Care Home: Rafael

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What the care home does well Additional mini reviews occur in addition to the required six monthly reviews. This ensures changing needs are quickly identified, recorded and made known to staff. People who use this service are weighed monthly if they agree to this. This ensures that the associated health issues are quickly identified and addressed. Although funding for holidays still needs to be provided by the placing authority, the home has ensured all the people have a holiday from the home`s own funds. The small size of the home facilitates staff and people who use this service knowing each other well and care therefore is only provided by staff that are well known to the people who use this service. The communal areas exceed the national minimum size standard. This provides more space for the people who use this service. The home meets the required 50% of staff with a NVQ2. In addition two staff are also undertaking the NVQ3. This will provide a better qualified workforce. What has improved since the last inspection? Care plans now contain all the elements required including social, cultural and religious needs. This insures social needs are also included in care planning. The assessment document has had its name changed from care plan to initial assessment for clarity and efficiency. The home has produced a policy that precludes staff involvement in assisting in the making of the wills of people who use the service. This is required so that only independent advocates are involved with wills and therefore affords better protection for the people who use the service. At least 50% of care staff now have a NVQ 2. This provides a better qualified workforce. The manager has completed the Registered Managers Award. This provides better qualified management. People who use the service now have access to relevant policies and procedures, and in an accessible format. e.g., access to files, complaints, etc. The manager has risk assessed the urgency of fitting a thermostatic mixer valves and as a result of this risk assessment, thermostatic mixer valves have now been fitted. This will help protect people who use the service from scalding. Risk assessments for planned restrictions of liberty or pre-planned restraints {locked doors etc}, have been completed. As a result of this risk assessment, the previous restrictions have been removed. This gives the people who use the service more freedom, within a risk assessment framework. What the care home could do better: The numerous care planning information documents should be condensed into one simple `care plan` form, stating all needs of a resident and how they are to be met. This is needed so that staff unfamiliar with the people who use the service can know all their needs and how to meet them quickly and efficiently.The section in the new Wills policy that allows staff to be the beneficiary of the wills of people who use the service must be removed. This is needed to better protect the finances of people who use the service. CARE HOME ADULTS 18-65 Rafael 172 Stanley Park Road Carshalton Beeches Surrey SM5 3JR Lead Inspector Barry Khabbazi Unannounced Inspection 11th September 2008 9:00 Rafael DS0000038904.V371365.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 Rafael DS0000038904.V371365.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. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rafael Address 172 Stanley Park Road Carshalton Beeches Surrey SM5 3JR 020 8296 1016 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) jan_farrar@hotmail.co.uk Angel Home Limited Mrs Janice Nichol Farrar Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 10th September 2007 Date of last inspection Brief Description of the Service: Rafael is a residential care home providing care for up to three adults between the ages 18 and 65 years in the category learning disability. There are currently three service users living at the home. The premises are on Stanley Park Road, which is busy through-route between Wallington and Sutton. It is within walking distance of local shops and transport links. It comprises three single bedrooms, a lounge, a dining room, kitchen, storeroom, bathroom, two toilets plus an office on the second floor. There is a large garden to the rear and a small front area with off-street parking for two cars. The three single bedrooms have been equipped and decorated to National Minimum Standards and include suitable furniture and fittings and décor, but no ensuite facilities. Fees start from £560. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating of the service is 2 star. This means the people who use this service generally experience Good outcomes. Only 2 minor shortfalls have been identified and these were not of a significant enough nature to affect the overall ‘good’ outcome rating for the service. This inspection was unannounced. As the people who use this service go out early in the day, the inspection started early to allow the people who use this service to be met and so involved in the inspection. The manager was interviewed, and records, policies, care plans, and the building were examined. The manager’s latest self-assessment {AQAA} was used to support findings in this inspection. However, many sections were not filled in and others were brief and so the AQAA information supporting this report is limited. The people who use this service told us they were happy at the home, liked their rooms and that the food was good. The people who use this service also told us about recent activities and trips. Staff were seen to be supportive and responsive to residents’ needs. What the service does well: Additional mini reviews occur in addition to the required six monthly reviews. This ensures changing needs are quickly identified, recorded and made known to staff. People who use this service are weighed monthly if they agree to this. This ensures that the associated health issues are quickly identified and addressed. Although funding for holidays still needs to be provided by the placing authority, the home has ensured all the people have a holiday from the home’s own funds. The small size of the home facilitates staff and people who use this service knowing each other well and care therefore is only provided by staff that are well known to the people who use this service. The communal areas exceed the national minimum size standard. This provides more space for the people who use this service. The home meets the required 50 of staff with a NVQ2. In addition two staff are also undertaking the NVQ3. This will provide a better qualified workforce. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The numerous care planning information documents should be condensed into one simple ‘care plan’ form, stating all needs of a resident and how they are to be met. This is needed so that staff unfamiliar with the people who use the service can know all their needs and how to meet them quickly and efficiently. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 7 The section in the new Wills policy that allows staff to be the beneficiary of the wills of people who use the service must be removed. This is needed to better protect the finances of people who use the service. 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. Rafael DS0000038904.V371365.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 Rafael DS0000038904.V371365.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): Standard 2: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who want to live at this home can be confident that their needs and aspirations will be assessed and recorded so that they can be met by the home. EVIDENCE: Standard 2 was assessed as met at previous inspections. The home has not had a new admission since the last inspection. A completely new placement will need to be made before Standard 2 can be fully re-assessed. It was therefore not possible to re-assess Standard 2 at this time. However, it was met at the last inspection and therefore currently remains met. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 6, 7, and 9: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The needs and changing needs of people who use this service are assessed and recorded so that staff know and can therefore meet these needs. However, the information is recorded over a number of documents and could be difficult for new staff to find. People who use this service are supported to make decisions about their lives, to maximise their independence and choices. People who use this service are consulted on and participate in all areas of life at the home. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 11 EVIDENCE: The last inspection report contained a requirement for care plans to contain all the elements required. The AQAA stated this had occurred and we saw at this inspection that the care planning documents now had the religious, cultural and social needs added to them. This requirement is now therefore met. The last inspection report also contained the following recommendation: The numerous care planning information documents should be condensed into one simple ‘care plan’ form stating all needs of a resident and how they are to be met. This was recommended because it would be difficult for a new member of staff to find all the care planning information quickly and efficiently in its current form, spread over many files and documents. This has not occurred and therefore reduces the positive impact of now having all the needs recorded. The recommendation is therefore remains. The numerous care planning information documents should be condensed into one simple ‘care plan’ form stating all needs of people who use the service and how they are to be met. It has been noted that as this is a small home, staff should therefore already know people and their needs. This shortfall may therefore not currently have a negative impact on people who use the service unless new or agency staff are used. The last inspection report contained a recommendation for the initial assessment document to have its name changed from care plan to initial assessment for clarity and efficiency. We saw that this had occurred in files sampled. This recommendation is therefore now met. We also saw at this inspection that new person centred plans were also now available. This will help care needs to be recorded from the perspective of those who receive the care. The last inspection report contained the following requirement: For any pre-planned restrictions of liberty or pre-planned restraints {cot sides, locked doors etc}, risk assessments must contain all the information required under Standard 9.4, and in particular, details of how training and other options have been explored and the involvement of relatives or independent advocates. The service’s AQAA confirmed that this had now occurred. We also saw that the risk assessments had been done, and as a result of this process the restrictions previously imposed on people who use this service have now been removed. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12, 13, 15, 16, and 17: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use this service receive sufficient access to activities to maintain a stimulating life. People who use this service are regularly participating in the local community, with the aim of maximum integration and challenging discrimination. People who use this service are supported in maintaining appropriate relationships, so that their social lives are maximised within chosen boundaries. The daily routines and house rules do generally promote the rights of people who use this service, to ensure equality and that all rights are enjoyed by all. Dietary needs are catered for and a balanced diet is provided, to ensure health and enjoyment of food. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 13 EVIDENCE: The people who use this service have the opportunity to attend religious services if they wish. The local community is well used. The local parks, cafes, cinema, pubs, libraries, bowling alley, and shops are accessed. One person talked positively about activities and trips and said that they had recently been dancing and bowling. The last inspection report contained the following recommendation: Each service user should be offered a seven-day holiday paid for by the placing authority, as part of the contracted price. This has not been achieved yet. Good practice identified at this inspection: Although funding for holidays still needs to be provided by the placing authority, the home has ensured all the people who use this service have a holiday from the home’s own funds. The house rules and daily routines are as flexible as possible, bearing in mind the weekday commitments. The people who use this service are encouraged to be as independent as possible and participate in cleaning their rooms and cooking as well as choosing meals and trips. Confidence is currently developed by providing a safe environment, building trust through appropriate support and safety, and through community access. The people who use this service are supported in maintaining appropriate relationships, so that their social lives are maximised within chosen boundaries. The AQAA told us that where necessary and appropriate, health advice and privacy are provided. We also saw that this was the case in records sampled at this inspection. The people who use this service are encouraged to choose the menus on offer and to help out with cooking. On the second day of the last inspection one person was observed to be sensitively supported in making a rhubarb crumble for the evening meal. At this inspection one person said they like the food and were involved in cooking. Meals can be taken in the kitchen or dining room, both have room for all to be seated. Additional drinks and snacks are available at any time. We have seen that menus were varied and alternatives are provided for those who did not want the main dish on offer. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18, 19, 20: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Personal care needs and physical and emotional health needs are met well by this home. This ensures that the physical and emotional health of people who use this service is well maintained and therefore the quality of life experienced is also maximised. Medication is also well managed to ensure maximised good health. EVIDENCE: Personal care is provided in private, and timings of this are also flexible, for example residents can have a bath when they are not booked in for this and we have seen people not being discouraged from taking their time when eating. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 15 We saw that person centred plans are now in place which record needs and goals form the persons own perspective. We saw that the people who use this service are registered with a local G.P. They are able to access community health facilities such as opticians, chiropodist and district nurses as required. People are supported to attend outpatient appointments and other medical appointments as required. The home has a copy of the British Medical Association guide to medication in place. We saw that medication profiles and clear medication administration record sheets were available in records sampled and that medication is kept securely in a locked metal cabinet. The staff team have received training on medication and epilepsy. The home has a policy and procedure in place for the receipt, recording, storage, handling, administration and disposal of medication. All medication records were complete at the time of the inspection. Good practice identified: People who use this service are weighed monthly if they agree to this. This ensures that the associated health issues are quickly identified and addressed. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 22 and 23: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The home manages complaints well so that people feel their concerns are listened to, and the complaints procedure is now more accessible. Although a minor amendment is needed to the new Wills Policy, the home’s policies and procedures relevant to this Standard currently promote protecting residents from abuse. EVIDENCE: There have been no complaints since the last inspection. The complaints procedure was clear and contained all of the elements required. The AQAA told us that the complaints procedure had also now been put into pictorial format. The last inspection report contained the following requirement: The home’s policies and practices must preclude staff involvement in assisting in the making of or benefiting from service users’ wills. The AQAA told us that a new policy had been written and we saw at this inspection that this was the case. However, this policy did give limited permission for a member of staff to benefit from a person’s will. The following new requirement is now therefore set to address the new shortfall: The section in the new Wills Policy that allows staff to be the beneficiary of the will of people who use the service must be removed. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 17 We saw that home has a copy of the local authority Adult Protection Policy on site. The staff team have attended training on adult protection issues and a record of this is kept on their files. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 18 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): Standard 24 and 30: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The environment and furniture generally met the needs of the people who use this service, and the environment promotes the their well being. The home is particularly hygienic and clean, homely and comfortable. This environment therefore facilitates the health and emotional well-being of the people who live there. EVIDENCE: The building and facilities are generally suitable for this group of residents. Good practice identified at this inspection: The small size of the home facilitates staff and people who use the service knowing each other well, and care therefore is only provided by staff that are well known to the residents. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 19 Good practice identified at this inspection: The communal areas exceed the national minimum size standard. This provides more space for the people who use this home. As with the last inspection we saw that the building was clean and tidy and rooms were generally free of offensive odours. The home gave the impression of a clean and hygienic home. The home has policies covering the disposal of clinical waste, control of infection, use of cleaning materials, storage and preparation of food, and dealing with spillages. Laundry facilities have easily cleanable non-permeable floors and easily cleanable walls. Washing machines have appropriate programmes over 65 degrees to control risk of infection and one has a sluicing facility. The laundry room had an extractor fan and natural ventilation. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 20 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): Standard 32, 34, and 35: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use this service are supported by appropriately qualified staff, which raises the quality of staff and their practices. The home’s recruitment procedures protect the people who use this service through vigorous staff vetting. Staff receive induction training to national training sector specifications. This ensures a better inducted staff team. EVIDENCE: The last inspection report contained the following requirement: At least 50 of care staff must have a NVQ 2. We saw that by the time of this inspection this target had been achieved. In addition two staff are now also doing the NVQ3. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 21 We saw that staff file are kept securely on site and were available for inspection. This includes CRB checks, references and records of staff disciplinary action. These were inspected and were in order. An initial induction is provided for all staff from their starting date. We saw that the new staff member had undergone the required induction and foundation training to national training organisation specifications and targets. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 22 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): Standard 37, 39, and 42: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The home is managed by an experienced and well qualified manager who ensures a quality service. There is a quality assurance system, which involves the people who use this service and provides a way for them to measure improvements in quality for themselves. The home promotes the health and safety of the people who use this service, so that practices and the environment do not place their health and safety at risk. EVIDENCE: Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 23 The manager has management experience and as required in the last inspection report has completed the Registered Managers Award. The last inspection report contained the following requirement: Service users must have access to relevant policies and procedures, and in an accessible format. For example, access to files, and money management policies. The AQAA told us that these policies had been transferred to pictorial formats. We also saw that this was the case at this inspection. The home has the required Quality Assurance tools which are structured into a Quality Assurance system that makes the service users central to the process. Inspection reports, service manager inspections, complaints, residents’ meetings, and relative and service user questionnaires are used to gather Quality Assurance information. The home also ensures that the annual development plan is influenced by the above information gathering tools, and that where relevant information from these tools is included in the annual development plan. This is then made open to the people who use the service, to allow measurement of achievement in improving quality. We saw that all of the health and safety policies and procedures relevant to this standard were seen to be present. Moving and Handling, Fire Safety, First Aid, Food Hygiene, Infection Control, and Handling and Disposal of Clinical Waste policies are all also included in staff induction. We saw that the testing of systems required were also present and inspected. These included fire fighting equipment testing, emergency lighting, Portable Appliance Testing, Boiler and gas testing. An asbestos survey had occurred in line with the current asbestos at work regulations. The last inspection report contained the following requirement: The manager must risk assess the urgency of fitting a thermostatic mixer valves and implement the findings of the risk assessment. The AQAA told us that this had occurred and we also saw at this inspection that this was the case. In addition the result of the risk assessment had been implemented and thermostatic mixer valves are now fitted in the home. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 24 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 2 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 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 25 no Are there any outstanding requirements from the last inspection? 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 YA23 Regulation 121a Requirement The section in the new Wills policy that allows staff to be the beneficiary of the will of people who use the service must be removed. Timescale for action 01/11/08 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 YA14 YA6 Good Practice Recommendations Each service user should be offered a seven-day holiday paid for by the placing authority, as part of the contracted price. The numerous care planning information documents should be condensed into one simple ‘care plan’ form stating all needs of a resident and how they are to be met. Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Rafael DS0000038904.V371365.R02.S.doc Version 5.2 Page 27 - 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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