Care Home: Kings House

What the care home does well The home`s pre admission procedure is good and prospective residents are provided with information about Kings House and are encouraged to visit and stay, in advance of admission, to establish their impressions of life at the home and the standard of available accommodation. Individual plans and risk assessments are detailed, person-centred and informative ensuring residents and staff are fully aware of how needs and goals are to be met. People are able to make a range of choices about their daily lives. Residents are supported and encouraged to participate in activities, which interest them, to be part of their local community and to maintain links with family and friends so that they have networks of support outside of their home. Daily routines in the home promote residents` independence and there is a flexible approach to mealtimes, which promotes residents` well-being and enjoyment of their meals. Access to generic and specialist health care services ensure that residents` physical and mental health care needs are well met. People living at Kings House can feel confident that staff members will listen to any issues they raise and there are policies and procedures in place, which raise awareness of abuse and protect people living at the service from harm. Kings House provides a homely, relaxed and comfortable environment with a welcoming and friendly atmosphere. The home and grounds are also attractive and well maintained. Residents say that staff are kind and caring and that their privacy and dignity is respected at all times. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the care needs of people. The home is meeting the Department of Health target of having 50% of their care staff with National Vocational Qualifications in care at level 2 or equivalent. Induction and staff training are good which means that staff are better equipped to meet residents needs. Management is excellent. What has improved since the last inspection? There were no requirements or recommendations following the previous inspection. The home`s AQAA identified many areas where they have identified and introduced improvements. These included the introduction of person centred care plans and reviews for each resident; putting a health check plan in place for each resident to audit their health and appointment attendance and making the ground floor area more accessible for people with physical disabilities.On going maintenance and renewal of furnishings ensures that the home is kept pleasant, safe and homely for the residents. What the care home could do better: Two valid, independent written references must be obtained for all newly employed staff prior to starting work and clearly state who wrote them and in what capacity they know the person. CARE HOME ADULTS 18-65 Kings House 1 Earle Road Westbourne Bournemouth Dorset BH4 8JQ Lead Inspector Jo Pasker Unannounced Inspection 26 June 2008 09:30 Kings House DS0000003951.V364015.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 Kings House DS0000003951.V364015.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. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kings House Address 1 Earle Road Westbourne Bournemouth Dorset BH4 8JQ 01202 764455 01202 768190 pm-kingshouse@together-uk.org www.together-uk.org Together Working for Wellbeing 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) Mrs Sheila June Shutler Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19) of places Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Five named adults (names known to CSCI) over the age of 65 years may be accommodated until such time as their assessed needs cannot be met by the home 19th October 2006 Date of last inspection Brief Description of the Service: Kings House is situated in a quiet residential area of Westbourne and is easily accessible to shops, local amenities and beaches. It is a red brick detached property with a conservatory, pleasant rear garden and summerhouse. It is registered under the category mental disorder (MD excluding learning disability or dementia) for up to 19 male and female service users. There are 3 bedrooms on the ground floor rooms all single occupancy, on the first floor there are 6 singles and 2 shared rooms, on the second floor there are 5 single rooms. To the rear of the premises, a self-contained unit provides accommodation for one person assessed, as suitable for more independent living. Kings House is operated by Together a mental healthcare association and accommodates individuals with enduring mental-health problems. Those living at Kings House receive 24-hour emotional and practical support from a team of experienced residential care workers. The day-to-day running of the home is undertaken by the project manager Mrs Shutler. The service aims to provide ongoing support to ensure service users stability and help those who are able to progress to more independent living. To facilitate this, service users are encouraged to carry out a range of domestic tasks including laundry, meal preparation and cleaning. A number of service users use day care services all have a range of activities, which they pursue independently. In July 2008, the weekly fees ranged between £458-£520. See the following website for further guidance on fees and contracts: www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Kings House DS0000003951.V364015.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 stars. This means the people who use this service experience good quality outcomes. This unannounced key inspection was carried out over approximately 5 hours on the 26 June and 16 July 2008. This was a statutory inspection and was carried out to ensure that the residents who are living at Kings House are safe and properly cared for. The Registered Manager, Mrs Sheila Shutler, was on hand throughout to aid the inspection process. Information gathered for this report came from several sources including: • Reports made to the Commission for Social Care Inspection by the home. • The annual quality assurance assessment (AQAA) completed by the home. • 3 questionnaires completed by residents and 2 by health professionals. • Tour of the premises. • Review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. • Discussion with residents and staff. During the course of the inspection 4 residents, 2 visitors and 4 members of staff were spoken with and asked their views on the service provided at the home. Comments received through the questionnaires and inspection included: • ‘Oh yes, I like living here’ • ‘It’s nice here…you can choose what you do everyday. I like sitting out here’ • ‘Yes, generally I think Kings House staff provide a good standard of care’ • ‘I think it provides very good care as it is’. What the service does well: The home’s pre admission procedure is good and prospective residents are provided with information about Kings House and are encouraged to visit and stay, in advance of admission, to establish their impressions of life at the home and the standard of available accommodation. Individual plans and risk assessments are detailed, person-centred and informative ensuring residents and staff are fully aware of how needs and Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 6 goals are to be met. People are able to make a range of choices about their daily lives. Residents are supported and encouraged to participate in activities, which interest them, to be part of their local community and to maintain links with family and friends so that they have networks of support outside of their home. Daily routines in the home promote residents’ independence and there is a flexible approach to mealtimes, which promotes residents’ well-being and enjoyment of their meals. Access to generic and specialist health care services ensure that residents’ physical and mental health care needs are well met. People living at Kings House can feel confident that staff members will listen to any issues they raise and there are policies and procedures in place, which raise awareness of abuse and protect people living at the service from harm. Kings House provides a homely, relaxed and comfortable environment with a welcoming and friendly atmosphere. The home and grounds are also attractive and well maintained. Residents say that staff are kind and caring and that their privacy and dignity is respected at all times. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the care needs of people. The home is meeting the Department of Health target of having 50 of their care staff with National Vocational Qualifications in care at level 2 or equivalent. Induction and staff training are good which means that staff are better equipped to meet residents needs. Management is excellent. What has improved since the last inspection? There were no requirements or recommendations following the previous inspection. The home’s AQAA identified many areas where they have identified and introduced improvements. These included the introduction of person centred care plans and reviews for each resident; putting a health check plan in place for each resident to audit their health and appointment attendance and making the ground floor area more accessible for people with physical disabilities. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 7 On going maintenance and renewal of furnishings ensures that the home is kept pleasant, safe and homely for the residents. 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. Kings House DS0000003951.V364015.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 Kings House DS0000003951.V364015.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 excellent. This judgement has been made using available evidence including a visit to this service. The home continues to ensure that prospective residents needs and wishes are fully assessed prior to moving into Kings House and people are allowed time to consider their options, ensuring that the placement is suitable for them. EVIDENCE: The pre-admission assessment was viewed for two residents who had recently moved into the home and this showed that Kings House continues to have a good pre admission assessment procedure in place. Peoples’ needs are assessed using the Care Plan Approach (CPA) before moving to the home and sufficient information is obtained so that a suitable plan of care can be written based on this. There was also a six-week review to check on progress and identify any unmet needs. Of the 3 residents who replied to surveys 2 stated that they had received enough information about the home before they moved in, to help them decide whether it was right for them. Comments included ‘It was the right place’, ‘I like living in this home’. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 10 The service user guide is also available in several different formats. Kings House DS0000003951.V364015.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans and risk assessments are detailed, person-centred and informative ensuring residents and staff are fully aware of how needs and goals are to be met. People are able to make a range of choices about their daily lives and are involved in decision making within the home. EVIDENCE: The individual plans of 2 residents were seen. Both contained detailed information on aspects of personal and social support, healthcare needs, leisure activities and independent living skills. These individual plans were dated and signed by the resident or family to evidence that they had discussed and agreed them and there was written evidence of recent reviews taking place. There was documented evidence in the daily entry notes of staff addressing individuals’ goals and staff spoken with, confirmed that they were aware of individual’s needs and any interventions preferred. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 12 Of the 3 resident surveys returned, 2 replied ‘always’ and 1 ‘usually’, when asked ‘Do you make decisions about what you do each day?’ People were seen being supported to make their own decisions. These included making their own drinks when they liked, choosing to eat when it suited them and going out at different times of the day. Residents spoken with confirmed that they could choose what to do, with some going to the shops/bank or out with friends and family. The home has also developed person centred care plans, which promote a holistic approach to care provision in the home and to encourage more independence. These also reflect risk assessments regarding each person’s chosen activities and needs. Kings House DS0000003951.V364015.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged to participate in activities, which interest them, to be part of their local community and to maintain links with family and friends so that they have networks of support outside of their home. Daily routines in the home promote their independence and offer individuals a good level of choices within their daily lifestyle. EVIDENCE: Information supplied by the Registered Manager in the AQAA indicated that residents are encouraged to maintain close contact with friends and family through inviting them to the home for a meal or cup of tea. They attend regular activities inside and outside of the home and are consulted about decisions regarding the home, during residents’ meetings. Programmes of individuals’ activities are documented and in discussion, residents confirmed that they attended different activities throughout the week. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 14 When asked ‘Can you do what you want to during the day/evening/weekend, all 3 residents responded ‘yes’. Of the 2 healthcare professionals who responded to the survey, 1 said ‘always’ and 1 said ‘usually’, when asked if the home supported people to live the lives they choose and commented ‘Staff respect differences’. Kings House has a dedicated activities organiser who is available to participate in activities with residents in and out of the home. She has been involved with person centred planning and ensures that all people have an individual assessment and activity plan. Some visitors were seen to be warmly greeted at the home during the inspection and the visitor book showed that different residents received various daily visits. Menus are taken to the residents meetings once a month and discussed, ensuring that people have an input into what they receive. Kings House has a cook but also arranges a takeaway from the local fish and chip shop on a Friday night; staff cook brunch on a Saturday morning and a roast dinner on Sunday. Kings House DS0000003951.V364015.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. The staff have a good understanding of residents’ care needs and support is offered in a way that promotes independence and respects personal preferences. Access to generic and specialist healthcare services, ensures that residents’ physical and mental health care needs are well met. Medication systems allow items to be safely stored and administered. EVIDENCE: Individual plans seen provided staff with enough detail about the care needs and routines of people living in the home and residents are encouraged to be fully independent with personal care. Staff showed a clear understanding of residents’ needs and were seen to be supportive and caring in their interaction with residents, often sharing a good sense of humour. The home continue to ensure that individuals’ health care needs, both mental and physical, are properly monitored and appointments made as appropriate. Residents have regular healthcare checks, chiropody, dental, audiology, opticians, continence, diabetic checks and hair appointments and are supported by staff when needed. The home has also implemented a health Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 16 check plan so that they can audit peoples’ health and attendance at appointments. Some residents who self medicated had an appropriate risk assessment and procedures in place to maintain their safety. Most people however received their medication from trained staff. The Medicine Administration Record (MAR) charts were sampled and there were no gaps seen in recording, allergies were documented and reasons and dosages recorded for ‘as required’ medicines. Kings House DS0000003951.V364015.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. People living at Kings House can feel confident that staff members will listen to any issues they raise and act upon them. The home has policies and procedures in place, which raise awareness of abuse, and support the protection of people living at the service from harm. EVIDENCE: The home has a clear complaints policy and procedure available to everyone. The Commission has received no complaints since the last inspection. The home’s complaints book was seen and clearly documented any concerns received and actions and outcomes. Residents spoken with during the inspection said that if they had any concerns they could raise them in residents’ meetings held and all 3 residents returning surveys cards, indicated that they knew how to complain and who to speak to. The home has policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms. Staff spoken with confirmed that they had received training and demonstrated a clear understanding of the home’s procedures. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 18 Kings House DS0000003951.V364015.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 & 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 maintained, decorated and furnished to a good standard. It is clean and hygienic providing a safe, homely and comfortable place for people to live. EVIDENCE: The home has a programme of routine maintenance and a tour of the premises found the home remained clean and well maintained. Records show the equipment and facilities with the home are regularly serviced. The home has 19 bedrooms, 2 of which were used for shared occupation and there is also a self-contained studio apartment used for residents who are moving towards independent living. A cleaner is employed for the communal areas and residents are encouraged to keep their own rooms clean and tidy however, staff will assist, when needed. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 20 The laundry room appeared clean and tidy and contained adequate facilities for the residents. Of the 3 residents who responded to the survey, 1indicated that the home is ‘always’ fresh and clean and 1 said ‘usually’. Kings House DS0000003951.V364015.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home, however some shortfalls were found in documentation. Well-trained staff members enable the service to fulfil the needs and preferences of people living in the home. EVIDENCE: The home offers a comprehensive training programme both “in house” and through the local authority. All files seen of current staff, contained evidence of training certificates and recent sessions and all mandatory training was seen to be up to date. The home has an on going programme for staff to achieve a minimum of NVQ level 2 and the majority of staff already hold this as a minimum qualification. Staff spoken with confirmed that training was good and the home would try to accommodate any special interests training they wanted. The induction process was thorough, with all new staff undertaking the Skills for Care induction standards. The Registered Manager is supernumerary and has 3 senior staff that have delegated responsibility for different areas, including medication and ordering Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 22 goods. Staff surnames were not recorded on the staffing rotas however, there appeared to be adequate numbers of staff on duty that were seen to clearly communicate with the residents. Comments received from surveys indicated that residents felt the staff treated them well and listened to them the majority of the time. Health care professionals commented that ‘Kings House has a mixture of staff who have worked there a long time and know the residents and newer workers who do not have this knowledge’ when asked ‘Do the care staff have the skills and experience to look after people properly’. The files of 3 staff members were viewed during the inspection and all contained the required documentation except one, which only had 1 reference. Enhanced Criminal Record Bureau checks (CRB’s) were stored separately to each staff file and it was not clear as to who had written some references and what establishment they worked for. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Kings House DS0000003951.V364015.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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well organised home, with clear management structures, and regular consultation with people living at the service, supports the running of the home in the best interests of residents. Good practices and procedures protect the safety and welfare of residents. EVIDENCE: The Registered Manager is Mrs Sheila Shutler who has completed her NVQ level 4 and the Registered Managers Award (RMA) and she is supported by an experienced management team. The staff team worked well together and had a clear understanding of their roles and responsibilities and Mrs Shutler acts as a good role model for staff, demonstrating a good rapport and sound knowledge of the needs of each resident and encourages staff to take ownership of their work and delegated responsibilities. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 24 The home has submitted an annual quality assurance assessment (AQAA) to the Commission, detailing how they currently meet Care Standards and how they plan to improve. Annual questionnaires for residents, families and other stakeholders are completed to gain their opinions on the running of the home. Monthly resident meetings are held and the minutes seen showed that residents’ suggestions are implemented where appropriate. Regular audits of the accident book take place and all fire safety testing and records were seen to be up to date. Occupational therapy assessments for residents have taken place where necessary and any equipment needed for their safety, put in place. Kings House DS0000003951.V364015.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 4 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 3 X X 3 X Kings House DS0000003951.V364015.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 YA34 Regulation 19 Schedule 2 Requirement The registered provider must ensure that, prior to a member of staff commencing employment all the information outlined in Schedule 2 of the Care Homes Regulations 2001 is obtained. • Two valid, independent written references must be obtained for all newly employed staff prior to starting work. Timescale for action 16/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA32 YA34 YA34 Good Practice Recommendations The full names of all staff should be recorded on staffing rotas. It is recommended that all documentation relating to recruitment procedures, including CRB checks be kept within the relevant individual staff files. All references should be clear as to who wrote them and DS0000003951.V364015.R01.S.doc Version 5.2 Page 27 Kings House what establishment they work for. Kings House DS0000003951.V364015.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Kings House DS0000003951.V364015.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. 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