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Inspection on 12/04/05 for Corner House Residential Home Ltd

Also see our care home review for Corner House Residential Home Ltd for more information

This inspection was carried out on 12th April 2005.

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 but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Corner House home promotes service users independence. It supports service users in some cases, to hold down jobs, and also to access a wide range of activities. The service supports family relationships and friendships well. It also works closely with social services to ensure that service users vulnerabilities are protected and their overall care plan is adhered to. The service has a good awareness of service users health, social, psychological and emotional needs and supports them, engaging with the relevant specialist professionals. The home has a relaxed friendly atmosphere and the values the staff model are reflected in the caring way that the service users treat each other.

What has improved since the last inspection?

A bedroom has been refitted with new furniture. A number of small DIY jobs have been carried out since the last inspection and a timeslot has been identified for a more major decorating job. Moves have been made to secure training for staff on issues of ageing, illness and death. House meetings havebegun to take place regularly as has staff supervision. Record keeping has improved. The staff sleep-in arrangements have been improved. The manager has not been successful in securing funding from social services for annual holidays for the residents but she has made plans for special awaydays. Following a visit from the Fire Brigade smoke detectors have been fitted throughout the house.

What the care home could do better:

The manager needs to prioritise safe recruitment and ensure that she is up-todate with the requirements in this area and fully complies with them. Some work must be done with key documents, the complaints information, statement of purpose and service user guide. There are some improvements to be made in the administration of medication.

CARE HOME ADULTS 18-65 Corner House Residential Home Ltd 131 Stokes Road East Ham London E6 Lead Inspector Anne Chamberlain Announced Inspection 12th April 2005 9.30am 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 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 Stationary 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. Corner House Residential Home Ltd Version 1.10 Page 3 SERVICE INFORMATION Name of service Corner House Residential Home Ltd Address 131 Stokes Road, East Ham, London, E6 Telephone number Fax number Email 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 7474 3033 020 7474 3033 crch@btopenworld.com Mrs Salamut Mrs Salamut Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Corner House Residential Home Ltd Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2005 Brief Description of the Service: Corner House is a residential care home offering support and accommodation to five adult service users who have a learning disability without challenging behaviour. The home has five bedrooms and occupies a corner plot in a residential street in East Ham. The accommodation comprises entrance hall, large lounge with TV and comfortable seating, a kitchen diner, downstairs bathroom and ground floor bedroom. Access to the first floor is by stairs only. On the first floor there are a further four bedrooms, a bathroom with WC, a separate WC and the office. To the front of the property the area is paved with access to a ramped side entrance. To the rear there is a small garden. At the time of the inspection the home had no vacancies and five service users were in residence. The home is located close to the A13 main road and the Beckton shopping area. Bus links to East Ham shopping area and facilities are close by. Corner House Residential Home Ltd Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over seven hours on one day. The inspector met with the registered manager and the deputy manager, most of the service users and two staff. The inspector viewed service users files and staff personnel files as well as other documents and records. The inspector also toured most of the premises. The inspector would like to take this opportunity to thank the service users, manager and staff at Corner House for their co-operation with the inspection. What the service does well: What has improved since the last inspection? A bedroom has been refitted with new furniture. A number of small DIY jobs have been carried out since the last inspection and a timeslot has been identified for a more major decorating job. Moves have been made to secure training for staff on issues of ageing, illness and death. House meetings have Corner House Residential Home Ltd Version 1.10 Page 6 begun to take place regularly as has staff supervision. Record keeping has improved. The staff sleep-in arrangements have been improved. The manager has not been successful in securing funding from social services for annual holidays for the residents but she has made plans for special awaydays. Following a visit from the Fire Brigade smoke detectors have been fitted throughout the house. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Corner House Residential Home Ltd Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Corner House Residential Home Ltd Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2 Prospective service users have some but not all the information they need to make an informed choice about the home. A requirement has been made for key documents to be redrafted. The manager is committed to making thorough assessment of any prospective service users and has the knowledge and skills to undertake with a multidisciplinary approach. EVIDENCE: The home has produced a statement of purpose and a service user guide which the inspector has studied. The document which the manager stated stands as statement of purpose represents an honest effort on the part of the management to represent the home. It contains much useful information. It is however somewhat vague and does not contain all the information which is specified in Regulation 4 Schedule 1. For example the document does not specify the relevant qualifications and experience of the staff or whether nursing is provided, or the size of the rooms. The information relating to the CSCI is incorrect. The document states that Keyworking is provided which is not the case. The manager must develop the statement of purpose so that the required information is specifically stated and can be easily found under appropriate headings. The document must be clearly named Statement of Purpose. Corner House Residential Home Ltd Version 1.10 Page 9 This is a restated requirment. The Service User’s Guide is a comprehensive document giving much information about the home. Some of the information specified under the standard is included but not all. The description of the individual accommodation provided is vague with no room measurements and there is no information about the communal spaces. There is no specific information about the people for whom the service is intended. The information about staff and their level of training is out of date and the information regarding the CSCI is incorrect throughout. The manager must redraft this document to comply with the requirements which are laid out under the standard. The service user guide is a large document and some of the information would be better used in the statement of purpose. The manager should aim to produce a service user guide which will not be overlong and will be accessible to service users. This is a requirement. The home has not taken in any new service users for some time. However in discussion with the manager the inspector was satisfied that a well informed structured assessment process would be followed for any new referral. The inspector was satisfied that if communication support were needed, for example maketon or interpretation this would be sought. Corner House Residential Home Ltd Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 and 9. The home supports the indpendence of service users by assessing and meeting individual needs. Service users make decisions about their own lives and also contribute to decisions regarding the running of the house. Documentary evidence should be signed and dated and a recommendation has been made regarding this. EVIDENCE: The inspector viewed the care plans of service users. These are reviewed by the manager twice a year. The plans were individualised and demonstrated progression with new goals being set. One service user is preparing to move on to a more independent provision. The manager was able to give examples of service users participating in decisions for their own lives. The inspector was able to evidence this in documentation. One example as stated above is the service user who has decided she is able to move and is about to view a new provision. Another example is a service user who decided to choose and buy new furniture for his bedroom. Corner House Residential Home Ltd Version 1.10 Page 11 The inspector viewed risk assessments on the files of service users and was satisfied that they are supported to take carefully assessed risks. One service user has a part time job. She is an independent traveller but has some vulnerabilities. She is given clear boundaries around journies and has a mobile telephone. She is very good at telephoning home with her movements and did this whilst the inspector was at the home. The inspector viewed records of service user meetings for January, February and March 2005. There were notes of discussions held and actions identified. The records were satisfactory but should be signed and dated by the manager. This is a recommendation. Corner House Residential Home Ltd Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16 and 17. Service users access to their families and friends is well supported. Service users have opportunities within safe structures to participate in a range of social, community and leisure activities. Service users rights are respected and accommodated within their care plans. There is a relaxed attitude to meals and unrestricted choice of food. EVIDENCE: Service users at Corner House take part in a wide range of activities and the inspector viewed various documentary evidences of this. One service user is starting college in September, one works in a restaurant, another works for a local supermarket, various day activities are also attended by service users. Service users attend church and temple, use the library and local shops. The manager stated that they “do all the normal things”. All the service users are placed by Newham learning disabilities team. The manager is currently having a dialogue with the manager of the team about funding levels and funding for holidays. There are however some practical Corner House Residential Home Ltd Version 1.10 Page 13 difficulties with service user choice of holidays which the inspector accepted. For example one service user only wants to go to his family, another only wants to go to Nigeria which his care plan precludes. The home have a seven seater vehicle and the manager proposes to organise summer day trips and treats for residents. The inspector was satisfied that it is not possible within current funding levels, to provide residential holidays but efforts are being made by the home to provide special days. The manager described to the inspector the various family connections of each service user and how contact is supported. All the service users have families and two are parents. There are very nice family photographs adorning the mantelpiece in the sitting room. One service user came in from visiting her mum (who is very local) whilst the inspector was there and told the inspector about her nephew’s birthday party which she is attending later in the week. The manager stated that risk assessments are now on service users files regarding house keys and the inspector viewed a sample of these. The home has basic menu plans in place which cover two weeks and the inspector viewed these. The manager stated that the plans are very flexible and service users decide what they would like to buy, cook and eat. They do a ‘big’ food shop once a week and decide on meals day to day. There was adequate seating for all service users to sit at the table together which the manager advised they usually do. Corner House Residential Home Ltd Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 and 21 Care plans reflect individual needs in relation to personal care support. They inform carers. Emotional and healthcare needs appear to be well understood and supported with a range of specialist involovement. The administration of medication appears safe but some necessary improvements have been identified. There is no protocol in place to support discussions around ageing, illness and death although the manager has given the matter thought and is arranging training. A requirement has been made. EVIDENCE: The manager was able to talk with confidence about the individual needs of service users in relation to personal care. Care plans evidenced these needs. The manager stated that staff are required to demonstrate that they have read the plans and are working to them. Service users are linked to a number of healthcare professionals, including consultant psychiatrist, psychologist, dentist, optician, hearing aid clinic, local neurology department, chiropodist, physiotherapist, occupational therapist, and women’s support group Powerhouse, as well as seeing their own G.P.’s Arrangements for the administration of medication were inspected. The medication is stored in a locked cupboard in the office. The keys are currently kept on the top of the desk. Corner House Residential Home Ltd Version 1.10 Page 15 The keys to the medication cupboard must be kept on the designated member of staff. Any spares must be locked away. This is a requirement. There are currently two service users on medication. Administration charts were inspected, but it was not possible to check the balance of medications as no brought forward figures had been entered on medication administration sheets. The quantities of medication brought forward from previous sheets must be entered. This is a requirement. The record of medications received into the home and disposed of from the home, was separate sheets in punched plastic pockets in a ring binder. This form of record keeping is not secure as sheets can be removed untraceably. A hardback book must be used to record medications received into the home and disposed of from the home. Medication returned to the pharmacy must be signed for. This is a requirement. The inspector discussed with the manager the requirement made that a protocol must be developed to support staff to explore their feelings around ageing dying and future care needs. The service users at the home are generally quite young. One service user has recently had a double bereavement. The manager feels strongly that professional advice is needed for the staff to raise and discuss this difficult topic with service users. The manager has approached a psychologist to run a day’s training for the staff. Whilst the inspector was at the home the psychologist happened to telephone and the manager took the opportunity to fix a date in early May for the above. The manager must provide evidence at the next inspection of a protocol in place and that staff have begun to talk to service users about the issues. This is a restated requirement. Corner House Residential Home Ltd Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. Service users feel free to express their views and to make complaints. They are listened to and complaints are resolved positively. Sound arrangements were in place to protect service users from abuse, including financial abuse. EVIDENCE: The home has produced a complaints procedure. They undertake to respond to complaints within 21 days. All copies of the complaints procedure must be updated with the correct name of the Commission for Social Care Inspection, contact details and advice that the commission can be contacted directly. This is a requirement. The complaints procedure is in sophisticated language and quite densely typed. A simplified user friendly version explaining the stages and timescales of complaining must be developed for service users. This is a requirement. The home has produced a complaints form and the inspector viewed the log of various complaints which had been resolved. The manager must ensure that the form is signed off with a date so it is clear how long the resolution of the complaint took. This is a requirement. The home has produced an adult protection policy and a whistleblowing policy. The inspector viewed both and they appeared comprehensive and effective. Corner House Residential Home Ltd Version 1.10 Page 17 The inspector viewed the arrangements for the safekeeping of service users monies and checked one bank pass book and two cash balances, all of which appeared to be in order. Corner House Residential Home Ltd Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,28,29 and 30. The home provided a clean comfortable environment with adequate communal spaces and scope for service users to personalise their own rooms. Notwithstanding one outstanding decorating job, the management maintains the home in good condition. An adapted environment has been provided for one service user who has a need for disability equipment, but the situation must remain under review. The staff have no sleep in room but there is safe storage for their possessions. EVIDENCE: The home was generally well decorated and furnished and provided a homely environment. The manager stated that she is planning to redecorate the ground floor bedroom while the service user is on holiday in August. The Corner House Residential Home Ltd Version 1.10 Page 19 inspector saw documentary evidence in the service users file that a holiday in August is planned. The manager must ensure that the room is redecorated. This is a restated recommendation. One service user uses a wheelchair and has a walking frame. The manager has undertaken to produce a mobility risk assessment with a list of aids being used. This must be reviewed regularly to assess whether the needs have changed and if new aids are indicated. The reviews must be recorded on the care plan. This is a restated recommendation. A previous inspection noted broken handles on furniture in a service users bedroom. New furniture has been fitted and was seen by the inspector. Another service user has had fitted furniture installed in their bedroom at their own expense. A contract has now been drawn up which states that should the service user move out of the service the cost of the furniture will be refunded to them. The inspector viewed this agreement which was signed by both parties in September 2004, on the file. The missing light shade, bowed curtain rail, jumbled electrical cables, broken sliding door to a fitted wardrobe, and light switch in need of repair or replacement were inspected and have all been attended to. Sleeping in staff use a convertible sofa bed in the lounge. The manager stated that staff are quite accepting of this. They have been provided with a lockable cupboard in the office for safekeeping of their personal possessions and the inspector saw this. One service user has compromised mobility. She uses a wheelchair out of the house and a ramp has been built to facilitate access. She has a walking frame for indoors. A ground floor bedroom and a shower room has been made for her next door to her room. There is a raised height chair in the sitting room. The manager advised that the service user is made very special by the others who choose to perform all kinds of small services to help her. The inspector viewed most areas of the home which were clean and hygienic. The tumble drier had a build up of fluff in the filter. A staff member dealt with this straight away and the manager undertook to make sure that this safety precaution is not overlooked again. Corner House Residential Home Ltd Version 1.10 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,35 and 36. Staff are clear on their roles and responsibilities. The level of qualifications is satisfactory and the manager demands a level of competency. Service users are supported by an effective, supportive staff team. They have good quality of life and have made personal progress. The recruitment practice of the home has not been sufficiently robust and a requirement has been made. Staff are adequately supported and supervised, but the manager acknowledges that the running of the home imposes a heavy burden on herself and her partner, who fulfils the role of deputy manager. EVIDENCE: The manager stated that she looks for staff who are caring but also outgoing. On joining the staff workers at Corner House have induction training which includes shadowing other staff. They are given the policies of the home to read and are questioned on them by the manager. The inspector viewed training profiles for staff which evidenced regular training. The inspector viewed a Mulberry House manual which is a training resource the manager Corner House Residential Home Ltd Version 1.10 Page 21 uses for food hygiene. The manager stated that two staff recently attended an external course on transition and bereavement. The manager maintains an ‘Education’ folder for staff where she gathers research and academic material relating to learning disabilities etc. The folder contains information on arthritis from which one service user suffers. The manager encourages the staff to understand the background needs of service users and she is commended on her good practice. Staff have a job description and also a task list which details all the jobs to be covered in the home. The inspector viewed these. All staff are qualified to level 2 NVQ. The inspector viewed two weeks of staff rota which is always written for one week ahead. Arrangements have been made so that there is an overlap of two staff on duty at the peak times of early morning and tea time. The service user who is having disturbed nights has been referred to a psychiatrist. If however her disturbed nights continue and she requires waking night staff, the manager will institute this. The inspector viewed the minutes of staff meetings which evidenced that they are happening monthly now. The inspector viewed Criminal Records Bureau (CRB) checks for the staff. Two staff do not have Corner House checks and an immediate requirement was issued for these to be applied for and for POVA first checks to be secured. This must be evidenced by FAX and E-mail to the inspector by Thursday 14th April 2005. The manager agreed that safeguards would be put around the two workers and they would not be alone with service users. This is a restated requirement. The inspector viewed a sample of supervision notes which were signed and dated and evidenced supervision of staff in January and February and March of this year. The records were adequate. Corner House Residential Home Ltd Version 1.10 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 41 and 42 The home benefits from a well qualified and experienced manager. The record keeping could be improved with full records of meetings. Safety is given a high priority with safety measures carefully considered. EVIDENCE: The manager is well qualified and very experienced in this field of care. She undertakes short courses to further develop her expertise when she can. Service users records were divided in binders and were well maintained. Staff files were also adequately maintained. Records of meetings were not very full but were judged by the inspector to be adequate. The manager was able to demonstrate to the inspector an understanding of her responsibilities regarding data protection and access to files. The manager advised that bedroom doors which are fire doors are shut when service users are out. One service user does choose to wedge the door of his Corner House Residential Home Ltd Version 1.10 Page 23 bedroom open when he is in it. The door is fitted with a self closer. Notwithstanding the previous requirement the inspector agreed that this is reasonable. She advised that the wedge should be small and easily kicked away, not a heavy object. The inspector viewed evidence which showed that the Portable Appliance testing was done on 28/9/05, the gas inspection was carried out on 6/1/05. the electrical wiring inspection is due in October 2005. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 Corner House Residential Home Ltd Score 3 Standard No 24 25 26 27 28 Version 1.10 Score 3 3 3 x 3 Page 24 7 8 9 10 LIFESTYLES 3 3 3 x Score 29 30 STAFFING 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 2 Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 3 x Corner House Residential Home Ltd Version 1.10 Page 25 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 1 Regulation 4 Requirement The manager must produce a statement of purpose which complies with the regulation. This is a restated requirement. The previous timescales of 31/3/04 and 1/3/05 were not met. The manager must produce a service user guide which complies with the regulation. The keys to the medication cupboard must be kept on the designated memebr of staff at all times and not left unattended. Medication administration charts must show the balance of medications held. A complete record must be kept of all medications received into and disposed of by the home. The manager must develop a protocol to support staff discussion with service users on illness, ageing and death. This is a restated requirement. The previous timescale of 1/12/04 and 23/4/05 were not met. The complaints literature must give the correct details of the CSCI and the information that the commission can be contacted Version 1.10 Timescale for action 01 August 2005 2. 3. 1 20 5 9.4 01 August 2005 01 May 2005 01 May 2005 01 May 2005 01 August 2005 4. 5. 6. 20 20 21 9.3 9.3 12 (3) 7. 22 22 01 August 2005 Corner House Residential Home Ltd Page 26 directl 8. 9. 10. 22 22 34 22 22 19 The complaints procedure must be produced in a simplified user friendly format. Complaints forms must be signed off with the date of resolution. CRC disclosures and POVA checks are obtained for two members of staff. This is a restated requirement. The previous timescale of 1/3/05 was not met. 01 August 2005 01 August 2005 Immediate Requirement 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. 3. Refer to Standard 8 24 25 Good Practice Recommendations Records of service user meetings should be signed and dated by the manager. The ground floor bedroom would benefit from refurbishment. This is a repeat recommendation. The manager should produce a mobility risk assessment for one service user and review it regularly. This is a repeat recommendation. Corner House Residential Home Ltd Version 1.10 Page 27 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford, London, E15 4BQ National Enquiry Line: 0845 015 0120 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 Corner House Residential Home Ltd Version 1.10 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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