Care Home: Barkby Court

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What the care home does well What has improved since the last inspection? This is the first inspection of this newly registered service. What the care home could do better: Residents would be able to achieve what they want to do in life if they all had person centred plans in place. All staff need to follow care plans to ensure they fully be aware of residents individual needs and always give appropriate care.Barkby CourtDS0000073245.V376116.R02.S.docVersion 5.2 Key inspection report CARE HOME ADULTS 18-65 Barkby Court 220 Barkby Road Syston Leicester LE7 2AJ Lead Inspector Keith Charlton Key Unannounced Inspection 22nd June 2009 09:35 Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 1 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. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 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. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 2 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 Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barkby Court Address 220 Barkby Road Syston Leicester LE7 2AJ 0116 2605088 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) Guiding Principles Milligan There is no current Registered Manager at the time of this inspection. Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code 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 - Code LD The maximum number of service users who can be accommodated is 8 This is the first inspection of the service since the Company was registered. 2. Date of last inspection Brief Description of the Service: Barkby Court Limited at 220 Barkby Road is on the outskirts of a quiet residential area in the village of Syston in Leicestershire. The home is registered for a maximum of eight people with learning disabilities. The home is a purpose built large detached property with parking space on the property for home’s vehicles, staff and visitors cars. The outside of the property is monitored by close circuit television. To the ground floor of the property there is a lounge, dining room, kitchen, two single bedrooms with full en-suite facilities and two offices. On the first floor there are further six single bedrooms with full en-suite facilities and a large lounge area. All bedrooms have a call bell system, digital box, television, telephone, internet access and Sky channels. There is a converted garage which is used as a games room. Fee levels are from £1300 to £1700 per week. Barkby Court DS0000073245.V376116.R02.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 two stars – good service. This means the people who use this service experience good quality outcomes. ‘We,’ as it appears throughout the Inspection Report, refers to ‘The Care Quality Commission. The focus of the inspections undertaken by the Care Quality Commission is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care received through looking at their records, discussion with the residents and care staff, and observation of care practices. The inspection took place between 9.35am and 4.30pm. Planning for this inspection included reviewing all information on our system - the Annual Quality Assurance Assessment that the management completed about the home’s services and surveys regarding the satisfaction of residents and staff about the home. The Commission has not received any complaints since the service was registered. The Inspector spoke with three residents though this was limited owing to communication difficulties, two staff members and the Manager and Project Manager. Surveys were received from six of the residents and two staff. They were generally positive about the standard of care the home provides. Comments are made in the Report regarding specific issues. What the service does well: Residents live in a stable community. They are generally satisfied with the services provided by the home as they stated in surveys and said during the inspection. Their opinions are sought as indicated by staff talking with them and by residents meetings. They are supported and encouraged to enjoy a positive lifestyle through varied activities, contact with the outside community, and contact with family subject to risk assessments as most residents need supervision. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 6 There are few rules and they have freedom to have their bedrooms the way they like. Staff know about the needs of each resident and this is helped by having detailed care plans outlining residents needs. Residents are encouraged to live an independent life. An example being residents being able to bathe themselves and assist in the kitchen. A choice of foods is always available to residents and there is emphasis on healthy eating. Staff were found to be friendly and helpful in their dealings with residents. Staff are properly recruited and receive comprehensive training in order to support the residents living in the home. Health and safety systems are in place to protect residents from harm. Facilities are always kept in a clean and tidy condition with no odours and decoration is of a generally good standard. Bedrooms are personalised and homely and residents said they can accommodate their personal effects – pictures, toys, TVs, music players etc. What has improved since the last inspection? What they could do better: Residents would be able to achieve what they want to do in life if they all had person centred plans in place. All staff need to follow care plans to ensure they fully be aware of residents individual needs and always give appropriate care. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 7 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 8 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 Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 living at Barkby Court have had their needs assessed before moving into the home so that staff can provide care that meets these needs. EVIDENCE: Some surveys said that they had not enough information at the time of the admission to make up their minds about the home. We case tracked a person living in the home who had moved into Barkby Court in the past year. We checked that he had received information to help with the choice of home, and he said he had not, though the Manager said this was not the case and information is provided to everyone. We saw that residents had their needs properly assessed prior to moving in, to ensure that the staff at the home could meet their needs and we found that the assessment system was detailed and recorded residents needs in detail, not all sections had been completed, e.g. social assessment, recreational and food preferences, and specific information as to health checks - optical, dental, hearing checks etc so as to prompt a check to improve the health of residents the Manager said that assessments would be fully detailed in the future. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 10 Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 individual needs and choices of each person living at Barkby Court are well documented and acted upon by staff. EVIDENCE: One resident said that he was happy with all the care that staff gave him. We looked at the care records of two people living at Barkby Court. We found very detailed plans to support the care given to people who live at the home. There was a variety of useful information available to staff in terms of physical and mental health, supervision needs, challenging behaviour, food and activity preferences etc though Person Centred Plans, and Daily and Weekly Activities Logs were not yet in place, though the Manager said these were issues which she had identified as to be done. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 12 Plans also detailed the mental health conditions of residents and supplied detail to staff as to how to approach any challenging behavior they may meet. There are also a number of risk assessments so that everyone can be protected from all identified risks. Care Plans also contain detail as to how to encourage residents independence keeping their bedrooms tidy, helping in the kitchen etc. Staff said that they read Plans to ensure they can meet residents needs and keeping up to date with Plans is encouraged by management, though a staff member was unaware of the form of contact a resident had with his family and this issue did not contain sufficient detail for staff to follow, and also the Manager said that a staff member had not followed the Care Plan in relation to a recent incident with a resident. We saw that care records were routinely up-dated to ensure they reflected the changing care needs of people living in the homes. There are regular Residents Meetings which residents can attend if they wish and there were a number of suggestions they made, which the Manager was asked to set out an action plan to progress these ideas, e.g. regarding food choices etc. During our visit we observed staff being friendly to residents and explaining what they were doing to reassure residents. There was some evidence that residents are able to live their own lives, e.g. going out to places in the community, choice of meal, choice of activity etc though this is within a structured environment. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 13 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): This is what people staying in this care home experience: People using the 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 living at Barkby Court have opportunities to have a varied lifestyle. EVIDENCE: A resident said that he had plenty to do and that the staff played games with him and took him out. We looked at the care plans of people who live at Barkby Court. These contain details of what residents like to do and where they attend college, clubs etc though there were no weekly activity sheets or daily activities to show what they are doing to ensure residents needs are met. Records showed us that residents are able to experience a varied social life. Some people go to college to learn life skills, and others have a variety of activities in the community to Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 14 choose from. The Manager said that she was hoping to recruit an Activities Organiser to further the range of activities that residents can enjoy. She also said that she was trying to get a job for a resident that would be able to do this. There is also a seperate activities room where residents have personal fitness machines and a snooker table. A table tennis table is also available though there was one comment that space was limited in this room for it to be played properly - the Manager said it can be wheeled to the outside in good weather. There is also a five a side football pitch for residents to use. Residents have annual holidays and two residents were seen to go to Skegness on the day of the inspection and others said they were going to Blackpool later this year. We also saw residents going out for lunch and shopping on the day of the inspection. The Manager agreed it was not necessary for the TV to be on all day and said she would ask staff to put on music that residents would enjoy instead. We saw that staff are sensitive to the needs of people living at the homes and we saw staff talk to and interact well with people who live at the home though there was a situation where a staff member was not being proactive and engaging with residents. The Manager said she was aware of this and it would be followed up. We saw the available lunch of sandwiches with different fillings with a salad, and fresh fruit also available, which showed a commitment to healthy living. There were a number of suggestions that residents made at a residents meeting - to have proper cooked breakfasts, more curries, more toast etc, which the Manager said would be followed up. Menus were in place and had sufficient variety. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 live at Barkby Court receive good support in their personal and healthcare needs. EVIDENCE: We looked at the personal and healthcare records of people who live at Barkby Court. We saw that they have good access to healthcare services to meet their personal and healthcare needs as described in individual Health Action Plans. The Manager said that if there were instances of challenging behaviour then this information was sent to the outreach and social work teams so that support is sought to manage such situations, and we saw evidence of this. We asked that if there are instances where restraint is used then this information needs to be sent to us so that we can see that the situation was managed properly. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 16 On talking to staff as well as looking at the records, we found that staff act on concerns they have about peoples needs. We looked at medication management and found that staff are administering medication appropriately to people who live at Barkby Court with no instances seen where medication was not signed as given. Records also showed information regarding allergies and regular medication reviews to ensure residents health is promoted. We also looked at how medication is stored and this was stored safely. We saw staff records and these showed us that staff have undertaken training in the administration of medication and the Manager said she also checks that staff are competent before they are able to issue medication to residents. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 live at Barkby Court cannot be fully confident that their concerns are noted and acted upon, and they are protected from abuse. EVIDENCE: We looked at the complaints procedure and saw that this was written in a format which is helpful for people living at Barkby Court to understand. We saw good interaction between people who live in the home, and staff who support them. However the procedure does not give the complainant the choice to go directly to the Lead Agency if they wish, instead of the home. The Manager said this would be quickly rectified. Complaints records were not present as the Manager said there had been no complaints in the past 12 months, though we saw in the last residents meeting notes that a resident had complained of staff behavior and there was no evidence to indicate that this had been followed up - the Manager said she had been unaware of this situation but it would be followed up. We saw by looking at staff training records, and by talking to staff that staff have an awareness of safeguarding policies and procedures though not all staff knew what to do if they witnessed a person who lives in the home is Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 18 being abused in any way, though the Manager said that training had been carried out so all staff should have been clear about what to do. We saw by looking at staff records, and by talking to staff that they understand how to work with challenging behaviour. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 living at Barkby Court live in a comfortable environment. EVIDENCE: We looked at the communal areas of the homes and some of the bedrooms of people who live there. We found the communal areas to be satisfactorily decorated and homely. The bedrooms were decorated to reflect the personalities and preferences of the people using them. The only aspect that needed attention was stain marks to light coloured carpets in bedroom and communal areas, so carpets need replacement if stains cannot be eradicated. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 20 The AQAA told us that residents choose how they like their bedrooms to be by choosing the decor etc. The Manager said that she planned to continue changing the bedroom decor in line with residents preferences. A resident said that the water for his shower was not warm enough. The Manager said that the maintenance person had been informed and this was being followed up. The garden to the rear is large and looked in a kept condition, with a five a side area where residents can play football. Bathrooms and toilets were clean with no unpleasant odours. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 live in the home usually have satisfactory staffing levels and support from the staff team, though more training needs to be in place to fully support residents welfare. EVIDENCE: Staff thought the home was well staffed, apart from when staffing levels dropped because of sickness. They thought the Company did not want to use Agency staff as this was expensive. The Manager said that this was not the case and a plan was already in hand to increase staffing to cover to later in the evening. We did note that on occasion that staffing dropped down to three support staff. Considering the high dependency needs of the residents this could be a risk and needs to be strictly monitored. There were also twelve hour shifts which can lead to fatigue and impairment of work performance. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 22 The staff rota indicated that when all residents were in the home, there were mostly four to five care staff on duty with two awake staff members at night. We talked to staff and saw them supporting people who live in the home. We saw good interaction between staff and people who live in the home, and staff demonstrated a very good general understanding of the needs of people living there. Staff said they were supported well to do their job by management, and there is detailed induction training and on going training relating to the job they do, with regular supervision, which we found to be the case in staff records. We were told by the Manager that the Company is actively working towards all staff having a National Vocational Qualification in Care. Staff spoken to confirmed there was this encouragement to increase their caring skills. We looked at a sample of staff records, and saw that all the necessary checks were made to safeguard people who live at the home as there were references and criminal checks in place for staff before they commenced employment. We looked at training records and this confirmed that staff have undertaken relevant training to help them in their roles. Training included health and safety, medication management, working with challenging behaviour, first aid, fire, Makaton, LD Award etc though not all staff had relevant training. The Manager said that she was taking steps to ensure that this happened and there was a plan in place to try to ensure that all appropriate training was in place. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health and safety systems are in place to protect residents welfare. EVIDENCE: There is a new Manager for the home, Sharon Rendall. Sharon said an application for the Registered Manager role has been sent to the CQC and she hopes to have an interview in the near future. Sharon is a qualified Nurse for people with learning disabilities and is undertaking the Registered Managers award at present. Sharon stated that she had made referrals to the Deprivation of Liberty team but she had heard nothing from them regarding whether this was acceptable Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 24 practice. She said she would be following this up to have this matter progressed. Staff, from remarks on the day and in surveys, said that they were well supported by management. There was one remark about management behaviour, in the context that the Manager is usually very supportive, which was passed onto the Manager to review. There are quality assurance and monitoring systems in place, and we saw the questionaires that go out to relevant parties to ascertain peoples views of the service so that improvements can be made if needed. There were some very positive remarks in the surveys: ‘Manager was excellent’. ‘Well done, keep it up’. There was also one remark that there were too many staff changes, which the Manager said had been followed up with a relative and reassurance given The AQAA informed us of the policies and procedures the service works to, to ensure good health and safety practice in the home. Risk assessments are in place for safe working practices and fire risks were seen to be covered by regular testing and a fire risk assessment in place, though fire extinguishers had not been serviced for over a year – the Manager said this had been followed up. Staff were asked about the fire procedure and knew the proper procedure, though the last fire drill had taken place with the health and safety officer for the Company stating it was not done properly – this should have led to it being done soon afterwards to retest staff again. The Manager said temperatures of water were seen to be regularly checked to ensure residents are protected from scalding water. We measured the hot water temperature at 46c. The Manager said this would be lowered as it was a few degrees higher than the national standard and she later phoned to say this had been done. Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 26 Barkby Court DS0000073245.V376116.R02.S.doc Are there any outstanding requirements from the last inspection? N/A 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 YA6 Good Practice Recommendations Care plans should be more detailed to include person centred plans and Activity programmes and staff need to understand and follow care plans at all times. All complaints need to be recorded and acted upon with the complainant given the choice to go to the Lead Agency as well as the home. All staff must be fully aware of the abuse procedure. Flooring needs to be stain free. Staffing levels need to be maintained at all times to meet all residents needs. Staff training needs to be extended to cover all residents conditions. 2. YA22 3. 4. 5. 6. YA23 YA24 YA32 YA35 Barkby Court DS0000073245.V376116.R02.S.doc Version 5.2 Page 27 Care Quality Commission East Midlands Region Citygate Gallowgate Tyne and Wear NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastmidlands@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. 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