Inspection on 07/06/05 for 191, Kneller Road

This inspection was carried out on 7th June 2005.

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

191, Kneller Road 17/09/07

191, Kneller Road 13/06/06

191, Kneller Road 08/12/05

191, Kneller Road 04/11/04

191, Kneller Road 25/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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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 18-65 191 Kneller Road 191 Kneller Road Whitton Middlesex TW2 7DY Lead Inspector Simon Smith Unannounced 7 June 2005 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. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 191Kneller Road Address 191 Kneller Road Whitton Middlesex TW2 7DY 020 8898 5431 020 8898 5431 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) The Regard Partnership Limited Ms Jackie Reid Care Home 5 Category(ies) of Learning Disability (LD) registration, with number of places 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 4.11.04 Brief Description of the Service: 191 Kneller Road provides five places to adults with learning disability. The home is owned and operated by the Regard Partnership. The organisation has its head office in nearby Kingston-upon-Thames and this ensures good access to the senior management team when necessary. The Regard Partnership operates a number of other, similar services in the surrounding area and continues to expand at a national level. The home is situated in a pleasant residential area of Whitton, yet is within walking distance of the high street, offering a range of shops, cafes, restaurants and pubs. Public transport facilities are also good, with the mainline rail station close by and a number of buses passing through the high street. Whitton itself is situated within the London Borough of Richmond upon Thames. The towns of Richmond and Kingston are within easy reach, and the leisure facilities provided by the Royal Parks and the River Thames are also close by. The nearby A316 is a main arterial route into central London, whilst the M3 and M25 motorways offer good access to and from the area. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over the course of a single afternoon and involved discussion with residents, the manager and staff. A sample of records and staff files was examined and a tour of the premises made. The inspector was made welcome throughout the visit and wishes to acknowledge the time and consideration that residents, the manager and staff provided during the course of the inspection. The home met 25 of 29 National Minimum Standards assessed at this visit. 3 Standards were almost met and 1 Standard was not met. The home provides clear information about the services it provides and people thinking of moving in are able to visit the home before making a decision. Residents move in on a trial basis at first and a review is held after six weeks to assess whether the home is suitable for them. The home has admitted one resident since the last inspection. Two residents’ files were examined during the inspection. Neither file contained an accurate, up to date contract outlining the details of the placement. A contract must be put in place for each resident. The contract must be signed, dated and accurately reflect the conditions of the placement. Residents’ meetings are held weekly, supported by staff. Residents are consulted about decisions that affect them in the home and are encouraged to take part in household jobs. The manager and staff have a good knowledge of residents’ needs and support residents in making choices about their lives. The home is supporting one resident’s aim of moving to another home nearer her family. Some residents attend resource centres each week, whilst others take part in other activities more suited to their needs. Most residents are actively involved in their local community, using shops, cafes, pubs and other community resources. Staff are working with one resident to increase her involvement in the community. The home has its own vehicle and currently has enough drivers on the staff team. Keyworkers were planning residents’ holidays at the time of inspection. Staff explained that residents and their keyworkers discuss holiday options and that choices are made according to residents’ individual interests. Residents are able to have privacy when they want it and staff talked to residents with respect during the inspection. All residents are registered with local doctors and staff help residents to get specialist advice or treatment when they need it. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 6 The home has an arrangement with a community pharmacist to supply and monitor medication. The pharmacist had visited the home the day before inspection and recommended that the home obtain lockable storage for medication requiring cold storage. This recommendation had also been made following the pharmacist’s previous visit in October 2004 and must be actioned by the home. Residents’ medication is stored and administered using a suitable system. Medication records for two residents were examined and found to contain no gaps or errors. The Home has a Complaints procedure, which explains how people can complain and how the complaint will be investigated. The Regard Partnership also has a procedure to help staff raise any concerns they may have. The local council has provided much training recently on the Protection of Vulnerable Adults. This training has been aimed at people who work in care homes and aims to improve awareness and practice in this area. Staff should attend this training if they have not already done so. The Home is situated in a pleasant residential area and is close to local shops, banks, cafes, public transport and open spaces. The communal rooms were welcoming and homely and bedrooms reflected residents’ tastes and preferences. The home has a large living/dining room and a conservatory, which leads to the rear garden. The kitchen is large enough for residents to work alongside staff if they wish. The home has enough toilets and bathrooms to meet residents’ needs. All areas of the Home were clean and hygienic. The manager said that all communal areas of the home will be redecorated in the near future and that several rooms will be recarpeted. Funds have also been made available for improvements to the garden. The home benefits from a stable management and staff team. As a result residents are cared for by staff who know them and their needs. Staff are issued with job descriptions that clearly explain their roles. Staff are recruited according to written policies and the home carries out appropriate checks before they start work. New starters have an induction to the home and to the Regard Partnership. The manager said that all permanent staff are working towards a National Vocational Qualification (NVQ). New staff are expected to begin NVQ training if they do not already have a suitable NVQ qualification. Staff work to a shift plan, which lists residents’ appointments and activities and identifies the member of staff responsible for support. Handovers are given by staff finishing their shift to those beginning work. Staff meetings are held, although these should take place more regularly. The home employees three staff on a ‘bank’ list who cover vacant shifts where necessary. One member of staff has left since the last inspection in November 2004. The home had one vacancy (for a senior support worker) at the time of inspection. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 7 The manager is experienced and knows the home well. The manager explained that planning for the long term future of the home was under way and that the plan would include ways in which the home could improve. The Regard Partnership is trying to improve the way in which high standards are maintained in all its services. For example, the home will not be given notice of visits made by managers in future. The organisation is also trying to standardise its policies and procedures and ways of working and is committed to involving residents and staff in this process. What the service does well: What has improved since the last inspection? What they could do better: Ensure that all residents are issued with contracts outlining the terms and conditions of their placement. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 8 Provide lockable storage for medication requiring cold storage. Ensure that all staff attend training on the Protection of Vulnerable Adults. Increase the frequency of staff meetings. Ensure all fire fighting equipment is in working order. 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. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 9 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 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 10 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) 1, 4, 5 The home makes available clear information about the facilities and services it provides. Prospective residents have the opportunity to visit the home prior to admission and to move in on a trial basis. Written documentation outlining the terms and conditions of residents’ placements must be improved. EVIDENCE: The home has produced a Statement of Purpose, which gives details of services provided and the philosophy of care. A Service User Guide is available to all existing and prospective residents. Appropriate procedures governing assessment and admission are in place. All prospective residents have the opportunity to visit the home prior to moving in. Admissions are made initially on a trial basis. A formal review is held at the conclusion of this period. The home admitted a new resident in February 2005. Two residents’ files were examined as part of the inspection. One file did not contain a contract outlining the terms and conditions of the placement. The other file did contain a contract but the document was not signed or dated. There was also some concern that some of the information contained in the contract, such as fee levels, may not accurately reflect current circumstances. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 11 The home must hold on file for each resident a contract that accurately reflects the terms and conditions of their placement. Contracts should be dated and signed by both parties, or their representatives, at the time of agreement. See Requirement 1. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 12 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 The manager and staff understand residents’ individual needs. Residents are supported to make informed decisions about their lives. Residents are consulted about issues that affect them in the Home. EVIDENCE: An individual plan of care is in place for each resident, which the home aims to review on a regular basis. One residents’ file indicated that her placement review was overdue. The manager reported that the review had been due to take place on the day of inspection but that the resident’s care manager had failed to arrive. The resident’s review should be rearranged as soon as possible. The manager and staff demonstrated a good knowledge of residents’ individual needs and a commitment to supporting residents in making informed decisions about their lives. The home is supporting one resident’s aim of moving to another home nearer her family. The manager reported that staff have liaised with the resident’s family and the care manager from the placing authority in facilitating this process. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 13 The home aims to seek and record the views of residents through weekly meetings, which are supported by staff. Residents are encouraged to involve themselves in the routines of the home (see Standard 11) and are consulted on decisions in the home that affect them, such as colour schemes and décor. (See Standard 24). 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 14 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) 11, 12, 13, 14 Residents are encouraged to involve themselves in the routines of the home and to develop independent living skills. Resident participate in a range of activities appropriate to their needs and preferences. The manager and staff are committed to supporting service users in community participation. EVIDENCE: Residents are encouraged to develop the skills required for independent living through involvement in the routines of the home. Two residents are particularly involved in this element of life at the home, assisting with meal preparation and with other mealtime routines. All residents receive support from staff to purchase their own clothes and personal effects such as toiletries. Some residents attend structured day services whilst others participate in other activities more suited to their needs. Two residents attend resource centres on a weekly basis. One resident uses a hydropool each week. Most 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 15 residents are actively involved in the local community, using shops, cafes, pubs and other community resources. The manager reported that staff are working to develop opportunities for increased community participation for one resident. Keyworkers were planning residents’ holidays at the time of inspection. Staff on duty explained that they use their knowledge of residents’ interests and preferences to select holiday options, which are discussed by the resident and their keyworker. Staff advised that, as residents usually take their holidays individually with staff support, holidays cater for individual interests including water, animals and transport. The home has an allocated vehicle and currently has sufficient authorised drivers on the staff team. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 16 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) 19, 20 Residents access community and specialist healthcare resources where necessary. Care staff have a good awareness of residents’ emotional and healthcare needs. The recording and administration of medication was satisfactory. EVIDENCE: All service users are registered with local general practitioners and access other community healthcare resources as necessary. Specialist advice is sought from community healthcare professionals to address residents’ needs where necessary. The home is required to manage some challenging behaviour exhibited by residents. The manager reported that the staff team had recently received refresher training in techniques designed to manage challenging behaviour and had worked hard to establish clear guidelines and a consistent approach in their work with residents. The home has an arrangement with a community pharmacist to supply and monitor medication. The pharmacist had visited the home the day before inspection. A recommendation was made in the report of the visit that the 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 17 home obtain lockable storage for medication requiring refrigeration. This recommendation had also been made following the pharmacist’s previous visit in October 2004. See Requirement 2. Residents’ medication is stored and administered using an appropriate monitored dosage system. Inspection of medication records for two residents revealed no omissions or errors. One resident’ s medication was not stored using a monitored dosage system at the time of inspection. The manager reported that she had raised this issue with the supplying pharmacist and that all residents’ medication would be provided using the monitored dosage system in future. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 18 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, 23 Appropriate procedures are in place for the management of complaints. The home must ensure that staff are equipped with the skills necessary to recognise and prevent abuse. EVIDENCE: The home has an appropriate Complaints procedure. The Regard Partnership provides guidance for staff on handling complaints received and specifies timescales for action and response. The Home works within the ‘Joint Policy on Suspected Abuse of Vulnerable Adults’. The London Borough of Richmond has made available much training in recent months around the Protection of Vulnerable Adults. These sessions have been aimed at staff employed in care homes and aim to increase awareness and improve practice in this area. Staff must attend training on the Protection of Vulnerable Adults if they have not already done so. See Requirement 3. The Regard Partnership has developed a Whistle-blowing procedure, which enables staff to report any concerns about malpractice they may have. A copy of the Whistle-blowing procedure was in place on both staff files examined. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27, 28, 30 The Home is comfortable, safe and well maintained. The Home is clean and hygienic. Communal and private rooms are spacious, homely and reflect residents’ preferences. Sufficient, suitable toilet and bathroom facilities are provided. EVIDENCE: 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 20 The home is situated in a pleasant residential area and has good access to community facilities, open spaces and public transport networks. The kitchen is domestic in character and provides sufficient space for service users to work alongside staff should they wish. The home has a large living/dining room and a conservatory, which affords access to a large garden. Communal rooms were clean, welcoming and homely and resident’ bedrooms indicated individual tastes and preferences. Toilet and bathroom facilities are accessible and are available in sufficient numbers to meet the needs of residents. All areas of the Home were clean and hygienic at the time of inspection. The manager advised that all communal areas of the home will be redecorated in the near future and that several rooms will be recarpeted. As highlighted in Standard 8, residents are consulted on decisions made about redecoration and refurbishment in the home. The manager also reported that funding has been allocated by the Regard Partnership to the redevelopment of the home’s garden. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 21 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) 31, 32, 33, 34 Staff have an awareness of their own and one another’s roles. Residents are cared for by staff who know them and their needs. New staff receive a good induction to the organisation and to the home. Staff are appointed following an appropriate recruitment and selection procedure. EVIDENCE: The home has a clear staffing and management structure. Job descriptions and contracts of employment are in place for all posts within the staff team. All new starters participate in both a corporate induction and local introduction to the home. Guidance and training is available to staff for specific roles within the service such as keyworking and acting as the Designated Responsible Person. The manager advised that all permanent staff are working towards a National Vocational Qualification (NVQ). There is an expectation that all new staff will commence NVQ training if they do not already have an appropriate NVQ qualification when appointed. Staff spoken to during the inspection confirmed that they had received an induction to the home when they started work and that they are encouraged to 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 22 attend training relevant to their roles. As highlighted in Standard 23, staff must attend Protection of Vulnerable Adults training if they have not already done so. Two staff files were examined during the inspection. Both contained evidence that an appropriate recruitment procedure had been followed prior to their appointment. A clear shift plan was observed to be in place, listing residents’ appointments and activities and identifying the member of staff responsible for support. Handovers are given by staff finishing their shift to those beginning work. A communication book and house diary are maintained. The most recent staff meeting recorded on file took place on the 6th May 2005. In order to ensure that all staff are well briefed on developments within the home, it is recommended that staff meetings take place on a more regular basis. The home benefits from a stable management and staff team. As a result residents are cared for by staff who know them and their needs. The home employees three staff on a ‘bank’ list who cover vacant shifts where necessary. One member of staff has left since the last inspection in November 2004. The home had one vacancy (for a senior support worker) at the time of inspection. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 23 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, 38, 40, 41, 42, 43 The home has a motivated and experienced manager. There is a commitment to planning the development and long term future of the home. Staff work within defined guidelines and a clear procedural framework. The organisation is committed to reviewing and improving its policies, procedures and ways of working. The home carries out appropriate checks on staff before they start work. Standards of health and safety were generally high, although all fire fighting appliances must be in working order. EVIDENCE: 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 24 The manager has a number of years experience in her role and clearly knows the home and residents well. The manager is committed to the development of the service and presented a good role model for staff in her interactions with residents. The manager advised that she and the area manager had recently met to discuss the long term objectives of the home and to plan strategic objectives for the service. The manager spoke highly of the support provided by the area manager and reported that the home also receives support from the Regard Partnership’s central management team. The Regard Partnership is working towards the improvement of internal quality monitoring. For example, monthly monitoring visits will be unannounced in the future. The organisation is also aiming to standardise its operational policies and procedures, systems of recording and ways of working. The Regard Partnership has demonstrated a commitment to involving residents, staff and other stakeholders in this process. For example, a ‘Policy Review Forum’, comprising people from across the organisation, currently meets approximately every six weeks to consider and review policies and procedures. The two staff files examined both contained appropriate Criminal Records Bureau disclosures, two references and proof of identify. The manager advised that Regard Partnership policy dictates that Criminal Records Bureau disclosures are sought for all staff annually. The Home has valid Employers Liability insurance. Cash books and balances for three residents were checked. Records of expenditure accurately reflected cash balances in the residents’ individual record. The home was clean, hygienic and free of obvious health and safety hazards on the day of inspection. All COSHH products were stored appropriately. The home has an appropriate fire detection system. Clear instructions for use in the event of a fire were displayed. The sample of fire extinguishers examined had been checked in May 2005. The appliance outside the first floor office had been condemned and requires replacement. See Requirement 4. 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 25 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x 3 1 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score 3 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 191 Kneller Road Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 2 3 G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 5 Regulation 5(b)(c) Requirement The home must hold on file for each resident a contract that accurately reflects the terms and conditions of their placement. Contracts should be dated and signed by both parties, or their representatives, at the time of agreement. The home must obtain lockable storage for medication requiring refrigeration. Staff must attend training on the Protection of Vulnerable Adults if they have not already done so. Replace the condemned fire extinguisher on the first floor. Timescale for action 30.07.05 2. 3. 4. 20 23 42 13(2) 13(6) 23(4) 30.07.05 30.09.05 30.07.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 6 33 Good Practice Recommendations Ensure that the review postponed from the 7th June 2005 takes place by the end of July2005. Staff meetings should take place a minimum of once every two weeks, with notes recorded. G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 27 191 Kneller Road 191 Kneller Road G54-G04 S17376 Kneller Rd 191 V234808 070605 Stage 4.doc Version 1.30 Page 28 Commission for Social Care Inspection Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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. 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