Inspection on 24/08/05 for 124 Brook Drive

This inspection was carried out on 24th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 but made no statutory requirements on the home.

Other inspections for this house

124 Brook Drive 26/08/09

124 Brook Drive 18/06/07

124 Brook Drive 29/12/05

124 Brook Drive 10/06/04

124 Brook Drive 11/03/04

Similar services:

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Herbert Street

Haven (The)

Charis

Hartley House

Rugby House Project

City Roads Crisis Intervention

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

CARE HOME ADULTS 18-65 124 Brook Drive Kennington London SE11 4TQ Lead Inspector Rehema Russell Unannounced 24 August 2005 th 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. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 124 Brook Drive Address Kennington, London SE11 4TQ 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 7820 9924 020 7735 9511 gordon@brookdrive.equinoxcare.org Equinox Mr. Gordon Dumma CRH Care Home 14 Category(ies) of CRH care home registration, with number N Care home with nursing of places 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 14 patients 2 persons aged 18 years and above, undergoing detoxification from substance misuse 3 day care facilities for up to 4 persons aged 18 years and above, to receive medication only, for detoxification from substance misuse Date of last inspection 14th January 2005 Brief Description of the Service: Equinox Brook Drive is a large Victorian building in a residential street. It is a short walking distance from a shopping centre which has transport and recreational facilities. The building has three floors plus a basement and the detoxification unit occupies the majority of the ground floor. The basement has offices; the ground floor has the detoxification unit for 14 persons (bedrooms, bathrooms, toilet, medication room, lounge, dining room), reception/staff room, and a separate area of interview rooms; the first floor has the main kitchen, large dining room, communal lounge, women-only lounge, quiet room, toilets and offices; and the top floor has the hostel bedrooms. The detoxification unit provides a 10-day detoxification programme for both drugs and/or alcohol detoxification in regimes that are adjusted to meet individual needs, offering a full nursing assessment and also a general practitioner who is on the premises for four mornings per week. The unit provides high quality accommodation and food, a non-judgemental ethos, group work, access to complimentary and other therapies and an experienced and multidisciplinary staff team. Once the programme is completed, residents have the opportunity to access the 21-day assessment programme in the hostel upstairs. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in the morning and early afternoon of 24th August 2005. The inspector was shadowed by a new inspector. The inspectors spoke with the manager, assistant manager, cook, several substance misuse workers/nurses, the general practitioner and service users from the detoxification unit; looked at documentation and records, had lunch with staff and service users from the hostel and toured the premises. What the service does well: 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. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 6 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 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 7 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, 4 and 5 Prospective service users are given clear written and verbal information on which to make an informed choice and they have their needs and aspirations fully assessed. Each service user has an individual support agreement and licence agreement which state the terms and conditions within the home. The nature of the service precludes trial visits. EVIDENCE: All service users are given a brochure, welcome pack, licence agreement and support agreement. These have all of the information required by regulation and also outline service users’ rights and responsibilities, key worker functions, the House Rules, and information in regard to pets, visitors and any other restrictions. These documents were seen on files and were all found to be clear and easy to read and dated and signed by the service user. The programme, rules and restrictions of the home are also explained verbally on admission and again two days after admission. The home also holds a regular Monday information group. The home has a full and thorough admission procedure and documentary evidence of the procedure being followed was seen. A full needs assessment for potential service users is carried out prior to admission and the home has a full and thorough admission procedure. This includes a nursing assessment, covering drugs use, physical and psychological needs and consent for General Practitioner information, and a risk assessment. These documents were seen on files and were all signed by the service user. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 8 Staff ensure that any dietary, cultural or spiritual needs of service users are assessed and provided for and have at various times provided interpreters, local ministers, Alcoholics Anonymous sponsors etc. to act as advocates. The home ensures that its’ programme follows current good practice and relevant specialist and clinical guidelines by having developed good links to various specialist services, including having a GP service on the premises for four mornings each week. Due to the nature of the service provided (first stage detoxification), prospective service user visits are inappropriate. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.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 and 8 Service users’ assessed and changing needs are reflected in their individual plans. Service users are supported and encouraged to make decisions about their lives and are regularly consulted on all aspects of life in the home. EVIDENCE: Four care plans were seen and found to be clearly laid out, with all of the relevant information required including a signed and dated care/support plan. Care plans demonstrated follow up of the issues raised on pre-admission and admission assessments and the contact sheets showed that each service users was seen by staff at least twice per day. Good notes of all contact are kept, and service users said that staff were always responsive to be seen at any time service users’ requested. There are various limitations to service users’ rights due to the nature of the programme at the home e.g. restrictions on going out of the home without an escort, no visitors are allowed apart from professionals and supervised children visits, no mobile phones are allowed. These, and the reason for them, are clearly explained to service users before admission and during their stay. Apart from these restrictions and the House Rules, service users make decisions about all other aspects of their lives, with support from staff if requested. Service users manage their own finances. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 10 Service users give informal feedback to staff on a daily basis but there are also four formal ways in which service users are consulted on and encouraged to participate in aspects of life at the home. These are weekly information groups, three weekly service users groups, the complaints system and exit interviews. Service users groups are attended by management and information is exchanged on policies, housekeeping, requests for new equipment etc. In response to a request arising from this group, the home has recently installed a fish tank in the reception area. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.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) 11,12, 13, 15 and 17 Service users have full opportunities for personal development. Service users are able to take part in activities and the local community within the restrictions of the home’s programme. Personal and family relationships are restricted in keeping with the home’s aims and objectives. Service users are offered a healthy diet and enjoy their meals. EVIDENCE: The whole programme at the home is aimed towards giving service users the opportunity to learn coping mechanisms and about relapse management and life skills i.e. how to maintain and develop social, emotional, communication and independent living skills without dependence on addictive substances. Service users are expected to attend two group sessions each day, which cover topics such as coping with anxiety, high-risk situation management, assertion, coping with stress and self-awareness. Practical daily living skills can also be practised during their stay at the home via housekeeping chores such as using the microwave and being responsible for keeping their rooms reasonably tidy. Group work is a source of assertion and confidence training for service users, who are also encouraged to attend Alcoholics Anonymous & Narcotics Anonymous meetings in the evenings. Service users are free to arrange 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 12 fulfilment of their spiritual needs themselves but the home has also arranged for priests/other ministers to visit as required. As this is a 10-14 day detoxification programme, it is too early in service users’ recovery to take part in employment, education or training activities. However they are able to start planning for these activities, and to take part in cookery sessions and other domestic chores, if they progress to the second stage of the programme (which is not registered with CSCI). Visitors, other than professionals, are not allowed during the detoxification programme. However, supervised visits by children can be arranged by key workers and take place in either of the two offices that are situated on the ground floor behind a key padded door. Service users do not have access to this area of the home unless accompanied by staff. A pay phone is provided so that service users can contact their families during detoxification, and all service users are accompanied by escorts if they travel outside the home. Menus were seen and these indicated that the home provides well-balanced, nutritious and varied meals. A cooked meal is provided twice a day and service users prepare their own breakfast, which can be cooked at choice. The chef prepares and serves both meals and prepares the main weekend dishes in advance, with very clear and detailed instructions for service users. All of the dishes and any sauces used are hand-made; ethnic meals and any specialist medical/other dietary needs are provided for and there is always an alternative choice available. Fresh fruit and snacks are available daily and there is a microwave provided for service users to reheat food if appropriate. The home has water dispensers in all communal areas so that service users can readily and easily access water, which is good practice for a detoxification unit. Service users spoken with praised the quality and quantity of food provided, saying “the food is great, there’s plenty of liquid from the cold water filter, the quality of orange and blackcurrant juice is good, there’s always a choice if you want it, we can make eggs, sandwiches at any time”. It was evident from observation at lunchtime that service users enjoyed the meal. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.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) 19 and 20 Service users’ physical and emotional health needs are met. Service users are protected by the home’s policies and procedures for the storage, administration and recording of medication. EVIDENCE: The service has a General Practitioner on site for four mornings each week. This ensures that all service users are medically assessed on admission and at other times, and that the detoxification process is closely monitored. The GP sees all new service users, checking their substance misuse history and picking up any new issues arising. The GP can also refer service users directly to a specialist/department at a hospital if appropriate. The issuing and changing of prescriptions is also greatly aided by having a GP on site. Any other healthcare facilities needed e.g. dentist, chiropodist, optician, are arranged by the staff or by the service users themselves. Complimentary therapies are also provided by the home on site. These include Indian head massage and acupuncture. One service user spoken with said that he had found the head massage of incalculable help and had arranged to attend regular acupuncture sessions once he left the home. Due to the nature of the programme, service users do not administer their own medication. Medication is stored in a locked room. The main medication cabinet and the controlled drugs cupboard meet the required standards. Storage, administration and recording of medication were checked and no 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 14 problems were found. Three random medications were checked, two tablets and one liquid, and were in good order. The diazepam stock controls were also checked and found to be in good order and the previous requirements set by the Pharmacist inspector were all being implemented. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.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 Service users’ views are listened to and acted upon. EVIDENCE: Since the previous inspection the home had received 8 formal complaints, all from service users. Three of the complaints had been substantiated and these three had all been made about the same issue, which had been appropriately resolved. The complainants had all been spoken with within one working day and had all been satisfied with the outcome. Complaints are recorded in a book and are cross-referenced by number to the full complaint document which is kept in a loose-leaf file. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 16 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, 26, 27, 28 and 30 Service users live in a homely, comfortable and safe environment. Bedrooms meet individual needs and toilets and bathrooms provide sufficient privacy. There is suitable and sufficient shared space and the home is clean and hygienic throughout. EVIDENCE: The home’s premises are accessible, safe and well maintained. It has its own private entrance off the street and a ramp and stairs to the front door. CCTV cameras are used to ensure security, but only at the entrance and outside areas of the home so that they do not intrude on the privacy of service users. There is an open window/hatch at the reception office by which anyone wishing to enter the home can be vetted before being allowed in. There is no garden by area of the car park has been paved over, making a pleasant seating area with pergola, where service users can relax in the sun and where barbecues are held. Full transport facilities are available within a few minutes walk of the home and the home has its own vehicle which has been adapted for wheelchair use. This transport is used for service users’ appointments and evening meetings and also for day trips and outings. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 17 All communal areas are bright, attractive and comfortable with high quality décor, furniture and fittings. There are framed pictures and ornamentation throughout the home, including positive images of other cultures. The detoxification unit occupies the ground floor and has ten single and two double bedrooms. Service users therefore cannot always be offered a single room but would be offered the choice of accepting admission to a shared room or waiting until a single room becomes available. If service users choose to accept the shared room, all efforts are made to ensure that they are matched by gender or any other relevant need. Bedrooms are above minimum size standards and are well decorated, furnished and fitted. The windows have suitable locks and although service users are not given keys to their bedrooms due to the nature of the programme, they all have snib locks so that they can be locked from the inside. Bedrooms do not have television points but the inspector was told that the home intends to provide a radio for every bedroom. Service users spoken with were very happy with their rooms, one saying that his room was “lovely”. The home has sufficient bathrooms and toilets, suitably equipped for the needs of the service users group and with suitable locks. One of the downstairs shower rooms is kept for the use of women only, which is good practice. The home has sufficient and suitable shared space, which is comfortable, homely and attractively decorated with furniture and fittings of good quality. There are two communal rooms in the detoxification unit – one is the dining room, which is also used for group work, and the other is the lounge, which has comfortable chairs and television & video. On the day of the inspection one service user said that the lounge was “fine” but that the sofa needed some cushions. The Manger said that these would be provided. The main kitchen is on the first floor but there is a dumbwaiter to the ground floor dining room and the day’s menu is displayed on a board in both areas. The dining area also has facilities for hot and cold drinks, which service users can access as they wish. The laundry, which is located on the first floor, has washing machines and tumble-driers and some storage space. The home is kept to a very high standard of hygiene and cleanliness. Given the nature of the programme at the home and the constant turnover of service users this is a major achievement. The home employs a fulltime housekeeper and two fulltime cleaners/handypersons, who are to be commended for the cleanliness standards at the home. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 18 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) 31, 33 and 35. Staff are clear about their roles and responsibilities and service users are supported by an effective staff team. Service users’ needs are met by appropriately trained staff. EVIDENCE: There are both substance misuse workers and substance misuse nurses at the home, the latter all being qualified nurses. Staff were clear about the differences in the roles – only substance misuse workers administer medication, take medical observations and dress wounds and injuries if they arise. In all other ways, the roles are the same. Staff get to know and develop relationships with all service users via assessments, daily interviews, key work sessions, information exchanged at daily handover and normal day-to-day contact. Observation and verbal feedback from service users indicated that staff develop open, friendly and supportive relationships with service users. Service users said that staff were “very positive and helpful, always there”, “were approachable, friendly and supportive” and that at the daily interviews staff helped service users “build confidence and make plans for the future”. The home has an effective staff team, which is diverse in gender, ethnicity and culture, and hence suitable to the service user group. Specialist services are sought and/or service users supported to contact them as appropriate. On the day of the inspection the manager and one of the two assistant mangers were on duty, together with two substance misuse nurses, two substance misuse 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 19 workers and two groupworkers. Rotas showed that there are always two waking night staff, one of whom is a nurse, and the inspector was told that there are never less than two members of staff on duty at the home at all times. The home has low levels of sickness and also low agency staff use and currently there are no staffing vacancies at the home. Staff at the home are suitably trained and qualified for their roles. The manager explained that applications would not be considered unless the candidate had previous experience in the substance misuse field. The substance misuses nurses all are either RMN or RGN qualified. All except two of the substance misuse workers are in the process of completely NVQ Level 3. The two night workers are currently undertaking NVQ Level 2. The Registered Provider has an annual corporate training plan which includes a 5-day induction and a yearly training programme that is led by appraisal. Basic internal training on substance misuse is provided and staff are supported and encouraged to access the range of PCT and NTA training that is available. Examples of such courses attended by staff included motivational interviewing and domestic violence. Staff confirmed that they are given paid time to study relevant courses and qualifications. The previous inspection report made a requirement in regard to staffing records, which are currently all held at the Registered Provider’s head office. The inspector will visit head office to check the staff files and has amended the previous requirement. It now requires the Registered Provider to ensure that a list is kept permanently at the home which provides a record of all relevant information in regard to staff CRBs. This must include the full name of the member of staff, the date the CRB was applied for, the reference number of the CRB, the date it was returned, and the date the staff member commenced employment. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 20 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, 38 and 42 Service users benefit from a well run home and from the leadership and management approach of the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The Registered Manager is suitably qualified and experienced to run the home and in the process of completing NVQ Level 4 in care and management. The assistant manager for care has NVQ Level 4 in care and the assistant manager for nursing is a qualified RMN. The three managers of the home communicate a clear sense of direction and leadership and observation indicated that their management style is open and inclusive. Staff confirmed that they felt part of a team, that management was open and supportive and that they enjoyed working at the home. They also said that staff interaction with the GP service provided was very good. Observation and perusal of documentation and certificates indicated that the policies and practices at the home safeguard the health, safety and welfare of 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 21 service users. Electricity, portable electrical appliances, gas and boiler, and fire alarm certificates were all up to date, regular fire checks and drills were carried out and COSHH and other health and safety practices observed were all satisfactory. 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 4 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x 3 3 3 x 4 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 x 4 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 124 Brook Drive Score x 4 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 23 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 34 Regulation 19(5)(d) Requirement The Registered Person must ensure that a list of relevent CRB information regarding all staff employed at the home is kept permanently at the home. Timescale for action 31 October 2005 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. Refer to Standard Good Practice Recommendations 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection SE London Area Office Ground Floor, 46 Loman Street Southwark SE1 0EH 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 124 Brook Drive G52-G02 S7019 EquinoxBD V246408 240805 Stage 4.doc Version 1.40 Page 25 - 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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