Care Home: The Links

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What the care home does well The manager continues to provide staff with effective leadership and actively supports them to develop their knowledge and skills in caring for the people who use this service. The service users continue to be provided with support to maintain positive relationships with family and friends and to access services in the local community. Care plans and risk assessments are produced for each service user and closely monitored by the home. Regular arrangements are made for care plans to be reviewed with the service user, their relative/representative and relevant professionals. The home continues to maintain good working relationship with health care professionals to ensure the service users health care needs are being appropriate addressed. A stable and trained staff team provides care and support to service users and they continue to follow good working practices. What has improved since the last inspection? Since the last inspection good progress has been made in providing service users with information in alternative formats. There are some omissions in the information provided which have been discussed with the manager who states action will be taken to address these. The home has revised how it stores health care information on the service users files to enable this to be accessed quickly in the event of an emergency. All staff have received training in the safe handling and administration of medication. The programme for the re-decoration and refurbishment of the home is almost complete. Service users expressed their satisfaction with the work that has been carried out. What the care home could do better: Discussions held with service users demonstrate that their care needs are being met in accordance with their personal preferences. However, the home needs to ensure full details of all their care needs and how these are to met are recorded in their care plans. Any agreements made that restrict a service user`s right to make her/his own decisions should also be included in her/his plan. The home has good systems for consulting with service users, their relatives/representatives and other interested parties. The results of the surveys should be published and made available with the home`s plans for the service. CARE HOME ADULTS 18-65 The Links 252 The Broadway Dudley West Midlands DY1 4AP Lead Inspector Linda Elsaleh Key Unannounced Inspection 13th December 2007 09:00 The Links DS0000025029.V356404.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 The Links DS0000025029.V356404.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. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Links Address 252 The Broadway Dudley West Midlands DY1 4AP 01384 459651 01384 457340 TheLinks@shawhomes.co.uk 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) Shaw Healthcare (Specialist Services) Ltd Vacant Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (5) of places The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 5 LD and up to 5 MD. Date of last inspection 23rd January 2007 Brief Description of the Service: The Links is owned by Shaw Healthcare (Specialist Services) Ltd. The home is situated near to Dudley town centre, and has local shops and amenities close by. It is accessible by public transport and limited off-road parking is available. The property is two semi-detached houses adapted for use as a care home for people with a learning disability, who may also have additional mental health disorders. It is centrally heated throughout and furnished to a reasonable standard. The bedrooms, toilet and bathing facilities also situated on this floor. There are no en-suite facilities, and the home is not suitable for people with a physical disability. The communal rooms are located on the ground floor and include lounge areas, dining room and a large conservatory. A designated smoking room is included in the conservatory. A split-level garden is located at the rear of the property. A pay phone is available in the hallway for use by service users. The home provides a range of in-house and community based activities, and utilises various healthcare resources within the local area. The home should be contacted directly for up to date information about the fees charged for this service. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 13th December 2007. The purpose was to assess the home’s performance against the key standards in the National Minimum Standards for Care Homes for Adults (18-65) and report on the progress made to address requirements made at the previous inspection. The acting manager has been successful in her application to the company to manager the home on a permanent basis and her application to become the registered manager is being process by the Commission for Social Care Inspection (CSCI). The inspection findings are based on information received by CSCI and comments from service users, their relatives and/or representatives and other interested parties. Discussions were held with the manager, staff and service users and documentation and records relevant to this inspection were examined. The home has made good progress in addressing the requirements made at the previous inspection. No requirements have been made as a result of this visit. The good practice recommendations were discussed with the manager. What the service does well: The manager continues to provide staff with effective leadership and actively supports them to develop their knowledge and skills in caring for the people who use this service. The service users continue to be provided with support to maintain positive relationships with family and friends and to access services in the local community. Care plans and risk assessments are produced for each service user and closely monitored by the home. Regular arrangements are made for care plans to be reviewed with the service user, their relative/representative and relevant professionals. The home continues to maintain good working relationship with health care professionals to ensure the service users health care needs are being appropriate addressed. A stable and trained staff team provides care and support to service users and they continue to follow good working practices. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The Links DS0000025029.V356404.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 The Links DS0000025029.V356404.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): 1, 2, 4 & 5 Quality in this outcome area is good. Prospective service users are provided with relevant information about the service. This is provided in suitable formats that enable prospective service users to make an informed choice about where to live. The home assesses the needs of prospective service users and provides them with opportunities to view the home and meet with staff and other service users. Each service user should be provided with an up to date contract/statement of terms & conditions. The contract should be agreed by the service user and the home and a signed copy of the agreement kept available on the service user’s file. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are provided with a copy of the home’s Statement of Purpose. This document is reviewed on a regular basis. Basic information about the home’s admission criteria is produced separately. The manager is advised to include this the admission criteria in its Statement of Purpose to ensure service The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 9 users and/or their representatives have access to this information. The Service User Guide is now produced in pictorial form and positive comments about this were received from service users and staff. Since the last inspection one service user has moved to alternative accommodation that is better suited to meet her/his specific needs. A respite service has also been provided for another service user. The home has previously demonstrated that it carries out satisfactory assessments to ensure it is able to meet the needs and wishes of prospective service users. However, as reported on at the previous inspection, the home needs to ensure detailed information is provided on who and how medication and finance issues will be managed. The home has been reviewing service users individual contracts/statement of terms & conditions. The manager stated arrangements are being made to discuss the new format with the Area Manager before these are introduced to the service users and/or their representatives. The Links DS0000025029.V356404.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 Quality in this outcome area is good. Service users are aware of their identified needs and how these will be met. They are involved in the home’s care planning process and are supported to make informed choices and decisions about their lives. Regular consultation takes place with service users about different aspects of life at their individual key worker sessions and at residents’ meetings. Risk assessments are undertaken to protect service users and to support them to take risks as part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans are produced for each service user. The plans identify the care/support required, the goals to be achieved and action to be taken by The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 11 staff. The manager is supporting staff to implement a more person-centred approach to care planning and service users are being encouraged to be more pro-active in planning for their individual care. The appropriate health care professionals are consulted about relevant aspects of the individual’s care. Responses received from these professionals state there are good working relationships with staff at the home. Each service user has a Behaviour Support Profile. This contains information about how they are to be supported to develop their social skills when interacting with others and how staff should respond to inappropriate behaviours. Detailed records are kept of any of the identified situations that have occurred. The policy for managing difficult behaviour and use of physical intervention has not been reviewed since 2005. The manager is advised this policy should be reviewed, especially following displays of behaviour by a service user that has proved challenging to the service. The key workers carry out a monthly evaluation of service users care plans and risk assessments. Reviews are regularly held with service users, family/representative and relevant professionals. However, some of the files examined did not contain a record of the issues discussed. Therefore, it was not possible to confirm all care plans had been updated accordingly. One service user stated s/he found these review meetings very useful. The staff team have a good awareness of service users’ individual needs and how these are to be met. However, details of how service users are encouraged and supported to make their own choices and decisions has still to be identified in the care plans. For example, staff and a service user confirmed that discussions had been held about the effects of smoking has on her/his health and finances and they have agreed how this will be managed. However, this arrangement has not been included in the individual’s care plan. The home provides information about the role of independent advocates and how they can be contacted. One service user has accessed this service during the last twelve months. Regular meetings are held with service users to consult with them on the dayto-day running of the home. Minutes are kept of these meetings and show service users actively participate in discussions and action is taken by the home to address the issues raised. The Links DS0000025029.V356404.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 & 17 Quality in this outcome area is good. Service users are provided with opportunities for personal development and are supported to participate in a range of activities in the local community. The home makes arrangements to assist service users to visit family and friends. However, service users would benefit from being provided with information about visitors to the home. The home respects the rights of service users and provides them with advice and guidance to support them to make decisions about different aspects of their lives. However, an assessment should be carried out of how other service users will be affected should arrangements be agreed to restrict another service user’s access to a communal area within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 13 The home ensures service users have access to and are supported to attended appointments with health care specialists such as counselling and therapy services. Where concerns are identified the home is confident in seeking advice from the relevant specialists. Strategies are identified to assist them in managing every day living situations and, as previously stated, staff record this in the service users Behaviour Profile folder. One service user spoke positively of her/his work experience with animals and stated s/he now continues to work as a volunteer. Other service users commented positively on their experience of drop-in centres and the opportunities provided to maintain and develop relationships within the community. The home provides one-to-one support in the community of service users who require this. Care plans identify service users’ preferred routines, likes and dislikes and personal interests. Staff are familiar with the individual interests of service users and provide support to enable them to pursue these. One service user continues to enjoy tending to the home’s garden. Service users stated they enjoy outings such as visits to the local pub and would like to do this more often. Service users are encouraged to take short breaks and holidays away from the home throughout the year and are accompanied by staff. One service user stated s/he went to Blackpool for a few days and would like to go abroad in the future and is in the process of applying for a passport. Arrangements for receiving visitors are not included in the home’s documentation provided to service users and no written policy is available in the home. However, staff stated visitors are welcome at any time and service users who expressed a view stated they are able to receive visitors at different times throughout the day. Staff recognise the importance of maintaining contact with family and friends and therefore, arrange transport and/or an escort, where applicable, to enable visits to take place. Service users’ privacy is respected. They are provided with keys to their own bedroom and lockable facility. Service users have unsupervised access to all communal areas except the kitchen. Access to the kitchen was restricted due to concerns raised about two service users. Other service users stated they were aware of why staff felt it was necessary to take this action. One of the service user’s has since left the home. Examination of the other service user’s does not provide information for the need to continue to limit access to the kitchen. The manager is advised to carry out a review this practice. The home does not employ domestic or catering staff, these duties are carried out by care staff. They support service users to kept their rooms clean and tidy and encourage them to participate in some general household tasks. Service users informed the inspector they make their own choices in respect of what clothes to wear, meals and activities. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 14 Menus continue to be produced in consultation with service users. Alternative meals are provided on request. The records examined confirmed service users are provided with balanced and nutritious meals. No service users were identified as having any specific dietary needs. Catering skills vary among the service users and this is reflected in the different arrangements for the preparation of meals. For example, one service user continues to plan, shop and prepare her/his own meals. Staff are trained in basic food hygiene and follow good health & safety procedures. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. Service users are supported to manage their individual personal and health care needs in the way they prefer and require. The home has good systems for encouraging service users to participate in different aspects of managing their own medication. However, this support should be detailed in the individual’s care plan. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided about the home states one service user requires assistance with washing and bathing. Other service users are encouraged and prompted by staff to maintain good personal hygiene standards. They are also supported to develop individual routines to assist them with their daily living. For example, retiring to bed at a reasonable hour and arranging suitable times to take their meals. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 16 Service users continue to receive regular health care checks. The home has improved the quality of the records kept of individual’s health care needs, monitoring of conditions and appointments in the health care section of the individual’s file. This enables staff to access the information more quickly in the event of an emergency. However, the files examined show specific arrangements for recording changes in medication need to be followed by staff. For example, changes are being recorded in the main section of the file or in the health care section, not both. The manager is advised to review this practice to reduce the risk of inaccurate information being provided to health care professionals. The majority of medication is managed for service users by the home and appropriate training is provided to staff. However, there are individual arrangements for service users to participate in the administration of their medication. For example, one service user is supervised when accessing her/his medication and sets up the apparatus for monitoring her/his breathing at night. The management of and support given to service users should be clearly detailed in their care plans. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. The home has good systems in place for to ensure service users to discuss any issues or concerns they may have. Service users feel their views are listened to and acted upon. Procedures are in place to protect service users from abuse. They are cared for by staff that are trained to ensure their safety and well-being is maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A written complaints procedure is available at the home and is provided to service users in a pictorial format. Positive comments were received from service users’ relatives and/or representatives about how the service responds to any queries or concerns they may have. Information by the home states no complaints have been received by them and none have been brought to the attention of the Commission for Social Care Inspection (CSCI). A copy of the Vulnerable Adult Protection policy and procedure is available at the home. Training in the protection of vulnerable adults have been provided to staff and arrangements are being made for them to receive training on the recently introduced mental capacity act. No adult protection concerns have been raised in respect of this service. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 18 The manager does not act as appointee for any service users. There are individual arrangements in place for supporting service users to manage their personal allowances and access banking and post office services. Records are kept of any transactions made a service user’s behalf. However, details of the support to be provided and by who should be included in the service user’s care plan and regularly discussed with the service user, their relative/representative and relevant agencies at her/his review. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. The home has good arrangements for ensuring service users live in a homely, comfortable and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean and tidy. The communal areas are furnished and decorated to a satisfactory standard. Service users who wish to smoke may do so in the designated area in the conservatory. The home is making good progress with its programme for re-decoration and renewal of the premises. Floor covering in several rooms have been replaced and new televisions and dvd players have been purchased. Plans are in place for the kitchen to be refurbished in the near future. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 20 One service user reported they were very satisfied with the re-decoration of her/his bedroom. Another service user stated arrangements for her/his bedroom to be re-decorated to while they are on holiday. The home has a nominated person responsible for ensuring staff carry out the required safety checks on the premises, appliances and equipment. Records are kept of these checks and arrangements are made for any issues to be dealt with in a timely manner. Health & Safety policies and procedures, such as infection control and the Department of Health – Essential Steps, are available to staff training includes first aid, fire safety and infection control. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is excellent. The home continues to protect service users by ensuring suitable procedures are followed when recruiting staff. Service users are cared for and supported by trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users continue to be cared and supported by a consistent team of staff. The records kept by the home demonstrate good procedures are followed for the recruitment of staff. Arrangements are made for new staff to attend a course about the company and its aims and objectives. They also receive inhouse induction and are required to attend a mandatory training programme. Client-centred, update training and training appropriate to their specific roles are also provided on a regular basis. The staff team is made up of support workers, team leaders and a part time administrator. The manager reported all staff, with the exception of one, hold The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 22 the Level 2 National Vocational Qualification (NVQ) in Health Care. Some members of staff are also in the process of completing NVQ Level 3 and Level 4 training. Staff expressed satisfaction in the quality and range of training opportunities provided to them. Comments received included “inductions are very in depth” and “we have regular training to meet the needs of the clients”. They also spoke positively about the guidance and support they receive from the manager. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. Service users benefit from a well run home and are supported in their daily lives by a stable and trained staff team. Service users feel their views underpin the home’s self-monitoring, review and development. The home should demonstrate more fully to service users how the views affect the development of the service by providing them with information about the home’s findings and the action being taken to improve the service. The home has suitable systems in place for ensuring the health, safety and welfare of service users are promoted and protected. This judgement has been made using available evidence including a visit to this service. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 24 EVIDENCE: The Commission for Social Care Inspection (CSCI) is processing the manager’s application for registration. She has demonstrated during this inspection that she is has effective leadership skills and is providing staff with a sound framework to meet the needs of the service users. The home has policies and procedures in respect of safe working practices. These include reporting of accidents and fire safety. Staff receive training in all matters relating to health & safety. There are good internal and company systems for monitoring the home’s performance. A representative of the company carries out a monthly visit and provides a report on the conduct of the home. Service users’ views are sought through questionnaires, resident’s meetings and 1:1 sessions. The views of relatives/representatives and stakeholders are also sought on regular basis. The results of the home’s findings from the comments made have yet to be published and made available to service users, their relatives/representatives and other interested parties. Annual plans are provided for the development of the service. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 4 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA1 YA5 YA6 Good Practice Recommendations The Statement of Purpose should included information for service users about the home’s admission criteria. Service users should be provided with an up to date copy of their contract/statement of terms & conditions. The policy for managing difficult behaviour and the use of physical intervention should be reviewed on a regular basis to ensure the procedures to be followed by staff continue to be relevant. A record of review meetings should be kept by the home to ensure care plans are updated appropriately. Care plans should include details of how service users are supported to make informed choices and decisions about their individual lifestyles. Any agreements made with a service user to support them in the decisions they have made should be recorded in her/his care plan. Written information should be available about the home’s DS0000025029.V356404.R01.S.doc Version 5.2 Page 27 4. 5. YA6 YA7 6. The Links YA15 7. YA16 8. 9. 10. 11. YA20 YA20 YA23 YA39 arrangements for receiving visitors and the support it provides to service users to maintain contact with family and friends. Details of the reasons for restricting an individual’s access to a communal area in the home should be included in her/his care plan. The affect such an arrangement may have on other service users should be regularly reviewed with them. The manager needs to revise how records are kept for identifying changes in service users medication. Care plans should provide detailed information about how medication is managed by or on the behalf of individual service users. The support to be provided to a service user and/or arrangement made to manage any monies on her/his behalf should be clearly documented in her/his care plan. The home should publish the results of its surveys and make this available to service users, their representatives and other interested parties. The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 The Links DS0000025029.V356404.R01.S.doc Version 5.2 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!