10 Residents were seen having a meeting to decide who was to do what house work that day. The residents were able to express their views and wishes during this meeting. One resident had chosen to attend the local church and was also working as a volunteer in a charity shop. On the care files there was evidence that a resident had made a decision about where he wanted to live after he left Hoole Road. He had received housing advice from the staff at Hoole Rd and they had supported him through the process of applying for the flat. None of the care files read contained a history of the resident but there was valuable historical information about the residents in amongst their file. A brief history would provide staff with information that would give them a greater understanding of the resident. (See recommendation 2) The daily recordings made by staff had been written about the resident and not with them, so tended to reflect the view of the member of staff rather than the resident. Staff should, whenever possible, consult with the resident and include their view on how their day has been and how well they feel care was delivered. (See recommendation 3) It would also be beneficial for each file to have a photograph of the resident. This would help new staff to identify the residents but would also be useful if a resident goes missing. (See recommendation 4) Due to the nature of the service being provided, there are a number of restrictions on residents’ rights. Some of these apply at different stages of the programme e.g. no unsupervised outings for the first 28 days, and others apply for all residents throughout their stay e.g. ‘signing-in’ at the office at 9.30 a.m. each morning, no illicit drugs or alcohol, staff holding and administering their medicines. These facts are, however, made clear to residents, both in written documentation and orally prior to admission and their stay at the project is conditional upon acceptance of these. They are also made aware that they will be asked/told to leave the project if they do not follow the conditions of residence. A ‘Statement of Residents Rights’ is included in the residents’ handbook. However, some residents are able to go out independently and access activities or occupations of their choice. Risk assessments are carried out and the outcome is recorded and held on their file. The nature of the service dictates that ‘risk-taking’ is closely monitored and controlled. It was noticed that the residents do not carry any form of information that would tell someone that they were currently living at Hoole Rd. This would be helpful if a resident was incapacitated through alcohol or if they had taken an overdose and had been taken to the accident and emergency, as was the case for one resident. (See recommendation 5). Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 11 The residents spoken with confirmed that they were all aware of their care file. They knew where it was held, that it was held securely and that they could request access to it if they wished. They were asked if they had any objection to them being checked as part of the inspection process. Only one resident declined for his file to be checked. The home has a policy statement on confidentiality and access to information. Turning Point’s own policy on confidentiality includes a consent form for service users to sign to confirm their agreement to information sharing. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 & 17 There are plenty of opportunities for residents to develop their social and practical skills in the community and within the home. There is a managed degree of responsibility that each person has to take to further their success on the programme. EVIDENCE: Group-work forms an important part of the programme at Hoole Road and this covers areas such as: ‘relapse prevention’, ‘anxiety management’, ‘assertiveness’, ‘relaxation’, ‘building self-esteem’ and ‘problem-solving’. Additionally, alternative therapies such as auricular acupuncture, aromatherapy, Indian head massage and Reiki are offered. As Hoole Road is a domestic style property in a highly populated area, the residents are fully integrated in the local community. Service users are supported and encouraged by staff to engage in educational and recreational activities outside the home and these include courses at the local college of further education, use of the local leisure centre, theatre and cinema visits and going for walks. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 13 One resident spoken with suggested he was going to apply to college to learn the plastering trade. He also had a keen interest on growing plants and kept a number of them in his room or had placed them around the home. There is a notice board in the main entrance hall, which carries a range of information about local amenities, events and support services. Information is also available to service users in the resident handbook. The local leisure centre has a gymnasium, swimming pool, badminton, five a side football and keep fit classes. The referral and pre-admission assessment process identifies individual service users’ needs regarding their family links. Individual risk assessments highlight if there are risks identified with service users maintaining contact with their families. Service users’ families can visit the project (with prior agreement) where appropriate, and funding is also available for service users to arrange home visits (reference is made to this in the resident handbook). Any reasons for restrictions to visitors are made clear to service users prior to admission. There is a pay phone in the hall and the residents are able to use this to make or receive calls. There is a weekly menu on display in the kitchen. This has been designed to provide a balanced and healthy diet, with the residents’ likes and dislikes in mind. The staff generally cook for the residents, as they can often feel very unwell during the detoxification process. However, if a resident does not feel like the meal offered they are free to cook an alternative for themselves. This was seen on the day of inspection, as one resident had not wanted pizza for her lunch so had made scrambled egg on toast as an alternative. Residents are responsible for planning their own menus and are involved (on a rota basis) in the preparation, cooking and serving of all meals. Additionally, some service users (and all those in second-stage accommodation) also carry out their own food shopping. The project’s food budget makes allowance for any special dietary requirements based on individual preference or religious or cultural need. As service users (due to their past lifestyles) may have neglected their diet, their nutritional needs are addressed as part of their medical assessment when registering with local general practitioners. Additionally, where necessary, a professional assessment would also be carried out by a dietician. Resident’s spoken with confirmed that they could have an alternative meal if they did not like what was being offered. They were also seen to help themselves to drinks throughout the day and make snacks for their lunch. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 The resident’s health needs, both physical and emotional, are well met. The staff follow the organisation’s medicine administration procedures so that the residents receive their medication as prescribed. EVIDENCE: The residents register with a GP from one of the practices in the area. For all other healthcare needs, service users are supported by staff to access relevant community services e.g. community nurses, dentists and opticians. Additionally, where necessary, referrals would be made by their GP for specialist medical services. Staff within the project also provide service users with information regarding general healthcare and specific issues relating to their lifestyles and needs. It is part of the home’s operational policy that staff administer all prescribed medicines. Residents accept this as part of their contract with the home and it is stated clearly in the resident’s handbook. They do, however, sign a consent form for staff to hold and administer their medicines. Where controlled drugs (such as methadone) are used within the home, these are stored securely in a locked metal cabinet and are administered in strict accordance with agreed policies and procedures. All staff receive training in medicine administration as part of their induction, and on a ‘refresher’ basis thereafter. The project also Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 15 has a contract with a local pharmacy, which offers advice and carries out periodic inspections of their record keeping and systems. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. There was sufficient opportunity for the residents to talk to staff and evidence of their opinions being listened to in the group meeting and the questionnaire they complete when they leave the home. EVIDENCE: The residents spoken with said that they felt they could express their views to the staff either collectively during a group meeting or individually during one to one time. They said that if they had a problem they could talk to a member of staff at any time. The opinion of the resident is recorded in a questionnaire that all residents are asked to complete on the final day of their stay at Hoole Rd. Additionally, the home has an established complaints procedure and all service users are given written information about this on admission. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 17 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, 25, 26, 27 & 28 Although the home is in need of some upgrading to give it a more welcoming and homely appearance, the residents have sufficient space within the home to allow them to choose to spend time on their own or with others. EVIDENCE: Although Hoole Rd has an office at the front of the property, which the residents are all aware of and call into at various times throughout the day, the rest of the house is in keeping with a normal domestic residence. Outwardly the building is no different from others in that area. Some areas of the home looked ‘shabby’ and in need of redecorating or, in the case of the kitchen, upgrading. The kitchen units had thin veneer on the doors but this had come off, particularly on the door of the unit containing the hot water dispenser. One drawer had its front missing. The paint was peeling off the decorative mouldings on the top of the units and the fridge and freezer had the plastic top rail missing. The door of the microwave was dirty and needed cleaning on the inside. (See requirement 1) Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 18 One resident had painted the walls of the entrance hall, which was said to make the hall look brighter and cleaner. The carpet in the hall, on the stairs and in the office was worn and dirty and needed replacing. The manager said that she had received agreement for some of the budget to be spent on this and was in the process of obtaining opinions on whether a laminate floor or carpet should replace the old flooring. (See also requirement 1) There is a payphone for use by the residents. There was a tall, tin bin next to the chair by the telephone. Residents had disposed of general rubbish in the bin as well as their cigarette ends. This is a fire hazard and must be removed and/or replaced with an ashtray. The manager said she would have this attended to immediately. (See requirement 2) The residents bedrooms that were seen as part of the inspection were warm and comfortable and had been personalised to the resident’s own particular taste. The residents also have a key to their bedroom and can spend time in there when they wish. There were sufficient toilets and bathrooms to meet the needs of the residents and allow them privacy, without disturbing the other residents. In addition to their own room the residents also have access to a lounge with a conservatory attached and accessed through patio doors. The kitchen has a large table with chairs and can be used at any time by the residents. Turning Point also have two other properties within walking distance of Hoole Rd. Anyone who wishes, and is assessed as suitable, can move into one of the properties following their stay at Hoole Rd. One of the residents from one of these premises was spoken with during the inspection. He said that he had just received the keys for his own flat and would be moving out just before Christmas. He spoke very highly of the staff and the support he had received from them to enable him to reach this point and no longer be dependent on others. The manager also offered for him to return to Hoole Rd for Christmas day so that he didn’t have to spend the time on his own. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 19 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 & 36 The staff have developed a good knowledge of how best to meet the needs of the residents through the training provided to them. The residents are protected by the recruitment procedures that are followed by the home. EVIDENCE: The residents all spoke very highly of the staff support they were receiving at Hoole Road. The care staff and manager were approachable and residents called into the office on a number of occasions throughout the inspection to speak to the manager. The residents were also seen to interact with the care staff while they were completing the tasks that had been allocated to them in the residents meeting that morning. The registered manager for the home was off due to long-term illness. The manager of one of Turning Points other local homes was also covering at Hoole Road. She has several years experience of care home management and is professionally qualified (Diploma in Social Work). The manager is nearing the completion of the Registered Manager’s Award and has satisfied the Commission for Social Care Inspection as to her fitness to manage a residential care home. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 20 The staff meeting minutes showed that a number of changes had taken place that would benefit both residents and staff. The residents’ one-to-one sessions are now timetabled so they are happening more consistently. Staff meetings and supervision sessions were also happening more consistently. The staff files viewed contained all of the information required when recruiting new staff, to fully protect the residents. One of the references for a new member of staff had been received but did not contain sufficient information from which the manager could make a decision. A further reference had been requested and was held on file. The staff are receiving formal one-to-one supervision. Evidence of this was seen in the paper work provided although the content of the supervisions was not read due to its confidential nature. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 21 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, 41 & 42 Although the registered manager had been absent for some time, the ethos of the home had not been lost. The residents’ views of their stay are recorded and used to develop the service further. EVIDENCE: The home was being well run and the staff interacted freely with the relief manager. The staff also spoke well of the relief manager. The residents are asked to complete an exit questionnaire regarding their satisfaction during their stay and any suggestions they may have for improving the service. The questionnaires are kept by the home. Turning Point uses the findings from the questionnaires to further develop the service. The home may benefit from finding out the views of their staff and other professionals who are involved with the service. (See recommendation 5) Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 22 Policies and procedures were being followed in all aspects of the service and these were regularly updated. The home has a written policy statement governing adult protection and all staff receive training in this area as part of their induction. The visitor’s book was held in the office. This appeared to be signed regularly by anyone entering the home including the ex residents who were seen to enter via the back kitchen door. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Turning Point Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 3 3 x DS0000006612.V265507.R01.S.doc Version 5.0 Page 24 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 YA24 Regulation 16 Requirement The kitchen unit fronts and paintwork must be renewed. The fridge and freezer must be repaired. The carpets in the hall, stairs and in the office must be replaced. The bin next to the telephone must be removed. Timescale for action 01/01/06 2 YA24 16 01/01/06 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 3 4 5 Refer to Standard YA5 YA6 YA6 YA6 YA9 Good Practice Recommendations The residents own financial contribution to their stay at Hoole Road should be included on their contract. The staff should obtain and include a brief history of each resident on their file. Wherever possible staff should complete the daily records with the involvement of the resident. A current photograph of each resident should be held on their file. Each resident should carry some form of information identifying that they are currently living at Hoole Road. DS0000006612.V265507.R01.S.doc Version 5.0 Page 25 Turning Point 6 YA39 Staff and professionals in contact with the home should be consulted as part of the quality assurance programme. Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Turning Point DS0000006612.V265507.R01.S.doc Version 5.0 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!