Inspection on 04/01/07 for Edenvale

This inspection was carried out on 4th January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Edenvale 07/11/05

Edenvale 22/02/05

Edenvale 30/06/04

Edenvale 03/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Whitworth Lodge

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

CARE HOME ADULTS 18-65 Edenvale 22 River Avenue London N13 5RU Lead Inspector Brian Bowie Unannounced Inspection 4th January 2007 09:00 Edenvale DS0000010584.V326301.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 Edenvale DS0000010584.V326301.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. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edenvale Address 22 River Avenue London N13 5RU 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 8882 3261 020 8886 7968 Mrs Bee Looi Bennett Mrs K Justin Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two specified service users who are over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as either of the specified service users vacates the home. Date of last inspection 7th November 2005 Brief Description of the Service: Edenvale is a small care home that provides accommodation and care for seven adults who have a learning disability. The majority of the residents have lived together at the home for a number of years. The home is a large house with three floors. The top floor is for staff accommodation. There are three single rooms and two shared bedrooms for residents. There is a lounge, dining room and a small quiet room downstairs with a small garden at the rear. The home employs some Chinese-speaking staff to meet the cultural and linguistic needs of the two Chinese residents. The home is close to local shops and facilities and public transport. In 2006 the fees charged ranged from £711-£1,233/week. Edenvale makes inspection reports and other important information about the home available to residents, their families and professionals. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day and lasted 8 hours. The owner and manager were both interviewed and helped with the inspection. The home was looked round and all 7 residents were seen, with 4 of them interviewed. Members of care staff were also spoken to. A variety of records, including care plans and health & safety documents, were looked at. The overall impression from the inspection was of a home that is providing an excellent standard of care within a very friendly, homely and supportive environment. A visiting professional who has had regular contact with Edenvale over a long period of time commented on the day of the inspection: ‘It’s a lovely home-the residents and staff are lovely.’ What the service does well: ‘I think it’s excellent here because there’s plenty of room here, and the staff are nice and help me.’ This was the comment of one of the residents and was typical of the views of the residents at the home. Residents feel at home and relaxed at Edenvale because members of staff pay close attention to meeting their individual needs and wishes. ‘ I am happy with everything at the home, and there are no problems.’ This was the view of one of the relatives at the resident’s review in December 2006 and reflected the positive feedback received from relatives about the care provided by Edenvale. The home is very good at helping each resident to lead the sort of lifestyle they want to. Care plans based on person-centred planning principles have been drawn up so that residents are put at the centre of what Edenvale is about. As a result the residents’ own wishes and needs are a very important part of how they are supported at the home. The people living at Edenvale are encouraged by the home to take as full part as possible in the life of the local community. Cultural and religious needs are responded to. For example the two Cantonese-speaking residents are able to go to Chinese community centres and places of worship, as well having staff working at the home who they can talk to in Cantonese. Edenvale is very good at giving new staff a thorough induction that is then followed up by developing their skills further through appropriate courses, including NVQ training. As a result residents benefit from having staff who are skilled at identifying and responding to their needs and wishes. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 6 The home has an experienced manager who sets high standards for the home. The owner keeps in close touch with both residents and relatives. Both are committed to constantly trying to make things even better for residents. As a result the home is providing an excellent standard of care within an attractive and comfortable living environment. The owner, manager and staff are to be congratulated on making Edenvale such a nice home for the people living there. What has improved since the last inspection? What they could do better: The registered persons must ensure that the fire alarm system is checked and tested weekly. 5 recommendations are made about how to improve further care practice in the home. • • The registered persons should ensure that the kitchen area is refurbished and redecorated in 2007. The registered persons should ensure that all residents have their own bedroom by January 2008. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 7 • • • The registered persons should ensure that staff members undertake training in the area of diversity. The registered persons should ensure that staff members undertake training in the area of personal and sexual relationships. The registered persons should ensure that the home sends to CSCI at regular intervals detailed reports on the running of the home as part of the process of the home having more responsibility for assessing and improving itself. The owner and manager at the home emphasised that they are keen to work closely with CSCI to raise standards even further at the home in order to continue to provide the best possible quality of life for residents. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Edenvale DS0000010584.V326301.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 Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • People moving into the home have their needs and wishes assessed so that the home can be sure that it can meet these needs and wishes. EVIDENCE: ‘The placement seems to well meet this individual’s needs. They have a warm relationship with staff who show empathy and understanding.’ This was the comment of the social worker at a review in December 2006 for one of the residents. All seven of the residents were seen during the inspection with 2 spoken to at length. Residents said that they enjoyed living at the home and thought that their needs were being met. One resident said: ‘I like it here. I get help when I need it.’ The high satisfaction level of residents with the home indicated that the home is good at selecting residents who will benefit from what the home offers and that residents’ needs and wishes are being responded to. As a result all the residents at the home have lived there for a long time. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. • • • Residents benefit by having care plans that set out clearly and in detail how their needs and wishes will be met by the home. Residents wherever possible make decisions for themselves. The home is good at ensuring each resident has risk assessments in place in order to keep them as safe as possible. EVIDENCE: ‘At Edenvale this individual has continued to make good progress- they appear well settled and happy.’ This was the view of the social worker at one of the resident’s reviews, and indicates that the home is good at meeting the needs Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 11 and wishes of residents. One care plan was looked at in depth. The records on this individual were comprehensive, detailed and up-to-date. This individual has some significant additional needs because of their challenging behaviours. The staff are working hard and effectively at meeting this individual’s needs. The care plan was in a person-centred format so that it was very much based on what the resident wants in their life, including how people should communicate with them. The plan was made more accessible to the resident through the use of attractive colour photographs and short simple text. Care staff interviewed were aware of the need to provide guidance and support to residents where necessary, whilst letting them decide for themselves as much as possible how they led their life. Residents said they had meetings where they discussed the running of the home and made suggestions about what they wanted to do, such as where to go on holiday. One resident commented: ‘I can choose if I cook for myself, and I go out when I want to.’ The manager has completed detailed risk assessments for each resident to ensure that any risks identified could be managed by the home. These risk assessments are regularly reviewed and updated. As a result residents benefit from being supported to be as independent as possible whilst minimising risks to their welfare. In one case a resident had been enabled to take a walk around the block safely by avoiding the need to cross roads. Edenvale DS0000010584.V326301.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 excellent. This judgement has been made using available evidence including a visit to this service. • Residents are getting a better quality of life because they take part in a range of stimulating activities that take account of cultural and religious needs. Residents are part of their local community. The home is good at enabling residents and families to maintain close contact with each other. Residents benefit by having staff who allow them to make choices for themselves and to have as much control over their life as possible. Residents have nice food in nice surroundings with their individual preferences catered for. • • • • Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 13 EVIDENCE: ‘I go to college, and help out at a couple of charity shops.’ This was the comment of one of the residents. Residents take part in a variety of daytime activities, including day centres, work projects and college classes. One of the Cantonese-speaking residents commented: ‘Sometimes I go to Soho to the Chinese community centre and church.’ The home is good at meeting the cultural needs of the two Chinese residents who both go to a Chinese community centre and when they wish to an appropriate place of worship in Soho, and benefit by having Chinese-speaking staff working at the home. Another resident goes to 2 of the local churches and considered that: ‘I worship where I want, when I want.’ ‘I go out when I want to. I go out on my own to the shops, and get around on buses. Last year we went on holiday to Cornwall, everyone went, and we had a nice time.’ Feedback from residents and staff showed that residents get out and about in their local community, including going shopping, to the cinema and on outings, as well as going on holiday with the home. ‘One of my parents visits regularly-sometimes I visit my relatives.’ This was the comment of one resident, and reflected that residents are having regular contact with their family members which they clearly valued. Residents said that their friends and relatives were welcomed when they visited them at Edenvale. Staff interviews and the care plans indicated that Edenvale is giving careful thought about how it can empower residents and increase the choices they can make over how they live their lives. Staff and manager have attended personcentred training in order to promote this area further within the home. Residents and relatives both confirmed that residents had considerable choice about how they spent their time, when they went to bed and when they had their meals. On the day of the inspection residents made choices about when they got up, when they went out and how they wanted to spend their time, with staff providing sensitive support as needed. ‘I help out in the kitchen and make myself a snack. Sometimes we eat out and go to a Chinese restaurant.’ This was the comment of one of the residents and indicates that residents help out with cooking, as well as having their cultural preferences in relation to food responded to. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. • • • Staff are good at supporting residents in a way which the residents are happy with. Staff makes sure residents’ physical and emotional health needs are met. Residents benefit from there being effective arrangements regarding medication in the home. EVIDENCE: ‘My keyworker listens to me- all the staff listen to me.’ This was the view of one resident. Other residents also indicated by their manner and behaviour that they felt relaxed and supported and cared for when staff were around. A GP had written about Edenvale: ‘A well run and friendly home.’ Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 15 The close family-like atmosphere in the home helps individuals with challenging behaviours and high anxiety levels to feel more relaxed which in turn enables them to have improved relationships both with other residents and with staff. A professional involved in the home had written on their feedback questionnaire: ‘Staff seem perceptive and demonstrate a good understanding of residents’ needs and support some clients with very challenging needs.’ The records relating to the administration of medication to residents were seen and indicated that a detailed and accurate record is being kept. Medication profiles for each resident were up to date and corresponded with the administration sheet. Staff members have had training in the administration of medication. The home is encouraging and enabling residents wherever possible to take as much responsibility as they can safely manage in relation to taking their medication. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. • • The home deals well with complaints so that residents and relatives feel confident their complaints and concerns will be listened to and acted on. The residents benefit from adult protection procedures that make sure residents are safe and secure whilst at Edenvale. EVIDENCE: The home has policies and procedures in place in relation to reporting and investigating complaints. The complaint record showed that no complaint had been made since the previous inspection. Residents said they felt able to make complaints and raise issues if they needed to. Staff actively encourage residents to voice their concerns and complaints, which they do, so that these can be responded to quickly. Records and feedback from residents and families confirmed that concerns and suggestions are acted on. Staff have attended training courses on how to protect vulnerable adults from abuse and know what to do if they think a resident has been the victim of any form of abuse. The home had copies of the special ‘alerting’ forms used when Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 17 any incident of abuse is suspected so that Social Services are informed and the proper follow up action taken. When residents had made allegations they had been taken seriously and the appropriate procedures followed, even when residents later withdrew their allegations. Where the home is dealing with residents’ monies the records were seen to be accurate and up-to-date. Records kept had to be signed by the resident and member staff to ensure residents’ monies are properly safeguarded. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 Quality in this outcome area is good . This judgement has been made using available evidence including a visit to this service. • • • Residents at Edenvale enjoy an attractive and comfortable living environment which adds considerably to their quality of life. Residents’ bedrooms reflect their individual tastes and preferences. Not all residents benefit from having their own room. Residents benefit from, and are protected by, the high standard of cleanliness and hygiene in the home. EVIDENCE: Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 19 Edenvale provides a very homely, comfortable and clean environment for residents, with improvements made since the last inspection in terms of the decoration and furnishings. Residents commented that it was a nice environment to live in. On arrival at the home a member of care staff was seen cleaning and hoovering. The kitchen area is not in as good a state as the rest of the home. It is recommended that the kitchen area is refurbished and redecorated in 2007, as planned in the home’ s current development plan. Bedrooms reflect the individual tastes and preferences of each resident. One resident said: ‘I like my bedroom- I’d like to have my own bedroom.’ 2 bedrooms in the home are shared. The home’s business plan indicates that the intention is to be able to provide all the residents with a single bedroom. It is recommended that this takes place within the next year so that all residents have the benefit of their own bedroom. Throughout the inspection the home was found to be clean and hygienic. Comments during the inspection from residents and relatives indicated that they considered a very good standard was being achieved in this area. Residents benefit from, and are protected by, the high standard of cleanliness and hygiene in the home. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. • • • Residents benefit from a committed and experienced team of staff who have the skills and training to meet their needs. Residents are fully protected by the home having rigorous recruitment procedures for new staff. The home is good at training and developing staff so that they support residents more effectively. EVIDENCE: Care staff were interviewed and said they worked closely with each other in order to meet the needs of residents. Written and verbal feedback from both residents and relatives was positive about staff. One visiting professional said: ‘There’s a lot of caring staff here.’ Edenvale has six full-time staff plus parttime or bank staff. Several members of staff are qualified to NVQ level 3 in Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 21 care and the registered manager has completed her NVQ level 4 training. New staff members have a well planned and thorough induction into the roles and responsibilities of being a care worker. The staff team has attended a range of relevant courses, including adult protection, care planning, administration of medication, challenging behaviours, and more recently person-centred planning. This has helped staff to gain the knowledge and develop the skills to provide a high standard of care and support to the residents. As a result the home is succeeding in meeting the diverse needs of the current group of residents. Staff files contain the information needed to confirm that all new staff in the home have had the appropriate checks made. As a result residents are protected by the thorough recruitment procedures the home has in place. Staff interviews confirmed that new staff members have received induction and ongoing training so that they can support residents effectively. Staff members now have a greater knowledge and understanding about working in a personcentred way. As a result residents are benefiting from staff who actively find out what the resident likes and then work hard to provide this. It is recommended that staff undertake training in the areas of diversity, and personal and sexual relationships to further their knowledge and skills in these important areas. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. • • • Residents really benefit from living at Edenvale because the home is run in the best interests of the residents. The home is good at listening to and acting on the views and wishes of residents. The home is good at making sure the residents are kept safe and secure whilst living at Edenvale, but need to improve further fire safety measures to ensure the home is as safe as possible. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 23 EVIDENCE: ‘I like it here. I can raise issues. The manager is very accessible.’ This was the feedback of one member of staff and was typical of the significant amount of positive feedback from residents, relatives and professionals, as well as staff working at the home. The manager and owner work closely together to achieve high standards for the home. A relative had written on their feedback questionnaire: ‘My relative is very well looked after and all the staff are very helpful.’ As a result what the residents get out of the home is a very caring and supportive place to live where they are being helped to get as much as possible out of life. An annual survey is carried out to get feedback from residents, relatives and professionals on how they think the home is doing. In addition there are regular monthly checks on the standard of service offered by an independent auditor. It is recommended that the home sends to CSCI at regular intervals detailed reports on the running of the home as part of the process of the home having more responsibility for assessing and improving itself. Both managers and staff gave the message: ‘We’re trying to improve all the time.’ Staff help residents to complete questionnaires so that they can give their views about the home. A range of records was looked at, including health and safety and fire safety. In general these records were detailed, up-to-date and accurate and confirmed that the home is being run responsibly with essential checks being made and acted on. Fire drills are held regularly so that residents know what to do if the alarm rings and react appropriately and quickly. However the fire alarm system had in 2006 not always been checked weekly to ensure it was working properly. The registered manager must ensure that the fire alarm system is checked and tested weekly. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 4 X X 2 x Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Timescale for action 23 (4) (c ) The registered persons must 07/01/07 ensure that the fire alarm system is checked and tested weekly. Regulation 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. 4. 5 Refer to Standard YA24 Good Practice Recommendations The registered persons should ensure that the kitchen area is refurbished and redecorated in 2007. The registered persons should ensure that all residents have their own bedroom by January 2008. The registered persons should ensure that staff members undertake training in the area of diversity. The registered persons should ensure that staff members undertake training in the area of personal and sexual relationships. The registered persons should ensure that the home sends to CSCI at regular intervals detailed reports on the running DS0000010584.V326301.R01.S.doc Version 5.2 Page 26 YA25 YA35 YA35 YA39 Edenvale of the home as part of the process of the home having more responsibility for assessing and improving itself. Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Edenvale DS0000010584.V326301.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!