Inspection on 01/12/06 for Woodview

This inspection was carried out on 1st December 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodview 09/04/08

Woodview 26/06/07

Woodview 19/02/06

Woodview 18/08/05

Woodview 09/03/05

Woodview 07/10/04

Woodview 17/03/04

Woodview 23/09/03

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

CARE HOME ADULTS 18-65 Woodview 58a Park Road West Birkenhead Wirral CH43 8SF Lead Inspector Debbie Corcoran Unannounced Inspection 1st December 2006 10:30 Woodview DS0000018957.V319177.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 Woodview DS0000018957.V319177.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. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodview Address 58a Park Road West Birkenhead Wirral CH43 8SF 0151 653 6566 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) Alternative Futures Limited Gary David Knowles Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) named male service user over 65 years of age (LD/E) within an overall total of Four (4 )(LD) 19th February 2006 Date of last inspection Brief Description of the Service: Woodview is a two storey detached house which backs on to Birkenhead Park, with the back of the house and the large garden having attractive views across the park. It is on a busy main road, less than half a mile from Claughton Village where there are local shops and bus services. The home has its own minibus for the use of service users. The home has a large lounge and dining area on the ground floor. The kitchen adjoins the dining room and there is a very small lounge on the other side of the kitchen. There is a shower room, toilet and laundry on the ground floor. All service users have large single bedrooms on the first floor, which also houses an office, toilet and bathroom. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the home was not announced beforehand. During the visit all 3 of the service users were met. Two members of the staff team and the manager were met and spoken with. Service user plans, staff training records, health and safety records and other relevant records were examined in some detail. A tour of the home was carried out which included all areas. The manager returned a questionnaire on the service to the Commission and some of the information in this has also been used to inform the findings of this inspection. What the service does well: An assessment of needs is carried out before a service user moves in to the home to ensure that their needs can be met at the home. Each of the service users has a care plan or Person Centred Plan (PCP). The service user’s plans are clear, informative and easy to follow. The plans include information on the service user’s skills and needs, daily routines, likes and dislikes and information as to how to support the service users with their personal support. Service user’s care plans included some information on their skills and a member of staff gave some examples of how they support the service users with developing their personal and independent living skills. Staff have been provided with training in topics such as abuse awareness, supporting people, values, personal relationships and sexuality, understanding learning disability, health and safety, first aid and food hygiene. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Woodview DS0000018957.V319177.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 Woodview DS0000018957.V319177.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): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A statement of purpose and service user guide is available to provide service users, prospective service users, and their representatives with information on the home. An assessment of needs is carried out before a service user moves in to the home to ensure that their needs can be met at the home. EVIDENCE: A statement of purpose and a service user guide are available and these describe the services offered at the home. In addition to this the company has produced a handbook for service users which describes the services offered by the company. Information provided for service users includes the use of pictures and is written in plain English. Service user’s records show that an assessment of needs is carried out by a representative from the company for new service users before they move in to the home. Assessments information is also attained from the referring agency for example Social Services. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each of the service users has a plan of care which includes information on their needs. These plans are not reviewed regularly and may therefore not reflect changes to the service use’s needs. When service users are involved in an activity which involves taking risks the risk is assessed and plans are put in place to manage the risk. The confidentiality of service user’s records may be compromised by the current arrangements for storing information. EVIDENCE: Each of the service users has a care plan or Person Centred Plan (PCP). The service user’s plans are clear, informative and easy to follow. The plans include information on the service user’s skills and needs, daily routines, likes and dislikes and information as to how to support the service users with aspects of their personal support. Where a service user requires support with managing situations or interactions then guidelines are in place which inform staff of how to support the service user to best effect. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 10 The service user’s plans include a good level of detail to describe their choices and preferences. During discussions with a member of staff they were able to give examples of how they encourage the service users to make as many choices as possible and to use and develop their independent living skills. It is recommended that the service user’s care plans are developed to detail how staff are supporting the service users in developing their skills. This enables all staff to work consistently in this. Staff complete a monthly summary of the service users care and support. However there was no evidence that the service user’s care plans are being reviewed on a regular basis and no evidence that they are being updated. The manager reported that a new system of care planning is going to be introduced at the home and he has recently been provided with training in this. When a service user is thought to be at risk then a risk assessment is carried out and plans are put in place to manage the risk. The risk assessments cover different aspects of the persons support. For example support with communication, keeping safe, managing medication. The risk assessments include information on what the potential risk is and what steps need to be taken to prevent the risk from occurring. The risk assessments are not particularly comprehensive in some areas and a number of issues regarding access to areas of the home and access to potentially dangerous substances have not been appropriately risk assessed as these present high risk to one of the service users in particular. This was discussed in some detail at the time of the inspection visit and a requirement has been given for this to be addressed. Service user’s records are being maintained in unlocked facilities and in an unlocked room. The manager must arrange for these records to be maintained securely in order to protect the service user’s confidentiality. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 11 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): 11, 12, 13, 15, 16, 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported with their personal development but this is not planned or monitored. Service users are not involved in a great variety of leisure activities or community access. There is information on the service user’s likes, dislikes and needs with their diet. EVIDENCE: Service user’s care plans included some information on their personal skills and needs and a member of staff gave some examples of how they support the service users with developing their personal and independent living skills. It is recommended that there is more emphasis on this and there is planning to ensure that each of the service user’s has opportunities to learn and develop new skills, to ensure that staff work consistently in supporting service users to achieve new skills and to monitor the service users progress in meeting these and moving on to develop further skills. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 12 Each of the service users has a person centred plan and these include information on the activities which the person likes to be involved in. Daily records regarding the service users care and support are maintained. These were examined to assess the frequency of leisure opportunities and community access for two of the service users over the past 6 weeks. These records indicated that the service users are not supported to be involved in a variety of activities on a regular basis and there are occasions when the service users might not go out for a relatively long period of time. The records also indicate that the service users aren’t being offered a great variety of activities with the vast majority of outings being for shopping purposes. There was also no evidence of any structure or plan for activities. This might suite some service users and be in line with their needs but the manager must review the current needs of the service users with regards to community access and leisure and show that there has been planning in to how to best meet the needs of each of the service users. Discussions with the manager and a member of staff indicated that the service users are supported with activities that they do have a greater level of community access than is reflected in the daily records, they felt that staff are possibly not recording this information. In assessing the diet and meals available to service users, service user’s records were examined, arrangements for lunch were seen and the storage and availability of food at the home was checked. Information on the service user’s likes, dislikes, strengths and needs regarding food and eating are recorded in the service user’s care plan. The home has a domestic sized kitchen and this was found to be well stocked with food, snacks and refreshments. One observation of the dinning arrangements was that there didn’t seem to have been much attention paid to ensure that lunch was a pleasant and enjoyable mealtime. The manager should review this. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Service user’s health related records are not up to date. The home is therefore not demonstrating that service users are being supported to maintain their health in some areas. Medication has not been stored appropriately and this has presented a serious risk to service users. EVIDENCE: Service user’s care plans include guidelines for supporting the service user with their personal care needs. The plans include a good level of information on the individual’s likes and dislikes and preferred routines. Each of the service users has a ‘health passport’ which describes how their health care needs are to be met. Some of the information in these was not up to date and there was no further information to support that the residents are being supported in all aspects of their health care needs. A requirement has been given for this to be rectified. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 14 Medication receipt, storage and administration practices were checked. The home has recently been the subject of an adult protection investigation into medication procedures following a serious incident involving one of the residents having inappropriate and unsafe access to medication. This had involved two serious and separate incidents. Since the incidents a new procedure for the storage and administration has been introduced following an updated risk assessment. The majority of medication is now locked in the staff office and two staff administer medication at all times. There were a number of further issues which need to be addressed regarding the administration of medication. These are as follows; When ‘as required’ medication (those as discussed during the inspection) is administered the circumstances of this must be fully recorded along with an explanation of other support techniques which have been employed. It is recommended that the manager examines the circumstances around each occasion when ‘as required’ medication has been administered and it is recommended that information is analysed to identify patters and where appropriate ensure that alternative strategies are employed. Medication must be administered as prescribed and medication administration records must be accurately maintained at all times. The manager has undertaken medication training but there was no evidence in the information provided that this has been extended to members of the care staff team. A requirement has been given for this to be addressed. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and which aim to protect service users against abuse or neglect and systems are in place for dealing with allegations of abuse. However, the welfare of the service users has failed to be protected in some areas and the home has been the subject of two adult protection investigations. Staff require further training in safeguarding adults. EVIDENCE: The home has a complaints procedure which is time scaled appropriately. Information on how to make a complaint is provided in the service user’s guide to the home. Where appropriate staff have signed confirmation that they have explained how to make a complaint to the service users. The home has an adult protection policy and information on the protection of vulnerable adults. The home also has a copy of the Local Authority adult protection procedures and the home’s procedures link in to this. The home has been subject to two adult protection investigations since the previous inspection. Social Services and Environmental Health (as appropriate) have been involved in initiating investigations and/ or investigating these matters. In addition to this there has been a recent failure to notify the relevant Social Services of a further potential adult protection issue. Action has been taken by the company in response to these allegations. Most members of the staff team have been provided with induction training in adult protection. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 16 However these incidents have highlighted that staff require further training in adult protection. These incidents have also highlighted that reporting procedures have not been carried out appropriately and this does not safeguard the safety and welfare of residents. The manager must be able to demonstrate that he is fully aware of the reporting systems which need to be implemented when there is a potential adult protection issue raised. A record of key events is maintained for example incident reports and accident reports. The manager should review the incident reporting procedure to ensure that these include an appropriate level of information. Woodview DS0000018957.V319177.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides spacious accommodation to service users but there are areas for improvement to the environment and where new practices need to be adopted so as to safeguard the safety and well being of service users and staff. EVIDENCE: The home is an ordinary domestic property. There is one lounge and a dinning area. Each of the people living at the home has their own room and these were found to be adequately presented although the use of waterproof flooring in one of the residents rooms should be reviewed. A tour of the home revealed that a number of areas require attention; The home feels spacious but the amount of space and lack of furnishings makes it feel stark and clinical in parts. The home therefore does not feel homely. The manager should address this. The carpet on the stairs is stained and dirty and new carpet is needed. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 18 The home has health and safety practices and procedures which are aimed at ensuring the home is safe and clean and free from hazards to the health and safety of service users and staff. However a number of areas need to be addressed. Service users should always be encouraged to have full use of all communal areas of the home, but where this may seriously compromise their safety or the safety of others then this may need to be restricted for specific periods of time and during specific activities and based upon a risk assessment. At specific times of the day and during specific activities an area of serious risk to one of the service users is the kitchen. This was discussed in some detail and is also an area of concern to the manager and members of the staff team. The manager must address this risk and take appropriate action to safeguard service users and staff. The manager must also review how substances which are hazardous to health are being stored and take action to further reduce the risk of these substances to service users. Woodview DS0000018957.V319177.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The level of staff training is generally good. However, there is room for improvement in the number of staff who hold a relevant qualification. Staff have the opportunity to meet as a team on a regular basis but they are not being provided with regular one to one supervisions with the manager which is an opportunity to explore their practice, address issues and identify their development needs. Information on staff recruitment is not available at the home and therefore it could not be determined that appropriate procedures aimed at protecting the service users have been carried out. EVIDENCE: Staff have been provided with training in topics such as abuse awareness, supporting people, values, personal relationships and sexuality, person centred planning, understanding learning disability, health and safety, first aid, food hygiene and moving and handling. The registered manager is recommended to carry out an analysis of staff training so as to ensure that all staff have relevant and up to date training. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 20 The staff team consists of 10 care staff. Of these 4 have attained a National Vocational Qualification (N.V.Q) in care and a further 2 are currently undertaking a relevant qualification. In order to meet the national minimum standards the registered person should aim for a minimum of 50 of the care staff team to have attained a relevant qualification. There have been two new staff employed at the home since the last inspection visit. The files for both of these members of staff were checked in order to assess the staff recruitment practices and procedures adopted at the home. These files did not contain evidence of the recruitment procedures adopted for both members of staff. The manager reported that these staff were transferred from another service within the company and were not new employees to the company. As these members of staff now work at Wood View their recruitment and selection information should be available at this home for inspection purposes. If this information is stored centrally then there should be signed confirmation that all relevant checks have been attained. This should be signed by the registered manager as evidence that he has seen the required information. There was also little evidence of the previous training which one of the new members of staff had undertaken. The manager should ensure that this information is available for all members of the staff team. Staff meetings take place on a regular basis. Staff also have the opportunity of a one to one supervision meeting with the manager. This needs to be provided on a more regular basis in order to meet the national minimum standards. Woodview DS0000018957.V319177.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the service users. There are however some areas for improvement. Procedures, practices and checks are in place which aim to safeguard and protect the health and safety and well being of service users and staff. EVIDENCE: The current manager has been in post as manager for approximately 16 months and has been registered as manager with the Commission for approximately 8 months. The manager had worked at the home for a significant number of years prior to becoming manager. Staff reported feeling well supported by the manager and by the company. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 22 There are areas where the service needs to develop and these have been identified throughout the report. Quality assurance processes should pick up on these areas and therefore the systems in place for quality assurance need to be reviewed. The manager carries out regular audits on the home. Fire safety and health and safety practices are adopted. Records of fire and health and safety checks were checked and found to be up to date. Woodview DS0000018957.V319177.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 3 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 1 ENVIRONMENT Standard No Score 24 1 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 2 LIFESTYLES Standard No Score 11 3 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 1 x 3 X 2 X X 3 x Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 15 (2) (b) Requirement The registered person must ensure that service user’s care plans are reviewed regularly. The registered person must ensure that service user’s records are maintained securely at all times. Timescale for action 01/02/07 2. YA10 17 (1) (b) 01/01/07 3. YA9 YA24 13 (4) The registered person must 01/01/07 ensure that risk assessments are reviewed and updated and ensure appropriate action is taken to safeguard the safety and well being of service users and staff. This must include ensuring that unnecessary risk to the health and safety of service users are identified and so far as possible eliminated and must include areas of risk identified in the report. The registered person must review the opportunities for activities and community access provided to service users to ensure that these are meeting the service users needs and promoting their well being. DS0000018957.V319177.R01.S.doc 4. YA13 16 (2) (m) 01/02/07 Woodview Version 5.2 Page 25 5. YA19 12 (1) (a) 6. YA20 13 (2) 7. YA20 18 (c) (1) 8. YA23 13 (6) Service user’s health records must be maintained appropriately in order to evidence that service users are being appropriately supported with their health care. Medication must be managed and stored safely and administration records must be maintained accurately and appropriately at all times. Staff responsible for the administration of medication must be provided with medication training. The registered person must ensure that all staff are aware of their roles and responsibilities for safeguarding adults and all staff must be provided with training in this. 01/01/07 01/01/07 01/03/07 01/03/07 9. YA24 23 01/03/07 The registered person must ensure that all areas of the home identified for attention in the report are addressed. The registered person must ensure that appropriate evidence of the staff recruitment and selection procedures are available at the home. 01/02/07 10. YA34 17 (2) schedule 2 11. YA36 18 (2) 12. YA39 24 The registered person must 01/03/07 ensure that staff are provided with regular and recorded supervision. The Registered Person must 01/03/07 ensure that an effective quality assurance and quality monitoring systems based on seeking the views of service users must be in place to measure success in achieving the aims, objectives and statement of purpose of the home. Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 26 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 YA11 Good Practice Recommendations It is recommended that service use’s care plans reflect the support they need to develop their personal and independent living skills and that theses are reviewed and updated appropriately. The manager should review the incident reporting systems and include in this monitoring of the administration of ‘as required’ medication. The manager should review the arrangements for mealtimes and aim to ensure this is a pleasant and enjoyable time of the day for service users. The manager should review the use of water proof flooring in one of the service user’s bedrooms. It is recommended that the manager maintains appropriate training information in staff records. The manager should carry out an analysis of staff training in order to ensure that all staff have relevant up to date training. It is recommended that at least 50 of the staff team hold a relevant qualification. 2. 3. 4. 5. 6. 7. YA20 YA23 YA17 YA24 YA35 YA32 YA32 Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Woodview DS0000018957.V319177.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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