Inspection on 23/06/05 for 94 Station Road

This inspection was carried out on 23rd June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

94 Station Road 27/11/06

94 Station Road 12/12/05

94 Station Road 05/01/05

94 Station Road 08/10/04

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 94 STATION ROAD Hendon London NW4 3SR Lead Inspector Tola Akinde-Hummel Unannounced 23 June 2005 at 09.10am 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. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 94 Station Road Address 94 Station Road, Hendon, London NW4 3SR 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 8202 7621 020 8202 7621 94stationroad@norwood.org Norma Brier for Norwood Ravenswood Miss Emma Davis PC Care Home only 5 Category(ies) of LD Learning Disability registration, with number of places 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5 January 2005 Brief Description of the Service: 94 Station Road is a registered care home accommodating five adults with learning disabilities The home is run by Norwood, a Jewish charity that operates mainly in the Northwest area of London. The service accepts non Jewish people providing they understand and are prepared to live in a home that practices Jewish religion and observes the cultural rules. The home is a large two storey domestic premises that is well decorated and maintained. The communal areas are situated on the ground floor and consisit of a lounge, kitchen/diner and conservatory. One service user has a ground floor bedroom with an adjoining toilet/shower room. The staff facilities and four other bedrooms are on the first floor with adequate bath/toilet facilities. The home has good access to shops and public transport facilities and is a short walk away from Hendon Central tube station. The stated aim of the home is to provide 24 hour care in a homely environment where the priority is given to the establishment of safe secure and nurturing relationships between service users and members of staff. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took approximately four hours with selected standards being assessed. The registered manager was not available during this inspection. The inspector was greatly assisted by a support worker, Ms Julie Lueega throughout the inspection. The inspector spoke to all five service users in the home, but spoke to three of them independently, in great detail. The home has no vacancies and service users have lived in the home for 8-10 years. There was two staff on duty during the morning with another staff member joining the team in the afternoon. The aroma therapist was also present during the inspection. The inspector had a tour of the building, looked at the two requirements from the previous inspection, and looked in detail at the care plans and medication. The inspector also looked at the records of complaints, accidents/ incidents, health and safety, residents meetings, and policies and procedures. The inspector also spoke to the three staff in confidence. The inspector would like to thank the service users and staff for their assistance during the inspection. What the service does well: 94 Station Road is a very comfortable homely environment. Service users are at the heart of the service. The fact that 94 Station Road is their home is clear. The service users are respected by staff who make real efforts to include service users in the decision making in the home and actively promote their independence. All staff are non Jewish but respect and uphold the religion of service users in the home. Staff know the service users well and interact with them in a sensitive manner. The staff team work well together, led by a focused manager who ensures that training, supervision and staff meetings are carried out on a regular basis. Service users are independent, often going out alone and undertaking activities of daily living. Their safety is also considered whilst they are out ensuring where necessary that service users have mobile phones and safety alarms. Staff at Station Road encourage relationships outside of the home and facilitate these where required. The general health of service users is also well addressed by staff at Station Road. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 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. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 1,2,3,5 Service users at 94 Station Road are supported where appropriate to realise their aspirations. Service users understand their rights and are supported to make sense of contractual agreements that they enter into. This enables service users to make informed choices about where they live and what they do both inside and outside of the home. EVIDENCE: The inspector was able to speak at length to three service users. All service users had lived in the home for between 8-10 years and said that they had visited prior to moving in. Two service users had in their possession the service user guide and contract. One service user had mislaid hers. They explained that they had read and understood the contract or this had been read to them. The service user guide is a pictorial guide that explains what the home intends to do i.e. help develop and maintain relationships, adopt a key worker system, pay attention to gender religious and disability issues as well as other important information. It is well-written, bright and service user friendly. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 9 The service user plans of all five service users were examined in detail. These plans were originally put together by social services outlining the needs of service users and their aspirations. The activities that service users are involved in relate to the original plan and in all cases have been reviewed and developed since living in the home. This has been monitored through the placing authorities reviewing process where some new targets are set. The plans developed by the home are specific in outlining service users interests, social relationships and socialisation. One service user that was about to go to college said he has been waiting for his placement at Tesco’s supermarket to be confirmed, as he is really keen to work. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 6,7,8,9 The individual plans of service users are up to date and modified according to their changing need. Service users are actively encouraged to participate in decisions relating to their daily living experience. By doing so, service users make their own choices that lead to a positive outlook in their life because they exercise control. The lack of a risk assessment for one service user must be addressed as a priority to ensure that these risks are assessed and minimised to promote their health, safety and protection. EVIDENCE: The individual plans of service users are detailed and reviewed monthly. Changes made to these plans are clearly recorded and easy to follow. These are followed by a risk assessment where appropriate. One service user told the inspector that a change had been made to her plan sometime ago. In her opinion this change was no longer relevant and required amendment. She informed me that a meeting has been set up with staff members in the home to look at the care plan and she intends to discuss what changes she wishes to be made. Service users have quarterly individual plan meetings with their key workers where goals are set for the coming year. These goals include 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 11 items such as gaining more confidence in community settings, taking more responsibility with chores in the home and other aspects of service users life that is relevant to them. The actions and timescales are determined and both the service user and key worker sign the documents. During the inspection service users were included in all aspects. They entered the office at their leisure and were not restricted in their movement around the home. One service user told the inspector that she had arranged her room the way she likes it, she chooses her own clothes, goes unaccompanied to the library and other places that interest her. As she often travels around London independently she has a mobile phone and calls as necessary to advise staff that she is safe. The inspector noticed on care plans that a number of service users have mobile phones which gives an increasing level of independence to them when out unaccompanied. The risk assessments carried out on service users are detailed and includes risks associated with self medication. One service user advised the inspector that he self medicates and that this works well as he is assisted by staff but keeps his medication securely stored in his room. All service users manage their own money and organise themselves to go and collect their benefits or withdraw money from the bank. One service user went unaccompanied to the bank for this purpose during the inspection. The inspector looked at the accident incident records in the home. All reports were clearly recorded. The inspector then looked at care plans of service users based on some of the accidents and incidents that had been recorded. One care plan did not have a risk assessment relating to a particular incident that had occurred some time ago. This is of particular importance as it is likely that the incident could reoccur and there is no record of preventative measures that may be in place to reduce the risk of this type of incident reoccurring. This is a requirement. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 11,12,13,14,15,16,17 Service users independence is encouraged and promoted. Staff respect the rights of service users to make choices about their own lives and discuss with them any areas that may need further consideration. Service users have active lives outside of the home and this is encouraged. Service users are confident that they can make decisions about their lifestyle. EVIDENCE: During discussions with service users the inspector learnt that service users have a variety of activities and interests. One service user declared, “I love sport, my favourites are Formula One racing, and football. I also like travelling, I have been to Lille with college and I am learning French at the moment. Tonight I’m going bowling in Finchley with the Links club and I have also visited the Tate Modern with them” On further discussion it became clear that service users in the home socialise well and take up activities and learning opportunities that interest them. These are well recorded on the weekly activities plan in the office and in individual plans. These include computer classes in the home and at classes in the community. One service user attends cookery classes at a local synagogue. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 13 Another service user told the inspector proudly “ I have been asked be Godfather to my cousins new born baby I am looking forward to this, I will also be going to Barcelona for a few days to see my father”. Service users in the home have strong family ties; they have regular contact with their relatives and have established relationships with other people outside of the home that they socialise with. These relationships are well documented, assessed and encouraged. Service users are encouraged to invite friends round and entertain them. The service users in the home are all Jewish and practice their religion as they wish. The observations of their religion, traditions, holidays and rules are understood and respected by staff despite their being no Jewish staff working in the home. Service users confirmed that they are treated with dignity and at all times, their privacy is respected and staff never enter their rooms without knocking first The home provides Kosher food for service users and the preparation is in accordance with Kashrut. Service users cook and prepare their own food with the assistance of staff. Service users told the inspector that they do some cooking although are not confident about doing so alone. One service user said her favourite food is meat and her favourite drink is coffee. Service users had a discussion with a member of staff and agreed what was to be prepared for lunch on the day of inspection. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 18,19,20,21 Service users at 94 Station Road are encouraged to maintain their independence and make decisions in their life. The responsibility is that of the service users when making decisions. They take this willingly and are able to ask for advice or assistance when they need it. EVIDENCE: The service users living at 94 Station Road are very independent and vocal. They are well able to express themselves and ask for assistance when necessary. On the day of inspection one service user was having a discussion with a member of staff trying to decide how to organise his day. The service user had chores to complete and also had an aromatherapy appointment. He wanted to ensure he could get everything done in time to have the afternoon free. Having discussed the options with the staff member he came to a decision about how he will organise himself and completed the tasks in time. Another service user told the inspector that he chooses his own clothes and does his own washing. Some service users are supported to keep their bedrooms tidy and encouraged to participate more in household chores. Others are well organised and do not need encouragement with daily living tasks. These are recorded in their individual plans as areas for development where appropriate. Service users advised the inspector that they attend medical appointments as necessary and 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 15 are supported by staff to do this. All medical interventions are recorded on the file. The inspector looked at the medication cupboard and found this to be in order. The medication is stored in a locked temperature controlled cabinet in the office. The medication cupboard has a large notice advising who the first aide staff are in the home. The inspector spoke to the service user who manages his own medication, this is also satisfactory. The files also record service users that have personal alarms to promote their safety when out in the community. All service users have details of their wishes in the event of their deaths recorded on file. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 22,23 Service users can be confident that their views are listened to and acted upon by staff in the home. The policies and procedures are robust and that staff are familiar with them. This ensures abuse is recognised and where possible prevented from occurring. EVIDENCE: The inspector looked at the complaints policy in the home The complaints information for service users is excellent. It is completed in pictorial form and outlines the stages of the complaint. It shows pictures of who within the organisation will deal with the complaint at all stages. This brings familiarity to service users about who will be hearing any complaints made and de mystifies the process. There have been no complaints in the home since 2003. All service users said that they know how to make a complaint if they feel the need to but added that issues in the home are resolved via discussion with staff or raised at residents meetings. The vulnerable adults policy in the home is good and was reviewed in January 2005. This includes CSCI details for all Norwood homes. The guide includes definitions, procedure for responding including details of the local vulnerable adults coordinator. The home also has a copy of Barnet’s Adult protection guidelines. The inspector questioned two staff members about their knowledge of these policies and was satisfied that they were familiar with them. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 24,27 94 Station Road is clean hygienic and has a pleasant homely atmosphere. The shower in the bathroom must be repaired to allow service users to take a shower with ease. The home must ensure that they have fans available to service users when it becomes uncomfortably hot. The heat in the home makes service users uncomfortable and unable to pursue their activities with their normal level of enthusiasm. EVIDENCE: One service user gave the inspector a tour of the building. The inspector was shown all communal areas. The communal areas are comfortable and all rooms are domestic in size. The entrance hall is large, warm and inviting. The lounge is well furnished and comfortable. The kitchen is clean and bright and leads on to a conservatory that backs on to a well-tended garden. The bathroom in the home requires some work as the shower is broken and this means if service users wish to use it, they must hold it in their hand. A requirement is made in respect of this. Service users also told the inspector that they are too hot as there is only one fan. With permission, the inspector was able to take a look at two service users bedrooms. All the bedrooms are decorated according to the tastes of the service users. One service user 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 18 advised the inspector that she chose the furniture in her room and her appliances such as the TV and radio. The home is clean and free from offensive odours. The inspector saw a cleaning rota in the office specifying what jobs need to be done when. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 33, 35,36 The staff at 94 Station Road are clear about their responsibilities which in turn creates a greater feeling of security amongst service users. Staff are supported by their manager through leadership, training and supervision. Staff also support each other at work. This gives service users the confidence and trust in staff necessary to live a settled purposeful life. EVIDENCE: Station Road has a stable staff team. There has recently been a new recruit. The new staff member advised that she completed an application form, had an interview and has been on an induction programme. She is the process of starting her foundation programme. The new staff member has had supervision with the manager and the senior support worker and finds this process very useful. The member of staff confirmed that she has attended team meetings in the home. This member of staff has also observed individual plan meetings and will start key working with a service user in the near future. The staff member says that the induction process was very helpful and she has completed reflective accounts, question and answer worksheets and in this process has found the manager very supportive. The general impression of this staff member is that it is a comfortable place to work and the service users are respected and appropriately supported. The staff member also added that 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 20 when policies are read staff must sign to say they have read and understood them. The aroma therapist who was in the home during the inspection, told the inspector that she had been visiting the home for many years. In her opinion the home is well run and the manager is fabulous she said that as a manager she gets things done yesterday. The aroma therapist also said that “the staff team are brilliant with dealing with sometimes fractious behaviour”. Service users have told the inspector “ I like living here, I like the staff, they are friendly and helpful”. The inspector was able to speak to two other members of staff who confirmed that they receive regular supervision, complete training and are clear about their roles and responsibilities when on shift and in the absence of the manager. The Inspector saw the agenda of the team meetings items included training, service users, festivals, health, action plan and other relevant items. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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) 37,39,42 94 Station Road is well managed and there is evidence of short,medium and long term planning. Service users are involved in these processes. This makes the smooth running of the home a partnership with service users thus promoting their rights and responsibilities in their own environment. The registered provider must send monthly reports to the CSCI. EVIDENCE: The observations of the inspector through talking to service users and staff suggest that the home is well run. Staff and service users are happy with their experience in the home and all believe that the manager is doing a good job. Service users are vocal and move around the home freely. Two service users were present when the inspector gave feedback at the end of the inspection. They expressed their opinion about the requirements that were to be made and believed these were fair. They also asked the inspector what her assessment of the home was and expressed their own view. This was not 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 22 considered at any point as being unusual by staff. Service users made jokes with staff and there was a relaxed atmosphere in the home. The home has policies and procedures that cover all aspects of care for service users as well as health and safety issues. All health and safety test records were examined and the inspector saw evidence of compliance. The alarm tests, fire drills and fire risk assessments are kept up to date and kept under review. The service users were able to tell the inspector the fire procedure for the building and where the meeting point is. They also confirmed weekly testing of alarms. The electrical installation certificate that was a requirement from the last inspection was sent to the commission and checked again at this inspection thereby meeting the requirement. The homes certificate of registration and insurance is prominently displayed. The water tanks have been satisfactorily tested as have the portable appliances. Fire extinguishers have also been serviced. The previous inspection required that the registered provider send in monthly reports to the CSCI of their unannounced visits to the home. These reports have not been received by the CSCI therefore this requirement must be restated. This is the forth time that this is being required . The inspector also saw a survey in pictorial form completed by service users asking quality assurance questions relating to their experience in the home. The inspector was able to look at the annual development plan in the home and this specified the areas for development, who is responsible and how this would be met. All staff and service users in the home play a part in the development plan. The service users needs are a focus of the plan and issues such as health, advocacy, equality and diversity and real community participation are some of the goals set out and relate directly to the National Minimum Standards for Younger Adults. The inspector believed that this plan was well written and appropriately focused. 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 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 3 2 3 x 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 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 x x x 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 x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 94 STATION ROAD Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 3 x G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 24 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 9 Regulation 13, ( c ) Requirement Timescale for action 07/09/05 2. 24 23, (p) 3. 27 23,(c ) 4. 39 26 (5) The registered person must ensure that a risk assesmnet is carried out on an individual where issues and risks to personal safety have been identified. This assessment must be sent to the commission. The registered person must 07/08/05 provide some fans in the home to avoid service users becoming unreasonably uncomfortable in hot weather. The registered person must 07/09/05 ensure that the showe in the upstairs bathroom is repaired and re attached. The registered provider must 07/09/05 ensure that copies of reports of monthly unannounced visits to the home by a representative of the provider organisation are sent to the CSCI after each visit. (Previous timescales of 29/02/04, 30/11/04,19/01/05 not met). 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 94 STATION ROAD G59 S10531 94 Station Road V221979 23.06.05 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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. 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