Care Home: Creative Support

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What the care home does well The main house and adjoining smaller property continue to be well maintained and offer people the opportunity to develop their daily living skills and live independently. Each house offers people a well maintained, secure and homely environment to live. Prior to admission comprehensive assessment are carried out to assist people in determining how their care needs can be met. The home no longer employs a dedicated activity organiser, as there was a clear emphasis on supporting and encouraging people to establish their chosen life style arrangements.There was a clear emphasis on supporting people to take responsibility for health care issues such as their own medication. This was done in a way which looked at people`s abilities, assessed any risks and supported people to hold their own medication in a safe and secure way. People are encouraged to budget and plan for daily activities, holidays and trips they had identified as things they wished to do. Daily arrangements relating to meal and menu planning are carried out with the direct involvement of people living there, with the support of staff where needed. Information on peoples care plans was clearly set out and records showed that people are supported to access health care professionals where required. This information is assessed prior to admission and reviewed on a regular basis once the person comes to live at the home. Staffing levels were assessed and found to be appropriate to meeting the needs of people living there at that time. People were supported by a stable and committed staff team What has improved since the last inspection? Records relating to reviews of people`s needs and goals are regularly reviewed by staff to show how their needs are being met. Procedures for passing on information on a daily basis ensure staff coming on duty have a clear account of people`s progress and support needs. The home continues to evidence that outcomes for people living there are very positive and meet their assessed needs. What the care home could do better: During the late evening hours staff at the home, may have to attend outreach projects to respond to an emergency or incident. This practice requires monitoring to ensure that, the home, is staff appropriately to meet the assessed needs of people residing there. Information relating to staff training programmes indicated that all staff had been provided with training in adult protection procedures to help people to stay safe from harm. However, it is advised that a copy of Manchester`s safeguarding procedures is available to all staff at all times. CARE HOME ADULTS 18-65 Creative Support 7 Sidney Road Blackley Manchester M9 8AT Lead Inspector Joe Kenny Unannounced Inspection 17 July 2008 10:30 Creative Support DS0000021607.V361151.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 Creative Support DS0000021607.V361151.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. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Creative Support Address 7 Sidney Road Blackley Manchester M9 8AT 0161 205 7314 0161 205 7341 acorn@creativesupport.org.uk 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) Creative Support Ltd Mary Carter Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home is registered for a maximum of seven (7) service users in the category of MD (Mental disorder, excluding learning disability or dementia) of either sex. Three (3) named service users in the category of MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age) may be accommodated within the overall number of registered places. Two of the seven places are situated in 19 Allen Roberts Close, which backs onto 7 Sidney Road. These two places are for service users moving towards independent living. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 17th July 2006 Date of last inspection Brief Description of the Service: The home is managed by Creative Support and is based at 7 Sidney Road and 19 Alan Roberts Close (neighbouring properties) that operate as a single scheme offering 24 hour care and accommodation to five people in the core house (Sidney Road) and two in the cluster house (Alan Roberts Close). The primary needs of the people living at the home relate to their long-term mental health. The scheme is situated in the Blackley area of North Manchester, within close proximity to public transport, shops, parks, churches and a local market. Both properties are sited on residential streets. There is parking available at both properties and each has a well-maintained rear garden. In Sidney Road bedroom accommodation is spread over the three floors. All bedrooms are single with hand washbasins and the ground floor bedroom has an en-suite bathroom. Communal space is provided in both properties along with kitchen and laundry facilities. Information provided by the home showed that the fee charged was £422:19 for ensuite and £417:19, for non ensuite per week. Details about the home and its services can be provided on request from the home. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection was carried out unannounced on the 17 July 2008. The registered manager was available throughout the inspection. The inspection report is based on information and evidence gathered by the Commission for Social Care Inspection (CSCI) since the home was last inspected. Information relating to people recently admitted to the home was examined to see how people are supported as they move to the home. Staff files and other documentation, such as, complaints, medication, staff rotas, training records and health and safety records were also looked at as part of the inspection. Discussions were held with staff and people living there to seek their views about the service they received. The home provided the Commission with a completed self-assessment of how it felt it was meeting national minimum standards, with additional information about the service they provide and staffing information. The inspection also looked at information received by the Commission in relation to the home prior to the site visit. A number of comment cards were forwarded to people living there and to staff as a further means of seeking their views. The information received is included in this report. A tour of the home and grounds was also undertaken. What the service does well: The main house and adjoining smaller property continue to be well maintained and offer people the opportunity to develop their daily living skills and live independently. Each house offers people a well maintained, secure and homely environment to live. Prior to admission comprehensive assessment are carried out to assist people in determining how their care needs can be met. The home no longer employs a dedicated activity organiser, as there was a clear emphasis on supporting and encouraging people to establish their chosen life style arrangements. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 6 There was a clear emphasis on supporting people to take responsibility for health care issues such as their own medication. This was done in a way which looked at people’s abilities, assessed any risks and supported people to hold their own medication in a safe and secure way. People are encouraged to budget and plan for daily activities, holidays and trips they had identified as things they wished to do. Daily arrangements relating to meal and menu planning are carried out with the direct involvement of people living there, with the support of staff where needed. Information on peoples care plans was clearly set out and records showed that people are supported to access health care professionals where required. This information is assessed prior to admission and reviewed on a regular basis once the person comes to live at the home. Staffing levels were assessed and found to be appropriate to meeting the needs of people living there at that time. People were supported by a stable and committed staff team What has improved since the last inspection? What they could do better: During the late evening hours staff at the home, may have to attend outreach projects to respond to an emergency or incident. This practice requires monitoring to ensure that, the home, is staff appropriately to meet the assessed needs of people residing there. Information relating to staff training programmes indicated that all staff had been provided with training in adult protection procedures to help people to stay safe from harm. However, it is advised that a copy of Manchester’s safeguarding procedures is available to all staff at all times. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 7 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. Creative Support DS0000021607.V361151.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 Creative Support DS0000021607.V361151.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ needs, gaols and aspirations are clearly assessed and identified before they come to live at the home. EVIDENCE: In the period since the last inspection one person had moved to a nursing care home following a review of the persons care needs and one person had been admitted to the home. Procedures for supporting people considering a move to the home were well established. People are provided with relevant information by their placing authority and the home to help them make choices and decisions about where they wished to live. The homes updated Statement of Purpose and Service User’s Guide contained all the information required and was set out in a clear format. Before moving there, people are offered the opportunity to visit, have a meal and meet the people living there. Information is received from the care manager making the referral, which sets out the reasons why the person has been assessed as requiring residential care. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 10 This is supported by information gathered by the home, through its own pre admission planning. The manager of the home or senior support worker takes the opportunity to meet with the person to discuss their needs, answered any questions and gather information which will assist the home in planning programmes of support. This enables the home and the person to discuss their individual care needs, and consider the needs of people already living there before deciding whether the person’s needs can be met. Creative Support DS0000021607.V361151.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are consulted on and involved in all aspects of daily living, with assistance where needed. Programmes of care are regularly reviewed to reflect any changes and risks to people. EVIDENCE: The care plan used by the home covers a wide range of headings to identify and develop support plans for each individual. The plans identify and record how people are to be supported where there is an assessed risk. Each person has a designated staff member assigned as their key worker. Staff have worked very closely with individuals to ensure the information recorded on care plans reflects the persons wishes and how they wish to be supported. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 12 As part of the inspection a selection of files were examined including the file of the person most recently admitted to the home. Information in the files was clearly written and addressed the person’s identified needs. From observations on the day it was clear that people were being supported in a way which enabled them to take responsibility for their daily living arrangements. People have keys to their own rooms and to the front door and were observed to freely go out. The home also has access to its own minibus to take people on planned outings. People living in the home have opportunities to meet as a group to discuss issues relating to the operation of the home. Creative Support DS0000021607.V361151.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 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s rights and choices are respected in relation to their chosen lifestyle within the home and their local community. Meal arrangements reflected people’s preferences. EVIDENCE: People were supported and encouraged to establish and maintain contact with their friends, family and people in the local community. There are no set routines in the home. A relaxed and homely setting is achieved as people are free to plan how they spend their day. People are encouraged to be involved in domestic arrangements and were observed to be involved in domestic routines such as doing their own laundry, planning meal arrangements and other light domestic duties. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 14 Mealtimes offered a range of choices and there was a good selection of fresh ingredients, fruit and vegetables. People were involved in the preparation of meals, with support from staff. Meals are prepared to meet individuals’ preferences and choices and staff produced records which were constantly being reviewed to record the personal choices and preferences of people. People on specialist diets are supported by the home. Each person has a day by day menu plan for the week and the records demonstrated that a varied and balanced diet was offered. In addition a chart is posted on the notice board to which people can make comments and requests regarding future choices, what they enjoyed and would like to try again. Individuals are directly involved in and consulted on the development of their plan of support. Records clearly set out the levels of support people require from staff. Staff demonstrated a good understanding of people’s personal and health care needs and provided support in a positive and caring way. The home also demonstrated that it supported people to move on to independent settings and also supported people to move to more appropriate care settings to meet their personal care needs. This was evidence as one person had moved to a nursing care home. Two completed comment cards were returned by people living at the home. One person commented, “ a dream come true living in Sidney Street”. Throughout the course of the inspection people were observed to freely move about the house, go out on planned activities and enter the home using their own keys. People in Allen Robert Close are supported to live independently and can prepare their own light snacks in their own kitchen, however they attend the main house for their meals. Creative Support DS0000021607.V361151.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive the level of support they require in relation to their personal and health care needs. Medication procedures enable people to self medicate in a safe way. EVIDENCE: The level of support and assistance required by people is determined on admission and recorded in their care plans. The degrees of support varied based on each person’s ability, with an emphasis on helping people to develop their personal skills and independence. Care plans look at a number of aspects of support using fourteen different headings. There are three recorded entries made per day by staff and each entry is recorded against the numbered heading. This gave detailed information against the assessed need. The level of recording was very positive. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 16 The home has established positive links with health care professionals and services to ensure people have the right level of support to meet their health care needs. Each person has an active health plan of professionals, such as a Community Psychiatric Nurses (CPNs), supporting them along with their social worker. A positive move forward for many people was the level of support offered to them to take responsibility for their own medication. Systems and procedures were in place to ensure medication is stored securely, assistance is provided where needed and that periodic monitoring is undertaken to ensure prescribing directions are being adhered to. Medication procedures were checked as part of the inspection and found to be in order and held securely. Staff keep records of medication when delivered to the home and returned to the pharmacist for disposal. Risk assessments were in place for all service users who self medicate. Hand written entries should be signed by the person making the entry and countersigned by another member of staff. The hand written entry did not record the quantity of medication received as a means of monitoring and accounting for stocks held by people. The supplying pharmacist provided training to staff on medication procedures. Creative Support DS0000021607.V361151.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are aware of who to contact if they have a concern about the service they receive. Policies and procedures are in place to protect people from harm orabuse. EVIDENCE: People are informed of the home’s complaints procedure, which is located in the Service User’s Guide and notices in communal areas. Staff confirmed they keep people informed of who to contact if they are not happy about any aspect of their care or life in the home. To ensure people’s views are listened to, staff meet regularly with people to discuss daily living issues and people living there have the opportunity to come together as a group to discuss topics relating to the running of the home. The manger said all staff had received updated training in relation to adult protection procedures. Staff were unable to locate the copy of Manchester Local Authority’s safeguarding procedures, and it was recommended that a new copy be made available to staff. The home’s whistleblowing policy was posted on the notice board in the manager’s office. Staff they said they were aware of both policies and principles outlined in each policy for the protection of people living there and staff supporting them. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 18 Thorugh discussion with staff it was evident they were aware of the principles outlined in the safeguarding and whistleblowing policies. Creative Support DS0000021607.V361151.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A homely, comfortable and well maintained environment is provided. EVIDENCE: The design and lay out of the two sites, which make up this registered service, enables people to be responsible for their chosen daily living arrangements, social contacts and to achieve their desired objectives. Information relating to people who had moved onto more independent accommodation evidenced the positive support offered to people. The standard of accommodation is to a high standard and the home was found to be clean, well maintained and homely. Daily arrangements are very flexible and people are supported and encouraged in all aspects of personal and domestic living arrangements. This can range from responsibility for domestic arrangements in their own rooms, supporting Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 20 and assisting in purchasing weekly provisions, their own laundry service and general domestic tasks. Staff are available to support people and internal procedures are supported by regular health and safety checks carried out by staff to ensure a safe environment is maintained. The manager was advised to monitor some domestic issues at the smaller premises. This related to storage of provisions and cleaning of some equipment in the kitchen area. One person spoke very positively about their experiences of living there and the feeling of independence they had at the house, knowing staff were there if they needed support. Creative Support DS0000021607.V361151.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 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and selection procedures ensure people receive the support they require and are protected. EVIDENCE: The staff team consists of the Manager, a Support Coordinator, a senior support worker, eight support workers and 2 night support staff. Staff continue to be involved in domestic and catering arrangements as no designated ancillary staff are currently employed. The staff rota was seen and showed that a minimum of two staff are deployed throughout the day and night. During discussion with staff they said they might be asked to support people on outreach projects in the late evening, in the event of an emergency or incident. The indications were that this may not happen often, however, when such events do occur, it results in the registered service not maintaining its agreed levels of support and could have an adverse effect on the wellbeing of Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 22 people at the address when levels are not maintained. This requires monitoring. Staff appeared very confident, skilled and clearly got on well with all the people living at both properties. Staff interacted well and were available to speak to people, support them and advise them on daily issues. The files of staff are held by the manager and she confirmed that each person working at the home had the required checks and references taken up before commencing employment. Informal discussions were held with a member of staff who had recently started working at the home and more formal discussions with two longer serving staff members. All confirmed they received induction and ongoing training appropriate to the work they do. All confirmed they received supervision on a monthly basis. Internal communication systems and procedures for passing on information are clear and well maintained on a daily basis. Five completed comment cards were returned by support workers. Staff commented that the “the service gives a lot of support to staff, service users and relatives”, another commented “it provides the service that it says it will” and one commented that the “Service users needs are met”. Creative Support DS0000021607.V361151.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): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management, administration and staffing procedures evidence that the home is being run in the best interest of people who live there. EVIDENCE: The manager holds the necessary qualifications and experience and has been registered with the commission as manager of the service for the last four years. The staff demonstrated a commitment to supporting and assisting people to achieve their aspirations and to make decisions and choices about life in the home and for their future. Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 24 Records in the home confirmed that tests and checks on the fire system are carried out at the required intervals and fire drills are carried out twice a year, the last drill was carried out on the 16/01/08. Internal communication systems appeared good. This was evident from comments made by staff and through internal communicating books and verbal handover carried out at least three times a day. Records relating to finances were checked and found to be in order. Most people are responsible for their own monies, however amounts are managed on behalf of some people, such as when relatives deposit amounts for . Finance procedures are supported by internal daily audits and audits but senior staff. Other records relating to insurance liability, and health and safety procedures were checked and found to be in order. Creative Support DS0000021607.V361151.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 X 2 3 3 X 4 X 5 X X 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 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 X X X Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations Hand written entries on the medication administration records should be signed by the person making the entry and countersigned by another member of staff. Medication administration records should record the quantity of medication received as a means of monitoring and accounting for stocks held by people. A copy of Manchester Local Authority safeguarding procedures should be made available to staff at all times. Advice was given in relation to domestic arrangements at Allan Robert Close, which needed monitoring in relation to storage of provisions and cleaning of some equipment in the kitchen area. 2 YA20 3 4 YA23 YA24 Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Creative Support DS0000021607.V361151.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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