Care Home: Knowsley Road (4 - 6)

What the care home does well Knowsley Road provides a relaxed and well-maintained environment for people with mental health problems. Records are well kept and the Registered Person puts great emphasis on the use of information technology for the maintenance of records. The Registered Person has put some emphasis on the recruitment of staff from abroad, several of whom have relevant qualifications. Most care staff have care staff now qualified to NVQ2 or above. What has improved since the last inspection? New UPVC double glazing has been fitted throughout the home, improving its appearance and insulation. Some toilets and bathrooms have had new flooring and been redecorated and the programme of redecoration and maintenance continues. The home has maintained its high physical standards. The new activities organiser has started a fuller programme of activities for the resident. What the care home could do better: Staff should receive regular, recorded one to one supervision. The Registered Person needs to ensure that there is a registered manager running the home so an application for registration needs to be submitted. The home should be kept warm at all times. CARE HOME ADULTS 18-65 Knowsley Road (4 - 6) 4 - 6 Knowsley Road Rock Ferry Wirral CH42 1QG Lead Inspector Peter Cresswell Key Unannounced Inspection 5th December 2006 9:10 Knowsley Road (4 - 6) DS0000018907.V309564.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 Knowsley Road (4 - 6) DS0000018907.V309564.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. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knowsley Road (4 - 6) Address 4 - 6 Knowsley Road Rock Ferry Wirral CH42 1QG 0151 643 1299 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) louise@poldercare.com Mr Hendrikus Gerardus De Rooij Mrs Alexandra De Rooij Mrs Alexandra De Rooij Care Home 24 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (24) of places Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only adults (aged 18 - 64 years) who have a mental disorder may be accommodated. 24 adults with a mental disorder, aged 18 - 64, and may from time to time care for adults with a mental disorder over the age of 64 the total number not to exceed 24. 24th January 2006 Date of last inspection Brief Description of the Service: 4-6 Knowsley Road is a large detached property set in its own gardens. The building blends into the local surroundings and is not externally identified as a care home. The home is close to local shops, other community amenities and local bus routes on the New Chester Road. Knowsley Road provides care for younger adults with mental health problems, though there are five residents over 65 years of age and this is reflected in the registration conditions. The owners own a similar home in Hoylake and some administrative functions and staff are shared between the two homes. All of the residents have single bedrooms, most of which are spacious and some of which have en-suite facilities, including four with showers. The bedrooms are on three floors, all of which are served by a passenger lift which, whilst fully maintained, is not in everyday use. On the ground floor there are two lounges, one of which is used as the smoking room, and a separate dining room. The home restricts smoking to the designated lounge. Alcohol is only permitted under supervision. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit for this inspection was unannounced. The inspector spoke to six residents, all of the staff on duty, the acting manager, a visitor to the home and, briefly by telephone, to the Registered Person. He examined documents including care plans, staffing files and fire safety records. He also toured the building, including all of the lounges, the kitchen, bathrooms and toilets and several bedrooms. The Registered Person did complete a Pre Inspection Questionnaire but this was unfortunately not received by CSCI. A number of service user survey forms were given to residents on the day of the site visit. What the service does well: What has improved since the last inspection? What they could do better: Staff should receive regular, recorded one to one supervision. The Registered Person needs to ensure that there is a registered manager running the home so an application for registration needs to be submitted. The home should be kept warm at all times. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 6 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. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 7 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 Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4. Quality in this outcome area was good. New residents are only admitted if their needs have been properly assessed, ensuring that those needs can be met. EVIDENCE: Two residents had been admitted to the home since the last inspection and one of their files was examined during the site visit. There was an assessment by relevant professionals from a hospital on file and the acting manager said that he had visited the resident in hospital before deciding whether Knowsley Road was suitable for him. There was, however, no written assessment by the home and the information kept on the ‘Customer Enquiries Log’ did not include details of the home’s own assessment. There was care plan on file and this was based on the original assessment and the home’s knowledge of the resident. This resident was in fact already known to the management of the home as he had previously lived at the Registered Person’s other home. The relative of another resident confirmed that he had been able to visit Knowsley Road and its sister home before deciding where he wanted to live. This resident confirmed that had freely chosen to live at Knowsley Road on the basis of his visits. There are now five residents over the age of 65 in the home. All of them have been in the home for some time and have passed the age of 65 whilst living at Knowsley Road. The acting manager said that it was intended to continue to provide care for such residents as long as the home is able to meet their Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 9 needs. This is in line with the home’s registration, though it would now be unwise to actually admit a new resident over the age of 65 in these circumstances. Fees at Knowsley Road range from £365 to £500 a week, depending on the individual package negotiated. All residents are publicly funded. Knowsley Road (4 - 6) DS0000018907.V309564.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10. Quality in this outcome area is good. Care plans are detailed and are reviewed regularly, ensuring that up to date information is available to staff responsible for the day to day care of the residents. EVIDENCE: Care plans are on file for each resident as are appropriate risk assessments. A member of staff reviews the care plans each month and they are updated on the computer if any changes are made. More thorough, annual reviews tend to be arranged by external professionals such as social workers or consultant psychiatrists. Staff from the home attend these meetings and there was evidence of this on the files examined during the site visit. There were, though, no minutes on file and they are archived at the Registered Person’s other home once any relevant details have been incorporated in the care plans or daily reports. It would be advisable if relevant documents such as this were kept in the home for reference as necessary. The Registered Person said that the plan is for all such documents to be scanned and kept on the computer, thereby making them available at both locations. The care plans are detailed and practical, dealing with issues such as hygiene, medication, activities, Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 11 motivation and behaviour. Daily reports are made on a dedicated computer programme that does not allow the retrospective alteration of records. The programme can only be accessed by staff using a password and information is backed up on a central server. Hard – paper – copies are kept of basic details, including the care plan. Residents’ records have been held on computer for some time at Knowsley Road and this has proved to be a highly efficient means of record keeping. Smoking is restricted to one well used smoking room which is comfortably furnished and has an extractor fan. Residents’ meetings are held regularly, and are quite well attended, partly because they take place just after tea. The inspector examined records of the last three meetings and issues discussed included smoking, personal hygiene and activities. Knowsley Road (4 - 6) DS0000018907.V309564.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. Daily routines in the home are informal and residents can follow their own interests by taking part in everyday activities in the community if they choose to do so. The meals in the home offer some choice and provide a nutritious diet which the residents enjoy. EVIDENCE: There are few set routines at Knowsley Road and residents are free to come and go as they please, subject to risk assessments where appropriate. The residents spoken to were happy to go out on their own to facilities in the community, using public transport. The home has the use of the Registered Person’s people carrier which is used for some short trips out. There is now a dedicated Activities Organiser for Knowsley Road and its sister home, Melrose. She has developed a programme of activities for the home which includes low level activities such as bingo and watching movies on the television and practical activities such as Christmas card making, which took place when the inspector visited the home. Activities planned for December included visits to a garden centre, Brimstage farm, shopping trips and a carol service in the home, with music provided by one of the residents. The co-ordinator is Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 13 currently doing research into local facilities and organisations with a view to establishing a fuller programme of activities for residents at both homes. She has also started to produce detailed reports of each activity she helps to organise. If pursued, this will give a detailed picture of what residents like and what suite tem as a valuable aid to future planning. Residents are going to a Christmas meal at a local Greek restaurant, funded by the Registered Person. Some residents attend local day centres run by voluntary organisations whilst three use the services of a local voluntary organisation called ‘Impact on Mental Health’. The organisation employs experienced people, some of them former social workers, who are well known to the home and take people out into the community to take part in a range of activities. The residents pay for this service. Relatives and friends are free to visit at any reasonable time and all residents have individual rooms where they can receive visitors if they wish. The inspector spoke to one relative who was happy with the care being provided to her relative. Residents usually make their own breakfast and the main meal of the day is served at lunchtime. The main meal for the day (chicken curry, which everyone who spoke to the inspector said they enjoyed) was displayed on a blackboard in the dining room. A vegetarian choice is available for each meal (‘blind scouse’ on the day after the site visit) and the chef said that he prepares other choices for residents if they want something different. Lunch is a lighter meal but normally includes a cooked alternative such as cheese on toast. The chef also occasionally prepares dishes from the Philippines (‘chef’s special’ on the menu) which some residents enjoy, though there is always an alternative. Those residents who spoke to the inspector said that they were happy with the food prepared for them. There is a machine in the dining room for drinks between meals and tea breaks, but residents have to pay for them. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. Residents’ health needs are met and medication is well organised and accurately recorded, protecting the interests of the residents. EVIDENCE: Care plans identify any personal care needs and all residents are registered with a general practitioner. Most also receive specialist health care from mental health professionals such as Community Psychiatric Nurses. Medication is dispensed by the community pharmacist in a Monitored Dosage System, with most tablets provided in blister packs. The inspector checked the Medication Administration Record sheets for three residents who were case tracked and found that they were in order, including the records for medication which was not in the blister packs. Some drugs are stored in the Controlled Drugs cabinet and are recorded in a ‘Controlled Drugs file’, though they are not in fact controlled drugs. Whilst not strictly necessary this is an acceptable precaution. However, if Controlled Drugs were to be prescribed they would need to be recorded in a bound Controlled Drugs Register (paragraph 9.4 0f the Administration and Control of Medicines in Care Homes and Children’s Services’.) It would be good practice to develop guidance for staff on when medication which is to be used ‘as required’ (PRN) should be administered in each individual case. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 15 Medication is mainly administered in the dining room at set times. This has the appearance of being rather institutional but has been the practice at Knowsley Road for some years and the residents accept it as part of everyday life. Some residents help out at medication by washing the glasses used for water. No residents look after their own medication. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. The home has a complaints procedure that is available for residents to use to make their views heard. EVIDENCE: The home has an appropriate complaints procedure which is summarised in the Service User’s Guide. The acting manager said that no complaints had been received since the last inspection. Adult protection policies are available in the home and staff receive training in the protection of vulnerable adults. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30. Quality in this outcome area is good. The home provides clean, well-furnished accommodation that meets the needs of the residents. EVIDENCE: Knowsley Road is situated within 100 yards of the New Chester Road in Rock Ferry which carries bus routes to Birkenhead town centre. There are also shops and some other community facilities on the main road. The building is not externally identified as a care home and blends in with surrounding properties. There is room for car parking at the front of the house and also on the road, which is usually quiet but at the moment is rather busy due to local building work. The home was clean and odour free on the day of this unannounced inspection. Residents eat in a dining room near the main entrance and also have a TV lounge and a smoking room, which is the only place in the home where smoking is permitted. This policy is set out in the Service User’s guide. The smoking room is very well used with an effective extractor fan to reduce smoke and smells in the home. It needs some redecoration and the acting manager said that it is due to be done on the schedule. Some toilets and bathrooms were being redecorated when the inspector visited. The home has an ongoing programme of decoration and the handyman looks after both of the Registered Person’s homes. Each resident Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 18 has an individual bedroom, some with en suite facilities, including showers in four cases. Several were inspected during the inspection and were clean and well personalised, reflecting the interest and personality of the residents.. The home has sufficient bathrooms and toilets and those seen during the inspection were clean, with water delivered at a safe temperature. All of the windows have been replaced with double glazed units since the last inspection, improving the appearance and insulation of the home. Despite this, on the day of the site visit some parts of the home were rather cool. A visitor commented on this and one resident was wearing a parka jacket (though no residents complained about the heating). The acting manager said that one of the boilers was being repaired. Additional heating was available in the dining room but was not switched on when the inspector arrived. The situation should improve when the boiler is repaired (imminent according to the acting manager) but supplementary heating should be used where necessary in the meantime. This was the second successive visit on which parts of the home were a bit cold and care needs to be taken to make sure that the home is adequately heated at all times. The boiler fault had also caused a problem with hot water and one of the residents did mention this to the inspector. Again, this was due to be resolved by the boiler repair. The garden is large, attractive and well maintained. The Registered Person is planning to build a conservatory to one side of the home, which would provide additional communal space for the residents. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36. Quality in this outcome area is good. The home’s recruitment and training policies ensure that residents have their needs met by competent staff. The home’s staff supervision system needs further development. EVIDENCE: Some staff and administrative services are shared between the Registered Person’s two homes but most care staff now work mainly in one or other of the homes. Since the last inspection the Registered Person has banned staff from smoking on the premises. The owners have recruited several staff from overseas and there are currently staff from Poland, the Philippines and Romania working at Knowsley Road. They were recruited via a specialist agency which screens applicants, takes up references and arranges for work permits and immigration clearance where necessary. Management conduct telephone interviews, partly to ensure that staff have sufficient command of English for the post. No new overseas staff had been recruited since the last inspection. Criminal Records Bureau (CRB) and POVA (Protection of Vulnerable Adults) checks were in place on the file of the one new member of staff. The home does not use agency staff. Most of the overseas employees working as care staff have nursing qualifications from their homeland which have been identified by NARIC as equivalent to NVQs. On that basis eight of the twelve members of care staff Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 20 have at least NVQ2, exceeding the level set out in the National Minimum Standards. Much of the staff training is based on a series of training videos. Although a record is kept of who has completed each video module there are no dates so it is not immediately clear when refresher training is needed. Other staff training in 2006 has included Food Hygiene, Adult Abuse, Risk Assessment and Health and Safety. Two staff have received specialist training on Huntington’s Chorea and one of them discussed this with the inspector. The manager has started to formally supervise staff but this is not yet recorded. It may be more realistic to use the management structure in supervision , so that the manager supervises team leaders who in turn supervise care and other staff. This would involve some training in supervision techniques but would be a more realistic way of arranging adequate on-to-one supervision. Knowsley Road is adequately staffed and has very effective administrative support - shared with the other home - and domestic staffing, including a handyman. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 42. Quality in this outcome area is good. The home is efficiently managed and records are properly and safely kept, protecting the rights and best interest of the residents. Safety checks are in place to ensure a safe environment for the residents. EVIDENCE: The Registered Manager is also one of the owners but has now stood down from the management of the home and only visits occasionally. There is an acting manager in place and it is intended that he applies for registration in the very near future. On the site visit he told the inspector that he was in the process of completing the forms. The home has continued the process of implementing ISO 9000 quality assurance systems and the acting manager said that he hopes that this should be in place early next year. The home does not yet routinely use tools such as questionnaires to residents or relatives for quality assurance purposes. Records examined were up to date and were securely stored. Many of the home’s recording systems are held on the computer system and are inputted directly by staff. Staff find the system easy Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 22 to use and it gives management the advantage of being able to check records from either home. Fire safety checks and fridge/freezer temperatures – both kept on the computer - were up to date. The kitchen was clean and food was safely stored. The chef has a copy of the Food Standards Agency’s pack Safer Food, Better Business but has not yet devised an action plan with it. The home had a recently obtained gas safety certificate. The Accident Book was properly completed and the forms were retained on file. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 23 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 3 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 3 26 3 27 3 28 3 29 N/A 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 3 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 3 x 3 x Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 24 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. 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. 2. 3. Refer to Standard YA6 YA20 YA36 Good Practice Recommendations It would be good practice for important information such as minutes or recent formal reviews to be kept on the premises so that it can readily be consulted by staff. It would be good practice to prepare guidance on the circumstances in which PRN medication is to be administered in each case. Staff should have regular, recorded supervision meetings at least six times a year. Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 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 Knowsley Road (4 - 6) DS0000018907.V309564.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!