Inspection on 22/09/06 for 1 Abell Gardens

This inspection was carried out on 22nd September 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Abell Gardens 10/09/08

1 Abell Gardens 16/11/05

1 Abell Gardens 14/06/05

1 Abell Gardens 28/01/05

1 Abell Gardens 18/10/04

1 Abell Gardens 10/02/04

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Hillview Farm

Dalewood Respite Care

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REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Abell Gardens Furze Platt Road Pinkneys Green Maidenhead Berkshire SL6 6PS Lead Inspector Stewart Mynott Unannounced Inspection 22 September 2006 10:30 nd 1 Abell Gardens DS0000046772.V306059.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 1 Abell Gardens DS0000046772.V306059.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. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Abell Gardens Address Furze Platt Road Pinkneys Green Maidenhead Berkshire SL6 6PS 01628 789658 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) Owl Housing Limited Miss Susan Gilbert Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2005 Brief Description of the Service: 1, Abell Gardens is a single story purpose-built care home situated in a quiet residential road on the outskirts of Maidenhead. Accommodation is provided in single bedrooms. The bungalow has a secluded rear garden that is for use by the residents of the property. There are a limited number of car parking spaces on the property and in the access road. Owl Housing Ltd, a non-profit making charitable society is registered to provide accommodation, support and personal care for up to six younger adults who have learning and physical difficulties. The aim of the home is to create a warm, friendly atmosphere in which people are enabled to achieve their personal objectives and reach their full potential. The fees in respect of this service at the time of the inspection are £1208.24 per week. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over a four-day period between the 1st to 25th September 2006 with an unannounced visit to the establishment occurring on the 22nd September 2006 lasting for 6 hours. During the site visit a full tour of the premises was facilitated. Over 75 of the visit was spent with all the service users, who were present at different times during the day, as well as the staff on duty observing the everyday life at the home. All service users have difficulty communicating verbally and views about their experiences were gained indirectly through observations and interactions with staff. Discussions also took place with all staff on duty. Some of the service user and homes records were examined to support observations made during the day. Discussions, including feedback about the inspection process, with the registered manager and deputy, who were not on duty during the site visit, took place after the site visit. The inspection also included reference to documents completed and supplied by the home to include a pre inspection questionnaire and staff training records. What the service does well: What has improved since the last inspection? There is now evidence within the home that details that the necessary pre employment checks have been taken for all staff employed at the home, to ensure service users protection and safety. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 6 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. 1 Abell Gardens DS0000046772.V306059.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 1 Abell Gardens DS0000046772.V306059.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. Prospective service users needs would be fully assessed prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s Statement of Purpose and Service Users Guide were examined during the inspection process. This is a comprehensive and detailed document available in an appropriate format to include large print and pictures to enable prospective service users and their representatives to gain a good picture of the scope, type of services and the facilities available. There have been no admissions since the last inspection and service users have lived together for a number of years forming a stable group. There is currently one vacancy and the registered manager was able to explain the process and admission policy to ensure future prospective service users needs would be fully assessed prior to any admission. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Service users current and future anticipated support needs are understood and recorded, to a good standard in their lifestyle plans. Service users are appropriately supported by the staff team with their daily decisions with an appropriate management of associated risk in accordance with individual abilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information taken from the Statement of Purpose and staff explanation reveals that the concept of essential lifestyle planning is used to ensure service users are at the centre of planned care. Each service user has a lifestyle plan available at the home and four such plans were examined in detail during the visit. The relevant link worker involved in one of the plans examined, provided further explanation and information to illustrate how the plan is implemented and reviewed. Each service users lifestyle plan contained a personal profile to include likes and dislikes and documentation about “what I enjoy and matters to me”, providing a wide range of individual information. Each plan also contained 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 10 support guidelines, available as both quick reference and a much more detailed format for reference. Support guidelines provide good detail about communication needs, personal support and daily activities over a 24-hour period. Excellent information about how service users communicate their needs and the action staff should take, as well as “how you communicate with me” are also recorded in an easy to read format. Link workers were able to describe that they take responsibility for both the recording and review of information in each plan. Link workers described regular recorded meeting to review the progress of each service user, which were seen in each file. Each lifestyle plan is reviewed at formal six monthly reviews. During the inspection staff were seen to support service users with making daily decisions within each persons ability. This included movement around the home and the use of objects of reference to assist with choice. Staff described that one service user had chosen a mirror for their room and colours from this were used when their bedroom was recently redecorated. There are detailed risk assessments recorded on each service users care file to support service users to be as independent as possible. Four service users were focused on and the assessments in place covered all significant areas to include physical health, personal safety and emotional well being in sufficient detail and had been kept under review. Staff spoken to were clear about their importance and use to ensure service users independence and ongoing safety in their daily life. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. Service users are fully supported to have an enjoyable and fulfilling lifestyle, which includes suitable activities and opportunities to follow leisure pursuits. The daily life in the home is relaxed and inclusive with service users support needs always taking priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information gained from the pre inspection questionnaire and staff at the home demonstrate a wide range of appropriate activities and opportunities to follow interests are provided for. The staff at the home demonstrated an excellent knowledge of service users preferences and a clear dedication to locate appropriate activities and maintain and explore new interests for each service user. All service users currently attend sessions organised at a local day centre to provide a good range of activities suited to their current preferences and needs. Two service users were starting new courses that had been chosen to reflect their interests at a local college. There is a good use of amenities within 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 12 the local community to include organised clubs, shopping, use of a leisure centre for swimming and sensory sessions and more specialist activities such as the Thames Valley Adventure Playground (TVAP). Activities are also provided within the home and staff explained that a staff member currently provides an arts and craft session twice a week for service users to participate in. Staff at the home ensure personal interests and hobbies are followed including attendance at music concerts and for one service user attending home games for the local ice hockey team they support. Regular day trips and attendance to events of interest are also organised throughout the year. Service users have had the opportunity to choose and attend the holiday of their choice this year. Staff also arrange events and parties in house for friends, family and local neighbours to attend. Staff also described that one service user had a large party arranged to mark an important Birthday. Staff at the home were able to describe the support given to service users to maintain their family relationships and friendships. One service user recently went on holiday and had the opportunity to visit their relatives. The daily routines in the home were observed during the inspection and were relaxed promoting individual choice and freedom of movement. Staff were seen to be friendly, warm and caring at all times. Staff interacted very well with service users demonstrating a clear understanding of service users needs during the day. Personal care and support was offered discreetly and staff were respectful as evidenced by knocking on doors before entering and addressing service users by their name appropriately. Service uses appeared relaxed and happy with the daily routines within the home. The atmosphere within the home was warm, inclusive, relaxed and calm with service users always taking priority. Staff take responsibility for preparing meals for service users at the home. There is a four-week menu, which was examined and provided a variety of choice, and “ home cooked” appropriate meals. Service users are unable to assist in the preparation of each meal, but are encouraged to assist in “sensory cooking sessions” organised each week. Lunchtime was spent with service users and staff in the dining room. A staff member had prepared a light lunch of soup and bread rolls. Service users have varying abilities to eat independently. One service user requires their meals to be liquidised and cooled before eating, whist another needs monitoring to ensure they do not eat too quickly (as specified in their support guidelines). The permanent staff member on duty gave clear instructions to the agency staff as to the level of support required by each service user. Lunchtime was relaxed and unhurried with staff talking to service users creating a good atmosphere and providing the correct level of support as described by the permanent staff member. Service users appeared to enjoy their meal. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is excellent. Service users personal, physical and healthcare needs are fully supported and met by a committed and caring staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit staff at the home were able to explain in detail, the preferences and requirements for service users personal support to include how personal care is delivered, individual routines for getting up and going to bed and support for moving around the home. Daily records and personal support guidelines evidenced the information gained from the staff team and demonstrated the flexibility of personal support given. During the inspection it was established that four service users are unable to communicate verbally and rely on staff to interpret their wishes via body language, vocal tones, gestures and signs of well-being. Staff were seen to understand and respond appropriately to service users daily support needs and were clear about how to communicate with service users. One service user requires support from a “sleep system” during the day. One staff member clearly demonstrated how equipment was used and the exact purpose to 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 14 ensure the service users well being. Staff were confident in their abilities to assist with service users mobility around the home. From information contained in the pre inspection questionnaire, all service users have access to their local GP and other NHS facilities as required in their locality to include dentist, podiatry and optician checks. Records examined demonstrated the information provided prior to the site visit and provided clear information about service users attendance for health related appointments and their progress. Specialist referrals have taken place to include dieticians and physiotherapy input. Staff on duty were clear about ongoing health needs for one service user in relation to their dietary support guidelines. From information recorded on the pre inspection plans fourteen staff administer service users medication. One staff member described the systems for the ordering, administering and returning unused medications. The home currently uses the “Boots” system and the medication cupboard was organised with all medication being clearly marked and in date. Records relating to the administration of medicines for all service users were examined and completed clearly with no evident gaps over the past four weeks. There is an up to date staff signature sheet to enable staff initials to be easily identified. In addition medication administration is witnessed during the day and records seen correlated with the administration records viewed. The staff member confirmed that there are no controlled medicines being used at this time. Records also demonstrate that that the pharmacist also visits on a quarterly basis to offer support and advise. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Service users well-being and their representative’s views will be listened to and acted upon. Service users are protected from abuse by the homes robust polices and procedures, that are fully understood by the staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear complaints policy and procedure in place available within the home and service users guide. Staff confirmed that service users would be unable to directly access the complaints procedure due to their current abilities, but the staff team would support any expression of dissatisfaction. The complaints policy has been made available to service users representatives. There is one recorded complaint since the last inspection made from a neighbour in relation to a parking issue. The manager had investigated the complaint and responded appropriately. There have been no complaints received by the CSCI in relation to this service. There are appropriate policies and procedures in place to protect service users from harm and abuse, which have been further reviewed by the Provider this year. Staff spoken to at the home were clear about how to recognise and respond to any suspicion of abusive practise and confirmed that they had attended training sessions in the protection of vulnerable adults. Training records examined during the inspection process confirmed that staff have received this training. There have been no allegations of abuse made since the last inspection. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 16 A staff member explained the homes policy in relation to service users monies and appropriate systems are in place to safeguard service users monies. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30 Quality in this outcome area is good. Service users are able to enjoy a homely, comfortable, safe, clean and hygienic environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A member of staff gave a full tour of the premises, which covered all areas. The home is modern and purpose built with a homely and comfortable feeling. The home was seen to be well maintained, very clean and tidy and free from offensive odours. The premises were observed to be fully accessible to all service users. From information contained in the pre inspection questionnaire and from staff it was confirmed that a program of cyclic maintenance had been completed to include identified communal areas and two of the service users bedrooms. Some of the furnishings and fittings have also been replaced during this process, which are of good quality and domestic in nature adding to the homely feeling. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 18 The communal areas consist of a lounge and dining room, which service users were seen to enjoy during the inspection. These areas are comfortable and appropriately furnished. The registered manager had identified that the kitchen requires replacing, as some of the doors on units are broken and areas are becoming worn. Plans for the new kitchen were seen and it was expected that this work would be completed during next year by the housing association. At the last inspection the garden was identified by the staff team and organisation as requiring redevelopment to enhance the space for service users use and enjoyment. At this inspection it was noted that work had not been completed, however evidence of additional funding was seen and the registered manager advised that plans are with the contractors and work was expected to commence very soon. Staff were enthusiastic about the plans that had been made. All service users bedrooms were well maintained clean and decorated and furnished to individual tastes. One service user has chosen a mirror and colours from this have been chosen to decorate the room. All furnishings within bedrooms were of a good quality. The laundry facilities were examined and found to be clean and clear. Staff explanation and observations during the inspection confirmed there are systems in place to prevent the spread of infection and maintain an excellent level of hygiene noted throughout the home. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is good. Service users are supported by an effective staff team, present in sufficient numbers, which are supported in their role through training and supervision. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection the staff team were able to demonstrate a professional, kind, warm and caring approach towards all service users with service users observed to be relaxed when interacting with the staff on duty. Staff were able to demonstrate a sound knowledge of each individuals support needs and were generally enthusiastic about their roles, clearly putting service users at the centre of their roles within the home. Examination of rotas for a four-week period, prior to the site, visit revealed that there are always three staff members during the day and one waking night staff at night. On the day of the visit this staffing level was evident although had been maintained by the use of two agency staff and one permanent staff member due to sickness within the team during the morning. The registered manager confirmed that no new staff were recruited since the last inspection. The registered manager explained the procedures in place for recruitment of new staff. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 20 There is a coordinated approach with head office representatives who ensure that all appropriate pre employment checks are completed and that the Providers policies and procedures are closely followed. The registered manager confirmed that potential staff are identified and invited to an assessment day involving interviews, written assessments and observation when meeting service users. Recruitment records are retained at head office and evidence of the recruitment process is kept at the home as a “staff checklist”, providing details of pre employment checks and are signed by the head office representative. At the last inspection these checklists were either not available or incomplete. During this inspection the checklist for the last member of staff recruited was available and examined confirming that appropriate recruitment procedures had been followed. Copies of staff training profiles were provided as part of the inspection process prior to the visit. Those examined demonstrated a good range of specialist and mandatory training has been provided with dates of attendance and where relevant and the date that further refresher training would need to be provided. The Providers training program was viewed and provided further information about the range and types of training available with details of rolling courses available for staff. During the visit a training needs analysis had been completed to identify the training requirements of the team for this year and copied to head office to assist arranging future relevant training. Staff spoken to felt that the training available was good and assisted them in their roles. Currently there are thirteen staff (including the registered manager) who are employed directly by the home forming a team with a good mixture of skills and knowledge. From information obtained in the pre-inspection questionnaire eight staff have completed or are working towards at least an NVQ level 2 or equivalent. During examination of the training files a sample of certificates confirming completion of the NVQ were seen. Staff confirmed that they receive regular supervision from either the registered manager or deputy manager on a regular basis. Information taken from the Providers regulation 26 visits confirmed that progress in this area is checked and supervision occurs at a regular frequency. The registered manager was able to locate records that evidenced that supervision occurs at least every eight weeks and all staff will have received at least six sessions this year. Staff also confirmed that regular staff meetings take place and minutes from the last three meetings confirmed a good attendance. Staff stated that they feel supported by the management team and organisation. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is good. Service users benefit from a well managed home which is run in their best interests. The home promotes and protects service users health, safety and welfare, although improvements to follow best practise in relation to food hygiene are required and a review of the COSSH assessments in place is recommended. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in post for over two years having previously worked in the home for a number of years. The registered manager is qualified to include the registered managers award and evidence from training records demonstrate that update training is regularly attended to ensure knowledge and practise remains up to date. Staff at the home were complimentary about the registered manager stating that she is approachable, encourages team work and that staff feel included in 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 22 the direction and development of the service. Due to service users current ability they were not able to directly comment. The registered manager and deputy explained the systems in place to monitor the quality of the service and provision of care at the home. The current quality plan for this year was viewed and seen to focus on positive outcomes for service users. In addition there is an audit tool used weekly by the registered manager to sample the quality of the recording systems within the home. A sample of these records for the past two months was viewed and had been fully completed. In addition unannounced regulation 26 visits made by the Providers representatives occur monthly. From records seen during the inspection process these visits are thorough focussing on quality and developments at the home. During the visit staff were observed to work in a safe manner and were able to describe safe working practise in areas such as moving and handling, food hygiene, accident reporting and infection control. Training records examined prior to the service visit demonstrated ongoing training in health and safety related topics. Information taken form the pre inspection questionnaire provided evidence of completed checks to ensure the ongoing health and safety of service users and regular maintenance and checks had been kept up to date. Staff at the home were aware of monthly health and safety checks being completed and the registered manager showed records of audits completed by the relevant Providers representative. Records during the visit seen included fire safety records, accident reports and safe working risk assessments, which were up to date and well maintained. It was noted that there was significant gaps in the recording of the serving temperatures of hot food, to ensure it has been properly cooked and heated, and the daily temperature checks of fridges and freezers to ensure food is stored at the correct temperature. It is a requirement that these are completed to further ensure service users safety in relation to food hygiene and that the organisations own polices and procedures in these areas are routinely followed. It was also noted that whist there are detailed COSSH risk assessments in place, with safety data sheets, that the apparent date of last review was six years ago. It recommended that these be reviewed to ensure their relevance to current products being used within the home. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 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 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 3 3 X X 2 X 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA42 Regulation 13(4)(c) Requirement That the registered manager further ensure service users safety in relation to food hygiene and that the organisations own polices and procedures in these areas are routinely followed by staff in regards to the monitoring and recording of; • Temperatures of prepared hot meals. • Storage temperatures of food in fridges/freezers. Timescale for action 30/11/06 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 YA42 Good Practice Recommendations That the registered manager ensures that the COSSH risk assessments in place are kept under regular review to ensure their relevance to current products being used within the home. 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford, OX4 2SU National Enquiry Line: 0845 015 0120 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 1 Abell Gardens DS0000046772.V306059.R01.S.doc Version 5.2 Page 26 - 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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