Inspection on 17/05/05 for 100 Whitehall Street

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

100 Whitehall Street 30/06/08

100 Whitehall Street 05/11/07

100 Whitehall Street 17/05/07

100 Whitehall Street 02/11/06

100 Whitehall Street 07/10/04

100 Whitehall Street 07/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 100 WHITEHALL STREET Tottenham London N17 8BP Lead Inspector Susan Shamash Unannounced 17th May 2005 @ 3.20 pm 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 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 Stationary 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. 100 WHITEHALL STREET Version 1.10 Page 3 SERVICE INFORMATION Name of service 100 Whitehall Street Address 100 Whitehall Street,Tottenham, London, N17 8BP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8801 2930 Karen Reilly of London Borough of Haringey Christine Gentles (in process of registration) PC Care Home only 18 Category(ies) of LD Learning Disability registration, with number of places 100 WHITEHALL STREET Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may provide accommodation and personal care for up to 18 persons of either gender who are between the ages of 18-65, who have learning disabilities. 2. The provider must undertake a programme of measures that will achieve full compliance with National Minimum Standards for Younger Adults.Standards 24-30 - Environment or those equivalent Standard that may be published at the time, as required by Regulation 23 (1)(a); 23(2)(a-p); 23(4)(c) and Regulation 16(2)(c)(g)(j)(k) - by April 1st 2005. 3. In order to promote health and safety needs of service users living in Whitehall Street, the provider must ensure that the home complies with all requirements contained in relevant Health and Safety legislation on an ongoing basis and further must undertake a programme of measures that will achieve full compliance with National Minimum Standards for Younger AdultsStandard 42 - Safe Working Practices, or those equivalent Standards that may be published at the time, as required by Regulation 23(1)(a); 23(2)(a to p); 23(4)(c) and Regulation 16(2)(c)(g)(j)(k) - by April 1st 2005. 4. Two specific service users, who are over 65 years of age, may remain accommodated in the home. This condition must be reviewed at such time as either service user is discharged and the Commission for Social Care Inspection notified. Date of last inspection 7th October 2004 Brief Description of the Service: 100 Whitehall Street is situated in an area just off of White Hart Lane. The home provides residential care for up to eighteen people with learning disabilities. The provider is Haringey Local Authority. The home is large and purpose built over three floors that are accessed by two staircases as there is no lift. There are a number of shared lounges, dining areas and kitchens and a rear garden with various patio areas. There are eighteen single bedrooms. There are no en-suite facilities but there are a generous number of bathrooms and toilets. The statement of purpose states that the home’s service is based on ordinary life principles and service users are encouraged to access activities in the community. The home provides support with all aspects of personal care and daily living. The home provides three main meals per day and service users have facilities to make themselves drinks and light snacks whenever required. 100 WHITEHALL STREET Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 3.20 pm and last approximately five and a half hours. The manager was available for the majority of the inspection, and her line manager was also available to the inspector. On arrival the majority of residents were out at day activities, and two staff members were on duty at the home. Five residents were living in the home, and the inspector had the chance to speak to all of them during the inspection. All staff cooperated fully with the inspection, and the inspector spoke to two staff members at some length. As noted at the previous inspection a number of residents had recently moved out to adult placements, prior to the move of the remaining five residents into temporary accommodation, whilst the home undergoes a major refurbishment programme. The manager advised that following the refurbishment, any residents wishing to move back into the home would be accommodated. The inspector conducting a tour of the building and sampled staff and resident individual records as well as records regarding the general running of the home. What the service does well: The inspector was impressed that despite concerns and uncertainty amongst residents and staff about the future move to temporary accommodation, there remained a welcoming and cheerful atmosphere at the home, and residents spoken to were very positive about the support provided to them. The home continues to provide a wide range of activities for residents with support from the staff team, including trips out. Residents spoken to are satisfied with the quality and variety of food served in the home. There is a high level of satisfaction in respect of the staff support provided to individual residents. Evidence was available that residents are encouraged to be independent and to make their own choices. All residents have detailed care plans that are reviewed regularly. They are consulted about these as far as possible. The home successfully provides sensitive individual support to residents with a wide range of different needs, characters and interests. Staff members are knowledgeable about their role and responsibilities within the home. The number of staff members undertaking NVQ training at the home 100 WHITEHALL STREET Version 1.10 Page 6 indicates that the home remains committed to supporting staff training and development. The home is situated in a busy area of North London, and residents are encouraged to use local facilities including regular visits to a local pub and nearby shops. What has improved since the last inspection? What they could do better: Four requirements remain outstanding from the previous inspection. It remains required that radiator guards be fitted to the radiators in all communal 100 WHITEHALL STREET Version 1.10 Page 7 areas and the fuse box on the ground floor be housed safely. The manager advised that these issues would be addressed during the refurbishment of the home. It also remains required that the system for recording residents’ finances in the home be improved and that copies of all staff contracts be retained on their files with the aim of protecting both staff and residents. It is recommended that the provider organisation review its policy of using a majority of agency workers to staff the home, in terms of the ramifications that this may have for residents. New requirements are made regarding the need to follow the adult protection procedure for the home accurately, ensuring that the Commission is informed of any relevant issue affecting a resident. It is required that the boiler system be repaired sufficiently so that residents have uninterrupted access to hot water whenever they need it. A requirement is made that all unoccupied resident rooms be locked, and that all cleaning materials that may pose a risk to residents be stored in a lockable facility at all times. The requirements made by an Environmental Health Officer on inspection of the kitchen in December 2004 must be addressed as part of the refurbishment of the home. Finally the frequency of monitoring visits by the provider organisation must be increased to at least monthly to ensure that a consistently high standard of care and support is provided within the home. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 100 WHITEHALL STREET Version 1.10 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 100 WHITEHALL STREET Version 1.10 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 5. An adequate system is in place to assess service users’ needs and goals effectively and ensure that these can be met, and service users’ rights are protected by contractual arrangements with the home and their local authorities. EVIDENCE: As required at the previous inspection the service users guide had been updated to include the qualifications of the manager and staff team, access to the most recent inspection report and service user’s views of the home. Due to the local authority’s plans to fundamentally redesign the service, there have been no new admissions to the home since the previous inspection other than an occasional respite stay. Detailed assessments were in place for all service users resident at the home as appropriate, and there was evidence that service users had been consulted about these assessments. As required at the previous inspection, the contracts of terms and conditions for each service user resident at the home had been completed and included the signatures of the service users and or a resident/advocate where appropriate. 100 WHITEHALL STREET Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. Service users’ needs and goals are assessed and responded to effectively, to ensure that these are met. Risks are recorded appropriately with strategies in place to ensure that service users are protected appropriately whilst being encouraged to develop independence skills and be involved in aspects of home life. EVIDENCE: 100 WHITEHALL STREET Version 1.10 Page 11 The inspector examined two service user plans in detail whilst the other care plans were looked at briefly. There is a high quality service user planning system in place, with care plans reviewed regularly and recorded in a format accessible to some service users (using Widget symbols). Detailed risk assessments are in place for each service user and these had been reviewed within the last six months as appropriate. Signatures indicated that service users are consulted regarding the care plans and risk assessments as appropriate. All service users were spoken to during the inspection, and all indicated that they were given opportunities to be involved in the running of the home. Minutes of service user meetings indicated that these are held regularly and are used to disseminate information and provide service users with an opportunity to make choices about home life. 100 WHITEHALL STREET Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17. Service users have fulfilling lifestyles with access to meaningful activities both in the community and in the home and are supported to maintain links with their friends and families. Service users are encouraged to take responsibility for the running of the home and to develop independent living skills. Dietary needs of service users are catered for with a balanced and varied selection of food available that meets their nutritional needs. EVIDENCE: Inspection of service user plans and discussion with staff and service users indicated that service users have varied lifestyles according to their choices, with access to a range of social, cultural, educational and leisure activities both in the community and in the home. Service users advised that staff at the home support them to maintain links with friends and families. The manager advised that she had arranged for all 100 WHITEHALL STREET Version 1.10 Page 13 service users to visit the new temporary accommodation to which they would be moving whilst the home is refurbished. She advised that she was also arranging for relatives/advocates to visit the new site. Observation of staff and service users interacting at the home indicated that staff remain skilled at maintaining a high standard of communication with service users. During the inspection staff members went out on two visits to the local shops with individual service users, at the service user’s requests. All service users attend day centre activities on some weekdays, and from September one service user is to take college courses in communication and aerobics, another is to take a computer course and a further service user is to undertake a yoga class. One service user has purchased some aerobic equipment for use at the care home. Other activities undertaken regularly include gentle exercise, beauty therapy, music, puzzles, karaoke and a regular Mass service held at the home, and trips out to the cinema, shopping, swimming and to a local pub. Since the previous inspection service users have been on holiday to Cornwall, and on trips to Alexandra Palace (to see a rock concert) and to Madame Tussauds. 100 WHITEHALL STREET Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. Service users receive appropriate physical and emotional support and are supported to take their prescribed medicines appropriately to ensure medication needs are met. EVIDENCE: Most of the service users need physical support with personal care and their plans outlined their support needs accordingly. Arrangements were detailed in care plans ensuring that the broad range of health and personal care needs of service users are addressed. Records indicated that service users attend regular health care appointments and this was confirmed by service users spoken to. Service users advised that they were satisfied with the support provided to them by staff at the home. Inspection of medicines stored at the home and records of medicines brought into the home, administered and disposed of, indicated that satisfactory procedures are in place to protect service users as appropriate. 100 WHITEHALL STREET Version 1.10 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 standard(s) 22 and 23. The home has an adequate complaints procedure to ensure that the concerns of service users are acted upon effectively. Although procedures and training are in place, it is of concern that these are not always followed adequately to fully ensure the protection of service users from abuse. EVIDENCE: The home has a very clear and accessible complaints procedure in place, an adult protection procedure and guidance for staff regarding whistle blowing. No complaints had been received since the last inspection. The inspector was concerned to learn of an adult protection issue that had arisen without the Commission being notified as required under Regulation 37 of the Care Homes Regulations 2001. Whilst it appeared that satisfactory action had been taken to address the issue and safeguard the service user involved, it was of concern that no Adult Protection Strategy Meeting was held as specified in the Adult Protection policy and procedure for Haringey local authority. A requirement is made accordingly. 100 WHITEHALL STREET Version 1.10 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27 and 30. Whilst there is significant room for improvement in the environment in which service users live, the home is sufficiently comfortable to meet their needs until the planned refurbishment takes place, with adequate private and communal space. However it is unacceptable for service users to suffer discomfort due to irregular provision of hot water, and to be put at risk of harm due to the unsafe storage of chemicals in the home. EVIDENCE: There is more than sufficient communal space for the number of service users living in the home. At a number of previous inspections the local authority has been required to undertake physical improvements to the home. In the context of the plans to redesign the service and refurbish the building these requirements, although not met, are not restated as significant improvements are planned as part of the redevelopment process. 100 WHITEHALL STREET Version 1.10 Page 17 Service users spoken to advised that they were satisfied with the facilities available to them at the home. Bedrooms had been personalised and were adequately furnished and decorated and communal areas were also maintained to a satisfactory standard. The home was clean, tidy and free from unpleasant odours. At the previous inspection it was required that all radiators be fitted with appropriate guards to ensure the safety of service users. Whilst radiators in service user’s bedrooms are fitted with guards as appropriate, it remains required that the radiators in all communal areas be fitted with guards. It also remains required that the fuse box on the ground floor near the manager’s office be housed within a cupboard. As required toilet seats had been repaired in the two adjoining facilities on the ground floor and the loose tiles and leak in the staff toilet had been repaired. A service user’s chest of drawers had been repaired and lockable facilities were provided within all service users’ rooms. The manager advised that the home no longer uses the sluice facilities close to the kitchen and dining areas of the home, and an alternative site is now being used until the home is refurbished. The areas behind the laundry machines were found to be free from dust as had been required and the areas of the home that are still being used were found to be in a satisfactory standard of cleanliness and decoration. The inspector was concerned to see that several of the unoccupied rooms in the home remained unlocked, particularly as one room contained a chemical cleaner that could be hazardous to service user’s health. A requirement is made accordingly under Standard 42 that all unoccupied resident rooms at the home must be kept locked and that all COSHH (Control of Substances Hazardous to Health) materials be kept within a locked facility when not in use. The staff and service users advised that there had been recurring problems with the boiler system at the home. It is required that the boiler system be repaired sufficiently so that hot water is available to service users at all times until the home is temporarily closed for refurbishment. 100 WHITEHALL STREET Version 1.10 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 35. The home is adequately staffed and staff members are well trained to meet the needs of service users at the home. Whilst there is evidence that an adequate recruitment procedure is in place to safeguard service users, the lack of contracts for all staff members may place service users at risk of a lack of staff continuity in the care that they receive. EVIDENCE: At the previous inspection the staff records for all staff members were inspected and found to include the documents specified under Schedule 4 of the Care Homes Regulations 2001, with the exception of copies of staff contracts. The manager advised that no new staff members had commenced work at the home since the previous inspection. Staff spoken to and the rota for the home indicated that at least two staff members are scheduled to work in the home at all times (when all service users are present). Service users advised that they were receiving sufficient staff support to meet their needs at the home effectively. The staff contract (previous provider organisation’s contract which remains valid with the local authority) was available for one staff member within the 100 WHITEHALL STREET Version 1.10 Page 19 home. It remains required that copies of the completed contracts of terms and conditions for all staff members must be maintained within staff files. Where staff are being employed from an employment agency to work regularly at the home, the current agency contract must be maintained on file. The home manager advised that the majority of staff working at the home including senior support workers, are employed by an employment agency, however they are scheduled to work regularly so as to provide continuity for service users at the home. It is recommended that the provider organization review its policy of relying heavily on agency workers to support service users at the home, in order to ensure that service users are provided with as much continuity of care as possible and that all staff members are trained to the providers’ standard and within the framework of the provider organisation’s policies and procedures. Records of staff training within the home indicated that staff training needs are assessed regularly and a wide range of training courses are provided to staff. All six staff regularly working at the home are undertaking or have completed NVQ level 2 in care, either with the provider agency or through the agency that employs them. 100 WHITEHALL STREET Version 1.10 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41 and 42. The home is managed appropriately with the needs of service users in mind, and consultation with staff and service users regarding the way in which the home is run. Insufficient monitoring visits by the provider organisation place service users at risk of inconsistent standards of care. An inadequate recording procedure for service users monies and a recent failure to follow the home’s adult protection procedure thoroughly also place service users at risk of abuse. Health and safety checks within the home are generally adequate to safeguard service users from harm, however there is room for improvement in the way in which cleaning materials are stored and in the kitchen set-up. EVIDENCE: 100 WHITEHALL STREET Version 1.10 Page 21 There was evidence that the home remains well managed by the acting manager and senior support workers, and has an open, positive and inclusive atmosphere. Staff and service users, whilst understandably anxious about the move to temporary accommodation, felt that the manager was keeping them as informed as possible about the forthcoming move. All had had the opportunity to visit the new site and express their concerns about the move. The manager advised that she had submitted an application to the CSCI to be registered as the manager for the home as appropriate. As required at the previous inspection, the provider organisation had arranged for consultation with service users regarding the quality of services provided, in the format of questionnaires distributed, as part of a quality assurance audit for the home. Records also indicated that there are regular service user and staff meetings held at the home and that these cover a wide range of topics relevant to the home. The manager advised that service users had chosen the colours of paintwork, carpets, duvets and curtains for their rooms in the temporary accommodation. Although unannounced monitoring visits were being undertaken by the provider organisation, the number of reports available indicated that these were occurring at insufficient frequency. It is required that the responsible individual must arrange for visits to be undertaken in accordance with Regulation 26 at least once monthly, with copies of reports sent to the local CSCI area office. The inspector was concerned to find that an adult protection investigation had been undertaken for the home without the CSCI being informed as specified within the adult protection procedure for the home. The registered person must ensure that all incidents specified under regulation 37 of the Care Homes Regulations 2001 are reported to the CSCI without delay. The appropriate applications had been submitted to the CSCI regarding a minor variation of registration, and a new registration for temporary accommodation for service users, and are currently being processed. It remains required that when monies are given to a staff member to buy items on behalf of a service user, this must be recorded on a formal record with the signature of the staff member taking the money. Whilst records of monies for three service users maintained at the home were inspected and found to be accurate, the recording system being used was not sufficient to fully protect service users, as when a staff member takes money to purchase items on behalf of a service user, no signed record is maintained that this money has been taken, until the staff member returns with change and a receipt. 100 WHITEHALL STREET Version 1.10 Page 22 As required copies of current portable appliances, electrical wiring and fire alarm testing certificates were available. Other records inspected included gas safety, hot water temperatures, fire alarm checks and drills and legionella testing, and all were found to be satisfactory. As noted under Standard 24, the inspector came across a chemical cleaning material in an unlocked unoccupied room, which was being used for storage. It is required that all unoccupied resident rooms at the home must be kept locked, particularly if these are to be used for storage, in order to protect service users from harm. All chemical cleaning materials (COSSH substances) must be maintained in a lockable facility. A report was available of an inspection by the Environmental Health Services to the home in December 2004. It is required that the requirements made in this report regarding the floor maintenance and insect screening must be addressed during the refurbishment of the home. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 100 WHITEHALL STREET Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 Standard No Version 1.10 Score Page 23 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score 24 25 26 27 28 29 30 STAFFING 2 x 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x 2 2 x 100 WHITEHALL STREET Version 1.10 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 23 Regulation 13(6) Requirement The registered person must ensure that all actions specified in the adult protection procedure for the home are followed in response to any incident/allegation or disclosure concerning a service user at the home. A full report of the action taken to address the most recent adult protection issue (discussed during the inspection) must be sent to the local CSCI area office. The registered person must ensure that the boiler system is repaired sufficiently so that hot water is available to service users at all times until the home is temporarily closed for refurbishment. The registered person must ensure that all radiators within the home are fitted with appropriate guards to ensure the safety of all service users accommodated. (Previous timescale of 04/03/05 not met). The registered person must ensure that the fuse box on the Version 1.10 Timescale for action 17th June 2005 24th June 2005 2. 24 23(2)(j) 24th June 2005 3. 24 13(4)(a) 16th September 2005 4. 24 13(4)(a) 16th September Page 25 100 WHITEHALL STREET 5. 34 17(2) Sched 4(6)(f) 6. 39 26(3) 7. 41 37(1)(e) 8. 41 17(2) Sched 4 (9) 9. 42 13(4)(a) ground floor of the home near to the manager’s office is housed within a cupboard. (Previous timescale of 04/03/05 not met). The registered person must ensure that completed staff contracts are available for each staff member, and that copies of these contracts are kept on each staff file. Where staff are being employed from an employment agency to work regularly at the home, the current agency contract must be maintained on file. (Previous timescale of 1/12/04 partially met). The responsible individual must arrange for unannounced visits to be undertaken to the home, at least once monthly, with copies of reports sent to the local CSCI area office. The registered person must ensure that all incidents specified under regulation 37 of the Care Homes Regulations 2001 are reported to the CSCI without delay. The registered person must ensure that when monies are given to a staff member to buy items on behalf of a service user, this must be recorded on a formal record with the signature of the staff member taking the money. (Previous timescale of 12/11/04 not met) The registered person must ensure that all unoccupied resident rooms at the home are kept locked when not in use, in order to protect service users from harm. All chemical cleaning materials (COSSH substances) must be maintained in a lockable facility. The registered person must Version 1.10 2005 15th July 2005 15th July 2005 17th June 2005 17th June 2005 17th June 2005 10. 42 13(4)(a) 16th Page 26 100 WHITEHALL STREET 16(2)(j) ensure that the requirements made in the Environmental Health report regarding the floor maintenance and insect screening in the kitchen, are addressed during the refurbishment of the home. September 2005 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 34 Good Practice Recommendations It is recommended that the provider organization review its policy of relying heavily on agency workers to support service users at the home. 100 WHITEHALL STREET Version 1.10 Page 27 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate, London N14 6HA 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 100 WHITEHALL STREET Version 1.10 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!