Inspection on 09/08/05 for 65 Charlton Road

This inspection was carried out on 9th August 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

65 Charlton Road 11/01/07

65 Charlton Road 09/02/06

65 Charlton Road 13/12/04

65 Charlton Road 06/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 65 Charlton Road Kenton Middlesex HA3 9HR Lead Inspector Clive Heidrich Unannounced 09 August 2005, at 1420 h00 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. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 65 Charlton Road Address Kenton Middlesex HA3 9HR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8204 2191 020 8204 0020 Heritage Care Daphne Gayle CRH PC Care Home only 7 Category(ies) of LD Learning Disability registration, with number of places 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13/12/04 Brief Description of the Service: 65 Charlton Road is a care home providing personal care and accommodation for up to 7 people who have a learning disability. The people living at the home at the time of the inspection were all female, though the service is not genderspecific. There was one vacancy at the time of the inspection. The registered provider of services at the home is Heritage Care, a national ‘not-for-profit’ organization operating since 1993. The building is owned by Paddington Churches Housing Association. The home is located within a residential area of Kenton, within the London Borough of Harrow. It is around ten minutes’ walk from shops, pubs, parks and bus links. The home has a driveway that can take about five vehicles, including the house van. Parking restrictions do not apply on the road outside the home. The home was opened in 1998. It is a two-storey building that was purpose built for residential care. It blends in reasonably with surrounding homes. All the home’s bedrooms are single, all fully furnished with built-in sinks. The home has two bathrooms and two shower rooms, all of which have toilets. One further toilet is available on the ground floor. Access to the first floor is by stairs or a lift. The home has a kitchen/diner, a main lounge focused around a TV and DVD, and a small second lounge available for more private use. The home has a reasonably-sized garden, much of which is paved for easier access. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a warm August afternoon. It lasted until 6:45pm. The lead inspector was accompanied by a new inspector for induction purposes. The inspectors met with the four service users present during the visit. Two service users were on holiday, and one service user had recently moved out. Issues were also discussed with staff and the manager, some records were checked, care practices were observed, and most of the home environment was inspected. The home’s manager was present throughout the inspection. The inspectors thank all at the home for their patience and helpfulness throughout the inspection. What the service does well: What has improved since the last inspection? There are more permanent staff working in the home than at the last inspection, with less reliance on agency staff. Service users all spoke positively about the staff and the manager. Individual plans for each service user were now up-to-date and sufficiently practical to guide staff on the key support needed for the service user. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 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 standard(s) 1 There is an up-to-date service user guide available for prospective service users, to help inform them about the services that the home offers. EVIDENCE: No new service users have moved into the home since the last inspection. One service user was seen to have a folder in their room that contained a service user guide and picture-led details of how to make a complaint. This suggests that the requirement of the last inspection about service user guides has been addressed. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 8 Review meetings in particular enable service users at this home to be involved in reviewing their care needs and developing their personal goals. Service users are involved in making decisions about the home. They are able to make choices about their lives. EVIDENCE: The files of three service users were checked through. It became evident that each had a recently-reviewed individual plan in place. Formal review meetings had been held around March 2005 according to minutes of these meetings. The plans and review meeting minutes both had specific goals for each service user to address with appropriate support. The plans were sufficiently practical to guide staff on the key support needed for the service user. It is recommended that the individual service user files be checked through to ensure that key documents are easily available and are the most up-to-date versions. The monthly summary system, used to summarise key events for each service user, should also be brought up-to-date where needed. Monthly summaries may also benefit from statements of progress about addressing the goals agreed from formal review meetings. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 10 Records, feedback, and observations provided evidence of service users making individual choices about their lives. It was apparent that staff support these choices, including for such things as a service user choosing not to attend a day service on a given day. One service user’s file included a letter of thanks from a regional director for their assistance with interviewing for the new local care services manager. The home is known to have previously developed methods of enabling service users to be easily involved in the interviews of prospective staff. One service user noted that the service user meetings are useful. The last minutes, from June 2005, showed that a wide variety of topics were discussed and that service users were clearly asked their opinions. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14, 15, 16 and 17 Service users are supported, where needed, to be part of the local community, to pursue leisure activities of their choice, and to maintain contact with friends and family. Service users’ rights are mostly respected. They are supported to enjoy their meals. EVIDENCE: All service users spoken with were positive about the activities that staff support them with, such as to local recreational clubs, and for holidays. One service user had just returned from a holiday to Memphis, whilst others had been to coastal holiday complexes in England and France. Two service users were on holiday during this inspection. Some service users also spoke of where they intended to go next year. It was evident that holidays are key aspects of service users’ lives, and that staff and the manager strongly support this. The meal for the evening was sausages with waffles and baked beans. A salad was prepared, but was refused by most service users when asked if they wanted any. One service user noted that she had cooked meat pie the previous 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 12 evening. Another said that the food provided at the home is fine, and that she helps choose the menu. The standard menu being used was seen to date from November 2004. It is recommended that it be reviewed to reflect the current season and any revised tastes of service users. One service user stated that they can use the phone as they wish. Another said that they receive calls, and that staff support them to make calls if needed. Another stated that she had called someone during the inspection. Records also suggest that service users are able to maintain good contact with friends and family. One service user noted that they have a house key, as required from the last inspection, but currently not a bedroom key. The manager explained difficulties acquiring a copy of this key, and noted that another service user has been given both keys as previously requested. The manager must ensure that the copy is acquired for the former service user. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, and 20. Service users receive the appropriate levels of personal support relative to their individual needs. Service users’ health needs are suitably addressed. Appropriate records of health professional input are needed, so as to easily maintain appropriate support. The home has generally robust systems of medication support for service users. A few improvements, from the last CSCI pharmacy visit, still need to be implemented. EVIDENCE: The inspectors noted that service users’ appearance was at a good standard, in terms of clothing, hair-care, and where used, wheelchair care. Service users confirmed that staff ensure that their wheelchairs are cleaned. A couple of service users noted that they had had their nails varnished at the day centre that they used. Staff were seen to support and encourage service users where needed with going to private areas for personal care needs. It was apparent, from records and the manager’s feedback, that the support of specialist professionals, where needed for individual service users, is obtained. The manager gave an example of the various avenues of support being 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 14 provided to a service user to enable them to overcome anxieties around a hospital appointment, which is good practice. There needs to be clear records about health professional input for each service user. Those service user files checked found this to be in place up until January 2005, after which records were summarised intermittently within monthly summaries. The home has a weighing chair that some service users agree to use. The chair enables those who cannot use weighing scales to be easily weighed. The manager is recommended to also acquire weighing scales for use by those service users who can manage them. The manager noted that six staff and herself are trained to administer medication. This minimises the need for anyone to be present outside of their usual shifts to administer the medication. This is an improvement on the last inspection, and helps to address the circumstances of a medication issue that was reported to the lead inspector shortly after the last inspection. It is also positive to note that further staff are attending medication training. Some aspects of the CSCI pharmacist’s report of the last inspection were seen to have been addressed. A couple of paperwork issues remain. They are listed at the end of this report. Checks of the medication systems during this visit found standards to otherwise be sufficient. It was also positively observed that the agreed medication action from one service user’s recent formal review meeting had been addressed. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Service users were clear that their views are listened to and acted on. There are reasonable measures in place to protect service users from abuse. EVIDENCE: All service users noted that the manager will listen to any concerns that they may have. They were confident that the manager would address the issues. A couple of service users clarified that they have no complaints, nor anything about the home that needs changing. Records showed that new staff were seen to have had adult protection training within two months of starting work in the home. The course is part of the organisation’s induction programme of training. There was one entry in the complaint file since the last inspection, a care practice issue raised by a family member. The manager provided a copy of the letter of response and noted that the issue had been fully addressed. It is recommended that written staff statements are used within future complaint investigations. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27, 28, 29 and 30. The home’s environment generally meets service users’ needs. Minor improvements are needed to make it suitably homely. It is kept clean and hygienic. Service users who use wheelchairs benefit from the home having some specialist equipment. EVIDENCE: The home was seen to be clean throughout. Equipment required for infection control was available. The washing machine and tumble drier were noted to be working. One service user commented that the home’s environment and their bedroom are fine. Another showed the inspectors her room, which had new carpet and a new bed. Discussions with the manager and the service user established that further upgrading of facilities is planned for, including through the service user visiting Ikea soon. The manager confirmed that a few bedrooms have had some redecoration since the last inspection. It is recommended that the organisation consider installing automatic dooropening devices, to enable physically disabled service users to get in and out 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 17 of their bedrooms independently. One service user noted that this currently presents difficulties to them. There were a few items that needed to be fixed. The manager noted that one fire-door closing device, and the freezer, had both been reported for fixing. The inspectors also identified a moveable toilet grab-rail in the shower room that requires something to hold it in place when up, so as to minimise the risk of injury from it falling. The manager must ensure that these items are promptly addressed. The stained shower floors remained unchanged at this visit. The upstairs shower room is the clear priority. The manager noted that the housing association have agreed to replace the flooring. This outstanding requirement must be promptly addressed. One area of the downstairs shower tiling, on the left side, needs work to address discoloured tiles and small grouting gaps, whilst most low-lying areas of the upstairs shower room have similarly discoloured tiles. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 and 35. Service users are supported by a fairly-consistent staff team. Staffing levels are sufficient to meet service users’ needs. The organisation supports the appropriate recruitment and training of staff. Consideration of whether there will be sufficient NVQ-qualified staff working at the home by the deadlines of the standards is needed. EVIDENCE: All service users spoke positively about the staff who work in the home. They noted that there are enough staff. One service user also explained that there is little agency staff use. The previous week’s roster was checked through. Analysis found that the agreed staffing levels, of 2 morning staff (3 at weekends), 3 late-shift staff, a waking-night and a sleep-over, were being adhered to. The rosters showed some use of bank and agency staff, some of whom were also working at the home at the previous inspection. A couple of bank staff have joined the team on a permanent basis, which represents good commitment to meeting service users’ needs. The rosters also showed that bank and new staff are receiving training from the organisation. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 19 The manager said one staff has achieved the level-2 NVQ qualification in care, that two staff are currently undertaking the course, and that one staff member will shortly start. It is suggested that other staff, including bank staff, may need to achieve this training qualification for the standard, of 50 of the workforce achieving the training, to be met. The manager noted all staff are to undertake the Learning Disability Awards Framework (LDAF) training shortly. Records showed that new staff are being inducted according to national guidelines. The manager noted that there is one support worker vacancy. This is an improvement on the last inspection. She also noted that the organisation’s personnel department collect all required recruitment checks, and only approve of agencies that undertake sufficient checks. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, and 42. Service users benefit from reasonable management of the home. The ongoing lack of a deputy manager has however lowered some standards of management, which must be addressed. Whilst service users can influence the running of the home, there are currently no formal reviewing systems into which their views, and those of their representatives, can influence the development of the home. Service users and staff benefit from appropriate health and safety systems in the home. EVIDENCE: The manager explained that the home has had a vacant deputy post since April 2005. Recruitment drives have been unsuccessful. Some areas of management, such as regular supervision meetings with staff, are consequently not happening as diligently as needed. The organisation must ensure that a new deputy manager is recruited. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 21 The home has a new regional Care Service Manager. The manager noted that this person had visited the home the day prior to this inspection, and that they undertake the required monthly audit visits of the home. The manager agreed to ensure that reports of these visits are forwarded to the lead inspector. It is positive to note that the actions from the last report received by the lead inspector, from March 2005, have mostly been addressed. A report from the local environmental health department from March 2005 found standards in the home to be rated as “average” throughout. The manager noted that there was little in the way of improvements needed from that visit. A few areas of health and safety were checked on this inspection visit, with no concerns arising. There were, for instance, records of professional servicing of the passenger lift and the house van’s tail-gate lift from May 2005, which is suitably up-to-date. The water temperature of one bath’s hot water tap was tested and found to be suitable. Water temperature records throughout the home are kept on an almost weekly basis. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 22 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 x x Standard No 22 23 ENVIRONMENT Score 3 3 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 1 3 2 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 2 3 Standard No 31 32 33 34 35 36 Score x 2 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 65 Charlton Road Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score x 2 2 x x 3 x G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 23 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 16 Regulation 12(5), 23(2)(e) Timescale for action It was identified from discussions 1/9/05 with service users that a couple of them would like keys to their rooms. The manager must ensure that this happens. (Timescale of 15/2/05 partially met) There needs to be a clear record about health professional input for each service user within their file. To update guidelines for as required medicines and include a reference to reporting any medication errors to CSCI. (Timescale of 28/2/05 not met) To ensure that the history of service users allergies is recorded on the cover sheet or the MAR. (Timescale of 1/2/05 not met) The flooring in the two shower rooms has become severely stained. They must be replaced. (Timescales of 1/10/04 and 1/4/05 not met). One area of the downstairs Requirement 2. 19 3. 20 17(1)(a) scheulde 3 part 3(m) 13(2) 1/11/05 1/11/05 4. 20 13(2) 15/9/05 5. 27 23(2)(b) 1/4/05 6. 27 23(2)(b) 1/10/05 Version 1.40 Page 24 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc shower room tiling, on the left side, needs work to address discoloured tiles and small grouting gaps. The low-lying tile areas of the upstairs shower room have discoloured tiles that need remedial work. Individual occupational therapy assessments must be gained for all applicable service users to ensure that their needs in respect to the shower rooms are being appropriately met. (Timescale of 1/5/05 partially met, in that referrals have been made to social services) The manager must ensure that the items listed within this report that need fixing are promptly fixed. The manager must ensure that 50 of the workforce achieve the NVQ qualification (level 2 in care) by the end of 2005. The organisation must ensure that a new deputy manager is recruited. Actions and outcomes from meetings with involved people (stakeholders) must occasionally be recorded and communicated to such people, service users, and to the CSCI. (Timescale of 1/5/05 not met) 7. 29 13(1)(b), 23(2)(a) 1/12/05 8. 29 23(2)(c) 1/9/05 9. 32 18(1)(c) 31/12/05 10. 11. 38 39 10(1), 18(1)(a) 24(2) 1/11/05 1/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 25 65 Charlton Road 1. 6 2. 3. 4. 5. 6. 7. 8. 6 6 17 19 22 24 29 It is recommended that the individual service user files be checked through to ensure that key documents such as individual plans and risk assessments are easily available and are the most up-to-date versions. The monthly summary system should be brought up-todate where needed. Monthly summaries may benefit from ongoing statements of progress about addressing the goals agreed from formal review meetings. It is recommended that the standard menu from November 2004 be reviewed to reflect the current season and any revised tastes of service users. The manager is recommended to acquire weighing scales for use by those service users who can manage them. It is recommended that written staff statements are used within future complaint investigations. It is recommended that attention be paid to the skirting boards and wooden door-frames where wheelchair marks compromise the décor of the home. It is recommended that the organisation consider installing automatic door-opening devices, to enable physically disabled service users to get in and out of their bedrooms independently. 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 4th Floor, Aspect Gate 166 College Road Harrow, Middlesex 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 65 Charlton Road G62-G11 S17527 65 Charlton Road V242037 020805 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!