Care Home: 66 Rectory Road

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What the care home does well The home gives clear information to people who use the service about the home. Before someone new moves into the home staff check that they will be able to give them the care they need. The home looks after people and writes down what help everyone needs. People who use the service are given help and support in the activities they choose. Families and friends are welcome to visit the home. People who use the service can choose what they like to eat from the healthy menu at the home. People are supported with their medical appointments and their health care. All staff are trained to give medication safely. People who use the service can talk to staff about any problems they may have. Staff are trained and know what to do if there are any problems. Rectory Road is homely, clean and tidy. People who use the service can decorate their rooms in the way they like. Staff are well trained. The home checks staff before they start working in the home. Dimensions checks the home to make sure that everything is being done properly. They check to make sure the home is a safe place to live and work in. What has improved since the last inspection? The drive has had tarmac replaced and the porch to the front door has been completed. The lounge and some of the bedrooms have been redecorated. There are plans to decorate other parts of the home. What the care home could do better: Sometimes people who use the service cannot take part in activities because there are not are enough staff to support them. Where people`s needs have changed and they need more support, there should be more regular staff on duty. CARE HOME ADULTS 18-65 Rectory Road, 66 66 Rectory Road Redditch Worcestershire B97 4LL Lead Inspector Dianne Thompson Unannounced Inspection 5th April 2007 14:30 Rectory Road, 66 DS0000066851.V329489.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 Rectory Road, 66 DS0000066851.V329489.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. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rectory Road, 66 Address 66 Rectory Road Redditch Worcestershire B97 4LL 01527 403813 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) www.dimensions-uk.org Dimensions (UK) Ltd Dawn Elizabeth Chapman Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12/06/05 Brief Description of the Service: Rectory Road is an older style detached house in the residential suburbs of Redditch, providing a home for up to four people with learning disabilities. The home is within easy access to local shops, public transport and the town centre. Rectory Road provides services within a homely environment and also aims to promote independence and dignity. People who use the service receive care and support to live as ordinary a life as possible in the community. This involves staff teaching skills and creating opportunities for individuals living at Rectory Road. People who use the service are encouraged to participate in the running of the home and share in the general household activities within their capabilities. Dimensions (UK) Ltd is now the care provider for the service, having registered with the Commission for Social Care Inspection on 1st April 2006. The current fee for the service range from £62.35 per week. Charges which are additional to the fee include: • • • • • • Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Car leasing Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection since Dimensions (UK) Ltd registered as the care provider. The main purpose of this inspection was to see what the service at Rectory Road is like for the people who live there. Service user records were examined, and accumulated information including notifications to the Commission for Social Care Inspection (CSCI) was used to inform this report. Surveys and Relatives comment cards were sent out. Time was spent with people who use the service, the registered manager, the assistant manager and staff on duty. What the service does well: The home gives clear information to people who use the service about the home. Before someone new moves into the home staff check that they will be able to give them the care they need. The home looks after people and writes down what help everyone needs. People who use the service are given help and support in the activities they choose. Families and friends are welcome to visit the home. People who use the service can choose what they like to eat from the healthy menu at the home. People are supported with their medical appointments and their health care. All staff are trained to give medication safely. People who use the service can talk to staff about any problems they may have. Staff are trained and know what to do if there are any problems. Rectory Road is homely, clean and tidy. People who use the service can decorate their rooms in the way they like. Staff are well trained. The home checks staff before they start working in the home. Dimensions checks the home to make sure that everything is being done properly. They check to make sure the home is a safe place to live and work in. Rectory Road, 66 DS0000066851.V329489.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. Rectory Road, 66 DS0000066851.V329489.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 Rectory Road, 66 DS0000066851.V329489.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Detailed information is provided about the services offered at the home to help people make an informed choice about whether they would like to live at Rectory Road and whether the home will meet their needs. EVIDENCE: The Statement of Purpose and Service User Guide provides information about the home to help people decide if they wish to live at Rectory Road. The Statement of Purpose has recently been updated to reflect the change of Provider, qualifications and changes within the staff team. Copies of the information are available to all, including visitors to the home. Surveys from families confirmed that information about the home is shared, and that they are kept up to date with important issues. There is evidence that full assessments were completed for everyone who uses the service prior to their moving into Rectory Road, and that opportunities to visit and try out the service were offered. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans provide staff with relevant information about people’s assessed needs. They include risk assessments that show how risks are to be reduced and independence promoted. People who use the service are helped to make choices and decisions in their daily lives and routines. EVIDENCE: Individual care plans are detailed and informative. The plans show how goals are monitored, how they are arranged and how they can be achieved. Staff have information to make sure that all care is provided in a preferred and consistent way that encourages independence. Pictures and photographs are used to assist with understanding and communication in care plans. A person centred care plan (PCP) approach is being developed and this format shows how people who use the service will be appropriately involved in planning and reviewing their own care. They will be supported to express their Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 10 wishes and goals. A Path map has been completed for the home and the service that is being provided. The Path map process has given staff knowledge and experience to support people who use the service in completing their PCP’s. Staff said they found this experience very beneficial. The training and completion of the home Path has given them an opportunity to explore, share ideas and take responsibility for specific areas of work. Individual paths for two people have begun and have included meeting with parents. Files for two people who use the service were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Relevant information and monitoring is provided in individual files to make sure all staff have the necessary information to provide quality care. Family surveys confirmed that care given is what they expected or agreed with the home. Each person is allocated a key worker to oversee his or her care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Plans are reviewed regularly or as any changes in need occur. Staff said they are fully aware of the plans and use them to guide their practice. Life books were seen for two people who use the service. Pictures and photographs have been used to illustrate individual lifestyles. The home completes risk assessments to promote safety and independence for people who use the service. Risk assessment documentation should be developed to include specific information on how each identified risk is to be managed. Behaviour management plans are in place and clearly followed. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who use the service receive help and encouragement to lead active and interesting lives and are supported to access facilities within the wider community. These activities are however, dependent upon there being enough staff to provide adequate support. People who use the service are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of people who use the service. EVIDENCE: The home provides a range of activities for people who use the service, both in-house and within the local community. All activities are organised to take Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 12 into account individual needs and preferences, making sure that everyone has the opportunity to take part. External activities are being planned from the home following the closure of day centres, although this is dependent upon staffing levels. Copies of staffing rota’s were examined and concern about the appropriate staffing levels to maintain activities was discussed with the registered manager. The manager and staff said that opportunities are discussed regularly through weekly service user meetings that take place on Sundays. Service user involvement in these meetings is actively encouraged. Planning activities, menus, and any other issues within the home are included on the agenda. Current external activities include shopping, meals out, day trips, swimming, pub, cinema, and craft centres. People who use the service attend monthly discos at St Benedict’s, and tea dances at Springfields. Country and Western nights are held at a pub on Sundays. A trip is planned to see the ‘Thrill Billies’ Country and Western group in West Heath. Holidays are regularly planned. People who use the service have been to Minehead, to Blackpool, and to Tiverton in Devon. Another holiday is being planned for October of this year. Activities within the home include gardening, cooking, makeup sessions, foot massage, disco, hydrotherapy, and art and craft. Evidence was seen to show that regular contact with friends and family is supported. The home has recently supported a person to re establish contact with people from their past. The home provides well-balanced meals and special diets for individuals where required. Records of all food and drinks taken are transferred into individual care plans, although there were gaps in the records examined. Food offered is varied, healthy and appropriate to individual needs. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. These plans provide information to promote consistency of care and support for all people who use the service in a way that takes into account their preferences. The home has a clear medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of the people who use the service and the staff. EVIDENCE: Individual care records and plans provide detailed information about physical and mental health and the support needed from staff to maintain good hygiene and health. The care plans sampled contain information about preferred personal care routines. Staff said they are able to communicate with people who use the service verbally and, in certain cases, with the additional use of gestures, sign language, and using objects of reference. Those people who were at home at Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 14 the time of the visit were unable to communicate, but they appeared to be comfortable and at home in their environment. Records of all physical checks are completed where people have particular health related issues such as weight and fluid intake. In this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. Plans are in place to support individuals who are at risk of choking. The speech and language therapist supports observations and monitoring. People who use the service and the home are well supported by medical services, which include GP’s, epilepsy consultant, psychiatrist, speech and language therapists, professor of neuropsychiatry and intellectual disabilities, dentist, chiropodist, community learning disability team, and the intensive support team. Arrangements are in place for preventative health services, such as dental checks and annual health screening. Staff on duty and the registered manager said that all personal care is given in private to promote dignity for all people who use the service. The manager is very aware of the specialist services that could be needed and how to access them. The home has a medication policy and procedure in place. Medicines are suitably and safely stored and there is appropriate storage for controlled drugs. Information is available to advise staff about prescribed medication together with any possible side effects. A medication information fact sheet that has been signed by the GP is provided both in individual files and in the medication file for each person giving details of all current prescribed medication, and any potential side effects. The registered manager confirmed that the organisations policies and procedures would be followed should any medication error occur. Additionally these would be reported to CSCI. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are protected by easy to understand information about how to complain, with appropriate information for staff provided. Staff support people to express their views and any concerns they may have. EVIDENCE: There are suitable policies and procedures in place to support staff in keeping people who use the service safe. The home’s complaints procedure is available in signs and symbols to make it accessible to individuals. The complaints log was examined and discussed with the registered manager. There has been one complaint made to the home since the previous inspection. The provider and the registered manager have followed organisational procedures in responding to the complaint. No complaints have been made to the CSCI since the previous inspection. Relatives confirmed that they are aware of the complaints procedure. Staff complete training in relation to abuse and protection during their induction and through specific training courses. Discussion also takes place in supervision and staff meetings. The home has relevant financial policies and procedures in place to make sure that individual’s money is kept safe. People who use the service will be Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 16 supported to retain their own finance in their rooms with a support plan available to advise staff. Staff were observed to engage with individuals in a supportive and respectful way throughout the inspection visit. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 17 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. Rectory Road provides accommodation that meets the needs of people who use the service, and offers a spacious and comfortable home. The home is kept clean which ensures that good hygiene and infection control is maintained for the benefit of service users. EVIDENCE: A tour of the home was completed. Rectory Road provides homely accommodation in a residential area of Redditch. The home has a lounge and a large kitchen with dining table. Bedrooms are individually decorated and furnished. There is an enclosed rear garden and small front garden. The home is currently being redecorated. The redecoration to the lounge has been very nicely done. The appearance is pleasing and there is a relaxing feel to the room. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 18 The premises are clean and tidy. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Communal bathrooms have paper towels and liquid soap available. All cleaning materials are stored in locked cupboards in the laundry room. Staff were seen wearing appropriate protective wear for the task being completed. At the previous inspection soiled linen was seen carried through the kitchen to the laundry room. This has been discussed with the provider and the registered manager and the refurbishment of the kitchen is scheduled. A maintenance networking relationship has established greater understanding of the home’s needs with the maintenance contractor and has resulted in improved timescales and responses to required work. The planned alterations to the ground floor toilet door were discussed with the registered manager. The door is to be altered so that it opens outwards to provide easier access. The toilet to the ground and the first floor need to be secured to the floor. The manager advised that the bathroom is scheduled for refurbishment. A replacement light pull chord should be fitted to the bathroom ahead of any intended refit. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 19 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 adequate This judgement has been made using available evidence including a visit to this service. The staff team understand their responsibilities and are committed to their role. They are well supported and work together to provide people who use the service with quality care, although appropriate levels of staff should be employed to meet the changing needs of individuals and the service. The home’s recruitment policy and practices make sure that suitable staff are employed and that all necessary checks are made to ensure the safety of all people who use the service. EVIDENCE: The registered manager said that staffing levels have changed since the last inspection. Two permanent positions have been replaced with flexible hours that are covered by regular staff and members of the bank staff. Although this approach may provide more flexibility for other services, it does not provide the consistency of care needed for people living at Rectory Road. It is evident from sampled rotas that regular contracted staff are needed to make sure that people are not put at risk and their protection and safety are not compromised. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 20 An enabler is employed two half days per week to facilitate day activities from the home following the closure of day services in the area. However, adequate staffing should be provided so that people can lead an active and fulfilling life. The manager said that the change over to Dimensions (the new provider) has been relatively smooth, and that the people who use the service and the staff team have coped with this very well. Staff said that the recent Path training day was effective as a team building exercise. The manager has reviewed staff training records at the home and planning for future training courses has started. Staff will complete the mandatory health and safety training such as fire safety, first aid, food hygiene, moving and handling, and infection control. Other training courses include communication, safe handling of medicines, abuse, working with people we support and managing challenging behaviour. Specialist training such as autism and epilepsy is arranged as required. All newly employed staff will complete the Learning Disability Award Framework Induction (LDAF) Course. The manager confirmed that all prospective staff complete an appropriate application form and that suitable references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 21 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. The home is managed in an open and positive way. Dimensions monitor the home in various ways to ensure that the service continues to develop as people who use the service want and that the home remains a safe place to live and work in. EVIDENCE: The registered manager, Dawn Chapman is a registered nurse (RMNH) and has managed the home for many years. Dawn has undertaken a range of relevant training courses that includes Our Approach (including quality outcomes), Our Purpose (including listening and enabling), Equality and Diversity, and Fire Training for Managers course. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 22 Staff confirmed that the manager is approachable and supportive. Staff said they are able to talk to the manager at any time. In respect of management support from the provider, Dimensions has Training and Human Resource Officers who are available to advise and support the home. Service manager meetings are held monthly and the manager confirmed that she and the home are being supported. The provider’s monthly visits are one of the ways that Dimensions monitors the service and how the home is being run. These visits include interviews with staff and people who use the service. An audit of relevant aspects of the service, including records, environment, complaints received, finance and safety is completed. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and are intended to form an annual development plan for the service. This report will include views on the service from people who use the service, stakeholders and interested parties. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff are undertaking all mandatory health and safety training topics. Generic risk assessments are in place. Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 23 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 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 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 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 13 Requirement Risk assessments need to be developed to include specific information on how identified risks are to be managed. Staffing levels should be appropriate to ensure that quality day activities are provided from people who live in the home. Where records associated with health monitoring and well-being are kept, information must be recorded at al times with no gaps to the records. Routine maintenance to the home must be completed with regard to securing toilets to the floor and repairing light pull switch to bathroom. An effective staff team with sufficient numbers at all times to support the assessed needs of people who use the service. Timescale for action 30/06/07 2. YA12 16 30/06/07 3. YA17 13 30/06/07 4. YA24 23 30/06/07 5. YA33 18 30/06/07 Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 25 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 Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Rectory Road, 66 DS0000066851.V329489.R01.S.doc Version 5.2 Page 27 - 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!