Inspection on 16/06/08 for Harwood Road

This inspection was carried out on 16th June 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Harwood Road 23/05/07

Harwood Road 22/05/06

Harwood Road 08/03/06

Harwood Road 04/10/05

Harwood Road 21/03/05

Harwood Road 04/10/04

Harwood Road 09/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Harwood Road Harwood Road 95-99 Harwood Road Fulham London SW6 4QL Lead Inspector Sheila Lycholit Key Unannounced Inspection 16th June 2008 10:35 Harwood Road DS0000019149.V364450.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 Harwood Road DS0000019149.V364450.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. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harwood Road Address Harwood Road 95-99 Harwood Road Fulham London SW6 4QL 020 7371 7142/45 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) stuart.johnston@hestia.org Hestia Housing Stuart Ian Johnston Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 15 23rd May 2007 Date of last inspection Brief Description of the Service: Harwood Road is a registered care home providing accommodation and support for fifteen people with long-term mental health needs. The service is provided by Hestia Housing in a building owned and maintained by Shepherd’s Bush Housing Association. The building consists of three Victorian terraced houses that have been converted into an inter-connecting building. Thirteen service users have a selfcontained flat with kitchen facilities and an en suite shower or bath and lavatory. Two people have a single room and share a bathroom and kitchen. The flats are situated on the ground, first and second floor of the building. There are two sitting rooms, one smoking and the other non-smoking, on the lower ground floor. There is also a patio/garden area to the rear of the home. The service is not suitable for anyone with a mobility problem, as there is no lift and all areas are accessed by a number of steps, including the front entrance. Staff provide support throughout the day and evening, with one member of staff sleeping-in at night. The home is well located, close to Fulham Broadway, providing good access to transport links and local amenities. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that the people who use this service experience good outcomes. The inspection took place on Monday 16th June 2008 from 10.35am until 3.40pm. The Manager, who was meeting with the NVQ verifier and a member of staff, was on duty with 3 support staff. There were 14 residents living at Harwood Road, with one vacant place. Seven residents returned questionnaires and the Inspector spoke with 5 residents who were at home that day. The Manager, who had completed an annual quality assurance assessment, made himself available throughout the visit. Feedback questionnaires were returned by two support staff. What the service does well: What has improved since the last inspection? Hestia Housing and the staff team at Harwood Road have taken steps to further develop residents’ involvement in the organisation and in the running of the service. Residents are encouraged to attend the regular customer forum and to contribute to the newsletter. Training for residents to take part in Hestia’s own internal inspections is being provided. The project has an equalities and diversity action plan, which is displayed on the residents’ notice board. Staff have taken steps to support residents’ Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 6 cultural and religious needs, including providing information about local places of worship and services. A system of regular staff supervision has been established. The Manager, in the absence of the Deputy Manager, is providing supervision to all the support staff. Notes of supervision indicate that the sessions are of a high standard. The two staff who returned questionnaires commented on the good support they receive from the Manager. A new monitoring system has been introduced, which has ensured that health and safety checks are given a higher priority. Visits on behalf of the provider take place regularly, with a detailed report made available. 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. Harwood Road DS0000019149.V364450.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 Harwood Road DS0000019149.V364450.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 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information about the service is regularly updated and residents are provided with a folder of all relevant information, including the service user’s guide and contract, to keep in their rooms. EVIDENCE: A copy of the statement of purpose and service user’s guide is provided to each resident in a ring binder to keep in their rooms. The Manager confirmed that the information has been updated to reflect recent changes in staffing, including the reduction in the number of staff sleeping-in. Contracts and a recent account of payments and charges were seen on each of the three individual files looked at. An established admission procedure is in place. One vacancy has recently occurred as a result of a resident moving on to less supported accommodation. The Manager was making an initial assessment of two applications for the place. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The standard of care planning has continued to improve. Steps have been taken to increase resident involvement in the service and in the wider organisation. EVIDENCE: Three residents’ files were looked at, including two people with the highest needs. The files were in good order, with out of date reports archived and a checklist showed that regular file audits take place. The senior member of staff undertaking visits on behalf of the provider also checks a sample of residents’ files at each monthly visit. Records show that reviews take place regularly at least every 6 months and care plans are updated to reflect decisions made at reviews. Care plans are comprehensive, reflecting developments and changing needs. Two of the care plans had been signed by the resident. One resident had refused to sign and was also refusing to attend key working sessions. His key worker was writing a monthly summary in his absence of significant events and developments. Key working reports for the other two residents were up to Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 10 date and showed their involvement. Supervision records show that the Manager monitors key-working through supervision. Feedback from residents during the visit and via questionnaires was very positive about the service and the support provided by staff. Comprehensive risk assessments are available, that are regularly updated and signed by residents. The file of one long-term resident contained a move-on plan, though it was unclear why a decision was reached to delay taking any steps for a further year. The Manager undertook to look into planning with this resident further. Residents are supported to take part in the running of the service through fortnightly meetings, involvement in Hestia’s regular forum and in an annual internal inspection of the service. A regular newsletter to which residents are encouraged to contribute is distributed to each person. One resident showed the Inspector an illustration he had done for the recent issue. Hestia has appointed two staff to specifically promote customer involvement. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 11 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, 14, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The range of activities and leisure opportunities made available has continued to improve. Residents are given good support to maintain or develop daily living skills and healthy eating is encouraged. EVIDENCE: Staff support residents in a range of activities outside the home, including taking part in work projects, attendance at day services and adult education classes. A number of residents have been supported to move on to more independent accommodation. The staff team have recognised that a number of residents need support to take part in leisure activities and have organised a regular programme of visits, trips out and events. Activities include visits to the cinema and trips to places of interest. The activity programme is discussed at residents’ meetings, when suggestions are made and feedback given on recent events. Residents told the Inspector that a barbeque was taking place later in the week and that Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 12 a trip to Eastbourne was being arranged. The Manager has taken steps to ensure that the funding for the activities programme has increased by moving some savings made from reducing staff sleeping-in. In line with the project’s equalities and diversity action plan, there is more awareness of residents’ cultural and religious needs, which is reflected in the range of activities in the resource file. Information about local places of worship is displayed on the residents’ notice board. It is disappointing that residents still have no internet connection, even though a computer workshop takes place. Few restrictions are placed on residents, who have a key to the front door and to their rooms. The house rules are displayed on the residents’ notice board. The majority of residents have self-contained accommodation, which includes cooking facilities. The Manager notes ‘it is evident that some residents are unwilling or unable to provide adequate food for themselves’. Food for breakfast of cereal and toast and daily sandwiches are provided. Three cooked meals a week are also served, which are chosen at residents’ meetings. One resident goes out shopping and buys fruit for the house each day. In addition to ensuring that residents have something to eat each day, the provision of meals and sandwiches motivates residents to leave their rooms and to come downstairs and mix with other residents and staff. Cookery sessions are also held with residents to encourage them to make their own food and as preparation for moving on. A number of residents suffer from health problems such as high blood pressure and type 2 diabetes, making it particularly important that they eat healthily. Records show that staff actively promote healthy eating. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 13 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 and 21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents receive good support to use local health care services. Staff work closely with local mental health colleagues to help residents manage their mental health problems. EVIDENCE: Few residents require personal care, though the increasing frailty of some residents means that they need help with bathing. Other residents need prompting and one resident is currently receiving support with personal hygiene as part of a behaviour modification programme, agreed with him and the Mental Health Team. The Manager has arranged with the Care Manager of a resident who has a physical disability for an agency carer to assist him mornings and evenings. The resident has agreed that he needs additional help, which staff are not able to provide. Records show that residents’ heath care needs, in addition to their mental health needs, are identified. Residents are registered with local GP practices and are supported to keep appointments with dentists, opticians and Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 14 podiatrists. Key workers normally accompany residents to appointments with their Psychiatrist and communicate regularly with the Care Manager. Six residents were holding their own medication to some extent at the time of the inspection, as part of their preparation for more independent living. MAR sheets seen were up to date and fully completed. Records of daily Clozapine checks were seen on the medication file. Records of appointments for blood tests and depot injections are also kept. As the room where medication is stored becomes very warm at times, it is recommended that a thermometer is purchased to ensure that the temperature does not go above 25C. A small fridge for medication is available, the temperature of which is regularly checked. All staff receive training in medication and in addition are starting to use an on line package recommended by the PCT. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service has an established complaints procedure that treats all concerns and complaints seriously. Training for staff in safeguarding adults has improved since the last inspection. EVIDENCE: The complaints procedure is included in the service user’s guide and copies were seen displayed throughout the building. The complaints’ record shows that all complaints and concerns are noted, with action taken, including interresident disputes. Residents are encouraged to raise any concerns and issues at an early stage, for instance at the residents’ meetings, so that action can be taken or a resolution found. Seven complaints were recorded for the previous 12 months, all of which had been resolved. The Manager, who provides training in safeguarding adults to other Hestia staff, has run workshops for the project’s staff since the last inspection. Copies of the multi-agency safeguarding procedures, as well as Hestia’s own procedure, are available in the office. No safeguarding referrals have been made since the last inspection. Records show that financial vulnerability is assessed and action taken to protect residents where necessary. The financial affairs of one resident are managed by a relative, who is his appointee, other residents manage their own finances with staff support. The Manager regularly checks residents’ money and the petty cash is reconciled at each handover. Supervision records show that the Manager has taken action where staff have failed to follow financial procedures. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 16 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, 27, 28, 29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The building is well located, with self-contained facilities for the majority of residents, who appreciate the privacy provided. Maintenance and repairs are now being undertaken more quickly. Steps are taken to ensure that the communal areas are kept clean and tidy. EVIDENCE: The building is located close to Fulham Broadway, with its shops and transport links. All but two of the rooms have kitchen facilities and a bath or shower room. Two rooms share a kitchen and bathroom. All rooms are of above the minimum size. There are two communal sitting rooms, which are attractively furnished and decorated. Both rooms have a TV with Freeview services. Residents said that it has been agreed that the project would subscribe to Setanta, which they have chosen for the sports coverage. One of the sitting rooms’ is designated a smoking room, though smokers also sit outside in the garden. A programme of maintenance and redecoration is in place and the general appearance of the project continues to improve. The complaints record Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 17 shows that the number of complaints about maintenance issues has reduced considerably. The Manager said that an improved system is in place, with any delays followed up promptly. There is a garden at the back of the house, which is tended by one of the residents and includes a small vegetable patch with carrots, beans and tomatoes. There is a range of outdoor furniture. Additional CCTV has been installed to improve security following the decision to reduce the number of staff sleeping-in each night. A domestic assistant works 3 hours a day and cleans the communal areas to a good standard. Staff support residents to clean their rooms in line with their care plans. An infection control procedure is available and the majority of staff have recently undertaken training. Few residents need any specialist equipment. The advice of the OT service has recently been sought for one resident regarding bathing. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff have access to a range of accredited training and a high percentage of staff qualified to NVQ3 has been achieved. Staff receive good support through regular staff meetings, supervision and annual appraisal. EVIDENCE: All but one member of staff has achieved NVQ level 3 and the remaining member of staff is enrolled on the course and has completed a number of modules. All staff posts are filled, although in the absence of the Deputy Manager, a support worker is acting up. Her post is being covered by a bank worker who knows the service. Since the last inspection the number of staff sleeping-in has been reduced from two to one person. This step was taken following consultation, to reduce the budget deficit and at the request of staff who were finding the number of sleep-ins stressful. The effects of the reduction in cover at night is being monitored by the Manager. Staff are recruited by the Manager with Hestia’s HR team. No new staff have been appointed since the last inspection. Records of CRB checks are keep at Hestia’s head office and were not checked at this inspection. Details of CRB checks have been provided at previous inspections and were satisfactory. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 19 Induction records were seen for one member of staff who has been promoted within the project, which showed that a structured induction took place. A training and development plan is available for 2008/9. Proposals include a regular workshop in counselling skills, which the Manager is planning to lead, to increase staff’s ability to provide emotional and psychological support. Three staff files were looked at. These were in good order and contained copies of supervision, appraisal and training. Staff receive good support through supervision, which the Manager has taken over for all staff in the current absence of the Deputy Manager. Supervision notes are detailed and indicate that a high standard of supervision is provided. Records show that performance issues are discussed and action taken where necessary. In addition staff have an annual appraisal, to which they contribute their own assessment of performance. Staff meetings take place every two weeks. Notes of the meetings are available and an action sheet from the latest meeting was displayed on the notice board as a reminder to staff. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 20 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 and 43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. An experienced and well qualified Manager has introduced a number of beneficial changes to the project. There is an established system of external review, which involves residents and other stakeholders. New health and safety systems have resulted in improved checks and monitoring. EVIDENCE: The Manager is experienced in working in mental health services and has completed NVQ4 and the RMA. He also has qualifications in therapy and counselling and is currently taking part in Hestia’s management development programme. Since returning to the project in 2007, the Manager has introduced a number of changes, which have benefited the residents, including the provision of food each day, a regular activities programme and generally a Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 21 more therapeutic approach. Very positive feedback was received from staff including ‘the Manager puts in 100 ’ and ‘ is always there to support and assist’. The Manager is taking steps to improve staff cohesion, though some tensions between staff remain. Hestia has a programme of regular service reviews, which take place every 1 to 2 years. The inspection team includes senior Hestia staff and will also include residents from this year. The team spends a day at the service, as well as seeking the views of residents, families, staff and the multi professional team. The last review report for 2006 is available at the project. Record keeping is of a good standard and files looked at were up to date. Health and safety is given a high priority and a new system introduced this year has improved monitoring. Records show that regular daily, weekly and monthly checks take place. Staff training in health and safety has improved since the last inspection, when some staff had not undertaken training at all or for a number of years. Accidents and incidents are recorded with action taken. Some accidents involving residents, which had resulted in hospital treatment, had not been reported to CSCI as required. A fire risk assessment and general risk assessment are available and are regularly reviewed. Fire drills take place every 3 months and are recorded in detail. As most drills take place during the day it is recommended that some are scheduled out of hours. The fire detection system is regularly serviced and maintained. The kitchen was generally clean and tidy, though the deep fat fryer needed cleaning and the freezer compartment contained a saucepan. It is recommended that checks of the fryer and freezer are included in the cleaning schedule. Steps are taken to reduce the risk of Legionella through a contact with a water services company. Staff also clean the shower heads regularly. The temperature of the hot water is checked monthly at the same outlets. Some of the readings indicated that the temperature of the water was tepid in some rooms and hot in the laundry and kitchen. In view of the frailty of some residents the temperature of the hot water in their rooms should be checked regularly. Where water is required at a temperature above 43C, a notice should warn users of hot water. An annual business plan for the service is available. Monthly visits on behalf of the provider are undertaken, with detailed reports of findings produced. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 22 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 X 4 X 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 3 3 X 3 2 3 Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA42 YA42 Regulation 37 13 Timescale for action CSCI must be informed of events 30/06/08 or incidents affecting the welfare of residents. Regular checks must be made of 30/06/08 the hot water temperatures in the rooms of the frailer residents. Where hot water, above 43C is required, for example in the kitchen and laundry room, notices should warn residents and staff. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA12 Good Practice Recommendations Consideration should be given to providing a PC with internet connection for the use of residents so that the computer lessons can be put into practice. A thermometer should be purchased for the medication cupboard, as the office where it is sited becomes very warm in summer. Cleaning of the deep fryer and checks of the freezer should DS0000019149.V364450.R01.S.doc Version 5.2 Page 24 2 3 YA20 YA42 Harwood Road 4 YA42 be included in the kitchen cleaning rota. It is recommended that fire drills take place at different times throughout the day. Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Harwood Road DS0000019149.V364450.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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