Care Home: Wilkinson Park Residential Care Centre

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What the care home does well Peoples` needs are assessed before they move into Wilkinson Park to make sure that their needs can be met. Individual plans are in place for people receiving the service and these provide basic information about their needs and there is evidence from talking to people some good work is going on to provide an individualised service. Good general risk assessments are in place at Wilkinson Park. People have regular meetings with their keyworker and they are able to discuss their wishes, choices and personal goals. There are regular meetings of the people living at Wilkinson Park when they are encouraged to put forward their views about all aspects of the service. Educational, occupation and social activities are very well organised and planned to suit the needs of the people using the service. The people using the service enjoy the varied programme that suits their interests and abilities. People are consulted about their preferences. The food is well cooked and presented taking account of individuals` tastes and healthy eating is being promoted. The systems in place for managing medicines protect people living at Wilkinson Park. People know about the complaints procedure and feel able to put forward their views and are confident these will be taken seriously. Wilkinson Park provides spacious recreational areas that suit the needs of the people living there. The grounds are well kept and people have opportunities to enjoy the rural lifestyle. Each person has his own room and this is personalised to suit his individual interests and taste. Good levels of staff are available to support people in their daily lives. Recruitment practices and procedures are clear and protect people using the service. What has improved since the last inspection? Before admission an individual assessment is carried out and the information used to prepare an individual plan. This means that the service knows they can meet the needs of the individual. Each person has an individual plan that includes basic information about their needs. Staff recognise the need to further improve and develop the plans to show the support being provided to people and how plans are reviewed and updated.General risk assessments are available for each person that contain good information about how these risks are managed. The manager is in the process of reviewing policies, procedures and practices including the quality assessment process, but this work is not yet completed. What the care home could do better: Peoples` plans require further work to reflect the personal support needs of individuals are identified within them. People are supported to enjoy a good lifestyle, but plans do not always reflect this. Risk assessments need to more personalised to ensure that individual risks are clearly identified and minimised to safeguard people living in the home. Safeguarding training must be provided for all staff to ensure that people living in the home are protected. A planned programme of redecoration, renewal and maintenance should be drawn up to identify priorities. This will ensure that people live in a comfortable, well maintained home. Arrangements for the provision of training need to be reviewed to ensure that staff have the training they need. This will ensure that staff have the skills they need to meet peoples` needs. Recruitment practice needs to be reviewed to ensure that all new staff appointed provide a full work record and explanation of any employment gaps. This keeps people living in the home safe. Staff should receive supervision at least six times per year. This ensures that staff are supported to do their jobs. Training records need to be kept up to date to show that staff have the skills they need to care for the people living in the home. Tha manager must have designated time to spend on management tasks to ensure that the home is operating effectively. This will allow her to ensure that staff supervision, staff training, quality assurance and policies and procedures are kept up to date. The current review of policies, procedures and quality systems needs to be completed to ensure that quality of care is assessed against set standards. Key inspection report Care homes for adults (18-65 years) Name: Address: Wilkinson Park Residential Care Centre Wilkinson Park Residential Care Centre Rothbury Morpeth Northumberland NE65 7DP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Anne UrwinBrown     Date: 1 2 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Wilkinson Park Residential Care Centre Wilkinson Park Residential Care Centre Rothbury Morpeth Northumberland NE65 7DP 01669-650265 01669650265 Wilkinsonpark_03@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ms S Harper,Mr R Turnbull Name of registered manager (if applicable) Type of registration: Number of places registered: care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 17 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Learning Disability Code LD, maximum number of places 17 Date of last inspection Brief description of the care home Wilkinson Park is a large 2-storey house located in rural area of Northumberland approximately 7 miles from the village of Rothbury. Situated in the grounds of the home is a coffee/smoking area and a workshop, which is used as a base for activities, organised as part of the day care provided by the home. A large garden is situated at the rear of the home and other grounds amounting to 5.5 acres in all. At the front of the house is a car parking area. Ramp access is available at the entrance to the home. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 17 1 4 0 5 2 0 0 9 Brief description of the care home There is a separate flat for four service users and a cottage adjacent to the home provides accommodation for two people. The home is registered to care for 17 people who have learning disabilities. All bedrooms are single. The home cannot provide nursing care. Fees charged by the home per week are between £635 - £1016.00. Extra charges include chiropody, hairdresser, toiletries, newspapers, and activities over & above the normal day services. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Before the visit: We looked at: Information we have received since the last visit. How the service dealt with any complaints & concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service & their relatives, staff & other professionals. Care Homes for Adults (18-65 years) Page 6 of 29 The Visit: An unannounced visit was made on 12 April 2010. The visit lasted a total of seven hours. During the visit we: Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe & comfortable. Checked what improvements had been made since the last visit. We told the deputy manager what we found. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? Before admission an individual assessment is carried out and the information used to prepare an individual plan. This means that the service knows they can meet the needs of the individual. Each person has an individual plan that includes basic information about their needs. Staff recognise the need to further improve and develop the plans to show the support being provided to people and how plans are reviewed and updated. Care Homes for Adults (18-65 years) Page 8 of 29 General risk assessments are available for each person that contain good information about how these risks are managed. The manager is in the process of reviewing policies, procedures and practices including the quality assessment process, but this work is not yet completed. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 9 of 29 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 10 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before they move in to ensure that staff are able to provide the appropriate care and support to meet their needs. Evidence: Individual records contained information about peoples background and previous history. In some working files the assessment had been archived as the person was admitted some considerable time ago. No one has been admitted since the last inspection and the most recent person had an assessment in their records. The manager has prepared a new form to be used for all new admissions and this covers the areas needed to make a satisfactory assessment of need. She said that the person, their relatives and professionals are consulted during the assessment process to ensure that the service is able to fully meet the needs identified. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Wilkinson Park get the care and support they need and their privacy is respected, although some of the records could be more personalised and detailed. Evidence: Each person has a care plan that includes basic information necessary to deliver care, but is not sufficiently personalised. In particular some plans are not clear about the level of staff support, or personalised to reflect specific individual needs and do not always show that issues are followed up for example when someone said they had pain there was no follow up to say this was better or needed more treatment. Plans include some reference to equality and diversity issues relevant to each person, but this area could also be developed to show the good work that is going on. The Annual Quality Assurance Assessment (AQAA) describes the support being provided, including key worker sessions and resident meetings, but these were not always reflected in individual records. Systems for reviewing care plans are in place and the AQAA says people living in the Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: home are actively involved in this process, however sometimes this was not clear from records. Each person has a key worker and staff are clear about this role and people living in the home know which staff member is their key worker. One care manger said that Wilkinson Park offers service users choice in activities, holidays. Respect peoples individuality and encouraging them to express themselves. Risk assessments are in place that identify how risks are minimised in a general way however most assessments are not sufficiently personalised. The assessments have improved since the last inspection. The service has a positive view towards risk assessments that focuses on supporting people to live the life they want to lead, but it is not always clear what level of staffing is needed by each person when they are out in the community. Any limitations on freedom, choice or facilities are in peoples best interests and these are well documented and agreed with the person concerned and/or their representatives. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a good quality lifestyle and links with family and the local community are fostered. Good opportunities are provided for people to take part in appropriate leisure activities. Evidence: People living in the home are involved in a good range of daytime activities of their choice and these correspond with their interests, capabilities and diverse needs. They are involved in planning their lifestyle and have a good quality of life. Educational opportunities and work experience is supported and promoted. People are supported to access opportunities available in their local community and regularly use local facilities and attend social events. It is not always clear from records the good opportunities that are available to people living at Wilkinson Park. People are supported to maintain links with family and friends and there was evidence Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: in individual plans that staff support this. There are regular social events at the home to which family and friends are invited. People have regular holidays and are able to make choices about the type and location of these. There was evidence from talking to people that they have good social opportunities and that they lead active lives. People are involved in domestic routines, menu planning, and some people regularly cook their own meals. The menus in the main house provide a varied diet with alternatives available if people do not like the food on the menu. People living in the home said that they enjoy the food and it is well cooked. Meals are social occasions and are unrushed. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare support is planned and delivered taking account of multi agency intervention to ensure that peoples privacy, dignity and independence is respected. Evidence: Peoples personal care needs are identified within individual plans. They are able to access health care services both within the home and in the local community. People are registered with the local health centre and some people have regular appointments with consultants at local hospitals. Information was available in individuals records about the outcome of these contacts. Evidence was available that peoples health care needs are monitored, however sometimes records do not show the outcome of issues identified in the daily notes. Staff are aware of current issues with people and are able to provide an update. Records show that there is ongoing support for individuals from healthcare professionals. Staff encourage individuals to be independent and to take responsibility for their own personal hygiene. Evidence was available to show support from staff is available for people if they need it. Aids are supplied where a need has been identified. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Good arrangements are in place to protect service users receiving medication. Arrangements for the administration of medicines protect people living in the home. Records are well maintained and arrangements for the storage of medicines are satisfactory. Staff training in administration of medicines has been provided for staff. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Wilkinson Park are generally protected by the homes procedures for dealing with complaints and allegations although on one occasion this was not followed. Evidence: There is a complaints procedure in place that is clearly written and easy to understand. People living in the home said in questionnaires and during the inspection that they would feel able to speak to staff if they had any concerns or complaints. There have been no complaints within the past year. There is a system in place for recording complaints, the investigation and outcome. There has been one safeguarding referrals made since the last inspection. This matter was not referred directly to the safeguarding team as it should have been. Staff at the home did not demonstrate that they were aware of what the procedure is and how to respond. Staff training in safeguarding is not up to date, however this was arranged for the week following this inspection for all staff. This was confirmed by telephone after this inspection. Individual risk assessments protect residents from potential selfharm. People are also protected by good staff recruitment procedures and practice. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Wilkinson Park have a mainly comfortable, clean, well maintained home that suits their individual needs. Evidence: Wilkinson Park is large stone built house set in its own grounds in a rural area of Northumberland. There is a cottage across the courtyard to the side of the house that is also registered where people live more independently with support from staff. There is extensive gardens and a workshop that people use during the day. The public areas of the house are generally well maintained although some issues were identified during the inspection. The kitchen and servery are well equipped, clean and well maintained. There is comfortable sitting and dining areas as well as a large games room on the ground floor. Furnishings and fittings in these areas are of a good standard, but there was a mouse trap in the sitting room and evidence of mouse dirt in the fireplace. The glass in the doors near the main entrance is damaged and could present a hazard. In most bedrooms people living in the home are responsible for cleaning their rooms with support from staff. There was evidence from the state of rooms that some people need more assistance with keeping their rooms tidy and clean. There was little Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: information available about the level of support each person needs to undertake this work within individual plans. People are accommodated in single rooms that are well personalised with their own possessions. People are encouraged to make choices about the decor and furniture. There were some rooms with broken furniture, which included wardrobes and chests of drawers. The standard of decor and furnishings varies throughout the home and staff said that arrangements were in place for maintenance to be carried out. There was no written plan identifying priorities for refurbishment and redecoration available. The kitchen in the Courtyard requires replacement as the units and worktop are in a poor state of repair. The cottage was not being used as there was a problem with the gas supply and the two people living there have moved into the main house until this is resolved. The laundry is well organised and accessible to people living in the home. Staff said that they receive infection control training. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are generally good, but training records are not kept up to date, so it is not clear that staff have the appropriate skills. Evidence: The rota shows there are sufficient numbers of staff to meet the needs of the people living at Wilkinson Park. Staffing during the day is arranged to suit peoples needs and the activities going on. Care managers are generally consulted about the level of support needed by people living in the home. However records did not always make clear the ratio of staff to resident that was necessary to keep people safe and sometimes there was a discrepancy between the ratio identified by care managers with what was in individual records. There is currently one waking night staff and two sleep in staff to provide cover during the night. People living in the home and staff said that the current staffing levels are enough. Staff recruitment procedures are in place. Staff records show that appropriate reference, identity and police checks are made before any new staff start work. One staff record did not contain a complete work history and there was no evidence that employment gaps had been explored. Training records were not always completed and it was not possible to check that all Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: required training has been completed by individual staff. The Annual Quality Assurance Assessment confirmed that all new staff receive appropriate induction training and staff interviewed said this happened, however staff records do not confirm this. From discussion with the staff and assistant manager it is evident that staff are completing relevant training courses, but records are not completed to show this. Sixty four per cent of staff have completed national qualifications in care. Staff supervision is not happening at appropriate intervals and in one case six months had passed between supervision sessions. This is affected by the manager working on the rota and not having time identified to carry out this and other management tasks. There are regular team meetings and staff find these helpful. Staff said that they felt able to raise issues at meetings or supervision and said the manager was approachable. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some management systems are in place for monitoring the quality of the service that take account of the views of the people living in the home, however these are not fully developed and are not being used effectively to ensure that standards are maintained. Evidence: The manager has not yet completed her registration, but is a qualified nurse who has been working at Wilkinson Park for some time. She is aware of the need to keep up to date with her own personal development. The manager was working a night shift at the time of this inspection and the rota shows that she works as one of the care staff every day and has no designated management time. This means that she does not have the time to spend on management tasks that she should. This means that the work on quality assurance, developing the service, staff training and staff supervision is not being done consistently or effectively. There are regular team meetings and staff said that these are helpful. Staff said that they feel able to raise issues at meetings or to approach the manager if they want to discuss their work or have any concerns. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: At the time of the inspection the manager had just completed a night shift and did not stay for the full day, so it was not possible to explore fully with her the management systems and how these work. It was possible to confirm that the manager is reviewing the systems and planning improvements to the service that take account of the views of the people living in the home. The manager understands person centred planning and is working to improve systems for monitoring practice and compliance. More work is needed in this area. Checks show that training in safe working practices is ongoing, although not all training provided had been recorded. People are assisted to manage their money and good systems are in place to record transactions. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 37 12 The manager must have 14/06/2010 designated time when she is supernumerary to allow her to complete management tasks. This will ensure that the home is managed effectively. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 Peoples plans require further work to reflect the personal support needs of individuals are identified within them. Systems need to be further developed to ensure that peoples needs are updated and that plans are reviewed. Risk assessments need to be more personalised to ensure that individual risks are clearly identified and minimised to safeguard people living in the home. Staff training must be provided in safeguarding. This will ensure that they know how to keep people safe. A planned programme of maintenance and renewal should 2 9 3 4 23 26 Care Homes for Adults (18-65 years) Page 27 of 29 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations be drawn up and timescales identified for remedial work. A copy of this plan should be supplied to CQC. 5 34 A full work history and an explanation of any employment gaps should be available in writing before an appointment is made. This makes sure that people living at Wilkinson Park are kept safe. A staff training and development plan and records of staff training should be kept up to date to show that appropriate training opportunities have been provided for staff. All staff should receive regular supervision at least six times per year. This provides them with professional support and guidance as well as opportunities to identify training and development needs. Effective systems need to be in place to monitor the quality of the service and these need to take account of the views of service users. A record of all training in safe working practices needs to be kept to ensure that staff have completed appropriate training for their role. 6 35 7 36 8 39 9 42 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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