Inspection on 30/11/05 for Unity Care

This inspection was carried out on 30th November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Unity Care 29/09/09

Unity Care 10/10/08

Unity Care 18/10/07

Unity Care 15/09/06

Unity Care 17/06/05

Unity Care 09/02/05

Unity Care 23/07/04

Unity Care 26/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Unity Care 90 Gravelly Hill Erdington Birmingham West Midlands B23 7PF Lead Inspector Sarah Bennett Announced Inspection 30th November 2005 11:00 Unity Care DS0000017070.V260098.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 Unity Care DS0000017070.V260098.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. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Unity Care Address 90 Gravelly Hill Erdington Birmingham West Midlands B23 7PF 0121 328 9826 0121 686 4406 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Sylvia Hamilton Mr Wayne Hamilton Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years. Date of last inspection 17th June 2005 Brief Description of the Service: The home is a large terraced style property, with two bedrooms on the first floor and one on the ground floor for service users. Bathrooms are situated on both ground and first floors. There is a communal dining area leading to the kitchen, also on the ground floor is the office/sleep in room and communal lounge. To the front of the home is a very steep garden with limited off street parking. To the rear of the home is a garden, which is set at a steep incline. The home is registered to provide personal care and accommodation for up to three adults who have a learning disability. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted by, two Inspectors over three and a half hours. This was the second of the statutory inspections for this home for 2005/2006 and not all of the National Minimum Standards were assessed. To get a full picture of the home it is advised to read this report in conjunction with the report from June 2005. At this inspection time was spent observing interactions and support from staff. The Inspectors had the opportunity to talk with one of the service users, the manager and staff. Both service users completed CSCI comment cards. A tour of the home was made. Service users care plans, risk assessments and a number of Health and Safety records were inspected. The Inspectors did not have an opportunity to speak with relatives but one CSCI comment card was received from a relative. The manager completed the pre-inspection questionnaire. What the service does well: What has improved since the last inspection? New sofas and a rug have been bought for the lounge. The dining room and the hall between the toilets and kitchen have been redecorated. This makes the home more comfortable and homely for the people who live there. The toilet window that overlooks the garden has been covered so that it is now private. The people who live at the home have had regular check ups with the dentist and optician. Records of these visits are kept so it is clear when their next check up is due. Health Action Plans have been started so that the health needs of people who live there can be met and to make sure that they access the health services they need to. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 6 Care plans have improved so it is clear to staff how they are to support the people who live there in all parts of their lives. 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. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4, 5 There is information available to support prospective service users in making a decision about a future placement in this home. Currently service users needs are assessed properly, and future service users would be offered the opportunity to have introductory visits prior to making a decision. Service users are not aware of the terms and conditions of their stay at the home. EVIDENCE: A Statement of Purpose and Service Users Guide was available. These were in an easy read format, and the documents included symbols to further support service users with understanding the document. When assessed against Schedule One of the Care Homes Regulations 2001 the Statement of Purpose would require the following developments. • The type of activities service users can undertake, and it is recommended an example of how often these can be undertaken, and how these are funded also be included. • Local facilities and amenities available in the area There have been no new admissions since the last inspection. Personal service user files included appropriate assessments of individual support needs. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 9 A discussion with the manager confirmed that any prospective service users would be offered the opportunity to visit and stay at the house, prior to any decision being made about a future placement. Service users contracts need to be put in place, listing terms and conditions, it is recommended as a matter of good practice, that service users are supported to sign these contracts. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Care plans and risk assessments reflect the service users needs adequately and are being developed appropriately. The staff support the service users to make decisions, and consult with them about choices they wish to make in their every day lives. Service users are supported to take risks in a responsible manner. EVIDENCE: Service users care plans were of a comprehensive standard and were recently completed. It was pleasing to note that the care plans made reference to the fact they were a working document, would be regularly reviewed and that they had been completed with the service user. As the care plans were dated 20th September 2005, no reviews were noted. It is recommended the care plans are reviewed at least six monthly, with the service users, and that they detail outcomes for the service users. These will also need to be signed and dated by the service user. It is recommended that staff work towards introducing Person Centred Plans for each service user, in line with the Government White Paper ‘Valuing People’ Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 11 The home has minuted monthly meetings with the service users to discuss any issues. It is recommended that these meeting minutes are more expansive, detailing an agenda, issues discussed and outcomes decided upon, and then signed up to by the service users. Each service user has a number of risk assessments that state how risks are to be minimised when doing activities such as cleaning, ironing, using the community, travelling independently and crossing the road. One service users risk assessment stated that when accessing the community staff are to ensure that the service user is in a ‘good mood’ to minimise the risk of any behaviour that may be ‘challenging.’ This should be more specific so that it is clear what a ‘good mood’ is for the individual to ensure that staff are consistent. Unity Care DS0000017070.V260098.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, 16, 17 Service users are part of their local community and encouraged to engage in appropriate leisure activities. The service users are encouraged and supported to maintain links with their family and friends. The service users are offered a healthy and varied diet. EVIDENCE: One of the service users was out at college then out to see a friend later that day. The other service users college course had recently ‘fallen through’ .The staff in the home said they were currently looking into other daytime activities for the service user to take part in. The service user spoken to said he really enjoys spending time at home. Both service users files were looked at. One file demonstrated that the service user went out regularly at least every day, pursuing activities of his choice. One of the service users had been encouraged to pursue his interest in music and is now a DJ at a local club, for young people with learning disabilities. The manager said this has helped support his personal development in many areas of his life. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 13 The service users meetings minutes demonstrated, that the staff and service users have regular discussions about activities and things they would like to take part in. The home had a selection of games and videos. One service user also has cable television channels in their bedroom. There is a bus stop outside the house, which goes directly into the city, the home also has a minibus available to the service users. In one file sampled, the service user, was taking part in activities every day, including shopping, college, visiting friends, going to a local club, playing on his Play Station 2 and watching TV. Service users said that they have been on holiday to Butlins in Minehead this year. One of the service users wrote in the CSCI ‘Comment Card’, a good thing about living in the home is, “I am free to do what I want to do”; the service user also indicated that he had lots of things to do in the home. Service users records indicated that they are encouraged to be as independent as possible and do their own ironing and laundry, clean their bedrooms and cooking. There was fresh fruit and vegetables available in the home. The menu planner said fresh fruit and vegetables are to be offered with all meals. There were a good choice of brand label food items in the cupboards and fridge, and there was a large choice of breakfast cereal available. The menus reflect an extensive choice of meals; the choices offered reflect the cultural needs of the service users. Both service users had filled out the ‘Comment Cards’ for the inspection, these indicated that the service users made choices about what they would like to eat and regularly go shopping for food. One service user said that was a good thing about living in the home, was the food, but he also said sometimes the food is poor. Unity Care DS0000017070.V260098.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): 18, 19, 20 Service users receive appropriate personal support from staff. Further development is needed to ensure that service users health needs are adequately met. Adequate arrangements are in place to ensure that service users are protected by the homes medication policies and procedures. EVIDENCE: Service users records included a manual handling assessment stating what support, if any, the service user needed with their mobility. Records included how staff are to support service users with their personal hygiene and skin care. In the files sampled there were comprehensive Health Action Plan checklists in place and some work had been started to develop goal planning/care planning from this process. This requires further development. One of the service users records included a weight chart, however, this was blank. Service users weight must be monitored monthly to ensure this is stable. Service users records stated that health professionals were involved in their care where appropriate. Service users have regular check-ups with the dentist and optician. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 15 A local pharmacist supplies the medication to the home. Medication is stored in a locked cabinet. Staff had signed service users Medication Administration Records (MAR), indicating that medication had been given as prescribed. One of the service users MAR included Midazolam (a ‘rescue’ treatment used for epilepsy). The manager said that there is not any Midazolam in the home and the service users does not take it. It had not been signed as given. Therefore, this should be removed from the MAR. Advice was given to the manager about the need for a protocol and separate storage and recording if the service user was to have Midazolam. Unity Care DS0000017070.V260098.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, 23 The arrangements for the service users to make a complaint are adequate, and the complaints policy encourages the service users to talk about things they like and dislike. Service users are not fully, protected from abuse, neglect and self-harm. EVIDENCE: A complaint log is kept in the home, this was looked at during the inspection, and there have been no complaints since the last inspection. The complaints procedure is in an accessible format for the service users, who currently live in the home. The service users do not have an individual copy of the complaints procedure on their personal files. It is recommended that service users are given an individual copy of the complaints procedure and that staff support service users to read and understand this document, so they are aware of their individual rights. It is recommended that the complaints book, be expanded to record comments and compliments as well, as complaints. The CSCI ‘Comment Cards’ completed by service users, indicated that they know who to tell if they were unhappy about something in the home. Relatives said that they are aware of the homes complaints procedure. The home has risk assessments in place, including financial risk assessments. The service users receive their benefits into their own individual post office accounts; each service user holds their own card for this with a PIN number. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 17 The service users know their own PIN numbers, and with some guidance and support from staff manage their own money. Currently none of the service users have advocates. The staff files sampled indicated that training in the area of Protection of Vulnerable Adults had been completed, however certificates to confirm this were not evident on staff files sampled. These must be available. On staff files sampled, there were gaps noted in staff’s history of employment. Gaps in employment history on application forms must be fully explored with staff and adequate explanations of these gaps kept on the individual files. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28, 30 Adequate arrangements are in place to ensure that service users live in a homely, comfortable and safe environment. EVIDENCE: Since the last inspection new sofas and a rug have been bought for the lounge making it more comfortable and homely. The dining room has been redecorated. A requirement was made at the last inspection to provide a blind or covering on the window of the toilet that looks over the garden to make it private. A coloured film that looks like a stained glass window and offers privacy has been provided. The hall that leads from the toilets to the kitchen has been redecorated. Service users bedrooms were not seen as the service users did not agree to this. The vacant bedroom was seen on the ground floor. This is currently used as storage space. The manager said that this will be cleared and the necessary furniture provided as soon as a referral for a new service user is received. It is recommended that this be done soon to avoid unnecessary delays when a referral is received. The office is on the first floor. The manager said that maybe in the future this will be used as another bedroom also and the office moved to the second floor. The manager was advised that a variation Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 19 application to the CSCI would be needed for this to increase the registered number of service users to four. The home was clean and free from offensive odours. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 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): 32, 33, 34, 35, 36 Records and limited observations indicated that an appropriately trained and supervised team of staff supports the people living in the home. EVIDENCE: Staff rota’s examined indicated that there is an effective staff team available to support the services users. The staff rotas indicated that there is a hand over of information between the staff group each day. The manager is available to support the staff team on a weekly basis. The staff rota reflected the actual staff on duty on the day of the inspection. The manager stated in the pre-inspection questionnaire that no staff have left since the last inspection. They also stated that agency and bank staff had not used to work at the home in the last eight weeks. According to staff records sampled, the staff had undertaken all statutory training and a plan indicated that refreshers in these areas had been booked for the following year. Staff files must include copies of all staff training certificates on each individual file. Records sampled demonstrated that the staff team benefit from regular staff meetings, the manager said staff meetings are held monthly. Staff records sampled contained all the necessary information to indicate that service users are supported by the home’s recruitment policy and practices. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 21 However, the unexplained gaps in the employment histories of the staff files sampled, do not adequately protect the service users. The home must explore with staff all employment history gaps and be satisfied by the explanation given. Two staff records sampled indicated that supervision had taken place every month for the past six months and that staff had an annual appraisal, which considered their developmental needs. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Service users benefit from a well run home. It is not evident that service users views underpin all self-monitoring by the home. Some further development is needed to ensure that service users health, safety and welfare is adequately promoted and protected. EVIDENCE: The registered manager has several years experience of working with people who have a learning disability. The registered manager has NVQ level 4. They were available during the inspection and had completed the pre-inspection questionnaire. The manager said that the owner was away on holiday. There had not been a visit by the owner or their representative as required during November 2005. They had visited monthly prior to this and written a report however, these were not that detailed. A quality assurance annual development plan was displayed in the lounge with objectives that included health action planning, goals for service users, training Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 23 and Criminal Records Bureau checks. The manager said that these objectives are monitored six monthly. The objectives were not that specific and it was not clear how they could be monitored effectively. It was not clear whether service users views had been included in the quality assurance plan. The accident book showed that there have been no accidents to service users or staff since the last inspection. Fire records showed that there are regular fire drills held to make sure that service users and staff know what to do if there is a fire. An engineer serviced the fire equipment in November 2005. Staff test the fire alarm weekly and the emergency lighting monthly to make sure that they are working. A Corgi registered engineer tested the gas equipment in June 2005 and stated that it was in a satisfactory condition. An electrician completed the five-yearly electrical wiring test in October 2002 and stated that it was in a satisfactory condition. The manager said that an electrician tested the portable electrical appliances in October 2005 but the record of this has not yet been sent. A label was noted on one electrical appliance that stated that it had been tested in October 2005. A copy of the record must be forwarded to the CSCI when it is received. Not all items of opened food in the fridge were labelled. Staff test the water temperatures weekly to make sure that the water is not too hot or cold for the residents. All records stated that the water temperatures were between 42 – 44 degrees centigrade, which is at a safe level. The recommended temperature is 43 degrees centigrade. One of the tiles at the front of the fireplace was missing. This must be repaired or replaced, as it is a potential hazard. Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 3 1 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 2 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Unity Care Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 1 x x 2 x DS0000017070.V260098.R01.S.doc Version 5.0 Page 25 Are there any outstanding requirements from the last inspection? Yes, one. 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 YA1 Regulation 4(1)c Sch 1 Requirement The Statement of Purpose of the home must include the following: a) The type of activities service users can undertake. It is recommended an example of how often these can be undertaken, and how these are to be funded also be included. b) The local facilities and amenities available in the area. Each service user must have an individual contract that states the terms and conditions of their stay at the home. Service users Health Action Plans must be developed further. Service users must be weighed monthly and a record of this must be kept. Gaps in employment history on staff application forms must be fully explored and adequate explanations of these gaps kept on the individual files. Certificates of all training undertaken by staff must be available in their individual files. This must include the Protection of Vulnerable Adults training undertaken. DS0000017070.V260098.R01.S.doc Timescale for action 31/01/06 2. YA5 5 (1) c 28/02/06 3. 4. 5. YA19 YA19 YA34YA23 12 (1) (a) 12 (1) (a) 13(6) 18(1)a 31/01/06 31/12/05 31/12/05 6. YA23YA35 Sch2 (4) 31/12/05 Unity Care Version 5.0 Page 26 7. YA39 26 8. 9. 10. YA42YA24 YA42 YA42 13(4) 23(2)b 13 (4) 13 (4) The owner or their representative must visit the home monthly and make a report of their visit. (Previous timescale of 30/06/05 not met). The tiles around the fireplace must be repaired or replaced. All items of food opened in the fridge/freezer must be labelled with the date opened. A record of the portable electrical appliance testing must be forwarded to the CSCI. 31/12/05 31/12/05 30/11/05 04/01/06 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. 6. Refer to Standard YA9YA6 YA6 YA8 YA9 YA20 YA22 Good Practice Recommendations Risk assessments should be cross-referenced to service users care plans. Person Centred Plans for each service user should be developed. Service users monthly meetings should be more expansive, detailing an agenda, issues discussed and outcomes decided upon and signed by the service users. Service users risk assessments should be more specific i.e. describe what a ‘good’ mood is for an individual. Medication no longer prescribed for service users should be removed from their medication administration record. Each service user should be given an individual copy of the complaints procedure and staff should support service users to read and understand this document, so they are aware of their individual rights. The complaints book should be expanded to include compliments made about the home and the service provided. The spare bedroom should be cleared and the furniture required in the National Minimum Standards provided. The quality assurance plan objectives should be more specific. They should include the views of service users. 7. 8. 9. YA22 YA26 YA39 Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Unity Care DS0000017070.V260098.R01.S.doc Version 5.0 Page 28 - 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!