Care Home: Walton Road

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well People living in the home benefit from staff keeping detailed records of there care needs. Resident`s benefit from comprehensive risk assessments being in place which promote their independence and autonomy. Residents benefit from having opportunities to participate in a range of appropriate activities which suit their individual preferences. Staff support residents to maintain links with family and friends and participate in local community activities. Staff encourage and support residents to have a nutritional diet which takes into account their personal preferences. People living in the home can be confident they will receive appropriate support from health care professionals. Residents benefit from staff providing personal support in a manner that respects their privacy and dignity and reflects their individual personal preferences. Residents are protected by the organisations Safeguarding Adults Policy and training. There is a comprehensive complaints procedure in place.People living in the home benefit from a clean comfortable homely environment. Comprehensive recruitment procedures help safeguard residents from harm. Residents benefit from staff being appropriately trained and supervised to provide the care they are assessed as requiring. What has improved since the last inspection? Since the last inspection a comprehensive care plan has been developed for each person. Although not presently required a lockable cabinet has been purchased in the event of residents requiring medication. Since the last inspection a water damaged ceiling has been redecorated. Staff have received training in relation to working with people who have autism. Staff have worked with residents to respond appropriately when the fire alarm is activated. Since the last inspection the manager has undertaken risk assessments in relation to staff working alone with residents and put appropriate procedures in place. CARE HOME ADULTS 18-65 Walton Road 61 Walton Road Sidcup Kent DA14 4LL Lead Inspector Lorraine Pumford Key Unannounced Inspection 8th April 2008 12.30p Walton Road DS0000068288.V361389.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 Walton Road DS0000068288.V361389.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. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walton Road Address 61 Walton Road Sidcup Kent DA14 4LL TBC TBC 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) www.mcch.co.uk MCCH Society Ltd Donna Gail Prescott Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 30th April 2007 Date of last inspection Brief Description of the Service: The home is registered to provide care for three people who have been assessed as having a learning disability, specifically in this instance Autism. The home is owned and managed by MCCH Society Ltd. The home is within easy reach of local transport, services and shops. There is off road parking. Accommodation consists of three single bedrooms all on the first floor. There are shared toilet and bathroom facilities. There is a separate lounge, dining room, kitchen and office on the ground floor. The laundry and designated staff sleeping in room are situated on the first floor. There is a garden to the rear of the property and a garage which is currently used as a storage area. Walton Road DS0000068288.V361389.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 two star this means that people using the service receive a good service. Prior to undertaking this visit the provider was asked to complete an Annual Quality Assurance Assessment (AQAA). This unannounced Key inspection was undertaken by one inspector who spent time in the home over a two-day period. During that time the residents and the staff on duty were spoken with. I also spoke with residents relatives to ascertain there views about the care and service provided. A number of policies and procedures were examined and I undertook a tour of the building. Records pertaining to two residents were examined in detail. The fees are currently £1,627 per week What the service does well: People living in the home benefit from staff keeping detailed records of there care needs. Residents benefit from comprehensive risk assessments being in place which promote their independence and autonomy. Residents benefit from having opportunities to participate in a range of appropriate activities which suit their individual preferences. Staff support residents to maintain links with family and friends and participate in local community activities. Staff encourage and support residents to have a nutritional diet which takes into account their personal preferences. People living in the home can be confident they will receive appropriate support from health care professionals. Residents benefit from staff providing personal support in a manner that respects their privacy and dignity and reflects their individual personal preferences. Residents are protected by the organisations Safeguarding Adults Policy and training. There is a comprehensive complaints procedure in place. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 6 People living in the home benefit from a clean comfortable homely environment. Comprehensive recruitment procedures help safeguard residents from harm. Residents benefit from staff being appropriately trained and supervised to provide the care they are assessed as requiring. 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. Walton Road DS0000068288.V361389.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 Walton Road DS0000068288.V361389.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People being admitted to the home benefit from a comprehensive assessment which ensures that the home to meet the needs prior to admission. EVIDENCE: The manager stated that the home has a Statement of Purpose and a Service User Guide, however the format is not suitable for the people accommodated, for example to indicate that care is provided there is a picture of an elderly person being pushed in a wheelchair which the residents at Walton Road would not be able to relate to themselves. The manager stated that she is hoping this will be addressed within the next four months. There have been no new admissions to the home since the last inspection however from records seen it is apparent that the homes admission process is comprehensive and involves the resident their relatives and relevant health and social care professionals. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from staff keeping detailed records of there care needs. Residents benefit from comprehensive risk assessments being in place which promote their independence and autonomy. EVIDENCE: A requirement was made at the time of the last inspection regarding the need for comprehensive care plans to be in place to ensure that staff were provided with written guidance on how to meet residents assessed needs. It was evident that staff have worked hard to address this requirement. A lifestyle support plan has been developed for each person. These are divided into specific areas and cover personal care, communication, health, personal safety activities etc. There was evidence that following on from the initial assessment goals have been set and the manager has provided written guidance for staff on action required by then to support residents to meet the goals. For example to help Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 10 facilitate communication for one person staff have developed a photo prompt folder this contains photographs of activities that the person participates in shops and places the resident goes to and transport used to get there. The care plan provided guidance for staff on how to talk with the resident to enable him to understand and behaviour that the resident would exhibit if he was unable to understand what was being said to him. There is a daily log completed by staff in relation to each persons health, activities and general demeanour. The home operates a key worker system and staff were able to provide verbal information on action they take to promote peoples independence and enhance their quality of life. Record seen indicate that risk assessments have been put in place which promote residents independency and autonomy whist minimising the risk of harm to themselves or the people around them. There was evidence that staff arrange regular reviews in relation to people they care for. The resident, their relative and relevant health and social care professional are involved in this process. Staff stated that all residents require assistance with managing their personal allowance. Small amounts of money are retained for individually named residents. The sample examined indicated that residents personal allowance tallied with the house records. The system is also regularly audited. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having opportunities to participate in a range of appropriate activities which suit their individual preferences. Staff support residents to maintain links with family and friends and participate in local community activities. Staff encourage and support residents to have a nutritional diet which takes into account their personal preferences. EVIDENCE: It was evident from talking to residents, staff and records seen that all of the residents are encouraged to participate in range of activities that reflect their personal hobbies and interests. In addition to the TV in the lounge residents have their own televisions, DVD players, play stations with a large ranges of music, films and games. A computer for general use has recently been installed and when the broadband connection is installed residents will have access to the Internet. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 12 All of the residents spend some days each week at day centres, on other days staff support residents to develop daily living skills and participate in a range of social activities in the community based on their individual hobbies interests and personal preferences. On the day that I visited all three residents have been bowling. Staff were seen to interact well with residents in an inclusive manner. Staff support residents to go to their favourite shops to purchase DVDs games etc. Residents who enjoy household shopping also participate in this on a weekly basis. Staff also support residents to have meals in local restaurants and pubs etc. From records seen it is apparent that all the residents are supported by family members who they spend time with on a regular basis. All of the residents participate in some aspects of the houses daily routines depending on their skills and abilities. Residents participate in laundry, hovering and dusting their bedrooms and if possible help staff with preparing and cooking meals and washing up. Guidance for staff on supporting residents to open there post was seen in there care plans. Residents are able to move around the house and garden freely and people who want to have a key to their bedroom. The menu seen was in a picture format. Menus are developed around residents likes and dislikes and staff try to encourage residents to have a balanced nutritional diet. On the day I visited residents had pizza and vegetables for lunch and a resident said they were having spaghetti bolognaise for their evening meal. The kitchen is accessible to everyone and residents who are able are encouraged to make their own refreshments. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident they will receive appropriate support from health care professionals. Residents benefit from staff providing personal support in a manner that respects their privacy and dignity and reflects their individual personal preferences. EVIDENCE: Information provided in the AQQA prior to the visit indicated that all three residents take pride in their appearance and choose their own clothing, which reflects their age and the activities they attend. The manager stated residents are supported to wear trendy and casual clothing. The day I visited all of the residents were wearing clothing appropriate to their age. There was evidence that staff provide personal care around individuals personal choices and preferences, for example the care plan for one person indicated that the resident does not like showers and prefers to have a bath in the morning and evening. Guidance for staff stated that they should prompt the resident to undertake his own personal care throughout the process only providing support when absolutely necessary. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 14 The care plan in relation to one person indicates that his weight should be monitored on a monthly basis, however there was only evidence that this has happened on three occasions since the need was identified last year. Action should be taken to address this. The manager stated that fortunately all of the residents maintain good general health and do not require any medication. At the time of the last inspection a recommendation was made that a medication cabinet should be purchased in the event of a resident being prescribed medication. The manager stated that a locked filing cabinet has been obtained for the purpose and all staff attend MCCH routine medication training courses. The manager was advised The Royal Pharmaceutical Society have updated their guidelines on medication procedures in care homes, and the manger was advised of the need (if there is a change in residents circumstances) to have a medicine profile for each resident with evidence of regular medicine reviews. The need to have protocols in place for administration of ‘as required’ medicines such as pain relief for residents with poor or no communication skills. The need to evidence that staff responsible for medicine management are assessed annually as being competent to do so. Staff ensure that residents are supported to attend routine health checks with the GP, opticians etc. residents also benefit form more specialised support from psychologists, speech and language therapists. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the organisations Safeguarding Adults Policy and training. There is a comprehensive complaints procedure in place. EVIDENCE: MCCH has a comprehensive complaints procedure which is available in a pictorial format. Information provided prior to the inspection stated there have been three complaints received by the manager in the last twelve months. To date the commission have received none. Records in relation to the complaints were examined, these indicated the action taken by the manager to address concerns brought to her attention. Relatives spoken with said that they knew they could speak to the manager regarding any concerns they may have. The provider has a Safeguarding Adults Policy. No incidents have occurred in the home that required referral to the local authority. Staff spoken with stated that they had undertaken training in relation to safeguarding adults at the time of their induction. One member of staff stated they had not received any further training in relation to this issue although there had been working in the home for almost a year. This matter was discussed with the manager who stated that the member of staff would attend the next training course arranged by MCCH (training matrix seen). Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 16 People spoken with were aware of the term whistleblowing and stated they would contact a senior staff member or the commission if they had any concerns regarding care practices of colleagues working in the home. Walton Road DS0000068288.V361389.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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from a clean comfortable homely environment. EVIDENCE: The house is light, bright and airy and the rooms are appropriately furnished for the purpose. The building was free from unpleasant odours. Residents benefit from having single bedrooms and these were individually personalised. All bedroom doors are lockable and since the last inspection appropriate locks have been provided to the first-floor bathroom and ground floor toilet. There is a pleasant garden to the rear of the property with a summerhouse there is also a large garage which is currently used for storage. A requirement was made at the time of the last inspection that a bedroom ceiling which had sustained water damage should be redecorated and action has been taken to address this issue. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 18 Taps to the bath on the first floor are not marked to indicate which is hot and cold although a mixer valve prevents the water from becoming excessively hot. Action should be taken to identify each tap as residents in particular would benefit from this prompt. The hall carpet is particularly stained and discussion took place with the manager regarding the need for appropriate action to be taken to address this issue. Walton Road DS0000068288.V361389.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive recruitment procedures help safeguard residents from harm. Residents benefit from staff being appropriately trained and supervised to provide the care they are assessed as requiring. EVIDENCE: The manager stated that all staff have a number of years experience of working with people with learning disabilities. In addition to the manager there are four full-time members of staff and a fifth person is currently being recruited to work in the home. The majority of staff hold a NVQ two qualification in care or above. A requirement was made at the time of the last inspection regarding the need for staff to receive training specifically in relation to understanding and meeting the needs of people who have autism and staff have recently attended a two day course in relation to this. Staff all stated they had found the training beneficial and were hoping further training would be arranged. Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 20 All staff receive sturtory training and there is a system in place to monitor when they need to attend refresher courses. Staff spoken with spoke positively of training opportunity that are provided and thought MCCH provided them with appropriate taining to undertake the work they perform. Records were examined in relation to the recruitment process for three members of staff working in the home. The manager and two members of staff were also spoken with in relation to this. There was evidence that MCCH operate an appropriate recruitment procedure. Staff spoken with stated they had completed application forms and attended interviews. The manager stated a record is kept of the interview to enable them to provide feedback to people. From records seen it was apparent that CRB/POVA checks are undertaken. MCCHs policy is to update the CRB checks for all employees every three years. The manager stated that peoples proof of identify is checked as part of the interview process. Record seen indicates that all staff have regular supervision and also have an annual appraisal. Walton Road DS0000068288.V361389.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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from the home being run by a suitably qualified and competent person. Regular safety and maintenance checks are carried out to ensure residents and staff live and work in a safe environment. Although the organisation monitors the quality of the service provided the monitoring visits are not carried out frequently enough. EVIDENCE: The manager has a number of years experience working with people with a learning disability and is currently working towards an NVQ4 qualification in care and management. The manager undertakes a regular internal audit in relation to the home she manages. Care Home Regulations state that the provider must undertake an audit in relation to the care and service provided in homes they manage and Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 22 this must be undertaken on a monthly basis. MCCH have arranged for home managers to undertake this task in homes other than the home they manage. It has recently been agreed that copies of these report no longer need to be forwarded to the commission, but should continue to be retained in the home for inspection. The manger stated that inspections had been undertaken until January 2008, however reports had not been written and the last written report was dated July 2007. Action is required to address this. The manager stated that MCCH are currently undertaking a large review of the service they provide and questionnaires have been sent out to residents, relatives and other stakeholders to ascertain their views. A recommendation was made at the time of the last inspection in relation to a single member of staff working alone with a single resident in the house and the safety implications involved, i.e. if for example the member of staff became unwell or needed medical attention the resident may not be able to deal with the situation. The manager has undertaken a risk assessment in relation to this and put appropriate procedures in place. At the time of the last inspection residents had only resided in the home for a relatively short period of time and were not responding if the fire alarm activated. A requirement was made regarding the need for residents to receive training in relation to responding appropriately to the alarm. The manager stated that staff have worked with residents so that regardless if the alarm is being tested or it is a fire drill everyone in the house responds. Fire drills now take place on a weekly basis. Records seen indicate there are regular safety and maintenance checks undertaken to the fire detection system, gas and portable electrical appliances. Designated staff have responsibility for issues pertaining to fire safety and health and safety. All staff receive training in relation to these issues at the time of their induction and have regular training updates thereafter. Walton Road DS0000068288.V361389.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 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 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 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 2 X X 3 X Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA19 Regulation 12 Requirement The registered person must ensure that action is taken to meet residents health care needs. In this instance ensure that the resident assessed as needing to be weighed on a regular basis is weighed to ensure their health care needs are met. The registered person must retain a copy of the monthly audit undertaken by the provider in the home and available for inspection. Timescale for action 01/05/08 2 YA39 26 sch 4 01/05/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA1 YA24 YA24 Good Practice Recommendations The Service User Guide should be in a format that the residents understand and can relate to themselves. Residents would benefit from taps being clearly marked hot and cold. The carpet in the hall requires a thorough clean. DS0000068288.V361389.R01.S.doc Version 5.2 Page 25 Walton Road Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Walton Road DS0000068288.V361389.R01.S.doc Version 5.2 Page 26 - 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!