Inspection on 12/08/08 for Nile Centre (The)

This is the latest available inspection report for this service, carried out on 12th August 2008.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Nile Centre (The) 31/08/06

Nile Centre (The) 28/11/05

Nile Centre (The) 20/06/05

Nile Centre (The) 04/11/04

Nile Centre (The) 05/07/04

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

CARE HOME ADULTS 18-65 Nile Centre (The) 105-109 Foulden Road Hackney London N16 7UH Lead Inspector Nurcan Culleton Unannounced Inspection 12 August 2008 09:00 th Nile Centre (The) DS0000010278.V367979.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 Nile Centre (The) DS0000010278.V367979.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. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nile Centre (The) Address 105-109 Foulden Road Hackney London N16 7UH 020 7241 3003 020 7241 4421 grace.araba@kush.org.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) Kush Housing Association Limited Manager post vacant Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Nile Centre (The) DS0000010278.V367979.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 - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 9 8th January 2008 Date of last inspection Brief Description of the Service: The Nile Centre project provides a 24-hour crisis, outreach and therapeutic service for members of the African/Caribbean community living in Hackney experiencing mental health crisis. Short-term accommodation for up to 2 weeks is available for a maximum of nine people in single rooms. The Centre is situated in a residential area of Stoke Newington within the London Borough of Hackney. Local shops and amenities, including a local market, are within close proximity. Bus links are good. Information about the service is available in the Statement of Purpose and Service User Guide. There are no fees for people to use the service. Referrals are made through a relevant professional or by self-referral. Nile Centre (The) DS0000010278.V367979.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 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection took place over one day in the home. We were assisted by the Acting Manager, Deputy Manager, support staff and service users. We toured the premises, examined three individual’s files, four staff files, policies, procedures, records and documents including health and safety logs and certificates. We also examined minutes of meetings, supervision notes and staff training. In addition to speaking with the managers, we interviewed two individuals using the service and two support workers. Their views have been incorporated into this report. What the service does well: What has improved since the last inspection? Requirements made at the previous inspection have been achieved or significantly progressed. Staff have received medication training to ensure safe medication recording procedures. Complaints are fully recorded and investigated. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 6 A programme of refurbishment is imminently planned to take place to make improvements to the living environment. Fire safety arrangements have been assessed as being satisfactory. A second round of recruitment has been underway and prospective managers are currently being short listed to fill the management vacancy in the home. 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. Nile Centre (The) DS0000010278.V367979.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 Nile Centre (The) DS0000010278.V367979.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, 3, 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People have access to good information about the service upon their admission to the home. The home demonstrates that people using the service are well supported with their mental health and individual needs. The home is commended for its service in supporting Afro-Caribbean people who have mental health needs. EVIDENCE: The service has available an appropriate Statement of Purpose and Service Users Guide. The Statement of Purpose needs to be updated with the new contact details for CSCI. People receiving the service confirmed that they had received the Service Users Guide. Individuals may self-refer to the service or referrals may be received from local authority or affiliated services in the local area. People experiencing mental health crisis may be referred from home or upon discharge from other community facilities. Referrals are received using the referral form which identifies basic needs. People are admitted whilst they are experiencing mental health crisis and may not previously be known to mental health services. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 9 For this reason there may not be much background information available. However we saw documents from professionals involved with the individual in the community attached to the referral forms providing additional information. Assessments are further carried out by support workers following an individual’s admission. The detail of information varied depending on the reason for the admission, however information seen was sufficient for centre staff to meet individual needs. Mid stay meetings take place in the middle of each persons’ stay and discharge meetings at the end of stay. Support workers, the individual client, Care Co-ordinators and outreach staff may be present. Agreements between the service and new referrals are completed on admission. These include rules and expectations during the individual’s stay and are signed and dated. The Statement of Purpose states that the philosophy of the centre is based on a culturally sensitive approach to mental health based on a holistic assessment of the needs of each individual and quotes six principles of care which underpin their philosophy. The home is commended for its capacity to meet the needs of the AfroCaribbean individuals using the service. Positive black images are on display in the lounge, the names of positive black role models are used to name bedrooms; meals are prepared to suit the cultural preferences of people in the home and the staff group reflect the cultural background of the people who use the service. Service users comment on how very well supported they feel in the home by the caring and dedicated staff group who understand their individual needs. Nile Centre (The) DS0000010278.V367979.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): 6-10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans identify individuals’ needs and how their needs can be met by the service. Individuals are supported to take responsible risks and participate in decision making in the home. EVIDENCE: We examined the files of three users of the service, each containing care plans. Support workers informed that they received support and training in how to compile the care plans in conjunction with service users. The process of care planning starts from referral and continues throughout the individuals’ involvement with the centre. The care plans state what the care and support needs are and how the centre will help meet those needs, including aspects of physical and mental health, home life, social life and leisure. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 11 Staff meet with service users at the admission stage to devise the care plan which forms the basis of the support that is provided. Staff meet regularly with service users to discuss and implement the plan, reviewing it when necessary. Care plans identify needs, interventions, by whom and by when and were signed by the individuals and staff. Risk assessments are somewhat basic using a tick box and risks are identified, such as self-harm, suicide risk, relationship problems. The level of risk, such as the risk being “ present occasional minor, present occasional serious or present persistent serious” are also identified. However actions to minimise and manage risks are not included in the risk assessments and their inclusion is recommended, though corresponding needs and actions were noted in the care plans. Service users nevertheless described how they feel considerably supported to take responsible risks, being encouraged to maintain or become more independent than they were prior to their admission, receiving valuable staff support from their viewpoint where necessary to achieve this, for example, visiting shops where individuals were previously unable to do so independently due to their mental health needs. Residents’ meetings take place on a weekly basis enabling individuals to air their views on matters affecting them in the home. A residents’ meeting was underway on the day of inspection. Minutes of meetings seen showed that residents were consistently well satisfied with the service provision. Residents are also currently involved in the planning group for the refurbishment of the premises. Service users spoken to were highly complimentary about the service provision. See Personal and Healthcare Support below. The home uses a confidential policy where information is shared only on a “need to know” basis. Nile Centre (The) DS0000010278.V367979.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): 11-17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals using the service are encouraged by staff to take part in activities of their choice and continue to be supported to take responsibility for their daily lives. EVIDENCE: The Nile Centre provides a safe environment and respite for individuals experiencing or developing mental health crisis. While staying at the centre individuals are encouraged to participate in activities of their choice that help address and or alleviate their feelings of distress. Staff are available to explore with service users activities that may enhance this process. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 13 Individuals are encouraged to continue to participate in group and independent activities, including employment, training and recreational activities if they so wish, as well as their normal daily activities such as shopping and bill payments. Group activities include the Daily Activity Group. Records gave good accounts of activities undertaken, including newspaper discussions; artwork, painting, music, TV, watching films of residents’ choice, creative writing, story telling, games, eg Monopoly and dominoes and group discussions, such as about excessive drinking, current affairs, stress, youth crime and teenage pregnancy. We saw in one file staff helping to address the identified spiritual needs of individual who at the time her stay was wanting to explore deeper issues of faith. The individuals using the service who spoke with the inspector described how staff had supported them with their needs, for example, paying bills, attending health care appointments and ensuring that their emotional welfare was checked with them and monitored frequently throughout each day. The centre also arranges for visits from a counsellor and reflexologist, which the individuals using the service describe what a great benefit this has been to them. Individuals are encouraged to maintain contact with family members and friends who are welcome to visit service users at the centre. We reviewed the menu plan for the week of the inspection and was satisfied that meals offered were nutritionally balanced, varied and culturally appropriate for individuals of African or Caribbean descent. The inspector noted that the menu planner also highlighted the nutritional value of each meal offered. Individuals are consulted about their meals and preferences for meal planning. The inspector sampled the meal at lunch time which was nutritious, appetising and well presented. Individuals commented that the food was consistently of a very high quality. Nile Centre (The) DS0000010278.V367979.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): 18-21 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals receive good support towards meeting their mental health needs. Medication practises are generally safe. EVIDENCE: The Nile Centre are generally not required to offer personal care to individuals due to the nature of the service. Individuals are encouraged to attend to their own personal hygiene and self-care in order to maintain their independence. We saw good evidence in files that staff take action to address individuals’ physical and emotional health care needs with appropriate health care professionals as needed. These issues are also explored via the assessment process and where necessary, featured on individuals’ care plans. Individuals we spoke with informed that their mental health needs were well supported in the home and that practical help was also being offered which contributed to meeting their needs, for example, the home is helping one Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 15 individual to have an allocated social worker; to provide counselling and reflexology on site, which individuals described was very beneficial to them. Records were seen that showed that individuals who are newly admitted or those considered to display signs of mental distress or considered to be a risk to themselves or others are monitored for their progress on an hourly basis. Individuals spoken to strongly expressed their gratitude and satisfaction in the service and how they had benefited from using it, even within the short time of a week since their admission. Their comments include: “The people are amazing, they cannot do enough for you, constantly asking if I want anything, they knock on my door and ask if I want tea. They are very caring ….it was a turning point coming here”, “I never knew a place like this existed…. if I was a millionaire, I would make sure this place would be open for a very long time…. even the chef, asked if I had any allergies…it is very homely, from the manager down…. I felt supported by staff to be able to go out and pay bills – which has been a real achievement for me.” We viewed the home’s Medication Administration Records (MAR). These contain a comprehensive coding system to assist staff. Staff ticked where individuals had self-administered their medication. The managers informed that they only sign the MAR sheets when they have administered medication, however this was rare as individuals usually only require prompting to take their medication. There are currently no Controlled Drugs in the home, though a Controlled Drugs cabinet is available in the home for the storage of Controlled Drugs if necessary. Records are available for the receipt and disposal of medication. Nile Centre (The) DS0000010278.V367979.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 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals’ concerns or complaints are satisfactorily investigated and addressed. Procedures are in place to protect individuals from abuse. EVIDENCE: There has been only one formal complaint since the last inspection in January 2008. This was appropriately investigated and the complainant received a formal written response. Individuals we spoke with confirmed that they had been given information about how to complain, though they made only positive comments about the home, stressing how welcomed they felt. The complaints policy and procedure is detailed in the Service Users Guide and Statement of Purpose, however the new contact details in the Statement of Purpose complaints policy needs to be updated. The ethos of the home ensures that complaints and suggestions are welcomed. Individuals using the service say that they are extremely satisfied with the service, feel safe and well supported. A protection of vulnerable adults policy is available, however it is recommended that the policy is updated to remove the term NCSC and to replace it with the new CSCI contact details and in addition to include the contact details of the local social services and police. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 17 Certificates were seen available in staff files to evidence that staff had attending training on adult protection and also on managing challenging behaviour. A whistleblowing policy and procedure is in place. Nile Centre (The) DS0000010278.V367979.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): 24-30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The environment is safe, homely and suitable for the needs of individuals living in the home. Individuals will benefit when the programme of refurbishment is underway in the home. EVIDENCE: The premises is located on three converted Victorian terraced houses which is set on four floors. In addition to individual bedrooms, there is a fully furnished communal lounge/dining room; a laundry room with a washing machine and dryer and a garden. One bedroom we viewed was personalised, comfortable and homely and included personal effects such as a television. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 19 An extensive programme of refurbishment is about to commence in the home in the next three weeks. A log of all work to be carried out was shown to the inspector. Service users will be involved in the planning team to help make decisions about the decoration and colour scheme within the home. At the time of the inspection, the premises were clean and hygienic. The home operates a no smoking policy, however smokers are able to smoke in the garden. It is recommended that the cooker or hob, in the kitchen which appears to have heavily ingrained grease accumulated over a long period of time, is replaced. Nile Centre (The) DS0000010278.V367979.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): 31-36 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals benefit from receiving support from staff who are clear about their roles and responsibilities and who themselves are well supported and trained. Good recruitment procedures ensure that only suitable staff are employed to work in the home. EVIDENCE: Recently four permanent members of staff have been recruited, totalling nine support workers employed in all at the home. There were no staff vacancies at the time of inspection. The service has been through a process of restructuring since the last inspection. Senior staff and team leader posts have been deleted and a deputy manager post created. The staff team is well established and possess an array of skills and work experience and are appropriately qualified, including NVQ awards. Staff personnel records contained all staff information as required by regulation, including CRBs, references, identification and contracts. Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 21 Staff interviewed commented that they felt well supported by the centre’s management team and indicated that they felt the service continued to develop positively. The managers were considered to be supportive, approachable and always available, taking time to explain policies and procedures with individual staff where needed. When interviewed staff were clear about their roles and responsibilities. Training opportunities are good according to staff and a range of training certificates were seen in their staff files. This confirmed that staff had participated in training focused on, for example, managing challenging behaviour, mental health awareness, food hygiene, and HIV awareness. A system of regular staff supervision is in place and all staff have recently received annual appraisals. We spoke with one newly recruited worker who had completed their induction. Induction consists of two weeks training, visiting hospitals, other affiliated organisations, including locality teams, rehabilitation centres, including drug and alcohol centres. Records of staff successfully completing their induction were available in their files. Staff files also identified individual staff objectives, such as to be an effective shift co-ordinator, to effectively prioritise/delegate and identify the resources required, such as supervision, planning and time management. A probationary review form was seen in the sample of files examined. Whilst there is good evidence of staff training through copies of training certificates, the service lacks a training and development plan and it is recommended that a plan is developed to ensure that staff have the required skills to meet the ongoing objectives of the service. Nile Centre (The) DS0000010278.V367979.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): 37-43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This is a service that is well run and highly appreciated by people using the service who experience positive outcomes. Appropriate systems and procedures are in place and records are well maintained. The service would benefit from an improved quality assurance system to ensure the ongoing development of the service. EVIDENCE: Individuals using the service confirmed that their experience in the home over the last week since their admission was highly positive, enabling and beneficial to them in their personal development. Client satisfaction surveys provided evidence that the home provides consistently good standards as perceived by Nile Centre (The) DS0000010278.V367979.R01.S.doc Version 5.2 Page 23 people using the service. Improvements have been made since the last inspection. Staff who spoke with the inspector indicated that they felt well supported by the centre’s management team and that the service is well run. The Acting Manager has been employed since February this year and remains working in her Acting position. Recruitment took place in April this year to find a permanent manager to the home. However the person appointed to the position had also applied for another position within the organisation and took up the alternative position in Kush Housing instead. The organisation subsequently underwent restructuring and it was hoped that others would take interest in the position, however as this was not the case, the organisation had to advertise externally. This process has been time-consuming and has resulted in no registered manager being in place by the time of this inspection. However we saw evidence that the advertisement in the Guardian had gone out again and was informed that prospective managers would be short listed the day after the inspection. It is imperative to the ongoing stability and effective running of the service that the home recruits a permanent manager as soon as is practically possible. The Deputy Manager, who holds a Registered Managers’ Award, has worked in the home since 2005 as a team leader and since October 2007 as the Deputy Manager. The Deputy has responsibility for supervising all the support workers and receives supervision and support from senior management in Kush Housing. A range of appropriate policies and procedures are in place. Records, such as daily monitoring records or hourly monitoring records where individuals are considered to be at high risk, were in place and generally of a good standard. The inspector saw documented evidence of monthly unannounced monitoring visits being conducted and was satisfied that subsequent reports were made available to staff to action. Overall, the inspector was satisfied that the health, safety and welfare of service users were protected and promoted. A letter from the London Fire and Emergency Planning Authority (LFEPA) in February 2008 confirmed that a Fire Safety Officer had visited and deemed that the fire safety arrangements were satisfactory. Recommendations are as follows: to ensure that the service has an electrical wiring safety certificate and to record daily water temperatures, though water temperatures are tested by hand on a daily basis. It is further recommended that the service develops its quality assurance system to include the views of professionals and to produce an annual quality assurance report, including the views obtained for improved service planning and development. Nile Centre (The) DS0000010278.V367979.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 3 2 3 3 4 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 4 32 4 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 2 3 2 3 3 3 3 Nile Centre (The) DS0000010278.V367979.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3. 4. 5. 6. 7. Refer to Standard YA1 YA9 YA23 YA24 YA35 YA42 YA39 Good Practice Recommendations The Statement of Purpose needs to be updated to include the new contact details for CSCI. Risk assessments to be improved to include actions to manage and minimise individual identified risks. The adult protection policy to be updated to include contact details for CSCI, the Local Authority Social Services team and police. It is recommended that the cooker or hob in the kitchen is replaced. Produce a staff training plan is developed to ensure that staff have the required skills to meet the ongoing objectives of the service. Ensure that the service has an electrical wiring safety certificate and that water temperatures are taken daily. It is recommended that the service develops its quality assurance system to include the views of professionals and to produce an annual quality assurance report, including the views obtained for improved service planning and DS0000010278.V367979.R01.S.doc Version 5.2 Page 26 Nile Centre (The) development. Nile Centre (The) DS0000010278.V367979.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 Nile Centre (The) DS0000010278.V367979.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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!