elsewhere in the inspection report to positive practice, e.g. page 10: ‘’ During our second day, lunch appeared to be less rushed and more person centred.’’ The first three findings use the term Amended. not always caring However, on ‘’ ‘’. page 10 paragraph 3, staff are described as being mostly caring ‘’ in their approach to people’’. These statements should be made consistent by using the term mostly ‘ caring in the text on page 4. ‘ The home has received the Not a factual ‘smile for life’ accreditation for oral health X accuracy comment care through Bucks CC Smile for life and evidence was campaign in recognition of not provided on supporting people to a high the inspection. standard in this area. REACH are the only organisation in Bucks were have all homes received this accreditation. Page 5 Background 4th Paragraph the Now reads – ‘Before “We inspection we asked the provider to to this did not receive a complete a PIR. We did not receive inspection completed PIR a completed PIR form from the form from the provider’. provider as the As stated on page 13, last inspector was paragraph, it was reported that this advised that the form was not received by the request had not provider. This to be reflected in been received.” the statement on page 5. In addition the provider did complete a Residential Services Contact List via email on 13.11.14 and this was completed and returned on 14.11.14. Evidence of which was emailed to the lead inspector on 30.04.15. Page 5 Background 5th Paragraph 2nd sentence Amended. – Change Manager’ to to this ‘Interim Manager’ and change ‘Homes inspection Director’ to ‘Operations ‘Operations Manager’. Page 6 Is the Amended. 3rd Paragraph 4th sentence – Change Manager’ to service ‘Interim Manager’. safe? ‘Homes Page 6 Is the 3rd Paragraph 5th sentence X This evidence was – ‘For the whole of April the rota showed service not provided at the there was only one day where they safe? inspection when met these minimum staff numbers. requested. On six occasions staffing numbers were less than 3 on either an early or late shift. It was not recorded if agency staff were used to make up minimum numbers’.
elsewhere in the inspection report to positive practice, e.g. page 10: ‘’ During our second day, lunch appeared to be less rushed and more person centred.’’ The first three findings use the term ‘’ not always caring ‘’. However, on page 10 paragraph 3, staff are described as being ‘’ mostly caring in their approach to people’’. These statements should be made consistent by using the term ‘ mostly caring ‘ in the text on page 4. The home has received the ‘smile for life’ accreditation for oral health care through Bucks CC Smile for life campaign in recognition of supporting people to a high standard in this area. REACH are the only organisation in Bucks were have all homes received this accreditation. X Amended. Not a factual accuracy comment and evidence was not provided on the inspection. Page 5 Background to this inspection 4th Paragraph – ‘Before the inspection we asked the provider to complete a PIR. We did not receive a completed PIR form from the provider’. As stated on page 13, last paragraph, it was reported that this form was not received by the provider. This to be reflected in the statement on page 5. In addition the provider did complete a Residential Services Contact List via email on 13.11.14 and this was completed and returned on 14.11.14. Evidence of which was emailed to the lead inspector on 30.04.15. Now reads “We did not receive a completed PIR form from the provider as the inspector was advised that the request had not been received.” Page 5 Background to this inspection 5th Paragraph – 2nd sentence Change ‘Interim Manager’ to ‘Homes Manager’ and change ‘Operations Director’ to ‘Operations Manager’. Amended. Page 6 Is the service safe? 3rd Paragraph – 4th sentence Change ‘Interim Manager’ to ‘Homes Manager’. Amended. Page 6 Is the service safe? 3rd Paragraph – 5th sentence ‘For the whole of April the rota showed there was only one day where they met these minimum staff numbers. On six occasions staffing numbers were less than 3 on either an early or late shift. It was not recorded if agency staff were used to make up minimum numbers’. X This evidence was not provided at the inspection when requested.
REACH-Sistine-CQC-FAC-Log-Final.docx