Inspection on 08/12/06 for Florfield Home

This inspection was carried out on 8th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Florfield Home No 1 Florfield Road 13 Reading Lane Hackney London E8 1DS Lead Inspector Yemi Adegbite Unannounced Inspection 8th December 2006 10:50 Florfield Home DS0000064222.V322075.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 Florfield Home DS0000064222.V322075.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. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Florfield Home Address No 1 Florfield Road 13 Reading Lane Hackney London E8 1DS 0208 533 1022 TBC 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) Clearwater Care (Hackney) Ltd ** Post Vacant *** Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The home is registered to provide service for four adults with physical and learning disabilities. The home is operated by Clearwater, which operated similar homes providing care to people with learning disabilities. Florfield home is sited entirely on the ground floor; it has four spacious bedrooms all with en-suite showers and toilets. The communal areas are the lounge, kitchen/diner, bathroom and utility room. The home is situated in the heart of Hackney within walking distance of the Hackney Empire, Hackney museum, local shops and other amenities. Public transport is also easily accessible. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector over the course of a day. This was the home’s first inspection since its registration. The Inspector met with the acting manager, two members of support staff and the only service user currently living at the home. The service user’s personal files were inspected, as were staff personnel files and other relevant documentation. The Inspector also toured the homes premises. The service user was complimentary about the service being provided and said that he felt able to express his views openly and that these would be acted upon. Verbal feedback was given to the acting manager at the end of the inspection. The inspector wishes to thank the staff and the service user for facilitating this unannounced inspection and actively contributing to the regulatory process. What the service does well: What has improved since the last inspection? This is the home’s first inspection since its registration. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Florfield Home DS0000064222.V322075.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 Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both the Service User Guide and the Statement of Purpose provide appropriate information about the service to enable prospective service users to determine whether they wish to move into the home. The pre-admission assessment process is comprehensive, developed for each individual and undertaken with the involvement of the resident, their family [if appropriate] and the community mental health team. EVIDENCE: The home is registered to accommodate four service users however, there has only been one service user admitted into the home on the 16/10/06 since its registration. The acting manager was able to discuss the whole process of preadmission assessment, including liaison with the community learning disability team, the prospective service users, and /or their relatives to ensure the transition to the care home was appropriately managed on an individual basis. The inspector reviewed the personal file of the service users. Case tracking evidenced that the home had obtained appropriate referral information including reports and assessments from other professionals prior to admission. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 9 The inspector also saw evidence that the home had carried out its own comprehensive assessment as part of the admission process and that the service user had a trial period prior to his admission. Both the Service Users Guide and the Statement of Purpose were comprehensively written and provided appropriate information about the service to enable prospective service users to determine whether they wish to move into the home. The Inspector was shown copies of the homes contracts with service users, these were found to include details of the services offered and costs involved. Florfield Home DS0000064222.V322075.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&10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home assesses service users needs and develops individual plans and risk assessments to address these. Care plan and risk assessments are in place which were detailed and comprehensively assessed to the individual needs. Service users are encouraged to participate in the day-to-day running of the home. EVIDENCE: The home assessed the service users needs and developed all individual care plan and risk assessments to address these. The care plans address areas such as communicating skills, physical development, social and healthcare needs. Plans addressing particular service user needs such as support with personal hygiene and support with budgeting have also been developed and implemented. The acting manager stated that plans would be reviewed every six months or as and when required due to changing needs of the service user. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 11 However it was disappointing to note that these plan were not signed by the manager or the service user to indicate their agreement and commitment to participate in the plan. Detailed risk assessments completed for individual service user included risk of absconding, non-compliance with medication and challenging behaviours. One service user who has developed mobility difficulties has been assessed for moving and handling. All of the detailed risk assessments viewed by the Inspector had been reviewed in March 2006. The acting manager stated that the service user access local facilities with the support of staff due to his level of challenging behaviour, which was fully assessed and documented in his care plan. However the situation will be reviewed regularly and appropriately reflected when required. Risk assessments had been completed in areas such as physical aggressive behaviour, food preparation and financial management. There is also a comprehensive risk assessment around smoking issues and how the home is to help reduce consumption level. There is evidence this has been given a lot of thought and effort has gone in to make it work, whilst preserving the service users independence. Evidence of the service users minutes indicated that the service user was given an opportunity to choose his allocated key worker, which was also confirmed by the service user spoken to during the inspection. Key workers complete a daily record sheet recording any issues or progress that have been made that day in implementing the plan. The service user currently receives support to manage his finances due to the complication involved in transferring his finances from his previous home. CPA meetings and the home’s assessment has identified that the service user will need help and support around his finances. Details of the support he receive are detailed in the individual care plan. The service user has agreed to staff holding his money in a lockable box in the staff office and then makes a request for a small daily allowance. A record sheet signed by staff and service user details deposits and withdrawals. The Inspector was advised that the home facilitates a monthly service user meeting and that the aim of these is to include service users in the day-to-day running of the home. However it is presently conducted on a more regular basis due to the fact that there is only one service user presently admitted into the home. The Inspector sampled the minutes of these meetings which evidence that the service user used these meetings to make suggestions around areas such as; weekly menu, holiday, activities and choice of key worker. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 12 From sampling of a variety of records including service users personal files and staff supervision records the Inspector was satisfied that information relating to the service user is accurate, secure and confidential. The Inspector also viewed the homes confidentiality policy and noted that this includes guidance to staff on the circumstances when confidentiality may need to be breached, for example an adult protection allegation. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 13 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): 11,12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports service users to develop independent living skills and supported to access local facilities. EVIDENCE: Discussion with the service user, support workers, and sampling of the care plan evidenced that service users are supported and encouraged to develop independent living skills. The inspector saw members of staff accompanying the service user to the local supermarket to enable him to purchase his Christmas cards for families and friends. It was positively noted that staff also provided help and assistance in writing out these cards. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 14 Assessment of the activity daily log evidenced activity undertaken on a daily basis and comments detailing outcomes. Discussion with service user, sampling of the homes activities log and service users meeting minutes evidence that service user are engaged in a range of activities that have identified as being of interest. The acting manager also stated she is actively in touch with the local authority to ensure that personal development activities needs are met e.g. day centre and possibly singing classes. The inspector saw a programme of activities which included activities such as shopping, cinema, walking and visits to the restaurant. The acting manager stated that service users would be encouraged to maintain contact with their families and friends and to make new friends through participation in community activities. Additionally visitors to the home are welcomed. From observation and discussion with the service user and staff, it was evident that the daily routine of the home promotes individual choice, freedom of movement and independence. The inspector noticed that the service user chose when to be alone and when to interact with members of staff. The Inspector sampled the record of meals offered in the home. This evidenced that a variety of nutritious meals had been offered to service user. Discussion of the meals to be included on the menu takes place at service users meeting and evidence of a menu preference questionnaire dated 2/11/06 was seen by the inspector. The service user spoken to during the inspection fed back to the inspector that he enjoys the quality and variety of meals offered. He also stated that he found mealtimes to be relaxed and unrushed and flexible. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are given the support they require to meet their personal needs. This is done on an individual basis according to needs identified in the care plan. Service users are given choice as to delivery of care. There are policies and procedures in place for the safe management and administration of medication and there was evidence that these were being adhered to in daily practice. EVIDENCE: The home aims to meet individual service users needs, and times for getting up, going to bed, meals and other activities are therefore flexible and tailored to the service users individual plan. Assessment of the care plan indicated that the present service user is selfcaring to some degree. His individual needs and preferences for how he receive his care are included in the care plan and observed during practice. During the visit, the inspector observed positive examples of same/preferred Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 16 gender care provision for example a male member of staff assisted the service user with shaving. Staff on duty demonstrated a good knowledge of the service user’s healthcare needs. The service user has been registered with the local general practitioner and other health care professionals including the dentist and optician. The community practice nurse was also visiting the service user on the day of the inspection with subsequent appointment booked to ensure that the transition process runs smoothly. The acting manager and care staff were observed to interact with the service user in a supportive and caring manner and the service user stated that he is able to discuss any problems with members of staff. The acting manager stated that members of staff had received Boots medication training in November and awaiting certificates. However the inspector saw evidence that staff have received in-house training and have been assessed in their competency to administer medication. Certificates were in staff individual files. The home has an appropriate medication policy, which gives guidance to staff on the ordering, receiving and disposal of medication. Medication is stored in a locked cupboard in the office. The inspector evidenced that the medications available corresponded with those listed on the MAR sheet. Standard 21 was not inspected on this occasion however the inspector saw evidence that the acting manager has taken steps to ensure that the ageing, illness and death of service users are handled with respect and would be considered as part of the ongoing needs of the service user. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are able to express their views freely and can discuss any issues with the manager and other staff. Appropriate adult protection policies and procedures are in place to ensure the safety of service users. However the responsible person must ensure that all members of staff receive appropriate POVA training. EVIDENCE: The home has a complaints procedure that meets current requirements. During discussion with the service user he stated that his views are listened to and can make a complaint if needs be. Additionally assessment of service users minutes and daily log confirmed this statement to be accurate for example issue such as meals requirement and choice of staff was appropriate dealt with. The Inspector viewed the homes complaints policy, which includes guidance on how to make a complaint, the timescales within which the home plans to respond and contact details for the Commission for Social Care Inspection. The Inspector viewed the homes complaints log and noted that there had been no complaints recorded since its registration. There is a policy and procedure relating to the protection of vulnerable adults from abuse, which includes recognition, prevention and reporting process. The Inspector also viewed the homes adult protection policy and procedure, which Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 18 was deemed appropriate and is used in conjunction with London Borough Hackney POVA policy. This includes definition of different types of abuse and includes appropriate reference to the homes whistle blowing policy. The acting manager stated that all members of staff have been booked on POVA training, which should be taking place in January 2007. A member of staff spoken to by the inspector demonstrated some awareness of her responsibilities to report adult protection concerns however, the other member of staff did not have any awareness of POVA concerns due to his lack of experience working with vulnerable adults. The responsible person must therefore ensure that all members of staff receive appropriate adult protection training to ensure the wellbeing and safety of service users are met. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a generally well maintained and comfortable home. The standard of the accommodation is very high. EVIDENCE: Florfield Home is fairly recently opened and it is evident that thought has gone into providing a high standard of accommodation which suits the needs of the service users and provides a comfortable, homely and relaxed environment. Florfield home is sited entirely on the ground floor; it has four spacious bedrooms all with en-suite showers and toilets. The communal areas are the lounge, kitchen/diner, bathroom and utility room. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 20 The service user was proud to show the inspector around the home and his personal room, which was noted to include sufficient and suitable furniture and fittings to meet his needs. The décor and the furnishings both in the bedrooms and in the communal areas of the home are of good quality. The acting manager stated that service users would be allowed to personalise their bedroom as they wish. The home was clean, tidy and free from offensive odours on the day of the inspection and both the service user and members of staff were observed taking pride in their environment. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34,35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the homes recruitment practise and supported by competent staff. Records and checks for both newly appointed staff and current staff are in place. Staffing levels on the day of the inspection were adequate to meet the needs of the service user. However the responsible person must ensure that staff are offered the opportunity to achieve the NVQ qualification. EVIDENCE: The acting manager stated that the home is in the process of employing a permanent manager, deputy and a senior support staff. The acting manager was advised to ensure that the Commission is advised on the appointment of a manager. There were two support workers and the acting manager on duty throughout the inspection. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 22 The inspector was satisfied through discussions and observation made during the inspection that the acting manager was aware of her role and responsibilities and has developed good relationships with the service user and members of staff. It was the view of the inspector that the staffing level was adequate on the day of the inspection to meet the needs of the service user. The acting manager stated that more staff would be rostered on duty should the needs of the service users require this. The rota seen at the time of the inspection accurately reflected the staff on duty. The staff spoken to during the inspection confirmed that they receive regular training and are aware of the policies and procedure of the organisation ensuring the protection of service users. Staff spoke highly of the present manager and also stated that they felt well supported with the present management team. They were also confident that any concerns would be dealt with appropriately. Staff meetings are also organised. The inspector noted that staff have mostly received one supervision session due to the fact that the first service user was admitted into the home in October 2006. However the acting manager confirmed her awareness in ensuring that staff receive six supervision per year and stated that the home has a supervision policy in place to ensure the appropriate level of supervision is achieved. Staff personal files inspected contained all the relevant documentation required in line with the National Minimum Standards. Assessment of the most recent employed member of staff evidence that he had attended an induction training program and other training relevant to his current line of duty. Staff spoken to during the inspection also stated they had received training in areas such as: fire prevention, infection control, first aid and moving and handling. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41, & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are benefiting from improvements in the management and dayto-day running of the home. Records required to promote and protect service users are generally being maintained and there is a policy and procedure in place for management of all aspects of health and safety. EVIDENCE: The manager’s position is currently vacant however the organisation has taken appropriate steps to ensure that there was suitable management cover in place until the post is filled. The responsible person is therefore advised to ensure that the Commission is informed once the new management is in place. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 24 The acting manager demonstrated a good knowledge of the service users need and her role and responsibilities in running and managing the care home. She has a suitable professional qualification and five years management experience. It was the view of the inspector that the acting manager has the relevant experience to run the home in line with its stated purpose. There was no evidence of a quality assurance and quality monitoring system in place however, the acting manager stated that the organisation is undertaking this process and it should be in place by the next inspection. The responsible person is therefore advised to ensure that adequate quality assurance monitoring is carried out to include feedback from service users, their families and other stakeholders. The policies and procedures sampled by the inspector were generally found to comply with legislation and were generally evidenced as being implemented in the homes practises. All records required by regulation were available for inspection on this occasion. The records sampled were found to be up to date and in good order. The Inspector viewed the service users money and this was deemed appropriate. The records of fridge and freezer temperatures were also sampled and were found to be appropriately recorded twice daily. Fire records evidence that weekly fire alarm tests are carried out and that no problems have been identified. Evidence was seen that all members of staff attended Fire Safety training on the 4th December 2006. All other health and safety checks are carried out and appropriately recorded. The Inspector viewed the contents of the homes fridge freezer and saw evidence that open food was appropriately labelled. The dried food store was inspected and contents found to be appropriately labelled and well within best before dates. Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 1 X 3 3 X Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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 YA35 Regulation 18 Requirement The responsible person must ensure that all members of staff receive appropriate adult protection training to ensure the safety and wellbeing of service users. The responsible person must ensure that 50 of care staff working in the home achieves NVQ 2 qualification by the year (2005). A manager must be appointed and submitted for registration under the Care Standards Act 2000. The responsible person must ensure that there is an effective quality assurance and quality monitoring system in place, which should include the views of service users, relatives and other stakeholders. Timescale for action 31/05/07 2. YA35 18 31/05/07 3. YA37 8 31/05/07 4. YA38 24 31/05/07 Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Florfield Home DS0000064222.V322075.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!