Inspection on 08/02/06 for 3 Salmon Street

This inspection was carried out on 8th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 Salmon Street 11/11/08

3 Salmon Street 23/01/07

3 Salmon Street 01/09/05

3 Salmon Street 16/03/05

3 Salmon Street 01/06/04

3 Salmon Street 05/02/04

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Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

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

CARE HOME ADULTS 18-65 Brian Ward House Brian Ward House 3 Salmon Street Kingsbury London NW9 8PP Lead Inspector Bernard Burrell Unannounced Inspection 8th February 2006 10:00 Brian Ward House DS0000054415.V283930.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 Brian Ward House DS0000054415.V283930.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. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brian Ward House Address Brian Ward House 3 Salmon Street Kingsbury London NW9 8PP 020 8200 6718 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) Walsingham Nicola Doran Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: Brian Ward House is one of 40 care homes operated by Walsingham since 1986 to provide accommodation and care support to adults with learning disabilities. The home is located in Northwest London close to Wembley with easy access to a range of public transport services, shopping, leisure and community facilities and services. The home is also close to a range of health and social care facilities and services. It is a detached property with single room accommodation for up to 5 residents. One bedroom has ensuite facilities. At the time of this inspection, there were five residents living at the home. There is also a staff sleeping room for night duty cover. The home provides 24 staffing cover with on-call support from the manager. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day and was assisted with input from the senior staff and residents. The inspector examined assessment and care planning records, case files, health & safety policies and procedure documents. The inspector also toured the building and had telephone discussions plus written contributions from the Operations Manager. Five residents were living at the home at the time of this inspection and the senior care worker who was in charge of the home. She provided the inspector with the following updates about staffing. The locum manager who started working at the home in December 2005 was due to leave by the end of March 2006. The senior worker, who started working at the home two years ago, was also planning to leave by the end of March 2006. Of the six workers, she stated only one was a permanent staff at the home. The regional operations manager has overall supervisory management of the home. Residents live in an environment that is homely, safe and adequately equipped to meet their needs. Residents reported satisfaction with the care and support they received from staff. What the service does well: The home has appropriate systems in place to help ensure good practice and conduct is cultivated by staff. The staff spend much time working with and getting to know residents as individuals, including helping to rebuild family relationships and supportive services. This has helped to create care plans that are individualised and reflective of the assessments of each resident’s care needs. The residents are supported to live as valued members of the local community and are assisted by staff to develop their life skills and abilities within the home and local community. The home has developed beneficial working partnerships with various day care services, health professionals and other stakeholders. Staff are offered good opportunity to access relevant training to help enhance and develop their professionalism and care skills. The staff make good efforts to ensure that resident’s communication needs are met through pictorial reference guide to the menu, local facilities, services and amenities. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Brian Ward House DS0000054415.V283930.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 Brian Ward House DS0000054415.V283930.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, 4,5 The care assessments for new residents are comprehensive and included input from different people and professionals associated with each resident, including the residents themselves. This has helped to ensure that decisions to live at the home are well planned. EVIDENCE: The home has a service user’s guide that is written in a style and format that meets the needs of residents with limited verbal and communication skills and ability. The guide is kept under regular review and updated. The senior worker explained that the three new residents, who moved to live at the home since the last inspection, were invited to visit, meet other residents and staff and get an orientation of the environment, including the facilities. The evidence seen on case records plus discussion with the senior worker indicated that each resident is given the opportunity to choose the room they prefer. The choices are respected and honoured but subject to the physical ability or limitation of each resident. The initial assessment process is comprehensive and involved contributions from each resident, their relatives/NOK, social workers and other stakeholders. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 9 Contributory assessments are also made by agencies making referrals on behalf of new residents. When a new resident moves into the home, the senior worker reported that staff carry out daily observation and monitoring of each resident to help understand and capture individual preferences, behaviour, health and social care needs. The information gathered is then transformed into a person centered care plan that is reflective of each residents care needs. This according to the senior worker has enabled staff and residents to get to know each other well, plus ensure that the most appropriate and relevant care support is offered. Each resident also receives a copy of the service user’s guide, statement of purpose, and a service contract that is designed in style and format that reflects their learning and communication ability. The inspector spoke to one resident who was at the home at the time of this inspection about her views of living there. She stated she liked it very much and that staff were good to her and very supportive. Brian Ward House DS0000054415.V283930.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): 8, 9, The residents care needs are adequately assessed and kept under regular reviews. Care plans are person centred and reflected the individuality of each resident. The residents are supported to exercise some level of autonomy, independence and personal preferences. EVIDENCE: The records reviewed by the inspector, plus discussions with the senior worker, indicated that the residents are assisted to become aware of important information about their lives, including their living and private spaces, leisure care needs, services and facilities in the community and the significant people in their lives. The care plans for each resident also had comprehensive individual assessments covering the abilities of each resident in areas such as communication, personal safety, mobility, eating and drinking, physical health and wellbeing, personal hygiene and communications programmes through the Brent Learning Disability Partnership. Good effort is made by the staff to capture and understand the things that residents have done in earlier life and the skills and interest they have. The Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 11 information in each care plans indicated residents are supported and encouraged by staff to participate in making decisions about their lives insofar as they are able to do so. These included cultural/ethnic, leisure and social facilities and services available in the local community. There was evidence indicating that the relatives, social workers, residents and other stakeholders contribute to periodic reassessment and care planning and reviews for each resident. The home provides different methods of communication tools to help residents communicate their feelings, views, emotions and moods. These included pictorial references, large prints and other objects to aid communication and understanding. The inspector observed staff interaction with residents and was satisfied they had good knowledge of the user’s verbal and non-verbal skills and abilities. Staff support the residents to take part in activities within the home, including learning to respect individual space, keeping their rooms orderly and recognising potential risks. There were also recorded examples of risk assessments carried out by staff for each resident to help minimise potential risks and ensuring personal safety plus develop independence and skills. Brian Ward House DS0000054415.V283930.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, 14, 17. The residents enjoy varied social and cultural activities in the home and the local community. They are valued and respected by staff as individuals and enjoy healthy choices in meals and nutrition, plus have assisted access to health and social care support and services. EVIDENCE: There is a weekly activity plan for each resident at the home. The plans are designed to meet their personal preferences and assessed care needs. The inspector’s observation indicated that staff value and respect each resident as individuals. The inspector observed good appropriate interaction between staff and residents. The information recorded on case files for residents plus observation made by the inspector, indicated that staff work to create a stimulating home environment plus the provision of supporting services. Good effort was being made to create flexible and individually tailored lifestyle for each resident. The inspector’s observation indicated that staff continue to work with residents to build on their positive individual and collective abilities, including Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 13 experiences and knowledge, rather than merely trying to manage negative features such as challenging behaviour and incapacity. There was documented information about leisure activities, including holiday travel plans, beauty and self-image sessions, and music and community outings. In addition, there were recorded evidence of resident’s participation and attendance at the Willesden Resources Centre, group relaxation, dance and music appreciation and attendance at football matches. Although the staff carry out Whole Life Reviews every six months -with plans to have more regular reviews with day care workers and residents- there is need for a review of at least one resident who attends the Willesden Resource Centre. The last recorded one was done in July 2004. The home had a large garden that was partially maintained and used by residents. However, sections of the garden needed clearance, including cutting of overhanging branches. This was a requirement form the last inspection. Access to the garden was also possible for residents who are wheel chair users. The service provides useful information about daily meal choices and provisions. The menu was displayed in pictorial forms with examples of the food and drink that residents can choose from. Brian Ward House DS0000054415.V283930.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 The staff offer support to the residents to help develop their personal choices and preferences in daily living. The physical and emotional health care needs of each resident is adequately assessed, monitored, reviewed and looked after by staff. EVIDENCE: The inspection findings indicated the health and nutritional care needs of the residents are adequately assessed and person centered, with good access to a range of health and social care services in the local community. There was evidence of assessments and care plans covering how each resident prefer personal care to be given, including dressing, controlling body temperature, weight monitoring and managing physical problems such as epilepsy seizure. There was also evidence of support from epilepsy nursing assessment and the primary care trust (PCT) team. In addition each resident had a personal safety, mobility and communication assessment. There was also evidence of nutritional assessment relating to the support individual residents’ needed to help with eating, the types of food plus the meal times preference. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 15 The recordings examined also showed that information is restricted to only those who have the permission to access or need to know. There was evidence to verify that the plans are regularly updated with input from each user or their relatives/NOK, social and key workers. There were also communication symbols to help illustrate and communicate the information more easily to residents. There were good examples of the administration of medication with detail individual medical and health care assessments. The health care procedures had clear guidelines on how staff are expected to administer medication, dispose of used materials, storage and reordering of medicines plus discontinued medication. Staff are also required to check the medication stock every 4 weeks. Medication issues for residents are discussed at work shift handover meetings. There was evidence of medication training undertaken by staff plus a staff signature verification sheet. There was also signature verification that staff have read and understood the policy and procedures dealing with health care and medication. In addition, there were guidelines for acquiring emergency prescriptions and evidence that staff have been supporting residents to make and attend medical and health care appointments, including out of hours visits by doctors. There were relevant and up to date recordings on each resident’s health care profile, including known allergies, current medication, dosage, side effects and appointments. The home also has guidelines and information in the service users’ guide and contracts about arrangements for funerals. The information has been written with appropriate symbols for different faiths and religion and in easy to understand pictorial format. Brian Ward House DS0000054415.V283930.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): 23 The resident’s views and wishes are appropriately considered and responded to by the staff. The provider’s employment policy and procedures help to ensure that the protection of resident’s welfare and safety is promoted. EVIDENCE: The inspector was satisfied the home has relevant complaints policy and procedural guidelines in place with appropriate summary information in the service user’s guide. The Complaints guide is written in style and format that meets the communication needs and ability of people with learning disabilities. It also has photographs of people who complaints can be made to. There was no record of complaints recorded at the home or sent to the CSCI since the last inspection. One resident told the inspector she was happy living at the home and had no complaints. The residents benefit from the support of the Brent Learning Disability Partnership and other local community resources and advocacy groups. The inspector observation plus discussions with the senior worker indicated staff encourage freedom of expression, thought and belief among the residents, Staff also help to facilitate participation in chosen activities for each resident. The residents are adequately protected by the home’s employment policy and procedures. However, at the time of this inspection, management of the home was unclear as the locum manager and senior worker were both planning to resign. The Operations Manager assured the inspector that plans were in order to recruit a replacement manager. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 17 The resident’s benefit from additional external monitoring from the Brent Learning Disability partnership, social workers/care managers and relatives. There were appropriate systems and mechanism for monitoring the home’s performance in safeguarding the rights of residents. These included accident reporting forms, daily updates and reports for each resident. The Operations Manager also provided information to explain how the finances for each resident are managed. According to the Operations Manager, residents are only able to withdraw up to £50 without authorisation from her. She stated that agreements of withdrawals are held on individual service users’ files with information about the need for the expenditure. The inspector noted this information during the inspection. The Operations Manager also reported that that the savings books for residents are held in the safe at the head office of Walsingham in the finance department. The inspector did not examine these, but was invited to do so. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 18 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, 25,26,27,29,30 The home was partially maintained. It was clean and hygienic throughout. However, the bathrooms, kitchen and other communal areas needed decorating, upgrading plus better maintenance of the garden. The home also needs a programme of general maintenance and upkeep. EVIDENCE: The inspector was satisfied most areas of the home were well maintained and bedrooms were decorated to a good standard with adequate furnishing and facilities, including washbasins. There was adequate natural light in each room, good heating system, communal bathrooms, ventilation and storage space. The ground level of the home is accessible to wheel chair users. There were examples of good health and safety hygiene practices being followed in the kitchen and dining areas, including safe and appropriate storage of food items and substance hazardous to health. The policy and procedures relating to health and safety in the home were updated and staff signatures verified they have read and understood the policies. Areas of potential risks have been safeguarded with clear instructions to staff how to ensure compliance and monitoring is carried out daily. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 19 There was also recorded information of up to date inspection and testing of electrical appliances, equipment and work tools. However, as pointed out in the last inspection report, the provider must ensure that work is carried out to upgrade and decorate the bathrooms and communal facilities, including the bathroom in the upstairs area of the home. Work is also needed to ensure the garden area is better maintained and overhanging trees branches are cut back to minimise the risk of fallen branches. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32,33,34,35. The procedures for recruitment of staff are thorough and offer adequate safety and protection to residents. The home needs to have a compliment of a permanent staff team and manager. EVIDENCE: At the time of this inspection, the senior care staff and one other staff were on duty. The senior care staff informed the inspector that the locum manager and herself were both planning to leave the service by end of March 2006. The Operations Manager assured the inspector that work was been done to recruit a manager and other support staff. At the last inspection, there were only two residents living at the home, and the then manager informed the inspector that the staffing level should be 7.5 staff to adequately cover the services at the home. At the time of this inspection, the inspector was informed that the home had the following staffing cover: the locum manager, a senior worker, 2 part-time care workers (20 hours each week), 1 part-time care worker (28 hours each week) and 1 fulltime waking night staff. Of the above number, only one staff was reportedly employed as a permanent staff. All current staff at the time at the time of this inspection had contracts of employment with terms and conditions and job descriptions. The staffing records showed that supervision takes place at least every six weeks in addition to the six weeks induction programme for all new staff. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 21 Each staff also had records of their personal and professional development plan, including evidence of training undertaken or currently in progress. Information in the staff communication book indicated reliable system of written communication and sharing of information among the team. The inspector was satisfied that the staff were aware of the diversity issues and individual needs of each resident, plus make good efforts to promote the best values and ethos of communal living at the home. The provider will need to ensure that the home is adequately staffed at all times and there is a reliable pool of staff that can be called on to assist with continuity of care and support to residents. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 40, 41,42,43. More work is needed to help ensure the home is adequately staffed at all times and that a permanent manager is employed to manage the home. EVIDENCE: At the time of this inspection, the senior care staff was on duty with one other care staff. There were also 5 residents living at the home. As indicated in the staffing section of this report, the provider must ensure that the staffing instability is resolved satisfactorily and to the benefit of the residents The evidence examined by the inspector showed that each resident has copy of the Walsingham 5 year development plan written in April 2005 in a communication style and format that caters to the needs of people with learning disabilities. The inspector was satisfied that the staff and residents receives extended supervisory support from the Operations Manager, who is based at head office. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 23 The inspection findings indicated the residents enjoy progressive choices in a caring environment with appropriate physical, emotional, social and cultural stimulation and interests. There were effective management tools and systems that help to monitor safety and standards of care provided within the home, for example- policies and procedure documents were up to date, orderly, well maintained and accessible to staff. There were up to date records of electrical, gas, fire safety, portable appliance test and servicing. There was also a range of risk assessment guidelines, including an index of risks for the current year carried out in January 2005 with reviews planned for January 2006. There was also a system and programme of staff supervision and training to help enhance staff’s professionalism. The inspector was satisfied that the welfare and safety of residents are further safeguarded by the provider’s ensuring that staff employed to work at the home are suitably qualified to do so. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 x 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 2 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x 2 x 3 3 3 2 Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 25 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 YA24 Regulation 16, 23 Requirement The provider must ensure that the garden is better maintained and overhanging tree branches are cut back to maximise safety to residents, staff and visitors, The provider must ensure that work is carried out to upgrade and decorate bathrooms and other areas of the home. The provider must ensure that the home has an adequate complement of care support staff available to provide continuity of care and support to residents at all times. The provider must ensure that the home’s certificate of registration is changed by the CSCI to reflect the change in management of the home. The provider must ensure that the Employers Liability Insurance Certificate, which expires at end of March 2006, is renewed and displayed. 5 YA38 9,19. The provider must ensure a manager is employed to help manage the daily operations of DS0000054415.V283930.R01.S.doc Timescale for action 30/04/06 2 YA30 16, 23 30/04/06 3 YA33 18, Sch 4.6,4.7 30/05/06 4 YA43 9,17, 30/04/06 30/05/06 Brian Ward House Version 5.1 Page 26 the home. 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 YA16 Good Practice Recommendations The provider should continue the effort and work with residents to help them open their individual bank accounts and have some level of personal control over their personal finance where possible. Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Brian Ward House DS0000054415.V283930.R01.S.doc Version 5.1 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. 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