CARE HOME ADULTS 18-65
Ford Road 98a Ford Road Dagenham Essex RM10 9JP Lead Inspector
Rhona Crosse Unannounced Inspection 05 July 2005 09:45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Ford Road Address 98a Ford Road, Dagenham, Essex RM10 9JP 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 8596 9377 020 8596 9377 Outlook Care Mr Darren Osbourne CRH Care Home 7 Category(ies) of LD Learning Disability (7) registration, with number of places Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 10 March 2005 Brief Description of the Service: Ford Road is a purpose build home for 7 people with learning disabilities. The home is situated in a residential are of Dagenham close to local shops and transport links. Accommodation is in single rooms. The home is not designed for people with a physical disability as there is no passenger lift to the first floor. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection of the home was unannounced therefore the home did not know the inspector was coming. The inspection took place over several hours between 09.45 and 15.30 hours. Records were inspected to ensure that the care needs of service user’s were being documented and met. Discussions took place with service users and relatives visiting at the time of the inspection. All were happy with the service the home provided and praised the manager and staff for their commitment to the service users. It was evident that service user’s have a choice about how they spend their time and choice about all things within the home was said to be given to service users. Relatives visiting said they see choices given to other service users when they are visiting and no one appears to be made to do anything they do not want to do. The home is well managed and has a relaxed atmosphere. Staff are aware of their responsibilities to the service users and were observed to carryout their duties in a professional manner. Two service user’s went out shopping during the morning of the inspection. The premises were inspected they were clean, well decorated and homely. Three pieces of wooden furniture require attention (rubbing down, re staining and varnishing) as they are particularly stained with cup marks and scratches. Physical changes had taken place to the building as the needs of service user’s changed. The garden is accessible although it was said, not to be used often. A specific area has been set aside for one service user so that this fenced area can be secure at all times. Service users use the facilities in the local community and activities and outings are provided. What the service does well:
The home is well managed with service user’s being supported to reach both short and long term goals. The home was relaxed although staff were clear about their roles and responsibilities and went about their duties very professionally. There was a very relaxed atmosphere in the home. Behavioural problems are being well managed using the ‘Positive Response’ training provided by the manager. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 6 Staff supervision is taking place monthly. This is well over and above the required sessions. This is seen as very good management and enables staff to deal with complex issues as they know they are being well supported by the manager. This in turn is a benefit to service users. This standard scored a 4 (exceeded) in the score rating because of this. Service users and relatives spoken with during the inspection were happy with the service the home provided. No one spoken with had any worries or concerns. Care plans inspected at random showed that goals are being set to enable service user’s to improve their potential and gain skills for short term goals. There was written evidence to support the achievement of one persons short term goals. Long term goals are also set, although timescales would not necessarily be given for the achievement of these. Activities take place and these are chosen around the likes and dislikes of service user’s. On the whole documentation was good and well kept with information readily available. The home was clean and free from odours. It is homely and well decorated. Bedrooms were full of personal possessions. What has improved since the last inspection?
There have been several changes since the last inspection. The main change is that there is now a waking night staff on duty. This came about due to the changing needs of service user’s. A new kitchen has been fitted and the downstairs shower room has been provided. The bathroom has had safety cut out put on the water flow to regulate the depth of the water as the bath was left to overflow by a service user. An extra banister has been fitted to the stairs to aid one service user and aids and aids have been provided for one service user for the use of the bathroom. The lounge has been decorated and one bedroom has also been decorated. A new mattress has been purchased for another service user. The garden shed has been moved to a more suitable place to allow more light into the downstairs bedroom. A patio area is to be created for the service user who’s bedroom has French doors out to the garden. New documentation is being put into place, a new medical and health care book is to be commenced this will enable anyone looking through the book to see the health car of each service user. This will improve the present system greatly.
Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 7 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. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 These standards are well managed with the information for service user’s well presented. EVIDENCE: The Statement of Purpose and the Service Users Guide are being updated. A copy of the new version should be sent to the Commission once finalised. However the information in these documents gives service users the information about the service the home provides. Prior to any admission an assessment is carried out by the home to ensure that the needs of the service user can be met appropriately. A care plan was observed on the file of the most recent admission provided by the placing authority and there was also an assessment carried out by the home. Service user’s are able to visit the home prior to any admission, Depending on the individuals needs the process of getting to know the other service users and see what it is like living at the home, these can be tailored to suit each individual. A short visit usually takes place first, then perhaps a meal is taken at the home, an overnight stay, then a weekend stay. Each service user has a contract and these are held on file. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 10 The assessment process and goal setting of one individual case tracked was very good. The standards in this section were well managed. EVIDENCE: A random selection of care plans were inspected. These showed that time and effort had been taken to ensure that the needs of service user were well met and were reviewed when changes occurred. Goals both long term and short term were observed to be set. For one service user there was written evidence that some short term goals had been achieved, this is good practice. A long term goal the service user would like to achieve is very dependent on how skills and confidence are built to reach this goal. The home are working to build up the service users confidence and skills step by step, and the service user has already achieved a lot since coming to the home. Advocacy services are used within the home and service user’s are able to be supported by people from outside the home when any difficulties arise of with any decisions they wish to make that should not be influenced by staff involvement. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 11 It was evident that a service user had been given a choice of key worker (different gender requested) and this seems to be working well. Risk assessments are in place and reviewed as needs change. For one service user the risk assessment was very detailed. However with systems in place the service user was able to ‘take risks’ that may otherwise have restricted the achievement of some goals (an example would be going to the shops independently but using a mobile phone if there was to be any delay in the time for return). One service user has 1-1 support which is over and above the care hours allocated and this was provided after discussion with social services as the manager was able to demonstrate the need effectively. The manager of the home is a ‘Positive Response’ trainer and this has made a big difference in how behavioural problems are tackled within the home. The service users are able to give an input into the care they receive as far as their abilities will allow. It is not easy to establish how much all service user’s are able to understand the information held about them, or that they understand that their confidences are kept. However from discussion with service user’s about how they see life in the home, it was evident that they felt well supported and safe. Statements made were ‘I like living here’ the staff are kind and they ask you what you want’. ‘I am asked what I want to eat, we have a choice’ ‘I can go to my room when I like I sit in here a lot’. One service user keeps her own daily diary and this was seen as something very positive by the service user who was completing this on a daily basis. It was found to be very useful with the service users consent for cross referencing information in relation to her health care needs. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 16 and 17 These standards are well managed. EVIDENCE: Service users have opportunities for their personal development. They assist within the home to carryout daily housework tasks as far as their abilities allow. Some wish to have more participation than others and this is respected. The home has an activities worker the provides 5 hours of activities a week, over and above the activities the staff undertake with service users. Activities, outings and holidays are all planned around the likes and dislikes of the individuals. Some service user’s taking day trips rather than an extended time away from home, (boating on the Thames for one service user, or trips to a local restaurant that has live ‘look a like’ musicians performing ) Others having long weekend trips to various places such as Caister. Local clubs for people with a learning disability are used and two service users go to the ‘Monday club’, other clubs such as Spartans in Dagenham are visited and the Thursday club as well. Trips to the local shops and shopping trips to Romford and Lakeside also take place. An aromatherapist visits the home and some of the
Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 13 service users enjoy this service. Trips to the coast (Southend) take place and these can be taken dependent on the weather. The home shares a mini bus with another of the Outlook Care homes and this is seen as a great boost to getting out and about. Swimming is encouraged with the use of a local ‘Hydro ‘ pool. Picnic’s to Hainault forest also take place. Visits to London sight seeing take place usually on a Sunday. Service user also go to bowling in Dagenham and use the local pub on occasions. A local farm (Old Mac Donald’s farm) is also visited from time to time. One the morning of the inspection two service user’s went out shopping. Some service user’s visit a local Church, with services specifically designed for people with learning disabilities. Links with families are seen as very important as several service users visit relatives at weekends or go out with their relatives when the visit. Two relatives were visiting at the time of the inspection and the inspector was able to speak to them as part of the inspection process. They were very happy with the service provided. In conversation they said ‘we come during the day most of the time and we are always made to feel welcome, we are asked if we want a cup of tea’. ‘We are told about anything that is important by the manager or the staff, he has a key worker who tells us about him and we are involved in reviews’. ‘He is always kept clean and well dressed and the home is always clean and tidy as you see it today’. ‘The staff are nice and seem very helpful to the residents.’ They tell us if he has to go to the doctor and if we aren’t able to go they will tell us what the visit was for and if there are any problems’. ‘We have no concerns about the care at all’. Meals are said to be discussed on a Sundays for the following week. Each service user has an input into what the new weeks menu will be. A record of meal choices was inspected. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 and 21 standard 18 will be inspected at further inspections. The standards inspection in this section were well managed. However documentation requires closer monitoring to ensure that all health care needs (visits to GP/specialists) have the outcome of these visits appropriately recorded) EVIDENCE: Medication practice and recording is well managed. For service user’s who are able to self medicate they are assisted to do this, however the home monitors this closely. A medication audit was undertaken, the recording on the medication administration sheets was in line with the medication held in the blister packs. It was observed that topical creams were held with medication, the manager was advised to store these creams elsewhere as topical creams and medication should not be stored together. Information about the wishes of service users at the time of death were recorded as required. The manager stated how difficult a subject this was to discuss with service user’s and relatives. Due to one service user’s changing needs (dementia) several changes have had to be made to the bathroom and aids have been put in place to give support. This shows that the home is constantly reviewing the needs of the
Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 15 service user’s to ensue they are provided with the appropriate equipment to remain as independent as possible. Health care needs of service user were inspected, all were well met, most were well recorded. For one service user it could not be established for some time what the visit to the GP was for and what the outcome was. The daily diary completed by staff recorded a visit but did not record an outcome/diagnosis. The heath record was not dated with the year therefore time was wasted looking for this information when it was eventually spotted that the information related to the previous year and not the beginning of 2005. By cross referencing the daily diary completed by the service user herself and the GP visits it was established what the appointments were for and the treatment prescribed. The home must ensure that the information about GP/hospital appointments is clearly recorded with the outcome of the visit also clearly identified. The home must be able to show the care provided at all times. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The process of holding/recording service user’s money will be inspected at further inspections .The standards inspected showed that these are well managed with relatives confident that their concerns and any concerns that service user’s have would be dealt with. EVIDENCE: The home has a written and pictorial complaints procedure. The complaints procedure was displayed in the hallway along with contact numbers that anyone can use to make a complaint. It was observed that although the home had a current notice relating to the Commission, there was an old notice referring to the NCSC still on display, this should be removed to ensure that any complaint is referred to the correct department (now the CSCI). In discussion with relatives visiting at the time of the inspection they stated ‘we have no concerns about the home, if we have to raise anything (and these are not really complaints) then we feel able to do this, Darren will sort it out, if he’s not there then the staff will tell him or sort it out, we have no worries we know our relative is safe here’. In discussion with service user’s they said ‘Darren will help us if we are not happy we tell him’. Another comment made was ‘I am happy here I have nothing to worry about, I’d tell Darren or the carers’. Service user’s have a say in the running of the home and this takes place at the monthly service user’s meeting. Advocacy meetings also take place in the home. There had been one complaint logged and this had been recorded and dealt with appropriately. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 17 Staff have received training in recognising and reporting suspected abuse and the home had policies and procedures for staff to refer to should they suspect any abuse. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30 The home is clean and well decorated. These standards are well managed with action taken in relation to changing needs and choices of services user’s evident throughout the building. EVIDENCE: The home was clean, odour free and well presented on the day of the unannounced inspection. Facilities have been improved and care taken to provide a downstairs shower room which was required due to the needs of a service user. Bedrooms were individually decorated and were full of personal possessions. One service user was cleaning the bedroom at the time of the inspection. The majority of furniture in the bedrooms was in good order. However two chests of drawers and a bedside chest of drawers were very stained and chipped. As these are wood they can be rubbed down and be re-stained/varnished and do not therefore need to be replaced. This would improve the bedrooms that these belonged to. Bedding was appropriate in all rooms with the exception of one downstairs bedroom which needed new pillows as these were old and
Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 19 misshapen. The manager said these would be replaced immediately from stocks held. The lounge was clean and comfortable with suitable furniture. A new dining table had been placed in the lounge to enable some service user’s to be able to have a choice of where they eat their meals. A second banister has been put on the stairs to assist a service user to climb the stairs. Adaptations have been made to allow a service user to bathe more independently due to a change in needs. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36 These standards are well managed. The fact that the manager carries out monthly supervision sessions for all staff is commendable as this is over and above the required amount. The support offered to staff benefits both the staff and the service user’s they are looking after. EVIDENCE: The manager is suitably qualified to carryout the role of manager and undertakes training relevant to the role of manager and the needs of the current service user’s. The manager works several shifts as part of the care team. However this does not compromise his ‘management’ time as this is supernumerary to the care hours. The manager is a ‘Positive Response’ trainer and provides this training to other staff within the Outlook Care organisation. The home was calm and staff were going about there duties in a well organised and professional manner. Staff training is provided and each staff member has training record. The deputy manager holds an NVQ level 3 qualification and three other staff also hold this qualification. Staff training is update annually for the statutory training such as lifting and handling, first aid, food and hygiene and fire safety. Dementia training took place on 30/9/04, all staff attended this training. All staff have attended ‘Positive Response’ training and this appears to have helped deal with behavioural problems with staff looking for ‘triggers’ that may
Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 21 show a behaviour is likely to escalate and they now take steps to use distraction techniques to reduce the likely hood of any behaviour becoming a problem. Staff received annual appraisals of their work. Staff supervision also takes place. The manager sees supervision as a very important part of the work staff carryout as they are dealing with the complex needs of service users. Staff have formal supervision on a monthly basis. (this is over and above what is required i.e. 6 times within a rolling year). This is seen as very good practice and is commendable. The recruitment and selection processes were inspected. The home has written policies and procedures in relation to all employment practices. All information required was held by the home when the inspector randomly selected staff files for inspection. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 42 These standards inspected and were found to be well managed. EVIDENCE: The home is well managed ensuring that regulations set at previous inspections are achieved. At the unannounced inspection of the home, staff were going about their duties in a professional manner. The relaxed atmosphere that the inspector found showed that systems have been put into place that support and enable service user to live the way they choose with support from staff within a safe environment. The home have carried out a review of the operation of the home. The information was gained from relatives. professionals and service users questionnaires. An analysis of the information is to be carried out and once this is completed the information should then be added to the Service Users Guide. The standard that relates to health and safety was also well managed with information readily available. The kitchen was clean and well organised. Fridge
Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 23 and freezer temperatures are taken and recorded daily. Food stored in the fridge and freezer was covered and dated. Fire drills are taking place the last two were recorded as taking place on 2/2/05 and 5/5/05. Fire extinguishers received their annual check on 29/11/04 fire alarm call point are being tested and recorded weekly. The last fire alarm service and emergency lighting test was undertaken on 23/5/05. The 5 year Electrical safety certificate is dated 25/1/02. The annual portable electrical appliance test was dated 10/1/05. The annual Gas safety certificate was dated 15/2/05. The Legionella test for the home was carried out on the 13/6/05. The home has a fire risk assessment an assessment of the premises is carried out monthly. The water temperatures of the water outlets used by service users’ is also tested monthly. Ford Road G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 3 3 3
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 3 2 3 x 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 x Standard No 31 32 33 34 35 36 Score x x x 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Ford Road Score x 2 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x 3 x G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 25 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 YA19 Regulation 17(1)(a) schedule 3 (k) 16(2)(c) 16(2)(c) 24(1)(b) Requirement The home must ensure that there is a record in sufficient deatial to inform anyone of the reason and outcome of any visit to the GP or Consultant. Replace the pillows in the downstairs bedroom that has an en-suite. Rub down the stained wooden bedroom furniture and re stain and varnish. Carryout an analysis of the quality asurance questionnaire and attach a copy of thsis to te Service Users Guide. Timescale for action 30/7/05 2. 3. 4. YA26 YA26 YA39 5/7/05 30/8/05 30/9/05 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 YA23 YA26 Good Practice Recommendations Remove the old NCSC complaints information (there is a new CSCI complaint information document displayed in the hallway). Ensure that all pillows are suitable for use on a regular basis.
G55_S0000027899_Ford Road_V236748_050705_Stage 4.doc Version 1.40 Page 26 Ford Road Commission for Social Care Inspection Ferguson House 113 Cranbrook Road Ilford Essex IG1 4PU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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