Inspection on 29/11/05 for Bedford Road 7

This inspection was carried out on 29th November 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bedford Road 7 11/11/08

Bedford Road 7 10/06/08

Bedford Road 7 16/07/07

Bedford Road 7 19/05/06

Bedford Road 7 12/01/06

Bedford Road 7 13/09/04

Bedford Road 7 26/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Bedford Road 7 London N15 4HA Lead Inspector Mr Teferi Degeneh Unannounced Inspection 29th November 2005 10:00 Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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 Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bedford Road 7 Address London N15 4HA 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) 020 8800 2864 020 8800 2864 bedfordrhailltdtinternet.com HAIL (Haringey Association for Independent Living Limited) Mr John Philip Parsonage Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 6 people of either gender who have a learning disability (LD) and who may also have a physical disability (PD) 13th September 2004 Date of last inspection Brief Description of the Service: Bedford Road is a home registered to provide residential care to six people who may have learning disability or physical disability. The building is provided by Circle 33 Housing Association and the services are provided by Haringey Association for Independent Living (HAIL). The home is located in a residential area close to the Seven Sisters Underground and shopping facilities. There are six single bedrooms, three bathrooms/showers and three toilets. There are a lounge, a kitchen, a dining room and a large garden at the rear of the building. The ground floor of the home is wheelchair accessible even though the current service users do not require this. The home has stated objectives of enabling service users to live as independently as possible, with the same range of choices as any other citizen, mixing as equals with others and being members of their own community. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted over a period of 6 hours, commencing at 10:00 am and concluding at approximately 5.00pm. Felicia Richards, a deputy manager, was present throughout the inspection. The inspection activity undertaken included a tour of the building, the examination of service users files including care records, the examination of health and safety records, the viewing of staff rotas and discussions with both care staff and the deputy manager. What the service does well: What has improved since the last inspection? What they could do better: One of the major concerns of this home is that it has not had a registered manager for a number of years. Also the home relies very much on bank or agency staff. Information about the bank staff including their CRB’s are not kept at he home. It is important for the registered person to employ a manager who can apply to the CSCI to be registered. Files must be kept at the home and made available for inspection for all staff working at the home. The registered person must display in the home a certificate of registration that correctly reflects the realities in the home. The registered person needs to Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 6 involve all relevant professionals in the assessment and provision of suitable care for the service user whose needs have significantly changed over the past few months. Recommendations made by fire and environmental authorities must be complied with. The system for managing service users’ money must be changed in order to enable them to open bank accounts in their names and to have a full control of their money. Hand drying facilities must be provided by the hand washbasins in the home. 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. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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 Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, and 5 The procedures for admission to the home are satisfactory and new service users are confident that their admission is based on the outcome of their assessment and on the availability of services and facilities to meet their assessed needs. Service users are reassured by the written contracts issued to them by the registered person. This has enabled them to know their rights and responsibilities. The information given in the statement of purpose and the certificate of registration is misleading and out-of-date and service users are not clear about the objectives, purposes, philosophy, manager and services of the home. EVIDENCE: Despite the requirement made at the last inspection, the registered person is yet to review the statement of purpose. The present statement of purpose has incorrect names of staff and contains details of people who are no longer at the home. Discussions with the person in charge and service users’ files showed that new service users visited the home before admission. There is also an admission’s procedure and service users are admitted on the basis of the outcome of their assessments and the ability of the home to meet their needs. The assessments are completed by their social workers and by the home. The file of a service user who has been admitted since the last inspection was inspected. It was evident from the file, the home’s diary and a discussion from the person in charge that the service user’s assessment has been completed Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 9 and they had day visits and over night stays before admission. All service users have signed contracts which detail terms and conditions of service including the fees. The certificate of registration, which was prominently displayed, contained information about a previous manager who had left their job over two years ago. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, and 9 The home has done a good job in ensuring that care plans and risk assessments are reviewed with the involvement of service users and their representatives. Service users are reassured and feel relaxed by the home’s practices and by systems of risk assessment. EVIDENCE: Five service users’ files, which were assessed, contained evidence of up-todate care plans. It was clear from the files that families, social workers, service users and key workers attended the reviews. Each service user has also a service plan which illustrates the likes, dislikes and wishes of service users. Key workers write a summary of significant events in respect of health, social, day care, leisure, emotional, etc. of service users on a monthly basis. All the assessed files contained up-to-date risk assessments. The assessments provide details of possible risks to service users and the actions that need to be taken to minimize or manage the risks. On the day of the inspection service users were observed to be relaxed. The interactions between the staff and service users were seen to be appropriate with service users being able to access communal areas. None of the service users has a bedroom key. However, the staff spoken to said they always knock on the doors to seek permission to enter service users’ bedroom. It was evident from observations that service Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 11 users can decide when to get up from bed and when to have their breakfast. Service users’ meetings take place regularly. The minutes of the staff meetings indicated that the person in charge reminded the staff to facilitate and encourage service users to participate in their meetings. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, and 17 The social and leisure activities provided at this home are satisfactory. Service users are fully engaged and stimulated by the activities provided at a day centre, college and the home. Service users are reassured by the home’s commitment to support them to keep in touch with families and friends. The home is good in arranging appropriate holidays for service users with the evidence that service users have been on holiday in small groups. The food provided at the home is good and service users’ are consulted and their needs met. The system for managing service users’ money is poor. Service users are not clear if the home has undertaken sufficient effort to maximise their benefits and if their money is expertly and wisely saved and spent. EVIDENCE: A discussion with the person in charge and an examination of service users’ files indicated that all service users have a day activity either at a day centre or a college. On the day of the inspection two service users ware at home due to ill health or due to having a day off. The programme of activities is Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 13 displayed at the home. Records showed that there is a close working relationship between the home and a day centre. The staff spoken to said they have attended Makaton to enable them to communicate with a service user with visual impairment. Service users’ care plans contain details of how they spend time at the home. Leisure activities such as going to the park, shops and cafés are among the activities highlighted in some service users’ care plans. Service users enjoy listening to music in their rooms or watching television programmes in the lounge. One service user has an aromatherapy massage weekly. From financial records and files it was evident that service users have been on a holiday. Records also showed that service users have visitors at the home. The staff assist a service user to visit their family once every other week. Service users’ finances are managed by the home. The person in charge said that none of the service users have a bank account in their name. All benefits are sent to the head office, which sends money, as required, to the home for service users to purchase items of their. There are two safes and two money books in the home. The keys to the first safe are kept by the deputy managers and the keys to the second safe are kept by a sleeping in member of staff. The money in the safes is checked during the handover of the keys. The books and a sample service users’ money kept were checked and found to be correct on the day of the inspection. However, the person in charge was not able to say how much money is kept at the head office for each service user. It was also not possible to check if the service users’ money is kept in a pool account and if they attract interest. There are five menus. The menus have pictorial illustrations for service users who are not able to read. Discussions with the staff indicated that service users are able to choose what they want to eat. Shopping is carried out twice. On the day of the inspection there were sufficient food items in the home. Fresh fruits were seen in the kitchen. All the staff who prepare meals have attended training in basic food hygiene. An environmental health officer visited the home on 28/11/05 and made one recommendation. This is stated below under Standard 42. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, and 20 The procedures and practices for providing personal care, and storing and administering medication are satisfactory. These have ensured that service users’ personal and medical needs are met. The arrangements for reviewing and meeting service users’ changing health needs are below service users’ expectation with the evidence that no clear strategies are put in place to assess and support a service user whose health needs have recently changed. This has put service users’ at risk. EVIDENCE: The staff spoken to gave descriptions of how they provide personal care by ensuring service users’ privacy, dignity and choice. They said that they always give service users choice and make sure that the doors are shut. Discussions revealed that the staff have long experience of working with people with a learning disability in care homes. From files and discussions it was clear that the staff receive regular supervision. All service users have their own general practitioners. Records showed that service users have seen psychologists, dentists, opticians and chiropodists. On the day of the inspection a service user was in bed at the home due to ill health. The person in charge said she has made referrals to the general practitioner and the service user had medical care but their conditions have not Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 15 significantly improved. It was noted that that the needs of the service user have recently changed for the home to sufficiently meet them. The person in charge feels that the service user and the staff are at risk if the service user’s conditions remain as they are now and if appropriate solutions are not found. It was understood that the person in charge is in discussion with the placing authority, the service user’s families and her manager to find ways that enable the service user to receive appropriate care. At the pervious inspection seven requirements were made regarding the handling and administration of medication. These were in relation to receipt, storage and administration of medication. It was evident that the registered person has complied with these requirements. The medicines and the medication administration record sheets were checked and were found to be correct on the day of the inspection. The staff who administer medication have attended relevant training. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, and 23 The complaints procedure and the home’s adult protection policy and procedure are satisfactory. These have given a feeling of reassurance, confidence and protection to service users. EVIDENCE: At the last inspection requirements were made for the registered person to ensure that the complaints procedures includes the address of the local CSCI office and the staff attend training on adult protection. An examination of the complaints procedure and the staff files, and a discussion with the person in charge confirmed that both these requirements have been complied with. The complaints procedure is written with pictorial illustrations for use by non-verbal service users. A copy of the procedure is included in the service users’ guide and the statement of purpose. No complaints have been recorded since the last inspection. Certificates were seen in staff files to indicate that the staff have attended training on adult protection. The staff spoken to were confident of their knowledge of how to protect vulnerable people and how to deal with abuse. They said they know the home’s whistle blowing policy. The home has a policy on the protection of vulnerable adults from abuse. The local authority’s adult protection policy and procedure has been obtained and reflected in the home’s policy. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, 26, 27, and 30 The location and facilities of the home are good and service users feel that they live in a safe and comfortable environment. The precautions put in place to control infections and prevent communicable diseases are not satisfactory. This is evidenced by the lack of hand-drying facilities in the toilets. EVIDENCE: There are adaptations in the bathrooms and the toilets to meet the needs of service users. Handrails are provided in the stairs and there are wide corridors. The home is bright, the windows have restrictors, and the radiators are guarded. The home was clean and tidy and there were no offensive odours on the day of the inspection. The home is located in a quiet residential area close to the Seven Sisters Underground station, North London. There are parades of shops and cafés within walking distance from the home. The home has a policy on infection control. The staff were observed using hand gloves when transporting clothes to the laundry. The registered person has provided adequate furnishings in service users’ bedrooms. Records are kept in the files confirming that due to possible risks some service users were not provided with bedroom keys and some electrical equipment. During the tour of the premises it was observed that hand drying facilities toilet rolls were not provided in the toilet on the first floor. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 18 Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, 33, and 34 There are staff in sufficient number and experience to meet the needs of service users. Service users benefit from the training opportunities provided to staff the staff in relation to the home’s policies, procedures and core care practices. However, service users’ health and safety and wellbeing are compromised and service users are not confident whether their safety is guaranteed. This is evidenced by the lack in the home of relevant information and evidence of CRB checks for some staff. EVIDENCE: The rota, which was inspected, showed that there are usually three staff working in the early and two staff working in the afternoon shift. Night duties are covered by a sleeping-in staff member and a waking night worker. It was evident from a discussion with the person in charge and an examination of the rota that the home provides additional care staff at peak hours or as required. There are six full time and three part time staff employed to work at the home. Discussions with the person in charge and the rota showed that eleven bank staff and a number of agency staff also work at the home. Five files of existing staff were assessed. These contained evidence of two written references and clear CRB certificates. However, one of the staff files did not have an evidence to confirm that the person has undergone a CRB check. There were no files at the home for bank staff. The person in charge said the bank staff files are kept at the head office. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 20 Five staff who were working at the home during the early and late shift were informally and formally observed and spoken to. One member of staff was individually interviewed. All the staff on shift were experienced, motivated and committed. They are aware of the home’s policies and procedures. From observations it was evident that they know how to support and engage the people who live at the home. The staff files indicated that they have undergone a number of training programmes such as health and safety, manual handling and fire safety. The person in charge said all care staff have embarked on a care training to achieve NVQ level 2 qualification. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 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, and 42 Even though the deputy managers are supported by a service manager to run the home, a lack of permanent and registered manager in this home has a negative effect on the way the home is run. Service users do not have full confidence in the management of the home. The progress made to gather feedback from service users is encouraging even though there are more to be undertaken to implement the system of quality assurance. The risk assessments and the management of risks are satisfactory to enable service users to feel that they are safe in the home. However, service users’ are not sure whether or not the fire precautions and the manner by which some food items are cooked are safe. EVIDENCE: The home has been running without a registered manager for over two years. Currently, two part-time deputy managers run the home. The deputy manager who was present on the day of the inspection has been in this post for many years. She was found to be experienced, knowledgeable and well liked by the staff and service users. The deputy managers are supported by a service Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 22 manager who visits the home regularly. Monthly reports completed by the service manager and sent to the CSCI Inspector indicate that the service manager meticulously monitors the quality and efficiency of the facilities and services of the home. The person in charge said that service users are consulted about their views of the services and the menu in groups at house meetings and individually. Questionnaires have been prepared as part of the home’s system of quality assurance. The home is committed through its policy to seek feedback from people who use the service and from their representatives. However, the quality assurance system is yet to be fully implemented. The appliances and equipment in the home are regularly serviced. Records showed that fire drills take place and fire extinguishers and fire alarms tested and serviced regularly. It was evident from documents that all the portable electrical appliances were tested on 16/11/05. The gas boiler was inspected on 20/4/05. Eighteen incidents/accidents have been recorded since the last inspection (13th September 2005). The incidents/accidents have been managed very well and assessments have been completed to minimize or eliminate the risks. An environmental health officer visited the home on 28/11/05 and made a recommendation regarding monitoring “temperature of high risk food on completion of cooking”. There was no written evidence to indicate that the recommendations made by fire officers on 22/01/04 have been complied with. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 2 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 2 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bedford Road 7 Score 3 2 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 2 X DS0000010716.V259129.R01.S.doc Version 5.0 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4; 5; 6 Requirement The registered person must formulate a statement of purpose that clearly sets out the objectives, philosophy, purpose, facilities, services and environment of the home. (Timescale of 30/06/05 not met). All matters listed under Schedule 1 of Care Regulations 2001 must be included in the statement of purpose. The registered person must contact the local office of CSCI and request a replacement certificate of registration which reflects the realities in the home. The registered person must not pay money belonging to service users into a bank account unless the account is in the name of the service users, or any of the service users, to which the money belongs. The registered person must support service users with opening of bank accounts. The registered person must DS0000010716.V259129.R01.S.doc Timescale for action 31/12/05 2 YA1 4; 17; 43 15/01/06 3 YA12 20(1)(2) 15/01/05 4 YA19 14(2)(b) 23/12/05 Page 25 Bedford Road 7 Version 5.0 5 YA34 6 YA37 7 YA42 8 YA42 ensure that the needs of the service user who is currently unwell are assessed by a suitably qualified or trained person and that appropriate care that meet their needs is provided. 17(2) Sch. The registered person must 4.6; ensure that staff have all 19(1)(2)Sch necessary documents and that 2 Regulation 19 and Schedule 2 including the maintaining of all records (Schedule 4.6) of the Care Homes Regulations 2001 is complied with in respect of all staff working at the home. Staff currently employed without CRB check must only work under supervision until their satisfactory CRB certificates are obtained. 9(1)(2) The registered person must ensure that a manager is appointed to run the home and that an application for registration is submitted to the CSCI by this individual. 23 The matters raised in the Environmental Health Officer’s report, which remain outstanding, must be completed. 17(2)(b); The registered person must 23(4); 43 comply with the requirements made on 22/01/04 by a fire safety officer. A copy of the action plan regarding the requirements by the fire officer must be forwarded to the CSCI. 31/12/05 25/02/06 31/12/05 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 26 No. 1 Refer to Standard YA33 Good Practice Recommendations The registered person should recruit permanent staff to join the core staff team, in order to reduce the use of bank or agency staff workers. Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bedford Road 7 DS0000010716.V259129.R01.S.doc Version 5.0 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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