Inspection on 13/12/06 for High View Residential Unit

This inspection was carried out on 13th December 2006.

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 no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

High View Residential Unit 30/01/08

High View Residential Unit 17/05/07

Similar services:

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Norbury Crescent (30)

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Edenvale

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 High View Residential Unit 84 Thurlow Park Road Dulwich London SE21 8HY Lead Inspector Lorraine Pumford Unannounced Inspection 13th December 2006 11:00 High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High View Residential Unit Address 84 Thurlow Park Road Dulwich London SE21 8HY 0845 331 2725 0845 331 2725 staffview@yahoo.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) High View Children`s Services Ltd Margaret Atim Lakidi Care Home 5 Category(ies) of Past or present alcohol dependence (0), Past or registration, with number present drug dependence (0), Dementia (0), of places Learning disability (0) High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection None Brief Description of the Service: Highview is registered to accommodate service users between the ages of 18 to 65 who have been assessed as having alcohol and drug related problems, dementia resulting from alcohol and drug misuse, challenging behaviour due to substance misuse, learning disabilities or acquired brain injury. Accommodation is spread over three floors. Service users benefit from large bedrooms with en suite facilities. There are additional bath and shower facilities as well as kitchen and laundry facilities. There is a well-maintained garden to the rear of the property. There is limited off-road car parking to the front of the building; however the home benefits from being close to bus and train links. The home is within walking distance of other public amenities. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection since Highview was registered in 2006. Service users had only recently moved into the home and on the day the inspection two service users were at home. Whilst for some it was envisaged the placement would be permanent, for others care was being provided on a short term basis. During the course of the inspection service users were spoken with informally. A number of documents and records were examined and the files of two service users were examined specifically relating to their care. Records pertaining to staff recruitment were examined and two members of staff when interviewed in private. Additionally parts of the premises were inspected. Fees for the care and service provided currently start from £1200.00 per week. There are additional costs for newspapers, hairdressing, etc. What the service does well: There is a comprehensive Statement of Purpose and a Service User Guide detailing information regarding the care and service provided and both parties rights and responsibilities. Following the pre admission assessment a letter is sent to prospective service users confirming the home can meet their needs. There is comprehensive recording in service users’ daily logs, with information recorded regarding service users’ health and general demeanour. Service users are included in decision making processes in the home. The atmosphere in the home is calm, relaxed and friendly. Good interaction was seen between staff and service users. Service users are provided with a varied nutritional diet and involved in menu planning and preparation of food. The Service User Guide clearly set out the expectation that service users will participate in daily housekeeping tasks such as cooking and cleaning their own bedrooms and undertaking their personal laundry. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 6 The home operates a key worker system with staff able to provide a clear picture of the additional responsibilities this entails and the way in which they provide support to service users they are responsible for. The Statement of Purpose and Service User Guide provides service users and their representatives with clear information on the homes complaints procedure. Service users are provided with a comfortable homely environment which is well decorated, maintained and appropriately furnished. The majority of staff working in the home hold an NVQ qualification in care; and both the manager and a deputy manager hold relevant care qualifications and have a number of years experience in the social care field. What has improved since the last inspection? What they could do better: The responsible person should check for anomalies and for incorrect information in the Statement of Purpose and Service Users guide and amend accordingly. Pre admission assessments need to be more comprehensive and developed further to meet the requirements of 2.3 of the National Minimum Standards. The care plan format should be reviewed as part of the overall review of the pre admission assessment and existing service users’ care plans should be updated. A receipt should be given to relatives following financial transactions confirming the amount of money deposited with the home for safekeeping. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 7 Fees charged by staff for transportation of service users must be clearly detailed in the home’s Statement of Purpose. Information must be included in the home’s Statement of Purpose, detailing arrangements for service users entering and leaving the building. Information regarding the activities service users are participating in must be recorded in care plans and daily records to provide written evidence. All food being stored in the freezer should be appropriately sealed and labelled including relevant dates. A record of staff signatures should be maintained in relation to those responsible for administering medication. The responsible individual must ensure that they obtain copies of the adult protection policies for those local authorities which have placed service users in their care. The responsible individual must obtain training for staff in relation to adult protection. The responsible person must ensure there is a constant supply of hot water at all times, not only for the comfort of service users, but to minimise the risk of the spread of infection. An induction programme should be put in place for staff working in the home. Considerable work must be undertaken by the responsible individual to meet the Care Homes Regulations 2001 with regards to recruitment procedures. Not all staff have received first aid training and this must be addressed. 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. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective Service users and their representatives are provided with information about the service prior to admission. At the time of the inspection a more comprehensive assessment format was needed to provide staff with adequate information to meet service users’ needs. EVIDENCE: There is a comprehensive Statement of Purpose and a Service User Guide detailing information regarding the care and service provided and both parties’ rights and responsibilities. Both these documents contain copies of the home’s complaints procedure and require an amendment to reflect the change of the National Care Standards Commission to the Commission for Social Care Inspection - local Sidcup Office 0208 308 3520. Clarification or amendment is required on page 6 of the Service User Guide; the reference to accommodation being available for seven people needs to be amended to five, the number of people the home is currently registered to accommodate. The responsible person should check documentation for other anomalies, for example the Statement of Purpose states Highview provides High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 10 long-term care for users 18 to 65, then under emergency admission documentation indicates admission may be short, medium or long stay. At the time of the inspection a service user had been placed in the home by a local authority on an emergency basis and was being accommodated out side the home’s category of registration. However, an alternative placement was being arranged and the service user has since moved on. The initial assessment was examined for two service users who have recently moved into the home. Information had been provided by service users’ social workers and the manager had also completed an assessment at the time of meeting prospective service users. It was agreed that pre admission assessments need to be more comprehensive and developed further to meet the requirements of 2.3 of the National Minimum Standards and the manager confirmed this would be addressed. At the time of writing this report a template of the updated proposed preAdmission Assessment had been forwarded to the lead inspector which, if completed appropriately, is much more comprehensive and would meet the required standard. Staff confirmed that following the pre admission assessment, a letter is sent to prospective service users confirming that following the assessment the home can meet their needs. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Work needs to be undertaken to develop more comprehensive care plans based on service users’ assessed need at the time of admission to enable staff to fully meet service users’ needs. EVIDENCE: The Responsible Person stated that the care plan format would be reviewed as part of the overall review of the pre admission assessment, and existing service users care plans would be updated. This will need to be followed up at the next inspection. Care plans seen had been appropriately signed by staff and the service user completing the records. It was good to see comprehensive recording in service users’ daily logs, with information recorded regarding service users’ health and general demeanour. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 12 Risk assessments had been completed in relation to service users; these promoted independence whilst minimising risk and potential harm to service users. It was apparent from interaction between staff and service users, and from records seen, that service users are included in the discussion making processes within the home. The provider intends to hold weekly house meeting to enable service users to have a say in issues affecting their lives in the home. Discussion took place between the Responsible Person and inspector regarding service users’ personal allowance. At present two service users require the assistance of staff to manage their financial affairs. Records seen indicate a record is maintained of money being held on service users’ behalf. The relative of one service user regularly deposits money with the home for safekeeping, the inspector advised that a receipt should be given to the relative following this transaction confirming the amount of money deposited with them for safekeeping. Records seen indicated that service users sign when money is handed to them by staff from their accounts. From records seen it is apparent that service users are charged a fee if staff members use their own vehicles to transport service users. The inspector requested that this arrangement should be addressed in the home’s Statement of Purpose. Subsequently the Responsible Person amended documentation to service user transport will be charged at the standard local minicab rates, in the inspectors opinion this fee remains ambiguous and could be confusing for service users as minicab companies fees may vary. It would be clearer for service users if there was a written set fee per mile and staff would be able to provide clear evidence of the cost accrued. During the course of the inspection it was apparent that the front door is secure and can only be opened by activating a button in the ground floor staff room; this prevents service users entering and leaving the building without asking staff to open the front door. The Responsible Person stated that this was purely for security reasons and that no service user would be restricted from leaving the premises if they wish to. The Responsible Person was advised to put this information in the Statement of Purpose as some prospective service users may feel restricted by having to ask staff to open the door for them. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are provided with a varied nutritious diet and appropriate meaningful activities. Further action needs to be taken by staff to ensure that records regarding service users’ activities are fully maintained. EVIDENCE: The atmosphere felt calm, relaxed and friendly. Good interaction was seen between staff and service users. Service users are provided with the key to their bedroom and staff were seen to ask service users’ permission before entering bedrooms. From talking to service users and staff it is apparent that service users are given the opportunity to participate in a number of activates. One service user attends a local day centre and staff assist service user to attend appropriate support groups. Staff stated they intended to arrange support from Turning Point to assist service users in finding employment and where possible service High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 14 users will be supported to find appropriate educational or training courses at a local college. Discussion took place with staff regarding the need to ensure that information regarding the activities service users are participating in is recorded in care plans and daily records to provide written evidence for future inspections. According to the home’s Service User Guide, friends and relatives are able to visit service users at home from 8 a.m. to 9 p.m. and the time is negotiable over the weekend. The home also has rooms available for service users to meet guests in private other than their bedroom. A service user spoken with confirms that he receives regular visits from his family and was looking forward to going home and spending Christmas with them. The homes Service User Guide clearly set out the expectation that service users will participate in daily housekeeping tasks such as cooking and cleaning their own bedrooms and undertaking their personal laundry. Service users were seen to assist staff in preparing lunch during the inspection. Record seen indicated that service users are provided with a varied nutritional diet and service users are involved in menu planning and preparation of food. Staff were asked to keep a more detailed record of food provided to service users i.e. record vegetables provided and the contents of sandwiches. The home was well stocked with provisions and service users were given a choice of food for lunch. Staff were asked to ensure that all food being stored in the freezer was appropriately sealed and labelled including relevant dates. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 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 the following standard(s): The overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff uphold service users’ privacy and dignity at all times and ensure that their healthcare needs are met. Medication practises need minor improvements to safeguard service users’ health and wellbeing. EVIDENCE: The home operates a key worker system; staff spoken with were able to provide the inspector with a clear picture of the additional responsibilities this entails and the way in which they provide support to service users they are responsible for. Good interaction was seen between staff and service users. Staff addressed service users by their preferred name, and spoke with them in a respectful manner. As previously stated service users have only recently moved into the home so there was limited information regarding their contact with community health services at present. However the Service User Guide indicates service users will receive regular routine health checkups and have access to community health care professionals such as dentists, chiropodists and opticians as and High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 16 when required. In addition service users will have access to more specialised health care professionals when needed. An audit of medication was undertaken for two service users. The inspector found that medication was being safely stored and administered. Discussion took place with the deputy manager of the home regarding the need for a record of staff signatures to be maintained in relation to those responsible for administering medication; this enables those inspecting the records to undertake an effective audit. The deputy manager stated that he currently undertakes training for staff in relation to medication procedures as he holds a relevant qualification to enable him to do this. He was advised to ensure he arranges regular training opportunities for himself to update his knowledge, skills and competence to that required by the Royal Pharmaceutical Society. Discussion took place in relation to service users managing their own medication. At present none of the service users accommodated do so; however, as the Statement of Purpose indicates, admission may be for shortterm care. A policy and procedures should be developed in relation to service users managing their medication to prevent them from becoming deskilled whilst living in residential care. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 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 the following standard(s): 22,23 The overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users and their representatives can be confident that any concerns raised will be addressed by the responsible individual. EVIDENCE: Both the Statement of Purpose and Service User Guide provides service users and their representatives with clear information on the homes complaints procedure. Staff spoken with were aware of the term Whistleblowing; however they could not recollect the homes Whistleblowing policy being addressed when they commenced working in the home or if they had attended formal adult protection training courses. The Responsible Person needs to ensure that they obtain copies of the adult protection policies for those local authorities which have placed service users in their care and further have a clear understanding of these policies. The Responsible Person also needs to liaise with relevant local authorities to obtain training for staff in relation to adult protection, and this training is required to be updated on a regular basis. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 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 the following standard(s): 24,30 The overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are provided with a comfortable homely environment. Action needs to be taken to ensure that there is a sufficient supply of hot water at all times. EVIDENCE: On the day of the inspection all parts of the home were clean and free from unpleasant odour. Service users are provided with a comfortable homely environment which is well decorated, maintained and appropriately furnished. One of the service users at home showed the inspector his bedroom which was spacious, appropriately decorated and furnished. The service user stated that he was very happy with his room and had been provided with everything that he needed. Although he has a shower in his bedroom he stated he preferred to use the bath which is closely situated to his bedroom. Not all bathroom and toilet doors have been provided with appropriate locks and action should be taken to address this. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 19 The laundry is situated in the basement and fitted with domestic scale appliances to enable service users who are able to wash their own laundry. On the day of the inspection there was no hot water to the bath on the first floor or to the kitchen. This must be addressed as soon as possible, not only for the comfort of service users, but to minimise the risk of the spread of infection. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment practices need to be developed further to protect service users living in the home. EVIDENCE: Both the manager and a deputy manager hold relevant care qualifications and have a number of years experience in the social care field. The majority of staff working in the home also hold an NVQ qualification in care. The home benefits from having a suitably equipped and furnished room for the purpose of staff training. Staff stated they had recently attended a training seminar regarding epilepsy awareness, and one member of staff spoken with stated she had also attended a training course specifically in relation to meeting the needs of people with mental health problems. From discussion with the deputy manager it is apparent that considerable training is being provided by him to care staff working in the home. Discussion took place with the responsible person and the deputy regarding the need for him to have training opportunities to update his own skills and competencies. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 21 All of the staff spoken with clearly demonstrated a commitment to providing a caring and supportive environment for the service users accommodated. Neither of the staff spoken with could recollect undertaking induction training when they commenced working in the home. It is important staff undertake an period of induction in order to understand the home’s policies, procedures and to meet the needs of the service user group accommodated. The deputy manager stated that he was currently working on this issue and in the future an induction programme would be implemented which would comply with the Skills for Care Framework. Further he is also currently preparing a staff training matrix highlighting staff training to date and indicating future training needs. A sample of two staff files were examined in relation to recruitment procedures within the home. This highlighted that considerable work must be undertaken by the responsible individual to meet the Care Homes Regulations 2001. 1) There should be a photograph of each member of staff working in the home. 2) There should be evidence that a POVA check has been undertaken for each member of staff working in the home. 3) There should be a minimum of two references, one of which is the member of staffs most recent employer. 4) When references have been provided by a business or organisation proof of their authenticity should be retained i.e. an attached compliments slip etc. The deputy manager stated that he was aware that improvements needed to be made to the current practise in relation to staff recruitment and he was addressing this issue. The staff rota indicates that the deputy manager is classified as a member of care staff with responsibility for providing care and service to service users directly when on duty. Discussion took place with the responsible individual regarding the amount of time the deputy manager is currently spending addressing management and administration tasks in the home as it is not possible for both tasks to be performed simultaneously. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Mechanisms are in place to ensure that the home operates well on a day-to-day basis. EVIDENCE: Before Highview opened as a residential care home the responsible person was assessed by the CSCI central registration inspectorate as being a suitably qualified and competent person to own and manage the home on a day-to-day basis. Discussion took place with the Responsible Person regarding quality assurance mechanisms. At present she is considering asking the manager of another home owned by her to undertake regular monthly visits to the home. Staff spoken with confirmed that regular staff meetings take place and they have the opportunity to air their views. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 23 Staff spoken with stated they had undertaken food hygiene courses regarding the safe handling of food; however from discussion it was apparent that not all staff have received first aid training and this must be addressed. Documents seen at the time of inspection indicate that regular tests of the fire alarm system take place. Training for staff in relation to fire safety has been arranged for the early part of 2007. High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 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 Standard No Score 1 2 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 25 N/A 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 YA1 Regulation 4.1 Requirement The Responsible Person must amend or clarify information in the Statement of Purpose to ensure it is accurate (see text in report). The Service User Guide must be amended to accurately reflect the number of service users the home is registered to accommodate. The Responsible Person must ensure that service users are provided with clear information regarding the cost of services in the home; in this instance fees charged by staff for transportation of service users must be clearly detailed in the home’s Statement of Purpose. Timescale for action 01/04/07 2 YA1 4.1 01/04/07 3 YA1 4.1 01/04/07 4 YA12 16(m) 5 6 YA23 13(6) 23(j) YA24 The Responsible Person must be able to provide written evidence 01/04/07 that appropriate social activities are arranged for service users. The Responsible Person must 31/05/07 obtain training for staff in relation to adult protection. The responsible person must 28/02/07 ensure there is a constant supply DS0000066673.V311349.R01.S.doc Version 5.2 Page 26 High View Residential Unit 7 YA34 8 YA42 of hot water at all times, not only for the comfort of service users, but to minimise the risk of the spread of infection. SCHEDULE The Responsible Person must 30/04/07 2 of the ensure that staff recruitment Care Home practices comply with the Regulations current Care Home Regulations. 2003 13(4)(C) The Responsible Person must 30/06/07 ensure that staff receive training in first aid. 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 2 3 4 5 Refer to Standard YA3 YA6 YA7 YA17 YA20 Good Practice Recommendations The initial assessment should be more comprehensive and include information in standard 2.3 A more detailed care plan should be developed based on the more comprehensive assessment completed at the time of service users’ admission. A receipt should be given to relatives following financial transactions confirming the amount of money deposited with the home for safekeeping. All food being stored in the freezer should be appropriately sealed and labelled including relevant dates. A record of staff signatures should be maintained in relation to those responsible for administering medication. to enable the manager to undertake an effective audit of the system. The Responsible Person should obtain copies of the adult protection policies for those local authorities, which have placed service users in their care. An induction programme should be put in place for staff working in the home. 6 YA23 7 YA33 High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 High View Residential Unit DS0000066673.V311349.R01.S.doc Version 5.2 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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