Inspection on 26/10/05 for Hoffmann Foundation for Autism 69 Castleton Avenue

This inspection was carried out on 26th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 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... 24/05/05

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 MIXED CATEGORY MAJORITY ADULTS 18-65 69 Castleton Avenue 69 Castleton Avenue Wembley Middlesex HA9 7QE Lead Inspector Julie Schofield Unannounced Inspection 26th October 2005 08:20 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 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 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 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 and 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. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 69 Castleton Avenue Address 69 Castleton Avenue Wembley Middlesex HA9 7QE 020 8902 1155 020 8900 0930 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) Hoffmann Foundation for Autism Ms Leticia Addo Care Home 6 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2) of places 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Temporary variation agreed for one named individual PW aged 65 years for the duration of his stay. Temporary variation agreed for one named individual ME aged 65 years for the duration of his stay. The home is not to accommodate any new service user aged 35 years or under throughout the duration of these temporary variations. 24th May 2005 Date of last inspection 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. 69 Castleton Avenue is an extended semidetached 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 DS0000017432.V257030.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Wednesday morning in October. It started at 8.20 am and finished at 11.05 am. The manager was off duty and the Inspector would like to thank the deputy manager, staff and residents who took part in the inspection. At the time of the inspection the home was meeting its conditions of registration. During the inspection selected records were inspected, case files examined, the administration of medication observed and the consumption of breakfast observed. What the service does well: What has improved since the last inspection? 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 6 Statutory requirements identified during the previous inspected have now been addressed. This includes contracts being drawn up for residents, review meetings being held on a regular basis, a record of meals consumed by individual residents being kept, the dining area has been redecorated, staff have undertaken infection control training and information regarding products stored in the COSHH cupboard is available. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4, 5 Prior to admission information is received about the prospective resident and the manager uses this to determine whether the home can meet the needs of the resident. Residents are involved in the process of choosing a care home that can meet their needs and make their decision after a programme of visits to the home has taken place. Residents receive a contract so that they know what facilities and services they are entitled to expect. EVIDENCE: Only 1 resident has been admitted to the home since the last inspection in May 2005. The resident had lived in another care home within the Hoffmann Foundation for Autism’s group of homes, prior to transferring to 69 Castleton Avenue. The resident’s case file was examined and there was evidence that the pre-admission procedure included an assessment of the needs of the resident. It had been the intention that the resident would stay in the other 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 9 home on a short-term basis and there was a transitional plan for the resident to move from the previous care home to 69 Castleton Avenue. The transitional plan included a programme of visits to 69 Castleton Ave so that the resident could see the house and the room that they would occupy, meet the members of staff and meet the residents already living in the home. On one of the visits the resident also had a meal with the residents. The need for residents to have an individual contract was identified during a previous inspection. At the time of the last inspection, in May 2005, work on this was still going ahead. This has now been completed and a copy is provided to each resident and placed in his or her room. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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 Regular reviews of the placement 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 and monthly reports need to be up to date. Residents exercise their right to make decisions within their day-to-day living although they may need assistance by members of staff or advocates to achieve this. Staff support residents to take responsible risks so that residents can enjoy an independent lifestyle. EVIDENCE: Three case files were examined during the inspection. Each contained a comprehensive care plan and the minutes of a recent Personal Development 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 11 Plan review meeting. Review meetings were attended by social workers, family members and a doctor from the hospital. A resident confirmed said that they had attended their recent review meeting and that the progress that they had made had been recognised. Two residents were able to name their key worker and were satisfied with the support given to them. Where necessary, guidelines were in place for supporting residents with behavioural issues. There was a system of monthly reports for residents but these were overdue on 2 of the 3 files. The home has a maintenance programme and residents are involved in choosing the colours used when redecoration takes place. There were colour charts in the office. These were marked with the choices made by residents who are moving to a new care home, within the company’s group of homes. A resident confirmed that their activities programme was based on their particular interests. It was noted that activity programmes changed to reflect changing likes and dislikes of residents. Residents who were able to comment confirmed that they chose what to wear in the mornings, what time to go to bed and to get up in the morning, what activities to take part in and what to eat. Advocacy group sessions were recorded on the weekly programme of activities, on display in the kitchen, for some of the residents. Risk assessments, tailored to the individual needs of residents, were on file. The risk assessment included risk management strategies. Risk assessments included the topics of medication, acts of violence, weapons, communication, finances and using the community. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12, 14, 17 Standards 13, 15 and 16 were inspected during the previous inspection. Residents attend day care services, which provide an opportunity to develop their social and communication skills and help prepare for future employment. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 13 Residents develop their independent living skills through opportunities in the home to carry out domestic tasks. Residents are able to take part in a programme of activities both inside and outside the home, which provide stimulation, interest and enjoyment. Residents are offered a varied and balance diet. EVIDENCE: Three residents attend a social skills group on a weekly basis. It was noted that the communication skills of one of the residents has developed as their use of language increases. The deputy manager said that staff undertake Makaton training, as one resident is familiar with the signs. Staff said that they encouraged residents to do as much for themselves as they could so that residents could develop their independent living skills. Two residents said that they helped with setting the table or loading the dishwasher and they referred to the rota, which was on display in the kitchen. Residents had time on their programme where they helped to tidy and clean their rooms and to do washing and ironing. Their level of involvement varies according to their skills. Each resident has their own programme of activities and these were recorded on the board in the kitchen. One of the residents said that there was a copy of her weekly programme in her room and another copy in a folder “downstairs”. During the inspection 2 residents left the home to attend a day centre. One resident was going to the company’s head office as they said that they did administrative duties on 2 afternoons per week. (The resident has previously expressed a wish to work full time, in an office setting, in the future). Three residents were in the home and one of the residents said that their usual activities were cancelled, as it was half term. Alternative arrangements were being made for activities and one of the residents left to go to the local library during the inspection. A resident said that there were board games in the home and that they played these with 2 of the other residents. They said that they used the exercise bike, as they liked to keep fit. They also said that there were popcorn and video evenings in the home. Residents said that activities outside the home included shopping, using the library, walking and using the leisure centre. One resident said that they had been on an outing to Eastbourne, in the summer. Two residents had been on a holiday to Butlins. Although a home had been planned for 2 other residents the deputy manager said that approval by the placing authority had not been received in time to make a booking. Residents were eating their breakfast during the inspection and were having their breakfast at a time that enabled them to take part in their planned activities. Residents had a continental breakfast and were encouraged to make their own drink or toast or to serve their cereal, were able. A record of 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 14 what individual residents consume at meal times is kept in the logbook and was seen. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Residents receive assistance with or prompting with personal care in a manner, which respects their privacy but appropriate clothing needs to be worn in communal areas to protect the dignity of residents. Residents’ health care needs are met through access to health care services in the community. EVIDENCE: The level of assistance that residents require with personal care varies. Some residents require prompting with certain tasks while other residents may require direct support. Residents were dressed smartly and a member of staff discretely advised a resident on appropriate seasonal clothing. However, one of the residents was sitting having breakfast in their pyjamas, without a 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 16 dressing gown, and it compromised the dignity of the resident in front of other residents and visitors. During the inspection one of the residents complained of a sore throat and the deputy manager gave practical support and advice and discussed a referral to the GP. A resident said that they had problems with their feet and that they had seen the chiropodist. They also said that the optician visited the home to carry out checks for the residents. Medication was administered during the inspection and the deputy manager did this with one resident at a time, in the office so that the resident’s privacy was respected. The storage of medication was safe and secure. Medication was offered with sufficient fluids. Records were up to date and complete. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 are the key standards to be inspected at least once during a 12 month period, for adults 18-65. These were inspected during the previous inspection. EVIDENCE: 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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 Residents live in a home with comfortably furnished and decorated communal areas, which are kept clean. They are satisfied with the accommodation and facilities in the home and pleased with its convenient location. Residents live in a home where standards of cleanliness are good. EVIDENCE: 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 19 A partial site inspection took place. The premises are comfortable and decorated and furnished in a “homely” manner. Residents said that they liked the location of the home and its interior. It was noted that a section of the work surface in the kitchen was missing and therefore there was nothing covering the top of 2 floor-standing kitchen cabinets. Since the last inspection the dining area has been redecorated. The parts of the home, which were inspected, were clean and tidy and free from offensive odours. There is an infection control policy in place and since the last inspection the staff team has undertaken infection control training. Laundry facilities are situated on the ground floor and access to this room does not involve transporting laundry through any area where food is prepared or consumed. The washing machine has a sluicing cycle. A copy of the file containing information about the use of and the handling of products kept in the COSHH cupboard was available in the office. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 Standards 32 and 34 were inspected during the previous inspection. The rota demonstrated that there were sufficient staff on duty to support the residents and to meet their needs. The home has a training plan for ensuring that training provided enables staff to meet the objectives contained in the Statement of Purpose and is tailored to meet the individual and changing needs of residents. The home continues to support staff undertaking NVQ training. EVIDENCE: 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 21 During the inspection the deputy manager and 2 support workers were on duty. A support worker left the home during the inspection as they were escorting a resident in the community. There were sufficient staff on duty to meet the needs of the residents and to support residents both inside and outside the home. There are male and female members of staff and male and female residents. Assistance with personal care tasks is given to a female resident by a female member of staff. The staff team reflects the cultural composition of residents. Staff confirmed that regular staff meetings take place. The company has a training officer who arranges an induction to the organisation. This is complemented by the home’s in house induction training. There is a training plan for the year and a copy was on display in the home. It included diversity training, training in health and safety, protection of vulnerable adults training, conflict resolution and training in safe working practice topics. There was also training relevant to the client group e.g. Makaton, challenging behaviour etc. The home also has a training budget and has organised training in epilepsy. Staff are also undertaking NVQ training. The deputy manager said that staff might have had over 5 training days per year. He said that staff appraisals include an identification of training needs. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 Standards 37, 39 and 42 were inspected during the previous inspection. Where feedback is encouraged from residents and staff, good standards and working practices are achieved. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 23 EVIDENCE: Staff confirmed that staff meetings took place and that a representative from the home attended a meeting at head office with the senior manager. This was an opportunity for staff to make their views about the service known. There had also been recognition for staff that had worked exceptionally well. There was a notice in the dining area about residents’ meetings and a resident confirmed that they attended these. They said that during the meeting they were asked if they were satisfied with the service, whether they were happy with life in the home and what activities they would like to see in the home. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X 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 X 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT 37 X 38 3 39 X 40 X 41 X 42 X 43 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 2 3 X 3 X 3 3 X 3 X X 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 25 NO 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 2 Standard YA6 YA18 Regulation 15.2 12.1 Requirement That monthly reports are up to date. That staff encourage residents to wear a dressing gown over nightclothes when they are seated in communal areas. That the missing section of worktop in the kitchen is replaced. Timescale for action 01/12/05 01/12/05 3 YA24 23.2 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA14 Good Practice Recommendations That the home contacts the placing authorities again to get permission for residents to go on a holiday. 69 Castleton Avenue DS0000017432.V257030.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Harrow Area office Fourth 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 DS0000017432.V257030.R01.S.doc Version 5.0 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. 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