Inspection on 12/01/06 for Garrards Road 25

This inspection was carried out on 12th January 2006.

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 found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Garrards Road 25 08/09/09

Garrards Road 25 02/09/08

Garrards Road 25 09/01/08

Garrards Road 25 02/05/07

Garrards Road 25 28/07/06

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

CARE HOME ADULTS 18-65 25 Garrards Road Streatham London SW16 1JS Lead Inspector Mary Magee Unannounced Inspection 12th January 2006 10:00 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 25 Garrards Road Address Streatham London SW16 1JS 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) 01707 652053 Caretech Community Services Ms Caroline Mordi Care Home 12 Category(ies) of Learning disability (12), Physical disability (6) registration, with number of places 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Garrards Road is a residential care home registered to provide care and accommodation for twelve people between the ages of 18 and 65 inclusive, who may have a moderate to severe learning disability. The home is set in it’s own grounds facing a large park with lido. Ramps and handrails are available at the entrance to the ground floor. It is conveniently located for public transport and for local shopping areas. The home is divided into three units, all are self contained with separate entrances to each. The ground floor is for six people with physical disabilities with varying degrees of learning disability. The first floor offers accommodation to four people with learning disability and other complex needs such as mental health difficulties. The second floor offers accommodation to two service users with learning disabilities. All bedrooms are en suited. There are additional bathrooms and showers on each floor offering specialised bathing facilities. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection since the home opened six months earlier. It was unannounced and lasted seven hours. The registered manager and three members of staff were spoken with throughout the day. Five service users were spoken to, they also invited the inspector to view their bedrooms. A tour of the premises was undertaken. Five of the twelve bedrooms are occupied. A number of records were examined, these included staff and service user personnel files. What the service does well: What has improved since the last inspection? What they could do better: While the evidence suggests that the service has made a good start there a few areas that need further attention. For example, an amount of duplication of recording takes place that detracts from time with service users. Time spent on this could be utilised more effectively working with service users. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 6 Essential daily log formats are restrictive and need to be more effective and user friendly. A service user experiences a breathing condition that requires a night mask. The instruction for using this equipment was unavailable to staff on admission. It is important that healthcare conditions are explored further pre-admission and that when these assessments are completed with appropriate guidelines and instructions on necessary equipment required by service users included. More development is required to risk assessments so that the new environment is considered in the overall risk assessments. Further development is required to recruitment procedures. 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. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12345 Service users are confident that the home has the ability to and is capable of meeting their assessed needs. The design of the services and facilities ensures accessibility to those accommodated. EVIDENCE: The home had been in operation for just over six months. A service users’ guide and a statement of purpose has been produced for the home to enable prospective service users get a view of the services offered. Five service users had moved into the home. Three of the service users were on the ground floor. All three are wheelchair users. They enjoyed their new surroundings and found that the home was suitable and was meeting their needs. They had developed very good relationships with the staff team and felt included. All three service users said, “the accommodation was excellent and that staff understood their needs and aspirations”. Where possible service users had been supported to visit the home before moving there. One service user spoken to had previously experienced living at a residential school. She was very pleased with what was offered at the home. Corridors she found to be spacious, bedrooms were accommodating and had the addition of walk in shower facilities. Pre-admission assessments had been completed for service users but more information and guidance is needed so that appropriate plans are in place to 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 9 meet the assessed needs. Individual support plans had been agreed with service users following assessments by care managers and those undertaken by the home. One service user had particular breathing difficulties on occasions. While staff members displayed their knowledge and skills and supported the lady with her posture and her breathing they had some concerns. Her previous placement/health professionals had not forwarded the instructions for her equipment she used. The equipment included a small mask to be used at nighttimes. A member of staff was due to escort the service user to a hospital appointment a few days later where they planned to get full instructions from staff at the hospital. The registered person must ensure that instructions and guidelines are sought for equipment used by service users before they are admitted, this to be an important part of the pre admission assessment. There was evidence that staff at the home had developed effective communication with service users. One service user had experienced some unsettled periods at a number of placements prior to his admission. He appeared to have settled well and respond positively to stimulation from staff. The inspector felt that good preparations had been for his admission. He required much physical activity to help him, a trampoline had been purchased for his use. The location of the home by the park is good, service users benefit from the presence of a healthy open space to exercise. The staff team have received a variety of training to help them develop the skills and knowledge for the role. Service users find the staff team effective. The needs and preferences of ethnic minority groups are understood by a staff team that reflect the composition of the group. A copy of the service user contract between the service user and the home was available on the service users’ files. . 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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 the following standard(s): 6 7 8 9 10 Support plans are in place that have details on how service users assessed needs can be met. Service users are supported with making decisions and taking risks as part of an independent lifestyle. Further development is needed to risk plans to recognise the current environment. EVIDENCE: Two care files were viewed. Individual support plans had been agreed and drawn up with service users. These included the details of how staff support and meet individual requirements. The plans set out guidelines on managing those service users likely to display challenging behaviour. Service users had been allocated key workers. The care plans had been kept updated to reflect current and changing goals. Service users receive assistance with decision making about their lives using objects of reference. The home maintains numerous written records for service users, staff find that records are duplicated. All were up to date. There are daily, weekly and monthly log sheets available, also too are handover sheets and shift coordination sheets. The log sheet used for daily recording is restrictive and needs to be further developed. Service users are encouraged and supported to participate in all aspects of life. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 11 A number of service users were in the kitchen discussing and helping with preparation of the meals. Service users take responsibility for undertaking small household chores in the home. Risk assessments are in place to demonstrate how service users can be supported to lead their lives safely and manage identified risks. More development is needed to the risk management strategies. A service user had moved from another home within the organisation. The risk assessment available was completed when the service user lived at the other home. For those service users supported to go out in the community risk assessments are also required. The registered person must ensure that risk assessments for service users are updated to reflect current environment. While staff displayed awareness of respecting information of a confidential nature some improvements to the storage of records are needed. The dining area is used to accommodate service user records as it is located a good distance from the office. The records are not locked or held securely and could be accessed by others visiting the room. The registered person must ensure that service user records are stored securely and confidentially. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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 the following standard(s): 12 13`15 16 17 The home has details of facilities available in the community and plans to support service users to participate in their preferred activities. EVIDENCE: As the service is in the early stages of operation difficulties had been encountered in service users in enrolling for college courses and have to wait until the next autumn term. Meanwhile the registered manager has explored the options available to service users. She has supported three service users access a day centre that offers appropriate activities. Service users have activity planners in their bedrooms. Service users regularly attend functions at another home. Records viewed demonstrated the events attended by service users. These ranged from cinema attendance to going to the local pub and youth clubs. The progress made by the home in supporting service users to access more activities will be assessed at the next inspection. Service users receive the necessary support to develop relationships with people that they choose. A service user following referral was receiving a visit from the psychologist to help her work through with relationship issues. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 13 Service users play an important role in choosing food that they like and shopping for the home. Two service users were involved in food preparation in the ground floor kitchen. Menus viewed demonstrated that individual food preferences and cultural needs were met. Service users dine together with staff at the dining table giving a homely feel at mealtimes. Food intake charts are completed for service users. Food observed included many products that young people like and choose but that could lead to obesity and poor health. The registered person should ensure that there is more focus on promoting and educating service users on healthy eating. Food storage was good, perishable foods were dated and labelled. The weighing scale delivered to the home has been unsuitable to record the weights of all service users and was due to be returned. The registered person must ensure that a suitable weighing scales is purchased for the home. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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 the following standard(s): 18 19 20 The healthcare needs of service users are monitored closely with appropriate action taken to respond when there are any notable changes in individuals’ conditions. EVIDENCE: Service users receive personal care from support staff of the same gender when possible. This is not always applicable to male service users as there are there are less male support workers available. Three female and one male service user spoken with were pleased with the services and the support that they received from staff. “The support has been consistent”, they said since the service opened. Service users are allocated key workers that they help choose. Regarding night time cover it is important that there is a female support worker on duty at night on the ground floor. All service users are registered with a local doctor. The home maintains an abundance of written records with duplication in some areas. Staff devote much valuable time on recording and duplicating that could be utilised better in supporting service users. Records maintained include notes of daily progress and service need, weekly and monthly progress for each service user. Handover charts are completed at 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 15 end of shifts demonstrating all the significant events during the previous period including the checks made. Nightly checks are maintained one to two hourly. During the inspection staff were interacting appropriately and talking with service users on the ground and first floors. A service user that has previously exhibited many forms of challenging behaviour appeared secure and comfortable with staff. Consideration had been given to his specialist need with a trampoline purchased and available for his use. The conditions of service users are recorded on the charts with evidence that prompt action was taken in response to notable changes in service users’ conditions. A service user was admitted from a placement outside London, she experiences some breathing difficulty. Equipment was supplied at her previous placement but no instructions were forwarded to staff at the home. The service user was due to return to the hospital for a short stay. A member of staff was due to support her and gain the necessary instructions required. The registered person must ensure that attention is given at pre-admission assessment on acquiring instructions/guidelines on how to support service users using specialist equipment. Hoists are provided in all the ground floor bedrooms that enable service users to be transferred safely. Referrals had been made to physiotherapists for specialist support and advice. Staff were awaiting a response to the referrals. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 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 the following standard(s): 22 23 The staff team have received training and know how to safeguard people from abuse or neglect. Service users feel their views are listened to and acted upon. EVIDENCE: Members of the staff team have received training on safeguarding people from abuse or neglect. From discussions with three members of staff it was demonstrated that they were knowledgeable on the correct procedures to follow in the event of an allegation or suspicion of abuse or neglect. Service users are aware of the complaint’s procedure for the home, three service users spoken to knew how to make a complaint. They felt confident that the views of service users were listened to carefully and taken on board. The system used by one service user to manage her finances was explored. She has her own bank account and takes full control of her money. Senior support workers support her to go to the bank for cash withdrawals. The manager had made a referral to the local authority regarding appointeeship for another service user. Some difficulty had been experienced following his admission from another home. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 17 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 the following standard(s): 24 25 26 27 29 30 Service users enjoy living in a home that is pleasant and comfortable. Service users demonstrate a sense of ownership choosing colour schemes and personalising their bedrooms as they desire. EVIDENCE: The home is located in a property with a wealth of character that has been restored beautifully and adapted to suit the service. The home is divided into three separate units. Each unit is self-contained and offers individual spacious bedrooms that are en suited. Bathrooms on the ground floor are suitable for people with mobility issues and have walk in showers. Shower chairs were supplied and one was used daily by a service user. Parker baths were also available on the ground floor to accommodate those with restricted mobility. Temporary ceiling tracks were supplied in three bedrooms. Although it appeared that appropriate equipment was supplied to meet the specialist needs of service users it is recommended that an occupational therapist or other suitably qualified therapist completes an assessment of the premises, and that any recommendations made be responded to. Some of the shower/bathrooms are experiencing teething problems with flooring and water penetration. Repair requests had been made by the registered manager, she was awaiting a response from maintenance. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 18 The registered person should ensure that minor maintenance work required in the bathrooms and showers is attended to. Service users’ bedrooms conveyed a strong sense of ownership. They reflect individual tastes, hobbies and personalities. All four viewed were beautifully presented. They had good quality furniture and furnishings. Service users were involved in selecting colour schemes. There are numerous shared spaces available. These include lounges, dining rooms on each unit. The interior of the property is tastefully decorated throughout, with coordinated colour schemes. A range of pictures compliment the colour schemes. The home was clean and hygienic. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 34 35 36 Service users benefit from the services of a staff team that receive the support and supervision to carry out their roles. Staff training needs are identified with plans in place to address these needs and continue their professional development. Further developments are needed to recruitment procedures. EVIDENCE: The numbers of staff available and on duty were appropriate to the assessed needs and numbers of service users. Five service users had moved to the home. Three of these service users were in the ground floor accommodation and were wheelchair users. Two staff members were on duty during the day; at night time there was one waking night staff member. On a number of nights the waking night staff member was male. As two service users on the ground floor are female it is recommended that a female support worker is available on waking nights for service users on the ground floor. On the first floor two service users were accommodated. Two support workers were on duty for daytime and enabled both service users to receive one to one support. The unit had one waking night staff member available for duty. The registered manager was also on duty. She explained the plans for increased staffing as more service users moved into the home. The rotas showed also that there were one to one numbers of support workers available on a number of days for ground for service users. The staffing rotas will be explored more fully when the home is fully occupied. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 20 New members of staff have received a LDAF induction training. There is a training and development plan in place to address the training and development needs of staff. Training planned for the future for staff team included LDAF foundation for all staff. Staff have received a variety of training. This included first aid, moving and handling, non-intervention therapy, fire training and health and safety. The registered manager must ensure that future training is linked to service users’ needs and individual care plans specific needs of service users. There are very few members of staff with NVQ qualifications. Staff however convey a sense of commitment, they are keen and interested and understand service users’ needs. The registered person must ensure that staff are enrolled for NVQ 2 training programme. Personnel files for six staff members were examined. All had references but not all the references present were professional. Gaps in previous employment were not always explored. It was observed that files identified were applicable to staff recruited before the registered manager was in post. There was confirmation in writing that satisfactory POVA checks were received for all new staff before they commenced employment. Enhanced disclosures were not available at the home as they are held at head office. The registered person must ensure that recruitment procedures adopted are robust and that suitable professional references from line managers are available for staff, any gaps in employment must be explored. Arrangements are taking place for the viewing of all personnel files held centrally at head office by CSCI. Negotiations are ongoing between the Provider relationship Manager and the responsible individual. The management and supervision of staff is good. Staff are supported and receive regular one to one supervision. Staff meetings are held regularly. Agendas and minutes were viewed of these.These sessions are also used to train staff and promote good practice. Evidence was available of how management addressed areas of shortfalls in staff performance and competencies. Retraining and using the disciplinary procedures are some of the measure used. Support workers must demonstrate the competencies and skills when they take on senior responsibilities. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 41 42 Service users and staff benefit from the competence and skills of the manager who fosters a spirit of openness and respect. Service users and staff feel valued and that that their opinions matter. EVIDENCE: The home benefits from the competencies and skills of the registered manager. She has a number of years of experience at senior level and likes working with the client group. She previously worked with people with learning disabilities as well as in children’s service. She has a good working knowledge of what is required in the service and has successfully completed a CMS and NVQ Level 4. She adopts a hands on approach that is supportive and reassuring for service users. She monitors closely working practices and promptly responds when she identifies that there are issues relating to staff competencies. She has the confidence and the ability to lead the team and strives to continually promote good practice among staff. Service users and staff find her open and approachable. Team meetings are held regularly. Included on each agenda are items relating to the training and developing the staff team. The minutes 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 22 of one recent staff meeting demonstrated the focus placed on good communication between staff and professionals visiting the home. The organisation has a quality assurance system in place. An independent consultant was undertaking a review of services, completing the first audit of the home, and using a verifiable method to do this. As the home is in its first six months of operation, the outcome of the review was not evaluated. Policies and procedures were produced for the registration of the home. These were found to be in order. The manager spoke of the plans to involve service users in developing policies and procedures for the future. Record keeping is good. On a few occasions signatures or dates were omitted. Staff should be reminded of the importance of dating and signing all written records. Appropriate notifications are made of accidents and incidents at the home. Procedures adopted promote the health and safety of service users and staff. Records demonstrated that at the end of the day overall checks are completed of the premises, these include issues relating to maintenance and security. Findings are recorded in daily communication book. The fire alarm testing was taking place at inspection time. The servicing and maintenance of equipment was up to date with the majority of equipment still within the warranty period. Records were available of regular fire drills at the home. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 23 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 3 ENVIRONMENT Standard No Score 24 3 25 x 26 4 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 2 33 3 34 2 35 2 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x 4 x 3 3 3 3 x 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 24 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 YA2 Regulation 14 (1) a b cd Requirement The registered person must ensure that pre admission assessments are comprehensive, instructions and guidelines to be sought for equipment used by service users before they are admitted. The registered person must ensure that where risk assessments are not applicable for service users to the new environment that these are updated. Timescale for action 01/03/06 2 YA9 13 (4) c 01/04/06 3 4 YA10 YA17 41 13(!) 5 YA19 12 13 6 A8YA6 17 (1) (3) 15 The registered person must ensure that service user records are stored securely. The registered person must ensure that a suitable weighing scales is purchased and available to monitor and record service users’ weights. (1) The registered person must a ensure that staff receive training (6) and instructions on how to support service users using specialist equipment. (20 The registered person must develop daily log sheets in a format that enables more clear DS0000065068.V277232.R01.S.doc 01/04/06 01/03/06 01/03/06 01/04/06 25 Garrards Road Version 5.1 Page 25 written records to be maintained for service users. 7 YA34 19 (1) a b c The registered person must 01/04/06 ensure that recruitment procedures adopted are robust and that suitable professional references from previous employment are available where possible for newly recruited staff, any gaps in previous employment must be explored. Arrangements to be made for the inspector to view enhanced disclosures at the home for all staff. The registered manager must 01/05/06 ensure that future training for staff is linked to service users’ needs and to individual care plans. The registered person must ensure that staff are enrolled for NVQ 2 training programme. 8 YA32YA35 18 (1) c 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 YA17 YA29 Good Practice Recommendations The registered person should ensure that healthy eating is promoted at the home and that service users receive the necessary education on sustaining a healthy lifestyle. The registered person should ensure that an occupational therapist or other suitably qualified therapist completes an assessment of the premises, and that any recommendations made be responded to. The registered person should ensure that attention is given to minor maintenance work required in the bathrooms and showers. The registered person should ensure that a female support DS0000065068.V277232.R01.S.doc Version 5.1 Page 26 3 4 YA27 YA32 25 Garrards Road 5 YA41 worker is available on waking nights for service users on the ground floor. The registered person should ensure that staff are reminded of the importance of dating and signing all written records. 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 25 Garrards Road DS0000065068.V277232.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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