Inspection on 17/07/06 for Anvil Close

This inspection was carried out on 17th July 2006.

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

Anvil Close 24/09/09

Anvil Close 08/01/08

Anvil Close 19/10/05

Anvil Close 11/11/04

Anvil Close 09/06/04

Anvil Close 10/11/03

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 Anvil Close 21-24 Anvil Close Nr Eastwood Street Streatham London SW16 6YA Lead Inspector Davina McLaverty Unannounced Inspection 17th & 19th July 2006 10:00 Anvil Close DS0000010164.V304151.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 Anvil Close DS0000010164.V304151.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. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anvil Close Address 21-24 Anvil Close Nr Eastwood Street Streatham London SW16 6YA 020 8677 4714 020 8677 5131 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) www.macintyrecharity.org MacIntyre Care Mrs Edith Uche Aganoke Care Home 12 Category(ies) of Learning disability (12), Physical disability (12) registration, with number of places Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home can admit one named service user over the age of 65 years of age. 19TH October 05 Date of last inspection Brief Description of the Service: Anvil Close is a home for twelve adults with learning disabilities, some of whom also have a physical disability. The property is purpose built and has been fully adapted for use by service users with wheelchairs. The home is on two floors and is divided into four flats, each with their own kitchen/dining room, lounge, toilet and bathroom, adapted shower room and sensory room. All bedrooms are single occupancy, with four bedrooms having ensuite facilities. Shared facilities include the lift, laundry room and a large garden. The home is situated at the end of a cul-de-sac in a quite part of Streatham, but is within easy reach of local shops, community facilities, bus and rail links. Parking is available. Further information concerning the service can be found on the organisations website at www.macintyre-care.org. At the time of this inspection the manager of the home reported that the fees per year range from £54,000 – £58,000. Additional charges are made for some outings and holidays. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 17th and 19th July 2006, and was conducted by one regulation inspector. The inspector met ten of the twelve residents, the manager and five support staff and one visiting relative. A number of records were examined, which included residents care plans, medication records, staff and residents meeting minutes, health and safety and staff records. A tour of the premises took place. Verbal communication with the majority of the residents was difficult due to the level of their learning disability. However, the inspector spoke at some length with three residents who respectively stated that, ‘the home was alright” “ the staff are nice and support me”, and “the food is nice”. All residents seen appeared appropriately dressed, relaxed and at home. Prior to the inspection taking place, questionnaires were sent out by the Commission to six residents, six health and social care professionals, and six relatives. Fifteen questionnaires were returned, five from relatives, five from health care professional and six from residents who had all been supported by staff to complete the questionnaire. All comments received from the residents were positive regarding the home and the care received. The majority of the comments from professionals were positive, whereas comments from relatives were mixed with three being very pleased and two stating that communication in particular could be improved upon. Comments received are reflected throughout the report. What the service does well: The staff team feel well supported by each other and the manager. Feedback from a visiting relative and one questionnaire received was positive, with references being made to staff commitment towards the residents. Residents are well cared for and were observed to be happy and at ease with the staff. Three residents spoken with said that the support they received from staff was alright and that they liked living there. The service offers a friendly, supportive environment to the residents. Staff had a good working knowledge of the resident’s likes and dislikes, and of their needs. Community support is provided to the home by the local specialist health and social care professionals, to help to make sure that residents health and social needs are met. Of the five questionnaires returned, many positive comments were received such as home is “well organised with polite staff”, and “cares for residents well”. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 the following standard(s): 1,2, 4 & 5 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. Prospective resident representatives will have information they need to make an informed choice about the home and its suitability for a prospective resident. An organisational assessment procedure is in place. Details of assessments were seen on resident’s files. EVIDENCE: The manager had updated the Statement of Purpose and the Service User Guide. Adequate information is available to assist a resident’s representative to make an informed choice as to whether the home can meet the prospective residents needs. The manager said that all residents had been given a Service User Guide. Currently, the guide is largely in a pictorial format, which better meet the needs of the residents. Copies of both documents were given to the inspector and were seen to provide adequate information to residents and their representatives. Several of the residents have lived in the home for many years; four files were examined and assessment documentation was seen on all of them. Recent reviews had taken place, new needs identified and files updated. Macintyre Care has an organisational admission procedure, which includes visits to the home for the prospective resident and their representatives. The Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 9 manager is aware of her role in the assessment and evidence of her involvement was seen on the file of the newest resident. The manager confirmed that a series of visits took place. One, which was overnight, prior to the decision being made to offer a place. This was to ensure that the home was able to meet her needs as well as providing an opportunity for the resident and their representatives to decide that they wanted to reside in the home. Contracts were seen to be in place in the four files examined. The contracts included details of the terms and conditions between the home and the resident. The contract between the home and the resident is in a pictorial format, which best meets the residents needs. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 the following standard(s): 6,7 & 9 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. Care plans and monthly summaries are in place. The Care planning system is person centered and aims to ensure that individual needs are being met. Risk taking is acknowledged by staff as part of developing an independent life and individual assessments are carried out to support this. EVIDENCE: Four care plans were examined. Care plans are well maintained and supported with monthly summaries, which detailed changes in health, medication, contact with family and activities involved with. The standard of recording is good. Staff try to involve residents as much as possible in their care plans but due to the level of learning disability of the residents, particularly those on the ground floor, it is very difficult for them to be involved in their care plan. The home is looking at trying to involve relatives more. Care plans are supplemented with a person centred plan, which are mainly pictorial and detailed hopes, fears and dreams. Details in these documents varied primarily due to the communication levels of the residents and the involvement of relatives in providing information where residents are not able to communicate Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 11 verbally. Goals identified for residents were sometimes practical, such as an activity they have always wanted to do or a holiday, which they might think that they are not able to go on. Changes in need were well documented in the care plans following reviews. General and individual risk assessments were also in place in the files seen and were up to date and were regularly updated. The home operates a key worker system, which endeavours to promote continuity of care. The residents spoken with were aware of who their key worker was and staff spoken to had good knowledge of their key residents. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 the following standard(s): 12,13 14 15 16 & 17 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. This home continues to maintain good links with the community, which enriches resident’s lives. The home provides a very good environment for them to develop their social skills as far as they are able. Staff continue to encourage and support residents to be as independent as possible. EVIDENCE: Each flat has its own television and music equipment. Several residents also have their own televisions and radios in their rooms. All 6 of the residents on the ground floor attend a day centre Monday to Friday. On the first floor residents have a more individualised day programme according to need. Activities involve gardening, theatre and computing. The majority of the residents on the first floor can go out on their own to known places. Local shops are located close by and the home has a mini-bus which enables staff at the weekends to take residents further a field. Written evidence was seen of trips out. The manager said that she is looking at the residents being involved in more meaningful activities, which they get something out of. Trips out can Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 13 then link into resident’s personal development plans. Holidays are also encouraged and supported. One resident spoke to the inspector of their trip to France, Belgium and Germany in May with two other residents. The same resident was also due to go on holiday with their day centre to Brighton, which they were looking forward to. At weekends, some residents visit family members on a regular basis. Others receive regular visits from their family. The visiting relative confirmed that she is always made welcomed at the home and that their relative have regular home visits, which the staff support them with. Another relative reported that they were not always made to feel welcome and that following home visits at weekends, it could be difficult to see a familiar staff member who knew their relative. In discussion with the manager, she stated that this issue has been addressed following a recent review with the introduction of a communication book to ensure that relevant information between the home and staff is shared. Another relative in her questionnaire was very positive, concluding that the home seems to be very well run and organised, good caring staff and had a generally cheerful, all round atmosphere. Staff were observed to treat residents with respect. For example, staff were seen to get down to eye level to talk to several residents in wheelchairs. One staff spoke of knowing the residents who cannot communicate so well from their facial and body language and spoke warmly of their love for the job. The menu showed that residents are offered a good range of foods. Staff reported that most meals are prepared from fresh and that healthy eating is encouraged. Residents spoken with stated how much they enjoyed the food. One spoke of his involvement in cooking. This resident spoke of staff preparing West Indian food for him on occasions. This was reflected in the menu seen. Staff reported that special diet can be catered for, currently several residents have their meals pureed due to dietary needs. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 the following standard(s): 18,19 & 20 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. Residents receive personal support, which meets their physical and emotional needs. Minor changes to be made to medication policy in respect of administration of medication. EVIDENCE: As previously mentioned, the majority of residents are non-verbal or find it difficult to discuss their needs in detail. One relative’s questionnaire was received, one telephoned the office prior to the inspection taking place and discussed the care of their relative. Views varied as regards their satisfaction with the care provided from very good, “ I could not ask for more,” to “complete breakdown in communication with staff in the home”. The manager reported that she and her staff team are endeavouring to build better relationships with a couple of the resident’s representatives. The manager showed the inspector a communication book, which is used to share information as well as being about to implement regular bi-monthly meetings to discuss any concerns or issues. The manager was also able to speak about the steps being taken in respect of some concerns raised by another residents Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 15 relative. Following discussion with the manager and staff, the inspector was satisfied that appropriate steps were being taken to address issues raised. Daily records are kept on each resident, and these were seen to be filled in appropriately and gave a clear picture of each person’s day. These feed into the monthly report sheets, which feed into the six monthly reviews. The health care professionals questionnaire reported that communication between the home and the centre was excellent and that they had no concerns regarding the care provided within the home. The medication policy was examined and found to be of a good standard, with the exception of advice given as to how administration could be given. This was discussed with the manager, concluding that the section must be rewritten and medical advice sought and obtained in writing as to how medication can be given, where residents may refuse to take their medication. Records (MAR) were fully completed. The allergy section on MAR sheets was also completed. Medication was seen to be appropriately stored in the two units where medication was examined. All staff receive medication training prior to being allowed to administer medication to residents. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 the following standard(s): 22 & 23 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. An appropriate written procedure is available, as well as a pictorial one, which is displayed in the various units. Organisational policies and procedures are in place to protect residents from abuse. EVIDENCE: The manager stated that there had been one formal complaint received since the last inspection, which she had responded to. Evidence was seen of this, however, the residents family were not happy with the investigation to the complaints made and the second stage of the organisation’s complaints policy is being used. The pictorial complaint policy is displayed in the home and three residents spoken to said that they would speak to staff or the manager if they were not happy Policies and procedures are in place for the protection of vulnerable adults. A copy of the local authority procedures is available in the home. All staff spoken to were aware of the Protection of Vulnerable Adults Procedures, as well as whistle blowing. The inspector noted that Adult protection had been discussed at a recent staff meeting. Staff reported that staff meetings are a regular occurrence and provides opportunities to share ideas and to confirm action to be taken should the need arise. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 the following standard(s): 24,25,26,27,28,30 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. The home was seen to be well maintained. Communal areas in all units are adequate and comfortably furnished. The home was found to be clean on the day of the inspection. EVIDENCE: The home is divided into four units; two on each floor, all have their own kitchens and lounges. There is a shared laundry room on the ground floor with industrial machines, which is used by staff for soiled linen. Washing machines are located in the kitchens in all four units and residents, where able, are supported to do their own laundry. All four units are quite different, reflecting residents needs. All four units were found to be homely in appearance (particularly flats 23 and 24), and all clearly took into account resident’s individual needs e.g. one unit had keyboards in the second lounge, whereas another, had a pool table. The two lounges on the ground floor had multisensorial equipment in them, which are more appropriate for the residents in those units. Flat 22 had new sofas and the communal areas in flat 24 had been decorated recently. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 18 Bedrooms seen varied in the degree of personalisation, due primarily to residents needs. Flats C and D were more personalised with resident’s personal possessions. One resident showed their room to the inspector and said that they were very happy with it, with the exception of the ensuite toilet, which was noisy when flushed. The manager stated that the problem only recently started and had been reported to maintenance, who had agreed to send someone out to ascertain what the problem was. Several residents had their own televisions and radios in their rooms. Lounges all had shared television and music equipment. In - house activities included board games and toys. One resident, who showed the inspector their room, said that they had everything they wanted in their room. This resident said that their privacy is respected and that staff will knock and wait to be asked to come in before entering. Specialist equipment was seen in some of the en-suite bathrooms, which were appropriate for residents. Raised toilet seats were also seen in the home. All bathrooms had paper towel dispensers and liquid soap. The manager reported that broken tiles in one of the bathrooms and broken bath unit in another had been reported for repair, which she was directly following up to ensure that they were repaired. Due to the excessive hot weather, the manager had purchased air conditioning units for some of the residents to make them more comfortable in their rooms. A large well maintained garden with a new water fountain is available at the back. Several residents and staff were seen to be enjoying the garden. Two staff raised the issue of safety for their vehicles as the gate, which secures the homes van and staff cars, was damaged and required repair. This was raised with the manager who said that it was in the process of being repaired. The home was seen to be clean on the day of the inspection. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. The training provided helps to ensure that a well-informed staff group supports residents. Recruitment checks seen evidence that all the required checks had been carried out. Staff meetings and staff supervision is carried out regularly. EVIDENCE: The manager stated that the home had 4 support staff vacant posts for which Macintyre Care relief staff are used. The home has advertised the positions. The home operates with two staff upstairs and four downstairs. The manager stated that in her view staffing levels were adequate, although at times shifts can be busy but staff aware of the importance of team working and will support where they can. Staff also described the manager as “hands on”. The inspector spoke to five support staff who varied in length of service within the home and included a waking night staff. All were very positive about the support and care given to residents. Comments included “ We look after our residents very well” “ the care and support here is very good” and “team work is good”. Four staff files were examined and were found to contain appropriate information regarding the checks carried out prior to starting in the home. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 20 The manager was in the process of updating all staff core training and records were available to evidence this. Staff spoken to were all positive about training. The majority of staff had completed their NVQ in Care Qualification and all staff spoke positively of the training offered by the organisation. Staff meetings and individual supervision takes place regularly with appropriate records being maintained. Staff meeting records were of a good standard, with staff who are not present signing to say that they have read the minutes. There is an organisational staff appraisal system in place. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 43 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. A quality assurance system is in place. Systems are in place to ensure the health and safety of residents and staff. EVIDENCE: The manager has been in post over three years and is NVQ level 4 qualified. All staff spoke positively of her management style, stating that she was “very thorough”, “approachable”, and “hands on” with “high standards, who leads by example”. A Regulation 26 monthly visit took place on one of the days of the inspection. Copies of these visits were available in the home, however, copies of these report visits must be forwarded to the Commission as required under Regulation. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 22 A quality assurance system is in place, which seeks the views of residents, relatives and other stakeholders. Questionnaires are sent out annually on return, collated and necessary changes made. Records showed that staff make regular checks on the building and equipment in the home and that the health, safety and welfare of residents are promoted and protected Sample records seen included the fire system, water temperatures, fridge and freezer temperature, fire and list servicing records, as well as the portable electrical appliance tests. All records seen were in order. Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 3 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 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 24 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 YA20 Regulation 13(2) Requirement The Registered Person must review the medication policy following medical advice regarding the administration of medication. Written protocols must be in place if medication is to given any other way than orally. The Registered Persons must ensure that copies of the Regulation 26 Reports are sent to the Commission. Timescale for action 30/09/06 2. YA39 26 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Anvil Close DS0000010164.V304151.R01.S.doc Version 5.2 Page 26 - 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!