Inspection on 14/06/05 for WCS - Newlands

This inspection was carried out on 14th June 2005.

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

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

Other inspections for this house

WCS - Newlands 24/06/07

WCS - Newlands 25/07/06

WCS - Newlands 23/11/05

WCS - Newlands 24/01/05

WCS - Newlands 20/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 WCS - Newlands Whites Row Kenilworth Warwickshire CV8 1HW Lead Inspector Maggie Arnold Unannounced 14 June 2005 09:00 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 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 Stationary 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. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service WCS - Newlands Address Whites Row Kenilworth Warwickshire CV8 1HW 01926 859600 01926 864240 admin@wcsnewlands.f9.co.uk Warwickshire Care Services Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Wendy Bridge N 26 Category(ies) of LD 4 registration, with number PD 18 of places PD(E) 4 WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No further service users with both a physical disability and/or learning disability must be admitted. The registration category of physical disability and learning disability (4) relates to the four named service users only. Date implemented: 21 May 2004 Date of last inspection 24 January 2005 Brief Description of the Service: The home provides care for 26 adults with a physical disability, aged between 16 and 65 years. The home offers short term and respite care. Newlands was built in 1976 for people with a disability. However over the years there has been a significant change in the nature of disability of residents, from that originally conceived. As a result Newlands has been partially redesigned and re-furbished. The residential and nursing home occupies a single storey building with some unusual roof elevations. An attached two-storey section is used for the head office accommodation of the parent company. There are also attached facilities used by the WRVS meals service. There is a large car parking area at the front of the home. The premises are separated into three living units each having a corridor with bedrooms off, a kitchenette, and adjacent dining and lounge area. There is also a large communal dining room, entrance hall with a waiting/meeting area, two enclosed courtyards/gardens and large grassed and planted areas surrounding the building. All areas are wheelchair accessible and there are automatic doors and ramps for access. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? Since the last inspection there have been a number of improvements to the physical environment. Work is almost finished in replacing unsuitable or worn floor coverings and carpets and major refurbishments to most of the communal areas have been completed. Progress has also been made in redecorating and upgrading some of the bedrooms and bathing facilities. In order to improve records relating to the residents Warwickshire Care Services has recently introduced a new format for care plans and accompanying records. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 6 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. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Prior to admission a suitably qualified person assesses prospective residents’ individual needs and aspirations. Failure to check that community care assessments are still current may result in the placement being unsuitable for the prospective resident. EVIDENCE: Three care plans and accompanying records were selected for scrutiny. There was documentary evidence that prospective residents are offered the opportunity to visit the home prior to admission. Due to a variety of circumstances, some residents are admitted at very short notice. The home is aware that in the event of an emergency a resident may be admitted without all the required written records. The manager was reminded of the guidance in Standard 3 of the Care Standards Act 2000: Care Homes Standards 2001 which advises that the most essential information should be received within 48 hours of admission with the remainder being completed within five working days. It was noted that a social services assessment for a recent short stay for rehabilitation was more than six months old. Due to the physical health disabilities/needs of some of the potential residents, a significant change may have taken place in that period of time. The manager must check the dates of community care assessments. In the event of an assessment being more than a few months old and the social worker not having recently seen the prospective resident, the home is to seek confirmation from the placing agency that the assessment of need is still current. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 Residents know that their assessed and changing needs and personal goals are addressed in their individual care plan. Residents are enabled to make decisions regarding their lives and in the various aspects of life in Newlands. EVIDENCE: Three care plans and accompanying documents were selected for examination. Warwickshire Care Services has recently introduced a new format for care plans and various other documentation including risk assessments. Particular attention was paid to a pilot copy of the new documentation. The pilot copy was very detailed and contained precise instructions of how care and support was to be delivered. For example, in addition to how the resident was to be transferred or settled for the night the document also included finer directions such as the type of hair care product, number of hair rinses and so on that the resident preferred. The main focus of the home is to support the residents to be as independent as possible with a view, where feasible, for residents to eventually move into a small group home or live alone in the community. Discussions with the managers, staff and residents combined with written records evidenced that residents participate in the development and reviewing of their individual care plan. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12,13,14,17 Residents are offered the opportunities for personal development and to participate in appropriate activities with their peers. Opportunities are offered to participate in leisure activities both within the home and wider community. Healthy and varied meals are enjoyed by the residents. EVIDENCE: Records seen combined with observations throughout the day, and discussions with some of the residents and staff demonstrated that the home encourages and supports residents to work towards developing individual skills, independence and interests. For example, social activities both within the home and local community have included computer work, various indoor games such as badmington and quiz shows. In addition to accessing various college courses, residents have also participated in local community activities such as a sponsored wheelchair event organised to raise funds for a national charity. In the last twelve months the home has successfully supported three residents to move from Newlands into their own homes. Twelve of the present residents are on a housing waiting list and it is hoped that, with the support of the home, that they to will be living in their own homes in the near future WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 11 An inspection of the main kitchen found it to be, with one or two minor exceptions, clean and well ordered with ample stocks of varied foodstuffs. The two minor shortfalls were addressed with immediate effect. Most of the residents prefer to take their main meal in the large communal dining room. There are always at least two choices of the main course and desserts. Staff and residents tend to eat together. It was observed that residents who required assistance with their meals were supported in a discrete and professional manner. For example, staff sat with the resident and were observed to assist at a pace indicated by the resident. Residents confirmed that the meals were varied and tasty and that snacks and drinks were always available. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 &20 The physical and care needs of the residents are met with personal care being delivered in the way they prefer and require. The home does not always adhere to its own medication policies and procedures resulting in poor practice that has the potential to place residents at risk. EVIDENCE: Newlands is registered as a care home with nursing and must always have a nurse on duty. Both the registered care manager and her deputy are suitably qualified nurses. Care plans and accompanying records evidenced that the home accesses and routinely reviews residents’ physical and emotional health care needs. Residents spoken to say that the staff were helpful and supportive. Residents also said they received the type and level of care that suited their needs and preferred wishes. All of the bedrooms are fitted with a lockable medication cabinet. Three cabinets were selected for scrutiny. All three cabinets were securely locked and no medication was seen left out in the home. A number of discrepancies were noted. For example a handbag was stored in one of the medication cabinets. A prescription item brought in by a family member, which was not recorded on the medication administration record (M.A.R.) sheet, was also found in the same cabinet. It is also of concern that stocks of non-controlled drugs were stored in the controlled drugs cabinet. The manager must ensure WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 13 that records are retained of all medication, including PRN and homely medications, held in the cabinets. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The lack of access to personal allowances and benefits results in some residents being placed at risk of potential financial abuse. The absence of a risk assessment regarding late night visitors to the home results in the residents privacy, dignity and safety being put at risk. EVIDENCE: Residents spoken to were aware of systems in place for raising any concerns or complaints. Residents also said that they felt confident of a positive response from the home in the event of raising a concern or complaint. Some residents said that in the unlikely event of the home not responding to their complaints that they would complain to family members or social workers. Records indicated that, due to a number of reasons, not all of the residents received their weekly personal allowance and other benefits such as mobility allowances. The manager is required to address these concerns. It is recommended that consideration be given to instigating the home’s Vulnerable Adults procedures. It should be noted that any individual’s monies being held by the home for safekeeping is made readily available to the residents. The inspector was advised that a family member regularly makes late night visits to the home. There are times when a friend accompanies the relative on the late night visits. The inspector was informed that the relative was visiting, because they felt the home were not meeting the needs of the resident. There was no evidence to confirm this to be the case. Due to the lateness of the hour, sometimes as late as 10.30 pm, a significant number of residents are preparing to go to bed or are already in bed. There are less staff on duty at night and it is not always possible for staff to be in the vicinity of the bedroom of the resident the person is visiting or to fully monitor the movements of the WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 15 visitor. Consequently there are significant concerns regarding residents’ privacy and dignity as well as the potential abuse to residents, particularly the more dependant residents, many of whom have unlocked bedroom doors. The home is reminded that it has a duty of care to all of the residents. The manager is required to undertake a full risk assessment and put measures in place to reduce the risk of abuse and protect the privacy and dignity of all of the residents (Schedule 1/ 13 (6)). WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 The physical environment is comfortable and clean with specialist aids and equipment designed to meet the needs of the residents and promote independence. EVIDENCE: The single storey home is split into three self-contained sections with their own kitchenette and dining cum lounge area. It is usual practice for residents and staff to share a communal mid day meal in the main dining cum activities room. A tour of the premises demonstrated that the home has commenced a programme of refurbishment and redecoration. The age and design of the building, for example low ceilings, does present some difficulties regarding natural lighting and a feeling of space. It is pleasing to note that these difficulties have been addressed. The refurbished areas were modern, bright, clean and comfortable. All of the kitchenettes have been refurbished with work surfaces, microwave etc, at wheelchair level enabling residents to access these. At the time of the inspection work was in progress to fit additional working surfaces. The bedrooms, which vary in size, are for single occupancy only. Thirteen of the bedrooms have an en-suite facility consisting of a toilet and wash hand WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 17 basin. The home also has two bathrooms, of which one was recently fitted with a new bath as well as a shower room. There is levelled access into and throughout the building as well as out to the gardens. Residents usually have their own specialist aids such as adapted wheelchairs, shower chairs and slings for mechanical hoists. Additionally there are smaller aids and equipment such as adapted drinking cups. The main reception into the home has also recently been refurbished. It is pleasing to note that copies of the Commission for Social Care inspection reports along with other reports and publications of interest are left readily available in the reception area. The small laundry room has recently been fitted with two new washing machines and a tumble dryer. Despite the small size and difficult layout the area was clean and well organised, and with stocks of essential items such as liquid soap and paper hand towels were in situ. Refer also to the section titled ‘The Management and Conduct of the Home’. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-36 Staffing numbers and qualifications meet the needs of the present residents. The failure to ensure that all staff receive regular individual supervision increases the risk of staff feeling unsupported and the safety and well being of the residents put at risk. EVIDENCE: At the time of this unannounced inspection there were sufficient staff on duty to meet the needs and preferences of the present residents. In addition to the registered manager and her deputy there were catering, laundry and domestic staff, care staff, an activities co-ordinator and a housekeeper. Staff meetings take place on a regular basis. Although a number of nurses have left recently, there is a fairly stable staff team with some team members working in the home for twenty or more years. Staff spoken to throughout the day were very pleasant and well informed and co-operative in the inspection process. A high level of interaction between residents and staff was observed throughout the visit and residents spoken to made very favourable comments about the staff. Three staff files were selected for examination and were found to be collated in well-ordered files, which are secured in locked cabinet when not in use. Records seen contained all of the information required by regulation. Staff files also included evidence of training and supervision that had taken place. Not all of the staff receive individual supervision on a regular basis. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 19 The manager is notified by either e-mail or memo when the company receives a Criminal Record Bureau Check (CRB). It is recommended that the correspondence note that a clear (or otherwise) CRB has been received. To ensure residents are safeguarded from potential abuse. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 42, 43 Residents benefit from a well informed and experienced manager. The home does not always adhere to its own fire safety and environmental health policies and procedures resulting in the health and welfare of both residents and staff being placed at risk. The Responsible Individual does not always ensure that, unannounced monthly visits are made to the home. EVIDENCE: Records seen combined with discussions throughout the inspection process evidenced that the home’s manager and her deputy were well informed and up to date with developments of various residents and home’s routine. The manager provided ample documentary evidence that systems are in place that work towards the safe and smooth running of the home. Documents seen included staff rotas, monthly management reports, training guidance included the new care planning format as well as a copy of Warwickshire Care Services internal safety inspection report on Newlands and the home’s action plan in response to the safety report. The Responsible Individual must ensure that in accordance with the Care Standards Act 2000: Care Homes Regulations 2001: WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 21 Regulation 26, an unannounced monthly visit is made to the home, of which a copy of the report must be made available to the Commission. During the course of the inspection process the home’s fire alarm was activated. There was a very swift and orderly response to the alarm with correct procedures followed. The alarm was activated by either heat or smoke being generated by one of the gardener’s strimming tools drifting through an open window. It was noted that two office doors labelled ‘Fire Doors- Keep shut’ were wedged open and that some residents prefer to sleep with their bedroom doors ajar. It was noted that after telephoning the Fire Brigade the manager had to remove the item keeping one of the two office doors open. Both practices pose potential risk to the safety of the staff and residents. The home is required to liaise with the Fire Safety officer regarding whether the two doors in question are still required to be kept closed. Discussions must also take place regarding steps that should be taken regarding bedrooms doors left ajar. It is strongly recommended that the home request written confirmation of the Fire Safety Officer’s advice. Concerns were also raised about the security of the building the details of which have been detailed in separate correspondence. The home is required to address the concerns detailed in the letter. In contravention of the Control of Substances Hazardous to Health (COSHH) Regulations, COSHH items were found in an unlocked cupboard in the reception area. House keeping trolleys containing COSHH items were also stored in a garage that can be accessed from inside the home. The internal door was unlocked. The garage is also used to recharge wheelchair batteries. It is also of concern that that a soiled incontinence pad was left in an unsealed yellow bag on seat of wheelchair in the same garage. These practices place residents and staff at risk. It was noted that the external clinical waste bin was full to overflowing and staff were unable to close the lid. The home confirmed that there are occasions when the bin is so full that the waste has to be stored on the ground next to the bin. This is unsafe practice and more frequent collections or additional bins are required. WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 x x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WCS - Newlands Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 2 2 E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 23 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. 2. Standard 2 20 Regulation 14(1)(a) 13(2)& 13(6) Requirement Timescale for action 24/07/05 3. 23 12(4)(a) 13(6) 23(2)(m) 4. 36 18(2) The manager must check that assessments made by the placing agency are still current. Residents medication cabinets 24/07/05 and the controlled drugs cupboard must only be used for their designated purpose. All medication being issued by the home must be clearly recorded on the residents M.A.R. sheets. Records are to include the amounts of medication. The registered person is required 31/08/05 to take steps to ensure that all residents have access to their personal allowance and other essential benifits. With regards to late night visitors to the home. The registered manager is required to undertake a risk assessment regarding the privacy, dignity and safety of all of the residents in the home. Residents are to be provided with lockable storage facilities for personal items such as handbags, wallets and items of personal and or monetary value. The registered person must 31/08/05 ensure that all staff receive Version 1.30 WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Page 24 5. 42 13(3)& 13(4)& 23(4)(i) 6. 43 26(1-5) individual supervision on a regular basis. Fire doors must not be wedged 31/08/05 open. The manager must ensure the security of access into the building. COSHH items must be securely stored when not in use. Clinical waste, including soiled incontinance pads must be appropriately disposed of. The manager must ensure that the home has adequate and safe disposal facities for clinical waste. The Responsible Individual must 31/08/05 ensure that a monthly unannounced visit is made to the home. A copy of the written report is to be made avaiable to the Commission. 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 23 Good Practice Recommendations With regards to the difficulties experienced by some residents in accessing their personal allowances, it is recommended that consideration be given to instigating the home’s Vulnerable Adults procedures. It is recommended that the correspondence notes to the manager from Head Office record that a clear (or otherwise) Criminal Record Bureau check has been received. 2. 34 WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI WCS - Newlands E53 S4267 WCS - Newlands V233572 140605 stage 4.doc Version 1.30 Page 26 - 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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