Inspection on 22/09/05 for Blake Court

This inspection was carried out on 22nd September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Blake Court 27/08/09

Blake Court 05/09/08

Blake Court 06/09/06

Blake Court 03/01/06

Blake Court 07/02/05

Blake Court 03/12/04

Similar services:

Ashlong House

Spring Lane Care Home

Avenues (The) (Neave Crescent)

Barrington Lodge Nursing Home

Beacon House Nursing Home

St Mary`s Convent & Nursing Home

1-3 Frederick Gardens

The Royal Star and Garter Home

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

CARE HOME ADULTS 18-65 Blake Court Flat 5, 5a Barrow Road Waddon Croydon, Surrey CR0 4EZ Lead Inspector Lee Willis Unannounced 22 September 2005 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. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Blake Court Address Flat 5, 5a Barrow Road, Waddon, Croydon, Surrey, CR0 4EZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8688 2682 020 8688 2682 SCOPE Mrs Carol Jones Care Home 6 Category(ies) of PD Physical Disability (6) registration, with number of places Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: A variation has been granted to allow two specified service users aged over 65 to be accommodated. Date of last inspection 7 February 2005 Brief Description of the Service: Blake Court is owned by Croydon Church’s Housing Association, and managed and staffed by the registered charity - Scope. The project is registered with the Commission for Social Care and Inspection to provide accommodation and personal support for up to six adults with Cerebral Palsy and a broad range of associated physical disabilities. Carol Jones remains the projects registered manager where she has been in operational day-to-day control for the past two years. Situated on the ground floor of a residential appartment block these five purpose built flats are all self-contained and have there own front doors, open plan lounges/kitchen areas, seperate bedrooms, and en-suite toilet and bathing facilities. All the flats are wheelchair accessbile and have been provided with suitable environemntal adaptions and disability equipement to meet the individually assessed needs of the occupants. There is also a seperate office/sleep-in room, kitchen and toilet for staff. Located in a residential area of South Croydon the project is well placed for accessing a wide variety of local amenities, which includes shops, cafes and good public transport links. Waddon train station and numerous bus stops are all within easy walking distance of the project making getting to central Croydon and the surrounding areas relativley easy. The philosphy that underpins the project remains supporting the occupants to maximise their independence and to have as much control over their lives as possible. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours and commenced at 13.30 on the afternoon of Wednesday 21st September 2005. The only two occupants who were at home at the time of this visit were both spoken to at length. Since April 2005 the Commission has received three comment cards in respect of this service, which had all been completed by the occupants. The majority of this inspection was spent talking with the manager; four members of staff, including two senior support workers and a Bank worker; and as previously mentioned, a couple of the occupants. The remainder of the visit was spent examining records and touring a couple of the flats with the occupant’s consent. No additional visits or complaints investigations have been carried out by the CSCI in respect of this service in the past twelve months. What the service does well: Both the occupants met during this inspection said they liked living at Blake Court and another occupant wrote on a comment card, “ I would not live anywhere else”. The atmosphere at the project felt extremely relaxed and it was evident from the way the occupants and staff interacted with one another that both groups had developed extremely good working relationships built on mutual trust and respect. Furthermore, it was evident from care practises observed, records sampled at random, and comments made by occupants and staff, that the projects primary aim is to continue to supporting the occupants to maintain and develop their independent living skills and to take as much control over their life’s as possible. For example, it was positively noted that one occupant who had decided to move out had been given all the support and advice they needed to make such an importance decision. Finally, the occupants have all benefited from the project experiencing extremely low rates of staff turnover in the past six months. The project has very few staff vacancies and the vast majority of the current staff team have now worked together for a considerable amount of time, ensuring the occupants receive support from extremely experienced and well qualified individuals who are familiar with their unqiue wishes, needs and daily routines. Over 50 of the current staff team are also trained to NVQ level 2 or above in care in line with Government training targets for support workers. Scope continues to demonstrate its continued commitment to improving staff training at all levels. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.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 contacting your local CSCI office. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The projects arrangements for supporting occupants who wish to move out are sufficiently robust to ensure their individual wishes and feelings are taken into account. EVIDENCE: Since the projects last inspection one occupant has moved out. Having discussed the discharge process with the manager it was positively noted that the occupants wishes and feelings had been placed at the heart of the decision making process and that all the relevant professionals, including the individuals family, Care manager and keyworker, had all been involved at various stages in the move. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 7 Care plans accurately reflect the occupant’s personal, social and health care needs, ensuring staff can plan for and met them. Suitable arrangements are in place, which ensures the occupants are consulted about all aspects of life at the project and are encouraged to participte in its day to day operation. EVIDENCE: Care plans sampled at random had all been recently updated and the format changed to make it more person centred. Care plans sampled at random contained far more detailed information about the individual support each occupant required to meet their needs. One occupant met said they had been concsulted about their new care plan and very much involved in drawing it up. Care plans sampled had all been signed and dated by the occupants as proof that they agreed with the contents of their new plan. Occupants met also said they can keep a copy of their care plan in their flats if they wish. According to records the last residetns meeting was held in June 2005 and was well attended by both occuopants and styaff on duty at the time. Topics discussed included ideas for day trips, menu planning for the breakfast club, and use of the buzzer system. It was positively noted that occupants now take it in turns to sit in on staff meetings, which are held on a monthly basis. A lot of up to date information about tourist attractions in London, including opening Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 10 times, admission fees and whether or not they were wheelchair accessible, was conspicuously displayed in the office. The two occupants met both said staff were extremely good at giving them feedback about their involvement within the project and always take their wishes into account. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 11 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) 12, 13, 16 & 17 The number and range of social, educational and vocational opportunities the occupants have to engage in, both at home and in the wider community, is varied and stimulating. Staff actively support and encourage the occupants to find about and pursue their own social and leisure interests. Dietary needs are well catered for, nutritionally balanced, and clearly based on personal preferences. EVIDENCE: Three out of five of the occupants currently residing at Blake Court were out at the time of this unannounced inspection either attending a day centre, having lunch out in Croydon or shopping with staff. The project does not have its own transport, but the occupants make good use of the local dial-a-ride service. One occupant returned home from shopping during this visit having been dropped off outside the front of the building by the dial-a-ride bus. Occupants met said lots of outings were always being planned. The manager said she was in the process of organsisng a day trip to St Paul’s cathedral. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 12 One occupant spoken to at length said they still enjoyed working at a local packing factory. The manager said another occupant was considering doing voluntary work at local hospital and that an interview date had now been arranged. Having arrived at lunchtime it was positively noted that one occupant who had chosen to eat outside was being appropratly assisted by a member of staff. It was good to note that the member of staff in question had taken a chair outside to enable them to sit next to the ocucpoant they were suporitng ensuring they could maintain good eye contact with them. This particulatr member of staff is commended for ensuring liunch was extremely relaxed and unhurried. The manager was able to produce an updated version of Scopes smoking policy on request, which states that it is up to the occupants and managers in charge of individual projects to agree localised rules on smoking. The manager said that none of the occupants now smoke, although some of their visitors and staff do. As required in the projects last report it must be made explicit in the projects policy on smoking where occupants, their guests and staff may at Blakes Court, if at all. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 & 21 Suitable arrangements are in place to ensure that occupant’s physical and emotional health care needs are identified, planned for and met. The projects policies and procedures for dealing with medicines, including controlled drugs, ensure the occupants are, so far as reasonably practicable, protected from avoidable harm. EVIDENCE: It was positively noted that as required in the projects last report the manager had formalised Blake Courts rules on staff offering same sex personal care for the occupants. One occupant spoken with at length said they could arrange for staff to support them with their personal care and come and go as they pleased. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 14 The projects accident book revealed that there had been one accident involving an occupant in the past six months. The accidetn pertained to a fall and the record showed that no major injuries were sustained. Medication records sampled at random were all metciuously maintained by staff and no recording errors where staff had failed to sign for medicines administered noted. The senior member of staff responsible for monitoring the projects medication practices was on duty at the time of this visit and said the projects medication records are now checked at regular intervals. A controlled drug is held at the project and it was positively noted that it was securely stored in a locked cabinet where the individual who is prescribed the drug resides. Records show that two staff always counter sign for this drug and the stocks held by the project matched the balance entered on the medication adminsrtion record. All five flats have been provided with a lockable space for the occupants to store their medication safely. It was positively noted that sufficient numbers of the current staff team have completed a Distancelearning course in the safe handling of medication in a residiential care setting. The manager said all the care plans contain detailed information about occupant’s individual wishes regarding ageing, illness and death. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 On the whole occupants spoken with were confident that any concerns they had about the projects operation would be listened to and acted upon, in accordance with Scopes complaints procedures. The projects vulnerable adult protection and abuse prevention measures are in the main ‘suitably’ robust to ensure the service users are, so far as ‘reasonably’ practicable, protected from abuse, neglect and/or harm. EVIDENCE: In the past twelve months the project has not received any formal complaints about its operation. The manager is familiar with the projects complaints procedure and said that all complaints/concerns brought to her attention would always be recorded in the projects complaints log, including any action taken in response. One occupant said all the staff working at the project were extremely approachable and she felt able to talk to her keyworker or manager about anything she was worried about. The incident book revealed that there are on going issues with one of the projects immediate neighbours. The manager and staff all said relations with one of their immediate neighbours had somewhat deriorated in recent months, althiguh it was positively noted that Scope, along with the owners olf the building (Croydon Churches Housing Association) were contiinuign to liase with all the concnenred parties to try and relsove this on going issue. However, all the staff met said problems still persist and the manager has agreed to establish some guidance to ensure staff are aware how they should deal with the occurencre simialr incidents. There have been no allegations of abuse made within the project or staff referred for possible inclusion on the Protection Of Vulnerable Adults register (POVA) since its creation in 2004. It was positively noted that the entire staff Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 16 team have recently attended an in-house recognising, preventing and reporting vulnerable adult abuse, run by Scope. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.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 & 28 The layout of the self-contained flats, which are all suitably adapted to meet the occupant’s physical needs, ensures everyone lives in an extremely homely environment that maximises their independence. However, the interior décor of the flats is looking rather dated and a time specific programme to redecorate the project should be established to improve its overall appearance. The temperature of hot water emanating from the projects water outlets must be more effectively controlled to minimise the risk of occupants being scalded. EVIDENCE: Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 18 There has been one significant environmental change made to the project since its last inspection in February 2005, with new flooring laid in the office and staff kitchen areas. Having been invited to view a flat with the occupant’s permission it was clear that most of the units in the kitchen had been damaged over time and needed replacing. The carpet in the same flat was also badly stained. The general consensus of opinion expressed by the manager, occupants and staff spoken to at the time all said the flats needed refurbishing. One member of staff who had worked at Blake court for many years believed that none of the flats had been redecorated for at least five years or more. Having raised this matter with the manager she said a meeting was recently held with the owners of the building, Croydon Churches Housing Association, and a rolling programme to redecorate the flats agreed upon. It is hoped the work will commence in January 2006. Progress on this matter will be assessed at the projects next inspection. The manager said that CCHA’s continue to be responsible for the up keep of the building and that she has seen a marked improvement in there response times for carrying out routine maintenance, repair and redecoration work. It was positively noted that staff now have suitable storage facilities to keep their possession secure while on duty. The projects weekly water temperature log revealed that hot water used in baths and shower never exceeds a maximum of 43 degrees Celsius, in accordance with health and safety guidance. This was confirmed to be the case having tested the temperature of hot water emanating from a shower outlet in flat No#6. However, hot water running from a tap attached to the bath in Flat No#9 was found to be an extremely unsafe 49 degrees Celsius when tested at 14.30. All the projects thermostatic mixer valves must be checked as a matter of urgency to ensure they are of the type that is preset, tamper proof and failsafe. The temperature of hot water used in baths must remain constant and never exceed 43 degrees Celsius to minimise the risk of occupants being scalded. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.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) 32, 33, 34, 35 & 36 Sufficient numbers of suitably experienced and competent staff are employed to meet the health and welfare needs of the occupants. Furthermore, the projects arrangements for recruiting and including new members of both permanent and temporary staff are sufficiently robust to ensure the occupants are, so far as reasonably practicable, protected from harm. However, not all the projects staff team are receiving annual appraisals, which could have an adverse affect on the standard of care being provided by individuals who are not as well supported and supervised, as they should be. EVIDENCE: The manager stated that just over 50 of the projects staff have already achieved a National Vocational Qualification in care, Level 2 or above and one other is currently studying for theirs, in accordance with the Governments training targets for support workers and National Minimum Standards. The registered providers remain committed to staff training and should be commented for their positive approach to ensuring all staff are suitably qualified and competent to perform their duties. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 20 There have been no changes to staffing levels since the last inspection. Four members of staff, including the manager, were all on duty at the time of this unannounced noon inspection. One member of staff was out supporting an occupant with their shopping and another was observed assisting an occupant eat their lunch. The projects duty roster revealed that the manager has a very flexible approach to organising staffing levels, which are clearly based on occupants needs, with more members of staff on duty at peak periods of activity. Staff turnover has been extremely low in the past twelve months and consequently the manager has very few staff vacancies to fill. A couple of new bank workers have been employed since February 2005 and the manager was very clear that she would not use them until she had obtained satisfactory criminal records and protection of vulnerable adults checks. It was positively noted that the senior in charge of the late shift gave the new bank worker, who had never worked at Blake’s Court before, a thorough tour of the building. The new temporary worker said she had been shown all the fire exits and was given a lecture about the projects fire safety arrangements. Agency/bank staff do not have to sign and date any records to say they have understood their initial induction, unlike staff employed on permanent contracts. The manager should consider expanding this good practice to include all agency/bank workers. The vast majority of the projects staff team have attended a number of core training courses that are relevant to the work they are perform, including fire safety and prevention, first aid, moving and handling, and basic food hygiene. The manager said that a date for staff to attend infection control training has been arranged for October 2005. Progress on this matter will be assessed at the next inspection. The manager said the projects operates an annual appraisal system for staff, although concedes that only two members of staff have been appraised by the manager in the past twelve months. Furthermore, the manager said she has not received any formal training from Scope in respect of its appraisal system, although arrangements are in place for this shortfall to be rectified by the end of the year (2005). Once the manager has been suitably trained to undertake appraisals all those staff who have yet to receive one must do so by 1st April 2006, in order to meet National Minimum Standards. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.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) 37 & 42 The projects health and safety arrangements are sufficiently robust to ensure potential risks to occupants, their guests and staffs health are, so far as reasonably practicably, minimised. EVIDENCE: The projects manager, Carol Jones, has been in operational day-to-day control of Blake’s Court for the past two years. Carol says she is on course to have achieved the Management component of her National Vocational Qualification training in care (Level 4) by the end of 2005, to meet National Minimum Standards. There are clear lines of accountability within Scope and the manager says her line manager is always on hand to offer support and advice as and when required. Up to date Certificate of worthiness were in place as evidence that a ‘suitably’ qualified engineer had checked the projects electrical wiring, portable electrical appliances and gas installations in the past year. The manager was aware that the projects electrical wiring will need to be tested again in next three years. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 22 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 1 3 x x Standard No 11 12 13 14 15 16 17 x 3 3 x x 1 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blake Court Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 23 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 16 Regulation 12(1) & 13(4) Requirement The projects localised rules on smoking for occupants, their guests and staff need to be formalised. Previous timescale for action of 1st April 2005 not realised. All the projects thermostatic mixer valves must be checked as a matter of urgency and suitably adjusted and/or replaced to ensure water temperatures for baths and showers outlets remains contant at a safe 43 degrees Celsius. Valves must be of a type that are preset, tamper-proof and fail safe. The manager must undertake suitable training to carry out annual appraisals and ensure her entire staff team receives at least one by 1st April 2006. Timescale for action 1st November 2005 2. 27 13(4) 1ST October 2005 3. 36 9, 10 & 18(2) 1st April 2006 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 G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 24 Blake Court 1. 2. 3. 4. 23 24 35 37 The manager should establish some specific guidelines to help staff deal with incidents involving immediate neighbours. A timespecific rolling programme to redecorate and refurbish the premises should be established. Agency/bank staff who have never worked at the project before should sign and date a record as proof that they have understood the contents of their initial induction. The manager should have completed the managment component of her NVQ Level 4 in training in care by the end of 2005. Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 Page 25 Commission for Social Care Inspection Croydon, Kingston & Sutton Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 Blake Court G53-G53 S25756 blakecourtUI V231473 090805 stage0.doc Version 1.40 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. 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