Inspection on 29/01/07 for Chesterfield Gardens 44 & 60

This inspection was carried out on 29th January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chesterfield Gardens 44 & 60 13/05/08

Chesterfield Gardens 44 & 60 11/10/07

Chesterfield Gardens 44 & 60 01/11/05

Chesterfield Gardens 44 & 60 25/04/05

Chesterfield Gardens 44 & 60 20/08/04

Chesterfield Gardens 44 & 60 11/05/04

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

CARE HOME ADULTS 18-65 Chesterfield Gardens 44 & 60 London N4 1LP Lead Inspector Brian Bowie Key Unannounced Inspection 29th January 2007 08:45 Chesterfield Gardens 44 & 60 DS0000010722.V322713.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 Chesterfield Gardens 44 & 60 DS0000010722.V322713.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. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chesterfield Gardens 44 & 60 Address London N4 1LP Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8809 4933 F/P 020 8809 4933 PRA Services (Psychiatric Rehabilitation Association) Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specified service use who is over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as the specified service user vacates the home. 1st November 2005 Date of last inspection Brief Description of the Service: 44 & 60 Chesterfield Gardens are two terraced houses that operate as a single care home for seven adults with mental health needs. The home is run by the Psychiatric Rehabilitation Association (PRA) which provides a range of mental health services. The home is close to shops, pubs and public transport. 44 Chesterfield Gardens has three bedrooms for residents with a separate toilet and bath/shower room on the first floor and a lounge, kitchen/diner, toilet and staff office/sleeping-in room on the ground floor. 60 is similar in layout with a fourth resident bedroom on the ground floor instead of the staff accommodation. Both houses have an attractive rear garden. The home aims to support individuals with mental health needs to live in the community as independently as possible. In 2006 the fees charged were £529/week. Chesterfield Gardens makes inspection reports and other important information about the home available to residents, their families and professionals. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day and lasted 8 hours. The acting manager and residential care coordinator assisted with the inspection. A tour of both houses was made and all of the seven people resident in the home at the time of the inspection were spoken to. The member of care staff on duty was also spoken to. A variety of records, including care plans, staff files and health & safety documents, were looked at. The overall impression from the inspection was of a home that is providing an adequate standard of care within a friendly, homely and supportive environment. The standard of service provided had decreased following the retirement through ill-health of the registered manager. It is important that PRA ensure that management arrangements in the home are strengthened as soon as possible. What the service does well: What has improved since the last inspection? At the previous inspection there had been 7 areas that the home had to improve. The home had taken action on all of these areas and as a result these areas are now better than before. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 6 Plans setting out how residents’ needs are to be met have been put together as have risk assessments which describe how any risks in relation to each resident are dealt with and minimised. All care staff are being regularly supervised so that they can be helped to support residents as effectively as possible. Several staff are undertaking appropriate further training such as NVQ qualifications in care. What they could do better: 9 new areas for improvement are identified at this inspection. These areas were discussed and agreed with the acting manager and residential care coordinator. The registered persons must ensure: • a variation to the home’s certificate of registration is applied for to enable Chesterfield Gardens to continue to support a resident who is now over 65 at the home. all files on residents contain an up to date care plan and risk assessment. urgent action is taken to make sure the temperature of the hot water is at a safe level. all bedrooms have thermostatic valves fitted to radiators. the bathroom at 44 Chesterfield Gardens is redecorated. all staff attend person-centred planning training. provide sufficient staffing in the home to ensure that both management and care tasks in the home are carried out effectively so that residents are fully supported. all records are up to date and available for inspection. all health and safety records, especially fire safety records, are consistently maintained by all staff and kept up to date. • • • • • • • • One recommendation is made: a record to be kept of comments and suggestions made by residents on the running of the home so that the influence residents have on the service provided at Chesterfield Gardens can be measured more effectively. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 7 The acting manager at the home and residential care coordinator emphasised that they are keen to work closely with CSCI to raise standards at the home in order to be able to provide the best possible quality of life for residents. 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. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 8 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 Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 9 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): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • People moving into the home have their needs and wishes assessed so that the home can be sure that it can meet these needs and wishes. The home needs to ensure its certificate of registration reflects the resident group currently living at the home. EVIDENCE: All seven of the residents were spoken to. They said that they enjoyed living at the home and thought that their needs were being met. One resident said: ‘I like living here. We get on well with each other.’ The high satisfaction level of residents with the home indicated that the home is good at selecting residents who will benefit from what the home offers and that residents’ needs and wishes are being responded to. A second resident is now over 65. As a result the home must apply for a variation to its certificate of registration to enable it to continue to support this individual at Chesterfield Gardens. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • • • The home is good at assessing and responding to the needs of residents. Care plan records are not always up to date. The home is good at helping residents to make decisions for themselves about what they want to do and when they want to do it. The plans for the care of the residents include taking calculated risks so that residents are helped to be as independent as possible. EVIDENCE: Plans of care were looked at and indicated the main needs of residents and how these were to be met. The keyworker for each resident follow up the aims Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 11 and objectives set out in the care plan. One member of care staff was interviewed and was able to show how they were assisting residents to achieve the aims set out in their care plan. However in one case the individual’s file did not have an up to date care plan and risk assessment. The acting manager must ensure that all files on residents contain an up to date care plan and risk assessment. Care plans also need to reflect person-centred approaches to supporting residents, and action needed in this area is detailed under the ‘Staffing’ section of this report. Care staff interviewed were aware of the need to provide guidance and support to residents where necessary, whilst letting them decide for themselves as much as possible how they led their life. The residents said they could decide when they wanted to have their meals and what they had to eat. They also said they had meetings where they discussed the running of the home and made suggestions about what they wanted to do, such as where to go on holiday. Staff support residents to take risks as part of a more independent lifestyle. Some of the residents are now taking more responsibility over taking their medication. Staff members discuss this with each resident and a plan is worked out with the risks weighed up. Feedback from the residents themselves showed that they were enjoying these opportunities to do more for themselves. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • • • • The home is good at enabling residents to get out and about and lead as ordinary a life as possible. Residents are getting a better quality of life because of their good links with the local community. Residents benefit from close contact with friends and family. Residents benefit by having staff who allow them to make choices for themselves and to have as much control over their life as possible. Mealtimes are enjoyed by the residents who benefit from the opportunity to help prepare the meals and make sure there is a choice about what to eat. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 13 EVIDENCE: ‘I help to look after the garden here.’ This was the comment of one resident who helps to maintain the garden at his house. Residents take part in a variety of daytime activities, including day centres, and work projects, as well as helping with the general running of both 44 & 60 Chesterfield Gardens, including cooking meals and cleaning bedrooms. Residents get out and about in their local community, including going shopping, to the cinema and on outings. Cultural needs are responded to with one resident going to a temple to worship when they wished to, and when it is their turn to cook for other residents they will make a vegetable curry in line with their cultural needs and wishes. The residents take it in turn to go out to the local shops to buy food for the home. Residents said they could have visitors when they wanted and the written feedback from families indicated they felt welcomed at the home. One resident was pleased that staff supported them to attend a family funeral. Feedback from residents was positive about how staff members respect their rights and give them responsibility. One resident was learning to take their medication themselves so that they did not have to rely on staff giving them their medication. Residents were seen to be very relaxed and enjoying what they were eating at lunchtime. One resident said: ‘The food is good here. I like curries and get to have them.’ Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • • The staff team is good at supporting the residents in a way that they are happy with. Staff members are good at supporting residents in a way which makes sure their physical and health needs are met. Residents are protected by the medication arrangements in place in the home. EVIDENCE: One resident was going to look at a flat on the day of the inspection as part of a planned programme for the person to be as independent as possible. The individual was being accompanied by both the acting manager and the residential care coordinator so that they felt as supported as possible. Staff were observed to interact appropriately with residents and in a way that recognised their individual needs and capabilities. A keyworker system is in Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 15 place so that residents have a member of staff who takes a particular interest in supporting them. The GP for the home had written that he was satisfied with the overall care provided to residents at Chesterfield Gardens. Feedback from families was also positive and included the comment: ‘I always find the staff very helpful when I phone.’ Residents themselves commented that they thought their needs were being met and that staff were good at responding to their individual needs. The home is encouraging and enabling residents to take more responsibility for taking their medication. As a result residents feel more independent and are better prepared if they do move on to a more independent living situation. The records relating to the administration of medication to residents were up to date and accurate. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • The home has a satisfactory complaints system so that residents and relatives feel confident their complaints and concerns will be listened to and acted on. The residents benefit from adult protection procedures that ensure residents are safe and secure whilst at Chesterfield Gardens. • EVIDENCE: The home has policies and procedures in place in relation to reporting and investigating complaints with each resident given a copy of the complaint form. The complaint record showed that no complaint had been made since the previous inspection. Residents said they felt able to make complaints and raise issues if they needed to. Some said: ‘We’ve got no complaints.’ Written comments from relatives confirmed that they had not had to make complaints about the home. It is recommended that a record is kept of comments and suggestions made by residents on the running of the home so that the influence residents have on the service provided at Chesterfield Gardens can be measured more effectively. There had been no incidents in relation to adult protection in the home in the last year. Staff have had training in this area and know how to respond to incidents or allegations. Residents’ monies kept by the home are checked by 2 members of staff at the end of each shift to ensure that that there is a proper record kept with any discrepancies identified quickly. As a result residents are Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 17 protected by the arrangements in place in the home in relation to their finances. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 18 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): 24,26,27,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • • Residents benefit from a home which is homely and comfortable. Residents do not have a safe living environment. Bedrooms are attractive and contain personal belongings of residents. Residents do not have the benefit of being able to control the temperature of their bedrooms. The bathroom at 60 Chesterfield Gardens needs redecoration. Residents live in a clean and hygienic home. • • EVIDENCE: Chesterfield Gardens provides a very homely and comfortable environment for residents, with improvements made since the last inspection in terms of the Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 19 decoration and furnishings. Residents commented that it was a nice environment to live in. However the hot water temperature in 44 Chesterfield Gardens was above the permitted range so that residents were at risk of scalding themselves when washing or having a bath. The management team must take urgent action to ensure the temperature of the hot water is at a safe level, and ensure that residents are protected until the temperature has been adjusted. On the day after the inspection the water system was adjusted so that it was safe for residents. Radiators in both 44 & 60 Chesterfield Gardens did not have thermostatic valves so that residents could not adjust the temperature to their bedroom. The acting manager must ensure that all bedrooms have thermostatic valves fitted to radiators. The upstairs bathroom at 60 Chesterfield Gardens needs redecoration so that residents benefit from an attractive area for washing and showering. The acting manager must ensure that this bathroom is redecorated. The home is kept clean with a cleaner coming into both houses regularly as well as residents taking responsibility to keep the houses tidy. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 20 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): 32,34,35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • • • Residents benefit from a committed and experienced team of staff at the home who have the skills and training needed to meet their needs. Residents are protected by the home having proper recruitment procedures for new staff. Residents benefit from being supported effectively by staff who attend regular training courses. Residents do not have the benefit of staff that have attended training in person-centred planning so that they respond more fully to the individual needs and wishes of residents. The acting manager must ensure that all members of staff attend person-centred planning training. EVIDENCE: ‘It’s a happy home. I like working here.’ This was the comment of one member of care staff and reflected the close and supportive way in which the staff team works at the home. Staff on duty throughout the inspection were Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 21 observed and spoken to. Most staff at the home have worked there for a number of years and have built up a good knowledge and understanding of the needs of each resident. A good deal of positive feedback was received from the residents, including: ‘I like it here- they help me when I need it.’ At previous inspections staff files were looked at and contained the information needed to make sure that all staff in the home have had the appropriate checks made. These checks included written references and CRB disclosures. These procedures help to ensure that residents are protected from having unsuitable staff working in the home. Interviews with the management team indicated that they are aware of the appropriate procedures to follow when recruiting staff. A number of care staff have achieved NVQ Level 2 in caring for people, as well as attending relevant training courses when necessary. Staff interviews showed that staff have done training in essential areas, such as food hygiene, health and safety, administering medication and first aid. Some staff are undertaking NVQ Level 2 training to improve their caring skills further. Staff have a good understanding of the individual needs of each resident. However staff have not had training in person-centred planning which focuses on the individual needs and wishes of residents. The acting manager must ensure that all staff have training in person-centred planning. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 22 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): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • The home runs well in general so that the residents really benefit by living at Chesterfield Gardens and by having their individual needs and wishes responded to. However management arrangements at the time of the inspection needed improvement. Residents contribute to the way in which the home is run. Record keeping in the home need to improve. In general residents are protected by health and safety procedures. However new systems for record keeping in this area need improvement. • • • EVIDENCE: Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 23 The registered manager for Chesterfield Gardens stopped working for health reasons in late 2006. Until a new manager is appointed a senior member of staff is acting as manager. Additional staffing support had not been provided to enable the acting manager to fulfil all management tasks for the effective running of the home. As a result management arrangements, including record keeping, in the home had been disrupted. The residential care coordinator must provide sufficient staffing in the home to ensure that both management and care tasks in the home are carried out effectively so that residents are fully supported. Residents, individually and as a group, put forward their ideas and suggestions on how the home is run and these are then followed up by staff, such as organising a short break, the menu for the following week, which days people do their washing and cooking the evening meal. The disruption in the running of the home had resulted in record keeping standards slipping with some documents not available or not kept up to date. The acting manager must ensure that all records are up to date and available for inspection. Health and safety records were looked at, including fire safety and accident reports. These records had been up-to-date and accurate. However new systems for recording had been introduced and not always been followed by staff. The acting manager must ensure that all health and safety records, especially fire safety records, are consistently maintained by all staff and kept up to date. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 24 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 X 2 2 3 X 4 X 5 X 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 1 25 X 26 2 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 3 X 2 2 x Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 25 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 YA2 Regulation 14 (2) (b) Timescale for action The registered persons must 28/02/07 apply for a variation to the home’s certificate of registration to enable it to continue to support a specified resident who is now over 65. The registered persons must 28/02/07 ensure that all files on residents contain an up to date care plan and risk assessment. The registered persons must 31/01/07 ensure that urgent action is taken to ensure the temperature of the hot water is at a safe level at 44 Chesterfield Gardens. An immediate requirement was made to ensure prompt compliance. The registered persons must 31/03/07 ensure that all bedrooms have thermostatic valves fitted to radiators. The registered persons must 31/05/07 ensure that the bathroom at 60 Chesterfield Gardens is redecorated. The registered persons must 31/05/07 ensure that all members of staff attend person-centred planning DS0000010722.V322713.R01.S.doc Version 5.2 Page 26 Requirement 2. YA6 15 (2) (b) 3. YA24 13 (4) (c) 4. YA26 23 (2) (p) 5. YA27 23 (2) (d) 6. YA35 18 (1) (c) (i) Chesterfield Gardens 44 & 60 training. 7. YA33 18 (1) (a) The registered persons must 14/02/07 ensure that there is sufficient staffing in the home to enable both management and care tasks in the home to be carried out effectively so that residents are fully supported. The registered persons must 28/02/07 ensure that all records are up to date and available for inspection. The registered persons must 14/02/07 ensure that all health and safety records, especially fire safety records, are consistently maintained by all staff and kept up to date. 8. 9. YA41 YA42 17 (3) 17 (3) 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 YA22 Good Practice Recommendations The registered persons should ensure a record is kept of comments and suggestions made by residents on the running of the home so that the influence residents have on the service provided at Chesterfield Gardens can be measured more effectively. Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Chesterfield Gardens 44 & 60 DS0000010722.V322713.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!