CARE HOME ADULTS 18-65
Weaver Court Moorfield Place Idlecoft Road Idle Bradford BD10 9TL Lead Inspector
Linda Trenouth Key Unannounced Inspection 9th January 2007 12:30 Weaver Court DS0000046742.V321511.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 Weaver Court DS0000046742.V321511.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. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Weaver Court Address Moorfield Place Idlecoft Road Idle Bradford BD10 9TL 01274 615538 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) Bradford District NHS Care Trust Care Home 22 Category(ies) of Dementia (1), Learning disability (22), Learning registration, with number disability over 65 years of age (8), Physical of places disability (22), Sensory impairment (2) Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 7th December 2005 Brief Description of the Service: Weaver Court is a Bradford District Care Trust home situated in the Idle Croft area of Bradford. The home is registered to provide personal care for up to 22 adults with learning disabilities. The home provides long-term care. Accommodation is provided on two floors; there are 22 single bedrooms. Communal lounges are located on both floors. There are five bath/shower rooms, some of which have hoisting facilities. The home has a catering kitchen and a domestic kitchen. All laundering is undertaken on the premises. Weaver Court has a large enclosed garden to the rear of the building. A large car parking area is located at the front of the building. Local shops and bus routes are within easy access. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example, Choice of Home and “Lifestyle.” An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent,” “good”, “adequate” and “poor.” The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk I visited to the home unannounced and stayed for approximately 7 hours. The inspection process also included gathering information and evidence before and after the visit to decide the overall judgement. I met with residents and spoke with the manager and staff. Residents living at the home have complex needs and a discussion with the majority of residents was limited. I watched how residents interacted with each other and with staff. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. During the visit I looked at the home’s records, watched staff working, and talked to residents and staff. I was looked around the home. Comment cards were sent out to residents, visitors, social and health care professionals, to give them opportunity to comment on the service. The questionnaires returned are included in this report. The manager was on annual leave on the day of the inspection and therefore feedback was given by telephone after the visit. Requirements and recommendations made during this visit, and those outstanding from previous inspections can be found at the end of the report. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 6 What the service does well:
The home has changed from providing respite care to providing long-term care only. This has been a very positive change and respite service to another site. This now gives staff a clearer focus in planning care for long-term residents The residents’ assessments and the care plans in general provided good detail and are regularly updated. The manual handling and risk assessments are also completed to a good standard. Some of the information available at the home is in pictorial form and this makes easier for some residents to understand. The manager and staff make sure that the residents’ health care needs are met and that good procedures and training are in place to minimise and safeguard residents from abuse. There is good auditing and management of training needs and good opportunities for further development. The staff confirmed that they have supervision and that regular staff meetings are held. Meals are nourishing and provide the residents with a varied and balanced diet. The staff have a good understanding of issues of diversity and equality. This includes providing special diets for residents with specific dietary and cultural needs. The staff plan and organise activities for residents in the home. This includes both individual and group activities and the home has a mini bus for outings. The staff are trying to improve the range of activities offered to residents and hope an activities organiser is to be appointed in the next few weeks. The residents’ forums give the opportunity for residents to discuss and participate in the running of the home and the introduction of a newsletter further informs the residents and their families of happenings and events. The staff I spoke to showed a very good knowledge of the individual needs of the residents. The residents living at the home have a wide range of care needs including complex health care and challenging behaviour as well as a group of older people. The residents I spoke to are happy with the care they receive. They enjoyed the activities in the home and trips out from the home. They also made positive comments about the staff. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
The transfer of six residents from Farmhill Court should have been organised much better. The Trust had known for a long time that these residents would have to move and if the transfer had been better organised it would have been a more positive experience for residents. These residents had little if any choice about their placement at Weaver court. All new admissions must be fully assessed before they move in and documented evidence of the assessment must be available. This will demonstrate that individuals have some choice in the placement and that Weaver Court can best meet their needs. Residents who do not have a carer or family to help them should be offered supported by an advocate. Care plans should be in place before admission and the bedrooms offered to residents should be furnished to a good standard. This did not happen for the residents who moved in from Farmhill Court. The statement of purpose and service user guide needs to be up dated to reflect the recent changes. Care plan reviews must be held every six months and include any restrictions that effect the resident’s rights or their liberties in the home. The review must include the individual and their representative, either family or advocate. Residents are encouraged to join in leisure and social activities and to exercise choice and control over their lives but the range of activities could improve further and must meet all individual need. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 8 For some residents the meal times are not a relaxed and positive experience. It was felt that the staffing levels did not meet the needs of all residents and must be reviewed. The full staff recruitment and induction records must be available to provide evidence of safe recruitment and protection of residents. The environment must be maintained to protect the residents’ right to privacy and dignity, by making sure that bathroom and toilet doors have working locks on them. There is no formal system in place to obtain the views of relatives, carers, or other stakeholders in the care of the residents in the home. The home must conduct an annual survey of the service and this must include a survey of the residents and their families along with the social care professionals and any other stakeholders, to confirm if the home is meeting its goals and aims and objectives for the residents. The acting manager is competent and has provided direction and leadership to the staff team, but the home must appoint a permanent manager to provide stability and continuity for the staff and residents. 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. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 9 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 Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 10 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, 3, 4, and 5. Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. There is no evidence to show that residents are properly assessed before moving in and the admission itself is not always a positive experience. The service users guide is not up-to-date and therefore people are not provided with accurate information about the home. EVIDENCE: Three residents recently transferred to Weaver Court from another home that was closing. There was no evidence of a pre-admission assessment or information to show that the residents had been given a choice about moving in. No details of a proper planned admission were available. The Health Care Trust had significant advance knowledge of the closure of the home yet despite this the transfer was poorly organised. Residents have been allocated bedrooms, which are of a poor standard; some of the residents have little or no family to act on their behalf. However no Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 11 evidence was available to show that any advocacy support had been offered or provided to help them with their transfer. The Statement of Purpose and Service User Guide must be up to date to include the relevant changes at the home. These include the withdrawal of respite service and the increase in the number of places available to older people. The Service User Guide is produced in a simple pictorial form, which suits the communication needs of the residents. Residents’ contracts are in place and available on the residents file. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are generally completed to a good standard, however they must be reviewed at least every six months, must be relevant to the residents’ needs and include any aspects that restrict the residents’ rights or their liberties in the home. EVIDENCE: Care plans are in place for all residents and cover all aspects of their health and general welfare. The staff confirmed that care plans are only reviewed annually. Some of the residents would have difficulty consenting to and understanding the care plan and therefore relatives or advocates should be involved.
Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 13 Care plans also need to include assessments and clarify where and if the resident have made choices. Areas such as giving consent to having their medicines; staff having access to their bedrooms at night and staff locking the residents’ bedroom doors when they’re out of their rooms through the day must all be agreed. It is appreciated that all these decisions are for the residents’ safety and to protect their property, but the resident or their representative, should always be involved in making decisions such as these, which affect their personal liberties. The respect for a resident’s privacy is important, including the freedom to come and go as they wish and to have their own door key. This privacy may have to be limited for their safety and therefore should be specified in their care plan based on a risk assessment and with the individual’s prior agreement. If a resident is not considered safe to manage his or her own key this should be recorded within their care plan. There are good manual handling and general risk assessments completed where specific areas of concern have been identified and wherever possible action is taken to minimise potential risks. Medication protocols are also in place for the use of some P.R.N. (as required) medication. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 14 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, and 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to join in leisure and social activities and to have choice and control of their lives but the range of activities could be improved to make sure that everyone’s needs are met. Meals are nourishing provide the residents with a varied and balanced diet, but meal times are not a relaxed and positive experience for all residents. EVIDENCE: The majority of residents at the home do not receive day care. The manager and staff have been creative in developing an interesting package of activities. This has generally been achieved to a good standard with many interesting and varied outings and events taking place. The individual activities particularly for the older elderly residents does however need to be developed further. The manager said that hopefully the recruitment of an activities organiser in the
Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 15 next few weeks would improve this. It is hoped that this person will be able to facilitate further individual activities particularly in the evening and at weekends. The residents’ annual holidays were discussed; one resident has been on holiday but other residents have not. Residents should be encouraged to have a holiday and the manager and staff at the home must support this. I was with the residents during the teatime meal. It was a resident’s birthday that day and a meal and birthday cake had been organised. All the residents took part and enjoyed the celebrations. The main dining room was relaxed and the meal unhurried. This was seen as good practice. However some residents had their meal in the open plan lounge and did not have a good experience. The staff member who was helping a resident with their food was constantly interrupted and had to leave to support another resident. The mealtime for these residents therefore was not relaxed or a positive experience and this must be reviewed. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff make sure that the residents’ health care needs are met. EVIDENCE: Staff showed a good awareness of residents’ needs and treated residents with respect. Good health plans are in place and regular care in chiropody, optical, dental care are recorded. The input of other healthcare professionals is clearly recorded in the resident’s care plan and specialist equipment is provided if required. The home has good relationships with the CTLD (Community Team for Learning Disabilities) and other health care professionals in the area.
Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 17 The medication storage and monitored dosage system were seen and concerns were raised regarding the storage of medication on the first floor. Medication was stored in metal containers in a kitchen cupboard. An appropriate and safe area must be found to store medication and this must be held in an approved medication cabinet. It was recommended that a copy of the “Royal Pharmaceutical Society of Great Britains guide for the administration of medication,” should be available in the home, which gives advice on the safe storage of medicines. The staff confirmed that at present there are no residents who administer their own medication. Appropriate protocols are in place where medication is used to help in controlling behaviour. Records seen and discussions I had with staff confirmed that the GP continues to monitor residents taking long-term medication and that staff would contact the general practitioner or pharmacist if they have concerns. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safeguarded from abuse. EVIDENCE: Staff have had adult protection training and showed a good understanding of the how to recognise abuse. Polices and procedures are available to all staff. Residents and relatives have a copy of the Service User Guide, which contains the complaints procedure. Residents meetings are held regularly and relatives are invited to social events throughout the year. The home has produced a “newsletter” for residents and their families, which highlights all events and activities that residents have been involved in and also the future plans for the building. This is seen as good practice. Residents have a key worker who works alongside other staff to encourage individuals to express their opinions and raise concerns. Staff said that all residents are given help to manage their own money and they have their own bank accounts. The monies are audited regularly and the manager and clerical worker act as signatures for the residents’ bank accounts.
Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 19 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, 25, 27, and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally in need of some redecoration and some bedrooms do not meet the minimum standard. Staff must make sure that the home is maintained to protect the residents’ right to privacy and dignity. EVIDENCE: In the summer several residents are moved into the first floor flat area at Weaver Court. This area is not ideal for these individuals and does not meet the required standard. The manager stated that these areas are to be renovated to bring the bedrooms up to the minimum standard and improve the quality of this living environment. This should have taken place before the
Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 20 residents moved into the home. The Health Care Trust has discussed with CSCI the proposed refurbishment plan which is due to start in early Spring. The home was clean and no concerns were raised regarding cleanliness. Work to improve the laundry room has now been completed with sufficient equipment and space to make sure that clothes are washed and dried safely. Bathroom and toilet doors must have working locks that are easy to manage to ensure that individuals can have privacy when using these facilities. The type of locks must also be easy to open if residents need help. Labels were placed on one resident’s furniture to instruct staff, these must be removed and the resident’s individual bedroom respected. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 21 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, and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The safe recruitment of staff could not be fully confirmed as not all staff records were available. Staffing levels are not sufficient to meet the residents’ needs at all times and must be reviewed. Staff training is regularly audited to make sure that staff receive the training they need to meet the residents’ needs. EVIDENCE: The recruitment records for two staff were checked. One was for a permanent member of staff and one for a member of staff transferred from another home. Not all the information was available to make sure that these members of staff have been recruited safely. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 22 When I spoke with staff they raised concerns about the staffing levels in the afternoon, when there are only five care staff on duty. Two are based upstairs caring for 6 elderly residents and three are based downstairs. Concerns were also raised about the support for residents during the main meal of the day and also for those residents with behavioural needs. It was felt that higher staffing levels need to be maintained throughout the day to adequately support residents. The manager said that there has recently been further recruitment and more carer hours will be available at the home. Staff felt they have received adequate training to meet the needs of the residents. Mandatory training is provided including, manual handling, basic food hygiene and health and safety. A number of training updates are being organised. All staff had training in adult protection and are aware of the procedures. Staff training was well audited and managed and staff confirmed their attendance at training and said that developmental training in the organisation was encouraged. Staff confirmed that they have regular supervision and support from their manager and generally felt the home was well managed. Staff also said that they have regular team meetings. Staff have regular handovers and information exchanges between shifts and regular staff meetings are held. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The acting manager is competent and has provided direction and leadership to the staff team, but the home must appoint a permanent manager and provide long term stability to the home. EVIDENCE: The acting manager has supported staff and shown good potential leadership and direction to the home. This manager is however being moved onto another home in the group and this will mean yet another change for the residents and staff. This may affect the stability and will mean that the home will continue to Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 24 be without a registered manager. The organisation must now appoint a permanent registered manager. Residents’ meetings are held regularly and it is hoped these will continue. Carers are invited to social events and are kept informed by telephone, discussions with the manager and staff and more recently by newsletters. The trust have also written to individuals informing them of changes to the service. There is however no formal assessment in place to obtain views of relatives, carers, or other stakeholders in the care of the residents in the home. The home must conduct an annual survey of the service and this must include a survey of the residents and their families along with the social and healthcare professionals and any other stakeholders. This is to confirm that the home is providing a good standard of care and meeting its own aims and objectives. The home should seek the view through anonymous satisfaction questionnaires and the findings should be published and used to inform future planning. The regulations governing the home require that regular visits take place by the registered persons or their representative. This is to support the manager staff and residents in the home. These visits have been taking place regularly and have highlighted areas for the home where support and maintenance is needed. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 25 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 1 2 1 3 1 4 1 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 1 26 x 27 2 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 2 34 2 35 3 36 3 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 3 13 3 14 2 15 3 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 2 x x 3 3 Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 26 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 YA1 Regulation 5 Requirement The statement of purpose and service user guide must be up dated and include the change in provision in the home. Residents must only be admitted to the home following a full assessment, which shows that the home can meet their needs. The care plans must include agreements on restriction of rights and liberties in the home. The manager must ensure that care plans are reviewed at least every six months or sooner if the needs of the resident changes significantly. The manager and staff must organise activities to meet the needs of all the residents and an annual holidays for residents. Instructions posted on residents bedroom walls that give instructions to staff where to put clothes or how to care for a resident must be removed from a resident’s bedroom wall. The organisation of the mealtime must be reviewed to make sure that all residents have a positive experience.
DS0000046742.V321511.R01.S.doc Timescale for action 01/04/07 2 YA2 14 01/04/07 3 4 YA6 YA6 Sch(3) 15 01/04/07 01/04/07 5 YA14 16 01/04/07 6 YA24 23 01/04/07 7 YA17 16 01/04/07 Weaver Court Version 5.2 Page 27 8 9 10 11 YA20 YA25 YA27 YA33 12 23 23 18 12 YA34 18 Medication must be stored safely and adhere to the Royal Pharmaceutical Guidelines. The bedrooms and general environment are in need of redecoration and re furnishing. Locks must be fitted to the bathroom and toilet doors. The staffing levels must be reviewed to make sure that meet the needs of residents needs are met at all times. The registered provider must ensure a thorough recruitment procedure is implemented and all information identified in schedule 2 is obtained before new employees start work. Previous timescales not met 31/03/06. 01/04/07 01/04/07 01/04/07 01/04/07 01/04/07 13 14 YA37 YA39 8 35 A registered manager must be 01/04/07 appointed. The home must conduct an 01/04/07 annual survey of the service and this must include a survey of the residents and their families along with the Social and Healthcare professionals and any other stakeholders, to confirm if the home is meeting its goals and aims and objectives for the residents. 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 YA20 Good Practice Recommendations It is recommended that a copy of the Royal Pharmaceutical Society of Great Britains guide for the administration of
DS0000046742.V321511.R01.S.doc Version 5.2 Page 28 Weaver Court medication, which outlines safe storage of medicines, should be available in the home. Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Weaver Court DS0000046742.V321511.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
