Care Home: 68 Gayhurst Drive

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What the care home does well People would be given information in writing about the home before they decide to move in. Someone from the home would visit people who are thinking about moving in to look at what they need. This is how they would know whether the home would suit them or not. There is an open and friendly atmosphere in the home, which is well run and makes sure that people who live there are happy. Staff listen to what residents want and if they are unhappy, sort it out. People enjoy living in a clean, tidy, comfortable and homely house and have a bedroom each. They are able to make up their own minds about what they do. Residents can be themselves and have lots of chances to socialise with other people, enjoy their hobbies and learn more skills. Residents are able to see their family and friends when they want to. The meals in the home are good. Residents are given the help they need and staff are polite and friendly with them. The support that residents need is written down in a plan, which residents help to write. This is to make sure that staff are clear about how to support people. Residents are given help to see a doctor if they need to. There are enough staff in the home to support them when they need it. Staff are trained to do their jobs properly and the manager checks that thishappens. Staff understand residents and fit in with what they need. Residents are looked after and safe. What has improved since the last inspection? Information about the home has now been written down, so that it could be given to people thinking about moving in. Part of this is about what to do if you feel unhappy and this is easy to read. The manager said that each resident has a new contract that tells them what the home gives them and what they have to pay extra for. The whole house has been re-decorated and there is a new patio in the garden. Some carpets are new and some have been cleaned. What the care home could do better: Residents might be safer if the home made changes to the way they looked after peoples` medication and if the manager was qualified and registered with the CSCI. CARE HOME ADULTS 18-65 68 Gayhurst Drive 68 Gayhurst Drive Sittingbourne Kent ME10 1UD Lead Inspector Helen Martin Unannounced Inspection 30th July 2008 10:00 68 Gayhurst Drive DS0000067420.V366965.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 68 Gayhurst Drive DS0000067420.V366965.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. 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 68 Gayhurst Drive Address 68 Gayhurst Drive Sittingbourne Kent ME10 1UD 01795 428595 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.mcch.co.uk MCCH Society Ltd Vacant Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User over the age of 65 years - Learning Disability. Date of last inspection 15th August 2007 Brief Description of the Service: The MCCH Society Ltd website www.mcch.co.uk says the purpose of the organisation is to support people to live full and valued lives. It provides a range of services (in London and the South East) for people with disabilities which includes learning disabilities, mental illness, autism, Asperger’s Syndrome and other complex needs. The premises, with accommodation for two residents, are in a quiet residential road near Sittingbourne town centre. Weekly fees are £1473.80. Additional charges are made for hairdressing, private chiropody, aromatherapy, hydrotherapy, costs of social activities and costs of one-off meals for certain occasions. The cost of the vehicle is covered for the next three years from resident’s disability living allowances. 68 Gayhurst Drive DS0000067420.V366965.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 unannounced visit took place on 30th July 2008 and included talking with the Manager and more briefly with two members of staff and two people who live in the home, as they were going out for the day. Some judgements about the quality of life within the home were taken from observation and conversation. Some records were looked at. A tour of the premises and garden was undertaken. The home returned a completed Annual Quality Assurance Assessment (AQAA) to the CSCI. The above have been used within the inspection process and mentioned in this report where appropriate. 68. Gayhurst Drive provides a home for two service users; there are no vacancies. What the service does well: People would be given information in writing about the home before they decide to move in. Someone from the home would visit people who are thinking about moving in to look at what they need. This is how they would know whether the home would suit them or not. There is an open and friendly atmosphere in the home, which is well run and makes sure that people who live there are happy. Staff listen to what residents want and if they are unhappy, sort it out. People enjoy living in a clean, tidy, comfortable and homely house and have a bedroom each. They are able to make up their own minds about what they do. Residents can be themselves and have lots of chances to socialise with other people, enjoy their hobbies and learn more skills. Residents are able to see their family and friends when they want to. The meals in the home are good. Residents are given the help they need and staff are polite and friendly with them. The support that residents need is written down in a plan, which residents help to write. This is to make sure that staff are clear about how to support people. Residents are given help to see a doctor if they need to. There are enough staff in the home to support them when they need it. Staff are trained to do their jobs properly and the manager checks that this 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 6 happens. Staff understand residents and fit in with what they need. Residents are looked after and safe. 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. 68 Gayhurst Drive DS0000067420.V366965.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 68 Gayhurst Drive DS0000067420.V366965.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): 1, 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are given the written information they need about the home before they decide to move in. They will know whether the home will meet their needs through assessment. EVIDENCE: The information available for prospective residents has been reviewed since the last inspection. A document has been developed which combines the information required in both the Statement of Purpose and Service Users’ Guide. One section, which includes the complaint procedures, uses pictures and is available in a format that is more easily accessible by residents. The manager said that each resident is given a contract and that this had been reviewed since the last inspection. It was indicated that this included the service provision for individual residents by MCCH; documentation was seen. Residents have been living at the home for some years and the need for any pre-admission assessments in the near future is unlikely. The manager stated 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 9 that there is a format for recording a pre-admission assessment and that this would be used should there be the opportunity for any new potential residents in the future. 68 Gayhurst Drive DS0000067420.V366965.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, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make choices and decisions about their lives. Their changing needs are reflected in care plans that they can easily understand. EVIDENCE: A written plan of care for each resident is provided. Documentation seen was holistic and reflected residents’ changing needs and goals. This included strengths and needs, goals, activities programme, guidelines for staff, risk assessments and daily notes. Care plans contain information regarding residents’ health and social care. Any inappropriate behaviour is specifically monitored and recorded. All information seen was up to date. The manager stated that all information was evaluated on a monthly basis; records and local authority reviews confirmed this. The manager explained the ‘communication 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 11 passports’, which contain information about how individual residents express themselves and their likes and dislikes. The manager demonstrated how the home was in the process of developing individual ‘life books’, how residents were involved in this process and how they could easily understand the information contained within them. Residents are supported to take risks as part of maximising their independence and these are recorded. Risk assessments seen were up to date and covered a range of activities, including the administration of medication and trips out. There are on-call systems and procedures in place for potential emergencies. Residents are encouraged to make their own decisions and choices. They receive continuity of care by having individual key workers. There is evidence that considerable attention is given to helping residents to make decisions about how to spend their time. Residents are involved as far as possible in decisions regarding the running of the home. They are involved in cleaning, cooking and menu planning. 68 Gayhurst Drive DS0000067420.V366965.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): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy individual lifestyles and are able to choose from a range of opportunities for leisure and personal development. They are able to maintain relationships with their family and friends if they wish. Residents enjoy a choice of good quality food. EVIDENCE: Residents are treated as individuals who have different interests and aspirations. Activities and development opportunities are provided accordingly. Residents enjoy a full lifestyle with a variety of options to choose from. Routines of the home are flexible to accommodate this. Residents are part of the local community. They enjoy attending various day centres and groups, participating in social events and activities that personally interest them or to 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 13 further develop their life skills. Activities include dancing at a nightclub once a month, swimming weekly at hydrotherapy, socialising with friends outside of the home, jigsaws, games, music, skittles, bowling, singing, art, cooking and following the local football team. Residents attend groups run by a church and religious group on a regular basis. On the day of this visit staff took residents to the coast for the day; they were looking forward to ice cream. The cost of a vehicle is covered for the next three years from resident’s disability living allowances. Residents are able to relax in the home watching television or DVDs, cooking, gardening or playing games. The manager said that residents are involved in growing the flowers, tomatoes, strawberries, runner beans and parsley. There is a large lawn and patio area where residents are able to sit. Residents are able to see their family and friends as often as they wish, either by visiting them in their car or receiving them in their home. Residents have actively supportive families and are able to maintain friendships outside of the home. Residents are supported towards independent living skills. Residents are encouraged and supported with domestic tasks wherever possible such as shopping, cooking, cleaning and laundry. Laundry and kitchen facilities are domestic in nature. The manager demonstrated a good understanding of individual residents’ food choices and preferences. Residents are supported in cooking and menu planning. They go shopping weekly and can choose what they like; often they each have different meals. The manager stated that all meals were recorded. 68 Gayhurst Drive DS0000067420.V366965.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. Residents benefit from support which meets their individual needs. Residents may be better protected by some improvements to the system for the administration of medication. EVIDENCE: Residents are given the personal support they need to maximise their independence, while respecting their dignity and privacy. The manager an understanding of the preferred routines of each resident. Care plans contain information regarding residents’ social and health care. Any inappropriate behaviour is specifically monitored and recorded. Residents have access to social and health care professionals, such as GP, chiropody, optician and dentist. The manager said that they had recently organised hearing tests. A speech therapist has been consulted. Residents’ weight is monitored and 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 15 their nutrition assessed. One fluid intake chart is completed. Separate health care records are kept and residents are supported with any appointments. Arrangements are in place for the storage and administration of medication by staff. An easily monitored dosage system is used and storage is secure. Currently the home does not administer any controlled drugs. Medication records seen were completed appropriately, with the exception of handwritten administration entries, which were not signed as double checked by two members of staff. The supplying pharmacy does not provide pre-printed administration records, but relies on the use of sticky labels. The manager stated that they would request pre-printed administration records from the pharmacy. The manager stated that all staff had received medication training. The manager demonstrated a good understanding and sensitivity towards the challenges faced by residents and their relatives regarding the death of a person close to them. 68 Gayhurst Drive DS0000067420.V366965.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. Residents’ views and concerns are listened to and acted upon. Systems are in place to protect them from potential abuse. EVIDENCE: Residents are at ease and confident talking with the manager and staff who listen to their views and concerns. The home provides a written complaints procedure. Residents have access to this in a format that they can easily understand. There have been no complaints regarding the care provided to residents since the last inspection. A record of all complaints and the action taken is kept. Written policies regarding the protection of vulnerable adults are available for staff. These include the procedures for the local authority. The manager demonstrated a good understanding of these and stated that all staff had received training in adult protection. The home has a system in place, which aims to protect the financial interests of residents. Small amounts of cash are held on the behalf of residents. This is kept securely. All money is stored individually and transaction records are maintained. Cash checked tallied with accounts seen. Receipts are kept for 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 17 purchases made. Staff make regular checks and the manager, the organisation and the local authority as appointee audit the system. The home is not an appointee for any resident. The cost of a vehicle is covered for the next three years from resident’s disability living allowances. The manager explained that residents also paid for the cost of petrol for purely social activities. It was mentioned that the organisation pays for the cost of petrol for all other uses including activities that promote residents’ life skills, health appointments and educational opportunities. The manager stated that individual residents’ appointees approved this arrangement. 68 Gayhurst Drive DS0000067420.V366965.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, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe, clean and comfortable environment. EVIDENCE: The building fits in with the local community and has a style and atmosphere that meets individuals’ needs. Residents have unrestricted access in any area of the house and back garden. Residents benefit from living in attractive and comfortable accommodation. The premises are clean and hygienic and are suitable for residents’ current needs. The manager stated that since the last inspection the whole house has been re-decorated and a new patio area in the garden has been provided. Some new carpet had been provided and the remainder had been cleaned. It was 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 19 mentioned that, although current residents are fully mobile, a ramp has been ordered for the back door, as the step is high. Adequate recreational, dining, toilet, bathing and individual accommodation are available to residents. The home provides a large through lounge/dining room. The home has a small front and large back garden. The gardens were well kept. The manager said that residents were involved in growing the flowers, tomatoes, strawberries, runner beans and parsley. There is a large lawn and patio area where residents are able to sit. Residents clearly like their rooms, which are individual and highly personalised. They are able to choose colour schemes and how their furniture should be arranged. Bedrooms meet service user’s needs and are well furnished. The manager stated that individual rooms were lockable but that current residents didn’t use this; it was mentioned that lockable facilities in residents’ rooms were provided. There are no lifts, specific environmental adaptations or disability equipment within the home, with the exception of a walk-in shower on the ground floor. Current residents have no mobility problems. The premises are secure; the front door is alarmed and the back garden is enclosed. There is no staff call system in the home. The manager assured the inspector that current residents’ needs did not require this; residents knocked on the staff sleep-in room door if they needed assistance at night. 68 Gayhurst Drive DS0000067420.V366965.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, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a sufficient number of appropriately recruited, qualified, trained and supervised staff who have a good understanding of their needs. EVIDENCE: The manager and staff demonstrated a good understanding of residents’ needs. Residents benefit from good support and interaction. The manager, staff and residents communicate well with each other. The home has a stable staff team. Staffing hours are flexible dependant on the needs of residents and records seen confirmed this. There were sufficient staff on duty at the time of this visit. The member of staff on duty at night sleeps in; residents do not need a member of staff awake at night for their safety and protection. Staff support residents with cooking, cleaning and laundry tasks wherever possible. There are on-call systems and procedures in place for potential emergencies. 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 21 A procedure is in place that aims to appoint suitable staff who can support the needs of residents. Staff have been working at the home for several years and there are no new employees. Staff files seen, evidenced that all preemployment checks had been undertaken. A log is kept of Criminal Records Bureau disclosure numbers. The manager explained that the current induction training available was linked to Skills for Care. Records and certificates generally indicate the appropriate ongoing training of staff. The manager stated that all staff had undertaken courses in Dementia, Diabetes, medication, infection control, moving and handling, first aid, food hygiene and adult protection; all staff except one had undertaken training in learning disability. It was mentioned that Mental Capacity Act training was in the process of being organised. The manager explained how the competence of staff who had undertaken health and safety training provided on disk was checked. The manager stated that out of a staff team of four, one was currently undertaking an NVQ level 3 qualification whilst the other three had already obtained an NVQ qualification, one at level 2 and two at level 3. The manager stated that staff are provided with formal supervision on a regular basis and records seen confirmed this. 68 Gayhurst Drive DS0000067420.V366965.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, 38, 39, 41, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home with a relaxed atmosphere. Their best interests are safeguarded and their health, safety and welfare are promoted. Residents may benefit when the manager is qualified and registered with the CSCI. EVIDENCE: Previous inspection identified that the manager has wide experience in the provision and management of residential care of people with learning and physical disabilities; they have achieved NVQ Level 3 in Health and Social Care, are an NVQ assessor and have certificates in infection control, safe 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 23 administration of medication and dementia care. During this inspection the manager explained that they had started an NVQ 4 qualification and planned to continue this shortly after problems with assessment. The manager said that they had been in post for six years. Subsequent to this visit the manager stated that they were in the process of application to be registered with the CSCI. There is an open and inclusive atmosphere in the home. At the time of this visit residents were confident and relaxed chatting and spending time with staff and the manager. The home has a quality assurance system. This includes the use of questionnaires for residents, their relatives and friends and health and social care professionals. The questionnaire for residents is designed so that it is easily understandable. A number of records have been looked at as part of this inspection. These have been mentioned within this report where appropriate. Accidents and incidents are recorded appropriately. Records and certificates seen indicated the regular testing and maintenance of systems and equipment within the home. Fire prevention equipment was seen and records indicated regular training and drills. The kitchen is maintained in a clean and hygienic manner; temperatures for fridges, freezers and hot food is tested and recorded. All radiators seen were covered and hot water is checked, in order to protect residents from scalding. Cleaning chemicals are kept safely. Risks regarding fire, dangerous substances and the environmental have been assessed and recorded. 68 Gayhurst Drive DS0000067420.V366965.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 3 2 3 3 X 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 X 2 3 3 X 3 3 X 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 YA20 Good Practice Recommendations It is strongly recommended that, with regard to medication: 1. All handwritten administration entries should be double checked and signed by two members of staff. 2. The manager should complete their stated intention to request pre-printed administration records from the supplying pharmacy. 2 YA37 It is strongly recommended that, with regard to the management of the home: 1. The manager should complete their stated intention to re-commence their NVQ 4 qualification course as soon as possible. 2. The manager should complete their stated intention 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 26 to complete their application for registration with the CSCI as soon as possible. 68 Gayhurst Drive DS0000067420.V366965.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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