Care Home: Derby Crescent (16)

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What the care home does well Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make an informed choice about the service before they decide to use it. All of the people have care plans which give some information to staff about how to support them and meet their needs. The staff at the home treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the people who use the service have a comfortable place to live. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly so good relationships are maintained. The home has adult protection policies and procedures for the staff to follow so they can protect the people who live there and keep them safe. Sufficient staff are employed at the home to meet the diverse needs of the people who live there. The staff are trained so they know how to provide the people who live at the home with good care. What has improved since the last inspection? The home provides the people who live at the home with a good service which supports them and meets their needs. What the care home could do better: The manager must make sure that the storage and control of medication in the home complies with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. This will make sure that the people in the home have all of the safeguards in place to protect them.Repairs to the grout and seal around the bath would make the room more comfortable and pleasant for the people who live at the home to use. CARE HOME ADULTS 18-65 Derby Crescent (16) 16 Derby Crescent Moorside Consett Durham DH8 8DZ Lead Inspector Hilary Stewart Key Unannounced Inspection 9th September 2008 07:45 Derby Crescent (16) DS0000007540.V371283.R02.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 Derby Crescent (16) DS0000007540.V371283.R02.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. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Derby Crescent (16) Address 16 Derby Crescent Moorside Consett Durham DH8 8DZ 01207 502817 01207 500272 suestewart@tinyworld.co.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) Mr Nigel Cardale Susan Ishbel Stewart Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: 16 Derby Crescent is a registered home owned by Mr Nigel Cardale. The home is located on a housing estate at Moorside in the northwest area of County Durham. Ms Susan Stewart manages 16 Derby Crescent. The home provides accommodation for up to 3 adults with a learning disability, but does not provide a service or facilities for people with additional physical disabilities or for those in need of nursing care. It is a semi detached family house with upstairs and downstairs accommodation. The people who live there share the bathroom and toilet. People have their own bedroom. There are gardens to the front and rear of the property. The home provides 36 hours of staff cover spread over the week during the day. People at the home pay £403 per week, Durham County Council’s standard rate. There are no fixed additional charges made for goods and services not covered by the weekly fee. People who live at the home are responsible for whatever additional purchases they wish to make. Derby Crescent (16) DS0000007540.V371283.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 2 stars. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints, concerns and safeguarding issues. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 2nd September 2008 but no one was at home. Another visit was arranged and took place on the 9th September 2008. During the visit we: • • • • • • • • • Talked with the staff and the manager. Spoke to the people who live at the home. Observed the people who live at the home. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked to see if the staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Looked at information from the surveys that had been returned, Checked what improvements had been made since the last visit. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. We told the person who is managing the home what we found: What the service does well: Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 6 Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make an informed choice about the service before they decide to use it. All of the people have care plans which give some information to staff about how to support them and meet their needs. The staff at the home treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the people who use the service have a comfortable place to live. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly so good relationships are maintained. The home has adult protection policies and procedures for the staff to follow so they can protect the people who live there and keep them safe. Sufficient staff are employed at the home to meet the diverse needs of the people who live there. The staff are trained so they know how to provide the people who live at the home with good care. What has improved since the last inspection? What they could do better: The manager must make sure that the storage and control of medication in the home complies with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. This will make sure that the people in the home have all of the safeguards in place to protect them. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 7 Repairs to the grout and seal around the bath would make the room more comfortable and pleasant for the people who live at the home to use. 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. Derby Crescent (16) DS0000007540.V371283.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 Derby Crescent (16) DS0000007540.V371283.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. 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. Assessments are carried out before people receive the service, consequently care plans are made which ensure that they get the care and support they need. EVIDENCE: The manager said that the people who live at the home have had their needs assessed before and after they move in. They assess the people when they move into the home and their care plans are based on what they find. Records showed that each person had a care plan which give staff information about how their needs can be met at the home. A person can only move into the home if they are certain that their needs can be met there. If a person decides to move into the home they can visit before they move in permanently, so they can be gradually introduced to the other people who live there. Other people who are already living at the home also have a part in deciding if a person will be compatible with them, to ensure their happiness is maintained. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 10 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. The home has care plans for each person who lives there so staff have the information they need to meet the needs of the people at the home. Furthermore people are supported to become more independent, while at the same time staff look at the risks to keep them as safe as possible. EVIDENCE: The manager said that the people who live at the home are consulted as much as possible about their care plans. Records showed that each person has a care plan. Any significant events are recorded in each individual’s records sheets. Each person’s care plan contains information for staff about areas such as physical health, personal care needs, social skills and employment timetable. The staff could describe how they work consistently with the people. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 11 Records show that the care plans are monitored regularly and updated. Each care plan has a summary of the care provided at the home, which had been signed by each individual who lives there. Staff said that the people who live at the home are given choices as much as possible. They take part in planning the activities. Their timetables show that they had different individual activities. The manager and staff said that they consult the people who live at the home as much as possible. All of the people at the home are very independent and do not need information in an easy read format. When they had provided them with easy read questionnaires to seek their views, service users had told the manager that this had made them feel patronised. The service has some general risk assessments about the home itself and also individual ones to support the people to have a more independent lifestyle. Records showed that risk assessments had been carried out on daily living and activities for each person. The manager said that they update them regularly. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 12 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 at the home are supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated. EVIDENCE: The manager said that they make sure that the people who live at the home take part in meaningful activities, such as going to work or attending courses. Staff said that the people are given choices as much as possible. They have different activities and go out most days. The manager said that all of the people were going out on the morning of the inspection. One person when asked said that they were going to work and another was going out to a meeting. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 13 The manager said that all of the people who live at the home use local amenities such as pubs, clubs, cinema and shops. They are well known in the local community. Two people work as volunteers at luncheon clubs. One person is a member of the County Durham learning disability parliament. Two people are in a football team and have occasional days away playing. The manager said that all of the people at the home are able to access local amenities by themselves and this has been risk assessed. They do however know there is staff back up if required and are able to use the telephone or a mobile to call for assistance. The people at the home said that they choose their own activities. For example, one service user supports the local darts team, another plays for a dart team. They go on trips with staff to Durham, the Metro centre, out for Sunday lunch and trips to the coast. The people visit their family and friends and have visitors to the home. Each person who lives at the home has their own bedroom and their privacy is respected. They are supported to give their views about what takes place in the home and who should visit. Staff said that they respect the privacy and they are aware of the rights of the people at the home. The people looked relaxed and comfortable with the staff. A good-humoured rapport was observed between them. One person when asked about the home said, “yes I like the home” another said, “ I like living here, I would like a bigger bedroom though”. Staff were also observed talking to the people at the home and asking their opinions before they went out for the day. People said that they all take part in the domestic routines in the home. The manager said that the meals served at the home are what the people who live there are known to like. They are becoming more aware of the importance of having a healthy diet. Each person helps with menu planning, shopping and preparation of food. On Saturdays they take turns choosing the days menu and shopping for the ingredients. They have a choice of meals and there is a written menu. The manager said that a record of food served to each person is keep so they can make sure that their diet is satisfactory. Stocks of food were adequate and there was fresh fruit and vegetables. People who live at the home can have snacks and drinks at any reasonable time. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 14 Staff said that they get an adequate amount of money to buy food. One person said when asked about the meals “ I help with the cooking” another said that they could eat what they wanted. Derby Crescent (16) DS0000007540.V371283.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. 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 have personal support when they need it so they can be as independent as possible. Healthcare needs are met, which ensures that people stay healthy. EVIDENCE: The care plans identify the personal support that the people need with everyday tasks. They have enough detail for staff to know how to meet their personal and emotional needs. The manager said that the home has a key worker system which enables individuals to identify with a particular member of staff. Staff could describe how they meet the care needs of the people at the home. The manager said that staff respect peoples privacy and dignity by only assisting with personal care when requested. Staff will offer guidance and support around peoples’ hygiene and well being, for example, advice on what to wear for certain occasions. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 16 The manager said and records showed that peoples’ ability to self medicate has been assessed. There is a lockable cupboard upstairs but a weeks supply of medication is kept in a smaller locked cupboard which was on a table in the dining room during the visit. The manager said that two of the people at the home self medicate but they did not have a lockable cupboard in their bedrooms therefore their medication was kept in this cupboard. This storage arrangements does not comply with the guidance from the Royal Pharmaceutical Society. In repsonse to the draft report the manager said that two of the people who self medicate during the day have always had acess to a lockable facility in their rooms. None of the people at the home wish to self medicate so medication is normally administered at tea time and the two people who have been assessed as being able to self medicate during the day are given their medication then for the next 24 hours which they sign for. These arrangements have bben agreed with the Social Services Department. The manager said that whenever possible people at the home collect their own prescriptions from the local pharmacy. Staff explain to the people what their medication is for. The manager and staff said that they had recieved training in the safe handling of medicines. Records showed that staff had attended training. The people at the home are supported by staff if they are ill and they will refer them on to specialist services when needed. Specialist support is available from psychologist/psychiatric services and are used when needed. The manager said that all of the people at the home have their own choice of GP, optician and dentists. Records showed that they had attended health appointments with staff. Derby Crescent (16) DS0000007540.V371283.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. 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. A satisfactory complaints procedure is in place. Complaints should be dealt with effectively so people know that their comments are taken seriously. Satisfactory protection procedures are in place to protect the people at the home from risk of harm. EVIDENCE: Policies and procedures are in place that demonstrate how the home responds to complaints. The manager said that the home had not had any complaints since the last visit. Staff actively encourage the people who live at the home and their families to tell them their opinions of the service as much as possible. All of the people have a card which tells them who to contact if they have concerns. One person said when asked what they would do if they were concerned about something:“ I would tell the staff or the manager” , another person said “ I would make a complaint”. The service currently has policies and procedures on safeguarding adults, to inform staff what to do if they think a person at the home could be suffering from abuse. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 18 All staff have updated their Safeguarding Adults (Adult Protection) knowledge via an E-learning course. The manager said that staff are more aware of the signs and symptoms and the need to report suspicions of danger, harm or abuse immediately. They have created a separate file so all staff have quick access to County Durhams Safeguarding Adults procedures including making a referral flow chart. The manager could describe what actions they would take to safeguard the people who live at the home from potential abuse. When asked if they felt safe at the home, all of the people said “yes”. The manager and staff said that they have received training on how to manage people’s behaviour. They do not use physical intervention at the home. Derby Crescent (16) DS0000007540.V371283.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. 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. The home is comfortable, warm and clean, so the people have a pleasant place to live, although some repairs are needed. EVIDENCE: There is one bathroom which the people share. They said that this was fine and they all felt that their privacy was respected. The grout and sealant around the bath was discoloured and some of the wallpaper was unstuck. The manager said that this would be repaired as soon as possible. The home is comfortably furnished. There is a washing machine for people to use. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 20 The bedrooms looked comfortable and the people who live at the home had personalised them. They had been made very individual. The home looked in a good state of repair, was clean and was odour free. Derby Crescent (16) DS0000007540.V371283.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff to meet the diverse needs of the people who live at the home and they have opportunities for supervision and training, so they know how to give the people good care and meet their needs. Furthermore the home has good recruitment procedures in place, which help to prevent risk of harm to the people who live there from unsuitable carers. EVIDENCE: The manager said and records showed that staff receive training, which helps them with their work. Records also showed that staff receive mandatory training, such as first aid, food hygiene and safeguarding adults training. The manager said that one member of staff has a vocational qualification and the other intends to compete the same this year. The home has sufficient staff to meet the needs of the people who live there. Enough staff had been on duty in the home the previous week. Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 22 All staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. The manager said that they see the original check. All staff go through a recruitment process and they cannot start to work at the home until this is completed. Staff are interviewed and are only successful when they have two satisfactory references. Records showed that checks had been carried out. Policies and procedures are in place for staff supervision. The manager said that as the home employs a staff team of two they have group supervision sessions every month rather than individual sessions and staff meetings. They had provided individual sessions but the staff requested that they would change this to group supervisions. The manager said that the staff have the option of requesting an individual supervision whenever they want or if the manager feels it necessary. Appraisal meetings and observation visits are carried out individually. Derby Crescent (16) DS0000007540.V371283.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. 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. The manager is suitably experienced and qualified to run the home and seeks the views of the people who use the service, as much as they can, about how the service is run. This means that service users know their opinions are valued and that this information is used to improve the service. Systems and practices are in place to make sure that the people who live at the home and staff are kept safe from risk of harm. EVIDENCE: Safety checks have been carried out on the equipment in the home; such as the central heating boiler. Accidents are recorded and the manager said that they check them regularly. Fire safety risk assessments had been completed. The fire logbook showed Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 24 that fire drills take place and the staff receive fire instruction regularly. People at the home said that they have fire drills. Regular training is provided for staff in fire safety and first aid. The manager said that the people who live at the home have undertaken first aid training and two have completed training in food hygiene. The people who live at the home and their families are asked their views about the running of the home every year. A quality assurance system is in place and they use this to improve the service. The manager said that the people at the home and staff have regular contact with the manager and service provider. The manager said that the people who live at the home are regularly consulted and participate in discussions regarding the running of the home. There is good team work and communication between staff and management. Staff said that the manager was approachable and they felt supported in their work. Any concerns about the health, safety and welfare of the people at the home are recorded and acted upon. The people who live at the home were observed talking with the staff and manager in a confidant manner. All of the people were observed informing staff of their opinions during the visit. Staff spoke to the people in a respectful manner. The people at the home when asked said that they liked the manager and the staff. Derby Crescent (16) DS0000007540.V371283.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 3 23 3 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 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 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 26 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. 1 Standard YA20 Regulation 13 Requirement The manager must make sure that the storage and control of medication in the home complies with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. The manager must make sure that the grout ands seal around the bath are repaired or replaced. Timescale for action 20/11/08 1 YA24 16 20/11/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Derby Crescent (16) DS0000007540.V371283.R02.S.doc Version 5.2 Page 28 - 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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