Inspection on 18/05/05 for 79 Harrow View

This inspection was carried out on 18th May 2005.

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

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

Other inspections for this house

79 Harrow View 21/10/08

79 Harrow View 04/01/07

79 Harrow View 14/12/05

79 Harrow View 06/01/05

79 Harrow View 29/06/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 79 Harrow View 79 Harrow View Harrow Middlesex HA1 4TA Lead Inspector Judith Brindle Unannounced 18 May 2005 7.55am 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. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 79 Harrow View Address 79 Harrow View Harrow Middlesex HA1 4TA 020 8863 0981 020 8861 0735 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) Harrow Consortium for Special Needs Allan Claudius CRH PC 9 Category(ies) of MD 9 registration, with number of places 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6/1/05 Brief Description of the Service: 79 Harrow View is a care home providing care, support and accommodation for 9 adults who have mental health needs. Harrow Consortium for Special Needs is the proprietor of the care home. The Family Welfare Association is the care agent and employs the staff. Paddington Churches Housing Association owns the property. The registered care home was opened in 1995. The home is located in a busy residential road close to central Harrow. It is a large semi-detached house and consists of three floors. The home is within a few minutes walk from a variety of amenities, which include shops, banks, restaurants, parks and leisure services. There are also accessible train and bus public transport facilities of close to the care home. The service users’ rooms are single, and are located on each floor. Communal space includes two sitting rooms, and a kitchen/dining area. The home has a garden, which is enclosed, well maintained and accessible to service users. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of 79 Harrow View took place during 4.5 hours during a day in May 2005. There were no resident vacancies at the time of the inspection. Six residents, and a care staff member kindly spoke with the inspector about the service provided. The registered manager was on duty for most of the inspection. A resident accompanied the inspector on a partial tour of the premises. A variety of records were inspected, including a sample of residents’ care plans. The inspector gave the registered manager a number of Commission for Social Care of Inspection feedback/comment cards forms to give to visitors, and residents in regard to their views of the service. A number of information leaflets about the CSCI and of how to contact the Commission where also provided to residents. What the service does well: What has improved since the last inspection? The quality of the service provided has been maintained. Several maintenance issues have been completed. Some documentation has been reviewed and developed since the last inspection 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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 and 5 There is documentation, and information about the service that can be accessed by prospective residents, residents, and significant others. Arrangements are in place for prospective residents to receive a comprehensive assessment of their needs to ensure that the home is suitable for them. Arrangements are in place to ensure that residents have a written statement of terms and conditions with the home in regard to the service provided. EVIDENCE: The care home has the required range of information, and documentation available to prospective residents about the kind of service provided. The registered manager reported that the residents have been supplied with a copy of this documentation. There needs to be two minor variation applications in regard to two residents. This was discussed with the manager. This was a previous requirement. A registration form was supplied to home following the inspection. The registered person needs to ensure that these applications are supplied to the Commission for Social Care Inspection promptly. The home has an admission policy, and a procedure for referral. There have been no residents admitted to the care home for several years. The admission procedure includes a recorded process of referral and assessment, with residents’ involvement. The registered manager informed the inspector during 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 9 a previous inspection that the purchasing authority and provider would complete assessment of prospective residents’ needs. Care plans inspected recorded evidence of assessment of residents’ varied needs. The service user guide recorded evidence of smoking and alcohol policies. Records informed the inspector that residents had a signed licence agreement of terms and conditions of residency with the registered provider. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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, and 9 Arrangements are in place to ensure that residents have their needs identified and met, but there needs to be evidence of regular review of all care plan documentation. Arrangements are in place to ensure that residents are supported to make decisions about their lives and are given support when they need. Arrangements are in place for identifying risks, and supporting residents to take risks as part of an independent lifestyle. EVIDENCE: All the residents have an individual plan of care. The care plans inspected included photographs and a detailed individual profile. Residents assessed health, social and welfare needs, and staff guidance to meet these needs was recorded. Care plans recorded evidence of some documentation having been reviewed, but this was not consistent. Some care plan documentation has a record of the date of planned review, but there is not always evidence that review on or around the planned date occurs. There needs to be evidence that all care plan documentation is reviewed regularly. This was discussed with the registered manager. Monthly reports were recorded in care plans inspected. Some of which were very detailed, comprehensive, and informative in regard to individual residents’ progress. There was some recorded evidence that 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 11 residents participate in the care planning process. Residents spoke of present during care plan review meetings. Residents, records and staff confirmed that residents are encouraged and supported to make decisions about their lives. A resident informed the inspector of the regular resident meetings that she attended, and that there was the opportunity to make decisions and choice in regard to daily living. The registered manager reported that residents manage their own finances. The registered person should ensure that if residents need any support in the management of their finances, that this be clearly documented, and individually risked assessed. Records, and staff confirmed that there was recorded staff guidance in regard to a residents’ behaviour, which could be a fire risk. Regular review of this guidance was discussed with staff. A care plan inspected was signed by the resident, and recorded staff guidance and risk assessment to meet varied identified needs, which included road safety, daily living skills, dietary needs and particular behaviour needs. There needs to be evidence that there are appropriate agreed (multi disciplinary) recorded staff guidance in place in regard to a resident whose behaviour needs have changed within the last few months, to ensure that there is staff are consistent in managing the residents’ changing behaviour needs. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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) 12, 13,15, 16 and 17 Residents have the opportunity and are given support to take part in a variety of activities of their choosing, including further education, and access of community facilities. Development and recognition of residents’ individual skills takes place. Arrangements are in place to ensure that residents are supported to maintain and develop family links and other relationships of their choice. Empowerment and independence of residents is encouraged and supported by the service. Residents are involved in the choice and provision of varied wholesome meals. EVIDENCE: Residents kindly informed the inspector of the numerous activities that they enjoyed and participated in. These included attendance at a resource centre, accessing the amenities and facilities of Harrow, working on a gardening project, shopping, and full involvement in everyday living skills. A resident spoke of having recently completed a certified horticultural course. There was evidence from residents, records, and staff that residents are enabled and supported to make decisions about their daily living. Records, observation and 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 13 residents all confirmed that residents were fully involved in the participation of everyday living skills. Residents who kindly spoke to the inspector were aware of their particular household duties on the day of the inspection, and were observed to be actively carrying them out. Empowerment, and encouraging residents’ independence are significant features of the care home. The visitors’ record book confirmed that there are visitors to the care home. Residents spoke of the contact that they had with friends and their relatives. This included telephone contact, and visits to relatives/significant others’ homes. Residents spoke positively of holidays that they had helped plan for this year, and of being enabled and encouraged to make choices and be fully involved in the service. Residents were observed to make several choices. A resident confirmed that she received her mail unopened. Residents interacted frequently and positively with other residents and with staff during the inspection. Staff were observed to communicate and interact with residents in a respectful and sensitive manner. A resident kindly showed the inspector the menu and the record of food eaten. Residents take turns to cook the evening meal. A resident spoke of his plans to shop for some ingredients prior to cooking the supper on the day of the inspection. Records and a resident confirmed that specific dietary needs are identified and met. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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 and 20 Arrangements are in place to ensure that residents’ health, emotional, and personal care needs are assessed and met, and that specialist support is accessed when needed by residents. Each resident has a key worker. Residents know their key workers, and have understanding of the staff key workers’ supportive role. Medication is stored and administered safely. EVIDENCE: Residents’ health and welfare needs are assessed and recorded in individual care plans. There was recorded evidence that residents access specialist health and social care support and advice as and when they need. Residents weight is monitored. Smoking and alcohol risks were identified in a care plan inspected, and appropriate staff guidance to meet these assessed needs was recorded. Where needed records confirmed that guidance and support were given by staff to ensure that residents’ personal care needs were met. A resident spoke of choosing her own clothes. During the inspection residents got up, had their meals, and did activities when they chose too. Residents, who kindly spoke to the inspector, knew who their key worker was and spoke of the key workers’ support. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 15 Medication was stored in a locked facility. The care home has commenced a new medication monitored dosage system that is dispensed by the pharmacist. Staff spoke of having received training from the pharmacist in regard to this system, and though the system has been in place for only a few weeks feedback was positive from the staff. The inspector was informed that presently no resident self medicates, but that this would continue to be reviewed. The medication administration records were generally signed and the reason when a medication was not administered recorded appropriately. There was one medication that had not been given to a resident one night, and the reason was not recorded. The registered person needs to investigate as to why a resident did not receive a dose of prescribed medication. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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) 23 and23 Arrangements are in place for handling complaints objectively. Residents are aware, of how to make a complaint, and confident that concerns would be listened too. Systems are in place in regard to responding to any suspicion or allegation of abuse. EVIDENCE: The home has a complaints procedure, which is recorded in service documentation, including the statement of purpose and the service user guide. There have been no complaints since the last inspection. Residents and records confirmed that residents were knowledgeable of how to complain, and of how to communicate any ‘concerns’ that they might have. A resident who spoke to the inspector was confident that complaints would be listened too. The home has the Local Authority protection of vulnerable adults policy, and procedure. There are accessible whistle blowing, and adult protection procedures. A staff member who spoke with the inspector had an understanding of procedures in regard to ensuring that residents are protected from risk of abuse. The care home has missing persons’ policy/procedure. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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) 24,25,28 and 30 The environment is homely, safe and clean. Resident’s bedrooms are individually personalised and suitable for meeting their needs. There is sufficient and accessible communal space within the care home, for shared activities and individual use. EVIDENCE: The care home is located within a few minutes walk from central Harrow. The house is in keeping with other houses in the vicinity. A resident kindly showed the inspector around the home. The front of the house has welcoming features, which included displayed pots of flowers. The care home has homely features. These include displayed photographs, books, and pictures. Residents were observed to freely access the communal areas of the home and used their personal front door key during the inspection. The communal areas include a sitting room, kitchen/dining room, sitting/smoking room, and garden. These are generally well maintained and some areas have been recently decorated. The garden is enclosed and is maintained by residents and staff. It included seating areas, which a resident spoke of using regularly in good weather. Residents were very positive about the garden facility. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 18 Residents spoke of being satisfied with their bedrooms. Two residents kindly showed the inspector their bedrooms. These were individually personalised, and homely looking. The dishwasher located in the kitchen needs repair. Some previous maintenance requirements need to be met. Builders replaced a residents’ window during the inspection. The resident was very satisfied with the new window, and pleased that it had been replaced. The home is clean, and free from offensive odours. The laundry facilities are located away from food storage and food preparation areas. Protective clothing including disposable gloves was accessible. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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, 33, 35 Arrangements are in place to ensure that the number and skill mix of staff on duty enable the needs of residents to be met. Staff are appropriately trained to ensure that they are competent to meet residents’ varied needs. EVIDENCE: Four weeks staff rota was available for inspection. There are two, and sometimes three staff on duty during the day. There is one staff member who completes a ‘sleep in’ duty at night. The registered manager generally is on duty from 9-5pm during weekdays. The manager reported that the deputy manager had been seconded for a few months to work as acting manager in another care home, he said that he was in the process of making a decision about a temporary replacement. This should be actioned by the registered person. The inspector was informed that presently agency staff (known to the care home) are employed to meet the need in regard to staffing hours due to the secondment of the deputy manager. Staff job descriptions were available for inspection. Staff have a key working role. Staff who spoke with the inspector had knowledgeable and understanding of the residents’ varied needs. Staff confirmed that the staff team were supportive, and that there was good staff communication, which included 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 20 guidance in regard to meeting residents’ needs. Staff meetings are held regularly. Staff handovers take place following shifts. Staff spoke of a comprehensive induction training received, and of plans to complete an NVQ care course. Staff records inspected during a previous inspection confirmed that staff had completed NVQ care training courses. A resident kindly showed the inspector a service satisfaction questionnaire that she was in the process of completing. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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) 41,and 42 EVIDENCE: Records, which were requested by the inspector, were available for inspection. This included policies and procedures, care plans, menus, complaints records and accident records. There was evidence that records were stored securely, up to date and in good order. Records confirmed that the fire extinguishers and fire systems had been recently serviced on 16/5/05. Recorded fire instructions were displayed in the communal area of the care home. The office door was wedged open. This was discussed with the registered manager. The registered person needs to ensure that doors are kept closed unless there is an appropriate safety mechanism in place that allows the door to be left open during the day at minimal risk to residents. The registered person needs to consult the fire service for advice in regard to this. Fridge and freezer temperatures had not been recorded since March 2005. These temperatures need to be monitored, to ensure minimal risk to health. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 22 The sitting/smoking room was very ‘cloudy’ and ‘stuffy’ from cigarette smoke when it was inspected. The ventilation extractor fan was switched on, and working. The registered person needs to examine ways of ensuring that smoke is extracted from the smoking room efficiently to minimise risk to health of all persons including non-smokers who use the room. Advice from appropriate sources should be sought to ensure that the smoking/sitting room is as airy as possible. COSHH safety data sheets were accessible. Employers liability insurance was displayed in the office. The old insurance certificate, which is located near the front door should be archived. The water system within the care home needs to be checked by a competent person in regard to risk of Legionella. This was a previous requirement and needs to be met so as to provide evidence that residents are not at risk from Legionella. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 79 Harrow View Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 2 x G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 Requirement There needs to be two minor variation applications in regard to two residents. Timescale 1/5/05 not met There needs to be evidence that all care plan documentation is reviewed regularly. There needs to be evidence that there are appropriate agreed (multi disciplinary) recorded staff guidance in place in regard to a resident whose behaviour needs have changed within the last few months, It needs to be recorded as to why a dose of prescribed medication is not administered, and investigated by the registered person if this procedure is not carried out. The reason why a prescribed medication is not administered needs to be recorded and also reported to the registered manager. · Windows in two service users bedrooms had sills that were cracked and the wood was split in places. These need maintenance. · The basin surround in one Timescale for action 1/7/05 2. 3. 6 6 15 12,13 and 15 1/9/05 1/8/05 4. 20 13(2) 1/7/05 5. 24 23(2) 1/9/05 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 25 6. 34 3(3)© Reg Regs 2001 12,13(4) 16(2)(j) 13(4)23 (2)(p) 7. 8. 42 42 9. 42 23(4) 10. 42 13(4)23 (5) service users room needs maintenance.Previous timescle 1/11/05 not met. The dishwasher in the kitchen was not working and needs repair. The registered manager needs to obtain an enhanced Criminal Records Bureau check that has been countersigned by the CSCI. Previous timescale 1/5/05. Fridge and freezer temperatures need to be monitored. The registered person needs to examine ways of ensuring that smoke is extracted from the smoking room efficiently to minimise risk to health of all persons including non-smokers who use the room. The registered person needs to ensure that doors are kept closed unless there is an appropriate safety mechanism in place that allows the door to be left open during the day at minimal risk to residents. The registered person needs to consult the fire service for advice The water system within the care home need to be checked by a competent person in regard to risk of Legionella. Previous timescale 1/3/04 not met. 1/8/05 1/7/05 1/9/05 1/8/05 1/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 31 Good Practice Recommendations The registered person should ensure that if residents need any support in the management of their finances, that this be clearly documented and risked assessed. The registered person should ensure that there is staff G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 26 79 Harrow View 3. 4. 5. 42 42 42 member employed to replace the deputy manager whilst he is on secondment. Advice from appropriate sources should be sought to ensure that the smoking/sitting room is as airy as possible. The old employers liability insurance certificate, which is located near the front door should be archived. Advice in regard to assessing Legionella risk should be sought from the local authority Environmental Health Officer. 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection 4th 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 79 Harrow View G62-G11 S17538 79 Harrow View v212182 180505 Stage 4.doc Version 1.30 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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