Inspection on 31/08/05 for Haydon Park Lodge

This inspection was carried out on 31st August 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 but made no statutory requirements on the home.

Other inspections for this house

Haydon Park Lodge 25/02/09

Haydon Park Lodge 20/06/06

Haydon Park Lodge 24/01/06

Haydon Park Lodge 21/09/04

Haydon Park Lodge 06/05/04

Similar services:

Ashlong House

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Edenvale

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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 09/07/2008.

CARE HOME ADULTS 18-65 Haydon Park Lodge 1 7 Haydon Park Road Wimbledon London SW19 8JQ Lead Inspector Liz OReilly Unannounced 31 August & 1 September 2005 2:00 pm st st The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Haydon Park Lodge 1 Address 7 Haydon Park Road Wimbledon London SW19 8JQ 0208 540 0172 0208 404 0260 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Haydon Park Lodge Limited Mr Sinnathuria Sathananthan CRH Care Home 11 Category(ies) of LD Learning Disability (10) registration, with number LD (E) Learning Disability (1) of places Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2004 Brief Description of the Service: Haydon Park Lodge is a registered care home offering accommodation and care for up to eleven adults with learning disabilities. The home is situated in a residential area of Wimbldon. 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. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one regulation inspector over the 31st August 2005 and 1st September 2005. The inspection took place over 7.5 hours. During the course of these visits to the home the inspector had the opportunity to meet all of the residents and speak with six residents, the registered manager/owner and four staff members. A number of records were examined as well as the communal areas of the home provided for residents. What the service does well: What has improved since the last inspection? Since the last inspection of the home the service user guide has been further developed to provide more personalised information and improve residents participation in the care planning process. Residents have taken holidays in smaller groups which they felt had been “better” than going in a larger group. The garden area has been improved with the provision of a new gazebo which residents pointed out to the inspector as an improvement. Staff felt that they were spending more time with individual residents. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 6 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. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 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 standard(s) 1, 2, & 5 Prospective residents are provided with good information on the home and the service they can expect. Staff are to be commended for the individualisation of service user guides. The assessment process ensures the individual needs and aspirations of residents are well known prior to admission. EVIDENCE: The home has produced a service user guide a copy of which is provided for each resident. The service user guide gives information on the home and the service residents can expect. The information supplied includes photographs of various areas of the home and statements of residents rights as well as other information on the way in which the service is provided. Since the last inspection of the home staff have further developed the service user guide. Staff talk through the guide with new residents and add information on individual residents choices in relation to activities, religious attendance, health care, medication, residents rights, outings as well as likes and dislikes. The service user guide also includes a questionnaire for residents seeking their views on how information is presented and their experience of being introduced to the home. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 9 The information gathered from the service user guide assists staff to meet the individualised needs of residents and provides new residents in particular opportunities to make their choices and opinions known. The service user guide is therefore used as part of the care planning process. All residents are assessed by staff from social services prior to admission to the home. The home is provided with a copy of this assessment and carry out their own assessment before anyone is admitted. In addition staff from the home carry out their own pre admission assessment for each individual. This ensures that staff have a clear understanding of individual needs prior to the resident moving into the home. All residents are issued with a contract from the home setting out the terms and conditions of residency. Residents are supported by family, friends or advocates to go through the contract to ensure that individuals understand this document. Residents are provided with a copy of the contract. It was noted that the majority of residents requested that their copy of the contract be kept in their main file in the office. As noted in previous inspection reports consideration should be given to producing contracts in a format or language suitable for the individual resident. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, & 9 Residents can be assured that their needs and personal goals are known to staff by the provision of individual care plans. Residents reported they make their own decisions about their lives with support from staff if needed. Staff carry out individual risk assessments to support and protect residents in developing independence. EVIDENCE: To ensure the needs of each resident are met a care plan is produced for each person. These documents were seen to be well maintained. A review of the care plan is carried out on a six monthly basis or more frequently should the needs of an individual change and the care planning documentation includes individual risk assessments. Each resident and or their representatives are involved in compiling and reviewing the care plan which ensures that residents have the opportunity to update their goals and agree the manner in which any care is provided. Any restrictions on choice or freedom are documented and agreed. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 11 As noted at the time of the last inspection it is recommended that care plans are produced in a language and or format which individual residents can understand. Discussion took place with the senior staff in the home regarding improving, where possible, the social history for each resident to provide staff with a greater understanding of each resident and provide residents opportunities to share their history should they so wish. Staff were seen to update information on a regular basis and daily records are maintained for each resident. Staff read back to one resident in particular all that is written down about them to reassure them that the information recorded is relevant. Staff support residents to access independent advocacy services. This provides residents with a person, independent of the home and family, who can offer support. A number of residents have taken up this service. Residents spoken to at the time of this visit confirmed that they were encouraged to make decisions about their own day to day lives. The inspector observed residents being offered choices throughout this visit. Residents are supported according to individual needs to manage their own day to day finances unless they are unable to do so. Staff produce individual risk assessments for residents. Risk assessments are reviewed along with the care provided at six monthly intervals or more frequently if required. This ensures that residents are supported in an appropriate manner to develop independent living skills and try new activities. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 &17. Residents are supported to engage in a wide variety of activities within the home and in the local community according to individual preferences. Residents are encouraged to maintain and develop personal relationships. Residents are provided with a healthy diet and a good variety of food. EVIDENCE: Residents have the opportunity to attend local day centres and colleges. At the time of this inspection three residents were attending day centres. Three residents were attending further education colleges. Those residents who do not attend regular centres or colleges are supported by staff to engage in community activities during the day. Information supplied by residents and staff indicated that the home has good links with the local community. Staff are well informed on the services and facilities available. The home has its own transport and residents are also supported to use public transport. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 13 The preferences and aspirations of residents in relation to leisure and educational activities are sought and recorded and form part of the care planning goals for each individual. Staff were seen to support individual residents in attending a variety of social clubs, religious groups and services and leisure activities. Individual residents gave positive comments on the activities they participate in. These activities are clearly tailored to meet the needs of individuals and included attendance at various social clubs, shopping, swimming, fishing, car boot sales, a wide variety of classes including dancing and arts and crafts. Residents went on holiday this year in two groups, one group went to Minehead and one group to Bognor Regis. Residents informed the inspector that they very much enjoyed these holidays. Two residents gave very positive comments on a recent garden party to which relatives, friends and neighbours had attended. Residents discuss outings at regular residents meetings and make their own decisions regarding places to visit. Within the home residents have access to a games room with a snooker table. A number of residents are interested in watching sports on TV and sports channels are available. Staff work with residents who have an interest in art and have assisted residents to produce files with their art work. One resident was seen to very much enjoy karaoke. Residents were observed to engage in activities and use various areas of the home throughout this visit. Residents also have TVs, music centres, DVDs and Video players in their own rooms according to their own wishes. One resident informed the inspector that they had removed the TV from their room as they preferred to listen to the radio there and watch the TV in the lounge areas of the home. Residents confirmed that they were free to invite friends and relatives to visit them in the home. One resident stated “my family really like visiting here.” Another resident stated that their parents were made “very welcome by the staff.” One resident stated that their girlfriend could visit them in the home. At the time of this visit to the home the relatives of two residents and the friend of another were visiting in the home. Residents gave very positive comments on the food provided. Comments included, “its lovely”, “I really like it”, “its very good”, “you can always have something else if you don’t like something” and “I’m never hungry”. Three residents stated that the cook and the registered manager were “good cooks”. The food seen at the time of this inspection was of a good quality, well presented and cooked to a good standard. Residents were seen to make their own choices during meal times. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 14 The home has a main kitchen to which residents can have access if staff are also present which ensures the safety of residents. In addition an area is available where residents can make drinks or snacks at any time should they so wish. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Few of the residents in the home require direct support with personal care. Staff ensure that the support provided is appropriate and provided in a way in which individuals prefer. The health care needs of residents are met. Medication is well managed and residents can retain and administer their own medication where appropriate. Further action needs to be taken to ensure that all staff who administer medication are supplied with accredited training on medication. EVIDENCE: The majority of residents do not require direct assistance with personal care. For those residents who do require such assistance staff monitor the needs of each individual on a regular basis. One female resident requires assistance with personal care and as there are times when female staff are not available to provide this care the relatives of this resident have been consulted and provided written authorisation for male staff to provide this care. The placing authority have also been informed of this situation. Residents confirmed that they make their own decisions on daily life such as getting up and going to bed. Records showed that staff take care to discuss with residents their preferences in relation to routines, likes and dislikes. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 16 Staff were found to be well informed on the likes and dislikes of those residents who may not be able to express their needs or wishes easily. Each resident has a designated keyworker from the staff group. Residents spoken to were happy with their keyworker. Two residents made very positive comments on their keyworker and the support they provide. The home has close links with the community learning disabilities services. The health needs of residents are met through regular health checks and regular visits by staff from the community teams. The health and welfare of residents was seen to be protected by the appropriate management of medication within the home. At the time of this inspection one resident was administering their own medication. Risk assessments are in place and staff make regular checks to ensure that the resident is well supported with this task. In order to further ensure the health and safety of residents arrangements must be made for all staff administering medication to receive accredited training on the management of medication. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Residents reported that they felt their views were listened to. Policies and procedures are in place and training has been supplied to all staff to ensure that residents are protected from abuse. EVIDENCE: Residents stated that if they had any concerns or complaints they would approach staff and if they had a serious concern they were confident that the registered manager would “sort things out “ for them. The complaints procedure has been produced in a more accessible format for the residents in the home with the inclusion of pictures along with written information. The home works to safeguard residents from abuse by ensuring all staff attend training on the protection of vulnerable adults. Clear procedures are in place to ensure that should there be any concerns staff have an understanding of their role and responsibility in reporting to the appropriate persons. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28 & 30 Residents are provided with a comfortable, well maintained homely environment. Action must be taken to ensure the safe disposal of clinical waste. EVIDENCE: The home provides each resident with their own single bedroom accommodation. Residents are provided with their own key to their room which promotes privacy and ownership for each individual. Communal areas are situated on the ground floor and include two lounges, two dining areas and a games room. All areas of the home seen at the time of inspection were furnished and decorated to a high standard. Residents also have access to a large very well maintained garden to the rear of the home which has a number of seating areas. The garden was seen to be well used by a number of residents. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 19 The home owner has continued to improve the environment for residents with regular redecorating and refurbishment throughout the home. At the time of this visit electrical work was yet to be completed in the large lounge area of the home. It was noted that the carpet to the stairs in one area of the home was showing signs of wear and tear. The home owner was aware of this and was planning to replace this carpet in the near future or more quickly should this become a hazard to residents. Residents have access to a small laundry room which is well equipped to meet individual needs. Since the last inspection of the home the laundry area available to staff in the basement area has been refurbished. All areas of the home seen at the time of this visit were cleaned to a high standard. It was noted that arrangements have not been made for the safe disposal of clinical waste. The deputy manager reported that several meetings had been set up with organisations who deal with the disposal of clinical waste but that these had been cancelled. It was noted that the home had taken steps to ensure that waste was stored safely within the home. The requirement for arrangements to be made for the safe disposal of clinical waste has been outstanding for some time and action must be taken to meet this requirement to fully ensure that health, safety and welfare of residents and the public. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35 Residents were seen to be supported by sufficient staff to meet their needs at the time of this inspection. Work needs to be completed to ensure that all staff are provided with a statement of their terms and conditions of employment. Staff are offered good opportunities for training but the manager must ensure that the training provided meets the needs of the home as well as the individual staff member. EVIDENCE: Residents are supported by a minimum of two staff at all times during the day the staff rota indicated that . At night waking night staff are not employed. The home is also the family home of the owner and family members are always available at night. Domestic staff and a cook are also employed in the home. The management team are aware of the need to keep staffing levels under review in light of the changing needs of individual residents. Residents benefit from a stable staff group which ensures that they are cared for by staff who they are familiar with and who have a good understanding of their individual needs and preferences. Agency staff are not employed in this home. To ensure that all staff are kept well informed and are offered an opportunity to voice their views regular staff meetings are arranged. A mid Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 21 day handover is carried out each day to ensure that all staff are kept up to date of any changes, activities or health care issues. A requirement for all staff to receive a statement of their terms and conditions of employment has been outstanding for some time. At the time of this inspection it was noted that the manager had obtained a draft statement of terms and conditions but this document had not been finalised. Action must be taken to ensure that this requirement is met to prevent any adverse impact on the continuity of care for residents. To ensure that that residents are supported by a well informed staff group staff have participated in a number of training courses which have included:dealing with challenging behaviour, person centred planning, communicating with people with learning disabilities , epilepsy, autism and the protection of vulnerable adults. Plans are being made for staff to be enrolled on NVQ courses. As noted in previous inspection reports a training needs assessment should be carried out for the staff team as a whole to ensure that the training provided meets the needs of the resident group within the home and to inform future planning. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 & 42 Residents benefit from a well managed home. Residents are consulted on the way the home is run. The health and safety of residents is protected by regular checks being carried out within the home. EVIDENCE: Residents are provided with formal opportunities to comment on and affect the way in which the service is provided through regular residents meetings. Residents also informed the inspector that they saw the home owner on a daily basis and that they could bring up any issues on a one to one basis with him. Residents made very positive comments on the way in which the home was managed. One resident stated that the home owner was “the best” another resident stated that they felt “very lucky to be living in such a place”. To ensure that the home is run in the best interests of residents the home carries out its own quality assurance and monitoring. Questionnaires are Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 23 provided to residents, families, GPs and other professionals to gain information on their views of the service. Changes in the way the home operates are made if required as a result of this information. The owner must ensure that a copy of the report produced following the annual review of the service is provided to the Commission. Staff carry out regular checks on the building, furnishings and equipment to ensure the health and safety of residents and visitors to the home. Staff carry out weekly checks on the fire alarm system and regular fire drills to ensure that all staff and residents have a clear understanding of what they should do if the fire alarms are activated. Staff monitor residents reactions and plans are procedures are developed for any individual residents who have difficulty in exiting the building. Two staff have completed first aid training. Action must be taken to ensure that sufficient members of staff participate in first aid training so that a qualified first aider is available in the home on each shift. A record of any accident is retained in the home along with details of actions taken. This further assists in ensuring the health and safety of residents, staff and visitors to the home. Staff check and record fridge and freezer temperatures to ensure all food is stored safely. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 3 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 2 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Haydon Park Lodge 1 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x x 2 x G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 25 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 20 Regulation 18 (1) 13(2) Requirement The registered persons must ensure that all staff who administer medication are provided with accredited training. The registered persons must ensure that arrangements are in place for the safe disposal of clinical waste. (timescale of 19.01.05 not met) The registered persons must ensure that all staff are issued with a statement of their terms and conditions of employment. The registered persons must ensure that sufficient staff are provided with first aid training to allow for a qualified first aider to be available on each shift. Timescale for action 1st January 2006 2. 30 16(2)(k) 1st November 2005 1st November 2005 1st January 2006 3. 34 17(2) Schedule 4 (6) 18(1) 13(4) 4. 42 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 5 Good Practice Recommendations The registered persons should ensure that residents contracts are produced in a format or language suitable to G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 26 Haydon Park Lodge 1 2. 3. 4. 6 6 35 the individual resident. The registered persons should ensure that care plans are provided in an accessible format for individual residents. The registered persons should consider, where possible, expanding the information available with regard to residents social history. The registered persons should ensure that a training needs assesment is carried out for the staff team as a whole to ensure the planned training meets the needs of the home as well as the individual needs of staff members. Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Ground Floor - CSCI 41-47 Hartfield Road Wimbledon SW19 3RG 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 Haydon Park Lodge 1 G54-G04 S27209 Haydon Park 1 V247256 310805 Stage 4.doc Version 1.40 Page 28 - 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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