Inspection on 23/07/08 for Jennifer Residential Care Home

This is the latest available inspection report for this service, carried out on 23rd July 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jennifer Residential Care Home 06/04/06

Jennifer Residential Care Home 09/09/05

Jennifer Residential Care Home 05/05/05

Jennifer Residential Care Home 02/08/04

Jennifer Residential Care Home 21/04/04

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)

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Jennifer Residential Care Home 17 Pemberton Road Haringey London N4 1AX Lead Inspector Wendy Heal Unannounced Inspection 23rd July 2008 8:30 Jennifer Residential Care Home DS0000010718.V368260.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 Jennifer Residential Care Home DS0000010718.V368260.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. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jennifer Residential Care Home Address 17 Pemberton Road Haringey London N4 1AX 020 8967 7001 020 8352 2658 info@thejenniferhome.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (If applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Reva Dhyll Mrs Reva Dhyll Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Limited to 6 people of either gender who have a mental disorder, excluding learning disability or dementia (MD) or a learning disability (LD). One specific service user who is over 65 years of age may remain accommodated in the home. The home must inform the regulating authority at such times as the specific service user vacates the home. 11th April 2007 Date of last inspection Brief Description of the Service: The Jennifer Home is a privately owned care home, registered to provide personal care for six younger adults who are assessed as having mental health needs or learning disabilities. The registered provider is also the registered manager. The premises consist of a large three-storey terrace house with a small garden at the front and a large garden at the back. There are four single bedrooms and one double bedroom. None of the bedrooms have en-suite facilities although bathrooms and toilets are readily accessible in all areas of the home. The main communal facilities comprising the kitchen, lounge and dining room are all situated on the lower ground floor. The home is situated in a residential area of Haringey and close to the shops, pubs, restaurants, transport facilities and other multicultural amenities of Wood Green. The stated aim of the home is to offer people living there the opportunity to enhance their quality of life by providing a safe, manageable and comfortable environment with the necessary support and stimulation to help them maximise their potential physical, intellectual, emotional and social capacity, all within a homely atmosphere. The provider organisation must make information available about the service, including CSCI inspection reports, to people considering living at the home and other stakeholders. The current weekly charge starts from £800 depending on the assessed needs of the individual person. Additional charges may be made for items such as toiletries and newspapers. Jennifer Residential Care Home DS0000010718.V368260.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 (2 star) this means that people who use the service receive good outcomes. This was an unannounced inspection and took place as part of the inspection process. Compliance was checked against key standards and took approximately 9 and a half hours. The inspection started at 8:30am and finished at 5pm. We undertook a tour of the building spoke with the people who live in the home and members of the staff team. We gained further information from the Annual Quality Assessment form and an inspection of the documents kept in the home. This included care plans and health and safety documentation. The management team offered their assistance throughout the period of the inspection. We would like to thank the people who use the service and the management and staff team for their openness and participation. What the service does well: What has improved since the last inspection? The care plans of people living in the home are being kept up-to date. This ensures that people’s individual needs are being met. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 6 The recording of health care appointments has improved. There is a record in each persons file to identify health care appointments undertaken. This assists staff to monitor the overall health of the people living in the home. A company has been identified to assist staff to undertake their NVQ level 2 and NVQ level 3 training. This will ensure that staff have the skills to meet people’s individual needs. A staff supervision format is now in place. Staff have received some supervision sessions. This will ensure that staff can support people living in the home in a consistent way. The manager has started the process of formally consulting with people using the service and other stakeholders. This process can be built on and used to monitor the quality of care provided in the home. The home has updated the fire risk assessment. This promotes the health and safety of the people living in the home. What they could do better: Risk assessments need to be developed in two identified areas. This will ensure that people’s identified risks are minimised. This promotes the health and safety of the people living and working in the home. Those people who need the support of a chiropodist must have access to one. All of their health care appointments must be effectively recorded on the health record. This will ensure their health care needs are fully promoted. The record of people’s weight –monitoring programme must be kept up-todate. This will ensure that people’s health and wellbeing is promoted and protected. The manager must ensure that the agency that are going to support staff to undertake food hygiene, first aid and medication training provide the date when this is going to take place. This information should then be passed onto the CSCI. This will ensure that staff are provided with the opportunity for personal development. The manager needs to develop a written annual development plan. This can then be used to monitor the quality of the service offered. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 7 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. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 8 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 Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 9 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): 2, People who use the service experience a good outcome in this area. This judgement has been made using available evidence including a visit to this service. People’s individual aspirations and needs are assessed prior to them receiving a service. This means that people’s individual needs can be met. EVIDENCE: The files of two of the four people living at the home were inspected. They contained appropriate assessment information, which had been provided to the home at the time of people’s admission. The homes admission policy was seen and indicated that full assessment information was required before people were allowed by the manager to move into the home. We noted that annual reviews by relevant professionals for some people were overdue. The registered manager had written to the local mental health service to request that reviews take place. The Registered manager explained that there has been no written response to this request. The manager has continued to monitor people’s changing needs. It is essential that the manager ensures reviews take place in the absence of the local authority. This will ensure that the home has access to information and has sought the views of the relevant professionals and the people living in the home. This will ensure that people’s individual needs are met. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, People who use the service experience a good outcome in this area. This judgement has been made using available evidence including a visit to this service. People’s assessed needs are recorded in their care plans. Annual reviews are not taking place in order to update the care plans. People are supported to make decisions about their lives with assistance. This makes people feel valued. Risk assessments are not fully developed to indicate that people are supported to take risks as part of an independent lifestyle. EVIDENCE: Two of the people’s files were inspected they contained clear care plans that referred to the six essential principles privacy, dignity, independence, choice rights and fulfilment. The care plans informed the reader about the person’s history, indicated who the person’s social worker was, specified the date of the person’s admission. This ensures that clear information is available to those professional’s who need to access this information. The care plans contained goals, which had been reviewed by the home. However the annual reviews are overdue, even though the manager has made clear requests for these reviews to take place. This has meant the home has not had the opportunity to access Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 11 information and the views of other professionals to inform these care plans. They must review annually and not wait for the mental health team. Risk assessments were seen and were being kept up-to-date they had been reviewed on the 07/04/08 and the next review date indicated was October 2008. They covered such areas as self- neglect memory loss, depression and a lack of motivation, restlessness, and agitation, verbal and physical aggression. One particular person has progressed to the point that she/he now goes to the local shop and back. A discussion took place with the management team and it was agreed that a risk assessment needs to be developed in relation to this. This will identify any potential risks and will ensure these risks are minimised. The risk assessment needs to be agreed signed and dated by all relevant professionals and the individual person that the risk assessment is about. A further discussion took place regarding the individual person who refuses to attend dental appointments. A risk assessment is going to be completed by the manager in relation to this. This will ensure any potential risks to the person’s health are minimised. This will safeguard the health and safety of this person. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17, People who use the service receive an adequate outcome in this area. This judgement has been made using available evidence including a visit to this service. People living in the home enjoy a range of activities within the local community although they are not effectively recorded to provide a clearer picture of the activities undertaken. Educational facilities are being explored to develop people’s personal development and quality of life. Contact with people’s family and friends is encouraged and maintained which promotes people’s emotional wellbeing. People’s rights and responsibilities are respected and limitations are appropriately discussed and agreed with them. EVIDENCE: One person attends a day centre 4 days a week. Another person who has expressed the fact that they want to attend a day centre or college is being assisted by the manager with regard to this process. We noted that information had been sent to the college to enable this person to attend. The college had requested a risk assessment was provided in relation to a situation, which had taken place in the persons past. The manager has provided this document to the college. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 13 Two people who are over sixty –five years of age have no structured day care activities. People living at the home confirmed they use the local shops and other resources such as the hairdressers, which promotes peoples social interaction. People do not attend regular social or leisure activities outside of the home in the day or the evening. People were spoken with individually and in private and confirmed they were happy with the current arrangements. The contact arrangements for people living in the home varies it can consist of occasional visits and telephone contact. Two of the people living in the home have no contact with their family members. The registered manager confirmed that friends and relatives are welcome and are encouraged to visit the home. This promotes people’s emotional wellbeing. The staff were seen to interact appropriately with the people accommodated and individual’s preferred form of address was recorded on their care plans. This ensures that their wishes are respected. People are encouraged to undertake household tasks and this is also recorded. This promotes their independence. Records of meals supplied in the home were seen. These were satisfactory and meals were varied and met people’s cultural preferences. People living at the home confirmed they liked the food and were involved in choosing what food they wanted to eat. People were coming down from bed to have breakfast when the inspector arrived at the home. People choose what they wanted to eat. One person said, “The food is good.” The kitchen was clean and tidy. The food was stored satisfactorily including being within its use by date. There was also fresh fruit and vegetables available. This promotes people’s health and wellbeing. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 14 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, People who use the service receive a good outcome in this area. This judgement has been made using available evidence including a visit to this service. People living at the home receive appropriate personal support in accordance with their needs and preferences. People in general are supported to undertake their health checks. Further improvement needs to be made in relation to the arrangement of chiropody appointments for people living in the home. An improvement in recording in relation to weight charts and one person being unwilling to attend dental care appointments would further assist people’s health promotion. EVIDENCE: Two people remain fairly independent in relation to their personal care although the manager stated that they sometimes needed verbal prompts regarding their personal hygiene. We saw direct evidence of one person being encouraged with verbal prompts to undertake a bath on the day of the inspection. The individual person concerned responded this to in a positive manner. Two people who receive direct assistance confirmed in a conversation that their care needs were undertaken in a respectful way and their individual needs were being met. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 15 The record of people’s health care appointments were inspected. They indicated that people had seen the general practioner, attended the hospital for blood tests, and seen the optician. However several people had not seen the chiropodist and the manager was investigating were this service could be provided. One person was due an appointment to see the dentist and was waiting for an appointment date. The manager agreed to contact the dentist to make a further appointment. One person who was due to attend an appointment to undertake some dental treatment had refused to attend the appointment. This was discussed with the manager and deputy manager. It was agreed that a risk assessment needs to be completed by the manager. This will ensure any identified risks in relation to this person’s health are minimised. Not all of the People’s weight charts were completely up-to-date. This means that their weight monitoring -programme is not being effectively followed. This does not ensure people’s health needs are fully met. The deputy manager did confirm that these documents would be updated as soon as possible. The home has a record sheet in each persons file to record any health care appointments. A discussion took place with the manager and deputy manager and it was advised that a section should be added to the document specifically to evidence information in relation to the outcome of appointments. Given the fact that the deputy manager agreed to amend the document and the fact that health records were in place no requirement has been made in relation to this. The home has an appropriate medication policy. On the day of the inspection the medication administration records were inspected and were found to be in order. This safeguards people’s health and wellbeing. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 16 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, People who use the service experience a good outcome in this area This judgement has been made using available evidence including a visit to this service. People who are living at the home can be confident that their views are listened to and acted upon since the recording and action taken in relation to complaints was found to be in order. Staff have received training and have the information available to protect people living in the home from potential abuse neglect and self-harm. EVIDENCE: The home has a satisfactory complaints procedure that was seen to include the details of the commission. Complaints were responded to within twenty-eight days. No complaints had been made since the previous inspection. The complaints procedure is also displayed in the homes dining room. One allegation had been made in the last year, which was appropriately recorded. This had been investigated following the appropriate procedures. People living at the home confirmed they knew how to make a complaint if they wanted to. The adult protection guidelines for the organisation were available. The adult protection procedures in relation to the relevant placing authorities were also available and were made available at the time of the inspection. This means staff have the information available to them to protect people from potential abuse. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 17 Staff had undertaken adult protection training. This ensures that staff’s knowledge and skills are being kept up to date and assists them to further protect people from potential abuse. The registered manager confirmed that the home looks after a number of bank- books for people living in the home. The manager made these available to the inspector and it was clear that the bank- books were in the individual’s names. The other people manage their own finances. The registered manager confirmed the home did not hold any money for anybody living at the home. This includes the weekly personal allowance that was given to people when it was received. People spoken to individually confirmed they were happy with this arrangement. One person spoken to said, they “had no reason to complain they were happy in the home and felt safe.” Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 18 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): 24,26,28,30, People who use the service experience a good outcome in this area. This judgement has been made using available evidence including a visit to this service. The home is furnished to a good standard that meets the needs of the people living there. People have their own bedrooms, which are personal and suit their needs. There is adequate private and communal space, which ensures people are comfortable. There is a good standard of cleanliness within the home, which benefits people’s health and wellbeing. EVIDENCE: The home is a three-storey terrace with a small garden at the front and a large garden at the back, which are well maintained. The home is situated close to local shops, pubs restaurants, transport facilities and other multicultural amenities of wood green. The home was adequately decorated and maintained throughout. People interviewed confirmed they were happy with the environment. One person said, “My bedroom is the best room in the house.” Another person spoken to said, they “would not change anything.” Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 19 There are four single bedrooms and one double bedroom. One person currently occupies the double bedroom. People’s bedrooms were personalised in they way that they wanted them. This ensures their wishes are respected and makes them feel valued. None of the bedrooms have en-suite facilities although bathrooms and toilets are readily accessible in all areas of the home. The main communal facilities comprising the kitchen lounge and dining room are situated on the ground floor and well maintained. This makes the home a pleasant place to live. The home was clean and hygienic throughout at the time of the inspection. This promotes people’s health and wellbeing. The laundry facilities are kept separate from food preparation areas. This ensures that professional practice is followed. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 20 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): 32,35,36, People who use the service experience an adequate outcome in this area. This judgement has been made using available evidence including a visit to this service. A reasonably stable staff team support people living in the home. Staff are not fully trained to be able to support people living in the home. People are protected by the homes recruitment procedures. A supervision format is now in place, which will assist to ensure that Staff are receiving regular supervision, so a consistent approach to work with people living in the home is achieved. Supervision is not taking place regularly enough to be fully effective. EVIDENCE: The staffing arrangements in the home consist of a registered manager, deputy manager, two care workers and the manager has access to an additional bank care worker when required. The manager is in the process of recruiting a further part-time support worker. The registered manger has completed her NVQ level 4. The deputy manager is due to restart her NVQ level 3 in care in September 2008.The deputy manager is re-starting the course from the beginning as this was started in 2005 but could not be completed at this time. One other staff member is undertaking his NVQ level 2 at the same time. The home have identified a particular agency they are using to complete the training. The inspector will need to be informed if for any reason the staff members do not start the NVQ level 3 as planned. One newly Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 21 employed staff member confirmed that she has completed her NVQ level 3. The certificate was not available at the home but she did agree to ensure that she provided a copy of all of her certificates to the registered manager of the home. The registered manager has confirmed she will ensure this takes place. The home had recently employed one new member of staff and their file contained their criminal records bureau check and staff references, which protects people from potential abuse. Staff had completed some core training and have made an application to undertake food hygiene, first aid and medication training with the same agency that are going to assist them to complete the NVQ level 2 and level 3, training. This will ensure that staff have the skills and knowledge to enable them to meet people’s individual needs. The supervision system is now in place the deputy manager showed the inspector the new format and one supervision document which was dated 02/06/08 this covered training and referred to the required medication training, food hygiene, first aid and clients foot care, was also discussed. The staff supervision format /system has taken a long time to put in place. The importance of the staff receiving regular supervision was discussed and it is essential that staff receive regular documented supervision. This will ensure that staff are supported to work with people living in the home in a consistent way and promote personal development in their role. Four of the people were spoken to on the day of the inspection. They all spoke very positively in relation to the staff working in the home. One person said, “It is nice to live at the home and be supported to do things. The staff are kind.” Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 22 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, 35,39,42, People who use the service experience a good Outcome in this area. This judgement has been made using available evidence including a visit to this service. People living at the home and the staff employed benefit from the home being managed by a qualified and experienced registered manager. The home has taken the initial steps to assist with the self -monitoring review and assessment of the home, which needs to be further, developed. Effective health and safety procedures contribute to the protection of people living, working and visiting the home. EVIDENCE: The registered manager has owned and managed the home for many years. The manager has clear knowledge in relation to the specific needs of the people living in the home, which improves the quality of life for people living in the home. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 23 The home had purchased at the time of the previous inspection a commercial quality monitoring system to assist with the consultation and feedback in relation to the people who use the service, their relatives and health care professionals. The manager was asked at the time of the inspection what action had been taken in relation to obtaining this information and was informed that the process was just starting. It was agreed that information would be requested from the people living in the home, their relatives and relevant professionals. The manager and deputy agreed to forward this documentation onto the inspector at the C.S.C.I to acknowledge that this work had been undertaken. At the time of writing the report information was faxed to the CSCI office in relation to the feedback provided by the people living in the home and information was sent from one professional. This information now needs to be compiled into a report. This information can contribute to a written annual development plan to assist to inform the home on how it can develop and improve the service it offers. The professional person who responded indicated that they were very happy with the level of care provided. On the day of the inspection it was requested by the manager that a new registration certificate is forwarded to the home as the certificate refers to the Care Standards Commission. At the time of writing the report it has been requested that an up-to-date certificate is forwarded to the manager of the home and the manager has been made aware of this request. The homes liability insurance was seen and was found to be in order. This means that staff are legally safeguarded if an incident took place that caused them harm. The gas, electric and water certificates were seen and found to be in order. During a tour of the home it was noted that all fire doors were closed. This assists to protect people who live in the home in the event of a fire- taking place. The fire drills and fire alarm tests were found to be in order. The fire alarm system and fire equipment had been tested to ensure that it was working effectively. The home has an up-to-date risk assessment dated 03/07/08, which further safeguards the health and safety of people living in the home. The documentation to evidence that a company had tested the emergency lighting and portable appliance testing had not been sent to the home. The manager contacted the company on the day of the inspection to request that this document is forwarded to the home as a matter of urgency. The manager has agreed to send this information to the office of the CSCI. This information had been received at the time of writing the report. Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 24 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 X 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 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 2 3 X Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 25 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 YA9 Regulation 13 Timescale for action The Registered Person must 25/08/08 ensure that the identified person who travels independently to and from the corner shop has a risk assessment developed. This will ensure that any identified risks are minimised. This promotes the person’s health and safety. The Registered Person must 25/08/08 ensure that a risk assessment is developed for the person who refuses to attend dental appointments. This will ensure that their health and wellbeing is promoted and protected. The Registered Person must 12/09/08 ensure that people have attended and have access to a chiropodist. This will ensure their health care needs are fully met. The Registered Person must 22/08/08 ensure that people’s weight charts are kept- up-to-date. This will ensure that an effective weight -monitoring programme is in place to safeguard people’s health and wellbeing. DS0000010718.V368260.R01.S.doc Version 5.2 Page 26 Requirement 2. YA9 13. 3. YA19 13 4. YA19 13 Jennifer Residential Care Home 5 YA39 24 The Registered Person must 01/12/08 ensure that the information obtained by their consultation with people using the service and other stakeholders contributes to a written annual development plan to assist to inform the home on how to further develop and improve the service it offers. 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 YA32 Good Practice Recommendations It is strongly recommended that the Registered Person must inform the CSCI if they do not undertake the planned course with the expectation that they are going to achieve at least NVQ Level 2 in care. It is strongly recommended that a date is provided by the identified company that are going to undertake training in safe administration of medication first aid and food hygiene. The confirmation of this date is forwarded to the CSCI area local office. The home should explore recording activities on a separate activity sheet this will more accurately reflect the activities undertaken by the people living in the home. 2 YA35 3 YA41 Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Jennifer Residential Care Home DS0000010718.V368260.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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