Care Home: McAnany Avenue (4)

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)
• Craigmore House
• 1 Lanark Close

What the care home does well The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person`s needs before deciding if it can meet all those needs. The home draws up detailed plans to meet the care needs of its service users. Service users health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. Staff treat service users well and treat them with respect. The staff are working hard to provide a stimulating atmosphere in the home, with appropriate social activities for service users. Service users are to keep in regular contact with family and friends. Service users are also encouraged to take as much control over their own lives, as they are able, and make their own decisions. There is a balanced diet, with a good choice included. Two service users have a Percutaneous Endoscopic Gastrostomy (PEG) feeding system, and staff have received training and support in administrating PEG feeding. Complaints and concerns are taken very seriously and are responded to properly. The home is newly built and meets all the requirements of a modern care home. The home is kept clean, hygienic and free from odours. The home has enough staff to meet the needs of the 3 service users. The home is very careful as to how it recruits new staff, and runs all the necessary checks on them to protect its service users. The manager is experienced and is providing very positive leadership to the home. The home is being run in the best interests of the service users. Service users finances are protected by the home`s policies and accounting systems. The health and safety of the service users and of the staff are protected by the home`s policies and systems.All service users were very well groomed and appeared comfortable and content. What has improved since the last inspection? All service users bedrooms have recently been decorated to their own taste, all are highly personalised. Staff personal files are now held in the home, and these include their recruitment details. CARE HOME ADULTS 18-65 McAnany Avenue (4) Lifeways Community Care Limited 4 McAnany Avenue South Shields Tyne and Wear NE34 0PJ Lead Inspector Jim Lamb Key Unannounced Inspection 26th August 2008 09:30 McAnany Avenue (4) DS0000067226.V370548.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 McAnany Avenue (4) DS0000067226.V370548.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. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service McAnany Avenue (4) Address Lifeways Community Care Limited 4 McAnany Avenue South Shields Tyne and Wear NE34 0PJ 0191 4566745 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) www.lifeways.co.uk Lifeways Community Care Ltd Anthony Burns Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2006 Brief Description of the Service: McAnany Avenue is a care home for adults aged between 18-65 years who have learning disabilities and physical disabilities. The service opened in April 2006 and is a large purpose built house, which was completed in March 2006. The ground floor has en suite access bedrooms for service users, kitchen, utility room, large lounge dining room and a conservatory. On the first floor there is office accommodation and storage area. Staff are on duty 24 hours per day, 7 days per week. The house is located next to a school and near a hospital. There is a security fence and access is via a voice-activated intercom. There is an enclosed garden to the rear of the house and parking to the front. People who use this service are financially assessed and pay a contribution toward the cost, fees range from £95.43 - £96.48 per week. Information is available for prospective service users in a variety of formats. McAnany Avenue (4) DS0000067226.V370548.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 home is 2 stars. This means that the people who use the service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • 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 & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 26/08/08. During the visit we: • • • • • • Talked with people who use the service, staff, and the manager. 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 that 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, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person’s needs before deciding if it can meet all those needs. The home draws up detailed plans to meet the care needs of its service users. Service users health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 6 Staff treat service users well and treat them with respect. The staff are working hard to provide a stimulating atmosphere in the home, with appropriate social activities for service users. Service users are to keep in regular contact with family and friends. Service users are also encouraged to take as much control over their own lives, as they are able, and make their own decisions. There is a balanced diet, with a good choice included. Two service users have a Percutaneous Endoscopic Gastrostomy (PEG) feeding system, and staff have received training and support in administrating PEG feeding. Complaints and concerns are taken very seriously and are responded to properly. The home is newly built and meets all the requirements of a modern care home. The home is kept clean, hygienic and free from odours. The home has enough staff to meet the needs of the 3 service users. The home is very careful as to how it recruits new staff, and runs all the necessary checks on them to protect its service users. The manager is experienced and is providing very positive leadership to the home. The home is being run in the best interests of the service users. Service users finances are protected by the home’s policies and accounting systems. The health and safety of the service users and of the staff are protected by the home’s policies and systems. All service users were very well groomed and appeared comfortable and content. What has improved since the last inspection? McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 7 All service users bedrooms have recently been decorated to their own taste, all are highly personalised. Staff personal files are now held in the home, and these include their recruitment details. 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. McAnany Avenue (4) DS0000067226.V370548.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 McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are properly assessed and are provided with enough information about the service to enable them to make a choice about where they want to live. EVIDENCE: The care records for two service users were examined. These showed that the manager makes sure that a full assessment of a new service users needs is carried out by the person’s social worker before they come into the home. The manager also carries out his own assessment, to be doubly sure that the home can meet all of the new person’s needs. More detailed assessments are carried out once the new service user has come into the home. These include assessments of risk; of nutritional needs; of social needs; of moving and handling needs and of behavioural needs. A dependency rating scale is also completed. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 10 As a result of all these levels of assessment, the manager can clearly demonstrate that all service users are in a home that can give them the care that they need. The manager intends to provide the service users guide in a pictorial format, and also make information available on audiotape. All are provided with a contract with the Primary Care trust, however the home should also provide each service user with a contract explaining the homes terms and conditions. McAnany Avenue (4) DS0000067226.V370548.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. The care planning system is clear enough to ensure that staff have the information they need to meet the assessed needs of the service users. EVIDENCE: Each person’s assessed needs are met in an appropriate range of systems. All have clear holistic care plans (or ‘goal plans’). Other assessed needs are met using appropriate formats. For example, the nutritional needs of individuals, their monthly weight is recorded, and their health needs are closely monitored. Overall, it is clear that each person has a plan of care that is thorough, sensitive, flexible and individually orientated. It was also clear that care/goal plans are looked at closely in regularly monthly reviews, and they are updated as necessary. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 12 Staff said that they are always given up to date information about the service users and their needs. One relative assisted her son to complete his survey. They said that they are given enough information to help them make decisions for themselves, and that they were both happy with the care provided. Two other service users returned surveys (completed with help from their key workers), both said that they make decisions about what they do each day, and that they can do what they want to do during the day, evenings and weekends. In discussion with staff, it became apparent that people living in the home have a wide range of opportunities for choice. These include meals, activities, trips out, what to wear, and toiletries. Holidays are negotiated individually with each person, and they can choose where to go, when, and who with (which other service users and which staff). There are planned holidays to Scotland and York next month. The interactions between staff and the people who live in the home were observed to be based on mutual respect and affection. The referring care managers and the home following admission carries out initial risk assessments. All risk assessments seen were comprehensive and appropriately detailed. They are reviewed regularly updated as necessary. The manager intends to ask service users relatives/representatives to agree and sign service users risk assessments. The home’s policy is to accept that risk is part of the normal experience of daily living, and is properly managed. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are offered a good quality lifestyle, which includes social contact, activities and choice. EVIDENCE: Each service user receives individual staff support to develop and maintain their self-care and daily living skills. Each person has an individual timetable of activities, tailored to their likes and interests. They are supported to take part in a range of activities in a variety of settings. Outings and activities are planned there are meals out, visits to cafes, shops, pubs, pop concerts, football matches and trips to a local theatres, etc. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 14 All the people who live in the home have involvement with their families. The degree of contact is decided by the wishes of each individual. Some choose to visit their family members outside the home; others, to be visited at home. Staff were seen to respect and safeguard people’s right to privacy. The people living in the home have unrestricted access to all areas of the home other than each other’s bedrooms. All three-service users have very complex needs; throughout the inspection staff were observed talking to and engaging appropriately with the service users. The daily routines in the home were seen to support the independence of the people who live in the home, rather than restrict them. Negotiation and consultation appeared to be the normal methods of communication. Staff provides guidance and support with regard to nutrition, and healthy eating is promoted. All staff have received training and support in administrating PEG feeding. All staff have received basic food hygiene training. McAnany Avenue (4) DS0000067226.V370548.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 promotion of health care is taken seriously, and service users have their personal needs fully met. EVIDENCE: Care files include needs assessments for each person in all aspects of their lives. Moving and handling needs, nutritional, skin care and risk assessments are comprehensively recorded and the needs of each individual met according to information in the care plan. Service users weights are recorded and monitored closely. Care plans have been developed which include risk assessments for each area of daily living and outlines the way in which care should be provided. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 16 Evidence of personal preferences was found in care plans case tracked during the inspection and observation showed that staff are aware of the needs and choices of individuals. One member of staff was observed to respect the privacy and dignity of one service user by ensuring that his bedroom door was closed while assisting him with his meal (PEG) feed, and by talking through and explaining each step with the individual. The staff member assisted the service user with great dignity, sensitivity and respect. Personal preferences regarding baths or showers and timings for personal hygiene continue to be flexible and follow information contained in care plans. People who live in the home choose when to go to bed and when to get up in the morning. Each service user has complex physical needs and have technical equipment to enable a degree of independence, staff are provided with training to enable them to support service users to maximise their independence in their use of equipment. Staff who have completed relevant training administers medication. A sample of medication records was examined. These include photographs for identification purposes. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. Hand written records should avoid the use of: as directed. No controlled drugs are prescribed, should this change appropriate procedures are in place. It is recommended that medical equipment prescribed and to be used/administered by the District Nurse Team are recorded on a separate MARR sheet, and this will help to make the records clearer to understand. Privacy and dignity issues are built into the home’s policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. Service users physical needs are complex and prevent individuals from administering their own medication. Service users care records showed that they have access to external health care services. G.Ps visit when necessary. Service users are referred for specialist health care if appropriate. All service users receive regular health care checks. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good, clear, user-friendly complaints system. Procedures are in place to protect service users from harm, and these are followed. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the homes investigation and response. The procedure is written in a way to help service users and there representatives to understand its contents. The home keeps a record of complaints. The home has a Whistle Blowing policy, the Local Authorities Vulnerable Adults procedures, and a copy of the Department of Health’s document, “NO SECRETS”. Staff are aware of these procedures and have easy access to them. During the last 12 months there has been one complaint, this was referred to the local Safeguarding Team. The complaint was fully investigated and resolved appropriately. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 18 Safeguarding adults training is ongoing for all staff. Service users can deposit cash for safe keeping in the home’s safe and records are kept of accounts. A sample of personal finance records was examined. Transactions were appropriately recorded and had two signatures for each entry. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to cross-reference to the transaction. Weekly checks of balances and cash are carried out. McAnany Avenue (4) DS0000067226.V370548.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, 25, 26, 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a very comfortable and safe environment for those living there. EVIDENCE: The home was clean, well decorated and well maintained. The grounds were tidy, safe, attractive and accessible. Prior to the home opening, the fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of attractive sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 20 The home is a purpose built modern bungalow. It has been designed to a very high specification. There is specialist equipment throughout the home to support independent living. All bedrooms and bathrooms contain electric tracking hoists and assisted bathing equipment. Service users can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in very good condition. Lighting was bright and domestic in design. All doors have privacy locks and room sizes meet the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. Service users’ bedrooms are highly personalised, well furnished and all have been decorated to each person’s taste. The rooms were centrally heated (under floor heating) and the heating level could be controlled within each bedroom. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised. The washing machine has the specified programme to meet disinfection standards. McAnany Avenue (4) DS0000067226.V370548.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 the service. There is a good match of well-qualified staff, who are appropriately recruited and supervised, and offer consistency of care within the home. EVIDENCE: Staff levels on the day of the inspection met the agreed level. The home has 3 service users; currently there is 1 vacancy. In addition to the manager and deputy manager, the required numbers of staff were on duty: 4 staff between 8am and 10pm with 2 staff between 10pm and 8am. All staff are over 18 years of age and those left in charge were at least 21. The training needs of the staff are identified in supervision and appraisal sessions. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 22 The homes training programme meets the National Training Organisation requirements for the first six months. Staff receive at least three days paid training each year. The service has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. The service has a good staff training and development programme in place. All statutory training was up to date and 99 of the staff team has completed NVQ level 2/3. McAnany Avenue (4) DS0000067226.V370548.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. The manager is supported by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The manager has the appropriate qualifications, experience and skills necessary to manage the service. Staff spoken to were clear about their responsibilities. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 24 Service users and their representatives are told when inspections take place and they are shown inspection reports. Copies of reports are available for relatives and others to see. The organisation has developed a range of new policies and procedures which have been linked to the National Minimum Standards. There are still some that need to be implemented such as: Emengency Admission, Food Hygiene Regs 2006, Mental Health Act Regs, and Pressure Skin Relief Care. A quality system is in place to monitor the quality of the service provided. They also intend to gain feedback from service users, relatives and professionals involved with the home. The outcomes will be published and made available to all prospective service users. The home has an annual development plan. The records inspected were found to be appropriately completed. These included the fire log book, accident records, personal allowance records and Health and Safey manual. There is a health and safety policy and a range of associated procedures. Staff receive training in safe working practices. There are appropriate maintenance contracts in place for the home. Water storage tanks, gas and electrics are checked annually. McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 2 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 4 25 4 26 4 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X McAnany Avenue (4) DS0000067226.V370548.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations Provide potential new service users with a pictorial service user guide, this will help them to understand information about the home more easily, and enable them to make a decision about where they want to live. Medication records must give clear directions and avoid the use of: As Directed. All service users should be provided with a contract between them and Lifeways explaining the terms and conditions of the home. To promote the heath and welfare of the service users, new policies and procedures must be implemented: Emergency admission procedures, Food hygiene regulations 2006, mental health act information, and the promotion of pressure skin relief. 2. 3. 4. YA20 YA5 YA42 McAnany Avenue (4) DS0000067226.V370548.R01.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 McAnany Avenue (4) DS0000067226.V370548.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!