Inspection on 21/09/05 for 71 London Road

This inspection was carried out on 21st September 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

71 London Road 11/10/07

71 London Road 30/05/06

71 London Road 13/04/05

71 London Road 13/10/04

71 London Road 14/04/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 71 London Road Southborough Tunbridge Wells Kent TN4 0NS Lead Inspector Ann Block Announced 21 September 2005 09:20 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. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 71 London Road Address Southborough Tunbridge Wells Kent TN4 0NS 01892 515520 01892 515520 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) Mental Health Residential Limited (MHR) Mr James Polack CRH Care Home 7 Category(ies) of Mental Disorder (7) registration, with number of places 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13 April 2005 Brief Description of the Service: 71 London Road is currently registered for 7 people. The house is a detached premises on three floors with an attached flat which is used for independent living and is currently not registered. There are gardens to front and rear which residents can use. There is car parking to the front of the house. All rooms are of good size with all single bedrooms. A single staircase accesses the upper floors of the main house. There are bathrooms and toilets on the first and second floors. Residents have use of a large kitchen and a laundry room. The home is close to local shops and pubs with bus services easily accessible. The main town of Tunbridge Wells, where there are all the facilities of a larger town, is approximately 3 miles away. There is a main line station approximately 1½ miles away. The home is owned by Moat Housing who have a specialist housing facility at the rear of the property. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The commission was represented by Regulatory Inspector Ann Block who carried out an announced inspection of 71 London Road on Wednesday 21 September between 9.20 am and 6.30 pm. Three residents, three staff and management agreed to speak with the inspector. Feedback from the inspection was given to the Deputy Manager who assisted in the process of inspection. As part of the inspection process comment cards were received from a resident, a relative and professionals. Comments about the home included: ‘The staff have great commitment to welfare of residents, good knowledge of clients, respect clients privacy. Eager to accommodate my concerns or directions about the clients, good communication with myself.’ ‘This home provides acceptance without judgement, care and thoughtful planning and involvement with every resident in all aspects of their care, social contacts, personal development and future planning.’ The inspector is familiar with the service, judgements have been made combining information from previous inspections with evidence from this inspection including comments from residents and staff, observation and record keeping. What the service does well: The service is well respected by professionals as providing a client led service to people with mental health problems. Staff are interested and motivated and understand their role as being supportive rather than directive. Residents, many of whom are admitted following a stay in hospital, have good admission procedures in place to reduce anxieties about coming into a more relaxed care setting. Individual strengths and needs are discussed and well recorded in personal centred care plans. Residents consider their health, including mental health needs, are well managed with encouragement to continue with agreed regimes. Residents have an environment where they can take practical responsibility for household tasks and arrange their own recreation, but where support is available if necessary. Staff are committed to identifying individual social and educational needs and look at ways to provide this. Such activities are not seen as an end in themselves, but as part of skills development, potentially leading to more independent living and supported employment. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 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. 71 London Road H56-H06 S23885 71 London Road V240314 210905 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 71 London Road H56-H06 S23885 71 London Road V240314 210905 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) 1,2,3,4 & 5 Residents are better able to settle in the home through a comprehensive admission process and written tenancy agreement. EVIDENCE: Residents follow a structured and documented admission process through from initial referral, staged visits where they meet other residents, see their room and get a general feel for the home. Visits to the prospective residents place of abode are made as part of this assessment process. A service users guide and statement of purpose is available. Residents and visitors have easy access to a copy of the last inspection report. Records relating to a recent admission contained very good detail of the manner in which the admission had been carried out. There was excellent detail of the needs, history and desired outcomes for the resident, which were well understood by staff on duty. Information available included assessments from professionals who had been working with the resident. Records detailed how the resident was supported during the initial stages of living at the home, the initial assessment was expanded as people got to know the resident better with the subsequent care plan updated to reflect these changes. The permanent staff team have worked at the home for some time. There is a good understanding of the needs of the residents and how these may be met. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 9 The staff team is also aware when needs can no longer be safely met and take the appropriate action. Resident’s files seen contained a signed written tenancy agreement, giving the resident security, detailing rights of residency and the residents and landlords rights and responsibilities. Residents understand the overall conditions of their tenancy. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 & 10 Residents’ rights to receive person centered autonomous support is upheld. EVIDENCE: Over the last 18 months staff have worked hard to develop comprehensive, well structured, updated and accurate records relating to residents care. The records seen as part of case tracking would provide staff with suitable information to ensure the resident was offered consistent personalised support. Staff have an excellent understanding of the strengths and needs of residents and use their coordinator role to work effectively with individuals. Residents spoken with confirmed in general conversation elements of their care plan, including agreed goals and how these were being met. Staff understand that residents are individuals whose decisions should be respected. This was evident in daily records, speaking with residents and observing the general environment. Where there are differences of opinion which impact on safety or wellbeing, these are discussed in the staff team and with professionals and family as necessary, with outcomes recorded. Information about advocacy services are made available to residents. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 11 Staff have been trained in person centered risk assessment, greatly improving the personal risk assessment process, promoting residents safety and wellbeing. Both general and responsive risk assessments are carried out and recorded. Residents were seen to take risks and to have those risks explained to them. Staff are aware that residents have the right to take risks and are encouraged to judge whether the risk is appropriate. Where necessary others, including health professionals, are consulted. Advice will be incorporated into the risk assessment or it may be recorded that professionals are aware that the resident chooses to take the risk. Confidentiality is very well maintained with a good understanding of the principles of Data Protection. Residents are able to discuss their affairs in private and to decide who they will meet and share information with. Written information is held securely and not shared with others without agreement from the resident unless deemed essential. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 & 17 Residents have a good quality of life with opportunities for social, educational, and recreational experiences. EVIDENCE: In speaking with staff and looking at daily records, daily living takes into account opportunities for developing independence and assertion skills. Each residents coordinator is responsible for identifying activities and work placements that might interest the resident. Residents spoke of courses they were undertaking such as pottery, computing, craft work and English. One resident has taken certificated computing courses and uses her skills to produce documentation for the home such as charts, information sheets and invitations. Residents were seen to be out and about with good use of both the local area and Tunbridge Wells. Residents said that sometimes they went independently and sometimes with staff. The Deputy Manager complimented staff on the 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 13 manner in which the activity and events record was maintained. Staff showed how they recorded activities offered to individuals, whether they had benefited from them, any other future preferences and information sheets. Outings are provided both on a one to one and smaller group basis. Recent outings have been to Bentley Wildfowl Trust and Madame Tussauds. Special interests are respected, for example one resident likes to visit a shop in Bromley where he shops for items for his collection. Many references were made to contact being maintained with family, including inviting family to meals. The visitors’ book recorded many visits from family. Staff are aware of family dynamics and support residents with family issues. Residents rights to privacy are promoted with residents seen to lock their rooms, have post dealt with as agreed by the resident concerned and to join in with the group or remain in their rooms as they chose. Residents are aware they are free to access all communal areas and come and go within reason. According to individual preferences, abilities and choice at the time, residents may prepare their own meals, assist in the preparation of communal meals or manage their own catering. One resident likes baking and carries out a weekly baking session, overseeing the shopping and storing of baking products. Another resident has a personal food budget, others may choose to purchase their own items of food and have provision to store them. Staff oversee the main evening meal assisted by residents. A menu is arranged for the communal meals. A new commercial range cooker was purchased which has proved in use to be very hazardous and restricts resident use. A domestic cooker is replacing this shortly, allowing residents to make full use of the kitchen again. The kitchen has recently been upgraded with new units. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 & 20 Residents’ health and personal care needs are well managed and promote physical and mental wellbeing. EVIDENCE: Individual preferences regarding personal care are taken into account. Whilst staff encourage residents to maintain good standards of personal care, pressure which might cause anxiety is reduced to a minimum. Staff are aware of the fine balance between mental health and general presentation of self. Records recorded regular appointments and consultations with health professionals and of general multi disciplinary working. Mental health professionals recorded their satisfaction with the service, mentioning cooperation to act in the resident’s best interests and how advice is taken on board. Specialist appointments are made in consultation with the resident. Staff will act as escort if the resident chooses. Residents are registered with a local medical centre. Medication is stored in a suitable locked cupboard with administration records seen signed correctly. The systems for storage and recording administration promote residents health and reduce the risks of incorrect administration. Those residents who are able to self medicate do so within a risk assessment 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 15 framework and are monitored for compliance. Where they may be issues regarding non acceptance of a medication regime to the detriment of wellbeing, this is clearly recorded with action to be taken if it occurs. Issues around death and dying are dealt with as best for individual residents. Staff are undertaking a course on bereavement to support a resident coping with a specific situation. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 Residents can express their views and be listened to. They are protected from the risks of abuse. EVIDENCE: The complaint procedure is posted on the notice board. Residents are aware they can make a complaint and that the complaint will be acted on. Residents have opportunities in house meetings and working with their coordinator to discuss minor niggles and for these to be carried through as appropriate. The revised Kent and Medway Adult Protection policy is accessible to all staff who have signed to say they have read it hence know the process for making an alert, thus safeguarding residents from the risks of harm or abuse. Staff are aware of POVA (Protection of Vulnerable Adults) procedures and use POVA first checks as part of recruitment. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 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 standard(s) 24,25,26,27,28,29 & 30 Residents have an environment where they feel comfortable but which would benefit from greater attention to cleanliness. EVIDENCE: The home is located with easy access to local shops, including a Tesco Express, pubs and small independent shops. Buses going to Tunbridge Wells and Tonbridge pass close by. The home was formerly a large domestic property and remains in character with the local area. To the front of the house is a large chalet which can be used for private meetings, to the rear a small lawned area with seating. Residents are responsible for cleaning their own rooms with staff support. In meeting with residents in their rooms, it was clear that personal choice is recognised. Communal areas are cleaned by support staff but well used by residents, this results in some areas looking somewhat untidy, presenting risks to health and safety and in need of some consistent cleaning, redecoration and upgrading. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 18 A fire risk assessment has been carried out. An Environmental Health Officer visit carried out approximately a year ago awarded a gold award for kitchen standards with the presentation due shortly. More recent issues regarding the kitchen will be discussed later in the report. Each resident has a large lockable single bedroom which is furnished to individual requirements. Residents are fully involved in deciding the colour and furnishings for their rooms with possessions recorded on an inventory. Each room has a washbasin. There is a bathroom with toilet and shower cubicle on the first floor and a separate toilet and bathroom with a shower fitment on the second floor. Both have been upgraded during the last year. Staff have their own toilet and shower room and use the office to sleep in. No adaptations or special equipment are required. There is a large lounge with settees and matching chairs and a separate dining room. Both rooms have a TV. Residents have use of a large kitchen which as mentioned has been refitted with additional cupboard space. A utility area with washing machine and tumble drier is sited to the rear of the house where residents do their own laundering and ironing. Residents have access to all communal areas although by agreement some facilities in the kitchen are locked. As the majority of residents smoke, smoking is permitted in the house. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 & 36 Residents have staff available who have the training and skills to work effectively with people with mental health problems. Improved recruitment procedures would better protect residents. EVIDENCE: The staffing structure is shortly to change with the retirement of the current manager and the planned promotion of the deputy manager to the manager’s role. Recruitment is taking place for a deputy. There are currently four establishment staff assisted by relief and agency staff. Recruitment is taking place for additional relief staff. The four core staff have worked at the home for some time and share a recorded roster to provide either one or two staff on duty with a person on call. As there are minimal care needs time is largely spent on supporting clients with activities of daily living and responsibilities as coordinator for an individual resident. Staff have a job description which reflects their role. Staff are encouraged to take responsibility for their shift but to liaise with management staff. All staff are aware of the aims of the service, including work where necessary to aid residents to move on to more independent living. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 20 Staff have attended core training and some client specific training. All staff have had mental health awareness training. To monitor training needs a training matrix is used. Some staff hold NVQ level 3. New staff have an induction procedure to follow. Regular team meetings are held with minutes recorded. There is a relatively small staff team, communication between team members is good and utilises a communication book and staff handovers between shifts. Elements of a sound recruitment system are in place including application form, recorded interviews and evidence of identity and qualifications. Enhancements in evidencing employment history and references would better protect residents. All staff receive regular supervision where training, resident and service related issues are discussed and recorded. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,42 & 43 Systems are in place for the effective management of the service and protection of residents. Protection would be improved by attention to health and safety and fire training. EVIDENCE: The current registered manager is in the latter stages of handing over to the deputy manager who has applied for registration with the commission. Both the deputy and the manager have many years experience working with the client group in health and social care settings and in hands on and managerial roles. Both hold mental health qualifications. Time limitations have restricted the current managers professional development and updating of skills and knowledge. As might be expected, potential changes to the structure of the staff team are causing some anxiety. The deputy was clear how she intended to manage and 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 22 develop a strong effective team and discussed team building work she had achieved in past roles, including challenging poor or unprofessional practice. There remains no formal quality assurance system, nor a recorded annual development plan. This presents a risk that the service will not grow in line with good practice in working with people with mental health difficulties nor evidence how residents and others views of the service will be listened to. Various options are being mooted about service development but not formalised. Staff have access to policies and procedures, none of which were inspected on this occasion as it is hoped that the deputy will review them following her appointment. Record keeping is sound and well ordered. Residents are aware they have the right to see information held about them. Since the last inspection environmental risk assessments have been carried out and recorded. A regular walk round to monitor and record risk takes place. The efficiency of the walk round inspections is in question as dust and detritus presented a health risk and wiring and cleanliness of electrical equipment compromised fire safety. Risks to cross infection were apparent as internal and external kitchen surfaces were not adequately cleaned and food stocks not thoroughly checked for expiry date. Problems with the new range cooker presenting a risks of skin burns and potential fire risks are being addressed by the purchase of a replacement cooker. Fire safety equipment is regularly serviced and checked. All staff and some residents took part in a recent professional fire training session which included evacuation and use of fire equipment. Regular fire drills and practices take place which aim to include residents. The response to the inspection indicated that servicing and maintenance of supplies and equipment is carried out including portable appliance testing which is now due for a repeat. To ensure ongoing safety between annual tests, electrical equipment brought into the home should be tested for safety and all electrical equipment visually inspected as part of the walk round check. Accidents and incidents which affect the wellbeing of residents are recorded with the record showing what action was taken. Following a requirement at the last inspection notification is sent to the commission. A board of directors oversees the service with visits being made approximately monthly by a member of the board. The directors should be aware that a visit should be made monthly. A report is written following each visit. Regular directors meetings are held which the manager attends, presenting a written report on the service. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 23 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 1 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 71 London Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 x 1 2 H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34.1 Regulation 19 (1) Schedule 2 Requirement As part of the recruitment procedure, there must be evidence that employment history has been verified, including the reason for leaving any work with vulnerable people, and any gaps in employment history explored Where it is necessary for the protection of residents to appoint staff prior to a satisfactory criminal records bureau certificate being received, two written references must be obtained and all other elements of the recruitment process in place The health and safety of residents must be maintained within a risk assessment framework. This will include proper monitoring of risk including electrical safety, cleanliness and kitchen storage with prompt action taken to reduce or remove the risk. Timescale for action By 30 September 2005 and thereafter 2. YA34.1 19 (1) Schedule 2 By 30 September 2005 and thereafter 3. YA42.2 13 (3) 13 (4) By 30 September 2005 and thereafter 4. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 26 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. 3. Refer to Standard YA34.2 YA39.2 YA39.7 Good Practice Recommendations The reference request should be formatted to ensure that all necessary is information is obtained. A formal development plan which can be used in a continuous cycle of planning, action, review should be in place as recommended at the last two inspections. The quality assurance system should be extended to obtain formal views from other professionals, agencies, families and funders as recommended at the last two inspections. 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME20 6UF 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 71 London Road H56-H06 S23885 71 London Road V240314 210905 Stage 4.doc Version 1.40 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. 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