Inspection on 15/10/07 for Whiteleaf Cottage

This inspection was carried out on 15th October 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Whiteleaf Cottage 02/05/06

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Insight - Eastchurch

Southfields

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Seabourne House

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Dovedale Court

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

CARE HOME ADULTS 18-65 Whiteleaf Cottage Lower Road Teynham Sittingbourne Kent ME9 9LR Lead Inspector Jenny McGookin Key Unannounced Inspection 15th October 2007 11:10 Whiteleaf Cottage DS0000067132.V352151.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 Whiteleaf Cottage DS0000067132.V352151.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. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whiteleaf Cottage Address Lower Road Teynham Sittingbourne Kent ME9 9LR 01795 520965 01795 520965 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) Cartref Homes UK Ltd Christopher Brennan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd May 2006 Brief Description of the Service: Whiteleaf Cottage is a registered care home for 5 Adults with learning disabilities. It is a specialised service designed to meet the needs of male service users either with a previous forensic background, or service users who have been assessed as at risk from offending. The service user guide, statement of purpose, and reports from the Commission for Social Care inspection are available to service users and are kept in the office. All service users have their own copy of the service user guide. The home is staffed 24 hours. There is a registered manager and a team of support staff. Clinical support is provided from local psychiatry and psychology services. Whiteleaf Cottage is situated in a rural area in the village of Teynham. It is close to the towns of Sittingbourne and Faversham. The village has some amenities, including a train station, pub and small shop. Charges for additional needs of service users are individually assessed. The range of charges payable were not available by the time of issue of this report. But purchasers of the service will be given a full breakdown of the fees charged. The e-mail address for Cartref is: care@cartrefhomes.co.uk Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection site visit, which was intended to inform this year’s key inspection process; to review findings on the last inspection (March 2006) in respect of the day-to day running of the home; and to check compliance with matters raised for attention on that occasion. The inspection process took just under seven and a half hours, and involved meeting with two service users, the visiting Director of Operations, the manager, and five support workers. The inspection also involved a tour of the premises (with the exception of four bedrooms) and the examination of a range of records. One service user’s’ files were selected for care tracking. Interactions between staff and the service users were observed during the day. What the service does well: What has improved since the last inspection? Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 6 There have been two further admissions since the last inspection, which appear to have been managed effectively and the home has benefited by having more staff. Three service users are benefiting by the college courses they are being supported to access – in numeracy, literacy and other life skills development as well as more creative pursuits such as pottery. One service user is being actively supported to pursue his love of music with plans to access a studio so that he can record his own material. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Whiteleaf Cottage DS0000067132.V352151.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 Whiteleaf Cottage DS0000067132.V352151.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 2, 3, 4 The home provides information and opportunities to visit, to enable prospective service users to decide whether it will meet their needs. Prospective service users have their needs comprehensively assessed and there are terms and conditions governing the service they will receive. EVIDENCE: The home’s Statement of Purpose and Service User guide have already been assessed as part of the home’s initial registration process and reviewed at its first inspection, and found to be fully compliant with the National Minimum Standards in each instance. So this aspect was not subject to further inspection on this occasion. The decision to place the current service users at this home was led, in each case, by their funding authority. Records seen confirm a careful admission process, based on multi disciplinary assessments and meetings, and subject to the manager’s own comprehensive assessment of each service user’s identified needs, and his proposed “service response”. Service users confirmed that this process includes opportunities to visit the home to see for themselves, and said they had been very happy with the choice of home. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 9 Each formal placement contract is supplemented by the home’s own “House Rules” document to help ensure service users understand the key terms and conditions of their residency. The records seen dido not, however, evidence the actual issue of the Statement of Purpose, Service User Guide, contract or (with the exception of one subsequent meeting with a service user) “House Rules” to the service users, or whether staff support, other languages or formats were warranted. This is recommended so as to evidence of the home’s commitment to diversity. The home is able to demonstrate its capacity to meet the special needs of these service users. Examples are detailed throughout this report. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. 6, 7, 8, 9, 10 Individuals are as involved in decisions about their lives as much as they are able or willing, and play a central role in the way this home plans the care and support they receive. EVIDENCE: The format of this home’s care planning process is a comprehensive personcentred one and is clearly designed to address the personal, health and social care needs of the service users. This process properly includes regular specialist input. See also sections on “Lifestyle” and “Personal and Healthcare Support” for more detail. There were clear connections between the original assessments, agreed care planning aims and “Teaching Targets” to ensure their practical implementation, and to chart progress or emerging trends. There was good evidence of these elements being regularly reviewed and amended as required and, crucially, of Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 11 service users being actively involved in their own care planning. Each service user has a key worker who co-ordinates these processes. There was good evidence of risk assessments in respect of each service user, their activities and the environments they use, on and off site. The home’s arrangements for record keeping and storage are judged satisfactory. The home keeps hard copy and electronic records. Cabinets, computers and office facilities are all properly secured. Each service user has access to a lockable facility to store money and valuables in, although in practice, they tend to use office facilities. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 11, 12, 13, 14, 15, 16, 17 Service users are supported to make choices about their life style, and to develop their life skills. Social, educational, cultural and recreational activities are tailored to what each service user enjoys doing and can be motivated to learn. EVIDENCE: Abilities, activities and personal preferences are established as part of the preadmission assessment process, and confirmed or developed by care planning, day-to-day observations and consultation thereon. One or two service users need help with motivation, and the manager is always looking for opportunities to enlarge the scope of activities, particularly in the evenings and over weekends, to capture and sustain their interest. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 13 This home offers support to service users in maintaining or developing their practical life skills, either directly (e.g. with housekeeping duties, cooking or shopping), or indirectly (through support to attend college courses on numeracy, literacy and budgeting). It also supports them with recreational pursuits on site such as cards, videos, music, art, and computer. Off site, service users are supported with sports (snooker club, golf, bowling) with more in prospect (gym, biking and swimming) and access to pubs, cafes, and the countryside i.e. mainstream community activities not confined to or identifiable with disabilities. Of particular interest was the home’s plan to access a music studio to enable one service user to create his own CD. This kind of initiative was judged likely to obtain an overall quality rating of excellent. There is a dedicated house vehicle but service users are also supported to use trains and to walk. Activities are underpinned by a comprehensive range of risk assessments and specialist input as appropriate. Service users were observed being supported to make some decisions and choices during the inspection visit. None of the service users can currently go out without staff escort, though the overall aim is to support them to move onto more independent living. There was anecdotal information on the extent to which staff support service users to maintain family links. There is a communal payphone in the study, but all four service users also have their own mobile phones, which can be used in privacy. Dietary needs and preferences are also established as part of the preadmission assessment process, and confirmed by the care plan and day-to-day consultation. There was anecdotal information to confirm that individual preferences were being catered for. The kitchen has its own breakfast bar and there is a dining area at one end, with an outlook into the garden, providing a sunny, congenial setting. The main lounge also has a dining table and chairs, so that service users always have a choice of setting. No special diets, feeding equipment or adaptations are currently warranted. Support staff are also responsible for catering, and support service users to prepare meals from a range of health eating menus. One member of staff talked enthusiastically about one service user’s emerging skills and how they had prepared a Christmas cake, chutney and pastry for an apple pie together. The inspector sampled the lunch for the day, and judged the meal well prepared and presented. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 18, 19, 20 The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The preadmission and care planning processes properly assess the extent to which each service user requires support with their own personal care, and their choice and control is actively promoted by staff as far as possible. All the bedrooms are single occupancy and have their own en-suite WCs and shower cubicles. There is also a communal WC and a communal bathroom / WC – so there are enough toilet and personal care facilities to guarantee their availability and privacy. Staff are available on a 24 hour basis to assist service users, but none requires manual handling and can be accorded privacy and dignity. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 15 The care planning process routinely addresses a range of standard healthcare needs (GP, opticians, dentist etc) as well as regular support from clinical psychology and psychiatry. Each service user has behaviour guidelines. The home clearly benefits by being managed by someone who is a qualified nurse, and all the staff are reported to be trained in medication. The home’s medication arrangements (storage and record keeping) were judged compliant with National Minimum Standards. Cartref has its own medication administration records and these showed no apparent gaps or anomalies. Cartref also has its own policy on the administration of medication, but the manager was advised to keep a copy of the Royal Pharmaceutical Guidance to underpin knowledge and practice. Staff are reported to have access to an accredited directory on drugs, detailing critical information on their application, side effects and contra-indications, to keep people safe. A list of sample signatures was on file, to track accountability, though the manager was advised to date this document, as evidence of its currency Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 22, 23 These standards were only partially addressed on this occasion. Service users are supported to express any dissatisfaction appropriately, and Cartref has a complaints procedure in place. Service users are protected from abuse, and have their rights protected. EVIDENCE: The last inspection established that the home has an accessible complaints procedure and that all service users had been supplied with a copy of this. Service users have regular meetings with their key workers during which they are encouraged to talk about their feelings, including any concerns or complaints they may have. Feedback questionnaires supplied by the Commission include questions for service users and their relatives about their familiarity with, and confidence in, the home’s complaints procedures, but these were not submitted in time for the issue of this report. Both service users spoken to on this occasion said, however, they were very happy at the home and liked the staff. Neither raised any issues of complaint. The last inspection also established that all the staff had received basic adult protection training during their induction. In discussions with staff they Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 17 invariably confirmed their commitment to challenge and report abusive practice should this occur. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 24, 25, 27, 28, 29, 30 The physical design and layout of the home enable service users to live in safety. This is well-maintained and comfortable environment. EVIDENCE: This home is a bit isolated in its rural setting, but this has been of benefit to one service user in particular, and two are said to enjoy watching the horses from an adjoining riding school (also owned by Cartref) and wildlife. There is a train station within reasonable walking distance, affording access to community facilities, and some parking space on site for staff and visitors, but Lower Road does not have a pavement and could be hazardous to walk along. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 19 The grounds are reasonably flat and there are focal points to draw the attention to, and to sit in, but there are no paths across it, for use when the ground is wet. The home has a “No Smoking” policy. One vacant bedroom and all the communal areas were inspected, and found to be homely, comfortable and clean. The furniture is domestic in style but this is appropriate for the service users and there were homely touches throughout, with more in prospect, subject to risk assessment. The communal areas (two lounges, a games area and kitchen) of this home are spacious. All windows offer pleasant views of the gardens. The kitchen is light, airy, clean and well maintained. There is one communal bathroom / WC, and one WC adapted for people with physical disabilities, though this is not currently warranted. Each bedroom, moreover, has its own en-suite WC and shower cubicle i.e. these facilities are all reasonably accessible to bedrooms and communal areas. No special equipment is warranted. All the bedrooms are single occupancy and spacious. One vacant room was inspected and found to be well maintained. In terms of their furniture and fittings, it was, however, not fully compliant with the provisions of the National Minimum Standards. The manager was aware that non-provision needs to be justified by fully documented consultation and risk assessment. Each bedroom has a TV. Some matters were raised for attention to further improve the environment. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. 32, 33, 34, 35, 36 Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, and to support the smooth running of the service. EVIDENCE: The following staffing arrangements are said to apply: From 8am to 3.30pm there will be 3-4 staff. There might also be another carer working from 9am to 4.30pm, 10am to 5.30pm or 12pm to 7.30pm to cover activities. From 3.00pm to 10.30pm there will be 2-4 staff. Overnight there is one waking night staff (10pm to 8.30am) and one sleep-in staff (i.e. one who had already been on a late shift, and would then follow on the night shift with an early shift the next day). All the SUs require escorts off site, and one may require 2:1 support, subject periodic review. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 21 This was judged a flexible approach to staffing provision, designed to be responsive to the assessed and changing needs of the service users. Recruitment records could not be assessed on this occasion as Cartref has a centralized system for managing its personnel records, based at their Head Office at Sittingbourne. There is an undertaking to meet any individual requests from inspectors to make information and records available. This was in this instance not judged warranted, given that staff individually confirmed a robust recruitment process to comply with all the key elements of the standard, to keep people safe. All the staff confirmed that they had supervision sessions, though the frequency of this was variously reported as between three and six weekly. Staff also confirmed that these sessions covered all those elements prescribed by the standard: specifically, the translation of the home’s philosophy and aims into work with individuals; monitoring of work with individual service users; support and professional guidance; and the identification of training and development needs. The last inspection confirmed that staff receive a thorough induction. This included; LDAFF, NAPPI, Fire safety, food hygiene, and Health and safety. In addition to this, the staff team also received an induction into the philosophy and aims of the Cartref group, which is centred on ‘Valuing People’ and ‘O’Brien’s Service Accomplishments’. Staff confirmed a satisfactory level of investment in mandatory and specialised training thereon, and all staff group are reported to be currently undergoing NVQ training (Level 2 or above). Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 37, 38, 42, 43 The management and administration of the home are based on openness and respect for its service objectives. The manager is qualified, and competent. EVIDENCE: The Commission’s registration processes have established that the manager’s qualifications and experience are appropriate to his role. The processes for managing the home are accessible, transparent and there are clear lines of accountability within the home and on a larger scale within Cartref. As part of the Commission’s registration process, Cartref would have been required to produce a business plan to summarises its place in the market, the Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 23 scope of its organisation, its deployment of resources and financial standing. This requires updating year on year, but the current year’s plan was not submitted in time for assessment for this report. This was requested. The home clearly places its service users at the centre of its own operations. See section on “Individual Needs and Choices” for details on the way this principle is being applied on a daily basis. But the home needs to evidence how families, funding authorities and other stakeholders are asked for feedback, and can influence the way services are delivered. The business plan is the usual vehicle for this. There was a sound level of compliance with the company’s regulatory duty to carry out its own inspection visits at least once a month. Two matters were recommended to further improve the records. One service user is mixed race, but westernised in all respects. The rest are white British. All are male. Information on the staff group was not available by the time of issue of this report, so the company’s commitment to Equal Opportunities could be assessed. Access to activities not necessarily confined to this client group and community presence are central features of the care planning processes and have been reported on elsewhere in this report. There was good evidence of health and safety checks and all maintenance records seen were up to date and systematically arranged. Service users’ personal finances were carefully accounted for. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 2 27 4 28 4 29 N/A 30 4 STAFFING Standard No Score 31 X 32 3 33 4 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 X X X 3 3 Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA3 Good Practice Recommendations An admission checklist is recommended to evidence the actual issue of the Statement of Purpose, Service User Guide, contract and/or “House Rules” to the service users, and whether staff support, other languages or formats were warranted. Medication. The home is recommended to keep a copy of the Royal Pharmaceutical Guidance to underpin knowledge and practice. The list of sample signatures should be dated, as evidence of its currency Building. The following matters are raised for attention / consideration: • Steep drop from threshold at front entrance – it is accepted that a ramp is scheduled to be installed • Recommend paths across the rear garden to facilitate access • Carpet in entrance hall soiled DS0000067132.V352151.R01.S.doc Version 5.2 Page 26 2 YA20 3 YA24 Whiteleaf Cottage • 4 YA39 A number of walls are showing cracks which require assessing / attention • Carpet soiled in study room • Recommend provision of more side / coffee tables • Thermostatic control required for all water outlets likely to be accessed by service users, as a precaution against the risk of scalding • Recommend a policy of follow-up hand washing by catering staff after using communal WC facilities • Recommend a sample 1st Aid kit in the kitchen, for use buy catering staff in emergencies • Recommend fly screens or an insectocutor in the kitchen, as a precaution against the infiltration of flying insects • Recommend more refrigeration facilities, as existing unit is reported to get overloaded. • Bathroom. Towel rail coming adrift. Requires securing. • Each bedroom should have a second chair and a table to sit at, unless there is a documented risk assessment or consultation to justify non-provision. • Recommend the securing of portable lockable facilities in bedrooms against hard surfaces, as a precaution against their theft. Regulation 26 reports should detail the time of arrival and departure, and could be improved by references back to the relevant National Minimum Standards, to ensure connections are made. Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Whiteleaf Cottage DS0000067132.V352151.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!