Inspection on 05/09/05 for Fer View, The

This inspection was carried out on 5th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fer View, The 25/08/06

Fer View, The 23/01/06

Fer View, The 05/11/04

Fer View, The 22/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Henry Nihill House

Birchwood

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

The Infirmary

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

CARE HOMES FOR OLDER PEOPLE The Fer View 163 Bounds Green Road London N11 2ED Lead Inspector Peter Illes Announced 5 September 2005 @ 09.30 am 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 Older People. 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. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Fer View Address 163 Boundes Green Rd, London, N11 2ED 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 8881 4602 020 8881 6264 Mrs Shashikala Kuruvitage Mrs Shashikala Kuruvitage PC - Care home only 6 beds Category(ies) of MD(E) - Mental Disorder - over 65 registration, with number LD(E) - Learning Disability - over 65 of places (OP) - Old age, not falling within any other category The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 05 November 2004 Brief Description of the Service: The Fer View is a private care home for six older people who may have a learning disability or mental disorder. The registered provider is also the registered manager. The home is located on a busy but residential area on Bounds Green Road, North London close to the North Circular Road and, within walking distance of the Bounds Green Underground Station on the Piccadilly line. The Wood Green shopping complex and transport facilities are not far away from the home and can be accessed by buses. There are local shops, cafés, restaurants, chemists and a post office close to the home. The home has two single rooms and a double bedroom on the first floor. Two single bedrooms are on the ground floor. A stair lift is available, if required, to access the first floor. There are sufficient bath and toilet facilities in the home. The communal areas include a dining room and the lounge. There is a small car park at the front of the building. The garden at the back of the building is realtively small, well kept with a paved area with garden seats close to the building. The paved area is accessible for people with mobility needs. The home has stated aims of providing 24 hour care for service users in “a safe, harmonious and pleasant environment, to enable residents to achieve their potential capacity- physical, intellectual, emotional and social”. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took approximately six and a half hours with the registered manager and her partner who shares responsibility for finances and some administration tasks being present or available throughout. There were six service users accommodated and no vacancies at the time of the inspection. The inspection included: discussion with four service users, two of them independently; independent discussion with a family friend of one of the service users who was visiting the home at the time of the inspection and independent discussion with two care staff. Further information was obtained from a tour of the premises, the pre-inspection questionnaire, a significant number of positive feedback cards from stakeholders as well as service users and a range of documentation kept at the home. What the service does well: The home provides a small scale and friendly place to live that service users and others who have contact with the home appreciate. Staff are familiar with the service user needs and the records regarding these are of a good standard. The home has a clear commitment to the training and development of staff. The home also has a comprehensive system for keeping up to date with the views of service users, relatives and health and social care staff in order to continue to improve the quality of the care offered at the home. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 6 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 Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 3 Service users benefit from having a contract/ statement of terms and conditions for living at the home to assist safeguard their interests. Prospective service users can be confident that their needs will be assessed at the point of admission to the home to ensure they can be effectively met. EVIDENCE: At the last inspection a requirement was made that the home must consult with relevant stakeholders before changes are made to which bedroom a service user is accommodated in. Documentary evidence was seen that this had occurred and a family friend of one service user who had moved rooms, who was spoken to independently, also confirmed this. The friend stated that he was happy with the way the process had been managed and the outcome for the service user. A contract with a referring authority and a statement of terms and conditions for living in the home were sampled and were satisfactory, the latter being proportionate for the size of the home. The pre-inspection questionnaire recorded that three new service users had been admitted to the home since the last inspection, the files for two of these were inspected. One of these service users was still undergoing a trial The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 9 assessment period in accordance the homes admission policy and the other had been confirmed as long stay. Both files contained a range of assessment information from their respective referring authorities with one containing a range of additional assessment information from relevant healthcare professionals. The registered manager stated that she also carried out her own assessment when prospective service users were referred to assess their compatibility with the existing service users. The registered manager stated that the home does not provide intermediate care. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 & 11 Service users needs and aspirations are clearly set out in their care plans to assist the home meet their assessed needs. Service users health needs are monitored and service users are supported in addressing these with relevant health professionals. Service users receive sensitive support with their personal care from staff and are treated with respect by them. Service users and their relatives can be confident that their wishes will be respected by the home in the event of the service user developing a terminal illness or in the event of the service user’s death. EVIDENCE: The two service user files inspected contained satisfactory and detailed care plans that were informed by relevant assessment information, a general risk assessment, a tissue viability assessment, and a moving and handling assessment. The care plans were seen to have been reviewed monthly and the risk assessments had also been reviewed on a regular basis. Service user files inspected recorded that the service users were registered with a local GP and the registered manager confirmed that this was the case for all of the service users. A comment card was received from a GP that visits the home stating that the home is excellent and the staff are excellent, that The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 11 communication is good and that service users seem happy and well cared for. Evidence was seen that service users are supported to seek treatment from relevant healthcare professionals and the inspector was pleased to see support with dental care being specified on care plans seen. The registered manager stated that the GP offers yearly health checks to service users. One service user had been admitted to hospital for a period since the last inspection and was discharged back to the home after a period of in-patient care. A relevant discharge summary from the hospital was seen on this person’s file. The home had a satisfactory medication policy that was seen and the dispensing pharmacist undertakes annual visits to the home to check medication. A copy of the pharmacist’s report of the last visit on 31/08/05 was seen that was satisfactory. The medication and medication administration record (MAR) charts for two service users were inspected and were generally satisfactory. Medication for service users is supplied in dosset boxes that are filled by the dispensing chemist before being supplied to the home. It was noted that medication for one service user, to be taken as required (PRN), was included on the MAR chart but had not been supplied or administered for a significant time. The registered manager stated that she believed that this had now been discontinued by the GP although it still showed on the MAR chart. A requirement is made that the home requests the GP to review the medication for this service user and to ensure that the MAR chart correctly records the current prescribed medication when the dispensing chemist supplies it. Service users needs regarding personal care are clearly detailed in their care plans. Plans seen had sections on how to support the individual that included their support needs with regard to: washing, bathing, dressing, use of the toilet/ continence, eating and drinking, walking and managing stairs including support with the stair lift. Service users spoken to indicated that they were happy with the personal support they received. Care staff spoken to independently were able to talk knowledgeably about the personal care support needs of the different service users. The registered manager and care staff were observed interacting with service users in a respectful and appropriate way throughout the inspection. A requirement was made at the last inspection that the home’s policy on terminal illness, dying and death includes that service users and their relatives are consulted regarding their wishes regarding how these should be dealt with. The policy was seen and had been amended, evidence was also seen that the registered manager had consulted as required and was clear about the service users wishes and that of their relatives where appropriate. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 The home provides a range of social activities to meet service users needs and wishes. Service users are supported to maintain and develop relationships with relatives and friends to the extent that they wish to. The home supports service users to make as many decisions for themselves as they can including about their personal finances. The home serves varied and healthy meals that service users enjoy. EVIDENCE: Evidence was seen that service users are encouraged to participate in a range of activities of their choice. One service user indicated that they liked to read a lot and the family friend spoken to confirmed this and that that both he and the home facilitated a range of reading material for the service user, including books from the local library. Records showed that one service user was interested in chess and the registered manager stated that the home arranged for a chess teacher to visit the home on a monthly basis to support her with this interest. The manager also showed the inspector a range of indoor games including board games and playing cards. The family friend of one service user stated that staff sit and play cards with service users and went on to say that he did not see that in the previous place his friend was accommodated at. The registered manager also stated that staff support service users on outings to local shops and facilities. During the inspection one service user went with a The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 13 staff member to Wood Green shopping centre. The service user happily told the inspector that they were going to have chips and a milk shake when they got there. Three of the four service users have regular contact with family members and/ or friends. One service user has no relatives or friends that visit the home. The registered manager stated that contact with relatives and friends included one relative that visited the home most days, relatives that visit on a weekly basis and a relative abroad that keeps in contact by telephone. One service user told the inspector that they had a relative that visited her in the home. The family friend of one service user spoken to confirmed that staff make him and his family most welcome when they visit. The inspector received a number of comment cards from relatives and from health and social care professionals that were all positive about the welcome they received at the home and about the care provided by the home. The visitors book recorded that the home receives a significant number of visitors each week. The registered manager stated that the only service users money the home looks after is the personal allowance for one service user that is given in full to the service user each week. The personal allowance for another service user is passed on in full each week to a nominated relative. Satisfactory records of the personal allowances for both of these service users were seen. The registered manager went on to say that all other personal finances for the service users are dealt with by either relatives of by a third party such as the service user’s referring authority. Service users are encouraged to bring their personal possessions to the home where appropriate. Each of the service user bedrooms seen were highly personalised with photographs, ornaments and a range of other personal possessions. The whole physical environment of the home, including the shared spaces, had been personalised and gave the impression to the inspector of being more akin to a family home that to a registered residential care home. The home has a regular two weekly menu that was seen and lists a range of varied and healthy meals each day. The menu also states that service users may choose their own preference of meals other than the ones listed on the menu and that the home will endeavour to meet the request. The service users group contains individuals from various ethnic backgrounds and evidence was seen that meals are prepared to meet a range of their cultural preferences. The lunch on the day of the inspection included fish in parsley sauce that the inspector sampled and found delicious. Service users spoken to stated that they enjoyed their meals at the home. The kitchen was inspected and was clean and tidy. There was sufficient food that matched the menu and the food was satisfactorily stored and within its use-by date. Satisfactory daily records of fridge and freezer temperatures were seen. Care staff spoken to confirmed that they also cooked the meals for the service users and training records seen indicated that staff underwent the required training in food hygiene on a regular basis. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Service users and their relatives can be confident that any concerns they raise with the home will be effectively dealt with. Service users are protected by an adult protection policy and procedures that staff are familiar with. EVIDENCE: The home had a satisfactory complaints procedure that was seen and included that complaints would be responded to within twenty eight days and gave details of the CSCI if people wanted to contact the Commission regarding concerns about the home. The registered manager stated that no complaints had been received by the home since the last inspection. Service users spoken to indicated that they felt happy to raise issues of concern with the registered manager or her staff. The family friend spoken to stated that he had nothing to complain about. He stated that there was constant dialogue with the home over his service user’s progress and that he would feel happy raising any issues that may occur with the registered manager in the first instance. The home had a copy of the local authority adult abuse policy for the area in which the home is situated, that was seen. The home also had adequate written practical guidance for staff regarding the nature of adult abuse and action that needed to be taken should an allegation or disclosure be made to them. The registered manager was aware of the issues involve should an allegation or disclosure be made at the home and the role of the local authority in deciding on and coordinating any required action. The registered manager stated that staff undertook adult protection training on the occasions when the local authority offered it. Evidence was also seen on staff records sampled that The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 15 adult protection training was included in the home’s in-house training schedule. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 23 & 26 Service users live in a home that is domestic in style, safe, well decorated and well maintained. Their bedrooms are comfortable and meet their needs. The home was clean and tidy throughout creating a pleasant environment for service users, staff and visitors. EVIDENCE: The home is domestic in scale, very well decorated and maintained and provides a safe comfortable environment that service users enjoy. The home has two single rooms and a double bedroom on the first floor. Two single bedrooms are on the ground floor. A stair lift is available, if required, to access the first floor. There are sufficient bath and toilet facilities in the home. The communal areas include a dining room and the lounge. There is a small car park at the front of the building. The garden at the back of the building is realtively small, well kept with a paved area with garden seats close to the building that is accessible for people with mobility needs. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 17 Service user’s bedrooms were seen and complied with the requirements of this standard. As stated in the Daily Life and Social Activities section of this report above, service users are actively encouraged to personalise their bedrooms and the result of this reinforced the inspector’s clear impression of a noninstitutional physical environment. A requirement was made at the last inspection that any decisions made regarding changes to the bedrooms allocated to individual service users must be made in consultation with the service users concerned, a representative of the placing authority and, as appropriate, a relative. This requirement was made in response to an issue identified at that inspection and this was seen to have been satisfactorily complied with and resolved at this inspection. The home was clean and odourless throughout on the day of the inspection. One relative wrote in their comment card submitted to the inspector that the home is very clean and has a homely atmosphere, and also, that the home is odour free. The home had satisfactory laundry facilities and a satisfactory and comprehensive infection control policy that was seen. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 The home has an effective staff team, in sufficient numbers, to support service users and to assist in meeting their assessed needs. Service users are also protected by the recruitment procedure operated by the home although improvements are needed in its implementation. Staff are offered a range of relevant training to further assist them in their own personal development and in meeting service users needs. EVIDENCE: The staff rota was seen and was satisfactory. The registered manager stated that the minimum staffing the home operates on is one care staff on the early shift with a second member of staff working from 7 am to 10 am, one care staff on the late shift with a second member of staff working 4 pm to 6 pm and one waking night staff. The staff on duty matched those recorded on the rota. The home had recruited four new staff since the last inspection and two of these staff files were inspected. Both staff files included a range of documentation that evidenced the home takes recruitment seriously although one file did not contain all of the required documentation. One staff file contained: a satisfactory criminal records bureau (CRB) clearance that included a satisfactory protection of vulnerable adults (POVA) clearance; two written references, one from the previous employer and satisfactory proof of identity. The second file also contained a recent CRB and POVA clearance although these clearances were not obtained by this home when the staff member was recruited as is required by The Care Standards Act 2000 (Establishments and The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 19 Agencies)(Miscellaneous Amendments) Regulations 2004. A requirement is made regarding this. The second file also contained two references but this did not include a last employer reference. It also did not contain a full employment history as the staff member’s application form did not indicate for the six months immediately prior to the person being employed at the home whether they had been in paid employment or not. It also did not indicate what they were doing if they were not in paid employment. There was also no evidence that this issue had been explored at interview. A requirement is also made regarding the above shortfalls. An individual workforce development plan was seen on the two staff files inspected. These contained evidence of what training the staff had undertaken including induction training. The plans also identified what other training needs the individual staff members had and the registered manager stated that she used this information to arrange necessary training for staff. Staff spoken to confirmed that they had attended a range of training including in-house adult protection training and external first aid and moving and handling training. One stated that the home had booked them on dementia awareness training for later in September 2005. The registered manager confirmed that four of the nine care staff employed at the home had completed at least national vocational qualification (NVQ) level 2 training in care. She went on to say that two more staff were due to complete this qualification by the end of 2005 The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 & 38 Service users and other stakeholders benefit from the home being run by a competent manager. The home has effective consultation systems to contribute to the home being run in the best interests of service users including safeguarding their financial interests. The home has clear health and safety procedures in place to protect service users and others that work or visit the home although two improvements are needed in identified areas. EVIDENCE: The registered manager has nine years experience running this home and a range of experience of working with vulnerable people prior to that. She was knowledgeable about the management issues relating to running the home and service users and the family friend indicated that she was always approachable if they had an issue to raise with her. A number of comment cards received as part of the inspection process from other stakeholders were also The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 21 complimentary about the registered manager. She went on to say that she was in the process of completing her registered manager’s award and was anticipating this would be done by the end of 2005. She showed the inspector a letter from the training organisation she was registered with confirmed that confirmed the above. The home undertakes service user and stakeholder questionnaires regarding the quality of service offered by the home several times a year. Returned questionnaires from July 2005 were seen as well as the analysis and actions the home was planning as a result of these. Questionnaires seen included those from: service users, relatives, the chess teacher that visits the home and a range of relevant social and health care professionals. The inspector commended the registered manager on the thoroughness of the process. As indicated in the Daily Life and Social Activities section of this report above, the only service users money the home looks after is the personal allowance for one service user that is given in full to the service user each week. The personal allowance for another service user is passed on in full each week to a nominated relative. A range of satisfactory health and safety documentation was seen including: the fire log that contained records of regular fire drills and fire point testing, fire alarm and fire equipment servicing and that the fire officer had visited the home on 7/7/04 giving a satisfactory report on the home at that time; servicing of the home’s stair lift; the home’s accident book and both a current gas safety and electrical installation certificate. The home had evidence that the water system had been satisfactorily tested and work undertaken in July 2004 to minimise the risk of legionella but testing is required annually and a requirement is made regarding this. The home did not have evidence that the portable electrical appliances had been tested in the past twelve months and a requirement is also made regarding this. The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 4 x 3 x x 2 The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 23 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 9 Regulation 13(2) Requirement Timescale for action 31/10/05 2. 29 19(5), Sch.2(7) 3. 29 19(1), Sch.2(6) 4. 38 13(4) The registered person must ensure that the GP reviews the PRN medication for one identified service user and ensures the MAR chart correctly records the current prescribed medication when the dispensing chemist supplies it. The registered person must 31/10/05 ensure that all staff employed since July 2004 and those recruited in the future have a satisfactory POVA and CRB clearance, obtained by the home before their employment commences. A new POVA and CRB clearance for an identified staff member must be obtained and the staff member supervised in the home at all times until this is received. The registered manager must 31/10/05 ensure that a last employer reference is obtained for each member of staff employed and that the prospective staff member provides a full employment history that is checked for gaps. The registered person must 31/10/05 ensure that all the portable Version 1.40 The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Page 24 5. 38 13(4) electrical appliances in the home are tested annually by a person competent to do so to minimise ant potential risk in their use. The registered person must 31/10/05 ensure that the homes water systems are tested annually by a person competent to do so to minimse the risk of legionella. 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. Refer to Standard None Good Practice Recommendations The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Solar House, 1st Floor, 282 Chase Road, Southgate, London, N14 6HA 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 The Fer View G59 S10758 The Fer View V246246 05.09.05 Stage 4.doc Version 1.40 Page 26 - 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. 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