Inspection on 03/10/07 for Abba Care

This inspection was carried out on 3rd October 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Abba Care 18/05/06

Abba Care 30/11/05

Abba Care 08/06/05

Abba Care 26/01/05

Abba Care 18/06/04

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 Abba Care 314 High Road Leytonstone London E11 3HS Lead Inspector James O Hara Key Unannounced Inspection 3rd October 2007 09:50 Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abba Care Address 314 High Road Leytonstone London E11 3HS 020 8536 1998 0208 555 3322 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Reverend Edmund Kofi Ampadu Beatrice Wanjiru Kiragu Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow the home to provide continuous care for a named service user, who is now over the age of 65 years. 18th May 2006 Date of last inspection Brief Description of the Service: Abba Care Home is a privately run registered care home can accommodate up to four service users with mental health needs. The premises are situated in Leytonstone High Road in the Borough of Waltham Forest. The building is a two storey terraced house with a garden. People who use the service have a single bedroom and share the sitting room, and kitchen/diner. There is a combined bathroom and toilet on the first floor, a toilet on the ground floor and one person has ensuite facilities in their bedroom. The home is on a main road with access to public transport. The aims and objectives of the home include supporting people to develop independence and responsibility; to enjoy everyday experiences and opportunities that the wider community enjoys and to be seen as valued individuals. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was carried out between 09.50am and 12.40pm on a Wednesday morning/afternoon. Methods of inspection included, • • • A tour of the premises Observation of contact between staff and people who use the service Discussion with people who use the service, staff and the registered manager. Records examined included, • • • • • • • • • Care plans Risk assessments Complaints Adult protection Staffing employment and training records Statement of Purpose Service Users Guide Medication Health and safety records. Requirements and recommendations from the previous inspection were also discussed with the registered manager. What the service does well: • • The overall impression when visiting this home is that it is comfortable, clean and hygienic and meets the needs of the people living there. The home provides people who plan to use the service and their representatives with all the information they need to make an informed decision about whether or not to use the service. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 6 • • • • • • The home has excellent procedures for assessing and admitting new people to the home. The staff group is stable so there is consistency of care in place. Staff work with heath professionals in order to meet peoples needs. People have care plans that are kept under regular review. People hold monthly meetings when they are consulted about the running the home. People are supported to consider their religious and cultural needs when planning what they wish to eat. People are offered well-balanced and nutritional meals based on their personal preferences. What has improved since the last inspection? • The home has changed and tested the smoke alarms in the various rooms, provided people with new furniture, like wardrobes and beds, painted some rooms, built a new fence to the right section of the garden, provided a new telephone answering device and changed all the light bulbs in the house to low energy ones to reflect an environmentally friendly service. People have signed and dated their contracts. Care plans are being reviewed on a regular basis with input from health professionals and family members. A record of the homes accounts is kept in the home for inspection. A complaint’s book is available for inspection. An answer phone is now available to assist communication with the home. The registered provider has completed monthly written reports on the conduct of the home and made these available for inspection. • • • • • • What they could do better: There were five requirements and two recommendations set at the last inspection. All of these have been met. As a result of this inspection two new requirements and four new recommendations have been set. The management approach of the home creates an open, positive and inclusive atmosphere. The overall impression when visiting the home is well run and well managed however; Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 7 • • • • The home could ensure that all appropriate documents are obtained prior to staff commencing employment in the home. The home could ensure that the homes fire detection and fighting equipment is tested on an annual basis. All members of staff should receive supervision at least six times a year. The home could make sure that all staff attends refresher training on fire safety, food hygiene, health and safety, moving and handling and adult protection. People’s relatives and other visitors and professionals could be surveyed on the quality of service provided at the home. • The inspector would like to thank people who use the service, members of staff on shift and the registered manager for their support during the course of the inspection. 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. The summary of this inspection report can be made available in other formats on request. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is excellent. This judgement has been made using all the available evidence including a site visit to this service. The home provides people who plan to use the service and their representatives with all the information they need to make an informed decision about whether or not to use the service. The home has excellent procedures for assessing and admitting new people to the home. EVIDENCE: A variation had been granted by the Commission to allow the home to provide continuous care for a named person over the age of 65. The Commission has revised its procedures for setting categories as conditions in keeping with the principles of Inspecting for Better Lives. It is no longer required that providers seek a variation to support adults over the age of 65. The home has a statement of purpose and service users guide. These documents include all of the information needed for people to make an informed choice of whether or not to use the service. The statement of purpose was reviewed in February 2007 however it is recommended that the document be updated to reflect that the home supports some people with elderly needs. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 10 One new person has moved into the home since the last inspection. His file was examined; he had a preadmission assessment carried out prior to moving into the home. The assessment was carried out by the registered manager and included important details in relation to the persons health, social needs and relationships, likes and dislikes, interests, special service needs, links with the community and a daily care plan record thus ensuring that the home could meet this persons needs. The new person visited the home and stayed over two nights before deciding that he would move in. As required at the last key inspection people who use the service have signed and agreed their contracts. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. People have care plans with detailed information on their needs and personal goals; care plans are kept under regular review. People have individual risk assessments and risk management strategies in place so that they can participate in activities in the home and in the community in a safe manner. EVIDENCE: People have individual care plans that are generated from the homes and health and social care professional’s assessment of needs. Care plans were available in care files for inspection. A requirement was set at the last key inspection that peoples care plans be reviewed on a six monthly basis with input from health professionals and family members. The registered manager produced evidence that care plans were being kept under regular review. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 12 One new person moved into the home in June 2006, he had a preadmission assessment carried out prior to moving into to the home; see Choice of Home Standard’s. The home also received needs assessments and reports from appropriate health and social care professionals. The new persons placement was reviewed after three months by his care manager and again in February and August 2007. His file included a service user profile, a record of health care appointments, a care plan including an action plan, completed and reviewed risk assessments developed with input from health professionals, the homes complaints procedure and a service users guide. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. Social and leisure opportunities for people to engage in both inside the home and in the wider community are well managed and age appropriate. People have regular contact with friends and relatives. People are supported to consider their religious and cultural needs when planning what they wish to eat. People are offered well-balanced and nutritional meals based on their personal preferences. EVIDENCE: People attend day centres for people with mental health problems. One of the service users attends a Black Peoples’ Mental Heath centre two times a week, two people attend a local authority mental health centre four days a week and the other person attends an Irish resource centre in Paddington three times a week. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 14 People have opportunities to attend various community amenities for example visits to local shops, pub and cinemas. Two people access the local community independently. People have bus passes and Dial-a-ride is used where appropriate. People have opportunities to attend a local church on Sunday if they wish and another person is supported to go to a Synagogue in Golders Green. People have opportunities to maintain family links. One person visits his family home every weekend independently. Another person visits his family home occasionally and another person is in regular contact by telephone with his family in Ireland. People can receive visitors in their bedrooms if they wish. People appeared comfortable and confident in their surroundings. People were observed to communicate verbally with each other and staff, there was a relaxed atmosphere in the home. People are able to move freely and take responsibilities for household tasks for example cleaning and tidying bedrooms, participating with laundry tasks. The registered manager produced evidence of weekly residents meetings were they discuss issues about them and the service, people also decide what food they would like on the menu for the week. The registered manager stated that staff encourages people to eat healthy meals. People have no specific dietary needs however the registered manager stated that people are supported to cook meals that reflect their cultural and religious requirements. It was observed at the last key inspection that people were able to make drinks and snacks however were not able to cook a meal independently. The registered manager stated that the home is trying to support people with independent living skills, one person now attends cookery classes on Wednesdays and cooks light meals, other people go food shopping prepare breakfast, make sandwiches and help to prepare Sunday lunch. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The arrangements for meeting the health care needs of people who use the service are good and people receive personal support in the way they prefer. The homes policies and procedures for handling medicines in the home ensure the people are so far as reasonably practicable protected from harm and/or abuse. EVIDENCE: Staff supports people some with personal care for example assistance with a bath or a shower. People’s privacy is respected at all times. Some people require prompting only with basic personal care. Staff support people to meet their heath care needs. Staff escort people to medical appointments, for example, General Practitioner, Opticians, Dentist and Psychiatrist. A psychiatric Nurse visits the home on a regular basis to administer a depot injection to one person. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 16 Boots the Pharmacist supplies medication in blister packs. People keep their medication in a locked cupboard in their bedrooms. Staff prompt people to take their own medication then staff sign to witness that medication has been taken. The home has written procedures on the self-administration of medication with detailed guidance for staff and people who use the service. The registered manager stated that two people self-administrator their medication, assessments have been carried out and self-administration is monitored and kept under regular review. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home has appropriate complaints procedure in place. The home has suitable vulnerable adult protection and abuse prevention measures in place to ensure that people who use the service are so far as reasonable practicable protected from abuse, neglect and/or harm. EVIDENCE: The home provides a simple and clear complaint policy and procedure for people who use the service, their family members and for other relevant parties. This is displayed on the notice board. The registered manager stated that there had been no complaints made to the home since the last inspection. A complaint book was available for inspection. The home has a copy of the local authority, Waltham Forest, adult protection procedures and toolkit. The home also has an adult protection policy and procedure that contains sufficient guidance for staff to enable them to protect people from abuse. The registered manager stated that she had trained all staff on adult protection. The registered manager stated that she would train staff again on adult protection awareness on the 19th of October. The registered manager understands her responsibility to refer staff that harm people in their care to the POVA list. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home is suitable for its stated purpose. The overall impression when visiting this home is that it is comfortable, clean and hygienic and meets the needs of the people living there. EVIDENCE: Three people have a single bedroom; one person has a bedroom with an en suite shower and toilet. There is a bathroom on the first floor and a lavatory and wash and basin on the ground floor. The registered manager stated that since the last inspection that the home has changed and tested the smoke alarms in the various rooms, provided people with new furniture, like wardrobes and beds, painted some rooms in the home, built a new fence to the right section of the garden, provided a new telephone answering device and changed all the light bulbs in the house to low energy ones to reflect an environmentally friendly service. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 19 The registered manager sent an Annual Quality Assurance Assessment (AQAA) to the Commission. The AQAA states that the home plans to provide new chairs in the kitchen and peoples rooms, provide a new front entrance door, errect a new fence on the left section of the garden and tackle the second phase of the painting and decoration of the home. Sky TV is available to people who use the service, one person said that he enjoys watching football on the sport channels. The home was clean with no offensive odours. Laundry facilities are sited in the kitchen and are domestic in character. The home is provided wash hand basin in the kitchen to assist staff/people with hygienic food preparation. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. People who use the service are supported by a stable staff group who clearly understand their individual needs however staff should attend refresher training on fire safety, food hygiene, health and safety, moving and handling and adult protection. The home needs to improve its procedures for the recruitment of staff. All the information as required in schedule 2 of the Care Home Regulations should be obtained for all members of staff prior to employment in the home. EVIDENCE: A stable staff group supports people who use the service. Staff files were examined. Each file included proof of identification, references, criminal record checks, completed application forms including employment history, employment contracts and evidence of qualifications. It is recommended that staff files include a recent photograph and a statement by the person as to their mental and physical health. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 21 Some staff has completed NVQ level 2 in care and three members of staff have nursing qualifications in mental health. The registered manager stated that all members of staff are completing NVQ level 3 courses at various local colleges. It was noted that one person who started work at the home in 2003 had a criminal record check from a previous employer. This person did not complete a new criminal record check prior to employment at Abba Care. The registered manager stated that this person was in post when she started work at the home. The registered manager must ensure that the member of staff applies for a new criminal record check. The registered manager must ensure that any new member of staff completes a criminal record check before commencing employment in the home. The registered manager stated that staff training was discussed in supervision, however some staff had not attended training on fire safety, moving and handling, food hygiene, first aid and health and safety in some time. The home could make sure that all staff attends refresher training on fire safety, food hygiene, health and safety, moving and handling and adult protection. The registered manager stated that staff would attend fire safety and health and safety training in house on the 19th of October. It is recommended that the registered manager develop a training matrix that indicates what training staff has attended and plan for future training needs. The registered manager produced evidence that staff is supervised however the frequency of supervisions depended on the hours worked by staff. Part time staff has not had the same frequency of supervision as full time staff. The registered manager stated that a senior member of staff is training so that she can supervise some staff. It is recommended that all members of staff receive supervision at least six times a year. The registered manager produced an appraisal format that she plans to action in the home. The appraisal includes a personal development plan, the registered manager stated that staffs training needs would be identified and passed to the registered provider and a training budget would be set. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The overall impression when visiting the home is that it is well managed. The management approach of the home creates an open, positive and inclusive atmosphere. EVIDENCE: The registered manager has nineteen years experience of working with people with learning disabilities and people with mental health; she also worked with homeless people and as an advisor in the Citizens Advice Bureau. She holds a Registered Managers Award and NVQ Level’s 4 and 5 in Care. She also holds a Higher National Diploma in Care. She has managed the home since 2004. It is no longer a requirement under the Care Homes Regulations that regulation 26 reports are sent to the Commission unless it is requested, Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 23 however copies of the reports must be available in the home for inspection. Regulation 26 visit reports were available in the home for inspection. The registered manager produced the homes Quality Assurance Audit “Reviewing and Improving Annual Performance” this format looked back at the homes achievements over the previous twelve months and planned for improvements over the next twelve months. The registered manager also produced completed satisfaction surveys completed by people who use the service. She stated that feedback from the questionnaire would be used to improve the service. It is recommended that the registered manager ask peoples relatives and other visitors and professionals to complete a survey about the service provided at the home. The registered manager produced evidence that portable appliance testing had been carried out in July 2007 and a landlord’s gas safety certificate was produced dated 07/08/07. The home does not have water tanks and receives water through the mains. The home has a policy for the prevention of Legionnaires disease, water temperatures are checked daily and showerheads are checked weekly. The home has a valid insurance cover against loss or damage to the assets of the property. A requirement was set at the last key inspection that an up-to-date record of all accounts be kept in the home for inspection, showing the details of running costs, including rent or mortgage payments and expenditure on food, heating and salaries and wages of staff. The registered manager produced these records on the day of the inspection. The homes fire book indicated that the fire alarm system is checked on a regular weekly basis by staff. The registered manager stated that since the last inspection that the home has changed and tested the smoke alarms in the various rooms. The registered manager stated in the homes Annual Quality Assurance Assessment (AQAA) that the homes fire detection and fighting equipment had last been serviced by the manufacturer or regulatory body in March 2006. The registered manager must ensure that the homes fire detection and fighting equipment is tested on an annual basis. All staff attended fire safety training 2005. The registered manager stated that staff would attend fire safety and health and safety training in house on the 19th of October. Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 3 Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 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 Regulation 19 (1) b Requirement The registered manager must ensure that the member of staff applies for a new criminal record check. The registered manager must ensure that any new member of staff completes a criminal record check before commencing employment in the home. The registered manager must ensure that the homes fire detection and fighting equipment is tested on an annual basis. Timescale for action 30/11/07 2. YA42 23 (4) a 30/11/07 Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 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. Refer to Standard YA34 YA32 Good Practice Recommendations It is recommended that staff files include a recent photograph and a statement by the person as to their mental and physical health. Staff should attend refresher training on fire safety, food hygiene, health and safety, moving and handling and adult protection. It is recommended that the registered manager develop a training matrix that indicates what training staff has attended and plan for future training needs. It is recommended that all members of staff receive supervision at least six times a year. It is recommended that the registered manager ask peoples relatives and other visitors and professionals to complete a survey about the service provided at the home. 3. 4. YA36 YA39 Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Abba Care DS0000007307.V349618.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!