Inspection on 30/10/07 for Prudential Care Home Ltd

This is the latest available inspection report for this service, carried out on 30th October 2007.

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 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

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Prudential Care Home Ltd 7 Grant Terrace Castlewood Road London N16 6DS Lead Inspector Sarah Buckle Unannounced Inspection 30th October 2007 10:00 Prudential Care Home Ltd DS0000066823.V351376.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 Prudential Care Home Ltd DS0000066823.V351376.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. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prudential Care Home Ltd Address 7 Grant Terrace Castlewood Road London N16 6DS 020 8211 1957 020 8211 7406 prudentialcarehome@hotmail.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) Prudential Care Home Ltd Mr John Gerard Kearns Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th October 2006 Brief Description of the Service: 7 Grant Terrace is an end of terrace building situated in a quiet residential area with good access to public transport. The home has easy access to a wide range of local facilities and amenities. The home is registered to provide services for five adults with a forensic mental health history who are not assessed as yet ready to live independently. All referrals to the home are as a result of Care Programme Approach meetings and the home does not accept emergency referrals. The home offers both short-term and long-term placements. The home aims to provide a caring environment, which is flexible enough to met the needs of service users for support whilst at the same time maximising their potential for independence and integration in ordinary settings. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced key inspection at Prudential Care Home. The inspection included a site visit to the service. Prior to the inspection an Annual Quality Assurance Questionnaire was requested from the home. This was duly completed in sufficient detail and returned to the Commission. Five resident and staff surveys were sent to the home and all of these were completed to some degree and returned. During the course of the visit to the home the manager and deputy manager were spoken with in depth and two residents were also spoken with. A partial tour of the premises was undertaken and relevant records and documents were examined. Feedback was given at the end of the site visit. What the service does well: What has improved since the last inspection? What they could do better: Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 6 The home is currently working to a very high standard, however, there are occasions when one staff member is on duty alone for the duration of a day and evening period, which constitutes a thirteen-hour shift. Although the AQAA stated that one complaint had been received and dealt with, there was no record of this in the complaints log within the home. 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. Prudential Care Home Ltd DS0000066823.V351376.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 Prudential Care Home Ltd DS0000066823.V351376.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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a comprehensive needs assessment process in place within Prudential Care Home. Individuals are appropriately supported and encouraged to be involved in the assessment process. The assessment focuses on achieving positive outcomes for the people who use this service. EVIDENCE: The initial assessment process was examined during the site visit to Prudential Care Home Ltd. It was positive to note that this was a comprehensive system, which focused wholly on identifying the needs of the prospective residents. The AQAA states that the home does not accept emergency admissions and only accepts those “who complete a comprehensive assessment through the Care Programme Approach in which the potential service user is fully involved”. Clear evidence to demonstrate this was seen in the resident file sampled. The initial assessment documentation contained complete personal information regarding the resident, including their name, date of birth, next of kin, key worker, where they were admitted from or referred by, religion, marital status, GP and contact details etc. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 9 The ‘Prudential Care Home Application for Referral Form’ was completed in detail and contained further information regarding the support needs of the prospective resident i.e. it looked at areas such as emotional and mental health and outlined what these areas were, it explained the person’s clinical diagnosis, and then went on to present what the symptoms of this were and any warning signs. The assessment also contained details regarding the prospective residents physical health, medication and possible side effects, verbal/written communication support needs and practical support needs such as with housework, laundry, bed making and cooking. The assessment had clear aims and objectives regarding the needs of the resident, and also outlined present and future support needs. The input required from other professional bodies was documented in a comprehensive manner and there was a care statement completed by the resident which detailed their specific areas of need, i.e. ‘I would like my mate to visit me regularly; I would like a space to park my car; I would like my meals provided’. Prudential Care Home Ltd DS0000066823.V351376.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 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The key principle of the service provided at Prudential Care Home is that the people who live there are in control of their lives and they direct the service. Staff members are fully committed in supporting people to lead purposeful lives as independently as possible. People who use this service make their own informed decisions and have the right to take risks in their daily lives. EVIDENCE: None of the people who live at Prudential Care Home require any support or assistance with their personal care. One resident’s care plan was looked at in detail during the visit to this service. The care plan was completed comprehensively and clearly identified the means by which the resident concerned could best be supported. The plan included information regarding the residents’ current mental state, and this detailed Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 11 improvements in their behaviour, their speech pattern and content, thought content, mood and perception. There was information contained within the care plan regarding the specific views of the resident, their identified goals and a clear summary of needs. Areas of risk to self and others were included in the plan as was information regarding how these presented and how they were to be managed. Risk assessments were also completed in relation to health and safety, the personal needs of the resident and manual handling. A copy of East London and The City NHS Mental Health Trust Care Programme Approach After Care Plan (Section 117) was contained in the file. This was also a comprehensive document, and had been signed by the resident, care co-ordinator and Bethnal Green CMHT. This plan contained the views of the resident, for example, it stated “(The resident) feels that (their) reviews, regular contact 2 weekly with CPN, medication and support from Prudential care staff, will tend to prevent a crisis” and “(The resident) is reasonably pleased with (their) present circumstances and progress in stress reduction, as well as the improved quality of life which (they are) currently experiencing”. The resident was given a copy of this care plan. One resident survey completed and returned to the Commission stated “Everything is OK”, and another stated, “..I am very happy at (Prudential Care Home) and I’ve improved a lot since I moved in….”. Two residents were spoken with during the site visit to this service and both of these were very positive about the support they receive at Prudential Care Home. All of the residents who completed surveys stated that they were always able to do what they wanted, during the day, in the evening and at the weekend, and all three said that they always made decisions about what to do each day. Prudential Care Home Ltd DS0000066823.V351376.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 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prudential Care Home actively promotes the individuals right to live a meaningful life both within the home and in the wider community as is appropriate to their specific needs. EVIDENCE: Prudential Care Home encourages residents to partake in appropriate activities depending on their identified needs. One care plan examined demonstrated that a resident was given time to settle into the home without pressure or expectation so that their mental health needs were addressed and they had the opportunity to begin to establish therapeutic relationships with staff members and relationships with other residents. This was appropriate to the needs of the resident concerned. At a later date the resident had expressed an interest in participating in a course in computers. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 13 A second resident stated during a meeting that they felt they had improved a lot and might like to attend some outside activity. The outcome of this was, that the resident would be referred to day centre and make an informal visit to see whether they liked it with a view to attending on a regular basis. The manager stated during discussion that one of the people who live in the home are nocturnal, and they choose to go out at night to a cab office where they socialise until they are ready to return to the home. One resident spoken with during the course of the inspection said that they like to spend a lot of time in their room; however, they do mix with other residents when they want to and have visitors regularly. The AQAA received from Prudential Care Home states under the outcome group concerned with lifestyle, “Residents have unrestricted access to the home and the local community, its services and facilities. Service users are encouraged to take responsibility for themselves and to further develop their independent living skills”,. In the same outcome group the AQAA states that plans for improvement in the next six months include “To get more driver names on to the motor insurance to provide more flexible transport. Three residents would like season tickets for the cinema. To support them to obtain them..…. Organise an annual holiday”. One resident survey stated, that there are activities provided within the home and it is the residents’ choice whether they join in or not. During the site visit to this service the manager stated that the residents prepare breakfast for themselves and lunch. If people haven’t eaten, the staff will offer them a snack. One of the staff team cooks the evening meal, however, if someone who lives at the home wants to cook for themselves this is supported. The residents are consulted regularly regarding the food they want to eat. On 13/10/07 records show that all of the residents requested chicken tikka with bread and salad and on 12/10/07 a takeaway was ordered as per the residents choice. Alongside the records of what residents would like to eat, there is a diary, which contains information regarding what they actually ate, and this demonstrated that their choices were adhered to. Prudential Care Home Ltd DS0000066823.V351376.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 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live at Prudential Care Home receive effective healthcare support, using a person centred approach. Individual plans clearly and comprehensively record the persons healthcare needs and detail how they will be delivered. EVIDENCE: None of the people living at Prudential Care Home require support with personal care. Encouragement is offered to residents with a history of self-neglect to take more interest in their well-being, health, hygiene and appearance. For example one care plan examined stated that the ‘summary of needs’ for the person concerned were, “To sustain and improve mental health and well being. Expectations to remain realistic. To continue to support to improve level of personal hygiene, staff to continue to support (the resident) to spend time out of (their) room. To continue to develop therapeutic relationships”. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 15 One care plan looked at in detail contained clear records of input from health care professionals these included GP, dentist, attendance for depot injections with CPN and Mental Health Review’s with GP and Consultant. The plan was focused on the needs of the resident concerned and their emotional and healthcare needs were addressed. There were care plans in place for interventions aimed at promoting a healthier lifestyle and at addressing any issues regarding the mental health of the resident with clear symptoms outlined and strategies in place for the staff team to understand the needs of the resident. The home uses the Monitored Dosage System for administering medication through Boots the Chemist. The manager stated that once a person is admitted to the home they are registered with a local GP who will be responsible for prescribing their medication from thereon. There is a clear audit trail for medication, with all drugs received being recorded in one book and all returned drugs listed in another. The returned medication lists the name of the resident, the drug being returned, the number to be returned, and this is then signed and the pharmacist to whom the drugs are returned then stamps the book. Medication not contained in the blister packs is signed and dated when opened which is good practice. A number of medication administration records (MAR) were examined and it was positive to note that there were no omissions in the staff signatures. All of the MAR sheets had a photograph of the resident in situ, alongside consent from the resident for medication to be administered. Some medication profiles had been handwritten, and these had not been double-signed. It is good practice to ensure the person who writes the profile signs it and then gets someone else to check that what they have written is correct and to sign it as well. One resident required ‘as and when required’ or PRN medication. There was not a recorded protocol in place describing why this resident might be administered this medication. One staff member spoken with stated that all of the staff team administer medication and that they are trained by Boots and also in-house using a BVS DVD and completing a questionnaire. The registered manager also checks the competency level of each staff member. There have been no controlled drugs at the home since it opened. It was positive to note that the manager at the home had sought advice from one of the Commission’s Pharmacy Inspectors when he was uncertain of a medication issue. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 16 Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prudential Care Home has an open culture that allows residents to express their views in a safe and understanding environment. People who live at the home say they are happy with the service provided and are well supported. EVIDENCE: Prudential Care Home has a clear and comprehensive complaints procedure, and all of the residents who completed surveys stated that they were aware of who to speak to if they were not happy and of how to make a complaint. During the inspection the complaints log was examined. This was set up in a way to record concerns/ complaints and compliments; however, nothing was recorded within this document. The AQAA states that one complaint had been received by the home and that this was “promptly and satisfactorily investigated”, but information in relation to this was not recorded in the complaints log. Staff members at the home receive training in the safeguarding of vulnerable adults as part of their induction. The BVS DVD regarding raising adult abuse concerns and whilstleblowing were seen during the inspection. One staff member spoken with said that most of the staff team are NVQ trained and that they complete safeguarding training as part of this. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 18 There have been no safeguarding referrals raised at the home. One staff survey received by the Commission stated under the ‘What the service does well’ section, “Meet the needs of all service users ensuring our health and safety environment at all times. Protect every individual’s rights, dignity, privacy and from all forms of abuse”. Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical environment at Prudential Care Home is suitable for the individual requirements of the people that live there. The environment is appropriately homely, clean, safe, comfortable and well maintained. EVIDENCE: A partial tour of the premises was undertaken during the site visit to this service. The premises at Prudential Care Home are kept to a high standard both internally and externally. No areas of the home were seen to require refurbishment. The home is clean and well lit and it is homely and comfortable. Prudential Care Home Ltd DS0000066823.V351376.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, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at Prudential Care Home have appropriate confidence in the staff team that care for them. Staff members take external qualifications beyond the basic requirements and a high level of importance is placed on training. The recruitment procedure within the home is robust. EVIDENCE: The staff team at Prudential Care Home are well qualified. The registered manager is a RMN, as are two further staff members. Two of the staff team, including the deputy manager have completed the Registered Mangers Award. The deputy manager has also completed NVQ4, as has a further staff member. Seven of the staff team have completed NVQ2 and two have completed NVQ3. Four weeks of duty rotas were examined and these recorded that over this period of time the registered manager has been in the home on duty for five days. His number is the on-call number each week. The deputy manager is scheduled to work from 09:00 to 17:00 for between three and five days each week. There is no management structure in place at the weekends and there Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 21 are occasions when one member of staff is on duty for the whole day and evening period by themselves. For example, on 13/10/07 one staff member is scheduled to work from 08:00 to 21:00, on 14/10/07 one member of staff is scheduled to work from 08:00 to 21:00, on 16/10/07 and 17/10/07 the same member of staff was scheduled to work for this duration, however the deputy manager was also scheduled to work from 09:00 to 17:00. However all of the five staff surveys completed stated that they felt there were always enough staff to meet the individual needs of the people who use the service. Staff recruitment files were examined. The home has a pro forma system in place whereby confirmation of all checks and references undertaken are recorded. Both of the recruitment files examined demonstrated that all of the required information had been sought prior to employment. Three staff members training files were examined and these demonstrated that a thorough induction was implemented and that this was in line with the Skills for Care Induction Standards. The registered manager at the home signed off medication competencies. One staff member had completed Induction Foundation Training BVS February 2007; NVQ 4 June 2007; Mental Health in the Community July 2006; Schizophrenia and Bi-Polar Disorder August 2007; Medication in Psychiatry in September 2007; Communication and Interpersonal Skills in July 2007 along with other required refresher training, first aid and training in Maslow’s Hierarchy of Needs and Dual Diagnoses. Five staff surveys were completed and returned to the Commission. All of these contained positive information regarding the service provided at Prudential Care Home. All five surveys stated that their employer carried out checks such as CRB and references prior to their starting work. All of the surveys also said that their induction covered everything they needed to know how to do the job when they started very well. All five surveys stated that they are being given training which is relevant to their role, helps them meet the individual needs of residents and keeps them up to date with new ways of working. There were positive comments received on each staff survey. One stated, “The home, management and all staff work very well as a team to meet the needs and achieve the best possible outcome for every single individual”. Prudential Care Home Ltd DS0000066823.V351376.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, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered manager has the required qualifications and experience to run the home in a competent manner. EVIDENCE: The manager at Prudential Care Home is registered with the Commission. He is a trained Mental Health Nurse and has managed various homes, including one for 25 people over a nine year period. The manager stated that his ethos is open and inclusive and that he promotes a non-custodial approach within the home, both staff members and residents who were spoken with reiterated this. The AQAA received from the home states “All staff at Prudential engage with residents on a daily basis. The team adopt a therapeutic community approach and are familiar with the concepts of humanistic psychology (positive regard, Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 23 self actualisation). The home is now a member of the association of therapeutic communities (In therapeutic communities staff and residents work together towards agreed objective/ the staff role is of facilitator”. In discussion the manager stated that the staff team within the home are a resource for the residents and the residents can have access to ‘as much or as little support as needed’. Minutes of resident and staff meetings were examined and these were seen to be occurring regularly and recorded. Questionnaires that had been sent to residents and professionals were examined. These contained positive information about the service provided, for example one resident stated “Everything is fine, not jut fine but very good” and two separate professionals stated “Excellent service provision, no concerns expressed at this time” and “I have found staff helpful and professional”. Prudential Care Home Ltd DS0000066823.V351376.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 4 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 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 4 3 X 3 X 3 X X 3 X Prudential Care Home Ltd DS0000066823.V351376.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. Refer to Standard YA20 Good Practice Recommendations All handwritten medication profiles should be double signed to reduce the risk of error in the recording. Any PRN medication should have a protocol in place detailing the circumstances in which the medication should be administered. The registered person should ensure that any complaints are recorded in the appropriate log, with the details of the complaint, timescale and outcome. The registered person should ensure that there are enough staff on duty to meet the individual needs of the residents. 2. 3. YA22 YA33 Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Prudential Care Home Ltd DS0000066823.V351376.R01.S.doc Version 5.2 Page 27 - 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. 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