Inspection on 19/10/05 for Haslewood Avenue (1)

This inspection was carried out on 19th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Haslewood Avenue (1) 22/08/07

Haslewood Avenue (1) 30/08/06

Haslewood Avenue (1) 27/04/05

Haslewood Avenue (1) 21/12/04

Haslewood Avenue (1) 10/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Haslewood Avenue (1) 1 Haslewood Avenue Hoddesdon Hertfordshire EN11 8HT Lead Inspector Mrs Jan Sheppard Announced Inspection 19th October 2005 10:00 Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Haslewood Avenue (1) Address 1 Haslewood Avenue Hoddesdon Hertfordshire EN11 8HT 01992 479 171 01992 479 171 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) Hightown Praetorian & Churches Housing Association Nichola Jane Larner Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8), Physical disability (8) of places Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home may accomodate people with a physical disability (only when associated with a mental handicap). 27th April 2005 Date of last inspection Brief Description of the Service: Haslewood Avenue is a purpose designed bungalow in the centre of Hoddesdon built in 1995 to accommodate 8 adults with learning disabilities who had formally lived together in a long stay hospital. It is an attractive, compact building, surrounded by a small garden that provides eight single bedrooms, two assisted bathrooms, three wheelchair accessible WCs, a laundry, lounge, kitchen and dining room and an office and storage areas. The home has a very homely appearance and feel. The facilities of the local town are easily accessible by foot from the home, as are the local transport services. The home, which is run by Hightown Praetorian Housing Association, a voluntary organisation, provides full care services in an integrated and safe environment for its residents who all have learning and physical disabilities and who present a moderate degree of challenging behaviour. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of this inspection year and took place over one day. The detail in this report reflects the findings on that day and also takes account of the comments made by the residents and staff some of whom also completed written comment cards. The inspector spent time meeting all the residents and spoke with the staff on duty. Discussions were held through out the day with the homes manager, time was spent looking at care plans and at other records maintained by the home in accordance with the legislative requirements. A tour was made of the building and garden. This was a positive inspection; the inspector was welcomed into the home by the residents many of whom remembered her previous visits. Since the last inspection a number of improvements have been made to the building internally and various staff changes have taken place. A new manager and two new careworkers have come into post. The new staff team appear to be working well together and were seen to be delivering a seamless service to the residents in a competent and kindly manner. The requirements made during the last inspection have with one exception been met or are now in the process of being met. What the service does well: The home continues to offer a warm secure and very homely environment for its residents and provides facilities and equipment that are appropriate for their physical and emotional needs. All the residents appeared to be relaxed and happy and to be very much at home in their own personal spaces. They were observed to be making their likes and dislikes clearly known to the staff with whom they had an easy rapport. Staff were seen to be skilled at communicating with those who had no speech using signs understood by them. The home offers very well individually personalised care services for its residents. The day care activity and leisure programmes are planned to meet the particular needs of each individual resident. These are run by workers from the Guidepost Trust and are of a very good standard. Despite the recent staff changes the home is fortunate in being able to retain a core group of both permanent and bank staff who are experienced and well trained and who have worked with these residents for some years there by offering them a depth of understanding as to how their care needs should most appropriately be met as well as giving them continuity of care. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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): 2 Appropriate procedures are in place to ensure that both any prospective residents and the home have adequate information to enable them to be able to make a well informed judgement about the homes ability to meet the needs and aspirations of the resident. EVIDENCE: As no new admissions have been made to the home since the last inspection, the last new admission being some two and a half years ago, it was not possible to examine any current evidence. However the records showed that a rigorous process of assessment is undertaken to ensure that the home is able to fully assess and meet the care needs and services required by prospective residents and that visits arranged during this assessment period are planned at a pace that suits the individual applicant. The Service User’s Guide and Statement of Purpose, together with contracts and other documentation available were seen to include the required information. The manager discussed with the inspector various ways of improving the Statement of purpose so that the residents might have a better understanding of this. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Personal care and assistance offered to the residents is of a high standard and is given in a manner that maintains their dignity and respect. Care staff are unobtrusive and sensitive in their approach and sudden changes in the wishes or needs of the residents are accommodated smoothly and without fuss. Care plans are detailed and are subject to review so that changes to health and social care needs are recognised and met promptly. EVIDENCE: The new manager and senior project worker are part way through a review of all the residents care plans to ensure that they are fully up to date and that the stated aims and goals for each resident are realistic. The manager explained that most residents have been in the home for the past nine years, since they left a long stay hospital where most of them had lived for many decades. All have grown older and for some their health has changed considerably over that time. More realistic expectations need to be set in line with their individual current physical and mental abilities. Individual risk assessments are being reviewed in conjunction with this work and the third phase of this will be to review with Guideposts the day care activity programme for each resident. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 10 The manager has introduced a changed format for the residents meetings, which are now chaired by a resident and have written minutes, which are enhanced pictorially. These are proving to be very successful and the records evidence that very good consultation with the residents is going on and that they all fully participate in the decisions made as to the running of their home. Staff reported that these new style meetings are fun social gatherings, which the residents are clearly enjoying Throughout this inspection the inspector noted that staff treated the residents with the utmost care and curtsy; a knock and wait policy before entering personal spaces is observed and written records were seen to be kept securely under lock and key. The new arrangements in the main office and the creation of another smaller office in a former store area will greatly assist with the safe and secure storage of records as well as providing a quiet and confidential area where administrative and management tasks can be carried out without interruption. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. The home provides a range of activities, choices of menu and alternative relaxation areas, which appropriately meet the requirements of these standards. EVIDENCE: All the residents have a daily activity programme, which is individually planned to meet their needs and interests and is run by workers from the Guidepost Trust who visit the home and personally escort the resident to their activity. These workers were seen to be fully integrated into the home, to work in conjunction with the homes staff and to be well known to the residents and knowledgeable about how their care needs should be met. The range of activities is considerable and includes a gardening activity, a weekly sailing class with one resident attending a local health club to use the jacuzzi. During the day of this inspection residents were seen to be taken into the local town for shopping and lunch, three attended activities at a local day centre and one was escorted to attend a college cookery class. This home is very well situated close by the town centre so that the residents have regular access on foot into their local community and regularly visit the cinema, swimming pool and local cafes and the pub. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 12 The staff told the inspector of the various ways in which they assist the residents who have families to maintain contact with them, letters, sending cards, photographs, telephone calls and e mails and one resident is assisted to make a weekly visit to see his Mother and another to keep in contact with his sister in Canada. As many of their relatives are now quite elderly fewer visits to the home are now made by them The residents help staff to prepare a weekly menu and then some assist the staff with some of the weekly shopping at a local supermarket. The menus are reviewed by the dietician who continues to visit quarterly to monitor the weights and any feeding problems that the residents may have. A healthy eating menu is followed with ample evidence seen around the home of fresh fruit being freely available and yogurts and brown bread and flora served with lunch. Staff and residents shared lunch, along with the inspector, all sitting around the large table in the kitchen. A very tasty leek and potato soup was served; the atmosphere was very relaxed and homely. This occasion gave good opportunity for lighthearted banter amongst the residents with the staff and also for more serious discussion about the homes activities. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20 Personal care and health care offered to the residents is of a high standard thus meeting their individual needs. Many of the staff have worked with the residents for many years and so have an in depth understanding of their care needs and how these should best be met. The home has well established professional working relationships with local GPs and community nursing teams this ensuring that any changing health needs of the residents can be quickly met. A robust medication administration and storage system is in place and all staff who administer medication have been trained to do so. A Controlled Drugs cupboard is not available. EVIDENCE: Individual personal care practice observed was commendable. Staff were heard to be offering the residents choice,” would you like to get up now? “, “What would you like to wear?” Staff were seen to intervene as little as possible this giving the resident the greatest level of self-determination, whilst still ensuring their safety. There have been no changes to the medication administration and storage arrangements since the last inspection. The Boots MDS system is used with medication stored in a metal cabinet of approved design. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 14 The manager explained that the location of these store cupboards is to be moved into the new office, which will give a better environment for medication administration. A small medication fridge is also to be incorporated into this new setting. The home is required to have a controlled drugs cabinet and administration register. Records of the management checks as to the accuracy of the MAR sheets should also be kept. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has the required complaints policy and procedures a copy of which has been given to and explained to the residents and where possible also to their relatives. Policies and procedures concerning Adult Protection and Whistle Blowing are in place, which follow the guidelines given in the Hertfordshire Adult Protection Joint Agency procedures. EVIDENCE: There have been no complaints nor any incidents concerning Adult protection since the last inspection. The home has prepared part of its complaints procedure in a pictorial format, which has been shared with the residents to ensure that they have as best an understanding as possible of this. The residents in this home appear to have good rapport with the staff and to be empowered enough to have the confidence to voice or indicate any concerns or complaints. Staff spoken with had a good awareness of Adult Protection issues and of the importance of their role in interpreting any non-verbal signs of concern or distress that may be exhibited by the residents who have no speech. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home and its surroundings offer a pleasant, comfortable and safe environment for the residents, which meet their needs and suit their lifestyle and fits unobtrusively into the community in which it is set. The home is clean and has a planned routine maintenance programme, which is however often subject to considerable delays before works are completed. A number of works of repair, redecoration and refurbishment are now required to maintain the homes previous good standard and to ensure full safety for both residents and staff. EVIDENCE: This home was purpose built for this group of residents some ten years ago. It is fully wheelchair accessible and has a small flat easily accessed garden with patio and barbeque area. Each resident has their individual bedroom these were seen to be very well personalised and to contain furnishings and equipment to meet their particular needs. Since the last inspection a number of bedrooms had been redecorated with new flooring and beds and soft furnishings also purchased. These rooms were seen to be most attractive and to reflect the tastes and styles of the residents. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 17 The manager reported that following the completion of the three bedrooms all the other residents have asked to have their rooms refurbished too and that a plan to do this was being made. The lounge has just been redecorated and on the day of this inspection new furniture was delivered. This had been chosen to meet the resident particular height and weight needs in colours/patterns selected by them. As the residents enjoyed trying out this new furniture and had their say as to in which position in the room the various seats should be placed, the staff were heard to be discussing with them what sort of cushions and small occasional tables they would like to complete this refurbishment. One resident who has recently purchased a new rise and fall bed with moveable sides, (this style chosen to promote his safety and to assist the careworkers with moving and handling at a safe height,) requires to have a risk assessment and anti-suffocation pillows and bumpers at the head foot and sides of this bed so to fully ensure safety. The standard of cleanliness throughout the home was very good. The Housekeeper told the inspector that she is well supported by the homes management has sufficient time and the necessary materials to carry out her tasks and confirmed that she is very happy with her job “ helping the residents”. She appeared to have an appropriate awareness of hygiene and infection control measures. The home has two assisted bathrooms one of which is currently subject to a renovation project. The manager discussed with the inspector the problems encountered with the new rise and fall assisted bath, which had unfortunately failed to function properly ever since it was fitted and is now to be replaced by the manufacturer. The requirement to refurbish this bathroom has been long outstanding and a new requirement is now made that these works are completed by 31st November 2005.The emergency call bell in this bathroom must also be repaired. The kitchen is heavily used being the focal point of the home where residents and staff sit together informally throughout the day. The room is well equipped and of a homely appearance but is in need of redecoration the walls particularly are scuffed with pot marks where chairs sit against it. Repairs are also needed to the oven, which has one malfunctioning hob, and an oven door that has a broken seal so will not close properly. Consideration should also be given to the capacity and effectiveness of the steam extraction system, which on the day of this inspection was not working adequately. A requirement for the redecoration of the entrance hallway and corridors is still outstanding this from previous inspections. The hallway in particular looks scuffed and dirty and is not now of a desirable standard for the entrance to a residential home. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 18 Although work was commenced this was halted following the discovery of the need for major plumbing works under the corridor floor. However these repairs were completed earlier in the year (February) and it is now a requirement that the other works of redecoration are completed also. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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): 32,34 and 35 The home is suitably staffed with experienced workers ensuring that at all times the residents changing needs can be met. The staff seen were enthusiastic about their duties, appeared to take great pride in the service and to work well together as a team. The home has robust recruitment procedures with effective measures to ensure the protection of the service users. The home provides the necessary training programmes to meet the requirements of this standard but does not yet fully meet this standard as less than 50 of carers have attained the NVQ level 2 qualification. EVIDENCE: Staff spoken with were clear about their roles and responsibilities and said that they received adequate training and on going management support to enable them to carry out their work effectively so as to meet the needs of the residents. The home has only two vacant posts for which recruitment and interviews had already occurred. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 20 The records showed that residents are protected as the appropriate recruitment procedures had been followed with documents relating to references, residency, qualifications and experience in place with the result of the application for CRB checks being awaited. Staff confirmed that they receive regular supervision, usually at monthly intervals with an annual appraisal. All staff have a training needs profile that is compiled from their supervision records. Staff training for the core safety subjects was up to date. The manager discussed with the inspector her plans to get training for all the staff on the multi-sensory needs of the residents and on dementia care. Several staff told the inspector that they are waiting for a place on an NVQ level 2 course. The company is altering their arrangements for this training from next January so that more staff can study for the course simultaneously. The home currently has only 27 of its staff with this qualification, which does not meet the requirement for 50 by 2005. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 and 42 The home is well managed by an experienced and dedicated staff team who are accessible and responsive to residents. EVIDENCE: The home appeared to be calm and settled and the new manager has settled quickly into her role and seems to be well accepted by both residents and staff. This manager has several years experience working in residential homes for this client group in both a caring and management role. She holds an NVQ level 3 qualification and will commence the NVQ level 4 management studies in 2006. The management of the home was seen to be solely focused on meeting the needs of the residents and in meeting the aims and objectives of the home. The staff team are exceptionally dedicated and work well together with good co-operation there by creating a relaxed and happy atmosphere within the home. The residents appeared to be relaxed and happy and the relationship between them and the staff to be well balanced with interactions being observed as being appropriate and supportive. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 22 The records relating to fire checks and evacuations, last carried out on 18/10 and took 3 minutes, were found to be correctly maintained but the annual checks on the fire appliances were overdue by four months. A requirement has been made so that service users and staffs safety is maintained. Appropriate risk assessments were seen to be kept both for the individual residents and for the building with sufficient detail suggesting how the risk could be avoided or managed and dates for on going reviews. Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x X x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Haslewood Avenue (1) Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x DS0000019407.V253581.R01.S.doc Version 5.0 Page 24 yes 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 YA24 Regulation 23(2)(b) Requirement Timescale for action 30/11/05 2. YA24 3. YA24 4. 5. 6. 7 YA42 YA20 YA36 YA20 YA6 YA20 Works to refurbish the ground floor bathroom are required. This is an outstanding requirement from the previous inspection. 23(2)(b) Works of redecoration and repair to the homes entrance lobby and hallways are completed. This is an outstanding requirement from the previous inspection. 13(4)* *(a)&(c)23(4c)(iii) Anti suffocation pillows and bumpers must be provided for the new rise and fall bed and a new risk assessment completed. 23(4)(c)(iv) To ensure the residents safety at all times Fire extinguishers must be serviced annually. 13(2) A controlled drug cupboard and registered must be provided. 23(2)(c) The emergency call bell in the bathroom must be repaired or replaced. 23(2)(b)&(c) The kitchen needs to be redecorated and repairs made to the broken components of the oven. 31/01/06 31/10/05 31/10/05 31/10/05 30/11/05 31/01/06 Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Haslewood Avenue (1) DS0000019407.V253581.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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