Inspection on 11/01/08 for Walmley Road

This inspection was carried out on 11th January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Walmley Road 189d Walmley Road Walmley Sutton Coldfield West Midlands B76 1PY Lead Inspector Key Announced Inspection 11th January 2008 07:55 Walmley Road DS0000071272.V357680.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 Walmley Road DS0000071272.V357680.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. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walmley Road Address 189d Walmley Road Walmley Sutton Coldfield West Midlands B76 1PY 0121 313 0879 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) enquiries@lonsdale-midlands-limited.co.uk Lonsdale (Midlands) Limited vacant post Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only; Care Home Only (Code PC) To service users of the following gender Either Whose primary care needs on admission to the home are within the following categories: 2. Learning Disability (LD) 4 The maximum number of service users to be accommodated is 4. Date of last inspection New Service Provider Brief Description of the Service: 189d Walmley Road is a four bedroomed bungalow situated in the residential area of Walmley, Birmingham. A range of local shops are close to the home and public transport nearby gives access to Sutton Coldfield town centre. The accommodation comprises of four single bedrooms, a communal lounge and separate dining room, kitchen and laundry room. There are two bathrooms, which include a walk-in shower facility. The home provides care and accommodation to four adults with learning disabilities who display behaviour that challenges service provision. During the day all four residents are provided with one to one support. The fees charged for each resident weekly are £1951.21. For up to date fee information the public are advised to contact the home. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was carried out by one inspector over a one day period. The focus of inspection undertaken by us is upon outcomes for people who live in the home and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirement, minimum standards of practice and focuses on aspects of service provision that need further development. The inspection commenced at 7:55hrs and the home/provider did not know that we were coming. The manager was present for the duration of the inspection. Information for the report was gathered from a number of sources: a questionnaire was completed before the inspection by the management team of the home which was sent to us, on the day of the inspection a tour of the building was undertaken, records and documents were examined in relation to the management of the home, conversations took place with managerial staff and care staff plus some residents. Some residents were unable to communicate their views verbally to the inspector so direct and indirect observation was used to inform the inspection process. Two residents who live in the home were ‘case tracked’ this involves establishing individuals experiences of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experience of people who use the service. The inspectors would like to thank the residents, relatives, management and staff for their hospitality throughout this inspection. The quality rating for this service is one star. This means that people who use this service experience adequate quality outcomes. What the service does well: Staff are welcoming and friendly. The men all have their own bedrooms and they all contain things that are important for each person. Some of the men were seen to regularly access their rooms during the inspection. Residents are supported to go on holiday each year. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 6 Residents are able to access and have support from a range of community healthcare professionals including dieticians and speech and language therapists. Residents were seen to be well presented and well dressed. Staff at all times approached residents with respect and where needed maintained the privacy and dignity of residents. The home manages all medicines on behalf of residents and this is generally done safety. Facilities for residents individually and as a group are good, there is lots of individual space and also good opportunities to share communal events such as meals, relaxation time and some activities. Sixty six percent of staff have obtained an NVQ 2 or above. This qualification demonstrates a recognised level of competence to meet residents needs. What has improved since the last inspection? The admission procedure has been reviewed and residents can therefore be assured that they are able to determine whether they will be happy living in their new home. Medication management has improved and was generally well managed. Staff recruitment files are now held at the new providers head office and were found to meet the standard, therefore the recruitment procedures and policies are promoting and protecting the well-being of residents. New staff are started on an induction programme which gives them the basic skills and competences to meet the needs of the residents. There has been a review of taking residents washing to the laundry which promotes life skills and reduces any potential risk of cross infection. The Service Users Guide has been reviewed since the last inspection and it is now in a pictorial format, making it more accessible and meaningful. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 7 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. Walmley Road DS0000071272.V357680.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 Walmley Road DS0000071272.V357680.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): 1.2. Quality in this outcome area is good The prospective resident and their relative have information to enable them to make an informed choice about whether or not they not they want to live in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Service User Guide has been reviewed by the new provider of the service, and was observed to be in a picture format which was clear and accessible to residents. It was not possible to fully assess the pre-admission process as no new admissions had been made since the last inspection. The inspector was informed that new residents would be invited to the home prior to admission. The home has an admission policy and procedure in place to ensure the transition of moving into the home is meets residents needs. Walmley Road DS0000071272.V357680.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): 6.7.9 Quality in this outcome area is good Further work is required on the care planning process to demonstrate residents input and show that their needs are being meet and evaluated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the four residents care files were seen. One of the care plans was still in the old format and the other was in the new style. The new style of care planning is clearer and provides concise information to staff on how to meet residents needs. The new style of care plan acknowledges residents’ strengths and how these are to be enhanced and built upon. The care plan also lists who has been involved in drawing up the record. Risk assessments were in place for a variety of activities such as crossing the road and foot spa treatment. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 11 The reviews of care did not state whether the planning had been effective and did not include evidence of consultation with residents or their representatives. When fully implemented the new care plans should ensure that the care plans are person centred in focus and whilst residents are not able to verbalize their views the wishes and needs will need to be reflected. There is some evidence that residents are involved in making important decisions in their lives such as a “this is me” book that advises on many preferences from communication to how to care and also provides some guidance on abilities. Personal risk assessments were seem pm both residents’ files which described risks to health and measures needed both to reduce risk and to monitor and responded to challenging behaviour. Walmley Road DS0000071272.V357680.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): 12.13.14.15.16.17 Quality in this outcome area is good Residents are supported to enjoy a range of activities that meet their assessed needs but further work is required in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the residents attend college for half a day each week. The staff at the home access a Day centre to use the sensory facilities for residents. Staff at the home should review with residents whether they wish to access other opportunities outside the home as part of their personal development. During the inspection one resident accompanied by a residential support worker went shopping, staff informed the inspector that this is a regular occurrence. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 13 One of the senior support workers has recently attended course at College, which looks at how independent living skills can be promoted. They have been working recently with residents in taking their washing to the laundry. Care plans included information about residents’ spiritual and cultural needs. Risk assessments were in place for a variety of activities that residents might be taking part in. Three residents attend local church services and are supported to practice their faith. The inspector was informed residents go on holiday individually with a support worker. The process of choosing is done by laying out a number of pictures of possible destinations and discussing the options with the resident. The menu is planned on a weekly basis. It was seen to be varied and provided a choice. The menu needs to be developed into a pictorial format for residents, so they are visually able to identify what is on offer. The kitchen contained a fridge and two freezers and temperatures were being recorded to ensure food is stored safely and the staff probe the temperature of hot food to ensure it is safely cooked. Records of food are available to monitor what is eaten, however these were not detailed enough to ascertain what quantities were eaten e.g. for breakfast it would state Weetabix, but there was no indication as to whether one or two had been eaten. Records were also being kept in relation to fluid intake but there was no evidence of what action was or would be taken in relation to these findings. In this instance the records were indicating the resident was not drinking enough fluids and was therefore a possible risk to their well being. Walmley Road DS0000071272.V357680.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): 18.19.20 Quality in this outcome area adequate Residents receive the support they need to meet their health care needs. The medication procedure protects residents. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The residents’ individual plans, which were examined, had details of residents’ personal care routines and preferences. Residents were appropriately dressed in accordance with their age and culture. Staff spoken to were able to, demonstrate an individual approach to meeting and understanding residents needs. Health care notes looked at indicated that residents are supported to attend routine G.P, dentist and opticians appointments etc. Residents records in relation to dietary input require further work. One resident who had been referred to the appropriate health professionals for Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 15 weight loss had not been weighed since May 07. Whilst the home can demonstrate appropriate referrals they must continue to monitor and evaluate this resident’s care. As identified in the lifestyle section of the report, record keeping in relation to dietary and fluid intake was poor. Individual protocols for the management of diabetes and epilepsy were found to be in place. Staff were monitoring one resident’s blood sugar regularly in relation to their diabetes. The training matrix supplied to the Commission indicates that a number of staff require training in diabetic and epileptic care to ensure the protection and well being of residents. The inspector was informed that staff administering a particular medication for epilepsy had received training from the epilepsy nurse. Residents’ records were able to demonstrate regular health input for a variety of professionals, therefore demonstrating a pro-active approach to care. A health professional’s letter was shared with the Commission, which complimented staff on making the home happy and relaxed for the residents. The home has no lifting aids but this was not required by any of the current residents. Medication is stored in a locked room, which was clean and tidy. The medication system consisted of box and blister systems and the medication was auditable. The home has no medication trolley and the inspector was informed that medication is taken to the resident individually. Walmley Road DS0000071272.V357680.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): 22.23 Quality in this outcome area is adequate. The home demonstrates that it has the ability and processes in place to enable residents and their representatives to raise concerns. Safeguarding procedures do not acknowledge local guidance and could therefore place residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy and procedure was seen and met the standard. Since the last inspection the CSCI had not received any complaints about the service provided by Walmley Road and no complaints had been made to the home directly. An easy to read complaints format is available, which makes it easier for people to understand. Some residents living at the home have limited verbal communication skills and are reliant on the vigilance of relatives or staff members who know them well to interpret changes in behaviour or body language, to alert staff them to the fact that something is amiss. The safeguarding procedure needs some further development so that staff know how best to support residents in the event of an incident occurring. The policy should also refer to the local guidelines so that staff know how to report a concern on to the Local Social Services department who are the lead agency. This will ensure that any concerns are dealt with appropriately. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 17 Staff spoken to during the inspection were able to demonstrate an awareness of safe guarding adults however it is vital that all staff receive this training. Only four members of staff have received training in adult protection. Staff need to receive formal training in adult protection so they know how to keep residents safe and how to formally raise concerns with Social Care and Health. The Acting Care Manager advised that all residents are unable to manage their own money. Financial risk assessments were in place for residents. To help manage money on a day –to-day basis two staff are named signatories on all residents bank accounts. The home keeps all residents bank accounts in safekeeping. The majority of staff have not received training to protect vulnerable adults. The training records do not demonstrate whether training has occurred to ensure staff are aware of the implications of the new Mental Capacity 2005. This is important legislation that requires an assessment of residents capacity to be done if there is any doubt about the resident’s capacity to make decision about their health and welfare. If they are assessed as not having capacity an Independent Mental Capacity Advocate (IMCA) can be appointed to help them with this. Staff should be aware of this legislation and the implications it has for people living there. Walmley Road DS0000071272.V357680.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): 24.26.30 Quality in this outcome area is good. The home is comfortable and homely and meets the lifestyle needs of individual residents and also their communal needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample tour of the home was conducted. It is evident that all communal areas are safe however some areas may require decoration to freshener them up and create a cleaner appearance. The home was clean but there are no separate cleaning staff for the home this instead being undertaken by the support workers. The dining room, lounge and garden provide plenty of space for the four residents. These areas are also large enough for them to be used for residents’ activities either individually or as a group. Residents were seen to use all these communal areas. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 19 The Acting Care Manager informed the inspector that a new sofa was on order for the residents lounge. The garden has security lighting however a number of items were observed to have been deposited in the garden such as furniture and soft furnishings. These need to be removed to ensure the garden is a pleasant and safe place for residents to use. Two residents bedrooms were visited which were individualized with personal possessions. The bathing and toileting facilities are close to all residents’ rooms. They include a walk in shower and a bath. There are three toilets with good hand washing facilities. The washing machine has a sluice cycle and the laundry areas were seen to be clean and hygienic. There is a COSHH storage cupboard in the laundry, which is kept locked. Walmley Road DS0000071272.V357680.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): 32.33.34.35 Quality in this outcome area is good. Staffing levels are adequate to meet the needs of residents. The home’s recruitment policy and procedure support and protect residents. Training is required in a number of areas however a high percentage of staff have an NVQ 2 in care or above. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The support workers who were on duty were observed to be professional and were sensitive and respectful towards residents whilst offering and providing support. It was evident they had established a good relationship with the four residents and a comprehensive understanding of their needs. The previous inspection report raised concerns about the homes recruitment practice. The homes provider has since changed and they have an agreement with the Commission for all recruitment records to be kept at their head office and not on the homes premises. The Commissions representative prior to this Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 21 inspection checked recruitment records held at head office and found them to meet the standard. The training records provided show that of the twelve support workers eight have NVQ 2 or above. New staff have been started on an induction which is part of the learning disability award foundation. The training matrix indicate that not all staff have received adult protection training, food hygiene, basic first aid, fire training, challenging behaviour, management of anger and aggression, epilepsy and diabetes awareness. Staff duty rotas and the compliment of staff on duty during the inspection visit indicate that there are between three to four staff on duty between 8am and 8pm. After 8pm there are two waking support workers and at 10:30pm one of the support workers does a sleeping-in duty and will support the one waking night staff if needed. Walmley Road DS0000071272.V357680.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. 42 Quality in this outcome area is adequate. The homes systems do not fully ensure the safety and well being of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection the Acting Care Manager advised that they would be submitting an application to the Commission for Registration. The Acting Care Manager has sixteen years experience in mental health and learning disabilities. A number of health and safety records were looked at. Fire safety records showed that the fire alarm and emergency lighting had been annually tested. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 23 The home has a fire risk assessment but this needs to be revisited to reflect the homes precautions against fire, fire equipment, means of escape and fire detection. It is recommended that the home looks at obtain a copy of HM Government Fire Safely Risk Assessment Residential Care Premises and review their fire risk assessment with this guidance Certificates were in place to show the gas and hardwiring had been tested and serviced for the protection of residents. Water temperature testing is taking place to detect for the prevention of the risk of scalding. Temperatures were observed to be on the cool side at 33c. It is recommended that temperatures should be 43c plus or minus one degree. The Acting Care Manager advised that the new provider has a quality assurance system, which looks at the homes objectives and meeting the Commission for Social Care standards. The new provider will also be sending out questionnaires to various stakeholders as part of the quality assurance system in the near future. Fire drills for staff only occurred twice in 2007, and no record was available to demonstrate which staff have attended. All staff should take part in a fire drill twice a year and records kept. This will give skills and competence to deal with a fire emergency if it occurs. Walmley Road DS0000071272.V357680.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 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 2 X 2 X X 2 X Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA6 Good Practice Recommendations Residents must have a written plan of care that describes how their needs in respect of health and welfare are to be met. Residents must be involved in the drawing up of these care plans so their wishes and needs are fully explored and meet by the staff. Food and fluid charts must be an accurate record of what is consumed so appropriate action can be taken to ensure and maintain the well being of residents The menu format should be reviewed so that it is accessible to all residents. Residents identified as being at risk nutritionally should have their weight or BMI monitored on a regular basis so that appropriate interventions if needed can be initiated. It is recommended that the home obtain a copy of the Department of Health guidance “Mental Capacity Act 2005 residential accommodation” published July 2007 It is recommended that the home obtain a copy of the Department of Health guidance “Mental Capacity Act 2005 DS0000071272.V357680.R01.S.doc Version 5.2 Page 26 2 3 4 5 6 YA17 YA17 YA17 YA23 YA23 Walmley Road 7 YA23 8 9 10 OP24 OP24 YA35 11 12 13 YA42 YA42 YA42 core training set” published July 2007 The homes must obtain a copy of the multi-agency guidance and have this available with their adult protection policy and procedure. This will ensure all information to staff and they can be assured they are following the correct reporting procedure. Rubbish should be removed from the garden so that residents can enjoy the benefits of the outside space with out risk or distraction. The home should draw up a refurbishment and redecoration plan to ensure the home maintains its homely quality. Staff should receive training in diabetes, epilepsy, the mental capacity Act, food hygiene, basic first aid, adult protection, challenging behaviour to ensure they have the skills and competences to meet residents needs. The hot water temperature should be as close to 43c as possible to ensure residents have access to a warm bath or shower. Fire drill for all staff should take place at least twice a year and records kept of who attended. The home should review its fire risk assessment to reflect the homes measures to reduce risks and current changes to the fire service provision. The staff at the home might find a copy of HM Government Fire Safely Risk Assessment Residential Care Premises guidance helpful in reviewing their fire risk assessment. Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Walmley Road DS0000071272.V357680.R01.S.doc Version 5.2 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. 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