Inspection on 21/10/08 for Essex Park 49

This inspection was carried out on 21st October 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Essex Park 49 30/09/09

Essex Park 49 26/10/07

Essex Park 49 04/07/06

Essex Park 49 02/11/05

Essex Park 49 17/05/05

Essex Park 49 02/11/04

Essex Park 49 03/06/04

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Chatsworth Care - Tudor Lodge

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

CARE HOME ADULTS 18-65 Essex Park 49 Finchley London N3 1ND Lead Inspector Tom McKervey Key Unannounced Inspection 21st October 2008 09:30a Essex Park 49 DS0000010437.V373004.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 Essex Park 49 DS0000010437.V373004.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. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Essex Park 49 Address Finchley London N3 1ND 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 8346 3860 020 8346 3860 essexpk@walsingham.com www.walsingham.com Walsingham Sally Jane Green Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th October 2007 Brief Description of the Service: Essex Park is a home for six adults of either gender who have learning disabilities. The home is owned and managed by Walsingham Community Homes, an organisation that provides special needs housing in other parts of the U.K. The home is a detached, two storey building, located in a pleasant residential area of Finchley in North London. It is close to shops and many other amenities. The residents’ bedrooms are located on the ground and first floor. The communal lounge, dining rooms and kitchen are located on the ground floor. There is a large attractive garden at the rear of the property which is accessible to all residents. A car is provided for the purpose of taking the residents out on various shopping trips and excursions. Information about the home including the service users’ guide and the CSCI inspection reports are available from the home by contacting the provider. The fees for the service range from £1065 to £1236 per week, depending on the assessed needs of the residents. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 Star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection took place over a period of six and a quarter hours. The visit was part of the Commission’s inspection programme to check compliance with the key standards and to look at how the home was progressing in meeting requirements from the last inspection, which took place on 26th of October 2007. The manager was present at the start of the inspection but had to leave for a time to attend a meeting at the head office. However, the inspector wishes to thank the deputy manager for affording him every assistance until the manager returned towards the end of the inspection, when feedback was given about our findings. In April 2008, the Commission received the home’s Annual Quality Assurance Audit, (AQAA), which is a self-assessment of the service by the manager. This document is required to be completed annually to provide information about how well outcomes are being met for people who live in the home. It also gives some numerical information about the service. This document had been sent by an acting manager who was in charge while the registered manager was on long-term leave. The information in the AQAA was not very full and did not give much detail about the service. This document was discussed with the manager who updated some of the information. Reference is made to the AQAA in various sections of this report, as evidence of some of the findings. The inspection process included visiting all areas of the home, reading residents’ case files and other records, and discussing with those who were verbal about their experiences of living in the home. Staff were also interviewed about their work and how they were supported. What the service does well: Potential users of this service will have their needs thoroughly assessed to ensure that the home is suitable for them if they decide to move in. Each person who lives in the home is involved in their care plan, which sets out their health, social and personal needs and there are good guidelines for staff about how to minimise any risks to residents. Residents are able to exercise a wide range of choice about their lives and are consulted about how the home is run. There is a good range of educational and social activities available for residents and they enjoy full access to the local community. Residents are supported to choose their own meals, which are nutritious and varied. The residents are treated with dignity in their personal care and they are supported to access a full range of health services. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 6 Medication is administered safely, which protects residents from harm The home’s complaints procedure is written in a format that the residents can understand and staff are trained in adult protection procedures. There are thorough recruitment procedures used to screen staff in order to protect residents’ best interests. There is an experienced and competent manager in charge of the home who provides clear leadership and sets high standards for the care of the residents. What has improved since the last inspection? 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. Essex Park 49 DS0000010437.V373004.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 Essex Park 49 DS0000010437.V373004.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): 2 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service and looking at case records. Potential users of this service can be confident that their needs will be thoroughly assessed to ensure that the home is suitable to meet their needs. EVIDENCE: At the time of this inspection, there were five people living in the home and there was one long-term vacancy. The manager stated that there had been several referrals to the home but after assessing the people, it was decided that the home was not suitable for their needs. The most recent admission to the home was in 1999, so the current residents have lived together for a long time. Three residents’ case files were examined in detail. The assessments were comprehensive and covered all aspects of the person’s needs. This included for example, health, mobility, sleep patterns and eating. People’s sexuality was also assessed in relation to dress and appearance. There was evidence that the staff reviewed the residents’ needs every six months. If a resident attends a day centre, these reviews are also included in the resident’s case file. Annual care reviews were also carried out by local authority care managers. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 9 Essex Park 49 DS0000010437.V373004.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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including observation and examining residents’ records. Residents’ health, social and personal needs are set out in care plans which guide staff about how to meet residents’ needs in the way they prefer. Potential risks to residents are identified, which enables them to be supported appropriately in a wide range of choices about their lives. EVIDENCE: Three care plans were sampled at random. These were person-centred and written in the first person, which shows that care planning is individually based. For example; one person’s care plan states; “I am blind so I need full care and support. Obstacles must not be left in my way or I’ll fall over them”. The care plans cover issues such as communication, mobility and health. There were detailed records of people’s likes and dislikes and how they liked to be spoken to. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 11 There was a good use of pictures in the care plans to aid the residents’ understanding of what was written about them. In the AQAA, it is stated that; “The resident who is blind is having their room reviewed to make it more appropriate to their needs using touch and sound. This was after observing their reactions and listening to their unspoken views about their surroundings”. The majority of the residents are non-verbal, but we spoke to one person who is able to communicate verbally. They said they were very happy in the home and that the staff were very caring and respectful. This was also confirmed by observing how the staff interacted with the residents. Although the home is heavily reliant on agency staff, the inspector was satisfied through discussion with them, that they had a very good understanding of the residents and their methods of communication. The residents’ case files contained thorough risk assessments; for example, lack of road sense and incidents that might occur when travelling in the home’s vehicle. The risk assessments were accompanied by good guidelines for staff about how best to support the person. This ensures that people are not prevented from enjoying the variety of activities in the community. Minutes of residents’ meetings that are held regularly, were available for inspection. These showed that the residents have a say and are involved in the day to day running of the home. Essex Park 49 DS0000010437.V373004.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, 14, 15 16 & 17 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including discussions with staff and residents and looking at records. People who live in the home can be confident about having a good range of stimulating activities and they have full access to the local community. The meals that residents choose are nutritious and varied which promotes their wellbeing. EVIDENCE: All the people who live at the home attend a day centre or college. There was evidence in residents’ records that staff from day centres attend the care reviews and provide reports about their progress. Residents who attend colleges are awarded certificates of achievement, which are kept in the home. The home has its own vehicle, but staff also support the residents to use public transport as much as possible. One resident showed the inspector their bus pass. Each person has an individual daily record which showed a good range of outings such as going to shops, cafés and pubs. The residents are supported to Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 13 make use of the local amenities, such as bowling and swimming. One person particularly likes going to the theatre. During the inspection, two residents went out with staff to do the weekly shop for the home. Some residents attend places of worship. The AQAA states that the home intends to broaden the range of activities to include more leisure facilities that are used by the general public, rather than just for people with learning disabilities. Most of the residents have close contact with their families and sometimes have overnight stays at home. A concern was raised by the inspector at the last inspection that a letter for a resident was not given to them unopened. We were assured that this practice was not common and staff had been instructed to give residents their mail to open themselves. This protects their rights. The staff support the residents to choose the menu for the week and to help with the weekly shopping. The menus showed a good variety of meals that were well balanced and nutritious. The people I spoke to, said that they were happy with the food and they had enough to eat. It was recorded that one person doesn’t like rice and has an alternative when this is on the menu. The fridges and freezers contained food that was clearly labelled with expiry dates and was stored safely. We noted that fresh fruit was available in the kitchen. All staff have attended training in food hygiene. Essex Park 49 DS0000010437.V373004.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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service and looking at health records. Residents can be assured of being treated with dignity and respect when staff support them in their personal care. Staff ensure that residents receive a full range of services to safeguard their health and their welfare is protected by the safe administration of medicines. EVIDENCE: The residents’ care plans provide good information for staff about how to support residents with their personal care, particularly those who are nonverbal. At the time of the inspection, all the residents were said to be healthy and they were clean and appropriately dressed. The residents with whom I spoke, said that they liked the staff and that they were treated with dignity and respect. The inspector was informed that personal care is only provided in the residents’ bedrooms or in locked toilets/bathrooms. Each resident has a health action plan, which contains their medical history and any allergies. All appointments with health professionals, eg the GP, outpatient clinics etc, were recorded in individual case files. A recommendation is Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 15 made for these to be recorded on a single form so that the appointments can be seen at a glance. Each person’s weight is recorded monthly. A resident who is diabetic, has their blood monitored by staff each week and charts are kept to record seizures for those who have epilepsy. One resident had been admitted to hospital recently following serious seizures, but at the time of the inspection, they had fully recovered. It was noted that accidents and incidents were recorded appropriately. The consultant psychiatrist reviews each resident’s medication annually. The inspector examined the medication stock and found that the medication was stored safely and securely. However, there was one gap in the administration of medicines records, (MAR) sheets, where the staffs’ signature was missing. This was the only discrepancy and was corrected during the inspection. The pharmacy that supplies medication to the home carries out regular audits. Essex Park 49 DS0000010437.V373004.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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including looking at documents and interviewing staff. Residents can feel confident that they are well cared for and any concerns they have will be taken seriously. They can also be assured that they are protected from abuse by the staffs’ awareness and training about adult protection. EVIDENCE: At the time of the inspection, the residents appeared happy and contented and looked well cared for. The atmosphere in the home was relaxed and friendly. The home has a procedure about how to deal appropriate with complaints. There is also a pictorial version available for residents to help them understand the process. In the AQAA submission, the manager states that she also intends to put the complaints procedure in an audio format. In the past year, no complaints had been logged, and the manager stated that there were none outstanding. It is recommended that a simple format is provided for recording complaints to make it easier to audit response times and outcomes of complaints investigations. There is a copy in the home of the local authority’s procedure on Protection of Vulnerable Adults, and there is a policy in place about whistle blowing if staff suspect abuse. The staff records show that all staff have been trained in adult protection. In discussion with individual staff, they demonstrated a good knowledge and awareness of issues of abuse. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 17 Essex Park 49 DS0000010437.V373004.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, 27, 28 & 30 People who use this service experience poor outcomes in this area. This judgement has been made using available evidence including visiting all areas of the home. Because of the poor standard of maintenance and decoration in many areas, the residents do not have an attractive and comfortable home to live in. However, the home is generally clean and tidy. EVIDENCE: All areas of the home, including the residents’ bedrooms and communal areas, were inspected. Since the last inspection, some communal areas have been redecorated and the standard of decoration in the majority of the bedrooms was good. The front door has been replaced and gives a nicer appearance to the front of the home. The large garden was attractive and was well maintained. However, there were many repair and maintenance issues identified as follows; The worktops in the kitchen were damaged in places and the rubbish bin did not have a lid. This makes it difficult to clean and ensure good hygiene. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 19 The hall and stair carpet was worn and threadbare in places. The curtains in one bedroom were hanging off the rail. There were no plugs in any of the sinks in bedrooms and toilets. The trim around the skirting in the lounge had come adrift and the ceiling in one of the bedrooms needs repair and repainting. In another bedroom, the handle was missing on the inside of the door. In the downstairs toilet, the light was not working and the toilet seat was broken. Many of these issues were noted in the maintenance book and we were told that the maintenance person was due soon. However these had been requested for more than three weeks, which is an unacceptable timescale for repairs. We have made requirements in this report to address these issues. At the last inspection, we made requirements about one person’s bedroom. This has been resolved by moving the resident into the previously vacant room. The lounge and dining furniture was comfortable and in good condition and there is a television provided. All the residents’ bedrooms contained appropriate furniture and many items of personal possessions, such as pictures of families, dolls and posters. The home employs a cleaner who is responsible for all communal areas. At the time of the inspection, the home was clean and tidy and there were no offensive odours. Staff have disposable gloves and aprons available to them when supporting residents with personal care and they have been trained in infection control. Essex Park 49 DS0000010437.V373004.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, 33, 34, 35 & 36 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service and interviewing staff. There are sufficient numbers of staff on duty to meet residents’ needs. The service is dependent on agency staff. However, these are regular staff who know the residents well, which helps to promote continuity of care. The staff are supported by appropriate training and regular supervision. EVIDENCE: We looked at the staff rota, which showed that there is normally three staff on the morning shift, two in the evening and one awake at night. The manager is not included in these numbers. The rota matched those staff who were present during the inspection. The home also employs a part-time cleaner. The staff to whom I spoke, said that in their view, the staffing levels were sufficient to support the five residents. There were five permanent staff employed and there were several vacancies which are being covered by agency staff. However, the agency staff have worked regularly and for a long time in the home and know the residents well. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 21 The manager told me that she has continually advertised to fill the current staff vacancies, but there is a scarcity of suitable candidates in the area, particularly in relation to people who have a good grasp of English. The manager stated that new agency staff come with a profile from the agency to ensure they were properly recruited and trained. Recruitment records are held at Walsingham’s head office and were not examined during this inspection. This arrangement has been agreed with the Commission. However, the manager assured us that proper checks had been carried out when new staff were recruited, including CRB clearances. There were records of regular supervision in staffs’ files. Staff who were spoken to said they found this to be a positive experience and afforded them an opportunity to discuss their work with their line manager. Essex Park 49 DS0000010437.V373004.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, 41 & 42 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including discussions with the manager and staff and examining records and documents. The residents benefit from having an experienced and competent manager to run the home effectively. Residents are supported to air their views at meetings, which enables them to have a say in how the home is run. There are good systems in place to safeguard residents’ financial interests and their health and safety. EVIDENCE: The manager has extensive management experience and she has attained a NVQ level 4 (Management). She is also an NVQ assessor and is registered with the Commission for Social Care Inspection as the manager. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 23 The manager has kept herself up to date with current good practice by attending relevant training courses, for example, Mental Capacity Act. At the time of this inspection, the manager had just returned from leave. During her absence, an acting manager had been running the home and this person had completed and sent the AQAA to us. The information in the document was not very full and did not contain enough detail about the service and how it was to be developed. The inspector discussed with the registered manager where the information could be improved upon. The manager is supported by a deputy, who at the time of this inspection, was employed by an agency. The deputy manager assisted the inspector very competently during the inspection while the registered manager was away from the home. Monthly meetings take place between residents and staff. The minutes of these meetings showed that the residents were supported to have an input into how the home was managed and to make their views known. Senior managers make monthly visits to the home to monitor the service and they provide a report of their findings and areas that need improvement. These reports were available for inspection at the home. A sample of two records of residents’ financial transactions found that these were satisfactory. Receipts for purchases were kept and the cash in residents’ tins balanced with the recorded amounts. There were good health and safety procedures, including regular testing of temperatures of the water, fridges and freezers and the area where the medicines are kept. Records also showed that the gas boiler and all portable electrical appliances had been tested and safe to use. A fire risk assessment has been carried out of the building and fire alarms were being tested weekly and drills were carried out. There is a valid insurance certificate on display. Essex Park 49 DS0000010437.V373004.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 3 23 3 ENVIRONMENT Standard No Score 24 1 25 2 26 X 27 2 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 3 X 3 X 3 3 X Essex Park 49 DS0000010437.V373004.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. 2. 3. 4. 5. Standard YA24 YA24 YA25 YA24 YA24 Regulation 23(2)(b) 23(2)(d) 16(2)(c) 23(2)(b) 23(2)(b) Requirement The worktops in the kitchen must be repaired or replaced. The carpet in the hall and stairs must be replaced. All washbasins in residents’ bedrooms must be fitted with plugs. The trim around the skirting in the lounge must be repaired. All other repairs identified in the home’s maintenance book at the time of the inspection, must be carried out. A bin with a lid must be provided in the kitchen to maintain good hygiene. Timescale for action 31/01/09 28/02/09 01/11/08 31/12/08 01/11/08 6. YA30 16(2)(g) 01/11/08 Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA19 YA22 Good Practice Recommendations A single form should be provide in each resident’s folder to record all their health appointments so they can be seen at a glance. A simple format should be provided for recording complaints to make it easier to audit response times and the outcomes of complaints investigations. Essex Park 49 DS0000010437.V373004.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Essex Park 49 DS0000010437.V373004.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. 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