Inspection on 15/11/06 for Christ The King

This inspection was carried out on 15th November 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Christ The King 08/05/08

Christ The King 02/11/07

Christ The King 05/12/05

Christ The King 10/08/05

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Christ The King 68 Tankerville Road Streatham London SW16 5LP Lead Inspector Lynne Field Unannounced Inspection 15th & 22nd November 2006 10:50a Christ The King DS0000055922.V319752.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 Christ The King DS0000055922.V319752.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. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Christ The King Address 68 Tankerville Road Streatham London SW16 5LP 020 8480 5028 020 8480 5031 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) The Healthcare Professionals Services Ltd Post Vacant Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 & 9th February 2006 Brief Description of the Service: Christ the King is a small residential care home that aims to provide 24-hour care and support in an independent living setting in the community. It can take up to six service users, men or women aged 18 -65, who are experiencing mental health difficulties and need continual rehabilitation in the community following their discharge from hospitals or from other care institutions. There are six single bedrooms, four with en suite facilities. The registered provider said the current fees payable for each service user ranges from £750-00 to £1200-00 according to the assessment of needs of the service user. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the third inspection visit to the home since it was registered on 19th October 2004. A return visit was made on 22nd November 2006 to check additional records. On the first day the inspection was well facilitated by the registered provider and the acting manager, who gave the inspector a tour of the home. The inspector was told the previous manager had left and the post was vacant. The acting manager, who has been working at the home since it opened and knows the service users well, is going to apply to become the registered manager. There were five service users living at the home. The inspector spoke to five service user’s, six care staff and the relative of one service user who has recently moved in. Service users said they liked living at the home and had settled into the community well. The inspector was invited to attend a service user / staff meeting on the second day of the inspection. Commitment continues to be displayed by the registered provider, acting manager and staff team to ensure they are meeting the needs of the service users and complying with the standards. Emphasis is places on the standard of care given to service users to improve the quality of the service users lives and to encourage staff to reflect on their practice and consistency in the delivery of care. What the service does well: What has improved since the last inspection? The records relating to the dispensing of the service users medication has improved. Staffing levels are more flexible to take in to consideration the social needs of the service users. Service users are encouraged to use the local advocacy service to help them express their views and exert their rights. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 6 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. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 7 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 Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 8 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): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information in the Statement of Purpose and Service User Guide needs to be revised to include details of the changes in the organisation. Service users have their needs assessed by senior staff before they move to the home and know that staff have decided that the home can meet their needs before they move there. Prospective service users and their relatives can come and look around the home and meet staff before they decide to move there. EVIDENCE: The acting manager explained that a trained nurse always went to see the service user to do an assessment where the service user was living and gather information about the service user. The service user would then be invited to come to spend time in the home and meet all the service users living there. If they liked it they would come for a day with any friends or family. If this is successful there would be a discharge meeting when the whole care package is put together. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 9 The home has admitted one service user since the previous inspection in December 2005 / February 2006. The inspector spoke to the service users relative on the phone during the course of the inspection who said they were pleased and happy with the service that their relative was getting. They confirmed they had been given the statement of purpose, service user guide and had visited the home with their relative to help decide if this was the right service for them. The home has recently been taken over by a new organisation. The inspector was shown the statement of purpose and service user guide. These need to be reviewed and updated to include all the information relating to the changes in the management of the organisation including recent information about how to contact CSCI. At this inspection three service users files were case tracked. All contained a community care assessment and the relevant assessments and summary of needs that were completed by the home before the service user came to live there were seen on file. The inspector noted the care plans gave a thorough description of service user behaviours, reactions and preferences and how the service user was to be treated. There were immediate, medium term and longterm goals and these are reviewed monthly and recorded. The inspector spoke to the service user who had moved in most recently and they said they had visited the home before moving in to see if they liked it. Risks were identified and how these would be minimised, with actions agreed and recorded. Christ The King DS0000055922.V319752.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Families and other professionals are involved when reviews are held. Service users are consulted and supported to make decisions about their lives by staff and appropriate independent professionals. Care plans are thorough and reflect service users’ needs and goals, but one needs to be reviewed. EVIDENCE: Three service user files were seen and the inspector noted the care plans gave a thorough description of service user behaviours, reactions and preferences and how the service user was to be treated. The inspector noted that one service users’ care plan had not been reviewed within the allotted time scale. This needs to be done to assess and monitor the changes and developments in Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 11 the service users’ behaviour and life. The registered manager said the risk assessments from the previous placement would be checked and then the home would develop their own risk assessments to suit the service users changing needs. The service users care plans and risk assessments need to be developed to include more detailed information on how staff should deal with specific behaviours exhibited by service users. There were copies of service users reviews in the service user’s files. One relative, who contacted the home during the course of the inspection, told the inspector the home kept them informed about the service users reviews and health appointments and were invited to attend. The inspector was told by the acting manager, that one of the homes placing authority’s had intended to move three service users to another placement. A meeting was held at the home to inform the service users of the proposed plan. Service users told the inspector they “liked it at the home and had come to know the area”. One service user said he had the confidence to go to the shops and has become friendly with one of the local shopkeepers. To support service users in the consultation process and decision on moving from the home, the manager has arranged for the Croydon Advocacy Service to speak to the service users and advocate for them. This is ongoing. Christ The King DS0000055922.V319752.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. Service users are encouraged to develop independent skills and interests as well as access the community with the support of staff when required. Families and friends are encouraged to keep in touch with the service users and participate in social activities. Service users engage in appropriate, enjoyable and fulfilling activities and mix with the general community. Service users’ rights and responsibilities are respected. A healthy diet is provided, which the service users enjoy. EVIDENCE: Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 13 The inspector was shown copies of service users meetings and staff meetings where the choice of activities has been discussed by staff and service users. Service users said they felt free to say what type of activity they wanted to take part in. One member of staff has taken the lead in identifying and facilitating appropriate activities in the community and another has taken on the role of facilitating home activities. The acting manager said the home celebrated all faiths of the service users and had recently celebrated Divali. The service users’ family had come with gifts and a cake and service users who wanted to join in the celebrations. The inspector was invited to attend the second service user / staff meeting that was being held on the second day of the inspection. This was a Christmas planning meeting where service users and staff went through what they wanted to do to celebrate Christmas in the home. The inspector asked how this affected service users who are of other faiths in the home. The service users said although they are of different faiths and cultures, one from India, one from Mauritius, one from Sri Lanka and two from Britain they all wanted to celebrate Christmas. One said she “loved her little England”. The activities programme is designed to meet each service user’s individual needs. The inspector noted that some of the weekly activities were related to independent living skills, such as cooking, laundry and keeping their room clean. Service users are also encouraged to take part in activities commissioned by outside specialists such as reflexology, aromatherapy and healthy eating. In this way service user’s are supported and encouraged to take part in activities that are enjoyable, beneficial to their mental and physical health and which give them the opportunity to develop skills within their abilities. One service user came in from an outing during the course of the inspection. The inspector was told they went out every day to various activities that they have arranged to take part in. These are such things as Marshal Arts, Judo and goes to the Hare Krishna temple. He has a bus pass, which he uses to travel all over London and when he lost it he was able to go to the police to report it lost. One service user has planned to go to relatives over the holiday period and their relatives are always visiting and keeping in touch. One service users relative told the inspector “the home keeps them informed about what is going on in the home and the only way they knew about a review meeting was by the home telling them it was to take place”. The inspector was invited to join the service users for their midday meal, which was tasty and well cooked. Service users told the inspector they enjoyed the meals served at the home. One service user takes pride in cooking their ethnic meals on a regular basis and another does so once in a while. The service user Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 14 told the inspector they went out with a member of staff to shop for the type of food she wanted to eat and cook. The manager said they always have a choice of rice or potatoes with the meal because one service user only likes potatoes and another only likes rice. The service users and staff have a number of favourite restaurants they visit locally in the community. The inspector was told everyone goes out for a meal once every two weeks to promote social inclusion in to the community. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 15 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. Service users receive personal support, in the way they prefer and their physical and emotional needs are met. Medication is handled safely. EVIDENCE: Three service users care files were inspected. These contained all the information staff need to support the service users in their preferred personal care routines and details of how much help an individual requires with different personal care tasks. The record of health appointments attended indicated that each service user is supported by staff if this is what the service user requires, to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. This included the outcome of the appointment. The inspector was told the home had made an appointment for a service user to have dental Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 16 treatment they needed. On the day of the appointment the service user refused to go and the appointment was cancelled. Since then staff have spoken to them and they have agreed to have treatment. The acting manager said the home does not accept implied consent and there is a way of asking service users to do things. As part of the service users daily living development plan, each service user is encouraged to take part in the running of the home and has household chores that they do on a regular basis. These are discussed and agreed at the service users meeting, with service users stating what they want to do. The inspector saw this in practice on the day of the inspection when service users helped cook the midday meal and clear away afterwards. Service users medication was checked. There is now a running total system that was discussed at the previous inspection in February 2006. This has made it possible to check more easily if there has been a medication error and to know when this had happened. Medication charts are written more clearly and different strengths of the same medication are recorded on separate lines. Only the trained nurses dispense medication. The local pharmacist audits the medication every six months and has recorded there were no problems. The manager told the inspector she does a medication spot check every week and records this on the medication charts. The acting manager has identified that some staff need medication refresher training and this is done through the local pharmacist. The acting manager said if a mistake was made the manager would immediately contact the member of staff involved and dealt with in supervision and through refresher training. Medication issues are discussed at staff meetings and in supervision. The manager says she feels the more medication is discussed the more it raises staff awareness. None of the service users are self-medicating but the acting manager said they though one service user could possibly be able to start to do this and was going to discuss this with the service user and at the service users review meeting. A service users’ relative voiced her concerns about the medication the service user is on. She thinks the medication has been changed and feels the service user has put on weight because of this. The inspector was shown a copy of the weight chart and medication record of when she came in and compared it with what she is taking now and noted the medication had not been changed and there did not appear to be a significant weight gain recorded. The home has organised a review of the service users’ medication with the consultant. The service user, their relative, staff from the home and other professionals are attending the review. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. Practices and training at the home ensure that service users are protected from abuse. Service users confirmed that they felt their views were listened to and acted upon. EVIDENCE: There is an adult protection policy and procedure in place including whistle blowing. In addition, there is an appropriate restraint policy, stating that restraint should be used only as a last resort. Care staff spoke to the inspector during the inspection and said there were different types of abuse, not just physical abuse, such as verbal abuse and financial abuse. They said if they suspected abuse was happening they would reassure the service user and report what they suspected to the acting manager. No complaints had been made since the last inspection. The acting manager told the inspector all complaints are taken seriously and appropriate action had been taken to ensure service users’ complaint were addressed immediately. Service users meetings are held every two months. The inspector was shown minutes of the meetings and noted that service users are encouraged to speak out about any concerns they may have. Service users were put in touch with Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 18 the Croydon Advocacy Service, an independent advocacy service, to help them speak out about how they feel about the proposed move to another unit. One service user has been supported to take legal advice because he was so upset at the prospect of moving to another home. The inspector was told that the service users mental health had stabilised since coming to live at the home and he told the inspector he “feels safe in the area and does not want to move”. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 19 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): 24,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable with adequate private and shared space, toilets and bathrooms. Service users’ bedrooms promote their independence. The home is well maintained and furnished. EVIDENCE: The inspector was shown around the home and the bedrooms of those service users who gave permission. The home is clean and well maintained. It is decorated and furnished in a comfortable style. The staff and service users have done a good job keeping the house clean. The registered provider said they had booked to have the carpets steam cleaned. There is a range of communal spaces, including smoking and no smoking areas. There is a large lounge / dinning room and a pleasant garden with a raised patio area that has been extended to include a walk way to the large Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 20 heated outhouse that is used for some of the homes activities. There is a personal computer available in the lounge area for use by the service users. The large kitchen leads off the dinning area and there is a laundry, which is next to the kitchen, has a washing machine and a dryer. Opposite this is a small toilet with a wash hand basin. There is a sink installed for clothes that need to be hand washed. Service users told the inspector they were assisted by the staff to do their washing and ironing. There are six single bedrooms over three floors. There is one bedroom on the ground floor and all bedrooms are of adequate size with four having en-suite facilities. The inspector spoke to four service users who said they were happy with their rooms and that they had the furniture and fittings they require. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 21 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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing levels at the home are good and service users are supported by competent staff who can meet the needs of the service users. Records indicate the staff team is well qualified. EVIDENCE: The inspector was shown the staff rota and noted that there was always a Registered Mental Nurse on shift as agreed with the relevant care manager who indicated they would not be happy to place a service user in the home unless there was an RMN on every shift, particularly at night when problems when some service users can become more unsettled. At the last inspection it was noted that some planned outings had been cancelled. The acting manager said that if there were planned outings or appointments where extra staff would be on the rota to meet the needs of the service users. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 22 The registered provider said he came to the home almost every day and attended staff and service user meetings. Copies of the meetings were seen by the inspector and indicated that the home had a high level of commitment to raising the standards of care the service users were receiving. The acting manager emphasised the importance of staff training and encouraged staff to come up with new ideas that will improve the quality of the service. The registered provider reinforced the importance of team working and consistency in the delivery of care. There were copies of the certificates of training the staff had received held on their files. This included induction training and mandatory training, diversity and equality training. The inspector spoke to six staff and checked ten staff files during the course of the inspection. These included two written references, a signed copy of their contract stating terms and conditions and Criminal Records Bureau checks as required including confirmation of training that has been undertaken. Staff told the inspector they had regular supervision every six weeks and the inspector noted there were copies for the supervision notes on file, that were signed by the manager and the member of staff. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 23 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): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a home that is well run and managed. This will be endorsed when the acting manager is registered with CSCI. Senior management roles in the organisation promote clarity, accountability and promote the best interests of service users. Health and safety checks are poor and could put service users at risk. EVIDENCE: The registered manager had recently left the service. The acting manager is a trained registered mental health nurse who will be applying to become the Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 24 registered manager. A requirement has been given about this. She has worked in the service since the home opened and knows the service users well. Service users are given the opportunity to give their views of the home at service users meetings which were recorded in the minutes of the meeting that are held every two months. The inspector was shown copies of the minutes of the meetings. Staff and service users said they have confidence in the acting manager and there is a relaxed feel about the home. Service users told the inspector they felt that their views were listened to at service users meetings and they felt they could speak to the staff about any concerns they had at any time. The records the inspector viewed indicated the electrical system was checked at the appropriate interval. There was documentation to indicate the fire alarm system and fire equipment had been tested at the appropriate intervals but there was no evidence that fire evacuations were taking place or the fire system break alarms are being tested weekly. The fire logbook and fire risk assessment could not be found. There was no record to indicate the portable appliance testing of other electrical equipment in the home had been tested at appropriate intervals. The gas safety certificate needs to be renewed. These checks must be carried out and copies of the appropriate certificates sent to CSCI. Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 25 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 2 2 3 3 3 4 3 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 3 25 X 26 X 27 3 28 3 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 2 3 3 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 3 3 x x 2 x Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 26 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4 (1)(c) Requirement Timescale for action 31/12/06 2. 3. YA6 YA37 15(2)(b) 8 (2) (a) 4. YA42 13(4)(a) & 23(4) (a) The registered person must update and revise the Statement of Purpose and Service User Guide to reflect changes in the management of the home. The registered person must 31/12/06 ensure that all care plans are kept up-to-date. The registered person must 31/12/06 ensure an application for the registration of a manager of the home is made to the Commission for Social Care Inspection. The registered person must 31/12/06 ensure that all health and safety checks are kept up to date and a risk assessment of the building to include fire safety is completed. 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 Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 27 Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Christ The King DS0000055922.V319752.R01.S.doc Version 5.2 Page 29 - 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!