Care Home: Priory Egerton Road

What the care home does well The atmosphere within the home was calm and relaxed although people were busy. People are supported to continue hobbies and interests and also have responsibilities within the home for cooking, cleaning and laundry. The admission process is well planned over a period of time to ensure the home has as much information as possible before making a decision they can meet someone`s needs. People`s individual needs and the support they require are detailed in care plans so that staff are able to deliver support in a consistent way. The home has access to health professionals who work closely with a committed staff team. What has improved since the last inspection? Not applicable as first inspection under new registration What the care home could do better: People could be better protected with more robust recruitment processes. To ensure the safety of people that live and work in the home a periodical electrical wiring test must be carried out so a valid certificate is in place. CARE HOME ADULTS 18-65 Priory Egerton Road Bexhill-on-sea East Sussex TN39 3HH Lead Inspector Sally Gill Unannounced Inspection 4 August 2008 09:25 th Priory Egerton Road DS0000071599.V367650.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 Priory Egerton Road DS0000071599.V367650.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. Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Egerton Road Address Bexhill-on-sea East Sussex TN39 3HH 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) 01372 860400 Priory Education Services Ltd Mrs Marsha Elizabeth Langley Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0) of places Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Mental disorder, excluding learning disability or dementia (MD) The maximum number of service users to be accommodated is eleven (11). N/A Date of last inspection Brief Description of the Service: Priory Egerton Road is registered to provide accommodation for up to 11 adults with an acquired brain injury. The owners own several residential homes around the country. Mrs Marsha Langley is the registered manager and is in day-to-day control of the home. The premise is a detached property with a separate annex. The property has a secure patio garden with tables, chairs and a barbecue to the side and additional hard standing for two vehicles. There are established shrubs to the front of the house. In the main property accommodation is on three floors. All bedrooms are singles and are situated over the three floors. One bedroom on the ground floor has an ensuite. People have the use of two bathrooms and two shower rooms. The home has a spacious lounge, separate dining room and smoking room. The home is not suitable for wheelchair users. The separate annex (bed/sitting room, kitchen and shower room) can accommodate one of the eleven adults. The purpose of the annex is to accommodate a person who can function with a lesser degree of support. The home also offers outreach to two people who live independently in the community. Both people have previously been resident at Priory Egerton Road. The home is situated next to a park, close to the seafront and about seven minutes walk from the town centre with all its amenities, shops and railway station. There is limited on street parking in the streets outside. The staff compliment consists of a manager, deputy, senior support workers, Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 5 support workers and an administrator. The home has access to the organisations psychology team. Care staff’ work a rota that includes a minimum of three staff on duty during the day and two at night (one of which is a sleep in). Current fees range from £200.00 per day to £220.00 per day. The first six weeks of a person stay is classed as an assessment period and the higher fee would be charged after which it would be reviewed an may be reduced. Additional charges are made for toiletries, hairdressing and magazines. Previous inspection reports are available from the home or can be viewed and downloaded from www.csci.org.uk Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This is the first key inspection carried out under a new registration although the home was previously registered. The inspection was carried out over a period of time and concluded with an unannounced visit to the home between 09.25am and 6.45pm. The manager and staff assisted during the visit. People that live in the home and staff were spoken to. Observations were made throughout the day. Eight people were living at the home on the day of the visit. Surveys were sent to the home for the manager to distribute to residents and health and social care professionals. Three were returned from services users, which was generally positive about the support provided. The care of people was tracked to help gain evidence as to what its like to live at Priory Egerton Road. Various records were viewed during the inspection and a part tour of the home undertaken. The home was not sent their annual quality assurance assessment (AQAA) by the Commission. This was discussed at the visit and the manager agreed to download the document and complete it. The timescale for completing the AQAA is 28 days, which is after writing this report. The AQAA is a selfassessment a picture of how the manager thinks they are doing against the national standards. The quality rating for this service is 2star. This means that the people who use this service experience good quality outcomes. What the service does well: What has improved since the last inspection? Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 7 Not applicable as first inspection under new registration 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. Priory Egerton Road DS0000071599.V367650.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 Priory Egerton Road DS0000071599.V367650.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 & 4 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have the information and opportunities required in order to make a decision as to whether this home is right for them and can meet their assessed needs before moving in. EVIDENCE: People have access to detailed information in order to help make a decision as to whether this home is right for them. The home has a statement of purpose and service user guide. In addition a brochure is also sent to people. People receive a copy of the service user guide after a decision is made that the home is able to meet the prospective person needs. People confirmed they that they were consulted about moving into the home although some felt they had not had sufficient information prior to moving in. People have their needs assessed prior to admission. People confirmed that staff had visited them from the home in their previous environment before moving in. The manager described a thorough admission process, which includes obtaining information from professionals involved in peoples care, attending reviews and discharge meetings as well as undertaking their own assessment. This is done over a short stay period of three days and two Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 10 nights spent at the home. During this time the homes psychology team undertake assessments as do staff and the manager. All recent assessments are held on people’s files. The manager advised that old assessments have been archived. The manager advised that the first six weeks is also now used as a further an assessment period and this is reflected in the fee for that period. People are able to visit the home to get a taste before moving in. During the inspection visit one person was having lunch at the home as part of their introduction. They were made to feel welcome given a tour of the home, had lunch with everyone and were able to spending time talking to people at the home. Others also confirmed that they and their families visited the home prior to moving in. Priory Egerton Road DS0000071599.V367650.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Individual are involved in decisions about their lives, play an active role in planning the care and support they receive. EVIDENCE: People individual needs and personal goals are reflected in their care plan. Three care plans were examined. Care plans contained a variety of detailed information for staff to follow in order to meet people’s individual needs. Goals have been agreed with each person and these are also recorded in the care plan together with information on how they are to be met. Care plans were evidenced as reviewed and up to date. People confirmed that they were aware of their care plans and staff discussed the content with them although there was no evidence of this within the care plan. Formal reviews with professionals are held at least annually. The homes psychology team as well as staff prepare reports in advance. Notes of reviews were examined. Some actions decided at reviews had not been followed through into the care plan so Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 12 could not be tracked. The manager was able to give a verbal account. The home should be sure that decisions taken at the reviews are followed through into care plans in order that these can be tracked. People feel they are generally able to make decisions about their day-to-day lives. One person spoken to felt they were very much able to have a say in what happens in the home. Others opinions were mixed from usually and sometimes able to and another felt they were not able to. Where people are subject restrictions following an assessment this is detailed in their care plans. People confirmed that residents meetings are held monthly where they are able to voice their views. Following discussions at a resident meeting a suggestions board has now been fitted in the dining room. People are supported to take appropriate risks as part of an independent lifestyle. Risk assessments are recorded. Actions by staff to minimise risks were detailed in the risk assessment. Risk assessments are regularly reviewed. Priory Egerton Road DS0000071599.V367650.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, 14, 15, 16 & 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual expectations. EVIDENCE: People have opportunities for leisure, educational and work and to get out and about in the community. Each person has an individual programme of activities in place, which reflect their interests and hobbies. People talked about voluntary jobs they have and are enjoyed such as working with cars and animals. People are encouraged to progress their reading, writing and budgeting skills as part of working towards greater independence. People also attend a local day centre each week and some attend college. Leisure activities include relaxation sessions, kickboxing, pub, gym, puzzles and board games, television including sky, music, computers and computer games, Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 14 bingo, local cafes, ten-pin bowling and swimming. An art therapist comes to the home one evening every other week. There are also opportunities for trips out into the town as well as day trips. People confirmed recent trips have been a trip to the London Eye, Rye Harbour for a drive and also at the weekend people went to a sister homes barbecue where there was a band playing. People are able to practice their faith and religions if they chose. The manager advised that the home support one person in their diet according to their faith and their family also support them to participate in their religious beliefs. People have appropriate personal and family relationships. The home encourages people to maintain contact with family and friends. People are welcomed to visit the home and on the day of the visit one family was visiting. People are also able to stay in contact through use of the phone and email. People talked about how they enjoyed regular visits to stay over with their families. People have responsibilities in their daily lives within the home. People confirmed that they are responsible for cleaning their rooms and doing their laundry. They also each week plan, shop and cook a meal for themselves as part of great independence. The manger advised that some people have a key to their bedroom door other chose not to. Staff’ were observed to interact well with people sometimes with the use of good humour. People enjoy their meals and have a varied menu to choose from. A four weekly menu is in place. For the main meal served in the evening there are two choices and a jacket potato alternative followed by a desert. Lunch is sandwiches or a light meal usually made by each person. Breakfast is cereals and toast. The manager advised the menus changed about four times a year. Special diets are catered for. People confirmed that they have a say in what’s on the menu and the food is good. Lunch on the day of the visit was relaxed and enjoyable. Priory Egerton Road DS0000071599.V367650.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of privacy, dignity and respect are put into practice. EVIDENCE: People are supported to aid their independence. People maintain their own personal hygiene although may require prompting to actually do this from staff. People were dressed individually reflecting their personalities. A key worker system is in place although one person said they were not happy with their key worker. They were advised to discuss this with the manager. A call bell system has been installed since the last inspection. The manager advised that one person’s abilities had deteriorated and for staff safety it was now considered an asset. People confirmed they felt staff treated them well and their privacy and dignity is respected. People have access to specialist advice and support where necessary to meet their complex health needs. The home has their own psychology team that work closely with people and the staff team. People use various communication aids such as communication boards and gestures. However Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 16 the manager advised that recently an occupational therapist has introduced sequencing, which has been successful in aiding communication. People and records confirmed that they have access to regular health check ups such as doctors, nurse and the dentist and other more specialists such as out patients, physiotherapist and dietician. Any concerns are highlighted and referred appropriately. Medication procedures and systems are safe. The manager advised that currently no one is self-medicating and staff administer all medication. Staff’ that give medication have received and also have their competency in administration checked. Medication is stored securely and temperatures are regularly monitored. The Medication Administration Records (MAR) charts were examined. These showed medication is logged into the home and signatures and codes are used appropriately. For good practice handwritten entries on the MAR charts should be dated, signed and witnessed. Priory Egerton Road DS0000071599.V367650.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and are protected from abuse. EVIDENCE: People feel their views are listened to and acted on. Most people confirmed they would be happy to speak to staff about complaints or concerns others would talk to families. Records showed that the home has received one formal complaint from a staff member, which was dealt with under the grievance procedures. Three informal complaints were received from people that live in the home. Records and discussions confirmed that all complaints were investigated and resolved or action taken. The one formal complaint was unsubstantiated. People are protected from abuse. There have been no safeguarding alerts raised since the last inspection. The home has policies and procedures in place for dealing with safeguarding concerns. Staff’ have received training in safeguarding adults. Discussions confirmed staff’ were aware of the routes to report any abuse both internally and externally. The home holds small amounts of savings for people and these were examined. Records and balances confirmed procedures are safe. It is suggested that where possible people sign to say they have received their money rather than two staff signatures. Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 18 Priory Egerton Road DS0000071599.V367650.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a home, which is safe, comfortable, clean and pleasant. EVIDENCE: People live in a clean, safe, comfortable and homely environment. A part tour of the home was undertaken. The manager has an ongoing refurbishment plan in place. Since the last inspection all the lighting has been upgraded to more domestic type lighting. A call bell system has been fitted in the home. A new tumble dryer has been purchased. A commercial dishwasher fitted in the kitchen. The homes annex, which is used for one person who is ready for more independent living, has been refurbished to make better use of the space for the person living there. A new extractor fan has been fitted in the smoking room. A shower room was out of action at the time of the inspection. The manager advised she is obtaining quotes to replace the toilet and shower unit. She also has plans to change the enclosed patio area to include a small garden Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 20 patch, as some people are interested in gardening, improve the laundry and refurbish the bathrooms. People confirmed that they were happy with their rooms, which were individual and personalised. People have a clean and hygienic home. On the day of the inspection the home was clean and free from any unpleasant odours. People said the home is always or usually clean and fresh. Priory Egerton Road DS0000071599.V367650.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 & 36 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. Recruitment processes could better protect people. EVIDENCE: People could be better protected with more robust recruitment procedures. Three staff files were examined. All had completed an application form and two references had been obtained. On one application form a gap in employment had not been checked out and a record of the explanation made. On another file a reference had not been obtained from the last employer. All staff had a Criminal Records Bureau (CRB) check in place. However one person had been allowed to start work in the home without this or a Protection of Vulnerable Adults (POVA) check being in place. The home is reminded that CRB checks are not portable. A requirement is made to address the above. Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 22 A trained staff team support people. Staff advised that all staff’ undertake an induction training course to Skills for Care specification. As part of their induction they undertake shadow shifts with experienced members of staff and their practice is signed off only when a senior support worker feels they are competent. Staff’ are also trained mandatory subjects such as fire, first aid, food hygiene, moving and handling and infection control. In addition staff’ are trained in managing aggression, breakaway techniques and control and restraint which is updated. Staff’ are supported but formal supervision is not always within the recommended timescales. Records and discussions confirmed that some staff’ are not receiving formal supervision in line with good practice of six times per year. The manager was aware of this and staff had either received supervision recently or had a date booked. Staff spoken to feel well supported. Priory Egerton Road DS0000071599.V367650.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. It has quality assurance systems some of which could better evidence peoples views have been listened to. People’s health, safety and welfare are generally protected. EVIDENCE: People benefit from a well run home. The manager has several years experience working within the home and has a wealth of knowledge and experience working with this client group. She has completed her NVQ level 4 in care and her Registered Managers Award (RMA). Staff spoke highly of the manager. Comments included she is a good manager, she wants the best for Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 24 the house and service users, she works hard and she listens and deals with things. People’s views underpin the running of the home although this could be better evidenced. Surveys are sent out to people that live in the home and also relatives. Records and discussions confirmed that where points have been raised feedback includes actions taken management. The last visit to the home required by legislation was examined. This focused entirely on staffing standards. The report did not evidence that the regulation had been met in full. For example it was not recorded that people had been interviewed, the premises had been checked or that any record of events and complaints had been examined. The manager advised that people would have been spoken to. A requirement is not made at this time. People’s health, welfare and safety are generally protected. Recent accident/incident reports were examined. Accidents were recorded appropriately and required no further investigation. A health and safety audit was undertaken on 30/07/08 and the home is awaiting a report. Records showed that action has been taken on issues raised at the previous audit. Records showed that most servicing and maintenance were up to date. However the periodical electrical wiring test is considerable over due. A requirement is made. A fire risk assessment is in place. All fire equipment has been serviced within required timescales. A fire drill was held on 23/07/08. As previous mentioned staff’ receive training in mandatory subjects. Staff’ are trained in fire, first aid, food hygiene, moving and handling and infection control. Further food hygiene is underway. Further training is booked for fire and first aid. Further training is required for moving and handling and the manager is aware of this and is waiting dates. Therefore a requirement has not been made at this time. Priory Egerton Road DS0000071599.V367650.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 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 3 36 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 Requirement The registered person shall operate a robust recruitment procedure. In particular Obtain a written reference from the current or if not applicable the last employer Explore gaps in employment history and record a satisfactory written explanation Staff must work in the home in line with DOH guidance in relation to CRB and POVA 1st checks 2 YA42 23(2)(b) The registered person shall have 05/10/08 a valid electrical wiring certificate for the home and annex Timescale for action 11/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 27 No. Refer to Standard Good Practice Recommendations Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Priory Egerton Road DS0000071599.V367650.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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