Inspection on 31/07/06 for York Road, 73

This inspection was carried out on 31st July 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 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

York Road, 73 30/08/09

York Road, 73 21/06/07

York Road, 73 13/02/06

York Road, 73 31/10/05

York Road, 73 31/03/05

York Road, 73 30/12/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 York Road, 73 73 York Road Southport Merseyside PR8 2DU Lead Inspector Mr Paul Kenyon Unannounced Inspection 31st July and 11 September 2006 13:00 th York Road, 73 DS0000005271.V296717.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 York Road, 73 DS0000005271.V296717.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. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service York Road, 73 Address 73 York Road Southport Merseyside PR8 2DU 01704 567592 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) Speciality Care (Rest Homes) Limited Mr James Michael Delaney Care Home 5 Category(ies) of Learning disability (5) registration, with number of places York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 5 LD Date of last inspection 13th February 2006 and 15th March 2006 Brief Description of the Service: 73 York Road is a registered care home offering support for five younger adults with a Learning Disability. The home is managed and operated by a subsidiary of Craigmoor Care known as Speciality Care Limited. The home is designated as a ‘Home for Life’ and former students using the educational facility at Arden College in Southport live there The home is a semi-detached property within the Birkdale area of Southport. It is close to local shopping facilities and other amenities. The home has not been purpose built yet has been adapted to become registered by the previous Registration Authority. Jim Delaney who has worked there for a number of years manages the home. Facilities are spread over four levels. The basement contains the office; staff sleep- in facility and laundry. The ground floor includes two lounges, a dining room combined with a kitchen. On the remaining two floors are bathrooms with toilets as well as all service user bedrooms. The address does not cater at resent for those with profound physical disabilities and as a result contains no specialist adaptations or passenger lift. Fees for the service are £937 per week. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main key inspection for York Road, was unannounced and took place over two days. The first day included discussion with all residents within the home and the second day used to look at documents, which involve the support of residents living in the home. In total the inspection took five hours. The inspection included discussions with five residents and observations of care practices provided to a resident who had been admitted into the service between the two dates of the inspection. The inspection also included discussions with two members of staff as well as the Registered Manager on the first date of the inspection. National Minimum Standards for Younger Adults were used to assess the quality of care provided to residents. The nature of the disability of some residents is such that it is not always possible to gain direct views other than ‘yes’ or ‘no’. Direct comments and quotes are used in this report as far as possible. The first day of the inspection noted that five residents were living at York Road. By the second day of the inspection, one resident had moved on to another service with another resident had been admitted to take his place. This enabled a judgement of assessment information to be gained for the purposes of this inspection. What the service does well: The service is good at obtaining assessment information about newer residents who have recently come to live at York Road and as a result these individuals have their needs taken into consideration to better assist with their plan of care. The service has developed plans of care that are available to staff, reviewed regularly and have been presented to residents in a format that is appropriate to their needs. In one case where an individual has just come to live in the home, information presented in an individual style has been made available to staff as an interim care plan before a more formal plan can be developed. The service is good at identifying those risks that face residents in their everyday lives as part of an independent lifestyle and reviews these risks regularly. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 6 The service is good at ensuring that residents are able to pursue any educational activities they have and encourage residents to express achievements through this. Residents are also enabled to use local facilities in the community and provide staff and other support to achieve this. The service is good at encouraging residents to be involved in daily routines in an informal manner, and residents are able to maintain relationships in the short and longer terms. The service is good at providing a variety of food with an emphasis on healthy eating and enabling residents to be involved in the preparation of meals. The service is good at providing the support needed to enable residents to dress as they wish and to maintain their appearances. The service is good at meeting the health needs of residents. The service is good at reinforcing the rights of individuals to make a complaint about the service if they wish and providing them with the relevant information. The service is good at providing a clean and hygienic environment for residents to live in. An individual who has the necessary experience to fulfil the role manages the service. The service is good at providing the opportunity for residents to express their views about the support they receive and enabling them to have private access to the Inspector. Resident’s comments during the inspection included: ‘I have plenty to eat’ ‘There is a good choice of food’ ‘Staff are ok’ ‘I am keeping well at the moment’ I will be sad to leave I have been here a long time’ I go out everywhere to the Safari Park, on holiday and to the pub’ ‘I feel ok’ ‘I like going out’ ‘I like the food and I help with shopping’ ‘If I am ill I go to the Doctor’ What has improved since the last inspection? York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 7 The service has now ensured that residents have free access to the kitchen area and that this area is now unlocked. Steps are taken to supervise some residents in the kitchen to ensure their safety in line with risk assessments. The service now provides written outcomes of monthly visits to the home made by senior managers within the organisation. A recommendation in the last report in respect of evidence of resident involvement in daily domestic routines has now been done. Copies of visits to the service by a representative of the organisation are now provided to the Manager. 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. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 8 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 York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 9 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 the service. Prospective residents benefit from having their needs assessed prior to them coming to live at York Road. EVIDENCE: In between the two days of the inspection, a new individual was admitted into York Road. This individual was already receiving support from another registered establishment operated by the same organisation. The home had obtained the care plan and assessment information from the other service. In addition to this, an interim care plan had been obtained outlining the specific needs of the individual in respect of her health needs, mobility needs, interests, method of communication and her relationships. An interview confirmed that this information had been made available to staff members. York Road, 73 DS0000005271.V296717.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 good. This judgement has been made using available evidence including a visit to the service. Residents benefit from having their needs and aspirations outlined in a plan of care that is reviewed and made available to residents in an appropriate format presented in an individual manner. Residents are not completely enabled to make decisions in respect of their finances. Residents benefit form having the risks they face through everyday activities assessed as part of an independent lifestyle. EVIDENCE: A total of five care plans were examined on the first day of the inspection with a sixth interim care plan examined on the second day in light of a new individual coming to live at York Road. Care plans are securely stored when not in use and this aids confidentiality. In addition to this, care plans are stored in a place that is accessible for staff to refer to. All care plans show evidence of review and in all cases these had been reviewed more frequently that the minimum standard of every six months. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 11 In addition to the care plans for staff reference are summaries of aspirations and needs that are placed on display in bedrooms. Three such plans were examined. One plan related to an individual who was soon to leave the home. By the second part of this inspection this move had taken place and discussions with the resident confirmed that this was what he wanted. Another plan indicated that another person also wished to move to be nearer his family. Discussions with this person also confirmed that this was his wish. These individual care plans include photographs and simple statements relating to the daily lives of residents. Information is provided to residents when they request it. On the first day of the inspection, The Inspector was informed that two individuals were seeking to move from the home. This was confirmed through discussions with the individuals and suggested that they were fully informed about progress to reach this goal. Most residents are able to communicate verbally. The two that are unable to have their communication needs outlined in their plan of care although they use other forms of communication to make their needs known. Information received prior to the inspection suggests that the organisation is appointee for the finances of all residents. As a result residents do have access to their monies yet would benefit from having their own bank accounts opened in using independent and mainstream financial services. This is raised as a requirement in this report. All risk assessments were examined and were found to be up to date. The contents of one plan indicated that the person needed staff support when accessing the community. This support is provided and this was confirmed through discussions with the individual as well as through observations of their routines. Two risk assessments point to the hazards facing two individuals while working in the kitchen. It was observed that both people were informally supervised while preparing hot drinks and this was in line with their care plan. Another risk assessment is in line with a goal to enable the individual more independent in the community. This goal was confirmed by the individual through discussions with them. York Road, 73 DS0000005271.V296717.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 the service. Residents benefit form having their educational needs met and are able to access the community with the support if needed. Residents are able to maintain family links and relationships. Residents benefit form having their rights respected and are offered a healthy diet in line with their choices. EVIDENCE: The Inspector spoke with four residents about a variety of issues but part of the discussions centred upon the educational opportunities they had. Two attended a local college and this included a third individual as evidenced through documents. Another person was able to confirm that they had passed an examination in college in drama and was awaiting a certificate. One other person confirmed that his activities in the day had mainly been around leisure and listed a number of activities that he had recently been on including a holiday, which he had enjoyed. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 13 All residents are able to access the community with staff support if required. All individuals have lived in Southport for a number of years and as a result are aware of local facilities. All were aware of transport that was available to them. One person requires staff support in the community at all times and this was observed through care practice. All individuals have bus passes and transport links are close to the home. All individuals who spoke with the Inspector maintain relationships with family and friends and in some cases; their future residential needs are driven by their wishes to maintain such relationships. One person who has recently left the home has moved to be nearer a person with whom he has a long-standing relationship with and this has been a feature for this individual for some time. Another person wishes to live nearer his family and this is being facilitated. There was evidence that all others maintain contact with their family. On the second day of the inspection, one person was preparing to stay with his family for a few days. Another confirmed that he was going to visit his father in the next few days and stated that he was able to telephone him. A person who had been newly admitted into the home had a care plan, which included specific reference to the relationships and friendships she enjoyed. Since the last inspection there has been more evidence provided that residents are involved in daily routines. The Inspector spoke with three residents in particular about their involvement in household routines. All were able to confirm that they did participate although with different levels of enthusiasm for the tasks. All residents have access to all parts of the home. One resident has mobility issues but staff readily supported her with going up and down stairs with ease. Three residents showed the Inspector that they had keys to their room and a member of staff was observed reminding a resident that their room was their own personal space. One individual stated that he liked to go to the pub. Information on the use of alcohol is included within care plans and is linked to the health needs of individuals. No one smokes at York Road. Food is prepared in a kitchen that is domestic in scale. A menu is available and this tends to include a choice as confirmed by one resident. Two others confirmed that they enjoyed the food. One person is not able to communicate verbally yet information in their care plan did suggest that they required more support in eating than others. Staff, in the main prepare food yet one resident confirmed that he did enjoy helping while another did assist in shopping. A dining room is available with sufficient space for all to sit and eat. York Road, 73 DS0000005271.V296717.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 adequate. This judgment has been made using available evidence including a visit to the service. Residents are able to have their personal support needs provided in line with their wishes. The health needs of individuals are met. Medication systems are not safe. EVIDENCE: Only one person requires assistance with personal care. For everyone else there is an expectation that they will be able to attend to their own needs. Information in care plans and elsewhere suggested that prompting was needed in some cases. For the individual that needs support, clear information is available suggesting how these needs can be met. The individual is able to mobilise with some support although was witnessed agreeing non-verbally to the support offered by a member of staff up some stairs. The home now has two female residents. In response to this, key workers have been introduced for these people who are of the same gender. Individuals are able to present themselves as they wish. One person has grown a beard and stated that he wishes to continue growing this and the staff team respects this choice. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 15 The Inspector asked residents about their health. All suggested that they were well although two had had some minor health needs of late. In both cases, they stated that they had seen a Doctor. Records are available to suggest that health appointments are ongoing with a variety of healthcare agencies although all are reliant on staff to assist in attending these. Medication is stored in a lockable cupboard, which in turn is in a room that is locked when not in use. In addition to this, a refrigerator is available storing medication of one person. The refrigerator was working and evidence was available to suggest that temperature checks were made. One person partially self-administers medication. This has been a long-standing arrangement and is a task that this person has completed for years. All medication records are signed after administration although no records exist of receipted medication. This is raised as a requirement in this report. In addition to this a staff interview noted that no training in medication awareness had been provided. This is also raised as a requirement in this report. York Road, 73 DS0000005271.V296717.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 adequate. This judgement has been made using available evidence including a visit to the service. The rights of residents to make a complaint are upheld by the service and information is available to them if they with to do so. Residents are not fully protected from abuse. EVIDENCE: Information is available outlining the information people need to make a complaint. This includes reference to the Commission For Social Care Inspection. A complaints record is available and this suggested that no complaints had been made since the last key inspection. Residents meeting minutes are available and these evidenced that the Manager seeks to reinforce the right residents have to make a complaint and how this could be done. A Local Authority procedure on reporting allegation of abuse is available as well as the organisations’ own procedure. Training is available but it was not clear whether staff had been on this. This is raised as a requirement. In addition to this, recent notifications had suggested that restraint was needed to protect the health and safety of the person concerned as well as others. A staff interview noted that no training had been received in this. This is raised as a requirement in this report. Other information is available for staff in respect of their involvement with resident’s finances. A staff member was able to confirm her knowledge of the whistle blowing procedure and information about this was on display for others. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 17 York Road, 73 DS0000005271.V296717.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Residents benefit from a clean and hygienic home but do not consistently benefit from a well-maintained environment. EVIDENCE: A tour of the building noted that it remained well decorated with plenty of communal areas for residents to use. Some wear and tear has started to become apparent in some areas. The home has no offensive odours and is clean and hygienic. The laundry area is domestic in scale. It was noted that two windows had been broken. There was no evidence that these had been reported for repair. This is raised as a requirement in this report. Additionally comments from a resident questionnaire noted that the heating in his room was not very effective in winter. This comment had been made in July 2006. Again there was no evidence that this had been reported. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 19 York Road, 73 DS0000005271.V296717.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is adequate. This judgement is made using available evidence including a visit to the service. Residents continue to benefit from receiving support form a staff team that have been correctly recruited. Residents do not benefit from a well-trained staff team. EVIDENCE: Information received prior to the inspection indicated that no new staff had come to work at York Road since the last time this standard was measured. All personnel files were in order then and therefore this standard was not measured on this occasion. Training records were not available and therefore it was not possible to determine the level of training received. One staff member confirmed that she had received mandatory training but had not received training in restraint or medication awareness. A training memo did suggest that staff did have the opportunity to go on training course with the organisation yet this attendance could not be confirmed. It is required that training records are made available. York Road, 73 DS0000005271.V296717.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 the service. Residents benefit from a service that is run by an individual who has been the Manager of the service for some time and has the necessary experience. Residents have the opportunity to state their views on the service they are given. The health and safety of staff and residents is promoted but is not protected given the absence of training records in mandatory topics. EVIDENCE: The Manager has been in place for some time and provides consistency as well as the experience needed to do the job. The Manager has a job description outlining his role and responsibilities under care home regulations. Administrative systems in the office were noted to be in need of reorganisation. Some older information was in the office, which is in need of archiving. This is raised as a recommendation in this report. York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 22 The service seeks the views of relatives and residents about the standard of support provided. Part of this is done through questionnaires, the last of which were done in July 2006. One comment about the individual accommodation of one person is outlined in Standard 24 of this report. In addition to this, a senior manager within the organisation visits on a monthly basis to assess the support provided. Copies of this are made available to the Manager. Residents meetings are also undertaken and the content of these makes reference during every meeting to any issues that residents have and whether they wish to make a complaint about any issues. Throughout both days of the inspection, the Inspector was able to interview staff in private as well as gain access to the views of residents as part of the inspection process. All comments were positive. A number of health and safety aspects were examined during this inspection. Training in this area could not be verified and this has been raised as a requirement in Standard 35 of this report. The following documents were examined and found to be satisfactory: Fire alarm tests Fire risk assessment Fire appliance tests Window restrictor tests Accident records Water temperature checks Resident risk assessments York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 23 York Road, 73 DS0000005271.V296717.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 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 N/A 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 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 2 X 3 X 3 X X 2 X York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 25 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 4 5 Standard YA20 YA20 YA23 YA23 YA24 Regulation 13 13 13 13 23 Requirement All received medication must be recorded All staff must receive medication awareness training All staff must receive training in abuse awareness All staff must receive training in restraint as a last resort All repairs must be actioned as soon as possible with reference to two broken windows and the heating system in one resident’s bedroom Training records must be made available for inspection Timescale for action 30/09/06 30/11/06 31/12/06 31/12/06 30/09/06 6 YA35YA42 13 30/09/06 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 YA37 Good Practice Recommendations The office should be organised so that older records are archived York Road, 73 DS0000005271.V296717.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 York Road, 73 DS0000005271.V296717.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. 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