Inspection on 08/09/05 for Argyle Road (Respite Care Project)

This inspection was carried out on 8th September 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Argyle Road (Respite Care... 26/06/06

Argyle Road (Respite Care... 13/01/06

Argyle Road (Respite Care... 25/01/05

Argyle Road (Respite Care... 23/11/04

Argyle Road (Respite Care... 16/02/04

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

CARE HOME ADULTS 18-65 Argyle Road (Respite Care Project) 36 Argyle Road Ilford Essex IG1 3BQ Lead Inspector Stanley Phipps Unannounced 08 September 2005 - 14:15 hrs 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. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Argyle Road (Respite Care Project) Address 36 Argyle Road Ilford Essex IG1 3BQ 0208 518 3064 0208 518 3064 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) Redbridge Community Housing Ltd [RCHL] Ms Sonia Lyng CRH - Care Home 6 Category(ies) of LD - Learning Disability - 5 registration, with number of places Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include one named individual with mental health problems. 2. To include two named individuals over 65. Date of last inspection 25/1/05 Brief Description of the Service: The home forms part of the Argyle project and is a six-bed respite unit. The other houses in the project are two-bedded flats and four single self -contained flats in the local area. The house is situated near to Ilford town centre and is close to local facilities and transport networks. The property is owned by the London Borough of Redbridge and managed by Redbridge Community Housing Limited (RCHL). The aim of the home is to provide short stay accommodation for up to six adults with mild to moderate learning disabilities. The home has six single bedrooms, one of which is situated on the ground floor. The ground floor shower and toilet are accessible to wheelchair users. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in just under three hours and was timed to coincide with the early afternoon activities, observe the lunch - time routines and to monitor the overall progress of the home. The inspection found that the home continued to make good progress over the last inspection year, although there were aspects requiring further improvements. These areas are identified later in this report. One service user was present at the time of the visit as others were out to the day centre. This service user looked happy and comfortable with the staff and was observed positively engaging with her environment. An assessment was made of a random sample of care plans and risk assessments, medication records, the staffing rota, menus and activities for service users, monthly provider reports, policies and procedures and staff recruitment records. Detailed discussions were held with the manager and a further discussion was held with one staff member on duty at the time of the visit. What the service does well: Service users at Argyle receive a thorough and detailed assessment from the manager and staff, prior to and during their admission to the home. This is beneficial to service users in not only determining whether their needs could be met, but also whether the home is suitable for the service user. The home is effective at providing appropriate stimulation by way of activities, both internally and externally for the benefit of service users. What’s positive about this is that the stimulation is provided on an individual basis and is based on both the service user’s choice and interest. The registered manager works positively with the Commission in responding to areas identified for improvement in the service. Her actions are usually prompt and this includes seeking regulatory guidance when needed. This benefits service users in that actions undertaken by the manager are spontaneous and in their best interests. Service users receive good support from the staff and manager to maintain a healthy lifestyle, as they (staff team) leave no stone unturned in ensuring that needs where identified are acted upon without delay. This was evident from an examination of the healthcare records of service users. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 7 contacting your local CSCI office. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (1,2,3) Prospective service users are guaranteed to have detailed information with regard to what’s on offer at Argyle Road to assist in enabling them to decide whether the home is right for them. They are also assured of the fact that their needs would be thoroughly assessed and that a decision for admission is agreed on the premise that those assessed needs would be met. EVIDENCE: There is an excellent statement of purpose and service user guide in place at the home as they are user focused and user friendly and comprehensive in nature. These documents exceeded the minimum requirements at the last inspection as a result, however the manager disclosed that the staffing structure was reviewed for the whole Argyle Project in April 2004, but these changes were not reflected in the current document. As such, the changes would need to be reflected in the statement of purpose. A random sample of service user files indicated that assessments are extremely detailed prior to admission and hence decisions around admission, although requiring prompt responses, are made when needs identified can be met by the home. In one case there was a pain chart, food chart and a bowel chart and this represented part of the service user’s assessment. It was evident that the processes of assessment looked in detail at the individual service user and this is positive for all service users concerned. More importantly, service users are involved in the process which not only gives them ownership, but assurance that their needs would be met. This is a strong area of the home’s operations. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (6,9) The assessed and changing needs of service users are not only recorded in their individual plans, but in most cases they are adequately provided for by the home. Risk assessments form an integral part of how service users are supported at Argyle Road and they are drawn up in tandem with the service user plans. This not only maximises the potential of each service user, but aspires to so do within a safe framework. EVIDENCE: An assessment of a random sample of service user plans and risk assessments indicated that needs were thoroughly identified and recorded there. The staff and manager had these documents updated and reflective of the changing needs of each individual. From the sample assessed, there was one case in which the changing needs of the service user were accurately reflected and satisfactory efforts to provide care and support to this service user were in place. However, from the most recent assessment seen, her needs were becoming increasingly greater than what could be provided for by the home. It should be noted that this service user had been with the service for a prolonged period that was outside the statement of purpose of the home. The service user therefore, was at the stage of necessitating an alternative placement where her changing needs could be more appropriately met. In discussion with the manager this view was certainly shared by her and members of the staff team. In order to ensure that the service user concerned Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 11 gets the best possible care with least possible risk to her health and welfare, arrangements need to be expedited to arrange alternative care for her. This was discussed in detail with the manager on the day of the visit. It is commendable that the risk assessments for all service users were updated, setting out the framework for service users to enjoy their life, both in the home and while using the community facilities e.g. cinema, pubs and bowling alleys. From the level of recorded service user participation in these activities, it was appropriate to conclude that they were pleased with them. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (11,14,15,17) Argyle Road offers service users opportunities to participate in activities for personal development based on choice and best suited to their interests. This enables them to live as full a life as possible. They are encouraged and supported to maintain positive personal and social relationships and are involved in determining with staff support, the types of food they want, which is appropriate to their needs. EVIDENCE: Despite the fact that this service offers respite care and support, arrangements are in place to keep service users appropriately stimulated on a daily basis, once placed in the home. At the time of the visit, four of the five service users were attending two day centres and from speaking with the manager, the choices were made by the individuals concerned. Although none were available for comment at the time of the visit, it was reported that they look forward to attending these facilities and it was positive to have learnt that they gain personal satisfaction from attending these specialist facilities. The manager and staff are proactive in planning with the service users their leisure pursuits and this is generally set out on a monthly basis, but never in Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 13 tablets of stone. All service users are given the opportunity to participate in the process. Examples of activities planned for the month of September included, a cinema trip, video and popcorn (in-house), a trip to the Tropical Wings butterfly park and animal farm, a barbeque, a bowling trip, pub outings and a trip to Malden. It was evident that a packed leisure programme was in place at Argyle Road. It was reported that for the benefit of service users who were Jewish, Jewish evenings are held in the home. From records viewed there was good evidence to confirm that relatives are an active part in the care of service users, wherever possible. The manager and staff have open lines of communication to facilitate these occasions, which may take the form of service user care-planning, changes in their health conditions and/or socially. At the time of the visit lunch was not observed, as the service user present in the home did not want anything to eat at the time. However when asked whether she could have anything she wanted to eat, she gave a positive nod and replied ‘yes’. Food shopping was done at the time of the visit and the quantity and quality of food purchased was satisfactory. Food storage was also generally satisfactory, although there were some questions around actions to be taken if the fridge temperature was to drop below the ambient temperature. This is covered fuller in standard (42) of this report. It was positive to witness the service user involvement in putting away the shopping, although her level of participation was self-determined. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (19,21) A sound system is in place for monitoring and maintaining the healthcare of service users at Argyle Road and staff work closely and in a supportive manner to enable this. Service users are generally, well supported in dealing with their medication, which is integral to managing the difficulties associated with their illnesses. Protocols around the administration of ‘as required ‘ medication needs to reflect the current practice in the home to ensure the safe handling of medication in the home. EVIDENCE: All service users have their health related problems well documented in their service user plans. Actions to be taken when issues arise with their health were also in place. Once contact is made with a health professional this is duly recorded including the reason for the contact/consultation. On the day of the visit the psychiatrist was due to visit to conduct a review on one of the service users whose changing needs had been a concern to the manager and staff for a while. Although he did not arrive during the course of the visit, the manager was on the case to ascertain what the situation was- in other words she was following up the matter in the interest of the service user. Medication was generally handled satisfactorily in the home. At the time of the visit, all service users requiring medication were in receipt of support from staff in the home who are appropriately skilled to provide both the level and type of support required. There was at least one case in the home of a service user being prescribed ‘as required’ medication. On checking with the manager there Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 15 was only a draft protocol in place and this required re-drafting. It was discussed with the manager that this document needed to be reviewed and finalised so that it becomes a working document. At its completion stage, it should clearly give guidance that is consistent to providing medication in this way – safely. Some consideration also needs to be given to reviewing the current arrangements for storing oral medication with medication for topical purposes. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (22) Service users and their relatives can be confident that their concerns would be addressed in a satisfactory manner at Argyle Road. This provides a form of protection and promotion of their rights as individuals. EVIDENCE: A satisfactory complaints procedure was in place at the home and it was available to service users, staff and relatives. At the time of the visit, the complaints’ record was examined and they were handled satisfactorily. Service users are also encouraged to raise concerns as and when they arise and the manager disclosed that they concerns are discussed communally, which is one way of addressing issues before they blow up into major concerns. On the evidence gathered complaints were handled in the service users’ best interests. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (24,27,30) Service users enjoy a homely clean, hygienic and relaxed environment at Argyle Road, as the home is generally fit for its purpose. The manager and staff have made concerted efforts to give the home a contemporary feel, however the downstairs shower needed upgrading to match the rest of the home. EVIDENCE: The environment at Argyle Road gives a warm feel on entry and as you wander around the home. It is generally airy and well ventilated. On the day of the inspection, one service user was observed comfortably manoeuvring her way throughout the home and appeared quite happy doing so. The communal and bathroom areas and one vacant bedroom were found clean and tidy and the garden was also well maintained. The ground floor shower area was the only unsatisfactory area on the day of the visit and was in need of decorative works. There was visible damp over the shower which needs to be addressed. The shower unit itself is in need of upgrading and this was raised in previous inspection reports. It was tested and observed to shut itself off periodically while in the ‘on’ position. This means that a service user in the middle of a shower would find the unit cutting the water off and after approximately forty to fifty seconds it would come on again. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 18 According to the manager the shower was designed to function in this manner and this was reportedly the advice of the engineers. As no other service user was available on the day, a view from the service user group about the shower, was unobtainable Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (33,34,35,36) Service users benefit from competent and skilled staff who are well supported and supervised to carry out their duties. Their needs are generally met, however the Commission for Social Care Inspection cannot yet be confident that service users are supported and protected by the organisation’s recruitment practice, including the recruitment of bank and agency staff. EVIDENCE: The management and staff work well as a team in promoting the health and welfare of the service user group. In discussing how the team works with one of the care staff, it was clear that the concept of team is deeply entrenched and is manifested in the positive work carried out with service users. Staff are deployed in terms of service user needs and this is continuously monitored by the manager. She has in the past conducted a lone working person risk assessment and has satisfactorily covered the service. Staff are deployed based on a combination of individual and collective needs, which is matched by levels and expertise of staff required e.g. trips out where the safety of one or more service users is rated as a high risk. More staff would be deployed on the trip with the needs identified, as opposed to more independent service users who might have made a positive choice to stay in. On examination of the staff expertise and qualifications, there was clear evidence that the team is balanced and capable of providing a good standard Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 20 of care and support to the service user group. There was one project worker vacancy and this is currently covered by bank staff, as necessary. At the time of the visit the Commission was not confident about the recruitment practice of the organisation as a whole. Since the matter was brought to their (RCHL) attention, the organisation has undertaken a detailed audit of staff files, reviewed their recruitment procedure and practice to identify and rectify the deficiencies to safeguard service users. Following the inspection visit to the home, a second visit was made to the organisation’s head office at which the Commission was informed of the changes being made, but there was only one ‘new’ member of staff who had been recruited and therefore insufficient information was available to test the new procedures fully. An extension of the timescale for compliance has been given to allow for more evidence relating to staff recruitment, to be available. There were job descriptions in place for all staff and from discussions held with one staff member, she was clear about her roles and responsibilities in the home. Formal supervision was in place for all staff including the manager, and recorded evidence of this was provided at the inspection. It was clear that staff receive good support and guidance to enable them to carry out their duties with service users – safely and effectively. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (38,40,41,42,43) The home is well-managed and service users benefit from having a dedicated and well–supported staff team providing care and support to them. Generally there are sound management systems in place to maintain a high standard of care, although this could be enhanced through more consistent monitoring by the registered provider on a monthly basis. Service enhancement could be also achieved through ensuring that policies and procedures are updated and matters relating to health and safety are picked up and dealt with, for the protection of service users and staff. EVIDENCE: There was evidence of the manager at work and it was clear that a ‘hands on’ approach was adopted, leading her team from the front. One staff member informed that she found the manager very supportive and approachable, which ‘makes the job easier’. She also made reference to there being an effective staff team that communicates well and provides continuity of care to the service users. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 22 Generally policies and procedures in the home were in line with regulation, however there was evidence from a random sample assessed, that they were not reviewed for some time. They included Sickness absence (2002), Grievance (2002), Training (1998), Performance and Appraisal (1998) and Violence and Aggression (2003). It would be in the best interest of service users and staff for the registered persons to examine the policy and procedure files and review as appropriate, all policies/procedures that are out of date. There was evidence of good practice in the promotion of health and safety monitoring in the home and one good example of this was where monthly health and safety checks were carried out on the home and records kept in a satisfactory manner. Going through the records and the environment itself provided a good opportunity to confirm that compliance with health and safety regulation and guidance was in the main satisfactory. However the record for monitoring of the freezer temperature indicated that it was last done on the 15/8 – three weeks prior to the visit. This must be improved. The fridge has a built in monitor to alert when the temperature falls below safe limits, but if that system failed, although a protocol was in place, it could not be carried out. The reason for this was that, part of the protocol involved referring to the appliance manual, which could not be located at the time of the visit. This manual must be located and/or an alternative system put in place e.g. purchasing a fridge thermometer. There was also a need for a lidded bin to replace the one seen in the kitchen on the day of the visit. This is to ensure that bacterial growth of waste products is kept contained, while awaiting disposal. The organisational structure is clearly defined and there are monitoring systems in place to ensure managerial accountability, although the monitoring required by regulation is not consistently undertaken. There is a supervision arrangement in place for the manager and she confirmed that she felt supported in leading the service. It is imperative however that the registered persons carry out consistently, monthly unannounced monitoring visits to the service to ensure that the home is effectively run in line with not only the vision of the organisation and best interest of service users, but in line with the National Minimum Standards for Younger Adults and the Care Homes Regulations 2001. These visits are to be reported on, with a copy sent to the Commission. The last monthly provider visit to this service was May 2005 and this needs to be improved. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 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 4 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 2 x x 3 Standard No 11 12 13 14 15 16 17 3 x x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Argyle Road (Respite Care Project) Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 x 2 3 2 2 G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 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 YA 6 Regulation 12 Requirement The registered persons are required to ensure that prompt arrangements are made for the move-on of service users whose changing needs may be outside both the homes abilty to meet them and the homes statement of purpose. The registered manager is required to finalise a protocol around the handling of as required medication. The registered persons are required to redecorate the ground floor shower to include repairing the damp over the shower unit. The registered persons are required to ensure that their recruitment procedure is robust and in line with regulation. The registered persons are required to maintain records for the protection of service users in line with Schedule 2 of the Care Homes Regulations 2001. For new staff before appointment and for existing staff. The registered manager is required to ensure that the health and safety of staff and Timescale for action 10th October 2005 2. YA 20 13 (2) 7th November 2005 15th November 2005 30th November 2005 30th November 2005 3. YA 27 23 4. YA 34 19 5. YA 41 17 6. YA 42 13(4) 7th November 2005 Page 25 Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 7. YA43 26 service users is promoted by a) making accessible the manual for the fridge/freezer and/or purchasing and using a separate fridge thermometer, b) Ensure that the freezer temperatures are monitored and recorded consisitently on a weekly basis and c)providing a lidded kitchen bin. The registered providers are required to carry out monthly provider visits to the home in line with Regulation 26 of the Care Homes Regulations 2001. From 31st October & Ongoing 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 YA 20 YA 27 Good Practice Recommendations The registered manager should consider recorganising the medicine cupboard to keep oral medication separate from topical medication. The registered persons should consider replacing the ground floor shower unit. Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Ferguson House 113 Cranbrook Road Ilford, Essex IG1 4PU 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 Argyle Road (Respite Care Project) G55_G05 S25885 Argyle Road V248209 080905 Stage 4.doc Version 1.40 Page 27 - 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. 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