Inspection on 25/02/09 for Haydon Park Lodge

This inspection was carried out on 25th February 2009.

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

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Haydon Park Lodge 20/06/06

Haydon Park Lodge 24/01/06

Haydon Park Lodge 31/08/05

Haydon Park Lodge 21/09/04

Haydon Park Lodge 06/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Haydon Park Lodge 7 Haydon Park Road Wimbledon London SW19 8JQ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Elizabeth OReilly     Date: 0 2 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Haydon Park Lodge 7 Haydon Park Road Wimbledon London SW19 8JQ 02085400172 02084040260 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Haydon Park Lodge Limited care home 13 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 13 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: Learning Disability - Code LD The maximum number of service users who can be accommodated is: 13 Date of last inspection Brief description of the care home Haydon Park Lodge is a registered care home offering accommodation and care for up to thirteen adults with learning disabilities. The home is situated in a residential area of Wimbledon. The leisure, shopping and public transport facilities of Wimbledon are close by as is a local train station. The property consists of two houses which have been joined together. The house is not identifiable as a care home. Care Homes for Adults (18-65 years) Page 4 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection was carried out over two days on the 25th February and 2nd March 2009. The inspector had the opportunity to speak with ten of the people who use the service, three members of staff, the service manager, owner and two relatives. Completed surveys were returned by nine people who use the service. A sample of records were examined during the course of these visits. Information received from all of the above sources along with observations made during these visits has been used to reach the judgements made in this report. Care Homes for Adults (18-65 years) Page 5 of 29 What the care home does well: What has improved since the last inspection? What they could do better: To assist in safeguarding people who use the service the management must make sure that the appropriate checks are carried out on staff before they start working in the Care Homes for Adults (18-65 years) Page 6 of 29 home. A satisfactory Enhanced Criminal Records Bureau check must be received. Should the service need the person to start work before this is received a satisfactory check of the protection of vulnerable adults list must be carried out. Before anyone starts work in the service two written references must be received. Where a person has previously worked with vulnerable adults of children the management must confirm with this employer the reason why they left. A full employment history must be sought with explanations for any gaps in employment. Further work should be done to make care plans more person centred and more accessible to the individual concerned. Work should continue to seek information on the social history of individuals using the service. More frequent quality monitoring should be carried out and used to inform an annual development plan for the service. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Great care is taken to make sure that the service can meet the individual needs of anyone considering moving into the home. Time is taken to introduce new people to the service to make sure they feel comfortable with the environment, staff and other people who live there. Individuals are provided with good information on which to make their decision about moving in. Evidence: People who use this service told us I wouldnt want to live anywhere else and I like living here. When asked through our surveys whether they were asked if they wanted to move into this home, everyone who was able to reply said yes. Relatives told us they couldnt fault the service and felt lucky to have got a place for their relatives at the home. Through talking with people who use the service, their relatives and looking at records we found that real care is taken to make sure that good assessments are carried out Care Homes for Adults (18-65 years) Page 9 of 29 Evidence: and individuals are encouraged to spend time in the service before they make any decision about moving in. Staff also take care to make sure that the person will feel they fit in with the group already living there. In one instance a place was kept at the service for a significant amount of time and the individual spent days, evenings and short stays in the service before moving in. The manager has developed a Service User Guide which gives information on what people can expect from the service. Each person is given a copy of the guide. A number of people have requested the manager keep their copy on file and these were seen to be in place. Care has been taken to make the guide as accessible as possible for the individuals using the service. Care Homes for Adults (18-65 years) Page 10 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning includes good information on the likes, dislikes and strengths as well as the needs of the individual. Individual risk assessments are used to support people to take risks in their lives. People who use the service are supported to make choices about their daily lives and feel their opinions are listened to. However care plans could be more person centred, accessible to the person who uses the service and staff. Goals should be more focused on the wishes of the individual with timescales for achievement. The addition of more information on the history of individuals could be useful in providing staff with a better understanding of the individual now. Increasing the involvement of key workers in compiling and updating care plans along, with people who use the service, may lead to plans being referred to and used as a working document. Evidence: We found each person is provided with an individual care plan. Observations and discussions with staff indicated that care plans were not referred to on a regular basis. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: Staff have access to information about individual preferences and risks via a separate document. On the first day of inspection we looked at a sample of care plans. These care plans were hand written which does not make the information easily accessible to people who use the service. We found good information on individual likes and dislikes, preferred activities and personal care needs. The social history on one file contained no information and on another file was very brief. The goals set were found to be a mix of personals goals for the individual and goals for care. On the second visit to the service the manager had updated one care plan to provide a more person centred plan. Risk assessments are in place and support people to do the things they want in a safe manner. People who use the service told us that they were asked their opinion on any changes made in the home. Everyone who completed our survey said that they made their own decisions about what they do each day. We observed staff supporting people to make choices throughout both visits to the service on a range of issues. Care Homes for Adults (18-65 years) Page 12 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service have opportunities to take part in a wide range of activities both in the home and the community. People are supported to follow their own interests and are encouraged to take part in community life. Staff understand the importance of supporting people to maintain contact with family and friends. People who use the service told us very clearly that they enjoy the food on offer. Evidence: Discussions with people who use the service showed that individuals take part in a wide variety of activities. These included various college and day centre courses, dancing classes, gardening, clubs, cinema and regulate visits to the theatre. People regularly take trips to local shops and places of interests to them. During the course of this inspection individuals had a night out at a dinner dance. People told us they enjoyed going out for meals and to pubs. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Within the home people were seen to enjoy doing a wide range of activities including, jigsaws, games, karaoke, art and watching live football on TV. We observed individuals making their own choices about joining others in activities or chatting and spending time to themselves. Staff were seen to encourage people to respect the choices of others. Discussions with staff indicated that they were keen to support people in gaining new experiences and plan to work with one person to overcome their discomfort at the cinema. Staff are also working with one person on transport training using the train as they prefer this to buses. One person who uses the service told us they had gone with staff on the train to visit their family for the day and they had really liked this. People who use the service told us they choose where to go on holiday. Last year they had taken two holidays, one in Somerset and one in Bogna Regis. This year they have decided they preferred Bogna Regis. Two people have expressed a wish to go away together on holiday and this is being planned. One person has a wish to go to Gracelands and the manager is looking into how this can be achieved in the near future. Individuals are involved in the daily running of the service according to their wishes. One person told us they keep their room clean and tidy and we observed individuals helping to clear dishes at meal times. Staff have an understanding of the rights of individuals to have close relationships and the service has a clear policy on personal and intimate relationships. The cultural and religious needs and wishes of individuals are known and supported. At the time of these visits one person attends religious services in the community on a regular basis and one person has been supported to become a minister in the church. Everyone is offered the opportunity to attend religious centres and services of their choice. Families are encouraged to visit the service. Relatives told us that they always felt welcome in the service. People told us they can and do visit at any time. Relatives said they cant speak too highly of the service and the staff. Relatives support the service by volunteering to organise activities on a regular basis. People who use the service told us the food was excellent, very nice and I like it. Individuals told us that they could make a cup of tea or any drinks whenever they liked. We observed people either making drinks independently or being supported by Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: staff throughout our visits. We joined people who use the service in an evening meal and saw that the needs and wishes of individuals were met with a very large range of hot and cold meals served. Visitors told us that they were always invited to join in a meal and found the food to be of excellent quality. People who use the service told us that they never felt hungry and could get something to eat at any time. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health care needs of people using this service are met. Staff take care to provide flexible support which can meet the changing needs of individuals. People are encouraged to manage their own health care wherever possible with arrangements made for health care professionals to visit the service when needed. Staff are very alert to changes in mood, behaviour and general well being and fully understand how they should respond and taken action. Medication is well managed. Evidence: Staff were seen to be provided with good information on the personal care needs of individuals. Discussion with staff showed them to be very well informed on the individual preferences of the people they support and how they like any assistance to be given. People who use the service told us that staff help me out if I need it and we observed staff offering advice and assistance in a discreet and sensitive manner. Records show the wishes of individuals in relation to the gender of their carers and this is respected. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Records showed that people are supported to receive regular health care checks. One person who uses the service told us how staff had helped them when they needed to go for dental treatment and that this had helped them as they afraid. Individuals told us that they go to the doctors surgery if they are not feeling well. Regular visits from the community health care team including the consultant are recorded and changes in medication or support are acted on quickly. Staff seek advice from the team when they need it. Medication is well managed and all staff have completed accredited training. Individuals are supported to self medicate and this is accompanied by a risk assessment which is reviewed on a regular basis. One person was self medicating at time of this inspection. The manager and staff check with them regularly to ensure that they have taken medication. Staff working with people who are living with dementia are well aware of the progression of the illness and how this might affect the care needs of the person. It is the intention of the service to provide a home for life for individuals and the service has adapted well in the past to meet the changing needs of people who are nearing the end of their lives. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clear complaints procedure is in place with records kept of any complaint along with actions taken and outcomes. People who use the service either know how to make a complaint or who to talk to if they are not happy with something. Staff are provided with training on safeguarding vulnerable people. The lack of progress in making sure that the right checks are carried out before staff start to work in the service is of concern and could place the people who use the service at risk. Evidence: Staff are provided with regular training on safeguarding people which ensures that they have a good understanding of their own responsibilities in reporting any incidents or suspicions of abuse. The service has a clear complaints procedure and systems are in place to record any concerns or complaints made. We discussed with the manager the importance of documenting all complaints along with actions taken and outcomes, even those viewed as fairly minor. This assists in ensuring that people who use or are associated with the service know that they will be listened to and action taken. People who use the service told us either directly or through surveys that they knew who to speak to if they were not happy. People told us they would speak to the home owner, manager, staff and or their family. Those people who use the service who could respond when asked if they knew how to make a complaint all said they did. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: We looked at a sample of staff files and found that adequate pre employment checks had not being carried out. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is appropriate for the particular lifestyle and needs of the people who use the service and is homely, clean, safe and comfortable. The home owner ensures the environment is well maintained and is regularly looking to make improvements. People who use the service tell us they like their individual room and the facilities in communal areas. Evidence: We found people who use this service are provided with a comfortable well maintained environment. Individuals told us that they liked their rooms and we saw that bedrooms were arranged, decorated and organised by them according to their own wishes and tastes. There are a range of communal rooms and areas where people can take part in a variety of activities and watch programmes according to their interests. Since the last inspection a well fitted small bar area has been added and a large snooker table has been removed as this was not being used very often. The bar is open on a Saturday night where people who use the service can get two free drinks. A dining table and chairs has been moved into this area along with more seating. The manager informed us that plans were being made for this area to also be used as a cinema area at times. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: Plans are also being made to redecorate and re fit the main bathroom downstairs to allow for easier access and use by people with disabilities. All areas we saw during our visits were well maintained, clean and fresh. Individuals are encouraged to assist in keeping areas of the service clean. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service receive support from a stable staff group who are well known to them. Individuals told us they feel well supported and trust staff to help them with any problems they may have. Staff are provided with good opportunities for training which assists in making sure that the home is run in line with current good practice. The lack of pre employment checks on staff is of concern. We are aware that in the majority of instances the service owners know staff personally before they commence work in the home. However the lack of adequate pre employment checks has the potential to place people who use the service at risk. Evidence: People who use the service and family members made positive comments about the staff group and their approach. Individuals told us that the owner and manager were great and my friends and told us if they had any problems they would sort it out. All of the people who completed surveys for us told us that staff treated them well, listened to them and acted on what they said. We observed staff working with people in a sensitive and caring manner. Staff were found to have a good knowledge of the needs and strengths of the people Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: they support. Any changes in the mood or physical well being of individuals is picked up quickly and acted upon. Staff have good opportunities for training and take part in vairous courses held by the local authority. Three people including the manager and owner have completed NVQ level 2 in food safety. Three people have completed NVQ level 2 in care and the manager informed us that staff will be encouraged to carry on to take NVQ level 3 should they wish to do so. Staff have completed first aid courses so there is now a qualified first aider available at all times. Recent training has been done on communicating with people and the manager stated they would be looking for further training in this area. Improvements could be made in the record of training to allow for the manager to easily ensure that any gaps in knowldege or statutory training can be addressed. A training needs assessment has not been carried out. At time of last inspection a requirement was made for staff records to contain all of the appropriate pre employment checks. We looked at the files for two of the most recently employed people working at the home. We found staff had not fully completed application forms. A full employment history with an explantion for any gaps in employment had not been requested. A Criminal Record Bureau (CRB) check had not been completed for either person. A check of the Protection of Vulnerable Adults list (POVA First) had not been requested as an interim check while awaiting the CRB check. Two written references were not available in each case. Where people had previously worked with vulnerable adults or children confirmation had not been sought as to why they left this employment. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the skills and experience to run the service. People who use the service are consulted on the day to day running and future planning for the service. Quality monitoring systems are in place which allow the management to check that people who use and are associated with the service remain satisfied. Feedback about the service could be sought more frequently. The management need to make sure that any legal requirements made following inspections are met and continue to be met. Staff carry out regular checks to ensure the health and safety of people who use the service, visitors and staff. Evidence: The manager has completed the appropriate training and has the experience to manage a service of this type. People who use the service gave very positive comments on the manager and we observed good relationships between individuals and the manager. The manager was seen to be available to people who use the service and be involved in the day to day activities of individuals. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: To make sure that individuals continue to be happy with the service the management sends out surveys to people who use the service, family, friends and other professionals. The record of these surveys showed high levels of satisfaction with the service. These were last sent out in 2007. People who use the service are consulted through residents meetings. On the first day of inspection the manager stated that there had been some difficulty in holding these meetings due to the needs of certain individuals. We discussed the possibility of holding meetings with smaller groups or consulting on a one to one basis. However by the second visit to the service the manager has successfully held a meeting where all those involved could voice their opinions if they wished. The manager has not ensured that the appropriate checks are carried out on new staff to the service before they start work. This was a requirement at the time of the last inspection of the service and is not in line with the best interests of people who use the service. We looked at a sample of health and safety records. These were found to be up to date and well maintained. The fire alarm system is checked weekly and fire drills are carried out on a regular basis. Staff are well informed on who would need additional assistance should the fire alarms be activated. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 34 19 The registered persons must 01/10/2006 ensure that appropriate checks are carried out on all staff prior to commencing work within the home. Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 23 19 A satisfactory enhanced Criminal Records Bureau checks must be received before staff commence work. Where staff are needed before this check has been returned a POVA First check must be carried out and the person must be supervised in their work until the CRB check is received. To assist in safeguarding people who use the service. 30/04/2009 2 23 19 Where a person has previously worked in a postion which involved contact with children or vulnerable adults, written verification of the reason why he ceased to work in that position unless it is not reasonably practicable to obtain such verification. 30/04/2009 Care Homes for Adults (18-65 years) Page 27 of 29 To assist in safeguarding people who use the service. 3 23 19 All new staff must provide a full employment history, together with a satisfactory written explanation for any gaps in employment. To assist in safeguarding people who use the service. 30/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 6 6 Care plans should be produced in a language and format that the person who uses the service can understand. Where individuals have expressed wishes to expand their experiences, skills or activities clear time set goals should be included in the care planning and be reviewed on a regular basis. Feedback from people who use the service, their families, friends and other professionals should be sought on an annual basis so that these views can be taken into account in setting up an annual development plan for the service. The management need to make sure that any requirements made following inspections are met. 3 39 4 41 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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