Inspection on 17/05/06 for 27 Wontner Road

This inspection was carried out on 17th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

27 Wontner Road 14/05/07

27 Wontner Road 10/08/05

27 Wontner Road 17/02/05

27 Wontner Road 06/09/04

27 Wontner Road 10/12/03

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 Wontner Road, 27 27 Wontner Road London SW17 9LH Lead Inspector Davina McLaverty Unannounced Inspection 17th May 2006 10:00 Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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 Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wontner Road, 27 Address 27 Wontner Road London SW17 9LH 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) 020 8767 1621 020 8682 4906 www.odyssey-csft.org Odyssey Care Solutions for Today Gladys Otudeko - Odulake Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Agreement to admit one named female service user over the age of 65 years. The service users needs will be assessed at forthcoming inspections to ensure that the home can continue to meet her assessed needs. 10th & 31st August 2005. Date of last inspection Brief Description of the Service: Wontner Rd is a care home providing personal care and accommodation for 4 adults with a learning disability. The home is run by Odyssey Care Solutions for Today. The property is owned by Wandle Housing Association. The home is located in a residential area of Wandsworth, close to Wandsworth Common, shops, pubs and other amenities. The home is a three storey, large terraced house. The bedrooms are located on the 1st and 2nd floors. There is no lift access. There is a small garden to the rear of the property. At the time of this inspection the manager of the home reported that the weekly fees were between £756.56 - £766.86 per week. Additional charges are made for some outings and holidays. Residents are made aware of the inspection report at the residents meeting. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 17th May 2006 and was conducted by one regulation inspector. The inspector met all four residents, the manager and three support staff. A number of records were examined, which included residents care plans, medication records, staff and residents meeting minutes, health and safety and staff records. A tour of the premises took place. Verbal communication with the residents was difficult due to the level of their learning disability. Two residents however, said that they liked the home, one resident said,” that the staff are friendly” and “help her to do some things”. Residents appeared relaxed and at home on their return from the day centre. Prior to the inspection taking place, questionnaires were sent out by the Commission to seven health and social care professionals, four relatives and on the day of the inspection, one questionnaire was left for a resident to complete. Five questionnaires were returned, three from relatives, two from health care professionals. The majority of the comments were positive and are reflected throughout the report. What the service does well: What has improved since the last inspection? The home has updated its Statement of Purpose and introduced a new roster which provides more cover in the morning. Risk assessments have also been updated. The loose carpets have been secured and hallway carpets cleaned, all were requirements at the last inspection. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 6 A quality assurance audit is taking place to help make sure that the views of residents’, their relatives and any interested parties are taken into consideration regarding the running of the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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 Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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): 1,2,3 4 & 5 Quality in this area is good. This judgment had been made using available evidence including a visit to this service. Prospective resident representatives will have information they need to make an informed choice about the home and its suitability for a prospective resident. An organisational assessment procedure is in place; details of assessments were seen on resident’s files. EVIDENCE: The manager had updated the Statement of Purpose. The home currently does not have a vacancy but when one becomes available, adequate information is available to assist a resident’s representative to make an informed choice as to whether the home can meet the prospective residents needs. The manager said that all residents had been given a Service User Guide. Copies of the guides were seen, however, further consideration must be given to the format of the guides, in view of the level of learning disability, which the home supports. For example a video, photographic or symbol format may be more appropriate for the user group. All four residents have lived in the home for many years; original assessment documentation was seen on two of the three files examined. Reviews had taken place updating and identifying new needs. Odyssey Care Solutions has an organisational admission procedure, which includes visits to the home for the prospective resident and their Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 9 representatives. The manager is aware of her role in the assessment when a vacancy arises. Contracts were seen to be in place in the three files examined. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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 the following standard(s): 6, 7 & 9 Quality in this outcome group is adequate. This judgment had been made using available evidence including a visit to this service Care plans and risk assessments were updated although the lack of goals in the plans must be addressed. Resident’s choice continues to be respected and they are supported by staff to retain their independence. EVIDENCE: Two care plans were examined. The home has a lot of information on each resident. The manager reported that the system of care planning within the organisation is constantly evolving. The organisation is moving towards a Person Centred plan and all staff have received training in this area. In this home such plans are at an early stage. The manager however, was able to show the inspector individual photo albums for each resident, which would be used in their new plans. Key workers are currently looking at new ways of working with residents to provide more choice and to elicit achievable goals for them. However, as stated the home has quite a way to go to achieve this. The current care plans seen, contained relevant and current information on how to support residents, identified strengths and needs and had started to address Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 11 cultural needs and sexuality. However, the Manager recognised that there was room for improvement in these areas. A tenant profile was available which provided helpful information about the resident and brief details of support needs, as well as emergency details. Risk assessments were also seen to be in place. The manager had involved other key individuals in drafting them, which was good. Care plans and Risk Assessments were up to date and had been regularly reviewed. Statutory reviews were also seen to have taken place. A copy of social services review had been sent to one resident. From conversations with residents the inspector was not able to establish how involved the residents were with their care plans. Staff stated that they try to involve residents as much as possible but due to the care plans design and the level of learning difficulties, it is difficult. Staff hope that with a person centred plan, which will be more pictorial that residents input can be greater, however, due to the residents communication difficulty this is always going to be an area that presents challenges. All four residents are supported to manage their money. The manager is the appointee to all four residents as there are no advocates involved. This situation is not ideal but in the absence of anyone else this has to continue. Documentation relating to residents money was examined and appeared to be in order. Receipts’ following expenditure is retained on the resident’s files. Residents “tins” are checked daily at handover and the amounts recorded by staff coming onto shift. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16 & 17 Quality in this area is good. This judgment had been made using available evidence including a visit to this service. This home continues to ensure that links with the community are good and this helps to support and enrich resident’s work and social opportunities. Staff demonstrated good understanding of residents support requirements ensuring these needs are addressed. Staff encourage and support residents to eat healthily and provide a varied diet which residents input to. EVIDENCE: None of the residents are able to go out on their own. All four attend a Social Education Centre for various days each week. One resident who attend their centre twice a week receives one to one support on the other days from Odysseys Community and Intervention Team. This resident has a love of trains and is taken out to various places on these days. A separate record of these visits was seen and the inspector was impressed that information e.g. brochures, flyers are stuck in their record book which staff stated can Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 13 eventually contribute to this residents person centred plan. Another resident attends the baked beans theatre group once a week, which the resident said they enjoyed. All residents attend the gateway club on a Tuesday evening but individual activities also take place e.g. one resident attend church every Sunday. Another resident who loves shopping goes out with their key worker regularly to the west end to shop. A record is maintained. The manager stated that staff always take all the residents out on Saturday afternoons. Staff at the home maintained that encouragement is always being given to try to help the residents lead a more fulfilling and varied day and are constantly looking at new activities for the residents. In- house activities available include board games, card games, listening to music and watching television. Staff reported that residents choose how to spend their time. Two residents choose to spend a lot of time in their bedrooms, which staff respect. One resident said that they liked to spend time in their room watching their DVDs. This resident had a new comfy chair purchased, which had a footrest, which added to their comfort. Residents are able to make contact with their relatives and friends as they choose. One resident goes home every other weekend returning Monday evening. Two others receive regular visits from family members. Three relative questionnaires were returned –all of them were positive comments included “my son is always happy to go back after a visit home which makes us think the house environment is good.” Another said “on the whole the home provides a very good service and the residents seem very happy and well cared for”. Staff stated that all residents are supported and encouraged to develop practical household skills e.g. cooking, washing up and setting the table. One resident tends to get more involved as they are more able. The inspector saw this resident with no encouragement make themselves a cup of tea, help themselves to a cake and wash up. A record is maintained of meals served, residents are asked what they would like to eat and participate in the shopping with staff for the food. The menu displayed in the kitchen was satisfactory and an adequate supply of food was available in the home on the day of the inspection. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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 the following standard(s): 18,19 & 20 Quality in this area is good. This judgment had been made using available evidence including a visit to this service. Residents receive personal support, which meets their physical and emotional needs. Systems are in place for the safe administration of medication. EVIDENCE: Both support staff spoken with were very positive about the residents and their capabilities in regard to personal care tasks, which was also reflected in the care plans examined. Staff reported that personal care is always provided in private. Staff were aware of the importance of ensuring residents dignity. One staff member spoke of the improvement in this area as a result of the staff rota changing, which now ensured that two people were on shift from 7.00am. This meant that you had more time to spend supporting residents in their personal care tasks whereas previously, the first hour was fraught as one staff tried to do everything. The inspector was told by staff that residents choose their own clothes, decided what time they went to bed, and that their personal appearance reflect their personality. One resident said that they went to bed when they wanted. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 15 All residents are registered at a local GP practice. Documentary evidence was seen in the care plans of multidisciplinary input from health care professionals including e.g. GPs, opticians and dentists. One GP questionnaire stated, “Overall from my contact with them I am happy with the care they provide”. Staff will accompany residents on appointments as required and all residents are encouraged to keep appointments with health professionals. Evidence was seen in both of the residents files examined of multi -agency involvement. One as the resident was facing an operation and was waiting a date from the hospital. Preparatory work was taking place not only of preparing this resident but also her after care when discharged from hospital. The inspector noted that at a previous case review of another resident it had been agreed that the home can no longer meet the person’s needs, primarily due to mobility problems and an alternative placement was to be found. A place had now been identified and introductory sessions were due to take place. A medication policy is in place a copy of which is kept in the medication file. In discussion with the Manager, the inspector found that good systems are in place for the administration and return of medication. All staff have received recent training in the administration of medication, sample signatures were also seen. Medication Administration Sheets (MAR) examined had been completed adequately with no gaps seen. The allergy section on the MAR sheet was also completed. A dossette box is used when residents are on home leave. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this area is adequate. This judgment had been made using available evidence including a visit to this service. Policies and procedures are in place to help protect service users from abuse and harm. The local authority is contacted when a Protection of Vulnerable adults issue arises. All staff must receive training in the Protection of Vulnerable adults. EVIDENCE: Wandsworth Local Authority Protection of Vulnerable Adults Policy was seen to be in place and a staff member said that staff follow these guidelines. A whistle blowing procedure was also available on the day of inspection. Although staff spoke knowledgeably of adult protection, evidence of training on all staff training records was not seen. The complaints log was examined and found to have no new complaints recorded, however, a complaint was seen in the communication book, which the manager was addressing with the staff team. The manager was aware that she should have logged the complaint in the complaint book when it came in. A copy of the organisations complaints policy was seen which contains information about the Commission for Social Care Inspection (CSCI). A pictorial version of the complaint procedure was seen to be displayed in the home. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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): 24,25,26,27,28 & 30 Quality in this area is adequate. This judgment had been made using available evidence including a visit to this service. The window frames on the outside of the home requires decorating, as does the laundry room. Curtains need securing to their rods; further consideration must be given to the homeliness of the house, which can be improved upon. EVIDENCE: At the last inspection requirements were made regarding the painting of the window frames as the bare wood is exposed in places. The porch area requires cleaning to remove dirt and cobwebs. Both were requirements of the previous inspection. Inside the home the physical environment varies. Staff reported that for some residents, due to their challenging behaviour, it can be difficult to make their room homely. Consideration must be given to decorating more frequently those residents’ rooms and possibly using stencils to create designs to add to the décor if pictures and ornaments are not appropriate. The inspector advised that an audit be taken of the entire premises identifying work to be done which will provide a base for the home to work from. Where wardrobes have to be Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 18 locked in resident’s room’s details of the reasons why must be recorded in residents care plans. Bathroom areas seen were all functional, attempts had been made with stencilling to personalise them. The manager stated that due to the needs and challenging behaviour of one resident in particular, blinds have been removed from the bathroom windows. Bathrooms also lacked toilet paper, paper towels, soap and ornaments. This can be a problem for other residents when using the bathrooms and the manager stated that staff endeavours to give the residents toilet paper, soap etc when going to the bathroom. At the last inspection the inspector recommended re-referring the resident to the Community Specialist Team for advice. To date this has not been done, although staff reported that the increase staffing level early morning has helped the situation. The inspector noted that the shower in one of the bathrooms was broken and this must be replaced. Support aids were available in the other bathroom for one resident. A separate laundry room is area on the ground floor, however, this room requires decorating. Adequate communal space is available although staff must try to ensure that they do not encroach on it. Staff lockable cupboards have to be kept in this room due to the staff room/sleep in room being so small. A computer is now available in the resident’s lounge which one resident can use, as well as staff, as the home is soon to be linked to the organisation intranet. The home was seen to be adequately clean on the day of the inspection with a good cleaning schedule in place. Staff must ensure that all cleaning materials are locked away after use. A small garden with outdoor furniture is available for residents use. Staff in the home takes responsibility for its upkeep. On the day of the inspection the grass was overgrown and was full of weeds .The manager reported that it had recently been cleared and reference to this was seen in the recent Regulation 26 monthly report as well as in the staff meeting minutes. Staff reported that one of the resident makes extensive use of the garden during the warm evenings. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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, 34, 35 & 36 Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Staff are able to support residents in meeting their needs, however, permanent staff must be recruited to vacant posts, which have been outstanding for some time. EVIDENCE: The manager reported that the home currently had two vacancies for which regular bank and agency staff are used. The rota seen allows for two staff on shift when all the residents are at home. The manager and staff spoken to stated that this is sufficient to meet the level of need of the current residents. Additional staff can be rostered if the need arises. Currently the home has a waking night staff for one service user due to their mobility difficulties, which has resulted in the resident having a number of falls. As stated earlier in the report this resident is due to move to another home where accommodation is on the ground floor and ensuite facilities are available. One staff member sleeps in. Staff reported that since the change in rota, to have two staff on from 7.00am, the early shift runs more smoothly. The manager reported that she is very hands on and is part of the care shifts. Sixteen hours have been given to her for management of the home, which she maintained was sufficient in view of the size of the home. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 20 A recruitment drive is currently taking place in which the manager says she hopes to recruit to the vacant posts one of which is a senior support worker. The organisation recruitment practice is good, recognising the importance of having an effective procedure in the delivery of a good quality services. Staff records were seen for permanent staff, however, details of agency/bank staff were not available. This was a requirement at the previous inspection, which remains outstanding. The organisation recognises the importance of training and aims to deliver where possible a programme which meets statutory requirements. Training records of staff were seen but the inspector was not able to see that all staff have been on essential training, or had attended refresher courses. The organisation endeavours to support staff to undertake their NVQ training in care. However, they are finding it difficult to maintain 50 of the staff with the qualification. Currently one staff has the NVQ 2 in care, one is undertaking her NVQ 2, and the other has completed their LADF foundation and Induction. The manager hopes to recruit people who have an NVQ qualification. Regular supervision was seen to be taking place as well as regular staff meetings. An appraisal system is in place. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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): 37,39 & 42 Quality in this outcome group is good. This judgment had been made using available evidence including a visit to this service. The service seeks the opinions of residents and other interested parties regarding the running of the home. Appropriate Health and Safety systems are in place to ensure the safety and welfare of the residents. EVIDENCE: The manager is experienced has been in post for almost four years. She is currently undertaking her manager’s award and should complete it this year. Comments received from staff and relatives have been positive about her management style and staff morale was said to be good. The manager was described as “supportive”, “ hands on” and “approachable”. Staff meetings take place monthly and staff found them useful as they provided a forum to discuss and raise issues; they also stated that as the manager worked some shifts, she had direct experience of the issues they faced. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 22 Residents meetings take place but again consideration should be given to the format of these meetings in view of the communication levels of the residents. The manager said that as part of the organisations quality assurance programme a letter has sent relatives and all professionals involved with the residents seeking their view of the service. Monthly regulation visits to the homes were found to be taking place and copies forwarded to the Commission. The Commission is also being appropriately notified of significant events in the home. Records examined showed that regular checks on the building and equipment in the home. Records examined included, portable appliance tests, fire records, fridge and freezer temperatures and hot water temperatures, electrical inspection, and COSHH information was in place. The home had recently had a positive visit from Environmental Services in March 06 regarding Kitchen hygiene, recommendations made had been addressed. London Fire and Emergency Planning visited the home in December 05 and again their recommendations was being followed. The landlord’s gas certificate could not be located but a copy was subsequently sent to the Commission following the inspection. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 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 YA6 Regulation 15(1) Requirement The Registered Persons must ensure that the care plan details any restrictions in place and details reasons why. The Registered Persons must ensure that any complaints are logged in the complaints book as soon as they are received. The Registered Person must ensure that the premises are kept in a good state of repair both internally and externally. The premises work identified in Standard 24 must be addressed. (Timescale of the 30/10/05 not met) The Registered Persons must that the broken shower unit is replaced. The Registered Person must ensure that information confirming checks carried out on bank and agency staff must be available in the home. (Timescale of the 30/09/06 not met) The Registered Person must ensure that staff has a training and development plan which includes updates of refresher DS0000010239.V293982.R01.S.doc Timescale for action 30/07/06 2 YA22 22 17/05/06 3 YA24 23 (2)(b) 30/09/06 4. 5. YA27 YA34 23 (2) 7, 9, 19 30/07/06 30/07/06 6 YA35 13(6) 30/09/06 Wontner Road, 27 Version 5.1 Page 25 training. 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 YA1 YA28 Good Practice Recommendations The Registered Persons should ensure that the service user guide is in a format that the resident can understand. The Registered Persons should ensure that the service user guide is in a format that the resident can understand. Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection SW London Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Wontner Road, 27 DS0000010239.V293982.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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