Care Home: Silvermead

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What the care home does well The people living at Silvermead said they were happy. The house is comfortable, warm and clean. There is plenty of good food. The people who live there have enough things to do to be happy. They can go to college and are helped to find a job. There are enough staff to help. Each person can have their room just as they want it. The staff know how to help people and the staff do their best. If someone has a problem it is easy to get help. The staff are safe to be with. What has improved since the last inspection? A new bedroom has been built so that more people have their own room. A cover has been made over the walkway between the house and annex protecting people from rain. Information about staff working in the home is better. What the care home could do better: Agreement must be written on how people wish to spend their money for the car and minibus. People`s money must only be paid into a bank account in their name or one that protects their money. The information about how to support people should be up to date. CARE HOME ADULTS 18-65 Silvermead 262 Fort Austin Avenue Crownhill Plymouth Devon PL6 5SS Lead Inspector Jane Gurnell Unannounced Inspection 8th January 2008 09:15 Silvermead DS0000003518.V345267.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 Silvermead DS0000003518.V345267.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. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silvermead Address 262 Fort Austin Avenue Crownhill Plymouth Devon PL6 5SS 01752 709757 01752 700830 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 Eileen Isobel Barker Position Vacant Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service Users with a Learning Disability who may also have a Physical Disability Age 18-65yrs One Named Service User over the age of 65 Date of last inspection 18th October 2006 Brief Description of the Service: Silvermead is a care home providing personal care and accommodation for thirteen adults aged 18-65, with learning disabilities, who may also have a physical disability, although not all bedrooms are suitable to be used by people with a mobility difficulty. The home is privately owned by Mrs Barker. Silvermead is located in the residential area of Crownhill, Plymouth and is close to local shops, facilities and amenities. The home was opened in 1986 and consists of a detached two-storey house and a single storey annexe which is not attached to the house. There are eleven single bedrooms, four of which have en suite facilities and two of these have en suite baths. In addition to the en suite facilities there are three bathrooms and four toilets. On the ground floor there are separate lounge and dining rooms. The home has a large attractive garden that is well maintained and easily accessible. The weekly fees for this service are calculated on an individual basis depending upon the each person’s support needs. Information relating to the services provided by Silvermead can be obtained directly from the home. Silvermead DS0000003518.V345267.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 using the service experience good quality outcomes. This inspection was unannounced and undertaken on 8 January 2008 between 9:15 a.m. and 1:30 p.m. The Deputy Manager was present and she and her staff team assisted the inspector throughout. All of the 13 people living in the home were spoken with as were the staff on duty. A tour of the building was made and records relating to the support needs of 3 people were examined, as were the personnel files for 3 staff members and the results of the home’s formal consultation with the people living in the home and their families. Prior to the inspection an Annual Quality Assurance Assessment (AQAA) had been completed which allows the Registered Provider to describe what the home does well, what has improved over the past 12 months and the areas for improvement that have been identified. The AQAA confirms the home is committed to providing good-quality support as well as increasing meaningful daytime activity. Also prior to the inspection, the Commission had sent surveys to the people living in the home, their relatives and the staff to allow them to comment, anonymously if wished, about their views of the quality of the support provided at Silvermead. One survey was returned from someone living at the home and 3 from relatives: all were satisfied with support provided at Silvermead. The comments received from relatives included the staff are very helpful and have a caring approach and residents are well cared for, meals are always varied and very good, staff are happy and friendly and willing to help. Three surveys were returned by the staff and all confirmed they were well supported. What the service does well: The people living at Silvermead said they were happy. The house is comfortable, warm and clean. There is plenty of good food. The people who live there have enough things to do to be happy. They can go to college and are helped to find a job. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 6 There are enough staff to help. Each person can have their room just as they want it. The staff know how to help people and the staff do their best. If someone has a problem it is easy to get help. The staff are safe to be with. What has improved since the last inspection? What they could do better: Agreement must be written on how people wish to spend their money for the car and minibus. People’s money must only be paid into a bank account in their name or one that protects their money. The information about how to support people should be up to date. Silvermead DS0000003518.V345267.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. Silvermead DS0000003518.V345267.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 Silvermead DS0000003518.V345267.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 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments and visits to the service ensure that peoples’ needs are well known prior to deciding on the suitability of Silvermead. EVIDENCE: Silvermead is the permanent home to those people living there and as such vacancies rarely occur: there have been no admissions to the home since the previous inspection. The Deputy Manager confirmed that should a vacancy become available, a pre-admission assessment would be undertaken to identify the persons needs with regard to their personal, health and physical care needs as well as their social and educational needs including religious and cultural needs. The person and their family would be invited to visit the home over a period of time to become familiar with the surroundings, the staff and the other people living in the home before making any decision about the suitability of the home. Needs assessments were evident in the three peoples’ support plans examined, and the Deputy Manager confirmed that each person and/or their family had been given a copy of the terms and conditions of residency as recommended at the previous inspection. Silvermead DS0000003518.V345267.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, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are enabled to participate in, and make decisions about, all aspects of their lives. Confidentiality is respected. Improvements to the support plans are necessary to ensure consistency. EVIDENCE: Time was spent talking to each person who lived in the home as well as observing staff going about their day-to-day duties. Those people who were able to comment about their experiences of living at Silvermead said they were very happy and enjoyed living at the home. Those people who werent able to comment due to their limited verbal communication were seen to be relaxed and appeared to have a good relationship with the staff: staff were friendly and respectful. The relatives who had returned a survey to the commission, confirmed that they had confidence in the home and the support provided. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 11 Staff on duty were aware of the needs of the people living in the home however these needs were not fully documented in the support plans examined. The Deputy Manager confirmed that she and a colleague were in the process of rewriting the support plans in a more person centred manner and these were evident for three people. These new support plans will ensure that peoples current needs and the staff action required to meet those needs as well as how to keep people safe will be documented ensuring a consistent approach to care. One person was receiving support from a Speech and Language Therapist and staff were observed using signing and symbols to communicate with people. The Deputy Manager confirmed that this was an area that was to be expanded: both she and a colleague had attended training in “person-centred planning” and were looking to develop this further within the staff team. Staff worked closely with the Community Learning Disability Team who provide specialist support for people with more complex needs, such as Autism and epilepsy and this was evident in the files examined. Four people received the support of their families to manage their finances and the Registered Provider, who holds a “residents” bank account into which each person’s benefits are paid, supported the remainder. This money is then taken from the account and held in the home for safekeeping; accurate records of money received and expenditure were maintained. Only the Deputy Manager and the Registered Provider have access to this money but people would be better protected if money was held in individual bank accounts. The Deputy Manager confirmed that the Registered Provider had been unsuccessful in opening accounts due to the difficulty in obtaining replacement birth certificates. The Registered Provider has been asked to obtain confirmation from the bank that the money belonging to the people living in the home held in this account was not considered part of the business assets to ensure this money is protected. People’s mobility element of their Disability Living Allowance (DLA) is retained by the Registered Provider to finance the minibus, car and the use of taxis. The Deputy Manager said each person had a fair share of access to transport, confirming this has been agreed with each person’s family, however a record of this agreement was not available. The Registered Provider has been asked to document this agreement with families and to identify the level of the DLA component each person received to ensure the arrangement was fair to all and no one person was subsidising another. Silvermead DS0000003518.V345267.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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can learn life skills, attend work and educational placements, participate in community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with and observation of the people living in the home as well as staff showed that people are enabled to live as full a life as they wish to with opportunities for personal development. People are encouraged to carry out all the domestic tasks in the home and participate in leisure activities of their choice including holidays. The attitude and approach of the staff team promoted independence and empowered people to make decisions about lifestyles and daily routines. Several people living at home were seen going on various trips, some Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 13 independently and some with the support of staff. Since the closure of many of the local day centres staff have been working closely with the local authoritys In Reach team in identifying suitable daytime leisure and work activities and as a result a number of people attend voluntary and work placements such as a centre for recycling. People were expected to participate in the day-to-day running of the home, including housework and laundry, menu planning and shopping, and meal preparation and this was evident on the day of the inspection. Menus evidenced a variety of wholesome and nutritious meals, and people said that they liked the meals. Contact with relatives and friends was supported and visits to the home were encouraged and those relatives who returned a survey confirmed this. Silvermead DS0000003518.V345267.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Silvermead receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Those people spoken to confirmed they were consulted about the level of personal support they need and they were being supported to live more independently; three people live semi-independently in the annex. The support plans examined, as noted in the outcome group for Individual Needs and Choices, were being updated to ensure each person’s current personal, emotional and health care needs recorded and the goals and aims of this support identified. This clarity is important to ensure that the support team are fully aware of each person’s specific needs and can respond in a consistent manner. One relatives commented “I have never had anything but praise for the home that Silvermead has given my son. It is in my mind an exemplary care home Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 15 which gives me much peace of mind that my son is cared for in such an excellent way”. Evidence was recorded that people had been supported to see their GP, dentist, chiropodist and optician. Training has been arranged with the Learning Disability Team to develop Health Action Plans for each person, these plans will identify specific health care needs, possible complications and the support staff required in meeting these needs. Staff with the responsibility for administering medicines had received training in safe medication practices through a local college and medication was stored safely in the office. Records of medicines received into the home and administered were accurate and neat. A measured dose system was used, this is a system where the local pharmacist prepared each person’s medication into blister packs for each day and time of day; this reduced the risk of medication errors occurring. Silvermead DS0000003518.V345267.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are protected from abuse, neglect and self-harm. People are listened to and complaints or concerns are taken seriously and acted upon immediately. EVIDENCE: Neither the Commission for Social Care Inspection nor the home had received any complaints regarding the service since the last inspection. Those people who were able to comment said they were happy to talk to the staff about any concerns. The relatives who returned a survey said they knew how to make a compliant and comments received included, “in all the years my son has been at Silvermead I have never had cause to complain” and “if I have pointed out something they are quick to respond and try to help”. People are invited to attend a monthly house meeting to discuss the day-today running of the home and any issues of concern, and notes of these meetings were recorded and used as part of the home’s review of the quality of the services provided. Staff had received training in the protection of vulnerable adults and were aware of their responsibilities should they suspect someone is at risk from abuse. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a spacious, safe and well maintained home, which encourages their independence. EVIDENCE: Silvermead provides a homely environment for the people who live there. It is generally well decorated, and on the day of the inspection was found to be very clean and warm. Since the previous inspection a further bedroom has been created in the annex which provides semi-independent living for 3 people. This additional bedroom has enabled someone to move from one of the shared rooms into their own room. Previous water damage to one of the rooms in the annexe had been repaired however there was a damp smell in this room; attempts were being made to air this room and to resolve the dampness with a dehumidifier. There Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 18 is covered walkway between the main house and the annexe bedrooms providing shelter during inclement weather. Conversion of the conservatory into a sensory room was still ongoing and on completion will offer a positive resource. People are able to individually decorate their bedrooms, and the two people spoken with during the inspection said that they liked their rooms, and there was nothing that they would want to change. The gardens at Silvermead are large, level, well maintained and fully accessible. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 19 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 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust. Staff are enthusiastic, have a good understanding of the peoples’ needs and work positively to improve their quality of life. EVIDENCE: Many of the staff have worked at Silvermead for several years and as such have a close relationship with those living there. The Deputy Manager and another staff member have worked at the home for over 20 years. A sample of staff files were examined, including one for a newly appointed staff member and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. Regular staff meetings took place and addressed the principles and values of the home, staff performance and training and development needs, as well as day-to-day support issues. Staff received informal supervision from the Deputy Manager as well as the Register Provider: as the home has a small, stable staff group, both felt that this was an appropriate level of supervision as Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 20 staff were seen and worked with on a day-to-day basis. Comments received from staff included, “Our manager is always on hand to give support in and out of working hours” and “we are always kept up to date with any changes”. The Deputy Manager confirmed that should there be any issues of work performance that needed to be addressed then these meetings were formally recorded. The Register Provider meets the Deputy Manager each week to review the day-to-day running of the home and address any issues relating to the needs of the people who live there or the staff team. The Deputy Manager and staff members confirmed that staff were expected to attend relevant training on topics including supporting people whose behaviour is challenging, adult protection; epilepsy; Autism; communication with people who have little or no verbal communication skills; manual handling; safe medication practices; fire safety; health and safety and emergency first aid ensuring they have the skills and confidence to support people on a day-to-day basis and also at times of crisis. Newly employed staff are provided with an inhouse induction programme to introduce them to their role and the people they will be supporting: all staff enrol on National Vocational training upon completion of the induction training ensuring all staff have a Nationally recognised care qualification. At the time of the inspection there were 3 staff on duty. Discussions with the staff and the examination of the duty rotas confirmed that this was usual during the day and was sufficient to allow people to participate in individual activities in and out of the home. Two staff were available in the later afternoons and evenings and 1 waking and 1 sleeping–in staff at night. The Deputy Manager confirmed that should additional staff be needed to support leisure activities in the evenings then this would be provided. Those staff spoken to had a very positive attitude towards the support they gave people to develop new skills, to live as independently as possible and to enjoy a lifestyle that was meaningful and rewarding. Staff were observed throughout the inspection to interact with the people living in the home and each other in an informal, friendly and respectful manner. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 21 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 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Peoples’ rights, health, safety and welfare are protected and promoted. EVIDENCE: Mrs Isobel Barker has owned Silvermead for many years. She is supported by a Deputy Manager who confirmed they have an excellent relationship and that she is in contact with Mrs Barker everyday, either by phone or in person. A Quality Assurance System involves sending questionnaires to the people who live in the home and their relatives: the results of the survey sent in July 2006 were very positive however no surveys have been sent since this time. The Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 22 monthly house meetings are also used to contribute to the overall quality assessment of the services being provided. The Deputy Manager confirmed that further surveys would be sent and the results of these would be compared to the surveys from July 2006. Consideration is being given to greater consultation with the use of signing and symbols with those people who do not have verbal communication skills. This would demonstrate the homes commitment to involve all of those living in home, not just those who are able to comment directly. Fire prevention records were examined, and evidenced that staff have received appropriate training, fire prevention equipment is well maintained, and staff interviewed during the inspection were clear about what action to take in the event of a fire. A record of accidents was examined, and evidenced that appropriate action had been taken by staff on the rare occasion that an accident had happened. Daily record books were examined, and evidenced that communication. Not radiators in Silvermead are covered, but where they are not, a risk assessment has been completed to protect people from the risk of burns should they come into contact with them when on. Hot water outlets have temperature control valves fitted that will ensure that people are not at risk of burning themselves on hot water. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 3 3 3 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 3 3 3 X X 3 3 Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA7 Regulation Requirement Timescale for action 30/06/08 2. YA7 20(1)(a)(b) The Registered Provider must ensure that the money belonging to the people living in the home held in the “residents” account is not considered part of the business assets to ensure this money is protected. 12(1)(a) The Registered Provider must document the agreement with families to retain the mobility element of their Disability Living Allowance (DLA) to cover all transport costs and to identify the level of the DLA component each person received to ensure the arrangement was fair to all and no one person was subsidising another. 29/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 25 1. YA6 Each person should have a support plan that details their current needs and the staff action required to meet those needs to ensure a consistent approach to care. Silvermead DS0000003518.V345267.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Silvermead DS0000003518.V345267.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. 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