Care Home: 1 & 1a Christchurch Gardens

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What the care home does well Meets the health and social care needs of the residents who live there, and provides a full trained staff team who promote the safety and well being of the residents within a happy and caring environment. Provides a warm, clean, comfortable home for the residents and recognises improvements needed to improve the residents comfort. What has improved since the last inspection? The home has a new manager who is making sure improvements are made to ensure the residents` needs are identified and met. The manager is in the process of applying to become the registered manager of the home. The home now has a permanent staff team, with only one full-time vacant post. This is a big improvement since the last inspection and ensures continuity of care. Some care plans and supporting records have improved, and the manager knows what to do to ensure all residents support plans are up to date to identify and meet their health and social care needs. The lounge within each house and vacant bedroom has been redecorated and bathrooms are in the process of being refurbished. What the care home could do better: Ensure residents support plans, risk assessments and other supporting evidence are up to date that includes monthly summaries and weight charts. Promote the dignity of the residents by giving support with appropriate clothing to wear. Promote infection control throughout the home Improve on the numbers of staff who have a National Vocational Qualification in care. Provide moving and handling training for all staff CARE HOME ADULTS 18-65 1 & 1a Christchurch Gardens Reading Berkshire RG2 7AH Lead Inspector Yvonne Souden Unannounced Inspection 10th July 2008 02:00 1 & 1a Christchurch Gardens DS0000011049.V366911.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 1 & 1a Christchurch Gardens DS0000011049.V366911.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. 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 & 1a Christchurch Gardens Address Reading Berkshire RG2 7AH 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) 0118 931 2032 0118 931 2031 londonroad@tiscali.co.uk Milbury Care Services Ltd Manager post vacant Care Home 8 Category(ies) of Learning disability (0) registration, with number of places 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 8. Date of last inspection 25th July 2006 Brief Description of the Service: 1 and 1a Christchurch Gardens are 2 adjacent properties that are registered with CSCI as one service and are situated in a residential estate close to Reading town centre. The service provides residential care and accommodation for 8 people with learning disabilities. The people who use the service have a single room with wash hand basin, although 1 bedroom within each house has an en-suite facility. The service accommodates up to 4 people in each house and each house has a kitchen/dinette, two bathrooms, office and lounge, but share a large enclosed rear and front garden with off road parking. The home is unsuitable for wheelchair users. The home has a Statement of Purpose and Service Users Guide available on application to the home. 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The registered manager post within this service is vacant. The service has appointed a manager who is applying to the Commission to become the registered manager. The manager completed an Annual Quality Assurance Assessment (AQAA), which is a legal document provided by the commission. The AQAA was used by the manager and provider to review their service and inform the commission of their findings. The AQAA was used as part of the evidence to inform this report. Other evidence used to inform the report includes a 5.5-hour site visit to the service by the inspector. This enabled the inspector to observe care practice and speak to people who use the service, staff and management of the home. The Commission for Social Care Inspection received 2 completed surveys that had been sent to people who use the service; their relatives, staff and health professionals, their views of the service provided have been used to inform the report. Other evidence used to inform this report was documentation viewed by the inspector at the site visit. From the evidence seen by the Inspector and comments received, the Inspector considers that the home would be able to provide a service to meet the needs of individuals of various religion, race, or culture. The home follows the organisation’s policy and guidelines to manage issues relating to equality and diversity. What the service does well: Meets the health and social care needs of the residents who live there, and provides a full trained staff team who promote the safety and well being of the residents within a happy and caring environment. Provides a warm, clean, comfortable home for the residents and recognises improvements needed to improve the residents comfort. 1 & 1a Christchurch Gardens DS0000011049.V366911.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. 1 & 1a Christchurch Gardens DS0000011049.V366911.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 1 & 1a Christchurch Gardens DS0000011049.V366911.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 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available for those people who are considering using the service and for those who are resident within the home. Procedures are in place to ensure prospective residents have their needs assessed, and have their assessed needs reviewed following admission to the home. EVIDENCE: The service has a statement of purpose and service users guide that is in pictorial format. On the day of the site visit the residents were all male aged between 18 and 65, who have lived in the home several years. Since the last key inspection one resident has been discharged and the room remains vacant. Although there has been no new admissions since the last key inspection there is a Milbury admission procedure which includes a full assessment. It was evident from records viewed and from discussions with management and staff that the assessed needs of the residents are reviewed regularly. 1 & 1a Christchurch Gardens DS0000011049.V366911.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 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service have individual care plans that promote their independence and decision-making, whilst risk assessments promote their safety within the decisions they have made and care needs identified. Further progress is needed to ensure all care plans, risk asessments and other supporting documentation are up to date. EVIDENCE: The files of two residents were viewed. Both files detailed personal information on how the resident wants to be supported by staff to meet their personal care and daily routine, and were within a risk management framework; risk assessments are signed by staff to confirm that they have read and understood the risk and how to minimise the risk. Information of support networks was in place for example G.P, behaviour therapist. One file viewed did not detail the information required within the support plan to the same standard as the other file viewed, and was clearly not up to date. Daily reports were made that ensured continual review, but monthly summary sheets and weight charts were incomplete as had been identified at the 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 10 services previous inspection 25/07/06. The new manager has started to make noticeable improvements and confirmed she would undertake to ensure all support plans and supporting documentation is up to date. Discussions with staff and records viewed identified that multi-agency reviews had taken place. The residents within the service have limited verbal communication skills, but systems are in place to ensure staff have the information they need to promote the residents decision-making. For example both support plans detailed the residents communication skills, one plan informed that the resident had limited vocabulary and detailed a list of link words and body language used by the resident to promote positive communication between the resident and staff. 1 & 1a Christchurch Gardens DS0000011049.V366911.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): 12, 13, 15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are supported to access day services, activities and holidays and be part of the community in which they live. People who use the service are enabled to maintain contact with family and friends, and are involved in decision making within the home. EVIDENCE: There is a diverse cultural group of residents and staff, who were observed to respect one another, sharing tasks equally and having full participation in decisions made about the home; records identify that team meetings take place and that residents participate. Residents have limited verbal communication skills and communicate with a limited number of single words and signs. It was evident from observation that there is good communications between residents and staff. Staff 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 12 understood requests made by residents from a single word or action, and residents and staff were clearly comfortable in each other’s company. The manager spoke of intensive communication training that involves the resident and concentrates on the best form of communication to be used for the individual resident. The manager confirmed that she has applied for training for staff and is hopeful this will happen 2008. Residents are encouraged to maintain contact with family and friends. Surveys completed by relatives of two service users said that staff always respect the residents privacy and dignity, and always treat residents well. Two residents have advocates because they have no family contact. Residents were seen to move freely around the house and have access to all parts, including the study. Two residents who live in separate houses have become good friends and spend time with each other in either house. Some residents access Milbury daycare and are collected by daycare staff to participate in organised activities, for example, drive in the community and trampoline classes. Staff spoke of residents going on holiday, assisting residents to the shops, on walks and to have a meal within a community environment. Records identify that activities are scheduled to meet the individual needs of the residents, and that staff are rostered to assist in those activities. Discussion with staff identified residents likes and dislikes for example, residents’ favourite food. Staff prepare the evening meal and say that residents are encouraged to assist with the preparation. Pictorial menus have been developed to promote residents choice. The manager showed the inspector a new menu system soon to be implemented that will improve resident choice. 1 & 1a Christchurch Gardens DS0000011049.V366911.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service have their personal care needs met in accordance to their wishes. They are supported to keep healthy and to take their medication. EVIDENCE: Residents are assisted to maintain a good standard of personal hygiene with their preference on how this is to be delivered detailed within their plan of care. A keyworker system is in place and staff spoke of their responsibility as keyworker. ‘To ensure the residents have what they need to maintain a good standard of hygiene and appearance.’ With eight residents and a staff team of seventeen, each resident has more than one keyworker. Some residents’ clothes were dirty and it was observed that staff assisted a resident to change. The manager said that the resident required frequent changes of clothes throughout the day. One of the residents clothing was observed to be stained giving the appearance of being dirty or having food spilt on them. Another resident’s t-shirt was full of what appeared small worn holes. The manager confirmed that the resident bites his clothes. Worn/torn or stained/dirty clothing does not promote the dignity of the individual 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 14 resident, and is not respectful of the residents’ appearance; more care should be taken by the key workers to ensure worn and stained clothes are replaced. Staff complete daily reports on each resident; records detail assistance received by the resident to meet their health and social care needs. Records identify health care involvement and appointments attended by the residents, and demonstrate regular multi-agency reviews. A survey completed by a relative of a resident said, ‘the residents health care needs are always monitored and attended to by the care service’. Staff were very clear in discussion that only those staff that have received medication training administer medication. Records identify that staff have received medication via an EL Box (a commuter programme that enables staff to learn the subject and answer to multiple choice questions), and have received training from a recognised pharmacist on the storage, administration and disposal of medication from a monitored dosage system. Medication records matched medication in stock and medication policies and procedures are reviewed. 1 & 1a Christchurch Gardens DS0000011049.V366911.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 good. This judgement has been made using available evidence including a visit to this service. People who use the service and their families know who to contact if they have a complaint. Staff are trained to know how to protect the people who use the service. EVIDENCE: There is a Milbury complaints procedure in place and service users have access to this. Service users surveys show that they and their relatives would know how to complain, and pictorial ‘letting us know what you think’ cards were observed within the home. The AQAA reports that there has been two safeguarding adult referrals made since the last key inspection 25th July 2006, and reports that no referrals have been made to the Protection of Vulnerable Adults List (POVA). The service informed the Commission of the two referrals within Care Homes Regulation 37 reports. Staff receive safeguarding adult training via the organisations EL Box. Discussions with staff identified their awareness of the safeguarding adult procedure and action they should take should an allegation of abuse be made or should they be witness to abuse within the home. Records identify that service users finances are protected. Staff confirmed that all receipts of purchase on behalf of the resident are kept. 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 16 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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements have been made to provide a homelier and comfortable environment for the people who use the service with further plans in place to improve. The home is kept clean and hygienic, but infection control procedures are not fully promoted. EVIDENCE: The inspection was unannounced and on arrival it was evident that work had commenced to improve the environment. The sitting rooms and vacant room have been redecorated to a good standard, and a bathroom in one house was in the process of being refurbished. The kitchens remain unchanged since the last inspection; the manager confirmed funding is in place to refurbish the kitchens, due to commence September 2008, and that funding is in place to fully redecorate both houses. One person has been contracted by the service to complete the redecoration of both houses, with a separate contractor to refurbish the bathrooms and 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 17 shower rooms. The manager informs that although it will take longer to complete the redecoration by one person, it is less disruptive to the residents. The home has a separate laundry that is small; staff confirmed plans to improve the layout of the laundry. Cleaning products are kept safe and both houses were observed to be clean and tidy with no offensive smells. Staff confirmed that a delegation of tasks takes place to ensure the smooth running of the home and to promote good H&S practice. The shower room on the ground floor within one house had no paper towels for residents or staff to dry their hands; liquid soap was available. Staff informed the inspector that paper towels are not kept in the shower room due to a resident disposing of them in the toilet, and confirmed that residents and staff will wash and dry their hands in the kitchen. The bathroom on the first floor of the second house had no paper towels available although paper towels and liquid soap was available in the storeroom. The manager must promote infection control by ensuring staff and residents have liquid soap and paper towels available at all times within the shower and bathrooms. It was recommended to have a locked box/wall cupboard in the shower and bathroom of the house of the resident who puts paper towels down the toilet that can be accessed by staff when visiting or assisting the residents to the toilet. Staff are provided with protective clothing to promote infection control and staff have completed infection control training. 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 18 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 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are supported by a staff team that have been checked for suitabilty and are trained to meet their needs. EVIDENCE: Training record identify that mandatory training is mostly completed within the organisation through a new system called the ‘EL Box’, which is a commuter programme that enables staff to learn the subject and answer to multiple choice questions. Trainers within one of Milbury Care Services offices view the test papers and issue certificates, however should staff have 2 or more questions wrong they have to complete the whole course. Training for staff on the EL Box is identified on the staff rota and the inspector spoke to a staff member who was participating in the EL Box training. External training courses are provided for example medication. Staff have not received moving and handling training. The manager said the training had been scheduled in May 2008, and was cancelled by the external trainer due to inadequate space in the home to deliver training; a new date has to be confirmed. It is recognised that there has been considerable staff movement within the home since the last key inspection 25/07/06 that has had an impact on the 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 19 percentage of staff with and NVQ. Discussions with the staff team show that they are keen to undertake training to enable them to improve their knowledge and skills within care. The service has a staff team of 17, two have a National Vocational Qualification (NVQ) in Care. One member of staff is on an NVQ course and three staff are due to commence September 2008. Despite clear evidence of promoting NVQ this will not bring the service up to the government target to have at least 50 of the workforce with a care qualification, and is an area that needs to improve. The services Annual Quality Assurance Assessment (AQAA) states all staff employed within the past 12 months have had satisfactory pre-employment checks. The provider Paragon incorporating Voyage, Milbury and Home First & Foremost requested of the Commission that they be permitted to centralise their HR records. We viewed the files of four staff within the service that had photocopies of records kept centrally. Discussions with staff and records viewed evidenced that a completed application form, references and security checks had been followed up, for example, residence permit, passport and CRB with reference number recorded. The organisation has a recruitment policy and procedure and follows the organisation’s policy and guidelines to manage issues relating to equality and diversity. 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new manager is a competent, experienced and enthusiastic manager who ensures the safety of the people who use the service and staff team. The manager knows what needs to be done to improve systems and actively promotes improvement within the service to benefit the people who live there. EVIDENCE: A new manager was appointed December 2007. The manager has worked in the learning disability sector for ten years, and has worked within the organisation since 2000 starting as a support worker & progressing to Home Manager. The manager has commenced NVQ 4 and is hopeful to complete by September 2008, and aims to commence the Registered Managers Award (RMA) alongside the organisations Management Development Programme (MDP). The manager has applied to the Commission to become the Registered Manager. The manager said she feels supported by her line manager and is aware that 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 21 care plans and other supporting documentation must be brought up to date. There is clear evidence that the manager has started to update and make changes to improve systems in place. The previous key inspection July 2006 identified 150 vacant care staff hours – this number has decreased to 37 vacant care staff hours, which shows clear improvement in staff numbers that promotes continuity of care. The manager is confident that improvements within the environment will continue now that there is a full staff team in post. Staff morale was observed to be good and staff minutes of meetings and staff communication book identify good team communications that are legibly recorded. It was evident that the residents and staff have a good relationship that promotes a sense of well being within what was observed to be a relaxed atmosphere within both houses. Staff are aware of their boundaries and said that they feel supported by one another and management to ensure the needs of the residents are met. Records demonstrate that staff receive regular supervision. Quality assuracne systems are in place completed by the manager and operations manager in the form of monthly Care Homes regualtion 26 reports. All relevant safety certificates within for example gas, electricity are in place and fire records are maintained. Health and Safety checks are carried out, for example, hotwater, fridge and freezer temps). Surveys returned to the commission show that people who use the service feel listened to and feel confident that their views contribute to the running of the home. 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 22 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 3 X X 3 X 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 service users support plans and supporting documentation is up to date and reviewed regularly. Records would include monthly summaries and weight charts. 2 YA30 13. –(3) The registered person must promote infection control by ensuring the provision of paper towels in the shower and bathrooms that will enable staff and residents to wash their hands in the bathroom following a visit to the toilet as opposed to the kitchen. The registered person should ensure a date is confirmed for all staff to receive moving and handling training. The registered person must submit to the Commission an outline of the plans in place to refurbish 1 & 1a Christchurch Gardens detailing expected completion date. DS0000011049.V366911.R01.S.doc Timescale for action 28/08/08 07/08/08 3 YA35 13. – (5) 07/08/08 4 YA24 24 07/08/08 1 & 1a Christchurch Gardens Version 5.2 Page 24 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 YA18 Good Practice Recommendations The registered person should ensure service users are supported by their keyworker to wear appropriate clothing, and replace clothing that is torn or stained and unrepairable to promote the service users dignity and selfrespect. The registered person should assist more staff to access an NVQ in care to increase the percentage of qualified staff within the service. 2 YA32 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 1 & 1a Christchurch Gardens DS0000011049.V366911.R01.S.doc Version 5.2 Page 26 - 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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