Care Home: Cascade Care Ltd

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What the care home does well The home has good assessment systems in place. Those who use the service are consulted about the way the home should be run and their views are taken into account and are respected. Those who use the service are encouraged to be independent and to become a part of the local community. The home is committed to offering culturally appropriate services and service user`s equality and diversity needs are taken into consideration. Service users benefit from a well-maintained and clean environment. Staff working in the home were knowledgeable and demonstrated that they were aware of individual service users` needs. They also treated each person who used the service with dignity and respect.People who used the service told the inspector that they liked food offered in the home. What has improved since the last inspection? Since the last inspection the home has ensured that each service user has an up-to-date care plan, which covers all aspects of personal and social support and healthcare needs as set out in Standard 2 of the National Minimum Standards for Adults. Each care plan now includes a photograph of the service user. The registered person has ensured that all risk assessments (and other documents) are dated when implemented, in order to demonstrate that all documents are periodically reviewed. Improvements have been noted in recording of food offered to each person who uses the service. The registered person has also ensured that service user`s weight is monitored and recorded as indicated within care plans. The home`s garden has been tidied up and made more inviting, as previously required. CARE HOME ADULTS 18-65 Cascade Care Ltd 42 Ickburgh Road Lower Clapton London E5 8AD Lead Inspector Robert Sobotka Key Unannounced Inspection 14th August 2008 09:20 Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cascade Care Ltd Address 42 Ickburgh Road Lower Clapton London E5 8AD 0208 806 5650 0208 806 5650 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) Cascade Care Ltd Bandele Otuwehinmi Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following category 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: 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 5 7th August 2007 Date of last inspection Brief Description of the Service: Cascade Care Ltd is a residential care home, which offers care, support and accommodation for a maximum of five male residents within a community setting. The home provides rehabilitation services for men with a history of mental health issues and subject to community sections as a discharged person on Sections of the Mental Health Act 1983 i.e. 37/41 or the Mental Health (Patients in the Community) Act 1995 i.e. supervised discharge. The home is situated in a residential area of Lower Clapton and is within 5 minutes walking distance of Clapton British Railway station. Access to local busses 38, 253, 254, S3, D6, 48, 55 and 56 are approximately 5 minutes walk from the home with routes covering the City, London Bridge, Aldgate and Euston. The property is a large Victorian terraced house, which consists of five large individual bedrooms (3 en suite and 2 with a shared bathroom), a comfortable television lounge with a Cable TV etc, separate laundry area, bathroom and WC, separate WC, large dining room, fully equipped communal kitchen. There is also a garden at the rear of the building. The premises are not wheelchair accessible. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 5 The current scale of charges is between £1350 and £1800 per week. For the most up-to-date fees please contact the registered manager or the organisation directly. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection took place over one day and was unannounced. As part of this visit, the inspector spoke to all five men who were using the service, as well as one care staff, the deputy manager and the acting manager. The inspector also spoke with the registered manager, who has recently transferred to manage another home run by the Cascade Care Ltd group. The inspector also viewed various documents and carried out a tour of the premises. Prior to this inspection the home was asked to complete the Annual Quality Assurance Assessment. Some of the information provided in the assessment has been incorporated into this inspection report. This was the second inspection of the home since it opened in March 2007. The purpose of this visit was to assess the home’s compliance with the National Minimum Standards for Adults (18-65) and The Care Homes Regulations 2001. The inspector would like to than all service users and staff who contributed to this inspection. What the service does well: The home has good assessment systems in place. Those who use the service are consulted about the way the home should be run and their views are taken into account and are respected. Those who use the service are encouraged to be independent and to become a part of the local community. The home is committed to offering culturally appropriate services and service user’s equality and diversity needs are taken into consideration. Service users benefit from a well-maintained and clean environment. Staff working in the home were knowledgeable and demonstrated that they were aware of individual service users’ needs. They also treated each person who used the service with dignity and respect. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 7 People who used the service told the inspector that they liked food offered in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cascade Care Ltd DS0000069411.V368110.R01.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 Cascade Care Ltd DS0000069411.V368110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are appropriately assessed prior to being offered a place in the home, so that their needs can be appropriately met. EVIDENCE: The home had an up-to-date statement of purpose and the service user’s guide in place. Both documents include useful information about the home and covers topics, such as Mission Statement, Introduction to the home and local area, Description of the home, Referral/Admission criteria (including emergency admissions, Range of Needs met by the home, Service User’s Care Plans, Core Principles of care, Resident’s Rights, Facilities and Services, Quality Policy, Social Activities, Hobbies and Leisure Interests and all other information as required by the Care Homes Regulations. There have been two new admissions to the home since the last inspection visit. As part this inspection, pre-admission assessments and other documents were checked were checked in respect of each person living in the home and the inspector was satisfied that the organisation has ensured that each person has been admitted to the home once all documents have been completed and when the home is confident that it will be able to meet the assessed needs of a Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 10 each prospective service user. The home has also involved various healthcare professionals, such as psychiatrists, community psychiatric nurses etc. prior to admission of each person to the home. Following the review of documents in respect of each person living in the home, discussion with service users and staff working in the home, the inspector was satisfied that the needs of the people who lived in the home were appropriately met. Each person living in the home had a costed contract in place, which included terms and conditions. Cascade Care Ltd DS0000069411.V368110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good care planning systems were in place and those who used the serviced were encouraged to take part in making decisions relating to the care they needed. Confidentiality was being maintained. EVIDENCE: As part of this visit, the inspector reviewed care plans of each person living in the home. Since the last inspection the home has ensured that each service user has an up-to-date care plan, which covers all aspects of personal and social support and healthcare needs as set out in Standard 2 of the National Minimum Standards for Adults. All care plans checked were kept up-to-date and there was evidence that the home has involved each service user in producing their care plans and that their views and feelings were taken into account. Each care plan was reviewed on a monthly basis and it now includes a photograph of the service user. All people living in the home were offered regular keyworking sessions, minutes from which were available in each person’s file. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 12 The inspector was informed by staff working in the home that a new care planning format was being introduced and tested. Those who lived in the home confirmed that that they were able to make informed choices and decisions and that both members of staff and the acting manager respected their views. People were free to make choices around their daily living and were consulted about how the home should be run. Their views are obtained during individual keyworking sessions and residents meetings. This was also confirmed by the people who use the service during their discussions with the inspector. Each file viewed contained appropriate risk assessments. Appropriate risk assessments were in place and these were reviewed on a regular basis and updated if and when necessary. The registered person has ensured that all risk assessments (and other documents) are dated when implemented, in order to demonstrate that all documents are periodically reviewed, as previously required. Confidentiality was being maintained. All confidential information was kept in the office, which was kept locked when not in use. Staff working in the home shared information about the service users with the inspector on a need-toknow basis. Cascade Care Ltd DS0000069411.V368110.R01.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): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those who lived in the home are encouraged and supported to become part of the local community and develop and maintain friendships and family links. Service users enjoyed food in their home. EVIDENCE: Following discussions with the people who used the service, the inspector was satisfied that the home encouraged and supported people living in the home to become a part of the local community and develop and maintain friendships and family links. Some of the service users attend day centres and do some paid jobs. The home organises annual holidays for the people who use the service, which are paid by Cascade Care Ltd. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 14 Staff working in the home encourage and support service user to develop appropriate friendships and family links. Care plans viewed showed that service users maintain contact with their families where appropriate. One of the people who used the service told the inspector that visitors are allowed in the home during daytime and staff respect service users’ right to develop and maintain friendships. Any restrictions in relation to visiting hours and visiting arrangements are included in the home’s Statement of Purpose and Resident’s Handbook. At the time of this inspection visit, one of the people who used the service was visiting his family. People who used the service told the inspector that they enjoyed food served in the home. There were sufficient food supplies, which were appropriately stored. Staff support service users with preparation of a lunchtime meal and service users are responsible for preparation of breakfast and supper. The inspector shared cooked lunch with the service users, which was nutritious, tasty and attractively presented. Although improvements have been noted to the record of food offered to each service user further improvements are needed, in order to fully demonstrate as to what food as been offered to the people who used the service and that all relevant diets have been catered for. Cascade Care Ltd DS0000069411.V368110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user’s health and emotional needs were generally met, however improvements are required to the home’s medication systems. EVIDENCE: At the time of this inspection visit, there were five service users accommodated in the home. Following the review of documents, such as individual care plans and daily logs, the inspector was satisfied that the health and emotional needs of those living in the home were being met. One person who lives in the home has a physical disability and there was sufficient evidence to demonstrate that the home has made some adjustments to the environment, in order to make it more accessible to this person. In the Annual Quality Assessment review the acting manager stated that the home supports residents to have regular health checks and medication reviewed at their GP surgery. Residents also have regular access to dentists, opticians, chiropodists and specialist services where necessary, for example Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 16 counselling, occupational therapy and various professionals dealing with mental health issues. Since the last inspection, the registered person has ensured that service user’s weight is monitored and recorded as indicated within care plans. Medication systems were checked and were found correct. At the time of this inspection visit, one of the service users was administering his medication. Medication systems were checked during this inspection visit and some shortcomings were identified. These were as follow: An allergy section within each medication administration sheet was not always completed. It must be completed, in order to identify any allergies that each person may have. A discrepancy was noted in relation to one of the service user’s laxative medication. Whilst the dispensing label stated that this was a regular medication and it should be taken twice daily, staff working in the home recorded on the person’s medication administration sheet that this medication was to be given as PRN (as required). During the course of this visit, a member of staff contacted the service user’s General Practitioner who confirmed that this medication was prescribed to be taken twice daily. Staff working in the home must ensure that all directions for administering medication are followed in accordance with the dispensing label, in order to avoid any medication mishandling. Some of the liquid medication was kept in a fridge located in the staff office and the fridge was not locked. The registered person must ensure that all medication that requires medication is stored in a lockable fridge or in a suitable lockable container that is kept in a fridge, in order to ensure safe storage of medication. At the time of this inspection visit, the home had a service user who was refusing taking his medication. Whilst it is acknowledged that the home has informed the person’s psychiatrist, no medication administration records were kept to demonstrate that staff still offered him his prescribed medication and that he continued to refuse it. This required improvement. Cascade Care Ltd DS0000069411.V368110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had appropriate complaints system in place. Those living in the home were protected from abuse, neglect and self-harm. EVIDENCE: There have been one complaint made to the home since the last inspection and it was resolved within 28 days. Appropriate complaints policy was in place. Those who lived in the home were given opportunities to raise their concerns about the way the home is run, during resident’s meetings and their keyworking sessions. Service users who spoke with the inspector said that they would feel comfortable raising any concerns with the registered manager or a member of staff. At the time of this inspection visit all of the service users were managing their finances. Staff stated that support and guidance was offered to those who may require help in managing their finances. The inspector viewed the home’s accidents and incidents records. These were well maintained and all “notifiable” incidents have been reported to the Commission in accordance with Regulation 37 of the Care Homes Regulations. Members of staff have attended Adult Protection Training. Staff who were working in the home at the time of this inspection demonstrated their awareness of adult protection issues. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 18 At the time of this visit, the home accommodated service users from 5 different placing authorities. A copy of each authority’s adult protection procedure was available in the home. Cascade Care Ltd DS0000069411.V368110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well-maintained, homely and clean environment. EVIDENCE: The property is a large Victorian terraced house, which consists of five large individual bedrooms (three en suite and two with a shared bathroom), a comfortable television lounge with Cable TV etc, separate laundry area, bathroom and WC, separate WC, large dining room, fully equipped communal kitchen. There is also a garden at the rear of the building, which has now been tidied up and made more inviting, as previously required. The premises are not wheelchair accessible. As part of this visit, the inspector carried out a tour of the premises. He viewed all communal areas and some of the service user’s bedrooms. One of the service users showed the inspector that his window needed to be repaired. The acting manager stated the she would inform a maintenance person who would rectify the problem. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 20 The premises were well maintained. Residents who spoke to the inspector confirmed that they were given choice as to which bedroom they preferred to occupy. They also said that they liked the environment and were happy with communal and private facilities. There was adequate communal space in the home. There was also a separate room where service users could see their visitors in private. One of the people who used the service used this room to see his psychiatrist on the day of this inspection. The premises were found to be clean and hygienic at the time of this inspection visit. Appropriate laundry facilities were in place. Cascade Care Ltd DS0000069411.V368110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are supported by staff who are committed to providing good quality of care and appropriately trained. Staffing levels were sufficient, so that the assessed needs of the people who used the service can be met. Staff were appropriately vetted prior to being allowed to work with vulnerable adults. EVIDENCE: The inspector viewed duty rosters, which showed that there were sufficient numbers of staff on duty. There are two members on each shift at all times, including nights. Night staff remain awake throughout the night. Staff spoken with stated that they felt that staffing levels were sufficient to meet the current needs of the people who use the service. The acting manager stated that as staff sickness absence has been negligible, agency staff have not been needed. The home does use bank staff, however they are generally familiar with the residents and the home. According to the Annual Quality Assurance Assessment, there were 8 staff working in the home (7 staff working on a full-time and 1 person working parttime). Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 22 The majority of staff either have obtained the NVQ qualification or were in the process of obtaining one. One member of staff holds a nursing qualification. During this visit, the inspector spent some time with the service manager, who has informed him staff have been booked to on refresher courses in relation to all mandatory training and any other training relevant to the needs of the people accommodated in the home. As part of this visit, the inspector checked staff personnel files of 2 most recently appointed members of staff, including the acting manager. Records viewed demonstrated that staff have been appropriately recruited and all checks were undertaken prior to members of staff commencing employment with vulnerable adults. Records of staff supervision were not checked on this occasion, but will be checked during the next inspection visit. Regular team meetings were taking place, minutes from which were available for inspection. Cascade Care Ltd DS0000069411.V368110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate quality assurance systems were in place. Health and safety checks were also in place. EVIDENCE: Standard relating to fitness of the registered manager was not assessed during this inspection visit, as has recently transferred to another home run by Cascade Care Ltd. During a brief telephone conversation with the registered manager over the phone, the inspector was informed that the registered manager would not be returning to Ickburgh Road. The acting manager has however been appointed and it was the organisation’s intention that she would be put forward to become the new registered manager of the home. Throughout this visit, the inspector received positive comments in relation to the registered manager. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 24 The acting manager has previously worked in a residential care setting and she holds National Vocational Qualifications Level 4 in both Management and Care. Appropriate quality assurance systems were in place. Regular visits from the registered provider were being carried out in accordance with Regulation 26 of the Care Homes Regulations, reports from which were being sent to the Commission on a regular basis. Appropriate health and safety checks were in place. The home was adequately insured for its purpose. Cascade Care Ltd DS0000069411.V368110.R01.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 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 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 2 X X X 3 X X 3 X Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement Timescale for action 15/09/08 2. YA20 13(2) 3. YA20 13(2) 4. YA20 13(2) The “allergy” section must be completed on each medication administration record, in order to identify whether a service user has any allergies. Staff working in the home must 15/09/08 ensure that all directions for administering medication are followed in accordance with the dispensing label, in order to avoid any medication mishandling. The registered person must 15/09/08 ensure that all medication that requires medication is stored in a lockable fridge or in a suitable lockable container that is kept in a fridge, in order to ensure safe storage of medication. The registered person must 15/09/08 ensure that accurate records are kept in relation to administration of medication, this include any record when a service user consistently refuses to take his prescribed medication. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 27 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 YA17 Good Practice Recommendations Further improvements are needed to the way staff record offered to each person using the service, in order to demonstrate what food options are offered and whether these are suitable to each person’s diet and cultural needs, if appropriate. Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cascade Care Ltd DS0000069411.V368110.R01.S.doc Version 5.2 Page 29 - 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. 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