Care Home: 8 Blunt Street

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well The care home finds out what people need and write this down. Staff read these reports so that they can help people tokeep healthy and as active as possible. People were helped to have interesting lives. Staff gave them individual attention and they were treated with respect.The care home`s policies and procedures kept people safe. Policies are rules about how to do things. Procedures tell people how to follow the rules.People were living in a comfortable and safe environment.The care home was well managed. People were safe and their rights were recognised. What has improved since the last inspection? Care plans were being kept up to date.People`s personal money was only used for themselves.More staff had received fire safety training.The care home`s electrical wiring was safe. What the care home could do better: Staff must have health and safety training, every three years. This is to keep people safe when... * handling and eating food, * an accident happens, * being moved and handled, * there is a fire. Key inspection report Care homes for adults (18-65 years) Name: Address: 8 Blunt Street Stanley Common Ilkeston Derbyshire DE7 6FZ two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Tony Barker Date: 2 9 0 9 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983   Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Information about the care home Name of care home: Address: 8 Blunt Street Stanley Common Ilkeston Derbyshire DE7 6FZ 01159323494 F/P01159323494 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : None United Response care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: Date of last inspection 0 1 1 0 2 0 0 8 A bit about the care home 8 Blunt Street is a semi-detached house in a small village development. Service users are provided with adequate accommodation and single rooms. There is a rear garden. The Home offers personal and social care to people with a severe learning disability with associated conditions that include autism and sensory disability. Activities are planned to meet individual needs. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home The inspector visited at short notice. The last key inspection at this care home was on 1st October 2008. We had asked the Acting Manager to complete a questionnaire about the home, before this inspection. We had asked other people to tell us what they think about the home. Eight people sent us their views. We looked at what staff had written about one persons life. We also looked around the care home. The people who live in the care home were not able to talk to us as they had high levels of dependency. But we saw how staff treated people and we spoke to the Acting Manager and staff. The weekly fees at the time of this Inspection were from £1450 to £1885. What the care home does well The care home finds out what people need and write this down. Staff read these reports so that they can help people to keep healthy and as active as possible. People were helped to have interesting lives. Staff gave them individual attention and they were treated with respect. The care homes policies and procedures kept people safe. Policies are rules about how to do things. Procedures tell people how to follow the rules. People were living in a comfortable and safe environment. The care home was well managed. People were safe and their rights were recognised. What has got better from the last inspection Care plans were being kept up to date. Peoples personal money was only used for themselves. More staff had received fire safety training. The care homes electrical wiring was safe. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Tony Barker CQC Citygate Gallowgate Newcastle Upon Tyne NE1 4PA Tel: 0300 061 6161 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website http:/www.cqc.org.uk/. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual written needs assessments are in place before people are admitted to the Service so ensuring that their diverse needs are identified, planned for and fully met. Evidence: The Services Statement of Purpose had been personalised to 8 Blunt Street since the last inspection and was fully up to date. One person had been admitted to the Service since the last inspection and this person was case tracked. The Acting Manager explained that he had been closely involved with care plan reviews of this person over a period of time leading up to the persons admission. We saw written details of the individuals visits and overnight stays before admission in April 2009. We were satisfied that a full assessment of this persons needs was made prior to their admission. An Independent Mental Capacity Advocate (IMCA) had been involved in the case tracked persons move to 8 Blunt Street, from another United Response registered care home, in order to represent this person who had been assessed as lacking the capacity to make important life decisions. The minutes of the care plan review meeting, held two weeks after the persons admission, provided evidence of how well the person had responded to the move. A relative at the meeting was said to refer to, huge differences in behaviour and demeanour since moving (to 8 Blunt Street). The case tracked persons social worker provided us with a positive account when we telephoned him for his opinion about the Service. He told us that his client was benefiting from, good role models from the other two (people living at the Service). The Individual Charter, between United Response and the person we case tracked, was Evidence: examined. This referred to the persons accommodation prior to admission to 8 Blunt Street. However, the Acting Manager made a hand written amendment to reflect the persons current circumstances and said the Individual Charter would be re-typed. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the Service had individual plans of care which demonstrated that their health, personal and social care needs were being met and they were enabled to make decisions about their lives. Evidence: The care plans of the three people living at the Service were examined. These were well worded, holistic and person centred. Two had been reviewed at recent person centred care planning meetings and the case tracked persons care plan had had an in house review by the Acting Manager in July 2009 with a planned review meeting in October 2009. The Acting Manager spoke of incorporating photographs, taken at this forthcoming review meeting, into the new care plan. He said this would give staff pictorial evidence of the case tracked persons involvement in the care planning process. He felt this would provide little understanding to the person themselves due to their level of learning disability. One of two social workers, who provided us with their opinion of the Service, told us the Service was good at, person centred awareness and planning involved in each of the (care planning review) meetings. Daily Record Sheets provided brief cross references to more details held within records such as Accident/Incident Sheets, Epilepsy Record Sheets, (Health) Appointment Sheets and Learning Logs. An Accident/Incident Sheet had been completed in relation to a recent epileptic seizure, and resultant fall, experienced by the case tracked person. This was very brief and gave no context to the incident. In addition to Daily Record Sheets there was system of Keeping Track Daily Records that comprise a recording, by staff, of levels of their engagement with the people they support as codes. There were several blank columns in these records and when these dates were cross referenced to Shift Plans Evidence: these were found to have no corresponding entries. The Acting Manager showed us a letter he had sent to staff reminding them to complete shift plans. Information supplied by the Acting Manager before the inspection stated that, We need to make sure that the new decision making tool is completed and in place to enable the people we support are more involved in making choices and decisions in their lives. The Acting Manager told us this tool was still being planned: he described it as, a structured and recorded process to evidence decision making. The support worker we spoke with gave examples of people making decisions and choices. These included choosing food and drinks when in the community and choosing what activities to be involved in. Up to date and person centred risk assessments were in place to address the risks that two of the people living at the Service were exposed to. However, although the case tracked persons risk assessment had been reviewed in July 2009 it was not as well structured, or person centred, as the other two. It comprised several pages of continuous text and little use of paragraphs. No attempt had been made to rate the seriousness of hazards recorded or the likelihood of them occurring. As it was not easy to read we questioned, with the Acting Manager, how much staff would actually act upon its contents. The support worker we spoke with had some understanding of the concept, and use, of, responsible risk taking in order to increase peoples independence. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Service provided activities and services that were age-appropriate and valued by the people who live here, and promoted their independence. Evidence: The Acting Manager provided evidence that there was more structure to peoples days than that found at the last inspection. We noted that people living at the Service were involved in activities that they valued and found fulfilling. The support worker we spoke with said, with respect to the case tracked person, a smile shows that (the person) enjoys socialising...and preparing for a meal. Information supplied by the Acting Manager before the inspection included, Two of the people we support have experienced paid work using their skills delivering telephone directories. The Acting Manager also told us that all three people had recently been involved in delivering leaflets on behalf of a national carrier. The staff who completed our postal surveys were positive about these community based paid activities though some remarked that more of such activities would be beneficial. The Acting Manager agreed with this statement and said he felt, there are further opportunities and I will be encouraging staff to consider these. One social worker told us that the Service is, good at providing specific culturally appropriate activities which reflect and meet the needs of individuals living there. The support worker we spoke with described a good degree of involvement that people have in the local community. This includes eating out, shopping, swimming, walking, informal football and, recently, delivering leaflets. The Acting Manager told us that more frequent visits to local food shops now takes place as part of increasing peoples community presence as well as taking a more person centred approach to peoples diets Evidence: and food preferences. He also said people attend a local church now rather than travelling to one outside the local community. This attendance is more frequent, he added, and provides a less formal setting. Information supplied by the Acting Manager before the inspection also included, People have their own bank accounts and are supported to access their own finances using a local bank. We noted from the minutes of the care plan review meeting, held two weeks after the case tracked persons admission, that there was, increasing contact with (the persons close relative). This relative, and a relative of another person living at the Service, gave a positive account of their opinion of the service provided, in their postal surveys and this reflected efforts made by the Service to encourage contact with family members. Information supplied by the Acting Manager before the inspection included, We ensure that family and friends attend person centred reviews. It was clear from discussion with the support worker that daily routines were flexible and based on individuals needs. He told us of people being involved in house cleaning activities, preparation and cooking food and with gardening - all activities to promote peoples independence. Information supplied by the Acting Manager before the inspection included, People we support are more involved in the upkeep of their home and have developed new and lost skills. The Acting Manager also told us, in the pre inspection questionnaire, that, We have reviewed the menu, adding more preferences and foods that people like. We viewed the one week menu that included a pictorial representation of the food. The Acting Manager spoke of plans to extend this to a rolling menu with improved use of pictures. A Menu Alternative Form was also seen which had been recently started to ensure people have choice over their diet. The Acting Manager provided us with evidence that peoples daily diet is now more balanced and culturally appropriate. Food stocks were at a satisfactory level and there was evidence of fresh fruit and vegetables being provided. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Service was providing people with personal support in the way they preferred and required and was meeting their physical, emotional and health needs. Evidence: The support worker we spoke with gave examples that show that the dignity and privacy needs of people living at the Service are being met. For instance, staff prompt people to close bedroom and bathroom doors. The support worker also confirmed that daily routines are flexible and reflect peoples individual needs. There is a diversity of cultural background within the staff group and this potentially benefits the three people living here. From observation and discussion with the Acting Manager it was clear that peoples communication needs had been assessed and, wherever possible, were being met. For example, the case tracked persons Communication Chart acts as a translation of the persons behaviour into what staff believe the person is trying to communicate. The Acting Manager told us that better communication with the people who live at the Service has brought about a significant decrease in behaviour that challenges staff. He added that he and one staff member will be attending training soon - aimed at achieving a person centred communication system for each individual. The likes and dislikes of each person living at the Service were recorded on file as an implicit part of the person centred approach. The case tracked persons My Health File was examined. This was a person centred document and it was up to date and being used appropriately. Another persons My Health File was not up to date with their dental and chiropody appointments and made no reference to the persons last six-monthly appointment with a psychiatrist for a medication review. There was evidence that appropriate contacts were made with health professionals to ensure peoples health needs were being maintained. The Medication Administration Record (MAR) sheet, of the case tracked person, was Evidence: examined. A code of F (Other - please define) had been recorded for each occasion that paracetamol was not administered as a prn (as and when required) medicine. The Acting Manager explained that this denoted Not Required but there was no clarification of this on the MAR sheet. Also, there was no recorded entry against one instance of paracetamol being Not Required on September 28 and two instances on September 29. We informed the Acting Manager that either a code should be recorded, and defined, or the MAR sheet left blank. No other recording errors were found. A clear person centred prn protocol was in place for the administration of the case tracked persons paracetamol. This ensured that the person receives medication appropriate to their needs. We also noted that a record of staff signatures was in place to ensure that signatures can be crossreferenced against staff names. However, there was no similar record of staff initials to cross-reference against entries on MAR sheets. No controlled drugs were prescribed. Most staff had received training in the safe use of medicines within the past two years. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good procedures for handling complaints and abuse were in place ensuring that people were fully protected. Evidence: The Services complaints procedure had been up-dated. It was satisfactory and included symbols to help with peoples understanding. It was displayed in the office: not in a position prominent enough for it to be read by visitors. The Acting Manager stated that there had been no complaints received by the Service within the past 12 months. A form on which to record formal complaints was available on United Responses intranet. Concerns/complaints communication charts were in place in respect of each of the three people living at the Service and a Concerns/complaints log. The latter is completed following a period of behaviour, exhibited by a person living at the Service, that challenges staff. Safeguarding Adults Procedures and a Whistle Blowing Policy were in place to ensure that people living at the Service are kept safe from being abused. The support worker spoken with showed an awareness of these procedures and the Services whistle blowing policy. However, staff training records showed that half of the staff group had not received training in Safeguarding Adults (Adult Protection) within the past three years. This training ensures staff understanding of adult abuse and its risk management. Record sheets of personal monies belonging to the people living at the Service were examined. These were found to be satisfactory except for the absence of a staff signature, on the case tracked persons sheet, beside two transactions on 14th September 2009. There was recorded evidence of twice daily checks on balance figures on these sheets and receipts were being kept. The Acting Manager said that that a member of staff from the United Response area Office provides a second signature beside each transaction. The Acting Manager showed us recorded evidence of a staff members attention being drawn to a minor form of financial abuse noted at the last inspection. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were living in a relatively comfortable environment that meets their needs. Work was in hand to address most areas requiring attention. Evidence: Items of poor maintenance, identified at the last inspection, had been dealt with including a tidying of the rear garden that had involved the people living at the Service. However, there was evidence throughout the premises of need for re-decoration. The Acting Manager informed us of plans to redecorate all parts of the premises the following week except for the kitchen, lounge and dining room that were due a full refit and carpeting, by the year end. Bedrooms seen were personalised and reflected the interests of the people accommodated there. During a tour, the premises were found to be clean and hygienic. However, there was a slightly unpleasant odour in the front hall. Also, there was no toilet paper or soap in the first floor toilet. The Acting Manager showed us a newly acquired washing machine that includes a sluicing programme. The questionnaire he completed referred to most of the staff group having completed Infection Control Training. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff group had not received sufficient training to ensure that people, living at the Service, were safe and their needs were met. Evidence: Six of the nine permanent care staff had achieved a National Vocational Qualification (NVQ) at least to level 2. This met the requirement to maintain a staff group with at least 50 qualified staff. The staffing rotas were examined and discussed with the Acting Manager. From this evidence we noted that recommendations made at the last inspection had been met: rotas used the 24 hour clock and staff were no longer working excessive hours. Other aspects of this standard were not assessed. Records of care staff appointed since the last inspection were not examined to determine the quality of recruitment practices. In the past, United Response has been found to follow safe recruitment practices and the Acting Manager told us that the organisations local Recruitment Officer checks records against Regulation requirements. The Acting Manager told us that new staff complete a structured induction training programme to required Common Induction Standards. The Acting Manager provided us with a copy of the staff training matrix that was at least three months out of date. It showed that, within the past three years, between one quarter and one half of the staff group had not been provided with training in First Aid, Basic Food Hygiene and Moving & Handling. The Acting Manager told us that he, personally, provided an interim form of Fire Safety training to staff in September 2009. Most of the staff had received full fire training from a competent person during 2009; three staff had been offered this training in January/February 2009 but they had not attended, the Acting Manager said. He added that a further offer of training has been made to these three staff and this will be held on 21 September 2009. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Service was well managed so that people living here were protected and their best interests were promoted by the systems in place. Evidence: The Acting Manager of the Service had 18 years experience of working with people with learning disabilities and had an NVQ in Care and Management at level 4. He had been Acting Manager of this Service for more than 12 months and had not yet made an application to us to become the Registered Manager. He told us that he was awaiting an application form from the Criminal Records Bureau (CRB). Monthly independent audit visits to the Service on behalf of the Registered Provider, as required by Regulation 26, were taking place and being recorded. The Services 2009/10 annual plan was well set out and included target dates for monitoring purposes. Staff were being periodically sent Whats working, whats not working quality assurance questionnaires, in order to assess their opinions on the quality of service provided. Quality questionnaires were sent to the relatives of people living at the Service three weeks ago, the Acting Manager said, but none had been returned to date. No corresponding questionnaires had been sent to external professionals to elicit their views. The Acting Manager said he was planning to do this within the next month. The Acting Manager had indicated in the pre-inspection questionnaire that equipment at the Service was being maintained and good Health and Safety practices followed. However, we noted, at this inspection, that a portable fan heater, stored in an understairs cupboard, had not been checked for electrical safety along with other portable equipment in January 2009. The carpet was coming away from the door strip between the hall and lounge and presented a potential trip hazard. The Acting Manager said that Evidence: this has been addressed but continues to be a problem caused by the actions of one person who lives at the Service. Food hygiene practices were satisfactory and cleaning materials were being securely stored. Environmental risk assessments were satisfactory. Fire evacuation practices were occurring monthly and recorded. Fire alarm equipment was being checked monthly and fire alarm break-glass points checked weekly. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 35 13 13(5) All staff must be provided with training in moving and handling people who live at the Service. 01/01/2010 This will ensure that staff can safely work with those people who may have difficulty in moving. 2 35 13 01/01/2010 13(4) All staff must be provided with training in first aid. This will ensure that they can act appropriately in the event of an accident to a person who lives at the Service. 3 35 16 16(2)(j) All staff must be provided with training in basic food hygiene. 01/01/2010 This will ensure that the health of people who live at the Service is not put at risk Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action when staff handle their food. 4 35 23 23(4)(d) All staff must attend regular fire safety training - twice yearly for those who work at night. 01/11/2009 This will ensure that the safety of service users is not compromised in the event of a fire. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 6 9 All records relating to the people living at the Service should be fully completed. The case tracked persons risk assessment should be reviewed to bring it into line with current United Response person centred recording practices. All health records should be kept up to date with health appointments. A record of staff initials should be provided for use with medication record sheets. A consistent recording system for prn medicines should be in place. The Services complaints procedure should be displayed in a position prominent enough for it to be read by visitors. Record sheets of personal monies belonging to the people living at the Service should include a staff signature beside each financial transaction. All staff should have been provided with training in Safeguarding Adults within the past three years. 3 4 5 6 7 19 20 20 22 23 8 23 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 9 10 11 30 30 37 The slightly unpleasant odour in the front hall should be addressed. Toilet paper and soap should always be available in toilet areas. The Acting Manager should make application to the Commission to become the Registered Manager of this Service. Quality assurance questionnaires to external professionals should be developed and sent out. The portable fan heater, stored in an under-stairs cupboard, should be checked for electrical safety. The carpet, coming away from the door strip between the hall and lounge, should be made safe and maintained this way. 12 13 14 39 42 42 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. - 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!