Care Home: Parvale House

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What the care home does well People who want to move into Parvale House are given good information to help them decide if it is the right place for them to live. The admission process is well managed and considers the needs of the people already living at Parvale House. People`s individual plans of care have detailed information about how their needs and preferences should be met. This includes good information about prader willi syndrome. One person said "I was glad when I found a place where I can control my weight and diet properly."People who live at Parvale House enjoy active lives, with a range of educational, leisure and social activities on offer. Menus are healthy and varied and people spoken to say that they enjoyed the food. The cook has received training on the dietary requirements of people with prader willis syndrome. People are given good support to develop and maintain friendships and relationships including closer intimate relationships if they wished to. People with prader willi syndrome have some specific health needs. Records show that people receive the appropriate support to address these needs. Staff showed a good knowledge of how to keep people safe whilst still ensuring that people were able to enjoy a full and active lifestyle Parvale House is spacious and comfortable. People appear happy and relaxed within their home. It has a homely feel throughout and is clean and well maintained. One person said "My home is always clean and fresh." Each person has their own bedroom with an ensuite shower room. People are able to personalise their rooms with their own belongings and effects. The manager speaks very highly of the staff team saying " I have every confidence in them " Recruitment procedures are thorough and all necessary checks are carried out on new employees to make sure that they are safe to work with people with learning disabilities. Staff have a very thorough induction and an extensive programme of ongoing training. People spoken to say that they were happy with the support that they received from staff. Staff described Consensus Support Services, the registered owner, as "a well run organisation." What has improved since the last inspection? No recommendations or requirements were made at the last inspection. The information in the service user guide is now more user friendly. The home has liaised with the local hospital who have to make sure that information about the needs of people with prader willi syndrome is available to hospital staff. This ensures that people`s needs will be met if they have to go to hospital. What the care home could do better: The home should consider how it records that peoples consent to have a sexual relationship have been assessed. The home needs to review the storage of medication to ensure it complies with recent guidance from the Royal Pharmaceutical Society of Great Britain . CARE HOME ADULTS 18-65 Parvale House 223 Rockingham Road Kettering Northants NN16 9JB Lead Inspector Catherine Perrins Unannounced Inspection 26th September 2008 09:00 Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parvale House Address 223 Rockingham Road Kettering Northants NN16 9JB 01536 484970 01536 513523 kathrynclarke@btconnect.com www.concensusupport.com Consensus Support Services Ltd Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Jacqueline Jacznik Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category of MD, Mental Disorder, excluding Learning Disability or Dementia, may be admitted to Parvale House unless that person also falls within the category LD, Learning Disability ie. Dual Disability The maximum number of persons to be accommodated within Parvale House is 6 29th August 2006 2. Date of last inspection Brief Description of the Service: Parvale House is a well-appointed property in the town of Kettering. It is registered to support up to six people who have Prader Willi syndrome, which is characterised by a range of symptoms including a compulsion to eat. The home has six single rooms, all with ensuite showers and pleasant lounge and dining rooms. Located close to the town centre the home is convenient for all transport networks and a range of local facilities. A comprehensive statement of purpose is made available to prospective residents, as are inspection reports. Current fees are within the range £1391 to £1650 with extra charges being made for hairdressing, newspapers and entrance fees. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This key inspection included a visit to the service. We visited the home on 26th September 2008. The manager was present during the visit. The visit started at 10:00am and lasted for four and a half hours As part of our inspection, we sent out surveys to some people who live in the home, to some members of staff who work in the home and to other professionals who are involved working alongside the home. The responses we received were generally very positive. The main method of inspection we used was ‘case tracking’. This means looking at the care given to people by: • talking to people who live in the home • talking to staff and the manager • watching how people are given support • looking at written records. During this inspection, we checked all the standards that the Commission for Social Care Inspection has decided are ‘key’ standards. Under some sections, we may have checked additional standards – this will be detailed in the main report. The information below is based only on what we checked in this inspection. We have kept details about individual people out of the report, to make sure it is kept confidential. What the service does well: People who want to move into Parvale House are given good information to help them decide if it is the right place for them to live. The admission process is well managed and considers the needs of the people already living at Parvale House. People’s individual plans of care have detailed information about how their needs and preferences should be met. This includes good information about prader willi syndrome. One person said “I was glad when I found a place where I can control my weight and diet properly.” Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 6 People who live at Parvale House enjoy active lives, with a range of educational, leisure and social activities on offer. Menus are healthy and varied and people spoken to say that they enjoyed the food. The cook has received training on the dietary requirements of people with prader willis syndrome. People are given good support to develop and maintain friendships and relationships including closer intimate relationships if they wished to. People with prader willi syndrome have some specific health needs. Records show that people receive the appropriate support to address these needs. Staff showed a good knowledge of how to keep people safe whilst still ensuring that people were able to enjoy a full and active lifestyle Parvale House is spacious and comfortable. People appear happy and relaxed within their home. It has a homely feel throughout and is clean and well maintained. One person said “My home is always clean and fresh.” Each person has their own bedroom with an ensuite shower room. People are able to personalise their rooms with their own belongings and effects. The manager speaks very highly of the staff team saying “ I have every confidence in them ” Recruitment procedures are thorough and all necessary checks are carried out on new employees to make sure that they are safe to work with people with learning disabilities. Staff have a very thorough induction and an extensive programme of ongoing training. People spoken to say that they were happy with the support that they received from staff. Staff described Consensus Support Services, the registered owner, as “a well run organisation.” What has improved since the last inspection? No recommendations or requirements were made at the last inspection. The information in the service user guide is now more user friendly. The home has liaised with the local hospital who have to make sure that information about the needs of people with prader willi syndrome is available Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 7 to hospital staff. This ensures that people’s needs will be met if they have to go to hospital. 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. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who come to live in this home have their needs fully assessed so they can be confident their needs will be met. EVIDENCE: The home has a detailed statement of purpose and service user guide. These provide good information to people who may want to move to Parvale House to tell them what it is like to live there. One person has moved into Parvale House in the last twelve months after initially coming for a short stay. Records suggest that the admission process is well managed and considers the needs of the people already living at Parvale House as well as the person who wants to move in. The manager explained that before someone moves in they would visit for an afternoon, an overnight stay and a weekend stay. If all goes well people can Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 10 then move in for a three month initial assessment. This is flexible to accommodate people’s individual needs, one person has had this assessment period extended to six months to allow more time for everyone to be confident that Parvale House is the right place for them. This makes sure that the home can offer people the right kind of support to meet their needs and aspirations. One person said “I enjoy Parvale I am glad I moved in.” Parvale House DS0000067628.V372686.R02.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 excellent This judgement has been made using available evidence including a visit to this service. People who live in this home have their individual needs and choices very well met. EVIDENCE: Everyone who lives at Parvale House has an individual plan of care that gives detailed information about their full range of needs and preferences. Records show that people are involved in putting together and updating their individual plans of care. Information is very well presented and easy to access which ensures that staff have all the information they need to support people in the right way. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 12 The people who live at Parvale House have some specific needs due to having the condition Prader-Willi syndrome. The individual plans of care have good information about the needs of people with this condition. One person said “I was glad when I found a place where I can control my weight and diet properly.” There was evidence of people making positive improvements since moving to Parvale House for example one person who required a wheelchair to go out can now go out for walks unaided. From the information we read, we could see that people are given choices about how they want to live their lives and how they want staff to support them. For example people choose who they would like to have as their key worker and whether they would like male or female staff to support them with personal care. The manager stated “We deliver a good service where choice comes first.” and a member of staff said that home was “one hundred percent on choice.” Records showed that risks to people had been thoroughly assessed and steps taken make sure that they can be supported to do the things they need and want to do safely. People are given assistance to manage their finances and records show that this is done well. A spot check was carried out as part of the inspection on a sample of cash tins and all monies were accounted for and well documented. This means that people can be confident that their money is safe and that they will have the help they need to budget and look after their finances. Parvale House DS0000067628.V372686.R02.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, 14, 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 living in this home enjoy a good range of leisure activities and lead full and active lives. EVIDENCE: People who live at Parvale House enjoy active lives. One person has been commended for work done in a local charity shop. On the day of inspection another person was going horse riding – she told the inspector how much she enjoyed this activity as it was something she had done since childhood. The initial date arranged for the inspection to take place had to be changed because when the inspector arrived everyone was away on holiday. People spoke about how much they enjoyed this holiday. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 14 People are encouraged to take an active role in the running of the home and to take turns to help preparing meals for everyone. A cook is employed in the mornings to prepare the lunches. She explained that menus are sent from the provider’s head office to ensure that they meet the specific dietary requirements of people with prader willi syndrome. Menus are then adapted to suit individual’s preferences. Three of the people who live at Parvale are vegetarian and quorn is used as a substitute for meat in many of the dishes. People spoken to say that they enjoyed the food which looked appetising and well presented. The cook confirmed that she had received training on the dietary requirements of people with prader willis syndrome. There was evidence that people were given good support to develop and maintain friendships and relationships that were important to them and to have closer intimate relationships if they wished to. There was evidence that people are given support to maintain good sexual health The home should consider how it records that peoples consent to have a sexual relationship have been assessed.. Discussions with the manager showed that had been looked at but not consistently documented. Having this recorded in peoples individual plans of care will make it clear that people are able to be safe in the relationships they choose. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People can be confident that their health and personal care needs are fully met and clearly documented. EVIDENCE: Records show that people have regular appointments with general practioners, dentists, opticians and podiatrists. The manager stated that the home had established good relationships with the local doctors surgeries and hospital to ensure that the relevant health professionals have a good understanding of the needs of people with prada willi syndrome. People have an emergency information sheet which outlines their specific individual needs. These can be given to paramedics or hospital staff if anyone is admitted to hospital to make sure that people are given the right support while they are in hospital. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 16 People with prader willi syndrome have some specific health needs. Records show that people receive the appropriate support to address these needs for example people have advice from dieticians and regular exercise. People’s weight is closely monitored and they are given a lot of support to eat a healthy diet. Visual health checks are carried out by staff on a regular basis to make sure that people do not have any damage to their skin. There was evidence that people are helped to stay healthy by having general health checks, flu vaccinations and other health screening. Each person has a medication profile that gives details about the medication that they take. The administration and recording of medication is well managed however the home needs to review the storage of medication to ensure that it complies with the latest guidance from the Royal Pharmaceutical Society of Great Britain. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a robust complaints procedure and good staff awareness and attitudes about how to keep people safe without restricting their lifestyle EVIDENCE: There have been no complaints or allegations about this home since the last inspection. Discussions with the manager demonstrated that she had an excellent understanding of both the complaints procedure and the locally agreed safeguarding adults procedure. The home’s complaints policy was looked at and staff showed a good understanding of what to do if someone did make a complaint. People said that they felt able to talk to the manager or to staff about anything they were not happy about. One person said “I know how to make a complaint.” Information about local advocacy schemes is available on the notice board in the dining room if people need to have someone help them with a particular issue. Staff showed a good knowledge of how to keep people safe whilst still ensuring that people were able to enjoy a full and active lifestyle for example people are Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 18 given support to understand any risks to their safety and the consequences of their behaviour on themselves and others. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 28, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Parvale House enjoy a safe, comfortable and homely place to live that is well maintained and decorated throughout. EVIDENCE: Parvale House is a large detached property. There is a communal lounge and dining room that are spacious and comfortable. People appear happy and relaxed within their home. The property has a homely feel throughout with pictures, ornaments and other personal touches. Everywhere seen was clean and well maintained and the décor and effects reflected the lifestyles of the people who live there. One person said “My home is always clean and fresh.” People have their own bedroom with an ensuite shower room. People are able to personalise their rooms with their own belongings and effects. The Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 20 bedrooms seen clearly reflected people’s individual tastes and personality. People said that they liked their bedrooms. Each person has a key to his or her own bedroom. The home is made safe for people to live in - for example there are the upstairs windows do not open very far to make sure that no one can fall out and there are covers on the radiators so people do not get burnt. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Suitably qualified and trained staff are provided in adequate numbers to ensure resident needs can be met. EVIDENCE: The manager told us that there was good morale among the staff that work at Parvale House. She said “I can’t speak highly enough of the staff. I have every confidence in them ” Staff spoken to said that all of the staff worked well together as a team. Records show that recruitment procedures are thorough and that checks are carried out on new employees to make sure that they are safe to work with people with learning disabilities. The manager described how the people who live at Parvale House will be involved in the recruitment of new staff in the future. People who want to work at Parvale House will be invited to the home to meet the people who live before they have their interview. This will give the Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 22 people who live there the chance to meet them and ask them any questions that they might have. The current staff team consists of six people with two people being on duty at any one time in addition to the manager. Staff spoken to confirmed that this was enough to meet the needs of the people who live at Parvale House. A bank of staff who are all familiar with the needs of the people in the home and who have received the same training covers any gaps on the rota. This ensures that even if the regular staff are not able to work the people who live at Parvale house can be confident that they will still have the right support. Records show that new staff have a very thorough induction when they start work. This includes some attending training courses, reading policies and guidelines and working alongside an experienced staff member. This is followed by an extensive programme of ongoing training including fire safety, moving and handling, safeguarding of adults, first aid, infection control, food hygiene, conflict management, health and safety and medication. Staff also have access to National Vocational Qualifications and Learning disability qualifications. All staff also receive training to tell them how to meet the specific needs of people with prader willi syndrome. One staff member said “we have had numerous talks from people from the Prader Willi Syndrome Association. This ensures that staff have the knowledge and skills to support people in the right way. Staff said that they felt supported by the manager and provider. Records show that people have a supervision meeting with their manager every eight week but staff said that they also discuss any thing that they need to as it comes up. Staff were observed talking to supporting people in a respectful way offering appropriate guidance, advice and support. People spoken to said that they were happy with the support that they received from staff. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate leadership, guidance and direction meaning that the home is well managed in the best interests of residents. EVIDENCE: The current manager of the home is in the process of being registered with the Commission for Social Care Inspection. She holds a National Vocational Qualification four in management and has a registered manager award. Discussions with the manager show that she has a good understanding of the needs and preferences of the people living at Parvale House. Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 24 The manager explained about all of the checks that she does to make sure that Parvale House provides a high quality service to the people who live there. This includes checking that key workers are keeping people’s care plans up to date and making sure that the property is well maintained hygienic and safe. People who live at Parvale House are given a questionnaire to fill in every year. The results of these questionnaires showed that people were very happy with the service they receive. The home has a yearly business plan, which identifies aims and priorities for the year, and a five year maintenance plan that ensures that the property is well decorated and maintained. The registered provider has recently carried out an audit at Parvale house where checks were made to make sure that the home met all of the requirements of the national minimum standards for care homes. The results of this audit are very favourable and show that the people who live at Parvale house benefit from a good quality service. Staff described Consensus Support Services, the registered owner, as “a well run organisation.” Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 4 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 4 25 X 26 4 27 X 28 4 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 3 4 X X 3 X Parvale House DS0000067628.V372686.R02.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 Refer to Standard YA15 YA20 Good Practice Recommendations The home should consider how it records that peoples consent to have a sexual relationship have been assessed. The home should review the storage of medication to ensure it complies with recent guidance from the Royal Pharmaceutical Society of Great Britain . Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Parvale House DS0000067628.V372686.R02.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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