Care Home: Seastrole

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What the care home does well Residents` needs are fully assessed before an offer is made for treatment at the home. Residents are given full information about the home and what treatment entails. They are also invited to spend a day at the home, where possible, to ensure that their needs can be met. Health and social care needs and how these are to be met are detailed within care plans with residents being fully involved in their development. Residents set goals within the confines of the rules and expectations of the treatment programme for their treatment. There were very positive comments made about the way staff work with and support residents through their treatment. One resident informed that treatment at the home had probably saved their life. The home is well managed and run in the interests of the residents. What has improved since the last inspection? Care management assessments and care pans are obtained where possible from placing authorities. Residents reported that the food was of a good standard and that they are involved in setting the menus. There was evidence through quality assurance methods that residents are fully involved in the running of the home and its development. What the care home could do better: Records should be kept of the temperature of the small fridge used for storing medications that require refrigeration. When new staff are recruited to work in the home, all the requirements of Schedule 2 of the Regulations must be met before a person starts work in the home. CARE HOME ADULTS 18-65 Seastrole 12 Campbell Road Boscombe Bournemouth Dorset BH1 4EP Lead Inspector Martin Bayne Key Unannounced Inspection 20th November 2007 09:00 Seastrole DS0000003954.V355111.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 Seastrole DS0000003954.V355111.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. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seastrole Address 12 Campbell Road Boscombe Bournemouth Dorset BH1 4EP 01202 392241 01202 300338 lorrainedisney@aol.com/ arlenequinton@aol.com 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) Miss Lorraine Pamela Parry Ms Maria Ladeira Care Home 13 Category(ies) of Past or present alcohol dependence (13), Past or registration, with number present drug dependence (13) of places Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2006 Brief Description of the Service: Seastrole and Larkins are two separate Registered Care Homes that form part of the Quentin House project. They are adjacent properties located in Boscombe, Bournemouth. Seastrole has five single rooms and four double rooms, two of which have ensuite toilet facilities. At the back of the home there is a garden with patio, garden furniture and two relaxation/ counselling rooms. Quinton House also has two blocks of move-on flats and one house able to accommodate four people, to which people who have been in treatment can be referred as part of follow-up aftercare. Seastrole aims to promote a non-discriminating and a non-stigmatising treatment programme for alcohol and drug dependence. The treatment programme is based on an eclectic evidence based approach that focuses on a bio/psycho/social model. One module of the treatment focuses on an addiction relapse prevention programme to which residents can sign up. Other therapeutic approaches that may form part of a person’s treatment include grief work, psychosexual therapy, family therapy, treating eating disorders, life skills training, lectures and workshops, 1 to 1 counselling, anger management, addiction and recovery work and 12 step work. The length of stay at the home is generally between twelve weeks and six months, depending upon funding and the needs of the individual person in treatment. A criterion of admission to the home is that a person signs on to the rules and expectations of the home, that are detailed within the Terms and Conditions of Residence. The weekly fee is £450, which includes toiletries, laundry, heating, board and lodging as well the full treatment package. Should a person have family therapy sessions, the first two sessions are free with following sessions charged at £30 per session. Aftercare sessions are also available with the first three sessions being free and thereafter the charge is £30 per session. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We carried out a key inspection of the home between 9am and 3:30pm, the aim of which was to evaluate the home against the key National Minimum Standards for younger adults and to follow-up on the 5 recommendations made at the last key inspection in July 2006. The Registered Manager of Larkins assisted for the first part of the inspection until Ms Ladeira, the Registered Manager of Seastrole, came on duty. We saw the records required to be kept by Regulation and these provided evidence of the care provided at the home. A tour of the premises was made and four residents were spoken with in depth about their experience of living at the home. Comment cards were left at the home for residents, staff and care managers to complete. The returned cards were also used to form the judgements contained within this report. What the service does well: What has improved since the last inspection? Care management assessments and care pans are obtained where possible from placing authorities. Residents reported that the food was of a good standard and that they are involved in setting the menus. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 6 There was evidence through quality assurance methods that residents are fully involved in the running of the home and its development. 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. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 7 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 Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their needs being assessed and from being fully informed about the home prior to a place being offered. EVIDENCE: We were informed that residents are admitted from all over the country, usually through spot purchase agreements with local councils or occasionally through privately funded arrangements. The home has also been known to admit people referred from overseas. The home has a block contract with one London borough. We were informed that a pre-admission assessment is carried out for all people who wish to move into the home. We were told that it is preferable for the person referred to visit the home for a day and take part in all the activities throughout the day. This allows for a full assessment of the person’s needs to be carried out and also for the person to be confident that the home is the right environment for their treatment needs. A sample of two residents personal files was used throughout the inspection to track the paperwork and records that the home keeps as evidence of the care provided at the home. We found a record of the pre-admission assessment on Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 9 both residents’ files. These had been recorded on a pre-admission assessment form. This form was detailed covering all of the topics that are detailed within the National Minimum Standards for Younger Adults. We were informed that only senior staff trained to carry out the pre-admission assessments complete these assessments. At the time of the person visiting the home, they are given a copy of the Service User Guide, which gives full information about the home, its philosophy and about the treatment programme. The person is also taken through the expectations and house rules, so that they are fully informed of what would be expected if they chose Seastrole as a home to carry out their treatment. In certain circumstances, for instance when a person is in prison, the person cannot visit the home and a telephone assessment is carried out instead, and full information is given to that person via their probation officer or worker in prison. There is an expectation that people who move into the home must have been free from drugs or alcohol use for a period of seven days before entering the home there. Many of the residents of the home have therefore been through a primary stage of detoxification before entering the home. Seastrole DS0000003954.V355111.R01.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): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being fully involved in developing their treatment plan taking control over their lives within the boundaries of the homes rules and expectations. EVIDENCE: We looked at the care plans for the two residents tracked through the inspection. We found that the care plans were laid out and subdivided into a person’s psychological, physical, family and social needs, spiritual and cultural needs, as well as vocational, resettlement and aftercare needs. During the inspection we spoke in detail with four residents. All of them said that they were fully involved in planning their treatment and in drawing up their care plans. We saw that as people progressed through treatment, the care plans were developed with residents being fully involved signing up to agreed goals. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 11 As mentioned earlier in the report, residents sign up to rules and expectations that form part of the treatment programme. The rules and expectations have been developed over time and put in place to ensure that the home provides a safe and structured environment to promote good treatment outcomes. We saw forms for the two residents tracked through the inspection where they had signed up to the list of expectations. These included: • • • • • • • Total abstinence from drugs or alcohol. Not to enter licensed premises. Not to go from the home unaccompanied, (at first accompanied by two peers and then after three weeks accompanied by one peer). To take part in all house activities. To attend mealtimes. Not to form special friendships or relationships whilst in treatment. Verbal or physical abuse will not be tolerated. Within the structure of the rules of the house, residents are encouraged to take responsibility for their lives and for the welfare of the other residents. Residents are required to take part in the running of the home such as taking turns in cooking for all the residents and carrying out domestic chores. Residents we spoke with informed that they were able to set their own goals to work towards and this was corroborated within the care plans that we saw. Seastrole DS0000003954.V355111.R01.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): 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. Residents benefit from having opportunities for personal development, from taking part in appropriate activities and from their rights being respected. They also benefit from a healthy diet. EVIDENCE: Concerning leisure and recreation, the home has a full programme during the daytime, but in the evenings and weekends if people are not attending Fellowships meetings, (Alcoholics, Cocaine or Narcotics Anonymous), they are able to watch TV, DVDs, read or play board games within the home. Residents have access to a local gym at the YMCA or can attend a drama group. Group activates are also arranged with examples given of recent fire work display, trips out to the New Forest or the beach, occasional meals out or visits to the cinema and a fishing group. The treatment programme encourages people to Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 13 develop new interests and hobbies that enhance a balanced and healthy lifestyle. As part of the programme, residents attend a local college with a specific outreach course geared towards rehabilitation. We were also informed that the home has links to various voluntary work opportunities such a local charity shops or Dorset Reclaim. At the last inspection a recommendation was made that a greater variety and choice of food should be made available to the residents. The residents spoken with at this inspection all informed that the food was of a good standard and that they had a say in planning the menus through weekly community meetings that are held with residents. We saw the records of food that had been provided and these corroborated that a varied and wholesome range of meals was being provided. Mrs Ladeira told us that should a person with any specialist dietary requirements be accommodated, such as a person requiring a diabetic diet or cultural diet these would be catered for. We saw records of where specialist diets have been provided. We also saw a bowl of fresh fruit in the home and were told that residents could make tea and coffee when they chose or have a snack if they are hungry. Seastrole DS0000003954.V355111.R01.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): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their health needs being met and social needs assessed and supported as part of the treatment programme. Medication is administered safely within the home. EVIDENCE: The residents spoken with all told us that the staff were very supportive, nonjudgemental and helpful. The treatment programme involves a lot of group work run by the staff, however every week residents meet with their allocated focal worker. Ms Ladeira informed us that should a person have good reason to want to change their worker this would be considered. Residents elect one of their number to be house leader and the person in this role takes some responsibility for the welfare of the other residents within the home. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 15 Residents can plan home visits after the first three weeks or arrange to have visits from family or people important in their lives. Should a person breach the house rules or wish to leave treatment; the home tries to make emergency plans together with the person’s care manager. Concerning health care, all the residents register with a local GP practice that has a special interest in addiction. Residents also register with a local dental practice. Ms Laderia informed us that the home has links with a local charity, which provides education and support about blood borne viruses should any resident require this service. The home has informed CSCI when necessary of any major incidents that have occurred at the home, such as an emergency admission to hospital. As mentioned earlier in the report, specialist therapeutic interventions are arranged when necessary, such a psychosexual counselling, family therapy, a relapse prevention programme or assistance with eating disorders. Mrs Parry, the Registered Provider is highly trained as a therapist and provides much of this part of the service. We discussed how medication was administered and managed within the home. Residents are risk assessed on their ability to manage their own medication and some residents take responsibility for some medications. We saw a sample of a risk assessment that had been completed that was detailed and demonstrated that residents are given the opportunity to retain as much responsibility for their lives as possible. We saw the recording sheets for medications administered to residents. One member of staff will write medications to be administered onto the recording sheet and another person will check the record and then sign that the entry has been made correctly. We saw that medications were stored correctly in the safe in the office and that one person had accountability for the key to the safe. Ms Laderia informed that all of the staff who administer medications have been trained in safe administration of medicines. At the time of the inspection one resident was prescribed medication that required refrigeration. We saw that the home had purchased a small fridge for storing this. It was recommended that the home maintain a record of the maximum/minimum temperature of the fridge to ensure that the medication is stored at the correct temperature. We were told that should there be an unused or unwanted medication, this is returned to the pharmacist who stamps the record to validate that the medication has been returned. The home therefore has a system that allows a full audit of any medication that enters the home. Seastrole DS0000003954.V355111.R01.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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-publicised complaints procedure and through the staff being trained in adult protection. EVIDENCE: Since the time of the last inspection no complaints have been made to the management of the home and none have been brought to the attention of CSCI. The home has a complaints log, where any complaints are logged, which we saw. This provided evidence that any complaints are recorded and investigated seriously. The complaints procedure is detailed within the Service User Guide and mentioned earlier in the report, each resident is given a copy of this document. The complaints procedure is also detailed within the Policies and Procedures manual for the home and a full set of policies and procedures is kept for residents to reference within the residents’ lounge. It was agreed that the complaints procedure would be amended to reflect that CSCI is available for advice but is not a complaints investigating agency. Mrs Laderia informed that the home had copies of all relevant policies and procedures for the protection of vulnerable adults. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 17 At the last inspection it was recommended that all of the staff be trained in adult protection by an external trainer. Ms Laderia informed that staff had all received training in this field. Seastrole DS0000003954.V355111.R01.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): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Seastrole provides a safe, ‘homely’ and comfortable environment for a treatment unit that is kept clean. EVIDENCE: The home is conveniently located in terms of its proximity to local shops and amenities and provides a suitable and ‘homely’ environment for residents to undergo treatment. The home has five single rooms and four double rooms. Residents when they are admitted to the home share a room and later can move into a single room once they are established in their treatment. Ms Laderia showed us around the premises and we saw a sample of residents’ bedrooms. These were adequately furnished and we saw evidence that residents are able to personalise their space with photos and other possessions. Screens are provided in shared bedrooms to afford some privacy. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 19 Ms Laderia informed that part of the expectation of residents was that they keep their room or space tidy as part of maintaining a structure to their lives. The home was found to be clean and in reasonable decorative order. Mrs Laderia informed us that the carpets are due to be replaced, which will improve the appearance of the home. The home employs a maintenance person to keep on top of rectifying faults and redecoration. The laundry room is sited to the rear of the home and can be accessed without going through food preparation areas. Residents are expected to carry out their own washing once a week. The laundry facilities are adequate to meet this purpose. Seastrole DS0000003954.V355111.R01.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): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well qualified and competent staff team, however staff recruitment could be improved to ensure that residents are not exposed to risks exposed by staff not meeting all the required recruitment checks. EVIDENCE: The home is staffed between 9am and 10pm, however Mrs Parry and one of the Registered Managers of Quinton House Project live within separate properties within the curtilage of the registered premises and are available if required during the night time period. Within the home is a ‘panic button’, should the residents need to raise these staff in an emergency. During the daytime there is there is a manager on duty, two seniors, a key worker and one trainee. A duty roster was seen that reflected the above staffing. All of the counsellors who work at the home have been trained to NVQ level 3 with one being trained to NVQ level 4. Key workers have been trained or are undergoing training in NVQ level 2. In addition to this training all staff receive Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 21 training in the field of addiction as well as training in core areas such as health and safety, first aid, basic food hygiene and moving and handling. As the main core of the staff team has been employed at the home for a long period of time, the staff team is very well trained. Since the time of the last inspection two members of staff have been recruited to the staff team. We were informed that these two members of staff had been former residents who had lived outside of the Dorset area prior to receiving treatment at the home some time past. The home had therefore had difficulty in obtaining references as the only people who could give a reference were people from within the Quinton House project and no references were on file. It was agreed that in order to satisfy legal requirements, in these circumstances character references should be obtained. It was also found that both members of staff had commenced employment before their Criminal Record Bureau had been obtained. A requirement was made that all requirements of Schedule 2 of the Regulations must be satisfied before a person starts working within the home. Positive comments were made by the staff about the organisation through the returned comment cards. Seastrole DS0000003954.V355111.R01.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): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well managed with views of residents underpinning development of the home. Residents also benefit from the health and safety being promoted. EVIDENCE: Ms Laderia has completed the NVQ level 4 qualifications in management and care. She has worked within the project for 17 years and therefore has considerable experience of managing a service. Ms Ladeira was also able to demonstrate to us through her training portfolio that she has kept up to date with training and developments within the field of substance misuse and treatment. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 23 At the last inspection a recommendation was made that more be done to demonstrate that residents’ views underpin all self-monitoring, review and development of the home. Ms Ladeira was able to demonstrate to us that residents’ views are sought in all areas. We saw evidence of this through the Community Group meeting minutes, feedback forms that residents complete when they move on from the home and from speaking with residents. We saw that building risk assessments had been carried out and that the staff had received training in Health and Safety. Through the Annual Quality Assurance Assessment, we saw the dates for the servicing and testing of all equipment provided in the home, including the fire safety system. There were no hazards identified as part of the inspection. Seastrole DS0000003954.V355111.R01.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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 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 Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation Schedule 2 Requirement You are required to ensure that all requirements of Schedule 2 are satisfied concerning recruitment of staff. Timescale for action 10/12/07 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 YA20 Good Practice Recommendations It is recommended that a record be maintained of the maximum/minimum temperatures of the small fridge used for storing medication. Seastrole DS0000003954.V355111.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Seastrole DS0000003954.V355111.R01.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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