Inspection on 14/02/08 for Camilla Road, 56

This is the latest available inspection report for this service, carried out on 14th February 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camilla Road, 56 16/12/05

Camilla Road, 56 20/07/05

Camilla Road, 56 08/02/05

Camilla Road, 56 18/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 26/03/2009.

CARE HOME ADULTS 18-65 Camilla Road, 56 London SE16 3NL Lead Inspector Ms Alison Pritchard Unannounced Inspection 14th February 2008 12:30p Camilla Road, 56 DS0000007109.V359761.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 Camilla Road, 56 DS0000007109.V359761.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. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camilla Road, 56 Address London SE16 3NL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company Name of registered manager Type of registration No. of places registered (if applicable) 0207 231 7878 0207 231 7878 56.camilla@choicesupport.org.uk www.choicesupport.org.uk Choice Support Barbara Eileen Francis Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Camilla Road, 56 DS0000007109.V359761.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: 2 8th December 2006 Date of last inspection Brief Description of the Service: 56 Camilla Road provides accommodation and care services for two people with learning disabilities. It is part of a larger organisation, Choice Support Southwark, which operates many other homes in the borough. The home, a 3 bed roomed two storey house. The bedrooms are located on the first floor. The ground floor and the rear garden are wheelchair accessible. Habinteg Housing Association owns the property which is located in a residential street, close to shops and public transport. The building blends in well with other houses on the estate. At the time of the inspection there were no vacancies. Although the home has not had a new admission in recent years a Service Manager has stated that potential residents would be given information about the home and the services available through the service guide and statement of purpose. These documents could be made available in a range of formats including pictures, widgets, symbols or audio-tape. The Manager would also provide a copy of the annual report of Choice Support which on DVD. CSCI inspection reports would also be supplied by the home to potential service users. The monthly fees for the home in 2006 ranged between £4,000 and £8,000 depending on the amount of individual care that the resident requires. No additional charges are made. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out over an afternoon and early evening in mid-February 2008. The inspection methods included observation of care practice; discussion with staff; inspection of files and a range of records and policy documents. Residents’ relatives, advocates, staff and involved professionals were sent survey forms so that they could contribute to the inspection process if they wished. We are grateful for the replies received. The CSCI has access to information gathered through notifications from the home. A document called an ‘Annual Quality Assurance Assessment’ (AQAA) was completed by the Registered Manager of the home and returned to the inspector. It provides information from the Registered Manager about how the home is addressing the National Minimum Standards along with factual information about the operation of the home. All of this information has been taken into account in compiling this report. The staff facilitated the inspection visit and were helpful and courteous throughout the process. What the service does well: The organisation has good arrangements for letting people know about services and making sure that they have enough information to decide whether the placement will be suitable. The staff team at this home is stable: there have been no changes over the last year, so the staff know the residents well. The residents follow a range of activities such as line dancing; massage; music therapy; going to the pub and shopping. Residents have been supported to have contact with people important to them, such as family and friends. The arrangements for storing and recording of administration of medication are good. The home has had useful contact with health care specialists such as the speech and language therapist, the GP and the ophthalmologist. This helps to make sure that the home can meet residents’ health care needs. The organisation has a range of ways to make sure that people who use their services can contribute their views to the way that the organisation runs. Camilla Road, 56 DS0000007109.V359761.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. Camilla Road, 56 DS0000007109.V359761.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 Camilla Road, 56 DS0000007109.V359761.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and procedures for admission ensure that both the home and the potential resident have enough information to decide whether it would be an appropriate place for the person to live. EVIDENCE: As at the last inspection there have been no new admissions to the home for some time and none are planned, currently there are no vacancies at the home. The Registered Manager stated at the last inspection that potential residents would be given information about the home and the services available through the service guide and statement of purpose. These documents could be made available in a range of formats including pictures, widgets, symbols or audio tape. The Registered Manager would also provide a copy of the annual report of Choice Support which on DVD. CSCI inspection reports would also be supplied by the home to potential service users. The admission policy of Choice Support includes provision for introductory visits to take place. The policy of the managing organisation is for social work assessments to be obtained prior to admission and for placements to be subject to a twelve week trial period. Camilla Road, 56 DS0000007109.V359761.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, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans would be improved by further reorganisation of files to ensure that current guidelines and goals are clear and easily identifiable. The involvement of advocates and service user groups helps to ensure that residents’ views are taken into account both in the home and within the organisation generally. EVIDENCE: The managing organisation has begun to implement person centred planning. The Registered Manager and the staff team have received training in its principles. At the last inspection the Registered Manager stated that the files were to be reorganised and it was anticipated that this would make accessing information about care planning goals easier. However it was found at this visit that the files contained some guidelines that were old and had been superseded by more up to date documents. It would make the files clearer and allow staff easer access to current information if older documents were archived. See recommendation ‘Daily living support plans’ had been updated at the end of December 2007. Many of the programme plans had been carried forward from previously identified goals such as encouraging a resident to take part in household tasks Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 10 sandwich making and using the dishwasher. Further attention should be given to ensuring that residents are assisted to develop new interests and goals. See recommendation. The residents need the help of other people to make sure that their needs are taken into account and their best interests promoted. Each resident has a key worker, and advocates are involved in their care. The Registered Manager identified the need to increase the accessibility of information to the residents as an area for improvement. The managing organisation has links with a service called ‘Customer Watch’ which is a forum through which people with learning disabilities can express their views on the services provided through Choice Support (Southwark). This ensures that the opinions of service users generally are included in the overall planning of the organisation. Choice Support has recently employed a service user involvement manager. Risk assessments were on file, those in place for one resident included the use of the shower and bathroom, moving around the house and holidaying abroad. They had been reviewed within the last year. Residents’ personal information is stored with due regard for confidentiality. Choice Support is registered under the Data Protection Act and there is a confidentiality policy to ensure that staff handle residents’ personal information with care. Camilla Road, 56 DS0000007109.V359761.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. While the residents benefit from a range of community activities these are sometimes limited by the lack of drivers on the staff team. The leisure opportunities within the home should be developed further so that residents have a greater choice of things to do at home. The residents benefit from a menu that takes into account their nutritional and cultural needs. EVIDENCE: The residents take part in a range of activities in the community. During the week prior to the inspection these had included attending a café project for people with learning disabilities; shopping; music therapy; going to the pub and line dancing. A therapist had been to the home to give one of the residents a massage. One of the residents used to attend football matches at Millwall and was accompanied by a sessional worker employed specifically for this purpose. The post is now vacant and the resident has been unable to attend the games. See recommendation. The records of activities showed that on the Saturday prior to the visit to the home both residents had been to a pub and a cinema trip was planned for the Saturday after the inspection. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 12 The activities which residents take part in at home include watching television, listening to music and taking part in household tasks. There is a sensory room on the ground floor of the home although this is not used to its full extent, as, at the time of the inspection, the room was being used for storage. It has been identified that the lack of drivers on the staff team sometimes limits the residents’ access to the community even though one of the residents has a car, which he funds through his benefits. Efforts should be made to resolve this issue. See recommendation. In addition the residents would benefit from the staff gaining some specialist advice about how to develop the leisure facilities available in the home. For example there is a good size garden to the rear of the home and advice could be sought about whether a sensory garden or other developments would be beneficial for the residents. See recommendation. Residents have had the opportunity to go on holidays over the last year. One person was accompanied on a holiday to a venue close to a family members’ home and this was an important element in supporting him to maintain the relationship with his family. Feedback about the arrangements for important events was that Christmas celebrations could be improved. Comments from a range of sources were that there should be more attention paid to decorating the home for Christmas and that celebrations should begin earlier. However it was stated that residents’ birthdays are celebrated well, with parties and presents. The routines of the home allow residents to have free access about the building. Staff were kindly and respectful when talking to residents. The staff team is made up of men and women as is the resident group. Sometimes staff members work alone, such as when they sleep in the building. a ‘lone working policy’ has been written to cover these situations. The rota is arranged so that there is always a female member of staff on duty during the day and evening to provide assistance with personal care for the female resident. The menu and food stocks showed that residents benefit from a range of foods that include fresh fruit and vegetables and dishes that reflect the residents’ culture. Specialist equipment has been provided to ensure that residents are able to maintain as much independence as possible. Camilla Road, 56 DS0000007109.V359761.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. Medication is managed well and there is liaison with health care specialists. Specialist training in the administration of medications must be provided to ensure that residents have access to help in an emergency. EVIDENCE: Several members of the staff team have worked at the home for several years and this contributes to consistency of care for the residents. The home has had liaison with social and health care professionals. This is important so that residents can receive care based on current best practice and informed by specialist advice. Personal support guidelines for one resident have recently been re-written so that there is clarity amongst all of the staff team about how to provide care. Reorganisation of the files as recommended above will ensure that the advice given by specialists is easily accessible to care staff and others interested in the residents’ care. A specialist device is being purchased for the home so that one resident’s epilepsy can be monitored at night. This will assist in ensuring his overall safety and welfare. One of the residents has a completed health action plan. The other resident has several documents in the file relating to health and demonstrating that the Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 14 home has had appropriate contact with health care professionals. When residents need invasive procedures to be carried out and are unable to give permission ‘best interests’ meetings have been held to ensure that people concerned with their well being are involved in the decision. This helps to protect residents. Medication is stored safely. A check of the stocks and the administration records showed that they were in good order. Each of the residents had their medication reviewed within the last six months, there were clear instructions for when to administer medication given on an ‘as needed basis. One item of medication can only be administered by staff who have had specialist training. One member of staff had not received the training despite having worked at the home for some years. The training must be arranged. See requirement. Camilla Road, 56 DS0000007109.V359761.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. Complaints and safeguarding policies and procedures contribute to the protection of residents. EVIDENCE: The complaints procedure of Choice Support meets the required standards and includes details of the timescales within which issues will be investigated. One complaint had been made over the last year and was awaiting an outcome at the time of the inspection. The Annual Report issued by Choice Support includes information that the organisation has conducted a thorough review of their policies, procedures and training to ensure that they are aimed at the protection of people who use their range of services. Choice Support introduced a new ‘safeguarding adults policy and procedure’ in March 2007. The judgement of the CSCI is that this is a thorough document, which is clearly written, and links all the aspects of safeguarding. The policy also introduces a new initiative of an internal protection committee. It is judged that this demonstrates that Choice Support is actively working to improve processes and practice. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 16 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, 28, 30, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents benefit from a homely, clean and comfortable environment. Improvements to the storage arrangements will ensure that residents have better access to the sensory room. Repairs to the central heating system have been needed for a long time. EVIDENCE: The building is located on a quiet residential street, close to shops and public transport links. There is a parking space to the front and on-street parking is available. The home is domestic in its layout, decoration and furnishings. The ground floor consists of a kitchen/dining room, a lounge, a sensory room with specialist equipment, and a shower/toilet. There is also a bathroom/toilet on the first floor. There are plans to redecorate the bathroom and shower room. Improvements are needed to the kitchen/ dining room. These include repair or replacement of the damaged floor and repair of cupboard doors. There are three bedrooms on the upper floor, one of which is used as an office/sleep-in room by staff. Residents’ bedrooms are decorated and personalised to reflect their interests and tastes. Communal rooms are of a Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 17 good size, with sufficient seating for residents and either staff or guests. There is a garden to the rear of the home, which is easily accessed by residents. Both the rear and the front gardens have scope for further development and the Registered Manager should consider this. Storage is a problem in the home as there is little available and as a result the sensory room has been used to store items, making it less easy for residents to have access to its facilities. Consideration should be given of how to resolve the issue. See recommendation. The front garden could be further developed, the Registered Manager stated that it is her plan to do so, it is recommended that consideration is given to how the residents can get more benefit from the back garden. Repairs to the back garden fence had been arranged, and this ensures the residents’ safety and privacy. During the inspection electric radiators were being used in the living room and the sensory room. The explanation given was that the radiators in these rooms had been broken for a long time. It was not clear whether the matters had been reported to the housing association for repair. See requirement. The home was clean, tidy and odour free when the inspector visited. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 18 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, 33, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There have been no changes in the permanent staff team over the last year, this helps to provide consistent care for residents. Staffing levels should be reviewed to be sure that staff do not have to work long hours. EVIDENCE: The staff team is made up of three full time support workers and a Manager who has approximately eighteen hours a week available to work at this home. The information provided in the Annual Quality Assurance Assessment (AQAA) was that there have been no staff members leaving their posts over the last year. On the day of the inspection there were two people on duty between 8am and 4pm and one person for the rest of the day, including overnight when one person sleeps in the home. It was noted that members of the permanent team work additional hours to cover vacant posts and members of the bank staff team also cover shifts. Permanent staff are only permitted to work an additional sixty hours a month. Nevertheless, this can involve lengthy shifts being worked in order to cover the rota. For example, during the week of the inspection, one member of staff worked a total of fifty six hours and covered two sleep in duties. This included Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 19 one shift which began at 8am, ended at 12 midnight, was followed by a sleep in duty and then, by a shift between 7am and 3.30pm. This suggests that it is necessary to review the current staffing levels to assess their adequacy. See requirement. Two of the staff team have achieved NVQ level 2 or higher, a third is working towards the qualification. A training and development plan dated April 2007 showed that there is a system to ensure that staff have received those items of training which are identified as mandatory, they have also been trained in dealing with challenging behaviour and one person has been trained in health action plans. The Registered Manager identified that staff would benefit from training in working with people with complex communication needs. This is encouraged as this is directly relevant to the work of the home. The Registered Manager acknowledges that the staff team does not reflect the cultural background of the residents and she has identified this as an area for improvement. Confirmation was given that the recruitment procedure includes appropriate references and checks including enhanced CRB checks. Staff confirmed that these checks were conducted prior to them beginning work at the home. Records were not inspected on this occasion but arrangements are being made to do so. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 20 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. The residents benefit from a well run home. Care needs to be taken to ensure that the management arrangements, such as health and safety and recording, run smoothly even though the Registered Manager has less time available to spend at this service. There are a variety of ways through which residents’ views contribute to the quality assurance systems of the home and the organisation generally. EVIDENCE: The Manager of the home has been registered under the Care Standards Act since 2003. She has achieved the Registered Managers Award and has a significant level of experience of working with people with learning disabilities and with the residents of this home. During 2006 the manager was given responsibility for managing another house in addition to this home and this has been approved by the CSCI. This has had an impact on the time available for the management of this home. The Responsible Individual must ensure that the management arrangements remain adequate for the home and that there is sufficient time available to monitor care practices and recording systems. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 21 Managers from other Choice Support service make visits to the home and complete reports of the visits. They include input from staff, and suggestions for improvement. The Directors, Managers and Trustees of Choice Support meet regularly with representatives of service users who sit on a ‘service user forum’. They are involved with reviews of policies and procedures and two people with learning disabilities are part of the organisation’s Quality Assurance sub-committee. There are systems in place to monitor health and safety matters in the home. some issues are stated as requiring checks each week, these include the hot water temperatures, fire exits, extinguishers and the fire alarm system. The records showed that the most recent checks of these matters were in January 2008, suggesting that the systems were not always adhered to. The last test of the fire alarm system was on 30th January; the member of staff on duty gave an assurance that she would carry out the necessary test on the day after the inspection. A greater degree of management attention is required to ensure that health and safety procedures are followed. See requirement. The Registered Manager provided information to confirm that the gas appliances had been assessed as safe in June 2007 and the electrical appliances in April 2007. Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 22 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 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 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 23 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 YA20 Regulation 13(2) Timescale for action The Registered Person 01/07/08 must ensure that arrangements are made for staff to be trained in the administration of medication given by specialist methods. The Registered Person 01/07/08 must ensure that arrangements are made for the repair of the heating system. The Registered Person 01/07/08 must ensure that adequate storage is available so that residents have access to the sensory room. The Registered Person 01/07/08 must ensure that arrangements are made for the necessary repairs to the kitchen to be completed. The Registered Person 01/05/08 must ensure that there are enough staff available DS0000007109.V359761.R01.S.doc Version 5.2 Page 24 Requirement 2. YA28 23(2)(p) 3. YA28 23(2)(l) 4. YA28 23(2)(b) 5. YA33 18(1)(a) Camilla Road, 56 so that permanent staff do not have to work very long shifts. 6. YA42 23(4)(c)(v) The Registered Person 01/05/08 must ensure that fire equipment and other safety systems are tested at appropriate intervals. 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. Refer to Standard YA6 Good Practice Recommendations The Registered Person should consider improving care planning files to ensure that current guidelines and goals are clear and easily identifiable. The Registered Person should consider giving further attention to ensuring that residents are assisted to develop new interests and goals. The Registered Person should ensure that the resident who likes to attend football matches is supported to do so. The Registered Person should ensure that residents are assisted to develop interests and follow more activities at home, giving consideration to the development of the garden. The Registered Person should consider how the residents can be assisted to use the car more regularly to go out. 2. YA6 3. 4. YA12 YA12 5. YA13 Camilla Road, 56 DS0000007109.V359761.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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. 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