Care Home: 4 Romulus Close

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What the care home does well Romulus has a welcoming atmosphere and staff and residents make visitors feel welcome. Romulus has a homely feel and residents live in a comfortable and pleasant home and it the home is kept suitably clean. The staff ensure that prospective residents have a comprehensive transition programme that includes several visits to the home prior to them moving in. The residents living at Romulus are supported by experienced staff who know the needs of the individual residents and are able to provide appropriate support. The staff have a good knowledge and understanding of resident`s complex and sometimes challenging needs and have the skills to meet those assessed needs. There were excellent examples during the visit of how the support workers clearly understand how each resident communicates their needs and wishes and this was further endorsed with written communication profiles in the residents` individual records. Residents receive good standards of personal and health care and benefit from a healthy and balanced diet. The staff ensure that there is very close liaison and regular communication with residents` families and families are invited to attend the regular house meetings. The staff continue to be well supported through the quality of training received. There was a sense of staff working together during the inspection and there was a calm and relaxed atmosphere with the support workers being very sensitive and respectful to the residents. What has improved since the last inspection? 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 Romulus. All the records checked throughout the inspection process had been signed by staff and were kept safely within the home. The majority of requirements from the previous inspection report have been addressed. What the care home could do better: CARE HOME ADULTS 18-65 Romulus Close (4) Dorchester Dorset DT1 2TH Lead Inspector Marion Hurley Key Unannounced Inspection 4th October 2007 09:15 Romulus Close (4) DS0000026749.V351199.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 Romulus Close (4) DS0000026749.V351199.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. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Romulus Close (4) Address Dorchester Dorset DT1 2TH 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 263479 keeley.grennan@lc-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 Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2006 Brief Description of the Service: Romulus Close is a registered care home accommodating three adults who have a learning disability, and additional physical disabilities. The home is one of seven similar services in Dorchester that are owned by the Leonard Cheshire Foundation, a not for profit organisation providing services to people with disabilities. The bungalow is located in a popular residential area of Dorchester, within walking distance of the town centre and local facilities. The physical environment has been adapted and equipped to meet the needs of residents who have significant physical disabilities but has retained a domestic and homely appearance. Both the property and gardens are totally accessible for all the residents. Staff on a 24-hour basis support residents living at Romulus Close. Each person has an individual care/ service plan to assist them to live as independently as possible, and to take full advantage of social, educational and work opportunities available to them. The service provided includes the provision of accommodation, day services, personal care, meals and laundry services. Residents are expected to pay for personal items such as clothing and toiletries, and to make contributions to certain activities that are provided outside of the day service programme. Fees are individually negotiated according to the residents needs. Copies of inspection reports are available upon request from the Leonard Cheshire Home administration offices at Charlton Down, Dorchester. Romulus Close (4) DS0000026749.V351199.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. The inspection included spending time talking with, and in particular observing residents, and their interactions with 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 thanks all the residents and the two staff on duty for their help and support in the process of this inspection. The registered manager was not present during this unannounced inspection. What the service does well: Romulus has a welcoming atmosphere and staff and residents make visitors feel welcome. Romulus has a homely feel and residents live in a comfortable and pleasant home and it the home is kept suitably clean. The staff ensure that prospective residents have a comprehensive transition programme that includes several visits to the home prior to them moving in. The residents living at Romulus are supported by experienced staff who know the needs of the individual residents and are able to provide appropriate support. The staff have a good knowledge and understanding of resident’s complex and sometimes challenging needs and have the skills to meet those assessed needs. There were excellent examples during the visit of how the support workers clearly understand how each resident communicates their needs and wishes and this was further endorsed with written communication profiles in the residents’ individual records. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 6 Residents receive good standards of personal and health care and benefit from a healthy and balanced diet. The staff ensure that there is very close liaison and regular communication with residents’ families and families are invited to attend the regular house meetings. The staff continue to be well supported through the quality of training received. There was a sense of staff working together during the inspection and there was a calm and relaxed atmosphere with the support workers being very sensitive and respectful to the residents. What has improved since the last inspection? What they could do better: The outcomes for residents living at Romulus are judged to be good. 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 Romulus. 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. The manager and staff need to continue to seek activities, which are community based which residents can either participate in or observe and Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 7 importantly develop /maintain their community presence. Each resident is allocated up to £120.00 per month for “day services” and it is imperative this is spent meeting their needs and aspirations. There remain two issues relating to the premises yet to be addressed from the last inspection, the evidence of damp remains in the bathroom and the kitchen needs to be refurbished and decorated. 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. Romulus Close (4) DS0000026749.V351199.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 Romulus Close (4) DS0000026749.V351199.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. Service user needs are assessed in full by a range of professionals and service users and their families are given sufficient verbal information about the home so that they can be assured that the home can meet their needs. The home needs to develop a Statement of Purpose, which is specific to Romulus 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 provided. 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. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 10 The care files of two service users were examined, one of these being a new admission to the home. This contained a range of assessments carried out by a variety of professionals who had been involved in the care of the service user in previous care settings. The staff team at Romulus had more than enough information on the assessed needs of the service user and this enabled them to provide an individually tailored service to meet the person’s needs and their identified preferences. There was evidence that the service user had been offered and had taken up the opportunity of visits and overnight stays prior to making a choice about living at the home. The move, which was initiated in July 2007, has gone well and both the support workers validated the written evidence with their descriptions of the process. The service user responded very positively when asked specifically about aspects of their introduction and ultimate move to Romulus. Romulus Close (4) DS0000026749.V351199.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. Residents’ needs are met and service users and their representatives are consulted. Residents are supported and encouraged to make decisions. Residents are supported to take risks as part of an independent lifestyle EVIDENCE: Two individual service/care plans were looked at. These documents included assessment information, and significant personal information. Staff guidance to meet the varied and complex needs of the residents was clearly documented and staff recorded that they had read this. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 12 The two support workers displayed an excellent knowledge and understanding of the complex and varied needs of the three residents. Records and staff confirmed that residents are supported to make decisions about their lives. Staff were observed to offer residents choice during the inspection. Resident’s routines and preferences were clearly documented. The care/service plans documented residents individual communication needs, which included non-verbal communication. The two plans examined recorded evidence of risk assessments for example on bathing, travelling, eating and risk to others and property. The home has an Emergency Plan / Procedure and these include a missing persons procedure. Romulus Close (4) DS0000026749.V351199.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 the opportunity to take part in different activities some of which are community based. Arrangements are in place to enable residents to maintain contact with their family and significant others as they wish. Residents’ rights are respected and responsibilities recognised in their daily lives. Meals are varied and wholesome. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 14 EVIDENCE: Records and speaking with the support workers confirmed that residents take part in a variety of valued and fulfilling activities. Activities include cart riding, shopping, meals out and visits to different resources in the community, e.g. The Sealife Aquarian. Residents also join in a range of other in house living practical tasks e g. learning and managing their laundry, basic cooking, and cleaning. Residents’ community presence and community participation with staff support was evident from records and discussions with the support workers however staff need to be continually resourcing other activities in the community. For example one resident use to go to a therapist for reflexology however this has now been changed and the therapy is provided in house by a member of staff. Even though the resident still benefits from the therapy they have been denied the choice of therapist and an opportunity to access a community facility. Staff are proactive in ensuring that residents are supported in maintaining contact with family and friends if they so wish and the records illustrated the level of contact and noted visitors to the home. The support workers confirmed they contact relatives regularly to ensure they are aware of their relative’s progress and general well being. Residents also have the opportunity to meet with their peers and friends from other services provided through the Cheshire home network of services in Dorchester. The home has a monthly menu, the presentation of the menu should be reviewed to ensure it is accessible to residents. No choices were listed on the menu however the support workers assured the inspector that the menu is written with the residents’ preferences in mind and there is always a choice available. The majority of shopping is undertaken at a large supermarket and the staff should consider accessing local suppliers and sourcing locally produced produce. A resident ate their breakfast during this unannounced inspection. This was unhurried and they were provided with support from staff when needed. A record of meals confirmed that residents received varied wholesome meals however staff must ensure that there are no gaps and that the records relating to meals, the temperature of cooked food can be cross-referenced. Romulus Close (4) DS0000026749.V351199.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. Arrangements are in place to ensure that resident’s personal and healthcare needs are met. Medication is stored and administered safely but the details of the medication received into the home must be recorded to ensure an audit of medication is achievable. EVIDENCE: The two individual service/care plans read had assessments of the residents’ personal care needs and staff guidance to meet these needs. Equipment including wheelchairs, ramps, and hoists are accessible to support residents’ maximum independence. Guidance and training in the use of specialist equipment was evident in the files and the community physiotherapist had produced some very practical guidelines for staff. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 16 The support workers confirmed and the records endorsed that the residents’ health needs are assessed, reviewed and monitored. There was evidence that changes in health needs were promptly identified at an early stage and that advice from the appropriate healthcare professional was sought. All three residents are registered with a GP and have the opportunity and support to ensure that specialist healthcare needs are monitored and treated. Resident’s weight is monitored and the records confirmed that’s residents have received routine check ups with the chiropodist, dentist and optician and where appropriate support from the community learning disability team. The home has a medication policy and procedures and was available at the front of the file containing the MAR charts. (Medication Administration Records). The medication storage and administration systems were inspected. Medication is securely stored and medication administration records were up to date with no gaps in the recording. The home does need to provide written evidence that the medication and quantities are checked when supplies are received at the home. The support workers confirmed this does occur as the supplying pharmacist does make an occasional error however there were no written records to support this. Romulus Close (4) DS0000026749.V351199.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. Arrangements are in place ensuring that complaints are taken seriously and handled objectively and staff are trained in safe guarding adult procedures to ensure that residents are protected from abuse, neglect and self-harm. 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). 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. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment of the home is safe, homely and comfortable. The premises are suitable for the care home’s stated purposes. The home was clean and odour free on the day of the inspection visit. EVIDENCE: The home is in keeping with other homes in the vicinity. It is suitable for its stated purpose and is very much “the home of the three men living there”. The home consists of three bedrooms, bathroom, dining room, lounge, utility room and kitchen. The premises were judged to be safe, comfortable, homely bright and cheerful. Furnishings and fittings were of a reasonable standard however specific areas identified in the last report have not been addressed: - there remains evidence of damp in the bathroom and the kitchen is in need of refurbishment. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 19 New fire doors are required for the bedrooms as identified in the last fire inspectors report and this requirement is currently being addressed. A resident’s bedroom was viewed and they explained they had chosen their own furnishings and fittings and the bedroom had clearly been personalised and reflected their interests. The support workers spoke of supporting the resident (who had recently moved into the home) to further personalise their bedroom and to improve the overhead lighting and add more sensory equipment. The organisation has an infection control policies and procedures and these were being fully implemented at Romulus with both staff aware of good safe practices. The home completes a regular cleaning checklist to ensure all household duties are routinely completed. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 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 protected by thorough staff recruitment and selection procedures. There is a commitment to staff training and to ensuring that people receive the standard of care they require. EVIDENCE: 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. 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. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 21 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. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that effective quality monitoring of practical working systems are in place but this needs to be developed into a quality assurance system to ensure the continual improvement and quality of the service provision for the people who live and work at Romulus. Arrangements are in place to ensure so far as reasonably practicable the health, safety and welfare of both residents and staff. Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 23 EVIDENCE: 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, and for there to consequently be evidence of a year on year development of the service. It is very important that residents and or their representatives are involved in the self-monitoring and quality assurance procedures. Plans are being formulated to address 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. Fire alarm tests were carried out weekly and fire training records were up to date with all staff attending as required. No specific health and safety hazards were found at this inspection. Romulus Close (4) DS0000026749.V351199.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 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 3 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 2 X 3 X 3 X X 3 x Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 25 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 Timescale for action 31/12/07 2. 3. YA20 YA24 20(4) 13(4)(a) 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. A record of all medicines 30/11/07 received, into the home must be kept. All parts of the home must be 31/12/07 kept in good repair. The bathroom continues to show signs of damp Please refer to inspection report July 2006. 31/12/07 4 YA39 24(1)(2)(3) Effective quality assurance and quality monitoring systems, based on seeking the views of service users, and their representative need to be further developed to ensure the views are in place to measure success in achieving the aims, objectives and statement of purpose of the home A new timescale has been agreed. DS0000026749.V351199.R01.S.doc Romulus Close (4) Version 5.2 Page 26 Please note this is work in progress. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 27 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 Romulus Close (4) DS0000026749.V351199.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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