Inspection on 21/02/07 for 70 Castleton Road

This inspection was carried out on 21st February 2007.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

70 Castleton Road 14/02/06

70 Castleton Road 11/08/05

70 Castleton Road 18/01/05

70 Castleton Road 19/07/04

70 Castleton Road 05/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Castleton Road 70 Castleton Road Walthamstow London E17 4AR Lead Inspector Rob Cole Unannounced Inspection 21 February 2007 10:00 st Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castleton Road Address 70 Castleton Road Walthamstow London E17 4AR 020 8531 5561 020 8531 5574 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.sense.org.uk Sense, The National Deafblind and Rubella Association Ms Julie Sandra Jordon Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Castleton Road is a six-bed home for adults with learning disabilities and sensory impairments. The service users all have complex needs and some have additional physical disabilities and challenging behaviour. The home is part of SENSE and is situated in a residential area of Walthamstow in the London Borough of Waltham Forest, and is close to shops and other local amenities. The house is similar to others in the locality. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 21/2/07 and was unannounced. The inspector had the opportunity of speaking with service users, staff, and the homes manager was present throughout the inspection. The inspection also included a tour of the premises, and an examination of records and documents. Overall, the inspector believes this to be a very well run home, and that service users receive high levels of individual care and support. Feedback from service users on the day of inspection was universally positive. 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. The summary of this inspection report can be made available in other formats on request. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that prospective service users are provided with sufficient information about the home to enable them to make an informed choice as to move in or not. This information is provided through written documentation, and the opportunity of visiting the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place. Both documents are written in plain English, and the Guide has also been produced in pictorial form. The Statement includes details of the services and facilities provided, the organisational structure of the home and of the staff team and their qualifications. The Guide contains details of the physical environment and a copy of the homes complaints procedure, and is in line with National Minimum Standards (NMS). All service users are provided with written contracts/statement of terms and conditions. These have been signed by a representative of the home, and the service user (or their representative where appropriate). These have been produced in pictorial forms to help make them more accessible to service Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 8 users, and include details of fees payable and the rights and obligations of both parties. Although there have been no new admissions to the home since the previous inspection, the home has a detailed admissions procedure. Pre admission assessments would be carried out on any prospective service users, and they would be given the opportunity of visiting the home, including for overnight stays, before making a decision as to move in or not. Service users would initially move in on a trial basis, after which a placement review meeting would be held. The inspector was satisfied that the home is able to meet the collective and individual needs of service users. Staff demonstrated a very good understanding of the needs of individual service users, and a good ability to communicate with service users, some of whom have complex communication needs. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that service users are supported to have as much control over their daily lives and the running of the home as possible. Care plans and risk assessments are generally of a good standard, and staff have a good understanding of issues around confidentiality. EVIDENCE: Individual care plans are in place for all service users. These are drawn up with the involvement of the service user, their family where appropriate, their keyworker and the homes manager. Plans are of a good standard, clear and comprehensive, providing detailed information on how service users needs are to be met by the home. They cover needs associated with mobility, personal care and social and leisure needs. However, many of the plans were not dated, and there was no evidence that they have been subject to regular review, and Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 10 it is required that all care plans are subject to regular review, at least once every six months. Risk assessments are also in place for all service users, and these are of a satisfactory standard. Assessments identify risks, and include strategies to manage and reduce these risks. Assessments have been subject to regular review, and include risks associated with mobility, falling and accessing the community. Where it has been identified that service users on occasions exhibit challenging behaviours, individual guidelines are in place around managing this. Through observation and discussion there was evidence that service users are supported to have as much control and choice over their daily lives as possible. For example, service users are able to get up at a time of their choosing, and are involved in choosing the clothes they wear. Service users are given a choice of meals. The home has introduced a COMPICS system for one service user, which enables them to have a large measure of control over their daily lives. The system comprises of a series of pictures, the service user is able to indicate through these pictures their choices, for example if and where they want to go out, what they want for diner etc. Many of the service users at the home have profound leaning disabilities, and this limits their ability to be involved in the day to day running of the home. However, the inspector was pleased to note that the home has made efforts to involve service users in decision making as much as possible, for example all bedrooms have recently been decorated, and service users have been involved in choosing new décor. Similarly, the home is due to have the kitchen refurbished in the near future, and service users are involved in this. The home has a confidentiality policy in place, this includes details of when a confidence may have to be broken in the health, safety and welfare interests of service users and others. Confidential records are stored securely; staff and service users can access confidential records as appropriate. Staff spoken to demonstrated a good understanding of issues around confidentiality. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that service users are sported to live valued lives, and that the have regular access to the local community. EVIDENCE: There was evidence that service users have regular access to the local community. For example, one service user attends a local college, where they are involved in a variety of activities, including art, craft, cooking and IT skills. The college also arranges various outings, such as camping trips. Service users visit local markets and shops, and have developed good relations with local shopkeepers, service users also visit the library. Service users use public transport, including buses and tube trains, and the home has its own unmarked vehicle which service users use to access the community. On the Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 12 day of inspection, one service user was out at college, another went out for a walk. Service users are involved in a variety of social and leisure activities, both in house and in the community. In house service users have access to TV, DVD, music, musical instruments, painting, an exercise bike and various games, for instance the home has a pool table. In the community service users visit pubs, restaurants, and go bowling, they go swimming and to theatrical and live music events, as well as community events such as the Notting Hill carnival and firework displays. The home arranges various day trips, for example to Southend. All service users are offered at least a weeks holiday annually away from the home as part of their basic contract price. Recent holidays have included trips to Butlins and Turkey. At the time of inspection the home was preparing for a holiday to Barbados for one service user, where they were due to meet family members. Service users are able to visit family, including for overnight stays. Family and friends are welcome to visit the home at any reasonable time, and can see service users in private. Records are maintained of menus, these evidenced that service users are offered a varied, balanced and nutritious diet. Service users are able to go to the shops and are involved in buying their food. It was observed on the day of inspection that service users are offered a choice of meals, and that drinks and snacks are available throughout the day, and that fresh fruit was available. The kitchen was clean and tidy, and food was stored appropriately. Records are maintained of fridge and freezer temperatures. Mealtimes were observed to be relaxed and unhurried, and where support was needed, this was provided in a sensitive manner. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is able to meet the personal and health care needs of service users. Service users are supported in a sensitive manner to manage their own personal care as much as possible. The home ensures that service users have access to relevant health care professionals, and systems are in place to help ensure that medications are administered as appropriate. EVIDENCE: Service users are encouraged to manage their own personal care as much as possible, in line with their care plans. Staff were observed to knock and wait before entering bedrooms. At times during the inspection service users made it clear they wished to be left alone, and this was seen to be respected by staff. Service users are able to choose their own clothes to wear, and all were appropriately dressed on the day of inspection. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 14 The home has a policy in place on death and dying. The home has sought the views of service users, or their relatives where appropriate, on their wishes for arrangements to be made in the event of their death. The manager informed the inspector service users could stay in the home with a terminal illness, as long as the home was able to meet their medical needs. All service users are registered with a GP. Individual health action plans are in place as part of service users care plans. These detail how the home is to meet the health needs of service users. Records are maintained of medical appointments, including details of any follow up action necessary. Records indicated that service users have access to health professionals as appropriate, including physiotherapists, psychiatrists and dentists. The home makes use of the Continence Advisory Service, and used continence products are disposed of appropriately. The home has a comprehensive medication policy, and all staff undertake training before they are able to administer medications. Medications are stored in locked cabinets inside individual bedrooms. Records are maintained medications entering the home, and of those that are returned to the pharmacist. No service users currently self medicate, or are on any controlled drugs. Medication Administration Charts are maintained, these are checked by staff at every handover to help ensure that medications are administered as appropriate. Charts checked by the inspector appeared accurate and up to date. Medication is always administered by two staff, to help ensure that it is always administered in line with the prescribing instructions, and in line with the homes policy on medication. The supplying pharmacist also visits the home monthly to audit medications and check that they are been administered appropriately. The inspector was impressed by the systems the home has put in place to ensure that medication is stored, recorded and administered in a safe manner. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the view of the inspector that the home has taken reasonable steps to help ensure that service users are safeguarded from the risk of abuse. EVIDENCE: The home has a complaints log, although the manager informed the inspector that the home has not received any complaints since the previous inspection. The home also has a complaints procedure, this includes timescales for responding to any complaints received, and contact details of the CSCI. A version of the procedure was on display within the home. The home has a copy of the Local Authorities adult protection procedure, and also its own policy on adult protection. This appeared to be in line with current legislation. Since the last inspection all staff employed at the home have now undertaken training in adult protection issues. Staff spoken to by the inspector demonstrated a good understanding of their roles and responsibilities with regard to adult protection. The home holds money on behalf of service users in a locked safe. Records and receipts are maintained of financial transactions involving service users monies. The inspector checked several sets of financial records at random, all of which appeared to be satisfactory. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is suitable to meet its stated purpose with regard to its physical environment. The home was generally well maintained, both internally and externally, and service users are provided with adequate communal and private space to meet their needs. EVIDENCE: The home is situated in a residential area of Walthamstow, in the London Borough of Waltham Forest, and is close to shops and other local amenities. The home is in keeping with other homes in the area, and is in a generally good state of repair. The home is accessible to service users who make use of a wheelchair, and suitable to meet its stated aims. On the day of inspection the home was clean, tidy and free from offensive odour. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 17 The home has a sitting room, garden, dinning/kitchen area and conservatory. The downstairs communal areas have recently been painted, and had a new carpet fitted. The manager informed the inspector that there are plans to convert half of the conservatory into a specialist sensory room. The garden has appropriate garden furniture and a BBQ, and is accessible to all service users. As well as the three ensuite bedrooms there is one bathroom/toilet, one shower room/toilet and one toilet on its own. Bathrooms and toilets have been adapted and are accessible to all service users. All bathrooms have locks fitted, with an emergency override device. Bathrooms were clean, tidy and free from offensive odour on the day of inspection. However, the toilet on the first floor was not in working order on the day of inspection, and this must be addressed. All service users have their own bedrooms, three of which are ensuite, and the others all have hand basins in them. Bedrooms are decorated to service users own personal tastes. Bedrooms had appropriate furniture, including table and chair, wardrobe and chest of draws. Carpets, bedding and curtains were all well maintained. Rooms all had adequate natural lighting and ventilation, and windows were fitted with appropriate safety devices. On the day of inspection bedrooms were clean, tidy and free from offensive odours. Bedrooms meet National Minimum Standards on size requirements. There are numerous adaptations around the home. As mentioned, bathrooms have been adapted, and the home has a lift between floors which is regularly serviced. Carpets and walls have contrasting colours, to aid service users with sensory impairments to find their way around the home. The home has a policy in place on infection control, and protective clothing such as gloves and aprons were available to staff. COSHH products were stored appropriately. Laundry facilities were domestic in scale and suitable to meet the homes needs. Hand washing facilities were situated throughout the home. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. It is the view of the inspector that staff are supplied in sufficient numbers, and that they are suitably experienced and competent, to ensure that they are able to meet the needs of service users. EVIDENCE: The home provides 24-hour support, including an emergency on-call system. A staffing rota was on display within the home, and this accurately reflected the staffing situation on the day of inspection. The inspector was pleased to note the relatively high staffing levels employed by the home, the rota indicated that on a typical day there would be five staff on duty to support the six service users, and this was the case on the day of inspection. Through observation and discussion there was evidence that staff have a good understanding of their roles and responsibilities, and that they have built up good relations with individual service users. Staff were observed to interact with service users in a respectful and friendly manner, and to have a good understanding of the often complex communication needs of service users. All Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 19 staff have been provided with a copy of their job description, and of the General Social Care Council codes of conduct. Of the fourteen care staff employed at the home, only six have achieved a relevant care qualification. The manager informed the inspector that more staff were currently working towards such a qualification, and it is required that at least 50 of the care staff employed at the home are suitably qualified. All staff undertake a structured induction on commencing work at the home, this includes service user issues and health and safety. Records are maintained of staff training, these indicated recent training in adult protection, sexuality, food hygiene, infection control, person centred planning and sensory awareness. Staff receive regular formal supervision, this is minuted, and staff get a copy of their supervision notes. Supervision includes discussions on service user issues, performance and training needs. The home has policies in place on equal opportunities and recruitment and selection. The inspector checked several staff employment files at random. These were all found to contain all required documentation, including proof of ID, references and satisfactory CRB checks. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector believes this to be a well run home, and that the manager is suitably experienced and competent to carry out their duties. Appropriate systems are in place around health and safety, and record keeping is of a generally good standard. EVIDENCE: The manager has sixteen years experience of working with adults with learning disabilities, including ten years in a managerial capacity. They have a City and Guilds advanced management in care certificate and the Registered Managers Award. The registration certificate was on display in the home, and accurately reflected the homes conditions of registration. The home also has a deputy Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 21 manager and two senior support workers. From discussion with the staff team, there was evidence that the management approach to the home creates an open and inclusive atmosphere. Staff were observed to interact with the manager in a relaxed manner. The home has a policy in place on equal opportunities, and the recruitment procedure outlined by the manager demonstrated a commitment to equal opportunities. The home has all necessary policies and procedures in place in line with National Minimum Standards. Those checked by the inspector, including adult protection and admissions, where satisfactory. Record keeping in the home was generally of a good standard. Confidential records are stored securely, staff and service users can access their records as appropriate. Staff supervisions and team meetings contribute to the quality assurance within the home. Copies of previous inspection reports were available to view in the home. The home issues questionnaires to service user’s families, to gain their feedback on the home. Completed questionnaires seen by the inspector contained generally very positive feedback. However, there was no evidence that the home has had any Regulation 26 visits since August 2006. It is required that these visits are carried out unannounced and monthly, and that a copy of the report of the visit is retained in the home, and is made available for inspection to persons so authorised to do so. Staff undertake various health and safety training courses, such as on infection control and food hygiene. The home has appropriate health and safety policies, including on COSHH and fire safety. Fire extinguishers were situated around the home, these were last serviced in July 2007. Fire exits were clearly signed and free from obstruction. Fire alarms are tested weekly, and were last serviced on the 12/12/06. The home holds regular fire drills, and there was a fire risk assessment in place. The home had in date safety certificates for PAT testing, gas safety and electrical installation. Mechanical hoists and the home’s lift are all regularly serviced. COSHH products were stored securely, and the home tests fridge/freezer and hot water temperatures. The home had in date employer’s liability insurance cover in place. Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 3 3 3 2 3 3 3 3 Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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 YA6 Regulation 15 Requirement Timescale for action 30/04/07 2. 3. YA27 YA32 23 18 4. YA39 26 The registered person must ensure that care plans are dated, and subject to regular review, at least once every six months. The registered person must 30/04/07 ensure that the broken toilet on the first floor is repaired. The registered person must 30/06/07 ensure that at least 50 of the care staff employed at the home have achieved an NVQ Level 2 in Care or equivalent qualification. The registered person must 31/03/07 ensure that unannounced Regulation 26 visits take place monthly, and a copy of the report of these visits is retained in the home. 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 Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Castleton Road DS0000007280.V310388.R01.S.doc Version 5.2 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!