Inspection on 14/06/07 for Walby Hill, 4

This inspection was carried out on 14th June 2007.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Walby Hill, 4 15/05/06

Walby Hill, 4 19/01/06

Walby Hill, 4 03/11/05

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOMES FOR OLDER PEOPLE Walby Hill, 4 4 Walby Hill Rothbury Morpeth Northumberland NE65 7NT Lead Inspector Carole McKay Key Unannounced Inspection 09:30 14th and 27th June 2007 X10015.doc Version 1.40 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 Walby Hill, 4 DS0000065896.V338269.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 Older People. 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. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walby Hill, 4 Address 4 Walby Hill Rothbury Morpeth Northumberland NE65 7NT 01669 620737 01670 518118 linda.arkle@oakleatrust.co.uk www.oakleatrust.co.uk The Oaklea Trust 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 L Arkle Care Home 6 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (4) of places Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th May 2006 Brief Description of the Service: 4 Walby Hill is a care home providing personal care and accommodation to six people with a learning disability. Currently five people, male and female, live in the home. They are aged between 57 and 80. There is one vacancy For the purposes of this inspection the home has been assessed against the standards for homes for older people, however at future inspections the standards for services for younger adults may be applied. The home has also changed ownership recently and is now operated by the Oaklea Trust, a national organisation specialising in care for people who have a learning disability. The home is located on the fringe of the village in close proximity to shops and other amenities. It is a domestic property in a two-storey terrace house. There is an open and lawned area to the front of the home and a driveway access shared with neighbours. The back of the property has a small yard and shared driveway access. The home is domestic in style and warm and comfortable in character. The weekly fees are £245 per week. No additional charges are made. The home has a copy of the last inspection report and other information about the home is available. The long serving manager of the home is Linda Arkle. Linda is registered with the Commission for Social Care Inspection, (CSCI). This means that Linda has legal obligations to the people who use the service and to CSCI for the conduct, running of the home and the delivery of care. The home has one vacancy. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The manager of the service provided information prior to the service visits. This information was used to inform the inspection and to plan the visits to the service. Two visits to the home took place. One of these was so that a meeting could take place with the manager. Surveys were sent out to the service users and to their relatives/friends and advocates. All of the surveys were returned. Discussions took place with the service users, the staff and the manager of the service. The care records for three of the service users were examined in detail. The more general records, polices and procedures for the home were also examined. A brief tour of the building was undertaken. Two of the bedrooms were inspected. What the service does well: New service users will be provided with good information about the service. Service users will have their needs fully assessed and they will be involved in this. They will be introduced to the home and this will be planned wherever possible. People who live at the service will be supported in meeting their health needs. They will be treated with respect and their choices will matter. They will enjoy a range of opportunities to be part of the local community in a way that suits them. They will be supported to keep in touch with family and friends. The home is well staffed. Staff have skills that help service users to communicate well. The service is home like clean and comfortable. The service adapts where possible to the needs of service users. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 6 The service protects service users from harm of abuse. The following comments were made in surveys: “It is nice here”. “It is nice and clean”. “ On visiting I get the impression that everyone is comfortable with each other and the days always seem to run smoothly despite the different aspects of the residents character” “ as far as I can see they always ask what people want and do their very best to provide opportunities that are asked for “ What has improved since the last inspection? What they could do better: Make sure that special assessments are available for older service users so that their good health continues to be promoted into older age. Provide training for staff in the ageing process so that service users’ health needs are recognised into older age. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 7 Make sure that the recruitment checks for staff are all recorded in full at the home. This will reassure the manager that staff are suitable to care for service users. Provide space for private meetings and record keeping. 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. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who are considering coming to live at the home will have the information and opportunities they need to help them make this decision. The service will assess their needs very carefully so that they are sure the service can meet their needs. EVIDENCE: At the last key inspection the manager was required to review the aims and objectives of the service so that she could be sure that the service had the right amount of staff and staff training. The manager has done this as part of the business plan for the service. Information about the home is available in an easy to read style. This includes very clear descriptions of the service and photographs. It describes how this service is suited to the mobility needs of people and how the service is limited in the way it can adapt the premises in the future. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 10 One admission has taken place since the last inspection. This was well planned. Good information about the person’s needs was provided to the manager. The service has also carried out a clear assessment of its own. This is detailed and the person concerned has been involved. Because of the person’s changing needs, the initial assessment has had to be revised quickly. The service has responded well to this. People who live at the home have a full assessment of their needs. Oaklea Trust is re designing the assessment the home uses. The staff at the home are helping service users move the information they have put together into the new files. The assessment is very thorough and easy to follow. It also includes the service user’s views, opinions and choices. The assessment process is designed very well for people who are younger adults but there are no specific age-related assessment tools. For example, there is no falls risk assessment and no nutritional risk assessment. These, and others, could become very useful in the future for identifying health risks for people who use the service, as they get older. One of the people who use the service is prone to falls. The home does not provide intermediate care. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service responds to the health care needs of service users to promote good health. Support from specialists is developed so that the rights of service users are protected. The personal support is offered to people in a varied way so preferences and choices will be responded to. EVIDENCE: The assessment process is designed very well for people who are younger adults but there are no specific age-related assessment tools. For example, there is no falls risk assessment and no nutritional risk assessment. These, and others, could become very useful in the future for identifying health risks for people who use the service, as they get older. One of the people who use the service is prone to falls. Each service user has an individual plan of their care. Health needs are covered. Service users are supported to attend regular routine health checks. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 12 These are fully recorded. This means that care staff understand how the ongoing health problems of people who live at the service are being addressed and what they need to do to deliver care and support to service users. The people who live at the service are nearly all dependent on staff for some support with their personal care. But most require only a small amount of help and some can manage to care for themselves as long as they are prompted and guided to stay safe. The care plans describe this well. Where people need support with moving and the use of aids this is described in a special plan of care. Some of the people who live at the service have had some health problems recently. The service has involved specialists to support service users and the staff. For example, physiotherapist, speech therapists have been involved. Very detailed assessments and care plans are in place for these things. Where people have mobility difficulty, special aids have been obtained; for example special mattresses and walking aids. Most of the people living at Walby Hill need support with taking medication. Some people have said that they would like to do this themselves and this has been tried. The service has a way of assessing the risks first to help people to be independent in this. The risk assessment is recorded. The way staff will help people is described in a care plan. There are safe storage arrangements for medication. And the recording of medication is good for those people who need full support with this. Where changes are made to the instructions for medications by the persons’ GP this has not been updated on the record sheet used. There was only one example of this happening and it was addressed during the inspection. The Oaklea procedure for medication describes what staff should do in supporting service user with medication. Staff are just becoming familiar with these new procedures. Staff receive training in handling medication. More training is planned for the near future. In surveys all five service users answered “always” to the questions – “ do you receive the care ands support you need?” and “ do you receive the medical support you need?” High quality care practice was observed during the visits. Support and encouragement is offered to people living at the home in a very sensitive and focused way so that service users can communicate their choices and wishes and have control over what they do. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service continues to promote the independence of the people who live at the service. This has improved due to better staffing and support is provided in a way that respects the varied and individual needs of service users. People can enjoy being part of the community in ways that suit their ages, interests and choices. EVIDENCE: The service users’ plans are very person centred. This means that from reading the plan the staff can get a very clear picture of the people who use the service as individuals. The plans include individual preferences, lifestyle, culture and communication. Each person who lives at Walby Hill has a personal planning book. This includes the people, places and life events that are important to each person. Photographs of people and places are included. Service users are very much part of the local community. Some of the people who live at the service regularly use local facilities, such as shops and banks. Outings to these take place on a daily basis. Service users who want to be are supported to attend local clubs in the village, such as the ‘ Over 60’s’ and the Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 14 accordion club. This includes being part of club trips and outings with support from staff at the home. One of the members of the accordion club comes to the home to play for the service users. This is a regular event. Some of the service users prefer not to be part of organised groups. This is respected. Arrangements are made for these people to enjoy their own hobbies and interests in their own way, by listening to music on headphones for example and going out for walks with one member of staff, or being supported to use the computer for sending e mails to relatives. These activities were all observed during the visits In surveys all service users responded “always” to the question-“ are there activities arranged by the home that you can take part in?” Mealtimes are an important part of the day at Walby Hill. The main meal is taken at lunchtime. Staff and service users together prepare this. This was observed. Usually the main meal is taken in the dining room by staff and the people who use the service, as a group social occasion. It is an informal gathering and each person contributes in some small way. A menu is in place but this is followed flexibly to allow for unexpected events, social activity and visitors. Choices and alternatives were offered on the day of the visit. And the meal served was attractive warm and wholesome. The evening meal is a lighter and easier to manage meal and service users said it is sometimes taken in front of the TV or wherever people are comfortable. The menus are adapted for people who need special diets. For example an alternative version of the meal had been prepared for a person who was trying to lose weight. In surveys all service users responded “ always” to the question about whether they liked the meals. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service will be told about the procedures for raising concerns and will be given copies. The service responds to concerns raised so that people feel they are listened to and they are kept safe from harm. Service users are confident to tell staff how they feel. EVIDENCE: Information about making raising concerns is available to the people who use the service. Easy to read versions are available. The service has written policies and procedures for receiving and investigating complaints. The service users do raise concerns from time to time. These are recorded and the action taken is documented. No complaint from other agencies has been made to the service. The Commission for Social care Inspection has not received any complaints against the service. The responses to the relatives and visitors surveys showed an overall awareness of the procedures to do with complaints and a high level of satisfaction with the service. In surveys all five service users responded that they knew how to make a complaint and whom they would speak to. Service users, who were asked at the visit about this, confirmed that they were confident about this. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 16 The capacity for service user to give consent is included in the service user plans. Training for staff in understanding the law to do with the capacity to make decisions is underway. The home has written procedures for safeguarding vulnerable adults. These include what staff are expected to do should they suspect a vulnerable adult is being abused. To supplement this information, the home has a copy of the Department of Health guidance, No Secrets, and a copy of the local authority Protection of Vulnerable Adults procedures. Staff files show that all staff have received training in safeguarding within the last two years. The correct checks are taken up for new staff to make sure that service users are safe form people who should not be employed in care services. Where concerns of service users could be considered to be matters to do with safeguarding service users, the service manager, Linda, has shared this information properly so that the safety of service users is protected Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The building provides a comfortable and safe home for the people who live there. It has some restriction for people who have a physical disability but new service users will be made aware of this in the information about the home. Minor adaptations have been made so that people can maintain independence. Service users have a choice of communal space, but this has to be used by the staff team also. EVIDENCE: Routine maintenance and safety checks are carried out and recorded. The home does not employ domestic staff. The care staff follow written cleaning schedules to good effect. The home is clean and hygienic throughout Access at the rear of the home has been adapted to provide for a service user who needs to use a wheelchair when out of the home. The home is not ideally Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 18 suited to the needs of people who are, or may become physically frail, as it has only one ground floor bedroom and no lift. This has been taken into account in the statement of purpose/aims and objectives review. And it provides people who are considering living at Walby Hill with clear information to help them make a decision. On going decoration and replacement ensures that the home is attractive and comfortable. Part of the home was being re decorated during one of the visits. The furnishings are domestic in style and character. No areas of the home are obviously in need of repair or attention. This all makes for a very comfortable home. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is enough staff to make sure that more than just the basic needs of service users can be met. Service users can enjoy some one to one support in their daily activity. Recruitment of staff protects service users but is not fully documented. The special training that staff have undertaken is related to the needs of the people who live at the service. EVIDENCE: At the last key inspection of the home the manager was required to carry out a review of the staffing levels. This was done and staffing levels have increased. This means that there are up to three staff on duty at any time during the day. The manager, Linda, said that she is now able to provide service users with more one to one staff support so that they can follow their own individual interests. In surveys four service users responded “always” and one person responded “usually” to the question – “ are the staff available when you need them?” Thirteen care staff are employed in total. The home does not employ domestic staff. Six staff have a national vocational qualification (NVQ) level 3, three staff hold NVQ level 2 and three staff are working toward this. The basic training Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 20 that staff are required to take by law is planned out and updated training in these subjects is also planned ahead. The plan was examined. Special training courses are planned for up to July 2007. These include equality and diversity and medication training. This means that people who live at the service will have their needs met by staff that are capable and confident. At the last inspection a requirement was made for staff to have training in the ageing process and its effects on health and well being. This has not happened. Staff are being offered training related to people with learning disability (LDAF) and training in age related matters, for example falls awareness, pressure sore awareness. Since the last inspection the home has recruited two new staff. One person left without completing the probationary period. The other new staff is male. This reflects the gender mix of the people who user the service. The records show that the new staff has undertaken induction training and has had an assessment of his work undertaken at the end of the trial period. Linda said that the new staff fill in an application form. There is evidence that Oaklea Trust carries out checks to make sure that staff do not have a criminal background. The background check and the application form are not kept on file in the home. The file does contain one reference and evidence that a formal interview takes place. This is recorded in writing. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An experienced and qualified manager runs the home. Examples of quality assurance processes are evident. This means that service users can expect the service to continue to improve. Service users control their money where able and for those who cannot, their interests are protected. Safe working practices and safety audits mean that service users can enjoy their independence, be supported to take risks and will live in a safe environment. EVIDENCE: The manager, Linda Arkle has been in post for most of the time the home has been open and has worked for three different providers. Linda has the registered managers award and has had additional training. Linda has formed Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 22 productive relationships with the service users, the staff and service user representatives. The processes for checking that people are happy with the service are informal. Staff act as key-workers for service users. Service user meet regularly with staff as a group to talk about the home. These meetings are recorded. Linda said that the Oaklea Trust has a system for checking the quality of the service. This is to be introduced in the near future and it will involve the people who use the service. Service users’ are supported to manage their money. All transactions are clearly accounted for in records. The manager is not acting as appointee, except in one circumstance where no other person is available. Legal processes are in place to protect service users’ interests where this is needed. Because the house does not have an office the small sitting room is used to store records and also as a staff sleep in room. Records are securely stored when not in use. But it can be difficult for the staff to access records, and at the same time respect the rights of the people who use the service. There is no designated space for meetings to be held in private and sometimes the dining room has to be used for this The home has recently had a Health and Safety check by Oaklea Trust. An action plan has been written and the fire officer has been consulted to do with the use of fire doors. The information sent to the Commission for Social Care Inspection prior to the visits to the service, confirms that the health and safety checks have been attended to in the last twelve months. Staff have had training. More infection control training is planned for in the next twelve months. Fire safety records show that the necessary equipment has been serviced and checked since the last inspection. The home has a fire risk assessment and staff and the people living at the home have received instruction and drills. Risk assessments are in place for the premises and for supporting the people who live at the home. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X X X X X x 3 STAFFING Standard No Score 27 4 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 x Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 24 YES 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 OP7 Regulation 14 Requirement Assessment tools that address the needs of older people to be used alongside the home’s assessment, for falls, pressure sore risk, nutrition. The choices and preferences of service users to do with their personal care to be included in the assessments The staff team must be offered training in the ageing process and its effects on health and well - being. OUTSTANDING DATE 30/09/06 NOT MET Timescale for action 31/10/07 2 OP30 18(1) (a) 31/10/07 Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 25 3 OP29 19 Schedule 2 CRB certificates must be available for inspection. Or where an umbrella organisation or corporate body is used the minimum expectation is that on receipt of the disclosure the following information recorded in a letter from the body carrying out the CRB check should be issued to providers: The name of the person; Date of disclosure; Level of disclosure; Including poca check (if requested ); • Including pova check (if requested ); • Disclosure reference number; • Date pova first check received ( if this was sought); and pova first reference number. Letters must be kept on file and be available for inspection at the home. Two references to be taken up for each employee. • • • • 31/10/07 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. Refer to Standard OP37 Good Practice Recommendations Some separate space should be provided for private meetings, discussions and record keeping. Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 © 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 Walby Hill, 4 DS0000065896.V338269.R01.S.doc Version 5.2 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. 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