CARE HOME ADULTS 18-65
Chesterfield Gardens 80 London N4 1LR Lead Inspector
Susan Shamash Key Unannounced Inspection 13th September 2007 12:30 Chesterfield Gardens 80 DS0000010817.V343074.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 80 DS0000010817.V343074.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 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Chesterfield Gardens 80 Address London N4 1LR 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 8350 6468 Mr Phivos Joannides Mr Phivos Joannides Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4), Mental disorder, excluding of places learning disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (4) Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: This home is registered for four people who have a learning disability or mental health needs. There are four single bedrooms but currently two residents have chosen to share a room. The spare bedroom has been temporarily turned into a lounge for these two residents to share. The house is situated close to Green Lanes, with easy access to public transport and local amenities. There is an office on the ground floor, which is also used as a staff sleeping-in room. The home is one of a number locally, owned and managed by the Joannides family. This home is owned by Mr. Phivos Joannides who is also the registered manager. Weekly fees as of September 2007 are £600 - £750 depending on care needs. CSCI inspection reports are available to residents from the office in the home. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was undertaken on an unannounced basis and lasted approximately five hours. There was one member of care staff on duty in the home when the inspector arrived, and the registered manager arrived at the home shortly afterwards. Managers from the other homes owned by the provider were also available to provide assistance and I was able to speak with all of them on this occasion. One resident had moved onto a more independent living setting since the previous inspection, and a new resident had been admitted to the home. I had the opportunity to speak with two residents in depth and one briefly, however the most recently admitted resident was not available on the day of the inspection. I had the opportunity to speak to one staff member working at the home. A tour of the building was conducted and residents’, staff and health and safety records were inspected. What the service does well:
Feedback from residents regarding the home is positive about support provided to them. The general impression is that they are well cared for, and feel comfortable living at the home. The home is effective at supporting residents who are relatively independent, to maintain and improve their living skills. The home is supported by staff and management from other homes owned by the family within the local area. Residents are supported to undertake meaningful activities of their choice during the week, and have the opportunity to mix with residents with similar interests from the other homes in the local area. The home is kept clean and furnished and decorated appropriately to meet the needs of residents accommodated. A varied and balanced diet is available to people living at the home that meets their nutritional needs. A wide range of training courses are provided for staff members, alongside regular supervision sessions to ensure that their practice is current and appropriate to the needs of people living at the home. The home is closely linked to other services run by the provider organisation, offering more independent accommodation for people with independent living
Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 6 skills, so that those gaining such skills whilst living at the residential care home can make a relatively seamless transition to ‘supported living’ accommodation. What has improved since the last inspection?
As required at the previous inspection, care plans and risk assessments had been reviewed within the last six months and these contained up to date information about people’s needs. More risk assessments were available for each person living at the home, so that all relevant areas appeared to have been covered. There had been an increase in the number of organised activities available to people living at the home. Art therapy sessions are also available for person living at the home, every weekday afternoon at one of the other homes owned by the provider. A varied selection of fresh fruit and vegetables were available for people living at the home. The home had ceased the practice of secondary dispensing of medicines, using a blister pack system prepared by the local pharmacist. More secure storage facilities had been provided for medicines stored in the home’s refrigerator, however there is room for further improvement in this area to safeguard people living at the home from home. People were being supported to attend regular healthcare appointments as appropriate, and details of these appointments were being recorded. New garden furniture was provided for the use of residents, and the back door of the home was redecorated. New carpets had been provided in a number of different rooms in the home and identified furniture had been repaired. New towels had also been provided for people living at the home. Further staff training had been undertaken to ensure that staff meet people’s needs in line with best practice. The home had further developed its quality assurance systems to ensure that the standard of care and support provided to people living at the home is monitored. Weekly fire alarm testing was now including all alarm call points and regular fire drills were being undertaken and recorded, to ensure the safety of residents in the event of a fire. All relevant safety certificates were available for the home as appropriate. Hot water, refrigerator and freezer temperatures were being monitored and recorded on a regular basis to ensure the safety of people living at the home.
Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 7 Finally the home is commended for installing a stair rail, so that the relative of one of the people living at the home is able to visit them without difficulty. 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. Chesterfield Gardens 80 DS0000010817.V343074.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 80 DS0000010817.V343074.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, 4 and 5. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. An appropriate system is in place to assess residents’ needs and goals effectively and ensure that these can be met. Prospective residents are able to visit the home prior to admission in order to make an informed decision about where they wish to live, and the rights of people living at the home are protected by contractual agreements. EVIDENCE: Since the previous inspection, a new resident had been admitted to the home following one person who had been living at the home moving into accommodation for people with more independent living skills. I had the opportunity to talk with two residents at some length, and one resident briefly. However the most recently admitted resident was not at home throughout my visit, so I was unable to obtain feedback from them. Those spoken to indicated that their needs were being met appropriately and according to their wishes. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 10 Records indicated that each resident including the most newly admitted person, had been assessed and placed appropriately at the home. Appropriate multi-disciplinary assessments were undertaken in addition to the home’s own assessments, undertaken in consultation with the new resident and their close family. Appropriate statements of terms and conditions with the home, were in place for all people living at the home. These included the room to be occupied, and the rights and responsibilities of both parties, and were signed by the resident and the registered manager as appropriate. In addition local authority contracts were available for each person. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 11 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 and 9. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is an improvement in the recording and updating of residents’ changing needs and support provided, to ensure that their needs are adequately met. People are encouraged to make decisions regarding their lifestyles according to their preferences. They are supported to take informed risks in order to develop independence skills. EVIDENCE: Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 12 Residents spoken to indicated that their needs were being met at the home according to their choices. Care plans were available for each resident, and as required at the previous inspection, they had been reviewed within the last six months as required. Appropriate risk assessments were available for all residents specifying agreed actions to be taken to minimise risks whilst promoting their independence as far as possible. As required at the previous inspection all of these risk assessments had been reviewed within the last six months, and new risk assessments had been completed to address new issues that had arisen since the previous inspection, indicating that these are working documents as appropriate. Whilst the care plans in place within the home are sufficient to address the primary needs of people living at the home, it is recommended that more detailed care plans be developed, to reflect more fully people’s preferences, abilities and goals. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 13 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, 14, 15, 16 and 17. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. A range of age and culturally appropriate activities are available for residents both within and outside of the home. Freedom is provided for people to engage in personal relationships and maintain contact with family and friends. They are encouraged to be involved in some aspects of home life, and are provided with a varied selection of meals that meet their nutritional needs. EVIDENCE: Residents living in the home are generally quite independent and able to say what they like and don’t like, coming and going unaccompanied. The most newly admitted resident attends art classes once weekly at a local day centre, and also attends art therapy sessions held on weekday afternoons at one of the provider’s other homes.
Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 14 Another person attends college courses on several days a week including courses in numeracy, computing and independence skills. Another attends a day centre run by the charity Mind, in the mornings, whilst the remaining resident advised that they still consider themself to be semi-retired. Residents told the inspector that they had enjoyed trip to Clacton on Sea and Southend on Sea this year. Staff and residents spoken to confirmed that residents are encouraged to maintain family links and friendships. One resident told the inspector that they visit their sister regularly at weekends, another was away at their relative’s house on the day of the inspection. The visitors book for the home also indicated that people living at the home receive regular visitors as appropriate. The manager advised that one people living at the home attends a Hindu temple with support from a relative, although the home has offered to provide this support if needed. He advised that people living at the home had been offered the opportunity of going on holiday to Greece or Clacton-on-Sea this year, but had chosen not to have a holiday this year. This was confirmed by two residents spoken to. Records indicated that a number of organised activities had been arranged for people living at the home including some visits to local restaurants, the British Museum, pub nights and two barbeques, in addition to occasional shopping trips and occasional parties. People living at the home that I spoke to confirmed that they had enjoyed these activities. All residents make use of amenities within the local community and were seen to come and go from the home independently throughout the inspection. One resident enjoys going out to local pubs until late at night. Although people living at the home take some responsibility for keeping their rooms tidy and bringing their laundry down, they are not involved in cooking, other than making hot drinks, or other household tasks. Instead all these tasks are carried out by the staff member on duty, as was observed on the day of the inspection, and confirmed by staff and residents spoken to. It is recommended that more support be provided to people living at the home in developing independent daily living skills, such as doing their own laundry and cooking meals. One person living at the home had improved their independence skills to the extent that they were able to move out into more independent accommodation, for which the home is commended. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 15 The three residents spoken to advised that they were satisfied with food served at the home. The menu indicated that a varied and balanced diet is provided. The staff member spoken to was aware of residents’ preferences in terms of lifestyle choices as well as meals. The minutes of residents’ meetings also indicated that people living at the home are consulted regarding the menu. However although the manager advised that efforts were being made to ensure that an identified person living at the home was provided with cultural alternatives, records of food served at the home did not confirm this. Staff advised that this person does not have any particular preference for cultural foods, and generally enjoys meals served at the home. However, there was insufficient evidence that this person was being given the choice of cultural alternatives, and this must be addressed. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 16 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 and 20. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home receive appropriate physical and emotional support in accordance with their preferences. They are supported to take their prescribed medicines to ensure medication needs are met. However some further improvements are needed in the storage and recording of the administration of medicines to ensure that residents are fully protected from harm. EVIDENCE: People living at the home are mainly independent with regard to their personal care. Those spoken to told me that they have appropriate access to healthcare services. Care plans included details of their preferences in terms of the support to be provided, and records of health care appointments attended. All residents had been offered regular appointments with dentists, opticians, their general practitioner, and other healthcare professionals according to their needs. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 17 The vast majority of medication was stored appropriately, and specimen signatures were available for all staff involved in administering medicines to residents. As required at the previous inspection some medicines that required refrigeration, were stored in a safety deposit box within the refrigerator in the kitchen, in order to safeguard people living at the home. However some items of medication that were being stored in the refrigerator were too large for this deposit box and were therefore being stored without any safeguards. A requirement is made accordingly. It is recommended that a dedicated refrigerator be provided in the office for storage of such medicines. Records of receipt and disposal of medicines were complete and up to date. As required at the previous inspection, a risk assessment regarding selfmedication had been undertaken for the identified resident. The majority of medicines received at the home are dispensed into blister packs by the pharmacist, and signed for on administration by staff. However some medicines cannot be stored in blister packs, and I was concerned to note that there was no record of the administration of these medicines, even though staff and residents confirmed that they were being administered appropriately. The medication administration records must include records of the administration of medicines that are not pre-dispensed into blister packs, to evidence that these are administered appropriately. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 18 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. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has an appropriate complaints procedure to ensure that the concerns of residents are acted upon effectively. Procedures and training are in place to ensure that residents are protected from abuse. EVIDENCE: There have been no complaints made to the Commission about the home. One complaint was recorded in the home’s complaint book, however this involved a neighbour complaining about the behaviour of a person living at the home rather than a complaint about the home itself. No adult protection issues have been identified since the last inspection and the adult protection procedure for the home is of an acceptable standard. The local authority’s adult protection policy and procedure area also available at the home. Staff have undertaken training in adult protection and addressing challenging behaviour as appropriate. Residents are generally very able to express any concerns that they have about the home, and appeared to feel safe and comfortable around staff members and management. Those spoken to advised that they knew who to speak to if they were unhappy with care provided to them at the home.
Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 19 Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 20 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 and 30. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home have adequate private and communal space, and the home is furnished to meet their needs. The home is kept clean, safe and well decorated to ensure residents’ comfort and protection from harm. EVIDENCE: Four bedrooms including one bedroom with en suite toilet, are provided. There are a bathroom and toilet on the ground floor of the home, and a lounge/dining area and kitchen area on the ground floor. All areas of the house were found to be clean and hygienic, in a good state of repair and decoration, with bedrooms personalised as appropriate. Residents spoken to advised that they were happy with their accommodation. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 21 No residents are now sharing a bedroom, since one of the people sharing a room moved into more independent accommodation earlier this year. As required at the previous inspection the back garden door had been repainted and new garden furniture had been provided for the rear garden, to meet the needs of residents. A number of identified carpets had also been replaced as were the worn-out towels previously provided in the bathrooms, and the specified repairs to furniture in identified residents’ rooms had been undertaken. The home is commended for having fitted a stair rail in the home in order to meet the needs of a resident’s relative when they visit their relative at the home. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 22 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 and 36. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff are sufficiently competent, experienced and trained to meet the needs of residents effectively. Suitable recruitment procedures are in place for all staff, to ensure the protection of residents. Regular supervision is provided to staff members to ensure that they support people in line with best practice. EVIDENCE: The rota showed one staff on duty throughout the day and one sleeping-in staff member on duty at night. Discussion with staff and residents indicated that this staffing level was satisfactory to meet the residents’ current needs. Inspection of staff records, indicated that appropriate recruitment procedures are in place. They included evidence of satisfactory enhanced CRB disclosures, references, identity documents and application forms. As required a reference was being obtained from new applicants’ current or most recent employer, prior to their commencing work at the home. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 23 Records also indicated that staff receive an adequate induction before working unsupervised within the home, in addition to general mandatory training. Training courses undertaken included fire safety, adult protection, first aid, challenging behaviour, control of substances hazardous to health, diet and nutrition, and dying and bereavement. As required at a previous inspection, staff had undertaken training in working with people with mental health problems. The registered persons are aware of the requirement for fifty percent of staff to be trained to the equivalent of NVQ level two in care, and have sufficient staff members undertaking or who have already completed this qualification to meet this national minimum standard. Records of staff supervision sessions and appraisals indicated that one-to-one sessions are being held for staff regularly and that these cover a range of relevant topics as appropriate. Staff spoken to confirmed that this was the case. Records indicated that regular staff meetings are also held for the home. In the Annual Quality Assurance Assessment for the home, the manager advised that an equality and diversity distance learning course is to be undertaken by all staff working at the home. Training is also planned in the areas of confidentiality, drug misuse and conflict resolution. One person living at the home has diabetes, and staff were generally aware of the support they needed to manage this condition. However it is recommended that the manager provide further information about diabetes within the home, and that a number of relevant staff members undertake training in this area, so that the identified person living at the home is supported appropriately. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 24 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 and 42. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from accountable management and quality assurance systems. Rigorous health and safety procedures protect them from harm within the home. EVIDENCE: The registered manager had completed the Registered Manager’s Award at NVQ level 4 at a local college and had obtained a certificate to verify this as appropriate. He is due to undertake training to L3 in an approved equalities and diversity distance learning course. Minutes of regular staff meetings and residents’ meetings were seen, indicating consultation regarding the running of the home. Residents’ satisfaction questionnaires had been completed by the residents of the home as part of the
Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 25 quality assurance procedure. They indicated that they were satisfied with the support they received within the home. A quality assurance feedback form was also completed by the most recent person to move into the home, providing feedback about the admissions process. The manager had completed the Annual Quality Assurance Assessment as required, and identified areas to be addressed over the forthcoming year, including further consultation, training and activities provision. Evidence was provided that the appropriate level of liability insurance was available for the home. Accidents and incidents were recorded appropriately, with relevant incidents notified to the CSCI, Health and safety records for the home were inspected and included appropriate gas, electricity and portable appliance testing certificates and fire safety records. As required at the previously, records of weekly fire alarm tests showed that each call point is tested on a regular basis. In addition detailed records were available for all fire drills and fridge/freezer temperatures. No areas of concern to health and safety were identified during this inspection. Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 26 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 3 3 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X X 3 X Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? NO 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 YA17 Regulation 16(2i) Requirement The registered persons must ensure that more choices of cultural foods are offered to the identified person living at the home, to ensure that their cultural needs are met. The registered persons must ensure that medication administration records include records of the administration of medicines that are not predispensed into blister packs, to evidence that these are administered appropriately. Timescale for action 05/10/07 2. YA20 13(2) 05/10/07 3. YA35 12(1) 18(1ci) Safe provision must also be made for the storage of medicines in liquid form, that need to be refrigerated, to ensure the safety of people living at the home. The registered persons must 09/11/07 ensure that information regarding diabetes is made available to staff at the home, and that relevant staff members undertake relevant training in this area, so that the identified person is supported appropriately.
DS0000010817.V343074.R01.S.doc Version 5.2 Page 28 Chesterfield Gardens 80 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. 2. Refer to Standard YA6 YA16 Good Practice Recommendations It is recommended that more detailed care plans be developed for the home, to reflect people’s preferences, abilities and goals more fully. It is recommended that more support be provided to people living at the home in developing independent daily living skills, such as doing their own laundry and cooking meals. It is recommended that a dedicated refrigerator be provided in the office for storage of medicines that require refrigeration. 3. YA20 Chesterfield Gardens 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Harrow Area Office 4th Floor, Aspect Gate 166 College Road Harrow London HA1 1BH 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 80 DS0000010817.V343074.R01.S.doc Version 5.2 Page 30 - 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!
