Care Home: 20 Edward Road - Leonard Cheshire Disability

Similar services:

• 2 Perhaver Park
• The Vicarage
• 7 Hyde Road
• St George`s
• 5 Seafield Road
• Radfords
• Trevaylor Manor

What the care home does well On the morning of this unannounced inspection there was a friendly and relaxed atmosphere within the home. It was evident that residents were encouraged to follow their preferred routines and appeared happy within "their home environment". There was a strong sense at Edward Road that the staff were committed to meeting the residents wishes and needs. It was evident from observations that staff were able to understand and communicate well with those residents who did not generally speak or who used body language to express themselves. The individual service/care plans balanced the need to provide a range of health and social care with the aim of promoting decision making and a level of independence in each person. All three residents have lived at the home since it opened and several staff have worked for the same period of time and have developed good relationships with this small group of dependent people who live at Edward Road. The environment is designed to meet the needs of the resident group and has specialist equipment available for staff to use. What has improved since the last inspection? The majority of previous requirements had been met and it was evident that the staff were committed in further developing the quality of care and services that were offered. Since the last inspection a manager has successfully been appointed and registered with the Commission for Social Care Inspection. The quality of the records and the up to date information provided in the Individual Service/Care Plans accurately reflects the wishes and needs of the service users living at Edward Road. All the records checked throughout the inspection process had been signed by staff and were kept safely within the home. Procedures were in place for the maintenance and servicing of equipment including hoists. What the care home could do better: There was significant evidence that the support workers are working hard to continue to improve, and develop the service. However, the organisation needs to make every effort to enable residents and or their representatives and staff to express their views formally through the quality assurance procedures concerning both the current services and the future plans for the development of the service and facilities at Edward Road. It is important each service in the network of Cheshire homes has its own identity and is personalised to the specific services and facilities according to the group of residents living in each home. CARE HOME ADULTS 18-65 Edward Road (20) Dorchester Dorset DT1 2HL Lead Inspector Marion Hurley Key Unannounced Inspection 4th October 2007 10:00 Edward Road (20) DS0000026746.V352199.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 Edward Road (20) DS0000026746.V352199.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. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edward Road (20) Address Dorchester Dorset DT1 2HL 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) 01305 265097 01305 250138 paul.dennis-andrew@ic-uk.org www.leonard-cheshire.org.uk Leonard Cheshire Paul William Dennis-Andrews Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2006 Brief Description of the Service: 20 Edward Road is a care home providing personal care and accommodation to three adults who have a learning disability and additional physical disability. The home is one of seven similar services in Dorchester that are owned and operated by the Leonard Cheshire Foundation, a not for profit organisation providing services to people with disabilities. The home is a bungalow that has been converted and extended to meet the needs of all the residents. It is located in a quiet residential street, within walking distance of Dorchester town centre. Dorchester has a wide range of shops, banks, GP surgeries and other amenities, which are used by service users on a daily basis. All service users have single bedrooms and share the communal lounge, kitchen and dining room. There is level access throughout the first floor, and to the front and rear doors. Fees are individually negotiated according to the residents needs. Copies of inspection reports are available upon request from the Leonard Cheshire Home administration Office in Dorchester. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. All key standards were assessed according to the Care Home for Adults (18-65) National Minimum Standards. The time spent on the inspection process totalled ten hours, three of which were spent at the home. The purpose of the inspection was to make sure the home was being run for the benefit of the people who live there and in accordance with statutory requirements and regulations. The residents have varied communication needs, some of whom have verbal needs and communicate through sounds, gestures and actions and it was not possible to formally speak to the residents at the home however particular time was spent observing the care provided and interactions between residents, and the support workers. Documentation examined included the resident’s care/service plans, staff rota and medication records and all records pertaining to health and safety. The inspector also visited the Administrative Offices of Cheshire’s Homes, Dorchester and met the Service Manager to discuss corporate aspects of the service and with the training officers to check staff training and development records. Additional information received by the inspector prior to the inspection was also taken into account. This included the Annual Quality Assurance Assessment (AQAA) completed by the staff, and other information such as Regulation 37 notifications of significant events and Regulation 26 visits in the home. The inspector wishes to thank the residents and the staff on duty for their help and support in the process of this inspection. The registered manager was not present during this unannounced inspection. This inspection demonstrates that outcomes for service users living at Edward Road are good. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The majority of previous requirements had been met and it was evident that the staff were committed in further developing the quality of care and services that were offered. Since the last inspection a manager has successfully been appointed and registered with the Commission for Social Care Inspection. The quality of the records and the up to date information provided in the Individual Service/Care Plans accurately reflects the wishes and needs of the service users living at Edward Road. All the records checked throughout the inspection process had been signed by staff and were kept safely within the home. Procedures were in place for the maintenance and servicing of equipment including hoists. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 7 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. Edward Road (20) DS0000026746.V352199.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 Edward Road (20) DS0000026746.V352199.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. 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. Residents have their needs assessed before admission to the home so that staff can provide individually tailored care. Their families and significant others are given sufficient verbal information about the home so that they can be assured that the home can meet the needs of the prospective resident. The home needs to develop a Statement of Purpose, which is specific to Edward Road to ensure prospective residents, and their representatives have relevant written information to make an informed choice. EVIDENCE: Cheshire Homes reviewed and issued a generic Statement of Purpose in May 2007 and this now needs to be adapted to each individual service /home. The documents should identify the specific services and facilities available in each home for the service users and their representatives. A service user guide has recently been produced and this again needs to be personalised to each home. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 10 The support workers confirmed that the home has not admitted a new person for several years. However they were able to describe clear admission procedures and emphasised the importance in a small home of making sure that the new person would be compatible with the people already living at the home. The assessment and admission procedure would include the person making several visits to the home and having at least one overnight stay before admission. The support workers confirmed that people offered a place at the home are always supported throughout the admission process and care is taken to make sure they settle into their new environment. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual service / care plans were detailed and described the action that was required by staff to ensure that all aspects of the residents personal, social and healthcare needs were met. Residents can expect that their changing needs are recorded in their individual/care plans as regular informal reviews are completed in the fortnightly house meetings. Residents are supported and encouraged to make decisions with staff support as far as possible and to have risk assessments as part of an independent lifestyle. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 12 EVIDENCE: There is an individual service/care plan for each resident and these include plans of action for staff to follow. One care plan was checked and was detailed and of a reasonable standard. The format included details about residents’ history, preferred routines and the ways they communicated. Some staff have worked with this group of residents for several years and clearly have an excellent knowledge of each person’s preferred routines, care needs and communication methods and were able to described how they encouraged residents to make choices within their capabilities. Evidence of informal reviews of the care plans was illustrated by the alterations made on the plans in pencil in addition to the annual formal multi-agency review however; the plans need to be formally reviewed at least every six months. Daily records and the resident’s own diary reflect daily activities and lifestyles. Residents are not able to take responsible risks and each person had a series of completed risk assessments including ones for meal times, mobility, travel and use of the mini bus, and having a shower/bath. Staff said the assessments were used to minimise the risks to residents both inside and outside the home. There was evidence these had been reviewed. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 13 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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have regular opportunities to use local facilities with staff support, which they seem to enjoy, along with a range of social trips. The provision of social and leisure activities is valued at the home. The daily routines within the home are flexible and promote individuals choice. Menus provide a healthy balanced diet promoting the residents’ health and well-being. EVIDENCE: Residents’ service / care plans contained information about how they could be involved in the community. These included using local facilities such as shops, pubs. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 14 At the time of the inspection all three residents were initially at home. One person had just enjoyed a holistic therapy session and the other two were relaxing having a lazy start. Later in the morning one person went into town and after lunch two went horse riding as had been previously arranged. One person attends the local Social and Educational Centre alternating twice and three times per week. Each resident has specific activities on different days e.g. music therapy, horse riding, art therapy, foot massage, and personal therapy. Some activities involve accessing facilities and others the therapist visits the person in their home. All residents enjoy regular shopping trips and meals out. Staff said that all activities are based around the individual’s needs and interests. Staff explained that weekends tend to be a time when either residents visit relatives or relatives come to visit at the home. Staff explained how they provide support and will facilitate some visits to ensure residents maintain family links. Each resident had a summer holiday away from the home. It was clear from discussion with staff and observations on the day that they respect the opportunities for residents to have privacy while they are in their bedrooms or bathroom and will knock on the door before entering. The shopping for the home tends to be done at the local supermarket and this is based on the weekly menu, which in turn is based on the needs and preferences of the residents. Their needs included appropriate soft food. Staff may wish to consider accessing local resourced food from farmer’s markets and local farm shops. The home has its own min bus, which give staff the flexibility to plan trips on a regular basis. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. Residents’ receive personal support, which promotes their privacy, dignity and independence. Residents’ physical and emotional needs are met. The care /service plans contained detailed information about how the resident’s personal support can be met by staff. Corporate medication procedures ensure that staff adhere to the safe administration of medication to protect the safety and welfare of the three vulnerable residents residing at Edward Road. EVIDENCE: Edward Road has two bathrooms; the one on the ground floor is fully adapted to meet the needs of those residents who have specialist needs. The first floor bathroom suite has been replaced since the last inspection and now provides a safe environment however decoration remains outstanding since the last Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 16 inspection. Other specialist aids and adaptations were available to support the residents including wheelchairs and overhead bath hoists. The support workers clearly described the specific needs and preferences regarding the way each person like to have their bath or shower and this was further validated by the records describing their preferences e.g. “enjoys a good soak with aromatherapy oils”. All the residents are registered with a GP and some have additional healthcare support from a physiotherapist. Appointments and the outcomes of any consultations were recorded and there was evidence that care /service plans were appropriately amended to reflect professional guidance. The medication system in use at the home was examined. Medication is stored appropriately in the home, in a locked cupboard within lockable storeroom. All labels were intact on bottles and boxes and these could be clearly read. All medications were for named individuals. The MAR (medication administration record) sheets were fully completed. Staff confirmed they had been appropriately trained in the safe handling of medicines and the staff training records validated this information. No resident has the capacity to manage his or her own medication safely Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 17 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. Residents and their representatives can expect staff to respond to their concerns, which may not always be expressed verbally. Cheshire Homes has corporate complaint polices and procedures which ensure residents would be listened to and action taken to deal with complaints promptly. There are adult protection procedures that promote the protection of residents from harm or abuse. EVIDENCE: Cheshire Homes has corporate policies and procedures for dealing with complaints. There have been no recorded complaints since the last inspection in December 2006. Staff training records confirmed that all staff had received “Safeguarding Adults” (adult abuse) training and “team-teach” training (specialist intervention techniques). Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 18 The support workers demonstrated their knowledge, and understanding of the appropriate response, and the recording and reporting with reference to protecting vulnerable adults. There have been no “Safeguarding Adults” investigations during the 12 months previous to this inspection. The support workers also had a clear understanding of the homes whistle blowing policy. Staff were very clear that residents will express their views by gestures and various facial expressions and it was evident from talking with the staff that they know and recognise any variation in the behaviour of the residents may imply they are unhappy and staff will then try to establish the problem. There was evidence that staff had received training in the protection of vulnerable adults and that the home subscribes to the local multi-disciplinary procedures. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 19 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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was clean and tidy enabling residents to live in a pleasant environment. Specialist equipment was in place in the bathroom and bedrooms to enable residents to be more independent and or ensure that full assistance is provided. Issues identified at the last inspection have not been fully resolved and refers to exposed pipe work under the radiators and the bathroom is in need of decorating. EVIDENCE: The home provides a welcoming and warm atmosphere. It was evident from observations that residents identify with the house as “their home” and all three residents have lived in the home since it was first acquired by the organisation approximately six years ago. There is a good size lounge and Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 20 separate dining room which allows residents to move around freely and to use this space in conjunction with their own bedrooms. The home has a range of aids, adaptations and equipment designed to meet the needs of residents and assist them with mobility and personal care e.g. fitted hoists with ceiling tracking in bedrooms where needed. The home does not employ any additional staff to complete domestic tasks but the care team clearly take a pride in the home and see it as their responsibility to ensure it is kept clean. Cleaning materials were safely and appropriately stored. There was evidence of disposable aprons and gloves available for use when completing intimate care or dealing with soled items. Each person has their own bedroom and these were well decorated and had a variety of personal possessions and were quite individual. There is a good size garden at the rear of the property, which is accessible to residents. Staff are in the process of creating a sensory area and have in the summer painted the summerhouse and are generally tidying and utilising the garden to ensure good use is made of the space. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 21 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff work in a supportive environment and full checks are completed prior to them starting work ensuring the safety of the residents. A good induction and training programme is in place ensuring that the staff are able to meet the resident’s general and specific needs. EVIDENCE: On the day of the unannounced inspection there was an informal and relaxed atmosphere at the home. The staff have a good knowledge of resident’s individual needs and positive relationships were observed. Staff recruitment and selection procedures are thorough and include a formal interview, the taking up of two written references and a Criminal Record Bureau check before the new member of staff can start work. Two staff files were randomly selected and were checked to verify this standard. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 22 The home has a small but established team that are committed to ensuring the residents living at the home receive the best possible quality of care and support. Staff training continues to be encouraged at the home and the two staff spoken with said that the level and quality of training provided was good and confirmed that the home is committed to having a trained and competent workforce. The training records of two staff were reviewed and found to be comprehensive and up to date. Two personnel files were also checked and these have recently benefited from being reorganised, both were well presented with a clear index. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 23 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 good. This judgement has been made using available evidence including a visit to this service. There was a friendly atmosphere at the home and staff demonstrated a positive attitude towards the residents. The management of Edward Road is appropriate and the health and safety and welfare of the residents satisfactory. EVIDENCE: Throughout the inspection, the impression was that staff were committed to supporting and enabling residents to lead fulfilling lives. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 24 Regulation 26 visits have been regularly carried out and the named person has checked a variety of records, discussed issues with staff, checked the environment and provided written reports. Matters relating to health and safety were examined. The completed AQAA issued prior to the inspection confirmed areas of checking and servicing were regularly taking place. Safety checks by staff were seen to be regularly undertaken and appropriately recorded. Residents’ finances were discussed and the records checked and found to be accurately maintained. The service manager responsible for the Cheshire Home services in the Dorchester locality stated that at this stage the services and individual homes do not have a current quality assurance system. Such a system is needed to ensure that all stakeholders are consulted about the overall quality of care the homes provide. It is very important that residents and or their representatives are involved in the self-monitoring and quality assurance procedures. A senior member of staff now undertakes a monthly audit of a specific area of practice, for example the procedures for managing and handling resident’s laundry, safe handling and administration of medication and these are practical ways to ensure quality is monitored and maintained. Policies and procedures are in place to ensure the health and safety of people living and working at the home. These are reviewed on a regular basis to ensure they comply with present legislation. Cleaning materials were being securely stored in a locked cupboard. The AQAA completed by the manager, indicated that equipment was being serviced and checked at appropriate intervals and procedures were in place for the maintenance and servicing of appliances and equipment promoting and protecting the health and safety and welfare of staff and residents. Fire alarm tests were carried out weekly and fire training records were up to date with all staff attending as required. All staff had received health and safety training, moving and handling, food hygiene and fire training. Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 25 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 2 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 3 x 3 X 3 X X 3 x Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4(1)(2) Requirement The service must develop a Statement of Purpose & Service User Guide, which clearly sets out the role and responsibilities of the provider and details the services and facilities available specific to the home. Please note this is work in progress. All parts of the home must be kept in good repair and safe. Exposed pipe work under the radiators must be covered. The refurbishment of the bathroom has been partly achieved but still requires decorating. . 3. YA39 24(1)(2)(3) The home must establish and maintain a system for reviewing and monitoring the quality of care provided by the home and where possible residents or their representatives. A new timescale has been agreed. 31/12/07 Timescale for action 31/12/07 2. YA24 13(4) (a) 31/12/07 Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 27 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 YA6 Good Practice Recommendations It is important the care/service plans are written using a variety of different and creative methods to help each person to make their own specific contribution to their plan. It is important each care/service plan is reviewed at least every six months and the outcomes from the review recorded. 1 YA6 Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Edward Road (20) DS0000026746.V352199.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!