Inspection on 14/09/07 for Highbury New Park Care Home

This inspection was carried out on 14th September 2007.

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 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

Highbury New Park Care Home 10/04/06

Highbury New Park Care Home 14/12/05

Highbury New Park Care Home 19/10/05

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

CARE HOMES FOR OLDER PEOPLE Highbury New Park Care Home 127 Highbury New Park London N5 2DS Lead Inspector Pippa Canter Unannounced Inspection 10:00 14 September 2007 th X10015.doc Version 1.40 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 Highbury New Park Care Home DS0000063987.V352929.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 Older People. 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. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highbury New Park Care Home Address 127 Highbury New Park London N5 2DS 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) 08452010822 02077049926 manager.highburynewpark@careuk.com Care UK Community Partnerships Ltd Florence Justina Clarke Care Home 53 Category(ies) of Dementia (0), Dementia - over 65 years of age registration, with number (53) of places Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1st Floor - Dementia - Over 65 DE(E), Personal Care Only (18Service Users) 2nd Floor - Dementia - Over 65 DE (E), Nursing Care (17- Service Users) 3rd Floor - Dementia - Over 65 DE (E), Nursing Care (18 - Service Users) 1 bed can be used in respect of a named individual aged 63 and over 10.04.07 Key Unannounced Inspection Date of last inspection 21.09.07 Random Inspection 18.07.07 Random visit Pharmacy Inspection Brief Description of the Service: 127 Highbury New Park is a modern purpose-built care home providing care and support for older people with a form of dementia. The home was built and registered in June 2005 and is owned by the company Care UK Community Partnerships Ltd. The service provision is in partnership with Islington Council and Islington Primary Care Trust (PCT). The home is built over four floors. Offices and a day centre are on the ground floor - the day centre is not subject to regulation under the Care Standards Act. Accommodation for service users is as follows: 1st Floor for 18 people needing personal care (residential care unit) 2nd Floor for 17 people needing nursing care 3rd Floor for 18 people needing higher nursing care The home is fully wheelchair accessible with 2 lifts to the upper floors and has up to date equipment and facilities and continues to acquire equipment as identified. There are 53 spacious single bedrooms each with en-suite shower, toilet and washbasin. Each floor has a well-appointed dining room and a choice of relaxing sitting areas and quiet room. In addition the home has a fully equipped hairdressing salon, activities centre and garden room. There are landscaped gardens and patio areas. The home deploys a staff team comprising administrative staff, domestic staff, laundry staff, maintenance staff, care staff, nurses, and unit managers. At the time of this inspection there was a new Registered Manager in post. The home is situated in a residential area in North London, between Arsenal Underground and Highbury & Islington, British Rail and London Underground. A number 393 bus stops outside the home and runs between Highbury and Islington & Stoke Newington. There is limited parking. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit for this key inspection was unannounced, and took place on a weekday from 10.00 to 16.00. One inspector carried it out. Prior to the site visit all information held at our office had been reviewed. This included reports that had been sent to us on a monthly basis, and about any incidents/changes that had occurred since our last visit. The manager had not returned an Annual Quality Assurance Assessment (AQAA). This was prearranged with the lead inspector as she wanted to attend a seminar about AQAA’s before she completed it. The AQAA was received prior to completing the draft report. It gave us information about the people living and working in the home as well as the home’s compliance with the key standards. We sent questionnaires in the home for people who live there, for staff, relatives and professionals who visit the home. We received replies from 8 people who live in the care home, four relatives and three members of staff. Comments from these surveys are to be found in the summary and in the main body of the report. This unannounced key inspection concentrated on those key standards that we could not make a full judgement on without a site visit. During the visit we spoke to people living in the home, and examined seven case files in depth. We talked to four of these people, and compared the planned care with the care they were actually receiving. We carried out a small sample audit of medication on each floor. We went round the home speaking to other people living in the home, to some staff and checking bathrooms and bedrooms We indirectly observed both nurses and care staff carrying out their duties. We have used the information collected from all sources to reach the judgments made in this report. At the end of the visit we discussed our findings with the manager and deputy manager, and a form will be sent with the draft report so they can let us know how they felt we had conducted the inspection. What the service does well: Comments received during this inspection are as follow: “The home is really quite lovely and very clean” “They (the staff) show great patience and love……..” “They (the staff) seem well organised and patient. My husband is grateful to them for the care he receives.” “All the staff are very caring; they always put the person first. We are very pleased with the way they handle things”. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 6 “Since the new manager took up the post, the home has achieved high standards and even received commendations from our very own Management Director”. “They are well fed and well looked after.” People being admitted to the home are supported to move in and the process enables them to become accustomed to their new environment. A full assessment is completed so that all the relevant information is known and a care plan developed to meet the person’s needs. The home is purpose built, so is fully accessible to people with disabilities. All rooms are single occupancy and have an ensuite shower, WC and hand basin. This affords more privacy and dignity. All necessary aids and adaptations are available to ensure a comfortable and safe environment for people who live in the home for those that work there and who visit. What has improved since the last inspection? What they could do better: The manager and staff team have taken a proactive response to meeting the requirements, which were set at the last key unannounced inspection and the pharmacy inspection. An area for improvement was identified at this inspection. Greater attention needed to be paid to the language used in the care plans. For example, gender being incorrect and infantile references to “bibs” and someone being “messy”. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People moving into the home can be confident that needs, expectations and aspirations will be met EVIDENCE: A total of seven care records were examined. The people had been admitted since the last inspection. People were asked about their experiences during the admission process. All seven care records examined contained pre-admission assessments. Within the contracting arrangements with the London Borough of Islington, all people referred to the home, are via Social Services through the Care Management Approach. Allied to this the manager or the deputy carry out assessments to determine whether the home is suitable to meet the person’s needs. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 10 New referrals and their relatives are welcome to make informal visits, to spend time in the home and have a complimentary meal. Feedback from one family was “We looked around 127 Highbury New Park and was very pleased in the way, Florence (the manager) runs it day-to-day.” Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, 9 & 10 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a continuous assessment, care planning and review process, which makes sure that the personal and healthcare needs of the people living in the home are met EVIDENCE: A sample of seven care plans were examined, which included looking at the daily recording for the previous three weeks. The care records were a sample from each of the floors . They included needs specific to racial origin, complex medical conditions, recent admissions and dementia. In each case we met with the person concerned but could not discuss their care with them in all cases. The relatives, health care professionals and care managers involved with each person was also asked for their feedback. A comparison was made between the care recorded in the records and the care being received by each resident. A sample audit was taken on each floor of the medication administration systems. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 12 All care plans were found to be up-to-date and reflected the needs and wishes of each individual service user. The care records were comprehensive and important health and personal care needs were clearly identified. Reviews are done on a monthly basis or whenever changes are noted. Where additional assessments were indicated, such as manual handling, risk of pressures sores and nutritional risks, these had been carried out and were reflected in the care plans. Samples of falls risk assessments and incontinence were also available. From observation and discussion with people using the service is was clear that service delivery matched the care plans. Comments received were:“All the staff are very caring. They always put the person first. Very pleased with the way they handle things.” “Yes, if asked for GP to come and see my mother, she is always seen in a couple of days.” The care records clearly show referrals to and the involvement of other health care professionals. The records show that the registered nurses have identified changes in condition or behaviour and have referred to the General Practitioner (GP). A relative commented, “I am very pleased with 127 Highbury New Park. I feel my mother is in safe hands and know that she is warm and well fed and she is around lots of people.” All service users are registered with a local GP. Through contractual arrangements, the GP visits the care home twice a week. Entries in care records show clear evidence of collaborative care with interventions from Occupational Therapist, Physiotherapist, Chiropodist, Dietician and a Tissue Viability Nurse. Dental and Optical needs are also addressed. As a result of previous inspection visits, a full inspection was requested by a Pharmacist from the Commission for Social Care Inspection. The pharmacy inspection did show the management of medication within the home needed to improve giving only an adequate rating for Standard 9. Five requirements had been set at the pharmacy inspection. As part of this site visit a sample audit only was taken on all three floors where residents are accommodated. This recent visit highlighted that there had been a marked improvement in accurate recording of receipts, administration and disposal of medication. There is compliance in all areas. Observation on the day of the site visit, discussion with staff, feedback from people using the service and the examination of the care records confirmed that overall staff respect the privacy and dignity of the people they look after. However there were examples of poor recording by staff. In one instance, the wrong gender had been used when describing the person; in another there was reference to the person wearing a “bib” because they were “messy”. It was discussed with the manager, who agreed, that greater attention needed to be paid to the language used in the care plans. For example, gender being incorrect and infantile references to “bibs” and someone being “messy”. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 13 Language is an indicator of attitude and approach, which in these cases were not in line with best practice. Please refer to requirement 1. All rooms are single occupancy and each one has an ensuite facility, which contributes in promoting independence, privacy and dignity. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the care home are able to live the life they choose. EVIDENCE: An activities co-ordinator has been appointed to facilitate the morning activity with carers. Each resident has an activity care plan with a varied activities program being in place during this visit. The morning’s activities are based around the daily activities, this may included dusting ornaments or folding towels. The afternoon activities are about leisure, which are mainly done by care staff, which enables more social interaction with the residents. Other variety activities are initiated by Art Therapists who visit twice weekly. Residents are able to choose from monthly outings to the cinema, weekly dance sessions with a dance trainer from Age Concern or specific one-to-one events. All residents have the opportunity to participate in their cultural and spiritual beliefs. Comments from residents, relatives and staff were:“Encourage the residents for all activities.” “The residents have all they need in being encouraged to play games, listen to nice music, watch the television and going out into the garden”. “Residents participate in a lot more activities and outings”. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 15 The care home makes visitors and relatives feel welcome as well as maintains a good level of communication with families. Comments received were: “Relatives and visitors always comment how homely and welcoming the home is and how friendly, the staff.” “Yes, they always telephone me and Florence, the person who runs it always keeps me posted. Very efficient.” “If mum has a bit of a problem, they tell me straight away.” A varied choice of food is available and culminated into a seasonal menu. Attention is given to cultural and dietary needs. Additional snacks and fruit are available at coffee and during the night. Freshly baked cakes are available daily with afternoon with afternoon tea. On a Wednesday, the residents bake a cake as part of their activity and this is served. The menu reflected peoples’ choices for meat eaters, vegetarians and varying cultural tastes. The food served at the lunchtime meal looked appetising and peoples’ preferences were being served. Comments received were: “Excellent meals provided always. Tables set out with the menu for each day with lots of variety.” “They feed us well and look after us” “The residents are well fed with all they need.” Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are fully protected by the proactive approach to complaints, incidents and allegations. EVIDENCE: Complaints, incidents and accidents are being recorded. These records were cross-referenced with the care records of the people being case tracked. The accident reports were compared with the Regulation 37 notifications sent by the service since the last inspection. The home has a comprehensive complaint’s policy and procedure. The procedure is available in the service user guide and in each residents’ bedroom as well as being on display in the home in the reception area. It is also available on request to relatives. Comments received were: “I usually tell one of the staff or go to the office if I have any concerns.” “They appear to treat all as they should be treated.” The service has a robust policy and procedure on adult protection, which is linked to local authority guidance. Staff have received training on adult protection and showed that they understood their role and responsibilities in this area for the safety and protection of the service users. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have a warm and comfortable environment that meets their needs EVIDENCE: A requirement was set at the inspection regarding the appearance of the home considering that it was a new build. The home was clean and well presented on the day of the inspection. The rooms of the service users being case tracked showed that individuals are able to personalise their private space. Individuals liked their bedrooms and in particular were pleased to have an ensuite shower, toilet and hand basin. There are also assisted bathrooms available should residents prefer a bath. All the rooms were clean and there were no odours detected. Comments received about the home were as follows: “The home is really quite lovely and very clean”. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 18 “Staff are always cleaning”. “Always someone is cleaning carpets and wiping down”. “Yes I think it feels very warm and cosy”. One area that the manager may wish to investigate further is a comment from a relative. “Security could be a bit better at the front entrance. Sometimes the door gets jammed and doesn’t shut properly” (This did not happen during the inspection visit.) Chemicals were being stored correctly and COSHH assessments and data sheets were in place. There was hand cleanser and protective clothing available in all required areas. Aids and equipment were available to meet the assessed needs of the people living in the care home Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team continue to develop their knowledge and skills to provide effective care for the residents who live in the care home. EVIDENCE: Feedback from the staff and an inspection of records confirmed that the care home has a robust and thorough recruitment and selection process. It is based on equal opportunities. New staff are only confirmed in post following successful interviews and receipt of a Criminal Records Bureau Check, two satisfactory written references, verification of qualifications and eligibility to work. Identity is confirmed through passport, visa and work permit. In respect of nursing staff all personal identity numbers are checked with the governing body. There is a training programme available. Staff confirmed that they have access to training that is in line with the resident’s needs and keeps them upto-date with current practices. Comments from a staff member included, “More training is provided to meet the staffs’ needs.” Remarks made about the staff from residents and relatives were recorded as follows: “Yes staff are always helpful and support you in any way” “There is always staff around”. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 20 “The staff show great patience and love to those people who are in “a world of their own”. “They (the staff) to be well organised and patient. My husband is grateful to them for the care he receives.” The moral in the home has improved with staff adopting a team working spirit and eager for more development. A staff member made the comment that “Staff are happier due to lots of changes being introduced within the home.” National Voluntary Qualifications (NVQ) are not reserved for care staff but ancillary staff, domestics, catering staff and the receptionist are registered to do an NVQ in the area of their work. Two requirements were made at the last inspection. There was a mixed response regarding the staff levels within the home. Comments received were: “Staffing levels should be increased to be able to render a high standard of quality of care to our residents.” “Provide enough for each shift” “Usually there is enough staff”. “Needs are always met and staff ratio on target.” “In my view, the employers consider the needs of the residents and staff. In some special occasions, we can’t give maximum care and support to the residents due to some problems.” During the inspection, the numbers of staff on duty on the day of the site visit were checked and map to duty rota. An overall view of staffing levels was that the needs of the residents are being met. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality assurance are effective and the service is proactive in addressing quality issues within the home ensuring that the home is being managed in the best interests of the people who live there. EVIDENCE: The manager completed and returned an Annual Quality Assurance Assessment (AQAA) following the inspection. This was pre-arranged with the inspector as the manager had arranged to attend a seminar on the completion of the AQAA. The information within the AQAA Discussions with the manager during the site visit demonstrated a good level of awareness of the strengths of the service and the areas where improvements are still necessary. These were reflected in the AQAA, which arrived before this report was written. A comment received about the management of the home was: “Since the Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 22 manager took up the post, the home has achieved high standards and even received commendations from our very own Management Director.” “……………….we are pleased in the way Florence runs it day-to-day”. The judgements in preceding sections of this report have contributed to the judgement in this outcome area. The care home has a welcoming environment and promotes an open and transparent style of management. Ten requirements were set at the last inspection and all these have been remedied. Staff are positive about the improvements in the home, which is highlighted by the comments in the preceding section. There are effective systems in place to manage financial arrangements within the home. The home’s Public Liability Insurance certificate is on display and is current. Staff are supported through professional and personal development A requirement was set at the last inspection regarding the introduction of a fire risk assessment. One is now in place on each floor. A sample of health and safety records were looked at. These confirmed that the home is being managed responsibly with essential checks being made. The provider monitors health and safety in the home. There are robust procedures in place to monitor compliance. Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP10 Regulation 12 (4) Requirement The registered person must make sure that all practices, including written records, within the home are conducted in a manner that respects the dignity of the people who live there. Timescale for action 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Highbury New Park Care Home DS0000063987.V352929.R01.S.doc Version 5.2 Page 26 - 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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