Care Home: Redmayne House

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What the care home does well The home works well with other agencies and professionals to make sure people`s needs are assessed and an appropriate service provided. Aids and adaptations are in place to promote and support people`s independence. Person centred care plans record in detail individual needs and preferences with some of them being produced with photographs making them more meaningful to people and easier for them to understand. These have been reviewed on a regular basis and updated to make sure changing needs are recorded. Each person also has a health action plan in place to record all health interventions and appointments to ensure healthcare needs are being monitored and responded to. There are a good range of risk assessments to keep people safe at all times, with staff supporting people with positive risk taking to enable them to experience new activities and increase their life experiences. Staff feel valued by the management and have regular staff meetings that give people a chance to contribute to the running of the home and the maintenance of a consistent service.Activities are planned based on people`s needs and preferences and are regularly evaluated to make sure they are still suitable. Annual holidays are planned with people on an individual basis and have proved very popular. Staff are well trained including core skills training and more specialist courses which gives them the skills and knowledge for their role. The environment is decorated, furnished and maintained to a good standard and provides a comfortable and safe place to live. Aids and adaptations are provided to promote an independent lifestyle both in the home and in the local community. The recruitment procedures make sure staff are safe and suitable for the role. They receive regular supervision and get good support from the management team including regular staff meetings where they can share information and review their practice. What has improved since the last inspection? The introduction of person centred care plans and approaches ensure people receive appropriate support to lead independent lives. These are kept under review making sure they are up to date. There has been a change in staff attitudes after input from the psychologist, which has helped staff to respond to individual`s needs and personal preferences. CARE HOME ADULTS 18-65 Redmayne House Redmayne Close Off Station Road Wigton Cumbria CA7 9AF Lead Inspector Ray Mowat Unannounced Inspection 1st September 2008 09:00 01/09/08 Redmayne House DS0000022576.V370757.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 Redmayne House DS0000022576.V370757.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. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redmayne House Address Redmayne Close Off Station Road Wigton Cumbria CA7 9AF 016973 49313 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) redmaynehouse@c-i-c.co.uk www.c-i-c.co.uk. Community Integrated Care Manager post vacant Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 sevice users to include: up to 5 service users in the category of (LD) (Learning disabilities under 65 years of age) 1 named service user in the category of LD(E) (Learning disabilities over 65 years of age) may be accommodated within the overall number of registered places. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 11th August 2006 2. Date of last inspection Brief Description of the Service: Community Integrated Care provides the services and care at Redmayne House for five people who have a learning disability. The home is a detached bungalow in a quiet cul-de-sac close to the town centre of Wigton. There is ramped access to the front and side of the home which is accessible throughout. The home is comprised of a lounge, dining room, kitchen, bathroom with toilet, walk-in shower room and toilet, laundry/utility area and separate office. There are five single occupancy bedrooms with en suite facilities. There is an enclosed garden area to the rear of the building with a patio area with seating. Car parking facilities are available to the front of the home. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection visit took place over one day. We (Commission for Social Care Inspection, CSCI) spent time with people staying in the home. We also met with the staff on duty and looked at records relating to the running of the service and how people like to be supported to live their lives. We also sent out surveys as part of this inspection to get feedback from people living in the home, staff and other professionals involved with the home. Before the visit the manager completed an Annual Quality Assurance Assessment (AQAA), which provided information about all aspects of the running of the service. This included a self-assessment against the National Minimum Standards (NMS) recording what the home does well, what has improved and plans for the future. It also included information about policies and procedures, health and safety and information about the people living and working there. What the service does well: The home works well with other agencies and professionals to make sure people’s needs are assessed and an appropriate service provided. Aids and adaptations are in place to promote and support people’s independence. Person centred care plans record in detail individual needs and preferences with some of them being produced with photographs making them more meaningful to people and easier for them to understand. These have been reviewed on a regular basis and updated to make sure changing needs are recorded. Each person also has a health action plan in place to record all health interventions and appointments to ensure healthcare needs are being monitored and responded to. There are a good range of risk assessments to keep people safe at all times, with staff supporting people with positive risk taking to enable them to experience new activities and increase their life experiences. Staff feel valued by the management and have regular staff meetings that give people a chance to contribute to the running of the home and the maintenance of a consistent service. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 6 Activities are planned based on people’s needs and preferences and are regularly evaluated to make sure they are still suitable. Annual holidays are planned with people on an individual basis and have proved very popular. Staff are well trained including core skills training and more specialist courses which gives them the skills and knowledge for their role. The environment is decorated, furnished and maintained to a good standard and provides a comfortable and safe place to live. Aids and adaptations are provided to promote an independent lifestyle both in the home and in the local community. The recruitment procedures make sure staff are safe and suitable for the role. They receive regular supervision and get good support from the management team including regular staff meetings where they can share information and review their practice. What has improved since the last inspection? What they could do better: The manager should ensure all staff receive an annual appraisal to review their performance and agree personal development targets for the year. The manager should register with the Commission as soon as possible. How the managers hours are deployed in the home should be reviewed to ensure they have sufficient supernumery time to complete managerial administrative tasks. The home should review their fire risk assessment in line with recent changes to the fire regulations to maintain the safety of the home. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 7 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. Redmayne House DS0000022576.V370757.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 Redmayne House DS0000022576.V370757.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): 2, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sound systems in place to ensure people’s needs are assessed on an ongoing basis and the home is able to provide a suitable service. EVIDENCE: There have been no new admissions to the home since the last inspection, however a reassessment of one person was taking place with a view to identifying a more suitable living environment. The home has worked closely with other professionals throughout this process to ensure the person’s individual needs and personal preferences were being acknowledged and respected. As one member of staff described, “people have individual packages of care, we offer different choices and don’t treat everyone the same”. The home has produced comprehensive assessments and care plans, which are being developed with a more person centred approach, to reflect very individual and specialist needs and make sure that peoples views and opinions about all aspects of their care are listened to and responded to. Detailed records are maintained about all aspects of people’s personal and healthcare needs. These have been kept under regular review and updated to accurately reflect personal needs and preferences and any changes to the care and support required. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 10 Staff receive a good range of both core skills training and specialist courses to support and guide good practice and ensure staff are both competent and knowledgeable in their role. People living in the home and their representatives are given suitable information about the running of the home including a contract of terms and conditions which they sign and agree. Redmayne House DS0000022576.V370757.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, 8, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans ensure people’s needs and personal preferences are recorded and responded to and they are supported and encouraged to lead an independent lifestyle. EVIDENCE: Detailed person centred care plans have been developed for the people living in the home that provide staff with valuable information about personal needs and idiosyncrasies, enabling them to provide a personalised service. This style of care plan is particularly useful for people with very limited verbal communication skills. Detailed strategies and guidance have been developed, with input from other professionals, such as the Psychologist and behaviour team, which enables staff to deliver a consistent service that maximises a person’s independence. These include preferred daily routines about all aspects of a person’s lifestyle such as how they like to get up in a morning, how they like to spend their leisure time and how to support them with personal care tasks. There is a real commitment from the manager and staff Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 12 to ensure people’s care plans reflect their personality and preferences and are therefore meaningful to them. Staff said “care plans are always changing, we offer different things then we know what people like”. The home has good systems in place to ensure people are supported to take risks in their lives whilst ensuring they and the staff supporting them are safeguarded. The staff have received input from the Clinical Psychologist to ensure they are “open to listening” to what people want rather than a “we know best attitude”, which can stifle personal growth and development. This approach supports staff to promote people’s independence by offering choice in their lives both in the home environment and in the local community. Redmayne House DS0000022576.V370757.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): 11, 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. The staff team work hard to support people to pursue their hobbies and interests both in the home and in the local community. EVIDENCE: Only one of the people living in the home attends the local day service, Monday to Friday each week. The other people enjoy pursuing their individual hobbies and interests with support from staff. What the staff called ‘activity days’ are planned each week for individuals enabling them to have some oneto-one time with staff away from the home environment. On other days they will be supported with activities in the home or in the local community, which could be on an individual basis or in small groups. Two of the people are effectively retired and are able to enjoy a sedentary lifestyle of their choosing. The person centred plans provide valuable information for staff relating to hobbies and interests and information about other aspects of people’s lives such as ‘how I relax’ and ‘how I communicate Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 14 my needs’. These ensure a continuity of care is maintained which is so important to people. All the people living in the home enjoy an annual holiday with support from staff. Holiday choices are made with people based on previous experiences and what works well for them and they enjoy. These have proved very successful and something people look forward to and get a lot of enjoyment from. This is not to the exclusion of people trying new experiences, which happened recently when two people enjoyed an activity weekend involving various outdoor education activities. This had a big impact on the people and the staff who supported them, who said that “they now see people in a different light and would not underestimate them”. People also enjoy everyday activities such as going out for walks, visiting the shops or cafes, social clubs, swimming and visiting the hairdressers. Meals and menus are very flexible and based on individual likes and dislikes. A four week rolling menu has been produced, which provides a good selection of nutritious food choices with suitable alternatives provided if required. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are being monitored and recorded and kept under review to ensure individual needs are met. EVIDENCE: Staff support people to access relevant health services including specialist input as well as routine health appointments with their GP or other professionals. Health records are maintained for all the people in the home documenting all interventions and appointments. The home works closely with a number of health professionals on an ongoing basis to ensure specialist needs are assessed and responded to appropriately. This includes the development of specific strategies to guide and support staff in providing a needs led and consistent service. All the records examined on this visit were up to date and reflected people’s needs. The home has appropriate policies and procedures regarding the safe management and administration of medication. Medication training has been provided for staff in addition to twice yearly competence checks carried out by the manager or supervisor. We checked the MAR (medication administration charts) charts against the stock held and found these to be up to date and Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 16 accurate. All medication is checked three times a day at the end of a medication round, which ensures errors are identified at the earliest opportunity. In addition PRN (when required) medication is checked and signed for by staff at the end of each shift. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good procedures in place that support and guide staff to ensure people are safeguarded and their views are heard. EVIDENCE: The home’s complaints policy and procedure is displayed in the home and issued to all the people living there or their representative. The policy and procedures follow good practice and make sure concerns or complaints are recorded and responded to in a timely manner. Both the manager and supervisor have completed the local authority facilitators course to enable them to deliver Adult Protection training for the care staff. All the current staff group have completed training and refresher courses are now planned. Staff have also received crisis prevention training on an annual basis, which makes sure they are able to respond appropriately when people exhibit violent or challenging behaviour toward them. The manager has also completed mental capacity act training, which has been cascaded to the staff team at team meetings. Staff are encouraged to bring issues or concerns regarding capacity to the team meetings to ensure they are all aware of the issues and the support available. The home is currently liaising with the IMCA to support a person with a major life decision, which is good practice. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 18 Some detailed work had taken place with individuals, with staff recording how they respond in different situations to try and improve their understanding about what motivates the person and their likes and dislikes. This has resulted in the staff team working more consistently with people’s wishes and choices being respected. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. On the whole Redmayne House is furnished and decorated to a good standard providing people with a safe, well maintained and comfortable home. EVIDENCE: There has been an ongoing programme of repairs and redecoration that has maintained the home to a good standard. All the bedrooms were tastefully decorated to suit the tastes of the people living there. They had their own possessions around them including personal items such as a CD player and television and family photographs and pictures, which gave each room a homely feel. The lounge has recently had a new carpet fitted and remedial work is planned for the boiler and new radiators fitted. The dining room has had a laminate floor fitted which has been very practical and easy to clean. All the doors throughout the home are fitted with automatic closures fitted to the fire alarm. The kitchen is a good size and provides suitable space and equipment for a small domestic home. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 20 Aids and adaptations are in place to encourage and support an independent lifestyle around the home including hand rails both inside and outside the home, a high/low bath, ramped access to the front and side and a fully accessible shower room. Plans are in place for remedial work in the shower room to eliminate a damp problem. The home is situated on a quiet cul-de-sac and has a good size private garden with an accessible patio area with seating, to the rear of the home. There is a well equipped laundry with an industrial quality washing machine with a sluice facility. Also within the laundry is a lockable COSHH cupboard for the safe storage of all hazardous chemicals. Redmayne House DS0000022576.V370757.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): 31, 32, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a core of well trained staff who have developed good relationships and an understanding with the people living in the home, providing them with a consistent and reliable service. EVIDENCE: We examined the staff rota which reflected appropriate staffing levels for the number of people within the home, which included three staff on an early shift and three staff on a late shift. This includes the manager’s hours which are built into the staff rota apart from one day each week, which are supernumery hours allocated for administrative work. Agency staff are only used to cover sickness and annual leave of regular staff. The manager has ensured they are using the same agency staff members who are fully inducted to the home’s policies and procedures and familiar with the people living there and the routines of the home. This gives a good continuity when covering staff absences. Feedback from staff confirmed that staffing levels were maintained consistently with “permanent staff and regular agency staff covering vacancies”. Another person said “The home is always staffed to meet the individual needs using minimum or more staffing levels, but more flexibility would enable more activities out and about”. The manager described plans to Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 22 recruit more of their own relief staff but felt the “low rates of pay were not attracting people to the work”. Staff said their experience of the recruitment process was positive and in line with good practice guidelines. POVA and CRB checks are completed prior to new staff working alone and all new staff complete induction and foundation training. There was a good selection of training provided to staff in core subject areas as well as more specialist areas, with regular refresher training taking place. We examined staff files and spoke to staff on duty who confirmed this view. Staff also said “management are good and we work well as a team”, “we are contributing to the running of the home and our comments are valued”. The organisations training department produce an annual training programme including all statutory training from which managers can identify appropriate courses. More specialist training is arranged when a shortfall is identified and is arranged on a more local basis with the manager liaising with other agencies for advice and support. There was evidence of formal supervision taking place on a regular basis with a record maintained of the meeting including training and development needs and good practice issues. Annual appraisals have not taken place and are now overdue and should be planned with all staff. Redmayne House DS0000022576.V370757.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, 38, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides clear leadership to the staff team who feel well supported. The manager works closely with them to ensure the home is running smoothly and meeting people’s needs and aspirations. EVIDENCE: Although previously registered with the Commission in another home the manger is in the process of registering in relation to Redmayne House. She is suitably qualified and experienced holding the registered managers award. Her job description has recently been reviewed by the organisation. Due to her “hands on” approach there is a strong team ethos in the home with the manager enjoying close working relationships with service users and staff. Staff talked about “feeling valued” and ensuring people were given “individual packages of care based on what they wanted”. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 24 The organisation recently sent out the annual quality surveys to all interested parties and is in the process of collating the responses. So far eleven of the twenty seven surveys have been returned. The outcomes will be forwarded to the Commission on completion. Records examined throughout the inspection were on the whole up to date and accurate and supported staff in providing a good quality and consistent service. They were securely stored in both paper and electronic versions. There are good systems in place to maintain the safety and welfare of people living and working in the home. Routine safety checks are taking place and recorded as required, with a good range of risk assessments in place that are kept under review and which promote an independent lifestyle. Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 X 5 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 2 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 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 2 3 3 X X 3 X Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA36 Good Practice Recommendations The manager should ensure all staff receive an annual appraisal to review their performance and agree personal development targets for the year. 2 3 YA33 YA37 How the managers hours are deployed in the home should be reviewed to ensure they have sufficient supernumery time to complete managerial administrative tasks. The manager should register with the Commission as soon as possible. The home should review their fire risk assessment in line with recent changes to the fire regulations to maintain the safety of the home. 4 YA42 Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Redmayne House DS0000022576.V370757.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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