Care Home: 403 Blackpool Old Road

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What the care home does well What has improved since the last inspection? There have been a number of training events to promote the knowledge, skills and ability of the care staff. An increasing number of communication formats and methods have been used to ensure that the residents are able to understand important issues regarding their support. What the care home could do better: CARE HOME ADULTS 18-65 403 Blackpool Old Road 403 Blackpool Old Road Highfurlong Blackpool Lancashire FY3 7LT Lead Inspector Christopher Bond Unannounced Inspection 2nd June 2008 02:00 403 Blackpool Old Road DS0000009885.V362229.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 403 Blackpool Old Road DS0000009885.V362229.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. 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 403 Blackpool Old Road Address 403 Blackpool Old Road Highfurlong Blackpool Lancashire FY3 7LT 01253 395065 F/P 01253 395065 saml@ubu.me.uk 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) Northern Life Care Limited T/A U.B.U. Carolanne Gray Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 4 residents to include: *Up to 4 residents in the category of LD (Learning disability) Date of last inspection Brief Description of the Service: 403 Blackpool Old Road is one of four small homes in the Blackpool area that is owned by UBU (formally Northern Life Care). It is registered to provide care to four adults who have a learning disability. It is situated in the Highfurlong area and is close to the local shops, public transport and other community facilities in the area. The property is a large detached dormer bungalow that accommodates all residents in single accommodation. Three bedrooms are on the ground floor and one is on the first floor. The home has two bathrooms, one on each floor, and there is a lounge, dining room and very large garden area. There is a Statement of Purpose/ Service User Guide, which is given to all prospective residents and their relatives. This information is in the process of being rewritten in a format that is appropriate and which will make it very clear the care service provided, who the management team and staff are and what the resident can expect if he or she moves into the home. Information received prior to the visit (02/06/08) showed that the contribution that the residents make towards their care ranged from £62.35 to £94.45 per week. Additional charges were made for hairdressing, toiletries, activities and transport. 403 Blackpool Old Road DS0000009885.V362229.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 3 star. This means the people who use this service experience excellent quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 3 hours on the 2nd June 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were also examined. We spoke at length to the manager of the service during the inspection. We also spoke to two of the support workers about the service. The residents that were at home at the time of the inspection had communication issues. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well: This service provides quality outcomes in a number of areas for the people that it supports. Everyone who lives at Blackpool Old Road has a ‘person–centred’ plan of care that holds important information about their lives, health needs and their skills and abilities. Each plan has photographs and illustrations of what the residents likes and dislikes are, and what their activities are during the day. The plans hold good information about preferred communication methods. Support workers review the plans regularly and everyone has frequent meetings where their goals and aspirations are reviewed and assessed. Staff training is good and there have been several recent training events. Everyone who works for this organisation has to complete the Learning Disability Award Framework, which is a nationally recognised qualification in 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 6 care. This is specifically for those staff working with adults who have a learning disability. Several of the staff also have National Vocational Qualification level 2 or 3 in Care, which is also nationally recognised. A well -trained staff team means that they are able to do their jobs more professionally. The residents of this service received a service from an organisation that promotes good practice and demands strong values from the managers and supports workers it employs. There is a strong emphasis on using activities and resources that are available within the local community. A number of community based activities and interests are promoted. The ladies have a good community presence despite the difficulties that are presented from a transport perspective. Strong policies and procedures, clear directions for staff and good management procedures safeguard the residents and help to keep them safe from harm. The people who use this service live in a large, well-appointed house in a residential area of Blackpool. It is clear that the residents benefit from the good facilities and space that is offered by the property. What has improved since the last inspection? What they could do better: Immediate consideration must be given to the issues around the provision of a bed –side for one of the ladies who lives at the home. There are clear issues of restraint, and also the health and safety of both the resident and the support staff. 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 7 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. 403 Blackpool Old Road DS0000009885.V362229.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 403 Blackpool Old Road DS0000009885.V362229.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): Standards 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are thoroughly assessed and the information readily available to support workers to ensure that everyone receives the service that they require. EVIDENCE: There had not been any admittance to this home for some years. The manager was aware of the procedure to follow regarding ensuring that the right person was selected to fill a vacancy, should this be required. It was clear that care would be taken to ensure that any new resident at the house would be compatible with the other people who live there. Introductory visits would be essential and overnight stays would then be introduced. The manager was able to explain the process that would be used. A booklet entitled ‘Welcome to UBU’ had been given to all of the current residents. This explained what service would be available if someone chose to live there. All of the people who lived at Blackpool Old Road had lots of information written down about them about their current needs and abilities. This information was called ‘getting to know you’ and was held on the caring organisations computer system. Further information was held within files at the home. This kind of information is essential because it enables all of the support 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 10 workers to be aware of the residents’ specific requirements, and how to support people properly and professionally. 403 Blackpool Old Road DS0000009885.V362229.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): Standards 6,7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good ‘person centred’ planning and regular reviews ensure that people are receiving positive outcomes and enjoy active and stimulating lifestyles. EVIDENCE: Everyone who lived at Blackpool Old Road had a plan of care that held important information about their lives, health needs and their skills and abilities. Each plan held photographs and illustrations of what the residents likes and dislikes were, and what their activities were during the day. The plans held good information about preferred communication methods. Support workers reviewed the plans regularly and everyone had frequent meetings where their goals and aspirations were reviewed and assessed. It was good to see that the support workers asked the permission of the residents before they looked at the plans. Each plan was in a different format that was suited to the service users interests and abilities. 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 12 It was clear that the residents were being encouraged to take part in aspects of running the home. The support workers confirmed that the residents were helped to shop for food, prepare meals, clear up after meals, and help clean the house. All three of the ladies who lived within this service had physical disabilities and tasks were centred on their individual abilities. Risk assessments had been completed to help ensure that people were safe whilst undertaking tasks around the home. A measured amount of risk is good as it helps to ensure that people develop and fulfil an active lifestyle. It is important that the people living in the house take part in such activities because this helps build confidence and maintain important self-help skills. 403 Blackpool Old Road DS0000009885.V362229.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): Standards 12, 13, 14, 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. Regular and appropriate activities gave the service users varied and focussed lives. Contact with family and friends were openly encouraged to maintain valued and positive relationships. EVIDENCE: All three of the residents had very individual needs. There were enough support workers around on the day of the inspection to ensure that people had enough individual support and were able to do the things that were important to them and that they were interested in. Two of the ladies were retired and one lady attended a local day centre for part of the week. One person had strong links with the church and was part of the social function provided within the community. All three of the ladies were regular visitors to the theatre and were part of the ‘Friends of the Grand’ 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 14 support group that provided help and support to the theatre. Other community based activities included swimming and trips out to restaurants and shops. The manager and support staff confirmed that the residents helped with some of the food shopping for the home on a weekly basis. The manager said that the ladies found it uncomfortable shopping in large supermarkets, most of the shopping was done in smaller shops and the support staff went to the larger supermarkets on behalf of the residents. Meals were taken individually through choice in an area of the home that was preferred. The manager asked everybody if the inspector could see their rooms. Mail was not opened without the residents’ permission. There was a strong emphasis on maintaining the residents’ individual rights and ensuring that they were involved in the decision making process as much as possible. The manager confirmed that family and friends visited the residents regularly. Families, wherever possible, were involved in helping to make decisions about peoples lives within the home. Friends and family were actively encouraged to visit the home and to be involved. Advocates were also involved in ensuring that the residents’ have a say regarding things that affected their lives. 403 Blackpool Old Road DS0000009885.V362229.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): Standards 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal and health care issues were dealt with properly and professionally in a way that the residents preferred. EVIDENCE: Nobody who lived at this home was able to control or administer their own medication. There were systems within place at the home to ensure that medication was dealt with correctly and that the support workers had the correct training and ability to deal with medication issues. We looked at the medication records of the residents and these were found to be properly maintained. The support workers were unable to handle medication until they were 21 and appropriate training had been provided for those who handled medication. Two of the support workers said that they had received training in administering medication properly and safely. This is important when ensuring that service the users remained safe. Storage was good and policies and procedures were clear and precise to minimise the risk of error. A named person was responsible for medication on each duty, which helped to ensure that administration was dealt with safely and correctly. 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 16 Specialist support had been received from the learning disability nurses based within the local learning disability partnership. It was clear that the manager was aware of the specialist support mechanisms that were available for adults who have a learning disability and how they could be utilised to improve the lives of the residents. Advice had been sought regarding one of the residents from a dietician and changes had been made in the person’s diet that directly benefited their health. All of the residents had a Health Action Plan that documented the needs of the ladies regarding nutrition, continence, hearing, vision and communication. There were plenty of aids about the home to ensure that the residents could enjoy daily life without discomfort. This included a special bath, a hoist to transfer people comfortably and safely, and hand and grab rails. Advice had been taken regarding postural care and specially designed wheelchairs and lounge chairs were used. It was clear that throughout the inspection the residents were being spoken to politely and respectfully. Each person had one-to-one support throughout the day. Two of the residents were at home during the inspection and the support workers were observed dealing with the persons day -to -day needs properly and professionally. There was also a strong commitment towards ensuring that the person was in agreement with issues of care. Time was taken to ensure that the person agreed with what was happening and was fully aware of what the support workers were doing. There were difficulties in communication but the support workers had a good knowledge of what body language and gestures the resident was using. There was evidence within the information written down at the home that showed that all of the support workers had access to the persons preferred communication methods. All three of the residents looked relaxed and content and it was clear that this was their ‘home’ where their support and environment was focussed on their individual needs and comfort. 403 Blackpool Old Road DS0000009885.V362229.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): Standards 21 and 22 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good policies and procedures within the service helped to ensure that people were listened to and protected from harm. EVIDENCE: There was evidence within the Statement of Purpose that there was a complaints procedure within the home and every effort was made to help ensure that each resident was either aware that they could make their feelings about the service known or have an advocate to represent their interests. Support workers were skilled in advocating on behalf of the residents and looking after their interests. One person had an external advocate who was able to speak on their behalf. Both support workers and the manager spoke of how the staff team were skilled in recognising when people were not happy or when the service needed to be altered slightly to meet the residents needs. The support workers had received training in safeguarding people. This was also part of the Learning Disability Award Framework, a foundation course about supporting people who had a learning disability. Both of the support workers who we spoke to demonstrated that they had a good knowledge of protection issues and what they should do if they were worried about how people were being treated. There was a strong emphasis on the Mental Capacity Act and what people’s rights were if they were unable to speak up for themselves. 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 18 403 Blackpool Old Road DS0000009885.V362229.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): Standards 24, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents lived in a comfortable, safe and positive environment. EVIDENCE: The house was situated in a nice residential area of the town. There were transport links close by and parking to the immediate front of the house. We looked around the home to view the facilities on offer. All of the bedrooms were large and there were plenty of personal possessions around. All the people who lived there had single bedrooms. The rooms were decorated with the interests of the residents in mind. This is important because it helps to ensure that people feel at home and that their room is ‘their space’. There was a very large garden area at the back of the house, which had wheelchair access. There were potted plants and flowers on the patio area that the ladies had helped to plant. 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 20 There was a large lounge at the back of the house, overlooking the garden and a dining area. All the rooms were nicely decorated and furnished. There was a comfortable and homely feel to the house and the residents looked relaxed and comfortable. The home was very clean, and it was clear that care was being taken to ensure that the home was hygienic and safe for the people who lived there. Laundry facilities were good and the service promoted an awareness of the control of infection. The support workers that were spoken to were aware of this issue. The bathroom was specially designed to cater for the ladies’ individual needs. A tilting bath was available and an area where personal care could take place comfortably and with dignity. There were aids and adaptations around the home to help ensure accessibility and comfort. 403 Blackpool Old Road DS0000009885.V362229.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): Standards 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good staff support and regular training helped to ensure that people received a good service that was tailored to their individual needs. EVIDENCE: Proper checks were carried out prior to people being employed to ensure that the residents were protected from unsuitable staff. The staff files were looked at and were found to be in order, with the required information available regarding each of the support staff. The support workers received plenty of individual support from the manager. Both people who were spoken to said that they received regular support and records were available to confirm this. Good support means that the staff can do their jobs more effectively and that their individual needs are addressed properly. Almost all of the support workers had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). The caring agency ensured that all of the care staff undertook the Learning Disability Award Framework, 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 22 which is a qualification that helps ensure that people undergo a good induction into the service and have knowledge of the issues that effect people who have a learning disability. The two support workers that we spoke to confirmed that training had taken place in areas such as epilepsy awareness, advocacy, and communication awareness as well as mandatory training in safety issues. There were enough support workers on duty whilst we were at the home to ensure that the assessed needs of the residents were properly addressed. Staffing rota’s confirmed that support was good and there was individual support available at times during the week for all three of the residents at important times. There were waking staff employed to attend to the needs of the residents during the night. Efforts have been made to ensure that the residents of the home are involved in the recruitment process, and recruitment days have been planned to attract the right kind of support worker. This process was not always successful due to the lack of cooperation from the Job Centre. Further action has taken place to help ensure that the ladies are involved in this process and that the support workers that are employed have the right values, knowledge, skills and ability to support the ladies successfully. The manager of the home outlined the organisations commitment to this process in the Annual Quality Assurance Assessment that was received by the Commission. 403 Blackpool Old Road DS0000009885.V362229.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): Standards 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. Strong values and management approach means that this is a good home, which is run in the best interests of the service users. EVIDENCE: The manager has approximately 10 years experience working with people who have a learning disability and has a level 2 and 3 NVQ in care and was due to begin the Registered Managers Award shortly after this inspection. There is also a requirement that National Vocational Qualification level 4 in Care be completed. The manager confirmed that she provides hand on support and works along 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 24 side all team members observing their performance to providing feedback and guidance. Both of the support workers that we spoke to confirmed that they received positive and valued support from the manager and that the home was managed well. The staff team has a monthly team meeting, which include group coaching and shared learning sessions to reinforce good practice and review changes to working practice. There had been training in safety issues, including load management, first aid, food hygiene and health and safety. Records of this training were available within the home and the support workers confirmed this. Proper checks had been carried out on the electrical system, gas appliances and fire systems within the home. Training had taken place to help ensure that the ladies were assisted to move around the home safely, professionally and with dignity. Risk assessments were available for all of the aspects of the home and every day life that may cause concern regarding safety. One of the residents had a wooden bed -side that was to be attached to the side of the bed during the night. A risk assessment had been completed regarding this but it was heavy and difficult to manoeuvre. A metal pin was available to be inserted to secure the wooden frame to the bed. Serious consideration should be given to this by the caring organisation so that issues of restraint, and health and safety, are addressed. This should be done to ensure that both the resident and the care staff remain safe, and that appropriate action can take place should there be an emergency within the home. We looked at the financial aspects of the residents. There were clear and concise records available regarding each person’s personal finances and daily transactions were recorded properly. Regular auditing and checks were carried out to ensure the residents’ money was handled safely. The caring organisation carries out monthly themed audits on each of their services to ensure that standards are being maintained effectively. This helps to ensure that quality issues are maintained and that people receive positive outcomes from this service. 403 Blackpool Old Road DS0000009885.V362229.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 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 4 25 3 26 3 27 3 28 4 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 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 4 3 3 X 2 3 3 3 3 2 3 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 26 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 YA42 Regulation 13 (1) (8) Requirement Consideration must be given to the ongoing provision of a bed side and the risk that this may present to the resident and to the care staff. Aspects of restraint must be explored as the person is prevented from leaving the bed during the night. Timescale for action 31/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 3. Refer to Standard YA37 Good Practice Recommendations The manager should obtain National Vocational Qualification level 4 in care and an appropriate management qualification. 403 Blackpool Old Road DS0000009885.V362229.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 403 Blackpool Old Road DS0000009885.V362229.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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