Care Home: Self Unlimited North East

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What the care home does well People who might want to live at CARE Ponteland are properly assessed and given the opportunity to visit the home, get to know people who already live there and join in events at the home so that everyone can be sure their needs can be met.Staff encourage and support people to make choices and to increase their levels of independence and interest. A wide range of healthcare professionals visit the home and are consulted by staff to make sure that the health and well-being of people who live at CARE is promoted and maintained. People can see their GP, dentist, chiropodist, or any other professional as and when they wish or their health requires. We saw some excellent examples of outcome based evaluations of care plans and staff are continuing to work towards better outcome based recordings so that the benefit people have received from the care and support they get is reflected in a person centred way. People we spoke to told us they are happy living at CARE, get the chance to go out when they want and go on holiday to places they choose. What has improved since the last inspection? The manager has achieved registration with the Commission for Social Care Inspection (CSCI). New appointments have been made to the staff team including a dedicated health and safety officer and training officer. A comprehensive range of training has been undertaken and is on-going to make sure that people are trained to do their job and give the care and support people need. All meals are now being chosen and prepared in each of the cottages. An energy efficiency audit has been carried out as part of the first steps towards looking at environmental and climate change `Global Warming and Us`. A Fire Risk assessment for the home has been carried out by an outside, independent agency, for the protection of people who live and work at CARE. New risk assessments and Control of Substances Hazardous to Health guidance have been put in place to protect staff and people who live at CARE. A new sewage system has been installed to improve problems that the site has had for a long time. What the care home could do better: Provide CSCI with a plan for the refurbishment/improvement of facilities in the Cottages and the accommodation that is available for people to live in. Provide better storage facilities for medication in the treatment room in Kielder Cottage. CARE HOME ADULTS 18-65 Care Ponteland North Road Ponteland Northumberland NE20 0BW Lead Inspector Elaine Charlton Key Unannounced Inspection 2nd October 2008 11:00 Care Ponteland DS0000000598.V372829.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 Care Ponteland DS0000000598.V372829.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. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Care Ponteland Address North Road Ponteland Northumberland NE20 0BW 01661-860333 01661 821830 careponteland@care-ltd.co.uk www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Pauline Browning Care Home 42 Category(ies) of Learning disability (42) registration, with number of places Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Six service users may also have a physical disability Two service users only are accommodated in Craster Cottage. One service user only is accommodated in Flat 1, Kielder Cottage. Fifteen service users only are accommodated in Cheviot Cottage, two of whom live in self-contained flats within the Cottage. Sixteen service users only are accommodated in Burnside Cottage, two of whom live in self-contained flats within the Cottage. Eight service users only, with a learning disability and dementia, are accommodated in Kielder Cottage. 3rd October 2006 Date of last inspection Brief Description of the Service: CARE Ponteland is located just outside Ponteland village next to Police Headquarters. The site is in open countryside, close to local shops, public houses, restaurants, health centre, churches and swimming pool. There are four purpose built cottages, 5 flats, administrative offices and a café. It is also the base for ‘Four Seasons’ which gives residents access to educational and employment opportunities. A maximum of 42 younger adults with a learning disability can live at CARE. One of the cottages is dedicated to providing care and support for people with a learning disability and a dementia type illness. Nursing and respite care are not provided. The weekly fees are between £650 and £1,200. Each cottage has a service user guide, which gives lots of information about what a person can expect. Comments from service users who live at CARE are included. Inspection reports can be found in each cottage and in the main offices. Care Ponteland DS0000000598.V372829.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 3 star, this means that the people who use this service experience excellent quality outcomes. An unannounced visit was made 2 October 2008. The inspection lasted for seven hours during which time was spent in three of the cottages looking at records and talking to staff and the people who live there, following which we met with the manager and office based staff. Before the visit we looked at: Information we have received since the last visit on 10 April 2007; Annual Quality Assurance Assessment (AQAA). The AQAA gives CSCI evidence to support what the service says it does well, and gives them an opportunity to say what they feel they could do better and what their future plans are; How the home has dealt with any complaints and concerns since the last visit; Any changes to how the home is run; The provider’s view of how well they care for people; The views of people who use the service, their relatives, staff and other professionals who visit the service. During the visit we: Talked with people who use the service, staff, and the manager; Looked at information about the people who use the service and how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills and training to meet the needs of the people they care for; Looked around the building/parts of the building to make sure it was clean, safe and comfortable; Checked what improvements had been made since the last visit. We told the manager what we found What the service does well: People who might want to live at CARE Ponteland are properly assessed and given the opportunity to visit the home, get to know people who already live there and join in events at the home so that everyone can be sure their needs can be met. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 6 Staff encourage and support people to make choices and to increase their levels of independence and interest. A wide range of healthcare professionals visit the home and are consulted by staff to make sure that the health and well-being of people who live at CARE is promoted and maintained. People can see their GP, dentist, chiropodist, or any other professional as and when they wish or their health requires. We saw some excellent examples of outcome based evaluations of care plans and staff are continuing to work towards better outcome based recordings so that the benefit people have received from the care and support they get is reflected in a person centred way. People we spoke to told us they are happy living at CARE, get the chance to go out when they want and go on holiday to places they choose. What has improved since the last inspection? What they could do better: Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 7 Provide CSCI with a plan for the refurbishment/improvement of facilities in the Cottages and the accommodation that is available for people to live in. Provide better storage facilities for medication in the treatment room in Kielder Cottage. 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. Care Ponteland DS0000000598.V372829.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 Care Ponteland DS0000000598.V372829.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): Standard 2. People who use the service experience excellent quality outcomes in this area. The needs of people who wish to live in the home are properly assessed so that every one is sure that the right level of care and support can be provided to keep them safe and promote their well-being. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: In each of the cottages (Cheviot, Burnside and Kielder) we looked at the assessment and admission process for people most recently admitted to the home. We found that people had been properly assessed both by healthcare professionals who may have been helping them to find a suitable place to live and by staff from CARE. The assessment process included visits to the home, the chance to meet people who already live there and to join in social activities. All three assessments included relevant information about people’s individual healthcare needs, their beliefs, aspirations and wishes. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 10 The manager told us that Newcastle, North Tyneside, and Northumberland, local authorities have all been asked to review people they know, who live on site, to look at provisions for the whole of each person’s life. What they might want to do/or where they might like to live in the future, to inform the planning process for the development of the CARE site. Care Ponteland DS0000000598.V372829.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): Standards 6, 7 and 9. People who use the service experience good quality outcomes in this area. The home uses a person centred approach to care planning and service users’ sign their care plans to show they have been involved, and can make decisions and choices about their daily life. Educational, employment and social opportunities are risk assessed to help keep people safe. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: As well as the new assessments we looked at care plans for people who have lived in the home for some time. We did this in each of the cottages. Cheviot Cottage We looked at the records for three residents one of whom came to speak to the inspector. The resident was keen to talk about the inspection, told us that she had left Four Season as another person was ‘winding her up’ and it was best to walk away. She was helping staff in the cottage kitchen to get ready for lunch. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 12 Another resident returned to the cottage from a visit to the village. She told us that she had been shadowed by a member of the care team and was keen to achieve being able to go to the village on her own. When they returned from the village the support worker and resident followed proper procedures to complete financial transaction forms and return money that had not been spent. Care plans were seen covering all areas of care and support for each resident, as well as their My Health document. Evaluations have improved but some were still seen to be a little repetitive. Burnside Cottage The records for another three residents were looked at in this cottage. These were all up to date and included some excellent evaluations. For one resident there were gaps in the evaluation of care plans between June and September this year when a new key worker was appointed. We saw evidence of the involvement of a range of healthcare professionals and the Behavioural Assessment Intervention Team (BAIT). BAIT have been working closely with the staff team and have put clear guidelines in place for them to follow when a resident displays behaviours that may challenge the normal routine. The staff team have also received control and restraint training. A resident in this cottage also came to talk to the inspector and asked if we would like to look at his room. He told us about things he had been doing, what he was going to do that afternoon, and remembered meeting the inspector at the previous inspection. Kielder Cottage There are only three residents living in this cottage at the moment. One person is due to move to alternative accommodation. Following this the unit will only be available to people who have a learning disability and a dementia like illness. We looked at the records for one person living in the cottage. These were seen to be very detailed and gave staff good information, advice and guidance about how to support and care the person. There was also good evidence of the involvement of care managers, and the acting cottage manager told us about the on-going support of care managers which she found valuable. The new health and safety officer has been reviewing risk assessments to support people with employment activities they take part in on site, examples of which are grass cutting and tractor driving. Risk assessments also cover the use of petrol and other flammable or potentially dangerous liquids. Care Ponteland DS0000000598.V372829.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): Standards 12, 13, 15,16 and 17. People who use the service experience excellent quality outcomes in this area. People who live at CARE Ponteland are able to take advantage of education, employment and social opportunities that are age appropriate and varied. Staff support them to maintain personal relationships and encourage people to make their own decisions. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Residents in both Cheviot and Burnside Cottages have been on cottage, independent and family holidays. Destinations for holidays have included Blackpool, Centre Parcs, London, Wales, York and Grand Canaria. Several residents are still receiving one to one support to make sure that they are able to join in activities and get out and about in the local community. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 14 Four Seasons gives people access to training and employment opportunities on and off site. There is a café on site, Hadrian’s Café, where both staff and residents work. They have a good passing trade and from local workforces. All meals are now provided in the cottages. Residents are supported by staff to choose the weekly menus and these are shared with everyone, even if they don’t want to be involved in the process of putting menus together, to make sure that their meal preferences are met. Residents help with the shopping, meal preparation, setting up the dining room and washing up. There is a rota for these tasks so that they are not always left to the same people. Care Ponteland DS0000000598.V372829.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): Standards 18, 19 and 20. People who use the service experience good quality outcomes in this area. The personal and healthcare needs of people are assessed and their preferences are recorded so that they receive the care and support they need in a way that they choose. They have access to, and see, a wide range of healthcare professionals to ensure that they stay well. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Each resident has their own My Health Record where all healthcare needs are identified and appointments recorded. We saw that people had been able to see their doctor, dentist, optician, chiropodist and where appropriate occupational therapists, psychiatrists, psychologists and BAIT. When people have become unwell additional support has been provided until they are able to get out and about again and restart their usual routines. We carried out a random check of medication held in Kielder Cottage. There is a treatment room that contains individual medication cabinets for each Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 16 resident. These are proving inadequate to store the amount of medication for people currently living in the home although staff have been resourceful is using empty cabinets within the treatment room. We identified no problems with the ordering, dispensing and disposing of medication. The key to the treatment room is kept with a selection of other keys for the cottage. This should be removed from the current key ring and kept separately and securely at all times. Care Ponteland DS0000000598.V372829.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): Standards 22 and 23. People who use the service experience good quality outcomes in this area. People know they will be listened to and who to talk to if they have a concern. Policies, procedures and staff training help to keep people safe from abuse, neglect and self-harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The organisation has policies, procedures and recording systems in place for the acceptance and investigation of complaints, concerns and allegations. People who live in the home can have a copy of the complaints procedure in an easy to read and understand format. A copy of the pictorial complaints procedure was seen in each of the file we looked at. Each cottage has its own complaints register and a report is provided for the locality manager each month. The locality manager forwards the monthly reports to Headquarters. Staff are trained to help them understand how to listen to people and to act promptly in the event of a disclosure being made. The home and organisation has co-operated with CSCI and the Local Authority Safeguarding team when concerns have been raised. Care Ponteland DS0000000598.V372829.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): Standards 24 and 30. People who use the service experience adequate quality outcomes in this area. People live in a home that is clean, warm and comfortable and meets their needs. The premises are in need of refurbishment and re-decoration and two cottages in particular may not need people’s needs in the near future. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We were told by the manager that discussions are taking place with Northumberland County Council Commissioners about the type of services they are prepared to fund before decisions can be made about further redevelopment of the site. Some re-decoration and refurbishment has taken place in Cheviot and Burnside Cottages and no one has to share a bedroom but some of the problems that staff face, including people displaying behaviours that can challenge, could be as a result of the lack of space and privacy that people have. People are also getting older and their changing tolerance levels and need for a different type of accommodation should be considered. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 19 Kielder Cottage has been and is continuing to be developed as a unit for people who have a learning disability and a dementia type illness. A maximum of seven people will live here. There is lots of space, a conservatory and secure, raised garden area where people can spend time and pursue their interests and hobbies. One resident has enjoyed being able to grow vegetables in the garden this year. Care Ponteland DS0000000598.V372829.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): Standards 32, 34 and 35. People who use the service experience good quality outcomes in this area. People who live in the home are protected and supported by staff that are properly recruited and trained to do their jobs. Promoting their health and wellbeing. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: New staff have been appointed to the CARE team including a dedicated health and safety officer. Two staff said he was ‘brilliant at his job’ and had taken part in their induction. The new staff we spoke to told us about their induction and said that it covered all the areas they needed to know about. Once staff have completed their induction they go straight onto National Vocational Training (NVQ) and/or a Learning Disability Qualification (LDQ). We also spoke to the new training co-ordinator. She has been planning training for staff that are new to the service, need to complete an NVQ and/ or refresher training, and has built good working relationships with outside Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 21 training providers. This has benefited staff by getting quick access to appropriate training. We looked at the records for four newly recruited staff. Files are kept in a standardised way and we saw that all the necessary checks had been carried out and references applied for. Staff are recruited in line with the General Social Care Council code of conduct (GSCC), are required to have a Criminal Records Bureau check at an enhanced level and provide two references. Staff get regular supervision when they have an opportunity to raise issues like training, work/life balance and service specific. We saw evidence of supervision being recorded and issues being followed up. Care Ponteland DS0000000598.V372829.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): Standards 37, 39 and 42. People who use the service experience excellent quality outcomes in this area. People live in a home that is run in a way that benefits them and their ability to make choice and they are kept safe through stringent health and safety checks and procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager at CARE has now achieved registration with the Commission for Social Care Inspection (CSCI). People who live in the home are confident about talking to people if they have concerns or just to tell them about what they have been doing and what they might want to do. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 23 We were told about discussions that are on-going with the Local Authority about how the sight might be developed in the future to provide people with more up to date living accommodation and opportunities to increase their independence. We spoke at length to the new health and safety officer who is qualified, competent and enthusiastic about the new systems and arrangements he is putting in place to make the environment a safer place to live in. Each Cottage has a copy of the Fire Risk Assessment that was done by an external agency. This includes an action plan for hazards found. These have been scored to indicate the order of priority. When we arrived to carry out the inspection the health and safety officer was already carrying out his own audit on site. These will be carried out on a quarterly basis. New records have been put in place to record all the statutory fire checks that need to be carried out at regular intervals. We saw that fire training was up to date and that staff and service user involvement in fire drills was recorded. There were some gaps in the recording of recent checks but the health and safety officer had already dealt with this. The home co-operates well with CSCI and tells us about events that might affect the health, safety or well-being of people who live and work at CARE. Servicing and maintenance checks are the joint responsibility of the health and safety officer and the maintenance person. As part of the health and safety role new risk assessments have been carried out and recorded for jobs that people who live in the home are involved in on site. For example: tractor driving. An energy efficiency audit has been carried out as part of the first steps towards looking at environmental and climate change ‘Global Warming and Us’. New Control of Substances Hazardous to Health (COSHH) files have been put into each of the cottages and these include risk assessments that are easy for both staff and people who use services to understand. Products that should not be used by people living in the home are clearly identified, as are those where they should be supported by staff. Historically there have been problems with the sewage system on site but a new system has been put in place that should resolve these problems. For sleep-in staff a new pager system has been put in place so that it is easier for them to contact other staff across the site if there is an emergency. Care Ponteland DS0000000598.V372829.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 4 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 2 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 4 X 3 X X 4 X Care Ponteland DS0000000598.V372829.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 YA20 Regulation 13 Requirement Better medication storage facilities must be provided in Kielder Cottage. This will mean that medication people need to use and have access to can be kept safely. A plan for the improvement/refurbishment or re-provision of accommodation must be provided to CSCI. This will mean that people live in a home that meets their needs, is safe and gives them access to all the facilities and space they need. Timescale for action 30/11/08 2. YA24 23 30/03/09 Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 26 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 YA2 YA20 Good Practice Recommendations Outcome based evaluations of care plans should continue to be promoted. This will mean that the needs of residents are reviewed and changed as they need. The keys to the treatment room and medication cabinets should be kept separate to all other keys to the home. Care Ponteland DS0000000598.V372829.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Care Ponteland DS0000000598.V372829.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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