Inspection on 06/06/05 for Helena Road (2c-2d)

This inspection was carried out on 6th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Helena Road (2c-2d) 15/01/07

Helena Road (2c-2d) 02/03/06

Helena Road (2c-2d) 04/10/04

Helena Road (2c-2d) 07/04/04

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 09/07/2008.

CARE HOME ADULTS 18-65 2C-2D Helena Road 2C-2D Helena Road Plaistow London E13 Lead Inspector Anne Chamberlain Announced Inspection 6 June 2005 at 10:00am th 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. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 2C-2D Helena Road Address 2C-2D Helena Road, Plaistow, London, E13 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) 020 8470 1382 020 8586 9118 East Living Limited Mr Ronnie Tallon Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2004 Brief Description of the Service: This home was first registered in May 1992, aiming to support and care for 10 people with learning disabilities. The accommodation is purpose built and is situated in a residential area of Plaistow. It comprises two units joined by a courtyard. One unit houses six people and the other four. Service users have their own bedrooms and share communal facilities. All accommodation is ground floor and wheel chair accessible. The manager has an office on the first floor, in an unregistered part of the building, and there is another office on the ground floor where most of the records are kept. There are two small gardens and a car park. The home is owned and managed by a not-for-profit organisation, East Living, formerly known as East Thames Care (Housing Group). East living is a subsidiary of East Thames which is a registered social landlord. Its mission is to make a positive and lasting contribution to the neighbourhoods. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over eight hours on one day. The inspector talked to and observed several service users who were at home working with staff. She interviewed the manager and chatted informally to two staff members. The inspector viewed three randomly selected service user files and three randomly selected staff personnel files, in addition to records and other documentation. She checked balances of monies held. The arrangements for the administration of medication were inspected. The inspector also toured the premises including some bedrooms and the garden. The inspector would like to take this opportunity to thank the service users, manager and staff at Helena Road for their assistance and co-operation with the inspection. What the service does well: What has improved since the last inspection? 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 6 The last inspection identified only one requirement which has been addressed but not finally resolved. The high standards found at the previous inspection have been generally maintained. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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) 2and 4 Prospective service users are assessed by competent people before being admitted to the home. They are offered visits to the home before deciding to move in. EVIDENCE: The manager explained the assessment process for prospective service users. Generally an assessment is received from social services. This is variable in quality. Liaison with other professionals is instigated and the individual is visited and an initial assessment is completed. The individual, if suitable for the home, is then invited to Helena Road for a series of visits including an overnight stay and weekend stay. When the service user moves in an in-depth assessment is undertaken by a keyworker who completes a Personal Lifestyle Plan. The inspector was able to evidence the above with various items of documentation. One recently arrived service user had had her hair newly styled. The inspector was interested to overhear a care worker telling another that “it says in her notes that she likes her hair to be tidy and to be cut short”. This is evidence that transferred assessment information is studied and acted upon. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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 standard(s) 6,7and 9. The home assesses changing needs and sets personal goals with service users. Service users are assisted to make decisions about their lives and are supported to take risks and enjoy greater independence. EVIDENCE: Service users at Helena Road have a Personal Lifestyle Plan. This is a comprehensive document, which is part assessment and part service user plan. It details needs and how they will be met. Reviews are held every six months and theoretically the plan can be changed, although the inspector did not see evidence of plans being updated. Reviews did however identify new goals. The inspector noted that in addition to the above service users have completed cultural needs assessments on file. The manager might consider integrating these into the plans described above. The manager advised that he had been working with Nationwide building society to open bank accounts for the 7 service users who do not have them. However after protracted negotiations he had had to give up with them because the home was not able to produce identification documents which the 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 10 Nationwide would accept. The inspector noted a bunch of leaflets from Nationwide on the manager’s desk. The manager has now applied to Halifax Building Society and they have agreed to accept alternative identification documents i.e. letters from professionals. The inspector noted copies of these letters on file. The manager must continue with setting up the bank accounts for service users. This is a restated requirement. There was evidence of service users taking decisions at residents meetings which are held regularly. Service users make many everyday choices, like menu planning, and also take bigger decisions, like where to go on holiday. The inspector viewed evidence on file of a range of activities being risk assessed so that service users can safely increase their independence. One service user is able to travel independently to and from his sheltered employment on public transport. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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 standard(s) 11, 12,13,14, 15,16 and 17. This home actively promotes personal development offering support for a range of activities. Contact with with family and friends is supported. Service users are treated with respect and encouraged to take responsibilities in their daily lives. Food is varied and plentiful and consumed in pleasant surroundings and a sociable atmosphere. EVIDENCE: The personal development of service users is actively promoted. The service users at Helena road have histories which feature, in some cases, long periods in rather institutionalised social care. They can present as rather passive and keyworkers work with deputy managers to develop new social opportunities to stimulate individuals. The service users at Helena road take part in a range of activities. One service user as previously mentioned works four days a week. Another attends a day centre. One person attends Powerhouse, a local womens’ advocacy service. Service users enjoy one to one keyworking days once a week. On these days they can choose what they would like to be supported to do in the community, 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 12 like going to the hairdresser, or a football match (one individual is a keen West Ham supporter). The inspector overhead a staff member hoping for good weather on Sunday because she was planning on escorting a service user on a day out to South End. Service users enjoy music, shopping, cafés and pubs, craftwork courses and also attending churches. The inspector viewed documentary evidence of service users engaging in social and community leisure activities. Service users are supported to maintain contact with family and friends. The inspector noted an information notice inside the door of each of the units welcoming visitors and advising them of the visitors guidelines. One service user is supported by his keyworker to visit his mother regularly, another is visited by her cousin and attends family celebrations, another has visits every six weeks or so from her sister and goes to her home for a meal occasionally. A couple of service users have no family and one has a brother who initially visited her but has not been in contact for two years despite being invited to reviews. The inspector suggested to the manager that he write to this person explaining that the home would just like to ensure that they have his correct contact details and do not lose touch completely, as he is the next of kin for his sister. This is a recommendation. A local home has closed and it is hoped to set up with other homes, visits between service users who used to live there together. The inspector felt that the ethos of the home was to respect the rights of service users and recognise their responsibilities. Keys to their bedroom doors are available to all service users and files evidenced consent forms for keys. Two service users lock their bedrooms when they are out of the home. The complaints folder evidenced a concern regarding a keyworker opening mail and this had been appropriately dealt with. Service users were observed to move freely around the home. The involvement of service users in doing their own laundry was evidenced in a rota designed to ensure that the machines were available for people to use. Service users also have free access to kitchens and help with meal preparation. The inspector was heartened to observe that an off duty member of staff who was on paternity leave but had popped in, was showing his new son’s photograph not only to staff but to service users too. They were admiring appropriately!! The current group of service users are straightforward in their diets with no particular, cultural, religious, or other dietary needs. The inspector checked the food stocks in freezer, refrigerator and cupboards and noted a variety of wholesome foods. In the main refrigerator in 2D some of the opened foods had not been dated and a bottle of ketchup, opened, which should be stored in 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 13 the refrigerator, was in fact in a cupboard. The manager must ensure that food is stored appropriately and the dates of opening recorded on items. This is a requirement. The manager advised that he believed some service users food preferences reflected their previous experiences of a narrow diet being offered. The home attempts to broaden food preferences with a wide choice of foods. Friday is takeaway night and popular with all. Eating is relaxed with breakfast and lunch times being individual and variable but the manager observed service users eating together sociably at the table at the evening meal. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 ,20 and 21. The home strives to offer service users support in the way which suits them best. All efforts are made to meet their health and emotional needs. Medication is administered safely. Service users are given an opportunity to express their wishes regarding ageing, illness and death but the home needs to ensure that everyone is consulted and that the records are updated periodically as appropriate. EVIDENCE: The needs for personal care support range from highly dependent to very indpendent. inspector read through Personal Lifestyle Plans on the files of service users and was impressed at the emphasis on service user involvement, and the level of detail contained therein. The inspector did comment that she saw no evidence of plans being changed following reviews. The plans should be living documents reviewed and updated with new goals and it is recommended that the manager talk this through with staff to reappraise their approach to reviews. Also plans, like all documentation, should be signed and dated to assist with auditing and ensure accountability. This is a recommendation. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 15 The home appears to have a good grasp of each service users health and emotional needs. Individuals have a second folder ‘Current Issues’ which contains all information about current health needs, including appointments with specialists, access to whom the home finds reasonably easy. They are completing a health plan for each user entitled ‘My Health Matters’ and this was evidenced on file. The manager advised that there are some emotional and behavioural issues among the group but he would not describe any individual as having challenging behaviour. In discussion the inspector felt that the manager had a good knowledge of which professionals and therapists might be helpful for particular issues. There is a medication policy for the home. None of the service users administers their own medication. There are no controlled drugs prescribed currently and no medication which need to be refrigerated. The arrangements for the storeage and adminstration of medication were inspected. Medications are delivered, from the prescription, by the pharmacist to the home direct. The system for the recording of medication in and out of the home is satisfactory. Each service user had a file for their medication administration sheets with their photograph on the front.The sheets were checked and a sample of medications counted. No errors were found. The file also contains a sheet detailing the medications currently prescribed and their possible side effects. The home has a structure in place for discussing and recording the wishes and views of service users with regard to ageing, illness and dying. There was documentary evidence of this. However the inspector noted that the information is not in place for everyone. One person’s file said that her sister would take responsibility for arrangements, but it had not been recorded whether the service user had agreed with this. The inspector also felt that for service users who have moved home bringing their information with them, the topic should be revisited. The manager must ensure that the recording of service users wishes and views in relation to ageing, illness and dying is brought up to date, signed and dated. This is a requirement. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. There is an effective complaints procedure but the information available to service users should be more comprehensive. Service users are protected by the homes adult protection policies and procedures. EVIDENCE: The manager is currently investigating a complaint. This is a genuine issue where practice may be found to be at fault and where an improvement can possibly be made. The inspector felt that the manager’s attitude was professional. The inspector viewed the complaints policy form, folder and a complaints information leaflet posted on a noticeboard, for service users. The policy is corporate and cannot be changed by the manager. However the manager can feedback his comments to the senior management and it is recommended that he advise them the following: The policy should give the correct name of the Commission for Social Care Inspection (CSCI) and should state that any inspector in the commission can be contacted direct at any stage. This is a recommendation. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 17 It is within the power of the manager to amend the service user complaints leaflet and it should give the correct information as above and also contain information on what will happen to a complaint, stages, etc., and the timescales which have been set for responses. The manager must amend the leaflet. This is a requirement. The inspector viewed the corporate adult protection policy which is comprehensive. The organisation also has a whistleblowing policy. The inspector asked the manager to identify what actions he would take in the event of case of suspected abuse and was satisfied that he is familiar with the policy and procedure and would make the appropriate referrals. The inspector checked the records for the handling of cash for service users, which were signed at each staff handover, and checked two balances which were correct. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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) 24,25,26,27,28, 29 and 30. Helena Road provides a safe, comfortable, homely environment with opportunities for services users to make their rooms their own and express their personal tastes and interests. The toilets and washing facilities are adequate although one shower room needs to be refurbished. Shared spaces have a relaxed atmosphere and service users like to use them. Equipment needs are understood and supported. The home is clean, hygienic and cared for. EVIDENCE: The inspector toured the home, including the garden and with their permission, the rooms of service users. The home provides a comfortable and safe environment and is well furnished, including bedrooms. The inspector noted the exercise programme for a service user pinned up in the bedroom of a service user who has a physical disability. The service user indicated to the inspector that she is supported by staff to do the exercises. Service users are encouraged to personalise their rooms and the inspector saw photographs, ornaments and personal possessions. The enthusiastic following of West Ham football club was reflected in one bedroom (claret and blue with 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 19 lots of club name branding). Another room had lots of evidence of the owner being a fan of Elvis. The inspector noted evidence of games and puzzles as well as TV and music centre, and was pleased to see fresh flowers in both lounges. There were plenty of fans for cooling ventilation in hot weather. The garden is small but tidy with good quality wooden chairs and table and evidence of service users undertaking some gardening. Although small the garden gives a lot of pleasure and one service user particularly loves to sit in it whenever the sun is out and it is warm enough. There are an adequate number of toilets and shower/bath rooms. One shower room on the ground floor of 2C needs refurbishment. The ceiling is spotted, the floor is coming away and the tiles have a sticky residue from being filled after fittings have been removed. The manager must ensure that this facility is refurbished. This is a requirement. The current group of service users have few equipment needs. The manager stated that all the hoisting equipment has been stored in cupboards. A couple of service users have frames to assist mobility and wheelchairs for use in the community. The inspector was satisfied that manager and staff would progress any equipment needs which became apparent. The home is clean and hygienic. All the wet areas including laundry rooms and kitchens, have impermeable flooring which curves up the wall, eliminating the wall/floor join. Kitchens area were very clean and tidy, carpets were well hovered and there was no dust or sticky surfaces. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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) 34, 35 and 36. The recruitment procedure followed is robust, safeguarding service users. Ongoing training is offered and levels of staff training are acceptable. Supervision is regular. Staffing arrangments in the home ensure a good service is delivered. EVIDENCE: The inspector discussed with the manager the recruitment process. Not all of this could be evidenced on staff personnel files as some of the information is kept in the human resources department of the organisation, also some of the information for staff like code of conduct is sent out direct by them. However the inspector was satisfied that recruitment is saf and that equal opportunities are observed. The staff group is culturally diverse. Copies of Criminal Records Bureau (CRB) checks were available as were copies of references and verification of identification. The inspector also saw a copy of the role profile which describes for staff their roles and responsibilities. One staff member awaits CRB check and the manager stated that this person is always shadowed on duty. The inspector saw evidence of staff training. Induction is comprehensive and includes relevant training. New staff are super-numary for the first two weeks. The full induction programme is 12 weeks and is followed by a probationary period. There is an expectation that new staff will embrace training, including undertakeing NVQs. The level of staff with NVQ 2 had risen to 40 but recent 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 21 changes in staffing mean that the home is still working towards 50 of staff having NVQ 2. Staff are currently training on NVQ’s and the programme is continuous. Staff also undertake Learning Difficulties Assessment Framework (LDAF) with Newham. Fire, food hygiene and moving people training is refreshed annually. Training profiles were viewed by the inspector. There was evidence of regular staff supervision. The manager stated that staff appraisal is carried out and reviewed every three months. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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) 39 and 42. Quality assurance is carefully considered in this home with service users views integrated into the process. The home works hard to ensure the health, safety and welfare of service users and staff. EVIDENCE: Service users attend residents forum which is held fortnightly at Chant Square, another East Living residential home locally, and run by People First an independent advocacy service. The home has been quality surveyed by People First Advocacy and also by East Thames. However this was done two years ago. The manager undertakes in house quality assurance with an annual service plan into which service users in-put via their keyworkers. The electronic document was viewed by the inspector. The inspector also saw evidence of regular person in control visits and care managers monthly self-monitoring form. She was satisfied that the home bases its developmental plans on the needs of service users. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 23 The inspector viewed various records to establish the practice followed to ensure the safety, health and welfare of service users and staff. The fire equipment is checked by a specialist company and staff check alarms, lights and doors every week, also Tunstall alarms. Fire drills are held every month with nighttime drills six monthly. Staff also test water temperatures and fridge/freezer temperatures. There is a COSHH policy and COSHH items are kept in locked cupboards, which are also checked regularly for spillage, security etc. The inspector viewed the accident and incident file which was appropriately kept. The inspector noted it cross referenced with an accident recorded on a service user’s file. The inspector was satisfied that there are robust systems in place to promote the safety and well being of service users and staff. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2C-2D Helena Road Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 2 2 Standard No 24 Score 3 Version 1.20 Page 24 G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 3 x Score 25 26 27 28 29 30 STAFFING 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 2 Standard No 37 38 39 40 41 42 43 Score x x x x x x x 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 25 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 7 Regulation 20 Requirement The manager must continue with setting up bank accounts for serice users (previous timescales of 31/08/04 and 31/1/05 not met) The manager must ensure that the recording of service users wishes and views in relation to ageing, illness and dying is brought up to date, signed and dated. The manager must amend the service user complaints leaflet as detailed in the main body of the report. The manager must ensure that the ground floor shower room in 2C is refurbished. The manager must ensure that food is stored appropriately and the dates of opening recorded on items. Timescale for action 01/090/05 2. 21 12 01/10/05 3. 22 22 01/8/05 4. 5. 27 17 23 12 01/10/05 01/07/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 26 No. 1. 2. 3. Refer to Standard 15 18 22 Good Practice Recommendations The manager is encouraged to write to the next of kin on a service user to maintain contact. Manager and staff to reappraise their approach to care planning and reviews. Plans to be signed and dated. The manager should advise his senior management of the amendments which are needed to the corporate complaints policy (as detailed main body of the report). 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 Page 27 Commission for Social Care Inspection 4th Floor, Gredley House 1-11 Broadway, Stratford London E15 4BQ 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 2C-2D Helena Road G57 G06 S22837 Helena Road V221737 060605 Stage 4.doc Version 1.20 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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