Care Home: 50 Vassal Road

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What the care home does well People are supported through individual and person centred care planning and are involved the planning of their care. People are supported well in accessing individual opportunities to lead active and fulfilled lifestyles that are both appropriate and reflect their levels of independence. There was good feedback received through surveys received from varied people involved in individuals care. One comment made said ``I think Vassal Rd is a very welcoming home, everyone appears to be very happy and content in their environment and all live their life according to their own individual needs.` What has improved since the last inspection? Action has been taken so that an identified bedroom is clean and free from odour. The home has ensured people are provided with a varied and nutritious diet: An up to date menu record is kept demonstrating what meals are provided. What the care home could do better: The manager must put an application in to the Central Registration Team to be the registered manager of the home. Risk assessments must be further developed about peoples` lifestyles and the potential risks associated with maintaining individuals independence, such as using cleaning products, preparing hot food, and accessing the home`s car. A record must be kept on the Medication Administration Record of `as required` medication. The home must risk assess how people are supported with their finances including the current practice of withdrawing monies on their behalf. Recommendations Update an individuals contract to include the current amount payable for transport. A record of water temperatures needs to be kept of individuals shower. Individuals care planning needs to be signed and dated such as health action plans so that these may be monitored Household cleaning products should be stored securely in accordance with health and safety guidelines CARE HOME ADULTS 18-65 50 Vassal Road Fishponds Bristol BS16 2LW Lead Inspector Sarah Webb Unannounced Inspection 30 January 2008 09:00 th 50 Vassal Road DS0000026581.V351669.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 50 Vassal Road DS0000026581.V351669.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. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 50 Vassal Road Address Fishponds Bristol BS16 2LW 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) 0117 9586515 0117 9709301 max@aspectsandmilestones.org.uk admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mrs Linda June Purnell Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 6 residents aged between 19-64 years Date of last inspection 17th January 2007 Brief Description of the Service: 50 Vassal Road is operated by the Aspects and Milestones Care Trust and is registered to provide accommodation and personal care to six people aged 1864 with learning disabilities. The house is situated in a residential area close to local shops and amenities. It provides single occupancy accommodation with two lounges. The fees charged to stay at the service are £766.85 a week. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection. The purpose of the visit was to review the progress made to meet the requirements and recommendations from the inspection in January 2007 and monitor the care provided to the people living at Vassal Road. The inspection was conducted over 7 hours and the inspector had an opportunity to meet and talk with one person living at the home, and two members of staff. A service manager postponed a monthly monitoring visit as this inspection was being completed. He said that the home is being considered for de registration. The manager was unavailable on the day; he was contacted at a later date and was given feed back. There have been no additional visits during this period. The home has been keeping us informed of incidents that affect the wellbeing of people and the provider has sent monthly appraisals of the service. The inspection process included looking at records including peoples’ care and support plans, risk management, the administration of medication, and those relating to the day-to-day running and management of the home. Further information was also provided through the homes Annual Quality Assurance Assessment. (AQAA) A tour of the home was undertaken and interaction between staff and people was also seen Surveys asking for views were received by 1 relative, 1 specialist service and 2 from healthcare services. Feedback was positive in the care and support offered to people. What the service does well: People are supported through individual and person centred care planning and are involved the planning of their care. People are supported well in accessing individual opportunities to lead active and fulfilled lifestyles that are both appropriate and reflect their levels of independence. There was good feedback received through surveys received from varied people involved in individuals care. One comment made said ‘‘I think Vassal Rd is a very welcoming home, everyone appears to be very happy and content in their environment and all live their life according to their own individual needs.’ 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, & 5 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Satisfactory arrangements for people coming into the home make sure their needs are met. Contracts are set out in an understandable format to help people understand the conditions of their stay. EVIDENCE: There are currently no vacancies and there been no new people who have moved in to the home for several years. The majority of people have lived together for many years; one person spoken with said they were happy living at Vassal Rd. Care files seen showed that peoples’ needs had been assessed before being admitted to the home and that people’s care was being reviewed. Care plans had clear information for staff to follow so that peoples’ needs are met consistently and individually. Staff seen approaching and supporting people were respectful in their interactions and people were relaxed and comfortable in their company. A member of staff spoken with said that the staff team have worked at the home for many years and know the people well. They gave examples of how they supported people individually; this was consistent with information held in care files. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 9 Some people have difficulties verbally expressing their views and they were able to explain how individuals’ communication is understood Care files held the terms and conditions of peoples stay. These included any extra that people pay themselves such as hairdressing and aromatherapy. Specific agreements for the use of the home’s car showed how much people are charged for sharing the cost of the lease, insurance and petrol. The agreement was in a pictorial format helping people to understand; individual written comments by staff showed that the agreement had been explained to people. This shows the home involves people in the care and support they receive. All but one had been reviewed showing the current and up to date amount. A survey received from a relative said that they ‘Always feel the home meets the needs of relative-Very good the care received’ and ‘My relative always looks well cared for and is always happy.’ 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. 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. People are supported through a person centred approach in the planning of their care. People are involved in the planning of their care and in making decisions about their lifestyles. Risk assessments must be further developed to help minimise risks so that people can live an independent and fulfilling life taking part in varied activities. EVIDENCE: 3 peoples care files were looked at in detail. These included personal information, a brief history, and health action plans. 3 peoples Essential Lifestyle Plans included peoples ‘positive reputation’, what is important and essential, being healthy, and safe. Information was clear stating how staff should support people with their needs. The plans contained photographs of people involved in different activities in and out of the home and this showed that they are involved in the planning of their care. All 3 had been reviewed. The remaining 3 peoples care plans were not in their care files; due to this their care could not be case tracked. This was feed back to the manager at a later date and who also confirmed this. He advised that there was separate 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 11 information in the home for bank and agency staff including individual profiles. This file was seen during the visit and also included guidelines for staff, routines and procedures to be followed. However a copy of peoples care plans must be kept at the home to help ensure staff have full information in supporting people consistently. The home has a ‘Residents meetings’ policy. Staff meet with people on a 1:1 basis and keep a record of how people feel about their care and activities. Questionnaires were seen that had been completed by people with support from their keyworker during regular house meetings asking if they are happy with the routines of the home and their lifestyle. The returned AQAA highlighted that ‘greater use of house meetings as a decision making platform’ are to be planned. A survey received from a relative said ‘The home ‘always’ support people to live the life they choose.’ Although care files evidenced that people are supported to take risks safely in their daily lives, there were some areas where risk assessments must be developed to provide more detailed information for staff to follow. A risk assessment was not clear about when an individual needed to be supported when going into the local community; a risk assessment needed to be updated regarding procedures for an individual when accessing the homes vehicle. There were also some areas that must be risk assessed regarding peoples lifestyles such as preparing hot food safely. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their lifestyle, and supported to develop their life skills. People benefit from differing social, educational, and recreational opportunities. People benefit from meals that offer a nutritious and varied choice. EVIDENCE: People go to different activities during the week; these include various day services, a farm placement, college courses, paid work, a regular newspaper delivery round and a drop in centre. The returned AQAA stated that some barriers to improvement have been in the reductions in college courses, and day placements. Records of individuals’ activities and timetables showed that the home has tried to reduce the impact of these barriers by providing other activities for people to go to. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 13 On the day of the visit an individual had asked to go to Bristol docks by bus and was supported to do this on 1:1 basis. Daily records showed that individuals are regularly supported on an individual basis. Daily records showed that people make choices about their lifestyle and go bowling, shopping, out to lunch, trips on public transport, and horse riding. People have concessionary bus passes that entitle the 2nd person to travel at a reduced rate. Following an investigation into people having paid for their day services, it was evident through written documentation that this is now not the case. The two people involved are now supported through the staff team with ongoing 1:1 support in accessing activities of their choice. Care planning showed that people are involved in the routines of the home with cleaning their rooms and the house. People are supported to keep in contact with their families. A survey received from a relative said ‘The care staff always bring my relative to see me – they are a credit to him.’ A survey received from a specialist service said ‘Gives people choices and opportunities to live and enjoy their life in a supportive and non controlling manner’ and ‘The staff do their utmost to support people in every aspect of their life within the limits of resources available. ‘ The menus showed that individual records are now being kept of meals eaten. Choices of food are made at house meetings and information seen showed that people are provided with a varied and nutritious diet. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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. People are treated with respect and supported to lead healthy lifestyles with their healthcare and personal needs being monitored well. People are safeguarded by the homes medication practices. However people would benefit from a more effective recording system for ‘as required’ medication. EVIDENCE: Individual personal care statements explained the way in which people want be helped with their care needs. Healthcare records showed that individuals’ physical and emotional healthcare needs were being met through regular reviews of medication and support from appropriate professionals. Records are also kept of visits to doctor, consultant, dentist, chiropody, and optician. The home knows when to make referrals to specialist services so that people can be supported in different areas. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 15 Health Action plans included how people wanted to be supported with their medication, a record of informed consent to share medical information, and OK Health checks which were in the process of being updated. There were current epilepsy profiles showing protocols and procedures. From discussion with staff, and observation of their interaction with people, it was evident that peoples are treated respectfully and listened to. It was clearly stated in an individuals care plan that staff must not go into their room without knocking and waiting for an answer. A survey received from the local doctors surgery said ‘People are brought to the surgery appropriately and the staff accompanying them appear to have a good knowledge of them.’ A survey also received form a dental service made comments such as ‘Very impressed by the care and attitude of staff’, ‘Always respects individuals privacy and dignity’ and ‘Communicates effectively with people and puts them at ease.’ The procedures in place for administration, storage and disposal of medication were looked at. The Trust has a medication policy and there is also an in house policy. Individual medication profiles seen included the uses and side effects of each medication administered and guidelines for the administration of ‘as required medication for an individual. Medication is checked and signed in by 2 staff and medication given had been signed by administering staff. The balance of stock was consistent with the record held. From looking at 1 persons medication records it was evident that although a separate record is kept of ‘as required’ medication, this also must be recorded on the Medication Administration Record as stated in the homes medication policy. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from clear systems for complaints and protection and can be confident that staff will act on their concerns. Staff have been trained in abuse helping to ensure people are safeguarded from the risk of harm or abuse. People would benefit from financial protocols being risk assessed to help ensure people are supported safely. EVIDENCE: A member of staff could not find the complaints log to show if there have been any complaints since the last visit. The manager said at a later date that there have been no complaints recorded. However this was not evident as the log has been unavailable for the past two inspections. People are given a complaints procedure in a pictorial way to help them understand the process. The manager was given new telephone details for people to contact us and to amend previous information. 1 person spoken with said they had no complaints and knew who they would go to if they had any worries. Staff interaction also showed that they have good relationships with people and understand their communication. However a record of written complaints must be made available for inspection and for people and staff to be able to record any future complaints or concerns and action to be taken Staff spoken with showed that they have a good understanding and awareness of when people may be distressed and agitated and how they should be 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 17 supported. This was consistent with information seen in individuals care plans; guidelines showed how staff should support people appropriately. All staff have appropriate checks before they start working at the home to help ensure that people are protected. Training records showed that staff have attended training in safeguarding people. There are appropriate arrangements for staff to support people with their financial affairs and to encourage people to be independent; however individual risk assessments must be in place to show that people are supported safely with their finances including the current practice of withdrawing monies on their behalf. 50 Vassal Road DS0000026581.V351669.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, 26, 27, 28, & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The house is a clean and comfortable environment for people to live in. Communal rooms and facilities are suitable for their purpose and meet peoples’ needs. EVIDENCE: The house is situated in a residential area of Fishponds, close to local shops and amenities. There are accessible bus routes to Bristol and surrounding community. People are provided with single occupancy accommodation with sufficient communal space for the numbers living at the home. There have been some improvements to the environment since the last inspection. Both the front and back door have been replaced and two people have had new bedroom furniture and their rooms decorated. 1 person showed their bedroom; they had chosen the décor and there were personal items displayed. A requirement has been met for an identified bedroom to be clean and free from odour through flooring being replaced. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 19 However it is evident that the home is in need of being updated in some areas. The communal areas such as the hallway, stairway and dining room/lounge are in need of decoration. The kitchen and furniture in the lounge areas have also been identified for upgrading through the AQAA and are due to be refurbished. New furniture is to be ordered once redecoration has been completed. There is one bedroom that has en-suite facilities; however there are toilets, and a bathroom close to bedrooms on each floor. There are appropriate laundry facilities on the ground floor. People are supported to use the washing machine and tumble dryer. Regular maintenance work is carried out by the Trust. This was evidenced through records kept of when staff report issues, and when they are repaired. The environment was clean, tidy and satisfactorily maintained. 50 Vassal Road DS0000026581.V351669.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): 31, 32, & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from clarity of staff roles and responsibilities and from having a stable staff team who receive training and are competent and effective. EVIDENCE: There are 7 staff employed at the home and with regular bank staff also supporting people. Several staff have worked at the home for many years and are part of a longstanding staff team. Staff on duty spoken with demonstrated an awareness of their roles and responsibilities. They gave examples of how they supported people with their different needs and it was noted that that they considered the team was good at communicating with each other and resolved issues well. Separate information is kept for bank staff including local policies, profiles of people and guidelines in how they should be supported. Induction checklists highlight the routines and procedures of the home. This helps to ensure bank staff also support people consistently. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 21 5 of the permanent staff team have a National Vocational Qualification whilst there are 2 staff working towards this qualification. Staff benefit from training organised through the Trust. 3 training records seen showed that staff have attended appropriate courses in helping to meet peoples needs. These included autism, makaton, intensive interaction, and communication. Records showed that staff have also attended training in food hygiene, manual handling and recent updates in both fire and first aid have been booked. 50 Vassal Road DS0000026581.V351669.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. People using the service and staff benefit from a well run home with good outcomes for people. People benefit from an open and inclusive management approach; peoples’ views are listened to and they contribute to the development of the home. People need to be protected through good health and safety practice. EVIDENCE: Mr Rogers has been acting manager for over a year and is now in a position to put in an application to be the registered manager of the home. He has had previous experience of working with people with learning disabilities and is in the process of completing National Vocational Qualification level 4. As stated previously peoples’ views are encouraged through house meetings, on a 1:1 basis and at reviews of their care and support. However the returned 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 23 AQAA stated that people “need to be more involved in the management of the home.” Staff are responsible for monitoring different areas of the home such as health and safety, fire and medication. A fire risk assessment has been completed and weekly health and safety checks include fire fighting equipment checks. Records seen also showed that staff have attended regular fire drills. Staff said that an individual’s shower temperatures were recorded. However the record could not be found. It is evident that this is an area that the home monitors and a record must be kept to ensure their health and safety. It was observed and pointed out to staff that household cleaning products were not being stored securely in line with health and safety procedures. A recommendation was made at the last inspection for these items to be stored securely to prevent any undue health and safety risks to people. A further recommendation is made. The home notifies us of any information regarding changes affecting peoples’ welfare. The home receives monthly visits from senior managers who monitor people’s care, and health and safety 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 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 3 3 2 x 3 x 3 x x 2 x 50 Vassal Road DS0000026581.V351669.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. 2. Standard YA37 YA9 Regulation 9 13(4) Requirement The manager must submit an application to be registered manager. Further develop risk assessments regarding how people are supported in their lifestyles as set out in Standard 9. A record must be kept on the Medication Administration Reccord of the doseage and total amount of ‘as required’ medication that can be taken in 24 hours. Risk assess how people are supported with their finances. Timescale for action 30/06/08 31/03/08 3. YA20 13(2) 01/02/08 4. YA23 13(4) 31/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA42 Good Practice Recommendations Household cleaning products should be stored securely in accordance with health and safety guidelines. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 26 2. 3. 4. YA5 YA42 YA6 Update an individuals contract to include the current amount payable for transport. A record of water temperatures needs to be kept of individuals shower. Sign and date care planning records. 50 Vassal Road DS0000026581.V351669.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 50 Vassal Road DS0000026581.V351669.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. 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!