Inspection on 01/08/06 for Wheatridge Court

This inspection was carried out on 1st August 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wheatridge Court 03/12/07

Wheatridge Court 23/01/06

Wheatridge Court 16/07/05

Wheatridge Court 09/02/05

Wheatridge Court 06/07/04

Wheatridge Court 04/03/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

12 Orchard Mews

Stallcombe House

Stepping Stones

Cornerstones

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

CARE HOME ADULTS 18-65 Wheatridge Court 40 Shergar Close Abbeydale Gloucester GL4 4AL Lead Inspector Ms Lynne Bennett Key Unannounced Inspection 1st August 2006 12:30 Wheatridge Court DS0000036389.V296772.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 Wheatridge Court DS0000036389.V296772.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. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wheatridge Court Address 40 Shergar Close Abbeydale Gloucester GL4 4AL 01452 500669 01452 410448 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) Gloucestershire County Council Mrs Lesley Ann Gamm Care Home 6 Category(ies) of Physical disability (6) registration, with number of places Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: Wheatridge Court is a purpose built home owned by Gloucestershire County Council for people with a physical disability. The home provides two services, a registered respite unit for up to six service users and a supported living project. The respite unit provides accommodation in six bed-sits, each with its own front door and parking space. They have a bedroom, en suite facilities and sitting area. There are additional bath and shower facilities nearby. People staying at the unit share a lounge and dining room with a small kitchenette. There is a central communal area which can be used by the people accommodated for respite or supported living, which has a television and pool table. They can also use the quadrangle, which provides a patio area with seating and garden. The fees for the unit are £7.95 per night. Each new referral is given a copy of the Service User Guide. A copy of the Statement of Purpose and Service User Guide are available in the unit. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. This inspection took place in August 2006 and included a visit to the home on August 1st and a visit to the human resources department in Stroud on August 3rd. The registered manager was away at the time of the inspection; the deputy manager was in attendance throughout. Two people were staying on the unit at the time of the visit and both were spoken to. Comment cards were supplied to the home prior to the inspection. Discussions took place with staff working on the unit, the home’s occupational therapist and an activity coordinator. A range of documents were examined which included service users’ plans, staff files, health and safety records and quality assurance records. A preinspection questionnaire was supplied to the Commission prior to the inspection. What the service does well: What has improved since the last inspection? Each person has a record of social, recreational and leisure activities they have been involved in. People staying at the unit say they enjoy trips out to places of interest, using local shops and going to the pub. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 6 There are plans for a member of staff to contact all people prior to their next stay at the home to update information about their personal and healthcare needs. A pack is being produced for all staff to process when people are admitted to the home to ensure that all records are completed. The reference request form asks former employers why staff have left their employ. New staff are being asked to provide an additional list of former positions where they have worked with vulnerable adults or children so that they can be contacted to seek the reason for leaving. 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. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full assessment of people wishing to use respite services provides staff with information about their diverse needs prior to staying at the home. EVIDENCE: There have been three new admissions to the respite unit since the last inspection. Comprehensive records are kept about all initial enquiries to the home, via telephone, letter and visits. One person staying for respite confirmed that they visited the home with their parent and had a trial stay. The files examined contained evidence of an assessment and care plan provided by the placing authority, a report of a home or hospital visit by the home’s Occupational Therapist and reports of initial visits and trial stays. From these initial assessments the home consider what needs to be done in terms of staffing support or additional equipment in order to provide a service to the individual. For instance one assessment indicated a profiling bed, hoists and a commode were necessary. This equipment was in place for the person at the time of the inspection and they confirmed it had been provided for their first stay at the home. The team leader said that the team had identified short falls in the admission process when new people start to use the service and are putting systems in Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 9 place to address this. A pack is being developed for all staff to use that includes all essential information and records that need to be processed as a person is admitted for respite. This will also ensure that all information is updated as each person revisits the unit. A member of staff will also taking responsibility for contacting each person prior to their next stay at the unit to clarify any changes in their care so that care plans and risk assessments can be updated. Wheatridge Court DS0000036389.V296772.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements in the review of care plans and risk assessments will ensure that staff have access to information about the assessed and changing needs of people using the service. People staying at the unit are provided with assistance to make decisions about activities of daily living. EVIDENCE: The care of the two people staying for respite was case tracked. Both people said that they had been using the service for about two years. The family of one person supplies a review of their care each time they visit. Staff referred to this guidance when discussing how they meet the needs of this person. There appears to be some inconsistency in the review and update of care plans although it is apparent that this is being monitored. All files were reviewed in May 2006 and notes were made indicating what information need updating. Some people stay at the unit more frequently than others and it was apparent that their records are up to date. The team leader stated that care plans are Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 11 reviewed with people when they stay at the unit. There was evidence that annual reviews are taking place and copies of these meetings are on file. The new system of contacting people before they visit will ensure that care plans are reviewed as people come to stay. There were no care plans in place for the new referrals to the service. One person is unlikely to use the service again and the other has been for a trial visit and regular stays at the unit. Staff said that in the absence of a care plan they refer to the assessment. However the assessment provided by the placing authority indicated that a record of what the person eats and drinks must be kept – there was no evidence of this on their file. For other people monitoring of bowel movements or urine output appears to be recorded in their daily records. A method of recording dietary intake must be kept for this person. It is important that care plans are developed as quickly as possible for people wishing to use the service. The aims of the respite service are to support people to be as independent as possible. People using the service say that they are asked what they would like to do during their stay and are involved in the day to day running of the unit. They have responsibility for looking after their rooms, cooking and washing their clothes. Staff support is available if needed. People said that staff are helpful and arrange in advance when support is needed for cooking. Staff were observed supporting people during the visit, treating them sensitively and respectfully. A range of risk assessments are in place. Each person has a moving and handling risk assessment. There was evidence that the review of these documents was being monitored with several being identified as needing to be discussed with people at their next stay. Where possible people are signing these documents. One risk assessment referred to a person having ‘an attack’. Towards the end of the assessment referral was made to a ‘fit’. It is important to ensure that the terminology of risk assessments provides the reader with sufficient information about the hazard. If the hazard is due to an epileptic seizure this needs to be stated. There must also be guidelines for staff about the use of PRN medication and when to call an ambulance if the seizures continue over a certain length of time or in quick succession. Wheatridge Court DS0000036389.V296772.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People staying at the unit are encouraged to lead fully inclusive lifestyles accessing a range of local community facilities and activities. The right of people staying at the unit to maintain and engage in their usual lifestyle is respected whilst also recognising their responsibilities to others staying there. EVIDENCE: Wherever possible people are encouraged to continue with their lifestyles as they would when living at home. One person confirmed they normally go to college but this stay coincided with college holidays. Facilities locally include a newly refurbished supermarket, pub and takeaways. Public transport is accessible nearby and people staying at the unit also use taxis. There are two activity co-ordinators available to people staying at the unit. One of the co-ordinators said that they contact people prior to their stay to arrange activities. Records are kept of the range of activities provided which Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 13 include visits to the local pub, meals out and visits to places of interest – there were recent trips to museums and a theme park. People using respite also have access to a snooker table in the communal area and a large screen television, as well as craft or games evenings. Some people choose not to participate in pre-arranged activities and this is recorded. People staying at the unit said that they ‘really enjoy staying there’ and ‘enjoy using the new store and pub’. One person was observed using the public telephone to talk to family and another person said that family and friends are welcome to visit. They also liked the fact that they have their own private front door for visitors to use. They are encouraged to consider others staying at the unit and visitors are requested to leave before a certain time Each person brings in food with them for their stay. They have an individual fridge and freezer and store cupboard. Staff can support people to shop locally if they need to. People decide their own menu and request staff support to prepare meals or for support with feeding should they require it. People staying at the unit indicated that they use the call button to request help should they need it but that they like to be as independent as possible. Wheatridge Court DS0000036389.V296772.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 at least once during a 12 month period. 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 way in which the people staying at the home would like to be supported is clearly recorded and managed providing staff with the information to meet their personal care needs. People living at the home have access to healthcare professionals and to a satisfactory medication system, making it possible to meet their healthcare needs. EVIDENCE: Initial assessments and a home visit from the occupational therapist provide information about the way in which people would like to be supported with their personal care. Some people staying for respite continue to receive support from domiciliary care that would usually be provided to them at home. Staff spoken with had a good understanding of the needs of the people staying for respite. The new systems for updating information prior to stays will ensure that this information is monitored and reviewed in the way in which medication is at present. Whilst staying at the unit people retain their own healthcare professionals. If appointments have been arranged during their stay then within reason staff Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 15 support can be provided. In an emergency the local surgery provides cover for people staying at the home. People bring in their medication from home usually in the containers dispensed from the pharmacy. One person spoken with said that they had not done this but would do so on future occasions. Each time people visit they complete a new medication form, which gives details of the medication being prescribed and the quantity brought into the unit. Each record also indicates whether or not people are self administering their medication. People have a lockable cupboard in their room. If staff administer medication then a medication administration record is completed. Two members of staff sign handwritten entries on this record. Wheatridge Court DS0000036389.V296772.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 at least once during a 12 month period. 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. Complaints are handled objectively and the concerns of people staying at the home are acted upon and recorded. There are vulnerable adults procedures in place and staff training is given to new staff equipping them with the knowledge and awareness to recognise and report incidences of abuse. EVIDENCE: A robust complaints system is in place. A copy of the complaints procedure is in the unit and displayed in the communal areas of the home. In the past twelve months two complaints have been received by the home and were dealt with to the satisfaction of the complainants. People staying at the unit said that they have no concerns or complaints but if they did they would talk to the registered manager. Daily notes also confirmed that where relatives express concerns about the care of people staying at the unit they are referred to the complaints procedure. There are procedures in place for responding to suspicion of abuse and staff spoken with had a satisfactory understanding of these. New staff confirmed that as part of their induction they attend training in the protection of vulnerable adults. Existing staff indicated that they had not attended this training. This must be completed. People staying at the home manage their own personal finances. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 24,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable and homely environment is provided which provides specialist equipment and adaptations that meet the needs of people staying there. Infection control measures need to be reviewed to ensure the high standards of cleanliness and hygiene are maintained. EVIDENCE: Wheatridge Court provides purpose built accommodation for people with a physical disability. One person said that ‘everything is at hand. I particularly like the overhead hoists’. An ongoing maintenance and decoration programme ensures that a good standard of accommodation is provided creating a pleasing and homely environment. People are encouraged to bring personal possessions into the home for use in their rooms. An inventory of their possessions is recorded on the admission record. The communal lounge provides a range of home entertainment equipment. The recently refurbished kitchen has high/low surfaces and cupboards which are accessible to people using wheelchairs. The bathroom has an assisted bath and a shower chair is provided in the shower room. People have an individual Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 18 assessment with the occupational therapist and equipment is provided prior to their stay. Some people choose to bring in equipment from home. Some beds have bedsides, for which bumpers are provided. Assessments by the occupational therapist indicate when these are needed. It is recommended that the consent of people using bedsides be recorded in their care plans. The occupational therapist also said that some people choose not to use the bumpers using the bedsides as an aid to pull themselves up. This should also be recorded. There is a domestic washing machine and spin dryer in the unit. A laundry which services the entire home is also available should washing need to be washed at a higher temperature. Overall the unit was clean and tidy. During the visit a bin in the bathroom was overflowing with clinical waste despite a bin being available in the shower room. This was posing an infection control risk. Staff are reminded to dispose of waste using the appropriate containers. The domestic later removed this waste as she was cleaning the unit. Staff confirmed that they are completing an open learning course in Infection Control. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the support required by people staying at the home and this is evident from the positive relationships, which have been formed with staff. Robust recruitment and selection procedures are in place ensuring the safety of people staying for respite. Staff have access to a range of training providing them with the knowledge and skills to meet the needs of people at the unit. EVIDENCE: A team of five staff are appointed to work on the respite unit and are supported by other staff working in the home. In addition people staying for respite have access to the home’s occupational therapist and two activity coordinators. One person has a NVQ Award in Care. People staying at the home said that staff are available when they need them. Three new members of staff have been appointed to the home since the last inspection. Not all information is kept at the home and it was necessary to visit the human resources department to examine application forms and Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 20 references. Most of the information as required under Schedule 2 is in place. The reference request form now asks former emplooyers for the reason why the person left their employ. Administration staff also confirmed that they are now asking applicants to identify former positions in care so that they can be contacted to seek the written reason for leaving. The registered manager obtains verbal references for staff who are internally transferred within the organisation. A letter agreeing that references can be kept at this department has been sent to the registered manager. The registered manager must make sure that any gaps in employment history are checked. Application forms for two people did not provide a full employment history. A robust training programme is in place and detailed training records are kept. Each person has a training profile and copies of certificates were examined on their files. Staff have access to refresher training when necessary and have attended training specific to their role such as dementia, falls, psychology of trauma, strokes and MS. Staff confirmed that they have access to open learning, training courses, NVQ Awards and secondments to other care environments. Observations of staff during the visit indicated that they have a good understanding of the needs of the people staying at the unit. Interactions were positive and respectful. People staying at the unit said staff are ‘ok’, ‘very nice’ and ‘make you feel welcome’. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. 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 registered manager provides leadership and guidance promoting the rights and best interests of people staying there. The home’s quality assurance programme needs to involve people staying at the home in the review of services being provided. Systems are in place ensuring that the home provides an environment promoting the welfare and safety of people. EVIDENCE: The registered manager is an experienced manager who has completed a Registered Managers Award at Level 4. Certificates of insurance and registration were displayed correctly at the time of the inspection. The registered manager has shown a willingness to work with the Commission, meeting with requirements issued at previous inspections. Staff and people Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 22 staying at the unit confirmed that the management of the home is ‘excellent’. One person said that they ‘feel privileged to work here’. Gloucestershire Community and Adult Care Directorate produce an annual quality assurance document/business plan which identifies key performance objectives for the year ahead. The current ‘Workplan for 2006/2007’ is in draft. At present this document is fed into from staff annual appraisals but there is no method for feedback from people using the service. In addition to this people living at the unit are asked for their comments that are recorded on their discharge record. One person staying there confirmed that they are always asked and that they say that they ‘enjoyed their stay’. The registered manager needs to assess whether another quality assurance system needs to be put in place that involves people using the services and their representatives in line with Regulation 24 which has recently been amended. There are systems in place to monitor health and safety procedures around the home. The pre-inspection questionnaire indicated that monitoring and servicing of equipment is in place. Records and certificates at the home confirmed this. Staff complete mandatory training and refresher training is provided when necessary. A fire risk assessment is in place and records confirmed that testing, training and drills take place in accordance with this assessment. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 24 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. 1. Standard YA6 Regulation 14 & 15 Requirement The registered person must make sure that care plans are in place for new service users and are all care plans are regularly reviewed. The registered person must ensure that where an assessment indicates the dietary needs of a person must be monitored then systems are put in place to record this. The registered person must ensure that risk assessments are reviewed regularly and that the terminology indicates clearly what the hazard is. The registered person must put in place protocols for people with epilepsy – providing staff with guidance about the use of PRN medication and calling emergency services. The registered person must ensure that staff attend training in the protection of vulnerable adults. The registered person must ensure that a full employment history must be obtained for new staff. DS0000036389.V296772.R01.S.doc Timescale for action 01/12/06 2. YA6 17(2) Sch 4.13 01/10/06 3. YA9 13(4) 01/10/06 4. YA9 13(4) 01/10/06 5. YA23 18(1)(c) 01/12/06 6. YA34 19(1)(b) Sch 2.6 01/10/06 Wheatridge Court Version 5.2 Page 25 7. YA39 24 The registered person must ensure that a quality assurance system is in place which takes into account the views of the service users. A report must be produced which can be requested by the Commission. 01/12/06 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 YA29 Good Practice Recommendations Consent forms should be put in place for the use of bedsides and indicate if people choose not to use the bumpers. Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Wheatridge Court DS0000036389.V296772.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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