Inspection on 24/05/05 for Hoffmann Foundation for Autism 69 Castleton Avenue

This inspection was carried out on 24th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hoffmann Foundation for Autism... 05/10/07

Hoffmann Foundation for Autism... 06/06/06

Hoffmann Foundation for Autism... 26/10/05

Hoffmann Foundation for Autism... 04/02/05

Hoffmann Foundation for Autism... 12/07/04

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

CARE HOME ADULTS 18-65 69 Castleton Avenue 69 Castleton Avenue Wembley Middlesex HA9 7QE Lead Inspector Julie Schofield Unannounced 24 May 2005 7.50am 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. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 69 Castleton Ave Address 69 Castlteon Ave Wembley Middlesex HA9 7QE 020 8902 1155 020 8900 0930 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) Hoffman Foundation for Autism Leticia Addo CRH PC 6 Category(ies) of LD 4 registration, with number LD(E) 2 Male of places 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Temporary variation agreed for one named individual PW aged 65 years for the duration of his stay. 2. Temporary variation agreed for one named individual ME aged 65 years for the duration of his stay. 3. The home is not to accommodate any new service user aged 35 years or under throughout the duration of these temporary variations. Date of last inspection 04 February 2005 Brief Description of the Service: 69 Castleton Avenue is a registered care home for 6 adults with learning disabilities. At the time of the inspection there were 6 residents accommodated in the home, although 1 resident was in hospital. 69 Castleton Avenue is an extended semi-detached house in a quiet residential road close to East Lane and Wembley High Street. It is within walking distance of shops and bus routes. The area to the front of the house has been paved over to provide off street parking. At the rear of the property is a pleasant garden with a lawn and patio area. The property consists of a ground and first floor and at the front of the house is a ground floor flat (occupied by one of the residents) which is integral to the house. The flat consists of a bedroom, bathroom, kitchen and lounge. The flat has its own front door and another door, which opens into the ground floor corridor. The rest of the ground floor consists of a laundry, an office, the small lounge (known as the music room), the large lounge and a communal toilet. On the first floor there are five residents’ bedrooms, two bathrooms and a staff sleeping in room. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Wednesday morning in May 2005. It lasted for 4 hours 15 minutes. The Inspector would like to thank the manager, staff and residents who took part in the inspection and gave their comments. Case files and staff files were examined and a partial site inspection took place. What the service does well: What has improved since the last inspection? 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 6 In house workshops have been introduced to enable small groups to have coaching in a topic that will help them with their work e.g. computer skills. Staff have been able to make suggestions for the topics to be covered. Staff have received training in all safe working practice topics. Work has been undertaken on the cracked paving stones of the parking area at the front of the house to create an even surface. A copy of the business plan for the period 2004-2007 was now present in the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 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 standard(s) 5 Residents do not have an individual contract with the home to which they can refer to and check that the service provided satisfies their entitlement. When drawing up individual contracts consideration must be given to a format that is appropriate to the needs of the resident. EVIDENCE: The need to draw up an individual contract for each resident, which includes all the information listed in the National Minimum Standards (5.2) was identified during the last inspection. The manager said that this is still to be completed as part of a general review of the company’s documentation and that the company was considering what would be an appropriate format. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 9 Regular reviews of the placement are needed to confirm that the care home continues to be able to meet the individual needs of the resident. Evaluating care plans on a regular basis ensures that changes in the needs of residents are identified and can be addressed. Staff support residents to take responsible risks so that residents can enjoy an independent lifestyle. EVIDENCE: The case files of 3 of the residents were examined. Each contained a comprehensive care plan with a risk assessment for each of the aspects of daily living identified. Recorded monthly evaluations of the care plans were up to date. Files also contained lists of support needs, personal development plans etc. The review of the placement was overdue for one resident and the manager said that the original date had been cancelled and then rescheduled. One case file was for a resident who had been admitted at the end of 2004. The initial review of the placement, which takes place 6 weeks after admission, had taken place. Risk assessments, tailored to the individual needs of residents, were on file. The risk assessment included risk management strategies. Risk assessments 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 11 included the topics of aggressive behaviour, visits by friends of the opposite sex, going on a short break holiday etc. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 Residents have access to day centres, drop in centres and college, which provide an opportunity to develop their social and communication skills. Taking part in activities and holidays gives residents the opportunity to become more independent and to enjoy an interesting and stimulating lifestyle. The support of staff enables residents to maintain family contact. Residents have the opportunity to exercise their civic duties. Residents have access to a varied and balanced diet, with dishes to satisfy the principles of healthy eating but records of meals consumed need to be complete. EVIDENCE: All of the residents have day care programmes, which include either day centres, drop in centres or college attendance. Two of the younger residents have programmes, which include social skills sessions and visits to the gym etc. Residents have opportunities to acquire independent living skills and some of the residents are doing cooking sessions either at college or day centre. A resident said that they helped to wash and iron their clothes and to clean their room. At meal times residents help to clear away dishes and to load/ unload the dishwasher as part of a rota, which is on display. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 13 One resident attends college on 3 days per week and another resident attends college on 2 days per week. College sessions include literacy skills, artwork, computer skills and photography. Two residents attend advocacy sessions. Residents make use of community facilities including shops, cinema, pubs, restaurants, leisure centres etc and a resident confirmed that they have enjoyed meals at a pub. One of the residents said that they enjoyed going to discos and parties. A resident confirmed that board games etc were available for use in the home and listed 3 of the games that they enjoyed playing. The staff said that on a Friday night there were video and popcorn sessions in the home. The home has a history of arranging annual holidays (both in the UK and abroad) for residents and one of the new residents said that they would like to go abroad this year. A resident said that they remained in contact with their family and received visits from them and made visits to them. They also said that although they had a mobile telephone they were able to use the telephone in the office to contact their family. A resident said that a friend of theirs had been invited to their “welcome to the home” party and another resident confirmed that they have male and female friends. A resident confirmed that they had voted at the last election. At the start of the inspection residents were having their breakfast and 1 resident who was unwell had a breakfast tray taken to their room. Other residents chose from a selection of cereals and had toast and tea. Some residents were encouraged to make a drink, make their toast or to pour out their chosen cereal etc. A resident said that they helped draw up the menu and shopping list and a member of staff confirmed that residents help with the shopping. A copy of the weekly menu is kept in a file and the file was examined. The records and the menu on display in the kitchen demonstrated a balanced and varied diet, which included fresh vegetables and fruit. On some days an alternative dish was listed on the menu. Food records are kept but a record was not always kept of who had chosen an alternative dish or whether residents had selected the main dish. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 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 Residents receive support with personal care tasks so that their dignity and self-esteem is encouraged and maintained. Residents’ health care needs are met through access to health care services in the community. Residents are supported by staff to take their medication, at the times directed and in the doses prescribed by their GP, in order to promote their general health. EVIDENCE: Residents require varying degrees of assistance or prompting with personal care tasks and there are female members of staff to assist female service users. Assistance is offered by staff in a discreet and tactful manner so that residents present a smart appearance e.g. staff will remind a resident if clothing needs to be ironed. A resident said that they chose what clothes to wear each day and that a member of staff helped them with their hair extensions. Residents are encouraged to brush their teeth and to use a mouthwash to maintain good standards of oral hygiene. Case files contained evidence of access to health care services in the community. Records were kept of appointments with the GP and of hospital outpatient appointments. There was reference to a member of staff escorting the resident. Residents had access to routine screening e.g. blood tests, xrays etc. Referrals had been made to the physiotherapist. Regular appointments with the chiropodist, dentist and optician took place. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 15 Medication is kept securely in a locked cabinet. The pharmacist supplies weekly dosette boxes and the manager said that these were checked on arrival. They were inspected and it was noted that the medication had been appropriately administered to residents prior to the inspection. The date of opening had been recorded on the label of bottles containing medication. The manager said that all staff administering medication have received training. Records of the administration of medication and of medication received and returned to the pharmacist were inspected. They were up to date and complete. Medication is given to residents in the office, on an individual basis, and this is an opportunity for the member of staff and the resident to discuss matters in private. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 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, 23 Residents who are able to communicate verbally said that they were aware of their right to complain if the care that they received was not satisfactory. Other residents communicate displeasure in a number of ways and staff are able to respond to verbal and non-verbal cues. An adult protection policy, familiarity with the interagency guidelines and protection of vulnerable adults training for staff contribute towards the safety of residents. EVIDENCE: A complaints procedure is in place. The manager said that no complaints have been recorded since the last announced inspection. However as only 2 residents are able to fully communicate verbally the manager said that staff also use their observational skills to detect any signs of displeasure on the part of the other residents and respond to this. Two residents said that if there was something that they were not happy with or was worrying them they could speak with the manager. There is a protection of vulnerable adults policy in place. The home has a copy of the local authority’s interagency guidelines. The manager confirmed that staff have had protection of vulnerable adults training some time age and that update training has been arranged. A member of staff attended this on the day before the inspection and is due to cascade any new information to the staff team at the next team meeting. The proprietor said that no allegations or incidents of abuse have been recorded since the last announced inspection. Restraint is not practiced in the home and there are policies and procedures for the handling of residents’ monies and in respect of gifts and gratuities. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 17 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, 30 Maintenance programmes for care homes are ongoing and although work to the parking area has been carried out the kitchen/dining area needs redecoration. Residents are pleased to enjoy the privacy of comfortably furnished and decorated bedrooms. Residents live in a home, which is clean and tidy although staff need infection control training to equip them to maintain good standards of hygiene. EVIDENCE: The surface of the paving at the front of the house that had been uneven has now been covered and provides a flat surface to walk over. The lilac paintwork in the kitchen/dining room needs redecorating. A partial site inspection took place and with the permission of a resident, one of the bedrooms was inspected. The bedroom that was seen was of a good size, comfortably furnished and decorated. Another resident said that their bedroom was lovely and that they were pleased with this. Five of the residents have their own single bedroom, which contains a wash hand basin, and the sixth resident has a one bedroom flat with its own bathroom. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 18 The parts of the home inspected were clean and tidy. The laundry is on the ground floor of the home and access to this does not involve walking through any area where food is stored, prepared or consumed. Although the room is very small it contains a commercial washing machine and commercial dryer. As the home services incontinent laundry the washing machined has a sluicing cycle. The room contains hand-washing facilities. The manager confirmed that staff are still waiting to attend infection control training although the manager said that attempts have been made to secure training. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 19 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) 32, 33, 34, 36 There is an on going programme of NVQ training to ensure that staff have the skills and knowledge to meet the needs of the residents and the home is on target to exceed the 50 of carers quota. The rota demonstrated that there were always sufficient members of staff on duty to support the residents. The recruitment process protects the welfare of the residents. Individual supervision sessions enhances the overall support available to staff and is an opportunity to encourage personal development. EVIDENCE: Three members of staff have completed their NVQ training. Three more staff are currently undertaking either level 2 or level 3 training and 2 more staff are about to enrol. The manager said that when the staff who are currently undertaking training complete their courses the home will have exceeded the target of a minimum of 50 of carers having an NVQ level 2 or 3 qualification. Most staff have undertaken Makaton training and there is access to training in respect of autism, conflict resolution etc. The rota was examined. Two staff were on duty on the each of the daytime shifts although the manager said that if residents were attending activities outside the home e.g. attending discos or college etc an extra member of staff was deployed. Details on the rota included the manager’s hours, the post 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 20 titles of members of staff and the identity of the shift leader. There is a separate rota for the on call management team. Two staff files were examined. Each file contained a satisfactory enhanced CRB disclosure and evidence of 2 satisfactory references being obtained. One file contained passport details and proof of identity and the other file contained a letter from a solicitor regarding immigration matters. Individual supervision sessions are given to care staff by the manager and the deputies and the manager said that they have all undertaken a training course for this task. Staff confirmed that they receive supervision sessions and the manager said that these are carried out once every 4-6 weeks. Staff meetings are held every 2 weeks. In house workshops have been introduced for staff and the topics have included suggestions made by staff e.g. computer skills. The workshops take only a small number of staff at a time. The manager discussed the annual appraisal system and said that the new format (available in the home) was being used at the moment. The new format included a section to record the training needs, experience and developmental needs of the member of staff. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 21 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) 37, 39, 40, 42, 43 Continuing development of knowledge and skills contributes towards an effective manager and the manager has identified this as a priority. Residents’ views are sought and used to develop the service in the home. There is a comprehensive manual of policies and procedures to support good working practices in the home. The training that staff receive in safe working practice topics enables them to safeguard the health and safety of the residents. Testing of equipment and risk assessments help maintain a safe environment for those living and working in the home. Lack of information about the handling and use of products governed by COSHH guidelines presents a possible safety hazard for staff. The home has a business plan that demonstrates the home’s financial viability and sound management. EVIDENCE: 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 22 The manager said that they have completed the modules for the RMA award and is waiting for the assessment of these to be undertaken. A resident confirmed that residents’ meetings took place. Daily handover sessions take place in the afternoon, which involve both staff and residents. Residents’ individual activities programmes have been amended at the request of the resident. Staff are aware of where policies and procedures are kept in the home, to which they can refer. These are a comprehensive resource. They have been signed and dated by the manager who said that she had obtained the most recent version of the documents from Head Office. A training list for 2005 was available and this included training in safe working practice topics. The manager said that new staff would attend these as part of their induction and established members of staff would attend when the policy of the company identified that a refresher course was required. There were recorded risk assessments for safe working practice topics. Products governed by COSHH guidelines are kept securely in a locked cupboard although information sheets about how these should be safely handled etc were absent. Valid certificates were available for the testing of the portable electrical appliances, the servicing of the fire precautionary systems and equipment and the Landlords Gas Safety Record etc. Records were kept of regular fire alarm tests and fire drills. The manager provided a copy of the business plan for the period 2004-2007. A valid certificate of insurance cover for public liability was on display and provided cover up to a minimum of £5 million. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x x x 2 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 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 69 Castleton Avenue Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 x 2 3 G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 5.1 Requirement That an individual contract is prepared for each resident, which includes all the information listed in 5.2 National Minimum Standards-Care Homes for Adults 18-65. (Previous timescale of 01 May 2004 not met). That the home ensures that the placement and care plan is reviewed on a 6 monthly basis. That a complete record is kept of the meals consumed by individual residents. That the lilac paintwork in the kitchen/dining room is redecorated. That all staff receive infection control training. (Previous timescale of 01 December 2004 not met). That information regarding the handling and use of products governed by COSHH guidelines is available in the home. Timescale for action 01 November 2005 2. YA6 14.2 3. 4. 5. YA17 YA24 YA30 17.2S4.13 23.2 13.3 01 September 2005 and ongoing 01 August 2005 01 November 2005 01 November 2005 01 September 2005 6. YA42 13.4 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 25 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. Refer to Standard YA17 YA23 YA37 Good Practice Recommendations That an alternative dish is listed on the menu for each main meal. That the new adult protection training information is cascaded to all members of staff during a staff meeting. That the manager informs the CSCI when they have received their RMA certificate of achievement. 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 4th Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 69 Castleton Avenue G62-G11 S17432 69 Castleton Ave v213695 240505 Stage 4.doc Version 1.30 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!