Inspection on 20/06/03 for Camden Park House

Care Home For Younger AdultsCamden Park House57-59 Camden Park Road London NW1 9BAUnannounced Inspection20th June 2003 Commission for Social Care InspectionLaunched in April 2004, the Commission for Social Care Inspection (CSCI) is the single inspectorate for social care in England. The Commission combines the work formerly done by the Social Services Inspectorate (SSI), the SSI/Audit Commission Joint Review Team and the National Care Standards Commission. The role of CSCI is to: · Promote improvement in social care · Inspect all social care - for adults and children - in the public, private and voluntary sectors · Publish annual reports to Parliament on the performance of social care and on the state of the social care market · Inspect and assess `Value for Money of council social services · Hold performance statistics on social care · Publish the `star ratings for council social services · Register and inspect services against national standards · Host the Childrens Rights Director role.Inspection Methods & FindingsSECTION B of this report summarises key findings and evidence from this inspection. The following 4-point scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase Standard met? The 4-point scale ranges from: 4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls) O or blank in the Standard met? box denotes standard not assessed on this occasion. 9 in the Standard met? box denotes standard not applicable. X is used where a percentage value or numerical value is not applicable. ESTABLISHMENT INFORMATION Name of establishment Camden Park House Address 57-59 Camden Park Road, London, NW1 9BA Email Address cph@umbrellacare.org.uk Tel No: 020 7267 7503 Fax No:Name of registered provider(s)/Company (if applicable) Umbrella Name of registered manager (if applicable) Ms Catherine Alborough Type of registration Care Home No. of places registered (if applicable) 10Category(ies) of registration, with (number of places) Mental disorder, excluding learning disability or dementia (10) Registration number G070000044 Date First registered 1st April 1997 Do additional conditions of registration apply ? Does Annex for 16 and 17 year olds plus Part VI Care Home Regulations ­ Children, apply? Date of last inspectionDate of latest registration certificate 30th July 2002 NO NO 27/03/03 If Yes Refer to Part CCamden Park HousePage 1 Date and Time of Inspection Visit Name of Inspector Name of Inspector Name of Inspector Name of Inspector 1 2 3 421/6/03 at 10.00 a.m. Ms Beverley BrewerID Code 074926Name of Lay Assessor (if applicable) Name of Interpreter/Signer (if applicable)Camden Park HousePage 2 CONTENTSIntroduction to Report and Inspection Inspection visits Description of service Part A: Summary of Inspection Findings Statutory Requirements/Good Practice Recommendations from last Inspection Conditions of Registration Statutory Requirements/ Good Practice Recommendations from this Inspection Part B: Inspection Methods Used & Findings The Standards. National Minimum Standards for Younger Adults 1. Choice of Home 2. Individual Needs and Choices 3. Lifestyle 4. Personal and Healthcare support 5. Concerns, Complaints and Protection 6. Environment 7. Staffing 8. Conduct and Management of the Home Part C: Part D: Part E: E.1. E.2. E.3. Compliance with additional conditions of registration ( if applicable) Lay Assessors summary (where applicable) Providers Response Providers comments Action Plan Providers agreementCamden Park HousePage 3 INTRODUCTION TO REPORT AND INSPECTION Every establishment that falls within the jurisdiction of the National Care Standards Commission (NCSC) is subject to inspection, to ascertain if the establishment is meeting the National Minimum Standards relevant to that setting and the requirements of the Care Standards Act 2000 and / or the Children Act 1989 as amended. This document summarises the inspection findings of the NCSC in respect of Camden Park House. The inspection findings relate to the National Minimum Standards (NMS) for Care Home published by the Secretary of State under the Care Standards Act 2000. The Regulations applicable to the inspected service are secondary legislation, with which a service provider must comply. Service providers are expected to comply fully with the National Minimum Standards. The National Minimum standards will form the basis for judgements by the NCSC regarding registration, the imposition and variation of registration conditions and any enforcement action. The report follows the format of the NMS and the numbering shown in the report corresponds to that of the standards. The report will show the following: · Inspection methods used · Key findings and evidence · Overall ratings in relation to the standards · Compliance with the Regulations · Required actions on the part of the provider · Recommended good practice · Summary of the findings · Report of the Lay Assessor (where relevant) · Providers response and proposed action plan to address findings This report is a public document. INSPECTION VISITS Inspections are undertaken in line with the agreed regulatory framework with additional visits as required. This is in accordance with the provisions of the Care Standards Act 2000 and the Children Act 1989 as amended. The following inspection methods have been used in the production of this report. The report is based on the findings of the specified inspection dates.Camden Park HousePage 4 BRIEF DESCRIPTION OF THE SERVICES PROVIDED Camden Park House is a care home registered for ten people with a past or present mental health problem. It is managed by the voluntary organisation Umbrella. It is a large multi storey property located near to Camden Town. The purpose of the home is to empower service users to take as much control of their own lives as possible.Camden Park HousePage 5 PART ASUMMARY OF INSPECTION FINDINGSINSPECTORS SUMMARY (This is an overview of the inspectors findings, which includes good practice, quality issues, areas to be addressed or developed and any other concerns.) This is the report of an unannounced inspection. As this was an unannounced inspection a number of the standards were not assessed. These will be covered at the next announced inspection to take place in the near future. On the day of the inspection four service users were on holiday with the care manager and other members of the staff team, one service user was in hospital and four service users were in the home. There are a number of requirements made as a result of this inspection including recruiting to the increasing number of staffing vacancies. Service users require significantly more support in keeping their rooms clean. The Responsible individual is asked to forward copies of the revised adult protection policy and procedure when these have been amended. New flooring is required in two of the service users bedrooms. The Inspector would like to thank service users and staff for their time and cooperation during the course of the inspection.Camden Park HousePage 6 Requirements from last Inspection fully actioned? If No please list belowNOSTATUTORY REQUIREMENTS Identified below are areas not addressed from the last inspection report which indicate a non-compliance with the Care Standards Act 2000 and accompanying Regulations. No. Regulation Standard Required actions Timescale for action 1. 2. 18(1)(a) 16 YA33 YA27 Recruit to staff vacancy. Provide blinds in all bathrooms and toilets. 30/6/03 30/6/03Action is being taken by the National Care Standards Commission to ensure compliance in regard to the above requirements. RECOMMENDATIONS Identified below are recommendations from the last inspection that have not been implemented No. Refer to Good Practice Recommendations StandardCONDITIONS OF REGISTRATION THAT APPLY (OTHER THAN NUMBERS AND CATEGORY OF SERVICE USERS).MET (YES/NO)Camden Park HousePage 7 STATUTORY REQUIREMENTS IDENTIFIED DURING THE INSPECTION Action Plan: The Registered Person is requested to provide the Commission with an Action Plan, which indicates how requirements and recommendations are to be addressed with the time scale within which such actions will be taken. This action plan will be made available on request to the Area Office.Camden Park HousePage 8 STATUTORY REQUIREMENTS Identified below are areas addressed in the main body of the report which indicate noncompliance with the Care Standards Act 2000, and accompanying Regulations 2001, the National Minimum Standards and the relevant sections of the Childrens Act. The Registered Provider(s) is/are required to comply within the given time scales. No. Regulation Standard * Requirement Timescale for action 1 16(1)(i) YA17 The care manager must maintain a record of all food provided for service users. The responsible individual is required to forward a copy of the revised adult protection procedure to the NCSC. The care manager must ensure that the extractor fan is cleaned in the understairs toilet. The care manager must arrange for the flooring to be replaced in rooms 7 and 10. 31/8/03212YA2331/8/03323(2)(d)YA2431/8/03423(2)(d)YA3030/9/03523(2)(d) 16(2)(j)YA30Service users must receive significantly more ancillary support in keeping their rooms clean. Window sills and the inside of windows must 31/8/03 be cleaned regularly. The care manager must provide a pedal bin in the kitchen. Recruit to staff vacancies. 31/10/03618(1)(a)YA33RECOMMENDATIONS Identified below are areas addressed in the main body of the report which relate to National Minimum Standards and are seen as good practice issues which should be considered for implementation by the registered Provider(s) No. Refer to Recommendation Action Standard *Camden Park HousePage 9 * Note: You may refer to the relevant standard in the remainder of the report by omitting the 2-letter prefix e.g. YA10 refers to Standard 10.PART BINSPECTION METHODS & FINDINGSThe following inspection methods have been used in the production of this report Direct Observation Indirect Observation Sampling · Pre-inspection Questionnaire · Records · Care Plans / Care Pathways · Meals · Activities · Other enter details here `Tracking care and support Group discussion with service users Individual discussion with service users Group discussion with staff Individual discussion with staff Discussion with management Service user survey Visiting Professionals survey / feedback Tour of Premises Formal Interviews Document reading Date of Inspection Time of Inspection Duration Of Inspection (hrs) YES NO NO YES YES NO NO NO NO NO YES NO YES NO NO NO YES NO YES 20/6/03 10.00 3.5The following pages summarise the key findings and evidence from this inspection, together with the NCSC assessment of the extent to which the National Minimum Standards have been met. The following scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase Standard met? The scale ranges from: 4 - Standard Exceeded 3 - Standard Met 2 - Standard Almost Met 1 - Standard Not Met (Commendable) (No Shortfalls) (Minor Shortfalls) (Major Shortfalls)0 in the Standard met? box denotes standard not assessed on this occasion. 9 in the Standard met? box denotes standard not applicable.Camden Park HousePage 10 Choice of HomeThe intended outcomes for the following set of standards are: · Prospective service users have the information they need to make an informed choice about where to live. · Prospective service users individual aspirations and needs are assessed. · Prospective service users know that the home they 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. Standard 1 (1.1 ­ 1.4) The registered person produces an up to date statement of purpose setting out the aims, objectives, philosophy of the home, its services and facilities and terms and conditions; and provides each service user with a service guide to the home. X X Range of fees charged From To £ £ Any charges for extras Key findings/Evidence NO Standard met? 0Standard 2 (2.1 ­ 2.8) New service users are admitted only on the basis of a full assessment undertaken by people trained to do so, involving the prospective service user and employing an appropriate communication method. 3 Key findings/Evidence Standard met? All prospective service users are assessed within the local authority care management assessment framework. The quality of assessment material available was good. Eight out of the ten service users are patients of the Care Programme Approach and as such are subject to ongoing assessment and review of their mental health needs.Camden Park HousePage 11 Standard 3 (3.1 - 3.10) The registered person can demonstrate the homes capacity to meet the assessed needs (including specialist needs) of individuals admitted to the home. 0 Key findings/Evidence Standard met?Standard 4 (4.1 - 4.5) The registered manager invites prospective service users to visit and to live in the home on a trial basis, before making a decision to move there, and unplanned admissions are avoided wherever possible. 0 Key findings/Evidence Standard met?Standard 5 (5.1 - 5.5) The registered manager develops and agrees with each prospective service user a written and costed Contract/Statement of Terms and Conditions between the home and the service user. 0 Key findings/Evidence Standard met?Camden Park HousePage 12 Individual Needs and ChoicesThe intended outcomes for the following set of standards are: · 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 their independent lifestyle. · Service users know that information about them is handled appropriately, and that their confidences are kept. Standard 6 (6.1 ­ 6.10) The registered manager develops and agrees with each service user an individual Plan which may include treatment and rehabilitation, describing the services and facilities to be provided by the home and how these services will meet the current and changing needs and aspirations and achieve goals. 3 Key findings/Evidence Standard met? The quality of care planning examined by the Inspector was good. Service users individual plans are generated from the care management assessment/care plan and incorporate the relevant areas of the care programme approach care plan. Consultation with service users is recorded. The home uses a keyworking system.Standard 7 (7.1 ­ 7.7) Staff respect service users rights to make decisions and that right is limited only through the assessment process, involving the service user and as recorded in the individual Service User Plan. 0 Key findings/Evidence Standard met?Camden Park HousePage 13 Standard 8 (8.1 ­ 8.5) The registered person ensures that service users are offered opportunities to participate in the day-to-day running of the home and to contribute to the development and review of policies, procedures and services. 0 Key findings/Evidence Standard met?Standard 9 (9.1 ­ 9.4) Staff enable service users to take responsible risks, ensuring that they have good information on which to base decisions within the context of the service users individual Plan and of the homes risk assessment and risk management strategies. 3 Key findings/Evidence Standard met? There is evidence that risk is assessed prior to admission and risk management strategies agreed and recorded in the individual plans. Action is taken to minimize identified risks and this is fully covered in the CPA care plan.Standard 10 (10.1 ­ 10.6). Staff respect information given by service users in confidence and handle information about service users in accordance with the homes written policies and procedures and the Data Protection Act 1998 and in the best interests of the service user. 0 Key findings/Evidence Standard met?Camden Park HousePage 14 LifestyleThe intended outcomes for the following set of standards are: · · 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. Standard 11 (11.1 ­ 11.4) Staff give service users opportunities to maintain and develop social, emotional, communication and independent living skills. 0 Key findings/Evidence Standard met?Standard 12 (12.1 ­ 12.6) Staff help service users to find and keep appropriate jobs, continue their education and training, and / or take part in valued and fulfilling activities 0 Key findings/Evidence Standard met?Camden Park HousePage 15 Standard 13 (13.1 ­ 13.5) Staff provide opportunities for service users to become part of and participate in the local community in accordance with assessed needs and their individual Plans. 0 Key findings/Evidence Standard met?Standard 14 (14.1 ­ 14.6) Staff ensure that service users have access to and choose from a range of leisure activities. 0 Key findings/Evidence Standard met?Standard 15 (15.1 ­ 15.5) Staff support service users to maintain family links and friendships inside and outside the home, subject to restrictions agreed in the individual Plan and Contract (subject to standards 2 and 6 if necessary). 3 Key findings/Evidence Standard met? Family and friends are made welcome at Camden Park house. On a number of visits the Inspector has spoken to visitors who have commented that they are made welcome, service users confirmed this when questioned on the day. Family and friends are able to stay for a meal if they wish. Staff said they prioritised their time to make themselves available to family members even if the visit was not expected.Standard 16 (16.1 ­ 16.11) The daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in the individual Plan and Contract (subject to Standards 2 and 6 if necessary). 0 Key findings/Evidence Standard met?Camden Park HousePage 16 Standard 17 (17.1 ­ 17.9) The registered person promotes service users health and wellbeing by ensuring the supply of nutritious, varied, balanced and attractively presented meals in a congenial setting and at flexible times. 2 Key findings/Evidence Standard met? Meals are offered three times daily and a range of drinks and snacks are available at all times. Service users choose and prepare their own breakfast and lunch with staff support if required. A cooked evening meal is prepared by the housekeeper. At present only menus of the evening meal are available, this is unsatisfactory. Complete menus must be maintained of all food provided for service users even if they self select from what is available. Service users nutritional needs are assessed and monitored with community dietician support if required.Camden Park HousePage 17 Personal and Healthcare SupportThe intended outcomes for the following set of standards are: · · · 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 homes policies and procedure for dealing with medicines. · The ageing, illness and death of a service user are handled with respect and as the individual would wish. Standard 18 (18.1 ­ 18.11) Staff provide sensitive and flexible personal support and nursing care to maximise service users privacy, dignity, independence and control over their own lives. 0 Key findings/Evidence Standard met?Standard 19 (19.1 ­ 19.5) The registered person ensures that the healthcare needs of service users are assessed and recognised and that procedures are in place to address them. No. of incidents where service users have been admitted to Accident & Emergency since last inspection No of service users with pressure sores at the time of inspection (from information taken from care notes) 103 Key findings/Evidence Standard met? There is good evidence that service users are supported and facilitated to take control of and manage their own healthcare. Service users are free to choose their own G.P. and are fully consulted on all aspects of their individual plans. Service users are supported to access NHS care as required and at the time of this inspection there was involvement of the community dietician and speech therapist as well as community psychiatric support.Camden Park HousePage 18 Standard 20 (20.1 ­ 20.14) The registered manager and staff encourage and support service users to retain, administer and control their own medication, within a risk management framework, and comply with the homes policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. 3 Key findings/Evidence Standard met? There are no identified concerns as a result of this inspection. A number of medication administration files were not available for inspection as staff had taken them to Butlins for the service user holiday. The files available for inspection had been pre printed by the community pharmacist and had been appropriately maintained. The home has a contract with a community pharmacist who visits the home on a monthly basis. Service users consent to medication is recorded in the service user plan. Standard 21 (21.1 ­ 21.8) The registered manager and staff deal with the ageing, illness and death of a service user with sensitivity and respect and as the individual would wish. 0 Key findings/Evidence Standard met?Camden Park HousePage 19 Concerns, Complaints and ProtectionThe intended outcomes for the following set of standards are: · Service users feel their views are listened to and acted on. · Service users are protected from abuse, neglect and self-harm. Standard 22 (22.1 ­ 22.7) The registered person ensures that there is a clear and effective complaints procedure which includes the stages of and times-scales for the process and that service users know how to complain and to whom. No. of complaints made to the home since the last inspection No. of these complaints fully substantiated No. of these complaints partly substantiated No. of these complaints not substantiated No. of these complaints not yet resolved Percentage of complaints responded to within 28 days 0 0 0 0 0 0 3 Key findings/Evidence Standard met? There have been no formal or informal complaints made about the home or the service since the last inspection however there have been a number of complaints made by service users about other service users that have been recorded and resolved by staff at the home.Camden Park HousePage 20 Standard 23 (23.1 ­ 23. 6) The registered person ensures that service users are safeguarded from physical, financial or material, psychological or sexual abuse, neglect, discriminatory abuse or self harm, or inhuman or degrading treatment, through deliberate intent, negligence, or ignorance, in accordance with written policy. The home has an Adult Protection procedure (including Whistle Blowing) which complies with the Public Disclosure Act 1998 and the DOH Guidance No Secrets No of staff referred for inclusion on POCA/POVA lists since last Unannounced inspection YES02 Key findings/Evidence Standard met? Umbrella has produced an adult protection and whistleblowing procedure and this has been in place for a number of years. At the time of this inspection the adult protection procedure was under review. It is understood that it is being reviewed to incorporate any changes required as a result of the Camden launch of the local authority inter departmental adult protection procedures. The responsible individual is asked to forward a copy of the revised procedure to the NCSC upon completion.Camden Park HousePage 21 EnvironmentThe intended outcomes for the following set of standards are: · · · · 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. Standard 24 (24.1 ­ 24.13) The homes premises are suitable for its stated purpose; accessible, safe and well maintained; meets service users needs in a comfortable and homely way; and have been designed with reference to relevant guidance. 2 Key findings/Evidence Standard met? This home is not suitable for wheelchair users as it is multi storey with no lift and narrow corridors. The home is generally well maintained. The extractor fan in the downstairs toilet under the stairs was very dirty, this is unsatisfactory.Camden Park HousePage 22 Standard 25 (25.1 ­ 25. 13) The registered person provides each service user with a bedroom which has usable floor space, sufficient and suitable to meet individual needs and lifestyles. No. of service users with single rooms No. of single rooms with at least 10 sq.m. usable floor space No. of single rooms with at least 9.3 sq.m. & compensatory space No. single rooms less than 9.3 sq. m with no compensatory space No. of rooms accommodating wheelchair users with 12 sq.m. space No. of rooms accommodating wheelchair users with less than 12. sq.m. space No. of shared rooms No. of shared rooms with at least 16 sq.m. space No. of single rooms with en suite No. of single rooms without en suite No. of double rooms with en suite No. of double rooms without en suite 10 10 0 0 0 0 0 0 0 0 0 03 Key findings/Evidence Standard met? Each service user has their own bedroom which is of a minimum of 10 sq.m. Service users do not have en- suite facilities but no service user interviewed by the Inspector expressed concerns concerning this.Camden Park HousePage 23 Standard 26 (26.1 ­ 26.4) The registered person provides each service user with a bedroom that has furniture and fittings sufficient and suitable to meet individual needs and lifestyles. Key findings/Evidence Standard met? 0Standard 27 (27.1 ­ 27.6) The registered person provides service users with toilet and bathroom facilities that meet their assessed needs and offer sufficient personal privacy. 0 Key findings/Evidence Standard met?Standard 28 (28.1 ­ 28.3) A range of comfortable, safe and fully accessible shared spaces is provided both for shared activities and for private use. 0 Key findings/Evidence Standard met?Camden Park HousePage 24 Standard 29 ( 29.1 ­ 29.8) The registered person ensures the provision of environmental adaptations and disability equipment necessary to meet the homes stated purpose and the individually assessed needs of all service users. 3 Key findings/Evidence Standard met? This home does not provide a service to people with physical disabilities or sensory impairment.Standard 30 (30.1 ­ 30.9) The home is clean and hygienic. 1 Key findings/Evidence Standard met? Communal areas of the home were generally clean and hygienic however significantly more support is required for service users in keeping their rooms clean. It was evident that some bedrooms had not been thoroughly cleaned for a significant period, this is unacceptable. Windowsills and inside windows were very dirty. The flooring in rooms seven and ten must be replaced. Kitchen cleanliness in the kitchen was generally satisfactory although a pedal bin must be provided to ensure cross contamination does not occur.Camden Park HousePage 25 StaffingThe intended outcomes for the following set of standards are: · · · · 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 homes 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. Standard 31 (31.1 ­ 31.7) The registered manager ensures that staff have clearly defined job descriptions and understand their own and others roles and responsibilities. 0 Key findings/Evidence Standard met?Camden Park HousePage 26 Standard 32 (32.1 ­ 32.6) Staff have the competencies and qualities required to meet service users needs and achieve Sector Skills Council workforce strategy targets within the required timescales. Staff numbers/hours relating to the needs of service users are based on guidance recommended by the Department of Health. Personal Care No. service users High needs No. service users Medium needs No. service users Low needs Total no. of hours needed No. of staff with NVQ level 2 or above No. of Trainees registered on Sector Skills Council training programme 0 10 0 168 0 No. of full time equivalent Staff with nursing qualification (where applicable) No. staff hours allocated No. staff hours allocated No. staff hours allocated Total Hours 0 193 0 193 Nursing 0 0 0403 Key findings/Evidence Standard met? Umbrella have a good record of providing training for staff. Staff interviewed by the Inspector confirmed this. Four staff have enrolled on NVQ training and are on target for achieving the award by the required date.Standard 33 (33.1 ­ 33.11) The home has an effective staff team with sufficient numbers and complementary skills to support service users assessed needs at all times. 2 Key findings/Evidence Standard met? At the time of this inspection the deputy project manager post was still vacant as two recruitment drives had proved unsuccessful, a third recruitment drive was underway at the time of the inspection. There are in addition 1.5 project worker vacancies which will rise to 2.5 in July when another member of staff will leave. The cook/housekeeper informed the Inspector that she was likely to retire shortly which will result in another vacancy. The responsible individual must prioritise recruitment to these posts. Camden Park House Page 27 Standard 34 (34.1 - 34. 8) The registered person operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. 3 Key findings/Evidence Standard met? There were no identified concerns as a result of this inspection. Competitive interviews take place and two written references are taken up. A service user panel meets to interview prospective staff members. All staff have to complete a probationary period before they are confirmed in post. The staff member present at the inspection confirmed that a CRB check had been carried out on herself and she understood other members of the staff team.Standard 35 (35.1 - 35.8) The registered person ensures that there is a staff training and development programme which meets the Sector Skills workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users. 0 Key findings/Evidence Standard met?Standard 36 (36.1 - 36.8) Staff receive the support and supervision they need to carry out their jobs. Key findings/Evidence Standard met?0Camden Park HousePage 28 Conduct and Management of the HomeThe intended outcomes for the following set of standards are: · · 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 homes policies and procedures. · Service users rights and best interests are safeguarded by the homes 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. Standard 37 (37.1 ­ 37.4) The registered manager is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. Registered manager qualified to level 4 NVQ in Management and care or equivalent. Key findings/Evidence X 0Standard met?Standard 38 (38.1 ­ 38.6) The management approach of the home creates an open, positive and inclusive atmosphere. 0 Key findings/Evidence Standard met?Camden Park HousePage 29 Standard 39 (39.1 ­ 39.10) Effective quality assurance and quality monitoring systems based on seeking the views of service users are in place to measure success in achieving the aims, objectives and statement of purpose of the home. 0 Key findings/Evidence Standard met?Standards 40 (40.1 ­ 40.6) The homes written policies and procedures comply with current legislation and recognised professional standards, covering the topics set out in Appendix 3 of the National Minimum Standards for Younger Adults and Adult Placements. 0 Key findings/Evidence Standard met?Standard 41 (41.1 ­ 41.3) Records required by regulation for the protection of service users and for the effective and efficient running of the business are maintained up to date and accurate. 0 Key findings/Evidence Standard met ?Standard 42 (42.1 ­ 42.9) The registered manager ensures so far as is reasonably practicable the health, safety and welfare of service users and staff. 3 Key findings/Evidence Standard met? An examination of records relating to health and safety proved satisfactory. There are records of the weekly testing of fire alarm call points and quarterly fire drills. Regular servicing of fire equipment was recorded. A current gas safety certificate was in place. Risk assessments have taken place for safe working practices.Camden Park HousePage 30 Standard 43 (43.1 ­ 43.7 ) The overall management of the service (within or external to the home) ensures the effectiveness, financial viability and accountability of the home. 0 Key findings/Evidence Standard met ?Camden Park HousePage 31 PART C(where applicable)COMPLIANCE WITH CONDITIONSCondition CommentsComplianceCondition CommentsComplianceCondition CommentsComplianceCondition CommentsComplianceCamden Park HousePage 32 PART D(where applicable)LAY ASSESSORS SUMMARYLay Assessor Date Lead Inspector Date Area Manager Date Public reports Sue Toole Beverley BrewerSignatureSignatureSignatureIt should be noted that all NCSC inspection reports are public documents.Camden Park HousePage 33 PART EE.1PROVIDERS RESPONSE TO IDENTIFIED STATUTORY REQUIREMENTSRegistered Persons comments/confirmation relating to the content and accuracy of the report for the above inspection.We would welcome comments on the content of this report relating to the Inspection conducted on 19th June 2003 and any factual inaccuracies: Please limit your comments to one side of A4 if possibleCamden Park HousePage 34 Action taken by the NCSC in response to provider comments: Amendments to the report were necessary NOComments were received from the provider Provider comments/factual amendments were incorporated into the final inspection report Provider comments are available on file at the Area Office but have not been incorporated into the final inspection report. The inspector believes the report to be factually accurateNONONONote: In instances where there is a major difference of view between the Inspector and the Registered Provider both views will be made available on request to the Area Office. E.2 Please provide the Commission with a written Action Plan by 8th August 2003, which indicates how requirements are to be addressed and stating a clear timescale for completion. This will be kept on file and made available on request.You will also note that the Commission has identified in the inspection report good practice recommendations and it would be useful to have some indication as to whether you intend to take any action to progress these. Status of the Providers Action Plan at time of publication of the final inspection report: Action plan was required YESAction plan was received at the point of publicationYESAction plan covers all the requirements in a timely fashionYESAction plan did not cover all requirements and required further discussionNOProvider has declined to provide an action planNOOther: enter details here NOCamden Park HousePage 35 E.3PROVIDERS AGREEMENT Registered Persons statement of agreement/comments: Please complete the relevant section that applies.E.3.1 I of confirm that the contents of this report are a fair and accurate representation of the facts relating to the inspection conducted on the above date(s) and that I agree with the requirements made and will seek to comply with these. Print Name Signature Designation Date Or E.3.2 I of am unable to confirm that the contents of this report are a fair and accurate representation of the facts relating to the inspection conducted on the above date(s) for the following reasons:Print Name Signature Designation DateCamden Park HousePage 36 Camden Park House / 20th June 2003Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF Telephone: 020 7979 2000 Fax: 020 7979 2111 National Enquiry Line: 0845 015 0120 www.csci.org.ukS0000010339.V71291.R01© This report may only be used in its entirety. Extracts may not be used or reproduced without the express permission of the Commission for Social Care Inspection The paper used in this document is supplied from a sustainable source - 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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