Care Home: Outreach, 162 Bury Old Road

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What the care home does well During discussions with people living in the home, they all said they were happy with the care and support they received. The home continues to support people in a way which provides positive outcomes for their chosen lifestyle. People are supported and encouraged to take responsibility for daily routines in the home, domestic arrangements and to access a wide range of community resources for their chosen social, leisure and some educational activities.A committed and supportive staff team provides support and assistance to people where and when required. Staff support people to achieve and realise their goals and support them on a wide range of social and personal development programmes. The design, layout and location of the home provides people with a homely environment, immediate access to local resources and to be part of their local community. The manager is very much hands on and available to both staff and people living there for advice, direction and support. People are also aware of what steps to take if they have a concern about the service and care they receive. Training programmes and support structures ensure care is delivered in a way which meets people`s needs. Observation on the day and from information gathered as part of the inspection process indicate the home is run in the best interests of people. What has improved since the last inspection? People continue to be supported to develop daily living skills and are encouraged to access a wide range of public resources. Staff demonstrated a commitment to ongoing and sustained support to enable people to be more independent. There were a number of positive examples of people being supported on such issues and managing their finances and budgeting for future events or purchases they had identified. The support provided by staff enabled people to be more independent and help them realise their own potential. Staff had received training in adult protection procedures and staff demonstrated a clear understanding of the procedures to follow in the event of an allegation of abuse. What the care home could do better: Outcomes for people were positive in all areas relating to accommodation, daily living and personal and social care. The home was advised to ensure that it was in receipt of all information relating to people at the time of admission and formally address any identified shortfall in information provided by funding authorities. No requirements were made as a result of this inspection of the service. CARE HOME ADULTS 18-65 Outreach, 162 Bury Old Road 162 Bury Old Road Crumpsall Manchester M7 4QY Lead Inspector Joe Kenny Unannounced Inspection 7 August 2008 09:30 Outreach, 162 Bury Old Road DS0000021621.V361164.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 Outreach, 162 Bury Old Road DS0000021621.V361164.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. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Outreach, 162 Bury Old Road Address 162 Bury Old Road Crumpsall Manchester M7 4QY 0161 740 0471 0161 740 5678 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) Outreach Community & Residential Services Maretta Bernadette Anne Patten Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th May 2006 Brief Description of the Service: The Outreach home at 162 Bury Old Road is a residential care home providing 24-hour accommodation and support to seven service users with a learning disability. One bedroom is available for respite care. The home is situated in the north of Manchester, close to local shops, amenities and public transport links. It is a Victorian terrace building situated on a busy residential street and is of the same size and character as surrounding houses. There is a small car park to the rear, adjacent to a well-maintained garden. Accommodation is provided over three floors and a basement area. Six single bedrooms with wash-hand basins are situated on the first and second floors. There is also a self-contained flat on the first floor. Communal space consists of two lounge areas, a dining room and kitchen. The charges for residential fees range from £605:00 per week. Information about the home can be gained through contacting the registered provider (Outreach). The CSCI inspection report is available at the home and through the CSCI Internet site. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection was carried out unannounced on 7th August 2008. registered manager was available throughout the inspection. The The inspection report is based on information and evidence gathered by the Commission for Social Care Inspection (CSCI) since the home was last inspected. As part of the visit time was spent with the people who use the service, observing how staff work with people. Staff files and other documentation, such as complaints, medication, training records and health and safety records were also looked at as part of the inspection. Information relating to people recently admitted to the home was examined to see how people are supported when they move to the home. The home provided the Commission with a completed self-assessment of how it felt it was meeting national minimum standards, with additional information about the service they provide and staffing information. The inspection also looked at information received by the Commission in relation to the home prior to the site visit. A number of comment cards were forwarded to people living there and to staff as a further means of seeking their views. The information received is included in this report. CSCI had not received any complaints or concerns about the home since the last inspection. What the service does well: During discussions with people living in the home, they all said they were happy with the care and support they received. The home continues to support people in a way which provides positive outcomes for their chosen lifestyle. People are supported and encouraged to take responsibility for daily routines in the home, domestic arrangements and to access a wide range of community resources for their chosen social, leisure and some educational activities. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 6 A committed and supportive staff team provides support and assistance to people where and when required. Staff support people to achieve and realise their goals and support them on a wide range of social and personal development programmes. The design, layout and location of the home provides people with a homely environment, immediate access to local resources and to be part of their local community. The manager is very much hands on and available to both staff and people living there for advice, direction and support. People are also aware of what steps to take if they have a concern about the service and care they receive. Training programmes and support structures ensure care is delivered in a way which meets people’s needs. Observation on the day and from information gathered as part of the inspection process indicate the home is run in the best interests of people. What has improved since the last inspection? People continue to be supported to develop daily living skills and are encouraged to access a wide range of public resources. Staff demonstrated a commitment to ongoing and sustained support to enable people to be more independent. There were a number of positive examples of people being supported on such issues and managing their finances and budgeting for future events or purchases they had identified. The support provided by staff enabled people to be more independent and help them realise their own potential. Staff had received training in adult protection procedures and staff demonstrated a clear understanding of the procedures to follow in the event of an allegation of abuse. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 7 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. Outreach, 162 Bury Old Road DS0000021621.V361164.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 Outreach, 162 Bury Old Road DS0000021621.V361164.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): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People’s goals and needs had been assessed prior to coming to live at the home. EVIDENCE: Procedures for supporting people considering moving to the home are well established and set out in its admission procedures. Information provided to people enables them to make informed decisions about where they lived. However, during discussion with the manager, in relation to a person most recently admitted, it was evident that the placing authority had failed to provide the home with all the information it needed to assess and plan how it would meet the person’s needs. The home did carry out an assessment of the person’s care needs, however this was not arranged to be held at the person’s previous address. Advice was given to forward a letter to the funding authority on its failure to support the admission of the person to the home. There is a need to ensure procedures enable a decision to be made that people’s assessed needs can be met at the home. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 10 The manager stated that all admissions are ideally planned and enable the placing authority and the home to complete their own admission documentation. The home had reviewed its Statement of Purpose and Service Users Guide in a format appropriate to the abilities of people living there. The manager said the people living in the home were being involved in the development of a pictorial version of the home’s Statement of Purpose. All residents are provided with a statement in relation to the terms and conditions of their placement. Terms and conditions of the placement are provided in the form of a licence agreement, which contains their contract and the home’s complaints procedure. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People are supported to live independent lifestyles with support where assessed as needed. EVIDENCE: A key objective of the service is to support people to live as independent a lifestyle as possible. The level of support needed by people is set out in their plan of support and is developed in a way to reflect their choices and decisions about personal and social care issues. Plans of support incorporate assessments of any identified risks and how people are to be supported where an assessed risk has been identified. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 12 The home ensures information is transferred between staff through use of a communication book and diaries. There were a number of positive examples of how people are encouraged to take responsibility for daily living arrangements, and included management of their finances, planning and purchasing provisions for meals and responsibility for maintaining domestic arrangements in the home. In most cases, people did need the assistance of staff and this was provided in a way which enabled people to be proactively involved in each task. During discussions with people they spoke about the many positive experiences they had whilst living there and the confidence they gained from being proactively involved in all aspects of daily life, the “good social life” they lead and support in maintaining contact with friends and family. Each person’s plan of support is reviewed on a monthly basis to monitor the effectiveness of the support offered and how it might need changing. This is carried out in consultation with the person to ensure they are involved in the process. Records maintained by staff were detailed and informative. A daily record of how a person is supported is maintained for each person. At present, all daily records and notes for individuals are held in one ring binder. The manager was advised to transfer individual records to named service users’ own files to ensure confidentiality and data protection procedures are adhered to. Outreach, 162 Bury Old Road DS0000021621.V361164.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. People are supported to live meaningful lives appropriate to their aspirations and ability. Meal arrangements are very homely and relaxed. EVIDENCE: During discussions with people living in the home and from observations made on the day, it was evident that people residing there are supported and encouraged to take the lead on all matters relating to daily living. People confirmed they got up and went to bed when they chose and could freely plan how they spent their time throughout the day. Staff were available to support and assist people where needed and the support provided was delivered in a professional and caring manner, ensuring the outcomes for people were positive and based on staff’s understanding of the needs and ability of individuals. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 14 People spoke about social events they had attended and events they were planning to be involved in. All indicated they had a good social life. This included a recent birthday celebration, regular attendance at centres of interest with their peer group and a planned outing on the evening of this visit. Meal arrangements ensure people are provided with a range of choices and a record is maintained of meals served. People continue to be involved in the planning, purchasing and preparation of meals. The food stores were sufficiently varied to provide a choice of meals. This also included a take-out meal each week. The manager said all staff involved in supporting people and preparing food had received training in basic food hygiene procedures. Each person is assigned a domestic duty each day and it was encouraging to see people living there would swap and change such tasks with their colleagues when needed. There was a good team spirit amongst people living there and a relaxed and homely atmosphere was evident. Each person is supported by a named member of staff as their key worker and staff demonstrated they were aware of people’s needs. A number of systems had been put in place to ensure people were consulted on issues relating to their care and life in the home. This included regular group meetings and quality assurance audits to seek people’s views about the care they received. People using the service commented, “I decided what I do in the house and when I am out of the house”. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People receive the support they need on personal and health care needs. Medication administration procedures protected people. EVIDENCE: The level of support people required is determined in their care plan and through constant consultation with people themselves. Staff demonstrated they were aware of the level of support people needed. The records maintained by staff set out how each person had been supported on a daily basis and what activities they had been involved in. People wishing to remain in the house can do so and will pursue their own interests. One person resides in a self-contained flat and retains responsibility for all aspects of daily living, including their own shopping and preparation of meals. This enables the person to retain greater responsibility and degree of independence. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 16 Records are also maintained in relation to health care issues and records are maintained when people attend for appointments. People access health services independently or with support where requested. People can visit health professionals in private and if a person required support when on a visit, this would be offered. The medication administration system was assessed and found that agreed procedures were in place to support people with their medication. People attend the office individually to receive their medication and records are signed once administered. The records were found to be on order, however, some of the Medication Administration Records were found to have some gaps or the appropriate code had not been used to indicate what happened at that time. This should be monitored to ensure signatures and codes were being used at all times. Hand written entries on MAR sheets required that they be signed by the person completing the records and countersigned by another member of staff. Records relating to ‘as and when required’ medication were also well documented and signed for and the appropriate code used when not required. The manager said all staff responsible for administering medication had received training. Procedures were in place to record medication returned to the pharmacist. Medication was signed in and the quantity received was indicated on the medication administration record. Outreach, 162 Bury Old Road DS0000021621.V361164.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 said they knew who to speak to if they had any concerns or complaints. Procedures were in place to protect people from abuse or neglect. EVIDENCE: People are encouraged to discuss their concerns about any aspect of care with the manager and their key worker. People are also provided with a copy of the home’s complaint procedure. People responding through the comment cards all indicated that they would contact the manager or their key worker if they had a concern. The home keeps a register of complaints it may receive. Two complaints had been received and dealt with through the home’s complaints procedure. The information relating to the issues raised indicated procedures were followed to resolve the issues raised. No complaints were received by the Commission in the period since the last inspection. One person using the comment cards said, “if I am not happy about anything I can tell the staff and they will do something about it”. The organisation’s Adult Protection Policy was based on the Manchester MultiAgency Adult Protection Policy and Procedure. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 18 The home had also received a copy of the procedures from other local authorities who fund people living at the home. All staff had received training in the weeks preceding this inspection. One incident had been referred to the safeguarding team. The incident had been investigated and not substantiated. The manager was requested to complete a Regulation 37 notification in respect of the incident. There were detailed procedures in place to protect people’s finances. This included checks conducted by the registered manager, daily checks carried out by staff between shifts and additional checks carried out by the service manager as part of monthly visits to the home. Outreach, 162 Bury Old Road DS0000021621.V361164.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 well maintained, comfortable and offers people a safe, homely environment to live in. EVIDENCE: The premises were generally clean, well maintained comfortable and safe environment for people to live in. and provided a In the period since the last inspection a programme of refurbishment and renewal of floor coverings had been carried out. This included new covering on all basement areas where the kitchen, lounge and dining rooms are located. Additional work had been completed in relation to the fitting of a new kitchen and units, new dining furniture and a new boiler. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 20 Laundry facilities are domestic in nature and are situated in a secure area. There are seven people residing at the home and each person has a day assigned to them in the week to carry out their laundry arrangements. This ensures people are provided with a personal laundry service. Most people were out at the time a tour of the building was undertaken; as a result, only one bedroom was seen. The room was well maintained. The layout and decorating reflected the wishes of the person residing in the room. The person confirmed they had a key to their own room and to the front door of the house. The grounds to the rear, although small, are secure and enable people to access for barbeques and to dry their clothing. A small parking area is also located beyond the garden area for up to three to four cars. Parking to the front of the house is restricted as it is a bus priority route. Outreach, 162 Bury Old Road DS0000021621.V361164.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. Staffing arrangements ensure people have the support they require to meet their needs. Recruitment and development procedures ensure a competent team of staff support people. EVIDENCE: There is a minimum of three support workers on duty throughout the day, one being a senior or the registered manager. The rotas are prepared four weeks in advance and ensure appropriate gender support is provided at all times. There were two vacancies at the time of the inspection. A team of bank workers (five staff) and existing staff cover in the event of any shortfalls. No agency staff are used. There is a person on sleep-in duty on call in the event of an emergency. A stable and committed staff team continues to be employed at the home. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 22 Staffing arrangements were appropriate to meeting and responding to people’s assessed needs and staff were seen providing one to one support programmes for service users. Staff are supported through programmes of ongoing development and supervision. This was evident for staff recently starting employment, as they were rostered to work alongside staff to support their induction. The files for staff were examined at the organisation’s head office. The files evidenced that required recruitment and reference checks were being conducted on all staff before they started work. Personnel staff in the office check all information relating to new applicants, request references, CRB checks and, once received, the information is also checked by the home’s manager. Staff are provided with a planned period of induction, which is monitored and overseen by the registered manager. A series of mandatory training topics form part of the induction and include topics such as fire safety, abuse awareness, basic food hygiene and health and safety training. It was interesting to listen to one person living there speak about her involvement in the interview process for recruitment and selection of staff. Staff receive regular and ongoing supervision approximately every six weeks. Full records of the supervision are maintained. A member of staff commented that staff “encourage service users to get involved in all kinds of activities as well as being more independent and also encourage them to interact with people in the community. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Management and administration procedures ensure the home is run in the best interest of people living there. EVIDENCE: The manager has the necessary qualifications and experience to manage the home. Staff confirmed they receive regular support through one to one supervision and through staff meetings. Programmes of training are planned based on identified personal development needs. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 24 Staff meet regularly with people using the service as key workers to support people and assist in planning future events and activities. In addition, people confirmed they meet regularly themselves to discuss issues relating to the home. The finance management arrangements supported people to handle their own money. Monies held were checked on the day against records and found to be in order. The manager was advised to keep an up to date inventory of valuables held in each wallet for individuals. Documents were available to evidence regular tests and checks were conducted in relation to fire safety procedures and fire drills were held on a regular basis. Appropriate insurance liability was also in place. Monthly visits are carried out by the service manager to provide support and supervision to the manager and to assess how the home is being conducted. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Outreach, 162 Bury Old Road DS0000021621.V361164.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 2 3 Refer to Standard YA20 YA20 YA42 Good Practice Recommendations Medication Administration Records (MAR) should be monitored to ensure signatures and codes are being used at all times. Hand written entries on MAR sheets, should be signed by the person completing the records and countersigned by another member of staff. The manager was advised to keep an up to date inventory of valuables held in each wallet for individuals. Outreach, 162 Bury Old Road DS0000021621.V361164.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Outreach, 162 Bury Old Road DS0000021621.V361164.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. 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