Care Home: 9 Perrys Close

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What the care home does well The service has its own day care facility and this offers a range of activities including swimming, bowling and horse riding. Staff receive mandatory training and NVQs are encouraged, the senior support worker said she was working towards the NVQ3. The induction includes a week of training days where information specifically about autism are held among other service related issues. The home has the benefit of a behavioural specialist employed by the Kent Autistic Trust. What has improved since the last inspection? The home has had a new registered manager in post for about a year. Daily reporting is on a useful format that details different aspects of the individuals day and night. This is signed by the outgoing and incoming senior staff. The registered manager stated in the AQAA that to promote equality and diversity the home has "Incorporated detailed person centred planning to support individuals which highlights their need for and how best to support them as individuals". What the care home could do better: Requirements were made about 1. Updating information in the medication administration records and that the home is to seek a suitable medication cabinet. Advice was given for the home to obtain the most recent copy of the Royal Pharmaceutical Society of Great Britain guidance on The Handling of Medicines in Social Care. 2. Reviewing information in the care plans. 3. Updating risk assessments. However there was a variety of information in the care plans and some risk assessments, but the home has not organised the information in a clearly accessible manner. For example the two senior support workers spoke about the particular needs of one service user and that staff know how to support him. But a risk assessment detailing this was not seen in care plans or in risk assessments, but was found in another file later during the inspection. Risk assessment and information about the health, care and welfare of service users must be up to date and readily available to all staff. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 9 Perrys Close 9 Perrys Close Faversham Kent ME13 7BX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Gabriel     Date: 1 2 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. that people have said are important to them: They reflect the things 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 9 Perrys Close 9 Perrys Close Faversham Kent ME13 7BX 01634405168 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): perrysclose@btinternet.com The Kent Autistic Trust Name of registered manager (if applicable) Mrs Wendy Shepherd Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 9 Perrys Close is a detached purpose built modern property situated in a no through road in Faversham. The property was completed in June 2004. The Home is registered to provide personal care and support to 6 younger adults (under 65 years) who have learning disabilities. The Kent Autistic Trust (KAT) runs the Home. All six bedrooms are for single occupancy and have en suite shower and WC facilities. Accommodation is set over two floors accessed by stairs. There is a large reception area, lounge, dining room, kitchen, laundry room and private meeting room. There is a Care Homes for Adults (18-65 years) Page 4 of 29 care home 6 Over 65 0 6 Brief description of the care home garden to the side and rear of the property accessed from the lounge and dining room. There is limited parking to the rear and front of the property. The M2/A2 motorways can access Faversham. There are local shops and a pub nearby as well as a train station and bus stops. For up to date information about the range of fees, please contact the provider. Care Homes for Adults (18-65 years) Page 5 of 29 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 peterchart Poor Adequate Good Excellent How we did our inspection: We (The Commission for Social Care Inspection) visited the home that is owned by Kent Autistic Trust (KAT) during the morning and our visit was unannounced. Service Users had started to leave for their daily activities and there was one service user in the home preparing to go out for the day. The registered manager was on leave at this time and the senior support worker on duty ably assisted with the inspection process. The area manager was contacted to advise her of the inspection but she was unable to visit as she was attending a review of one of the service users that day. There were two service user vacancies at this time and the senior support worker said that there was the possibility of a new person being admitted the following week. There has been some sick leave amongst the staff and the senior support worker said Care Homes for Adults (18-65 years) Page 6 of 29 that they had used some casual or agency staff during this time but they tried to use people who had been in the home before and whom the service users knew. The visit lasted approximately four and a half hours. This is what we did when we were at the home. We looked at some of the policies and procedures in the home and at one service users files to cross reference them with recorded information about that individual. We spoke to two senior support workers and a day centre support worker who was in the home preparing the service user for his day at the centre. The service user gave us permission to view his own bedroom and we thank him for this. Before we visited, the registered manager sent us information about Perrys Close in the Annual Quality Assurance Assessment (AQAA) that told us about how it is run and about the sort of things the staff do to help meet peoples needs. Some requirements were made at the previous inspection and although some had been met at times during the intervening time, some requirements were made again. We appreciated that the senior support worker was unable to access some information as it was not in her normal routine to know about them or where they may be accessed. However, the senior support worker was professional in her attention to the process of the inspection and understood the importance of the requirements made this time. Because of the complex needs of the individual service users living at the home, formal service user meetings are not held but one to one support is available between each service user and their key workers. Six monthly reviews are held and each service user is asked, in a communication style that suits their needs, about what they would like to talk about at their review. The senior support worker said that they had started converting information currently held in care plans to person centred plans. The one plan that had been completed had been taken from the home that day for use as part of the review of a service user. A second senior support worker came into the home prior to attending the review confirmed this and both staff thought they were of value and an improvement to the old style formats. What the care home does well: What has improved since the last inspection? What they could do better: 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 www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 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 Care Homes for Adults (18-65 years) Page 9 of 29 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. Prospective service users know they will be given the opportunity to visit the home before making a decision about moving to the home. Written information about the home will improve once it is updated. Evidence: There were two vacancies in the home at this time and a prospective new service user was expected to move in the following week. The date of admission would depend on the choice of that individual according to their particular needs at the time. The registered manager will visit a prospective service user to make an assessment to enable the home to ensure they could offer the support the individual needed to meet their needs. The registered manager has stated in the AQAA that what they do well is : Complete full and detailed assessments of new service users with all agencies involved in the individuals care. This would include an initial person centred plan prior to their arrival at the new placement. A prospective service user will be invited to visit the home for lunch or for an overnight stay. Prospective service users and families are give a copy of the statement of purpose and the service users guide. These are clearly Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: written and the service users guide includes pictures and simple statements about life in the home. There was no evidence they had been updated for a few years. The senior carer agreed to ensure this was done. Care Homes for Adults (18-65 years) Page 11 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users assessed and changing needs will be better supported by up to date recording of reviews. Evidence: We looked at one persons files including care plans, daily diary and risk assessment and at some other files in general for other service users. The senior support worker said that one persons files had been converted to person centred plans and that staff had received person centred training with the company. Both senior members of staff said they thought that person centred plans really reflected the choices and aspirations of the individual. That particular file was not available for viewing as it had been taken to the review of one of the service users. The service user, family, area manager, care manager, day services manager and the persons keyworker were attending the review. The senior support worker said that staff will ask people what they would like to talk about at their review. We were told that this could take up to a month beforehand Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: according to the communication preferences of each individual. The registered manager stated in the AQAA that future plans for the service in the coming months included review person centred plans and the planning process during house/staff meetings in order to maximise each individuals opportunities. The care plans we viewed contained a variety of information but there was no evidence found of them having been reviewed or updated for some time. Senior support staff spoke about staff actions to support one aspect of care for a service user but evidence for this was not found in the care plan or risk assessments. However, some information about this was found in yet another file later on in the day. A requirement is made for care plans and risk assessments to be regularly reviewed and updated. This must be readily available for staff to access to keep them informed about how to maintain the safe health, care and welfare of service users. This is especially important at this time when there is significant staff sick leave and the home is regularly using casual and agancy staff. The home has the benefit of the company behavioural specialist. Changes of behaviours noted by staff are recorded for the behavioural specialist who will give advice and or visit the service user. The senior support worker said this was very useful as it helped the staff make necessary changes to support people. Confidential information is held securely. Care Homes for Adults (18-65 years) Page 13 of 29 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. Service users know they have opportunities for appropriate leisure activities. Personal rights and relationships are supported. Menus meet preferred choices and dietary needs. Evidence: All four service users attend different facilities during the week and at weekends may go to their families homes, spend time at the home or go on organised outings. Activities include attending the day service where there is opportunity for horseriding, trampolining, swimming or bowling. One person attends college where he is supported by a member of staff. One service user told the day service staff member about his visit to a pub earlier that week. The service user confirmed with the senior support worker about a trip to see his parent that following week. Day service staff are employed by KAT. Service users visit local restaurants and shops as well as pubs and Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: this increases their opportunities to make friends in the community. There is an activity week for the home in the summer where each day has a different event for service users to attend. Families are welcomed into the home and service users often take the opportunity to visit their families homes for weekends or to go on holidays with their family. The home has a vehicle and outings are chosen by service users. The notice board in the home had events advertised especially from other KAT run services and there are joint events with service users from other KAT homes. The dining room and kitchen are open plan and the kitchen was well organised. There was evidence of fresh, frozen and stored food in the home. There is a weekly menu but this may alter according to individuals choices at the time. A specialist diet is maintained and there was evidence of information about this in the home. The senior support worker said the dietitian has advised the staff on dietary needs for one person. Care plans have individual communication profiles. The senior support worker said that staff know the service users and their individual communication preferences and needs, but the profiles will be of more benefit if they are regularly reviewed. The registered manager stated in the AQAA that how they have improved in the last year is Increased the range of activities offered to individuals. We have experienced some great success. New activities offered have been accepted and enjoyed readily by some whilst others have found them more difficult and further stated that As the people that use our service are Autistic and like routine, new opportunities need to be offered gradually. Care Homes for Adults (18-65 years) Page 15 of 29 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. Service users know they will be supported with their personal care in a way they prefer. Medication administration will be improved by being regularly updated in records. Evidence: There is a variety of information about individuals in care plans but there was no recorded evidence seen of them being regularly reviewed. The two senior support workers were knowledgeable about the needs of the service users and explained clearly some aspects of support given to one person in particular. There was evidence of support and advice from health care professionals and of health care appointments being arranged. The home records details of health events in consultation plans that detail ongoing care. Service users are registered with a GP and home has the benefit of the company behavioural specialist. Medication is detailed for individual service users but is not all up to date. A requirement is made for this to be kept updated. The senior support worker said that service users have their medication administered in their choice of area in the home. The medication storage was clean and well ordered. The storage cabinet is to be Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: reviewed to ensure it meets with the guidelines of the Royal Pharmaceutical Society of Great Britain (RPSGB) and we advised the home to obtain the most recent copy of the RPSGB guidelines as well as check the CSCI website for further details regarding medication. Care Homes for Adults (18-65 years) Page 17 of 29 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. Service users know their views will be listened to and acted upon. Service users are protected from abuse by staff training and policies and procedures. Evidence: The home has a range of complaint policy details but these need to be reviewed to ensure addresses and phone numbers are updated and that any person making a complaint is aware of the procedure to make. Families and others as well as service users are given the opportunity to raise issues at the reviews and as previously stated in this report, service users are encouraged up to a month in advance, to make their wishes known to enable them to be put on an agenda. Each service user has a keyworker who enables people to express their views. Staff were very aware of the issues around adult protection and said they knew who to speak to should they have any concerns. There was evidence seen in staff files that staff undertake adult protection training and how to recognise and respond, during their induction. Guidelines are in place to recognise potentially aggressive situations and these are to be regularly updated to ensure staff have the best advice on any changing situation with service users. The service offers a week of training as part of staff induction that enables new staff to understand autism and issues related to support of people with autism. The registered manager stated in the AQAA that The six weekly meetings in which all of these people (staff, managers and senior managers) meet ensure that all policies, strategies and interventions meet with best practice guidelines This is Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: especially important should physical intervention ever be part of an intervention. Care Homes for Adults (18-65 years) Page 19 of 29 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. Service users live in a clean, hygienic and homely environment. The fire records being regularly undertaken will improve the safety of the home. Evidence: The home is modern and purpose built and is light, spacious and airy. It presented as being clean and well furnished and there were signs of personal effects around the communal areas that made it feel very homely. All bedrooms have the benefit of an en-suite shower with WC and hand basin. One of the two vacant bedrooms had been redecorated in readiness for the forthcoming admission of a new service user. A service user kindly agreed to let us view his room. The senior support worker explained that redecoration is ongoing and maintenance is undertaken by maintenance workers employed by KAT. The fire records for maintaining regular checks was not up to date; the senior support worker said this would be undertaken. the registered manager states in the AQAA that Maintenance programme monitored by house manager, decorating programme ongoing and that their plans for improvement includes Monitor garden maintenance and encourage service user participation in the garden design. Care Homes for Adults (18-65 years) Page 20 of 29 Care Homes for Adults (18-65 years) Page 21 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from and are supported by trained staff. Service users are protected by the homes recruitment procedures. Evidence: The senior support worker was on duty as the registered manager was on leave at that time. The senior support worker followed the homes guidelines for informing the area manager of the key inspection visit. The home had had some ongoing staff sickness and we were informed that the rota had been covered by casual and agency staff. The senior support worker said that casual and agency staff were known to the home and they always tried to get the same staff to cover shifts to maintain continuity for service users. At night, the home has one wake and one sleep in night staff. When the home is fully occupied we were told that there are two sleep in staff as well as the wake staff. A second senior support worker came into the home during the morning to spend some time before attending a service users review that afternoon as their key worker. Both members of staff showed a professional attitude towards the support of the service users and were knowledgeable about adult protection. We discussed person centred plans and both staff said that they thought the new plans were of benefit to service users as they really reflected their opinions and choices. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: Two staff files were viewed and these included a variety of training records as well as induction. Both seniors confirmed that they had to provide references and CRB and PoVA checks were part of the recruitment process. One person discussed her induction and said that she had spent two weeks shadowing another member of staff and had also undertaken a one week course with KAT that included daily training sessions about autism and adult protection. NVQs are encouraged and the senior support worker confirmed that she is currently undertaking the NVQ3. The registered manager stated in the AQAA that regular staff meetings are held every three weeks and a member of the senior management team attends every meeting. A notice in the office confirmed dates for regular meetings within the home. Discussion with both senior support workers indicated that they were aware of individuals needs and preferences and that the home had an ethos of trying to support individual choices as far as possible. Care Homes for Adults (18-65 years) Page 23 of 29 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. Service users know that the home is run in their best interests and that their views are listened to and acted upon wherever possible. Services users health, safety and welfare will be better promoted when information is reviewed and updated. Evidence: The registered manager was on leave at the time of the key unannounced inspection. The registered manager has been in post for about a year and has completed her registered managers award and is currently completing the NVQ4 in care. Both senior staff said they felt confident raising any issues with management. The member of staff from the day service indicated the finance records she was completing at the time for individual service users and that monies came straight from the head office of KAT. We were informed by staff that regular review meetings are undertaken during which time issues can be raised and discussed. Staff have said that they may spend up to a month using communication metheds preferred by service users to give them the Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: opportunity to express any issues they wish to discuss at the reviews. The registered manager stated in the AQAA that Care managers and families attend reviews during which the needs and the aspirations of the individual are discussed. Multi disciplinary approach is then applied. Staff confirmed a review was being held that day. The homes insurance certificate was in date. A service user spoke to the senior support worker several times about different issues and these were addressed immediately and the service user reassured. Both senior support staff confirmed that the home recently had an audit of the premises including some records being checked, but they were not sure if there were any records of this in the home. The registered manager stated in the AQAA that their plans for improvement in the coming year included Record ways in which service users are consulted on a daily basis and involved in decision making. Methods of recording needs to be in a format that is service user friendly. The staff said that the current service users would not be able to understand a written format and that the one to one time spent with key workers was useful and yielded good information regarding personal and leisure preferences. The registered manager is to ensure the fire records are maintained. The registered manager is to ensure that the requirements made for updating and reviewing care plans risk assessments and medication information are undertaken. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Adults (18-65 years) Page 26 of 29 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 Requirement 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 Requirement Timescale for action 1 6 15 The plan is reviewed with the service user (involving significant professionals and family, friends and advocates as agreed with the service user) at the request of the service user or at least every six months and updated to reflect changing needs and agreed changes are recorded and actioned. Care plans are to be reviewed and updated to ensure staff are aware of changing needs and support procedures. 31/03/2009 2 9 13 Staff enable service users to 31/03/2009 take responsible risks, ensuring they have good information on which to base decisions, within the context of the service users plan and of the homes risk assessment and risk management strategies. Care Homes for Adults (18-65 years) Page 27 of 29 Risk assessments are to be updated and recorded and made easily accessible to staff. 3 20 13 The registered manager and 26/03/2009 staff encourage and support service users to retain, administer and control their own medication within a risk management framework, and comply with the homes policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. Medication information is to be regularly updated in records. 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 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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