CARE HOME ADULTS 18-65
Valley Road Care Home 1 - 7 Valley Road Gedling Nottinghamshire NG4 1LS Lead Inspector
Stephen Benson Key Unannounced Inspection 29th November 2006 9:30 Valley Road Care Home DS0000008781.V319703.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 Valley Road Care Home DS0000008781.V319703.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. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Valley Road Care Home Address 1 - 7 Valley Road Gedling Nottinghamshire NG4 1LS 0115 9562309 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.mencap.org.uk Royal Mencap Society Lisa Rooks Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 9th December 2005 Brief Description of the Service: Valley Road care home is a comprised of two separate buildings, which accommodate a total of 11 adults with a learning disability. These houses are situated adjacent to one another and set within their own grounds, with a shared garden to the rear with seating and shaded areas. There is also parking for vehicles at the rear. Service users have single rooms on ground and first floors. The ground floor has level access, but there is no lift to the first floor. The home is sited within the local community in a residential area close to a leisure centre. Service users are supported and encouraged to use all local amenities and public transport. The manager stated in the pre inspection questionnaire that the fees for the service are £359.18 per week. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The inspection looked at key standards for younger adults. The site visit lasted for 4 ½ hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. A discussion was had with staff on duty and care practices were observed. The manager arrived at the end of the inspection and was spoken with briefly. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. A pre inspection questionnaire was completed and a survey forms sent to the home by The Commission for Social Care Inspection had been completed by 9 residents. What the service does well:
A recently admitted resident had a community care assessment and was assessed by other professionals to ensure that their needs could be met within the home. Other files seen had assessments in them. The evidence shows that new residents are assessed before they come to live at the home. There were clear and detailed plans of care for the assistance residents need and they included promoting independence, privacy and dignity. Residents said they discussed their plans with staff and know what is in them. The evidence shows that residents know their assessed needs and personal goals are reflected in their individual plan. Details about residents’ ability to make choices are included in care plans and where choices are made that effect residents well being appropriate support is sought. Residents spoke of choosing how they spend their time. The evidence shows that residents make decisions about their lives with assistance as needed. Risk assessments were completed to assess residents abilities to undertake independent activities, including using public transport. Residents spoke of using equipment in the kitchen and were seen doing so with supervision. The evidence shows that residents’ are supported to take risks as part of an independent lifestyle. Residents attend a local day centre where they can meet and mix with others and participate in appropriate activities. Some residents are involved in part time and voluntary work and one resident goes to college. The evidence shows that residents are able to take part in age, peer and culturally appropriate activities. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 6 Residents use local facilities including the leisure centre, pubs, healthcare services, clubs and shops. The evidence shows that residents are part of the local community. Arrangements for residents to have contact with their families are included in care plans and residents have friendships with people outside of the home. Residents are supported to send birthday and Christmas cards to their families. Residents spoke of having visitors. The evidence shows that residents have appropriate personal, family and sexual relationships. Details of residents preferred routines are recorded in care plans. Residents are able to make choices they are able to, for example the time they get up and go to bed. The evidence shows that residents’ rights are respected in their daily lives. Residents are able to choose what they have to eat and are not restricted by a set menu. Records showed that there are a variety of meals provided and residents are able to exercise their preferences. Staff discuss healthy eating with residents. The evidence shows that residents are offered a healthy diet and enjoy their meals and mealtimes. Care plans detail what assistance residents need and what they can manage for themselves. Staff said they only provide help when it is needed. The evidence shows that residents receive personal support in the way they prefer and require. A record is made of all healthcare appointments attended and these showed that residents access a variety of services including eye tests and dental visits. A psychiatrist has been contacted for advice about one resident. A resident spoke of having an operation recently at a hospital. The evidence shows that residents physical and emotional health needs are met. Residents are assessed to see if they are able to self medicate. Staff have been trained in the safe storage and handling of medicines and residents confirmed they are given their medication by staff. The evidence shows that residents are protected by the home’s policies and procedures for dealing with medicines. A complaints procedure is displayed in each house in a picture format. Residents said that any complaints are dealt with by staff and they are aware of their rights. The evidence shows that residents feel their views are listened to and acted upon. There was information seen about ensuring the safety of one resident. Staff have had training on adult protection and knew how to use the Adult Protection procedures. Residents said they would report any mistreatment to staff. The evidence shows that systems are in place to protect residents from abuse, neglect and self harm. Residents are supported to clean their own rooms and change their beds. Protective clothing is available. Residents felt the home is fresh and clean. The evidence shows that the home is clean, pleasant and hygienic. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 7 Some staff have successfully completed a National Vocational Qualification in care and other staff are working towards this. The evidence shows that residents are supported and protected by an effective staff team. The home has a training programme and staff are provided with the mandatory training. A record is made of all training staff receive. The evidence shows that residents individual and joint needs are met by appropriately trained staff. The manager has worked at the home for a number of years and is currently working towards The Registered Managers Award. Staff felt the home was suitably manager. The evidence shows that residents benefit from a well run home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Valley Road Care Home DS0000008781.V319703.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 Valley Road Care Home DS0000008781.V319703.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. New residents are assessed before they come to live at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were assessment forms seen on files of residents who were case tracked, although all have been at the home for some time. Staff said that there has been one recent admission and assessment information had been obtained to help decide whether the resident’s needs could be met. The resident visited the home prior to moving in and was seen by a physiotherapist and community nurse as part of the assessment process to ensure that their needs could be met. Assessments included details of any specialist assistance a resident requires. The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Residents assessed needs and personal goals are reflected in their individual plan. Residents’ make decisions about their lives with assistance as needed. Residents’ are supported to take risks as part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home uses a person centred care plan and these were detailed and clearly showed residents’ needs and how these are to be met. Some of the plans had photographs of the resident showing themselves involved in the subject of the plan to assist them with understanding the plan. The manager said that they are looking at ways of developing this idea further as it helps residents when looking at their care plans. There was evidence of plans being reviewed and updated and a member of staff was seen updating one plan during the inspection. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 11 Staff said that they are responsible for reviewing and updating plans and they have been provided with training on person centred planning. A resident said, “I know what is written in my care plan, I agree with what is in it”. Care plans include details of resident’s gender, ethnic origin, religious beliefs and any disability. There were details about supporting residents to make decisions in care plans including such things as what they are going to wear. Staff said that residents are able to choose pretty much anything although they will give guidance where appropriate. Examples of this include if a resident doesn’t want to go to the day centre one day, staff will enquire why and act according to the reason given. One resident has made a number of decisions, which are having an effect on their well being, appropriate support is being sought from other professional agencies regarding this. A resident said, “I go to my room and watch TV a lot, I like peace and quiet on my own”. Care plans include risk assessments and those seen included assessing a resident going out, using public transport and bathing without staff present. There were details on notice boards of residents using public transport. Staff said that residents are supported to be as independent as possible and some residents have been assessed as being able to go out alone, some to a local shop and others to travel on the bus and tram. Staff spoke of one resident who had experienced some difficulty when going to the shop being supported to be able to do this again. A resident said, “I can make a cup of tea and do some cooking. I can use a kettle”. The resident was seen later making a cup of tea with support from staff. In the survey forms sent out by The Commission for Social Care Inspection all residents ticked the box stating they always or usually make decisions about what they do. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. Residents are able to take part in age, peer and culturally appropriate activities. Residents are part of the local community. Residents have appropriate personal and family relationships. Residents rights are respected in their daily lives. Residents are offered a healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are able to attend a local day centre and a number were doing so at this inspection. One resident had arranged for a men’s group he is part of to come and see his room and have a lunch together. The documentation used in care plans refers to “day services” and would be more appropriate if it included work and training. Staff said one resident works as a kitchen assistant one day a week at another day centre, another resident is a relief cleaner at a local leisure centre and
Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 13 works in a charity shop and another does voluntary work on a farm. One resident attends college and another has decided not to attend a day centre. A resident said, “I don’t go to the day centre anymore, I got bored. I tried going back for a day but wanted to come home so staff came and got me. I have been to college in the past and did cooking”. In the survey forms sent out by The Commission for Social Care Inspection all residents ticked the box stating they always do what they want during the day. There were details for residents to attend local clubs and groups in the care plans. Staff said that residents use local community resources and gave examples of going to the bar at the local leisure centre, a local pub, using local shops and local clubs. A resident said, “I used to go to a pottery club on Monday nights” and showed a mug he had made there. In the survey forms sent out by The Commission for Social Care Inspection all residents ticked the boxes stating they always do what they want during the evening and at weekends. There were details of contact with families and friends included within care plans and a list of birthdays and anniversaries of family members. A card was ready for posting for a forthcoming relatives birthday. There were also Christmas cards written ready to be posted. Staff said that residents are encouraged to make relationships that are positive and that they have had to support a resident who had made an inappropriate relationship. Staff said friends are welcome to visit and arrangements can be made for friends to stay overnight. A resident said, “My brother and sister come and see me sometimes”. There were details of residents preferred daily routine included in the care plan. Staff said that routines are flexible to a point. A resident said, “I like my lie ins. I can lie in during the week and sometimes stay in bed until dinner at weekends”. They home does not operate to a set menu and residents are able to choose what they eat. The menu record showed that residents do not all eat the same meals, some had varied diets and others were limited. Staff said that residents can either take a packed lunch or have a meal at the day centre and there is always a hot meal in the evenings during the week. A resident said, “I get my own breakfast, my favourite is Sugar Puffs, I like them with lots of milk on. I get enough to eat. Staff talk about healthy eating, I have some healthy things”. The manager said that any special diet for personal choice, religious or health reasons would be accommodated. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. Residents receive personal support in the way they require and with respect. Residents physical and emotional health needs are met. Residents are protected by the home’s policies and procedures for dealing with medicines. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans include details of what support residents require and what they are able to do for themselves in seeing to their personal care. There are also details of preferences of the gender of staff to provide assistance. Staff said that they provide assistance to washing backs and hair where needed, help with drying and applying creams. Staff said that male staff do not provide personal care to female residents. A list of all medical appointments residents have is kept in the care plan. There was evidence seen of routine health checks being carried out including eye tests and dental visits. One resident is causing concern through not cooperating with their healthcare and this is being monitored by staff and professional assistance has been sought. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 15 Staff said residents have routine health checks and they had discussed one resident with a psychiatrist. A resident said, “I can ask to see a doctor if I want to”. Another resident said, “I had an operation last month and had to stay in hospital”. Medication is prepared into a dispensing system by the pharmacist. There is a system to assess whether residents can self medicate and one resident is assessed as being able to do so. A sample of Medicine Administration Records was seen and these were correctly completed. Staff said they have been trained in the safe storage and handling of medicines by the pharmacist. A resident said, “I have my tablets in the morning, at tea time and before I go to bed and I am given these by staff”. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Residents feel their views are listened to and acted upon. Systems are in place to protect residents from abuse, neglect and self harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home a complaints procedure and this is displayed in picture format in each house. Staff were unable to find the comments and complaints book, however the manager was able to show this when she came on duty and said that she would remind staff where this was kept. A resident said, “If I am not happy about something I tell the staff and they deal with it” and another resident said, “I made a complaint a long time ago and they manager dealt with it, I know my rights”. In the survey forms sent out by The Commission for Social Care Inspection eight residents ticked the box stating they knew who to speak to if they were not happy and one ticked the box saying they did not. Seven ticked the box saying they knew how to make a complaint and two ticked the box saying they did not. There were details of measures staff should follow to ensure the protection of one resident seen in the care plan. Staff said they have had training on adult protection and knew how to use the procedures. A resident said, “I would tell anyone off who didn’t treat me right”. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 17 The manager said there have not been any reported incidents of abuse and that any form of abuse or discrimination would not be accepted and would be dealt with by following the Adult Protection Procedures. Valley Road Care Home DS0000008781.V319703.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. Residents live in a homely environment, but this is not being fully maintained. The home is not suitable for wheelchair users. The home is clean, pleasant and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was pleasantly decorated and furnished and had a homely feel. It has a number of turns and stairs and would not be suitable to someone in a wheelchair. The cupboards in one laundry were in a poor state of repair and a drawer was broken. These need to be replaced. The lawn had not been mowed recently and was a little overgrown. The ceilings in the first floor toilets slope in a way that creates a potential hazard of someone banging their head. Staff said there is a repairs book where they record any maintenance that is needed. A resident said, “The home is kept nice, I am happy with it”. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 19 Staff said they have had training on infection control and protective clothing is available. There is not a sluice facility or sluice programme on the washing machines, but staff said this was not needed. There is a laundry in each house and this can only be accessed through the kitchen. There is not a written procedure stating the safe use of the laundry and preventing the risk of infection when taking dirty clothes through a food preparation area. Residents are supported by staff to clean their rooms and change their bedding. In the survey forms sent out by The Commission for Social Care Inspection all residents ticked the box stating the home is always fresh and clean. Valley Road Care Home DS0000008781.V319703.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. Residents are supported by competent and qualified staff, however they may not always be able to contact them at night time. Residents are supported and protected by the home’s recruitment policy and practices. Residents individual and joint needs are met by appropriately trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are always at least two staff on duty, one based in each house and this can vary to three or four. There are to staff sleeping in and they manager said that residents have not needed assistance during the night so waking staff are not required at present. There is a call bell in each room attached to one of the sleeping in rooms, however if the member of staff is not in there this may not be heard. The home employs male and female staff of varying ages. A resident said, “There are plenty of staff, they are there when I want them”. Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 21 There have not been any recent staff appointments made. The manager said that the required checks are carried out when new staff are appointed. The home has an equal opportunities policy regarding the appointment of staff. There is a training file where a copy of all staff training certificates are kept. Staff said their training needs are assessed and all mandatory training is provided. There are six staff who have completed or are working towards National Vocational Qualification level 2 and three staff towards level 3. Valley Road Care Home DS0000008781.V319703.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. Residents benefit from a well run home. The views of residents influence the self monitoring, review and development by the home. The health, safety and welfare of residents are fully promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been in post for many years and is nearing completion of The Registered Managers Award. The manager is a National Vocational Qualification assessor. There was a copy of the joint Nottinghamshire County and Nottingham City Councils quality assurance check, The Quality Tree, seen in care plans. Staff said that keyworkers discuss The Quality Tree with residents.
Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 23 A resident said, “I get asked what I think” and another resident said, “Staff talk about what I have been doing and what I would like to do”. Staff said that Health and Safety responsibilities are shared out amongst them. A fire test was carried out during the inspection and a resident said, “I didn’t come out of my room as I was told it was a test but I did on Saturday when the alarm went off”. The manager provided dates of all required checks and tests being carried out in the pre inspection questionnaire and a sample of these were found to be correct. Valley Road Care Home DS0000008781.V319703.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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. 2. Standard YA24 YA32 Regulation 23 18 Requirement The registered person must replace or repair the laundry drawer and cupboards The registered person must ensure that sleeping in staff can be contacted if needed Timescale for action 01/04/07 01/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP24 OP30 Good Practice Recommendations The registered person should ensure the lawn is kept mown and tidy The registered person should prepare a written procedure for preventing the risk of infection when taking dirty clothing through a food preparation area Valley Road Care Home DS0000008781.V319703.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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