Inspection on 20/06/07 for Homer Road (22A-B)

This inspection was carried out on 20th June 2007.

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 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Homer Road (22A-B) 06/06/06

Homer Road (22A-B) 18/01/06

Homer Road (22A-B) 10/09/05

Homer Road (22A-B) 29/12/04

Homer Road (22A-B) 24/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Homer Road (22A-B) 22a-b Homer Road Hackney London E9 5GT Lead Inspector Robert Sobotka Unannounced Inspection 20th June 2007 09:45 Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homer Road (22A-B) Address 22a-b Homer Road Hackney London E9 5GT 020 8525 4650 020 8502 3543 philipa.jones@heritagecare.co.uk www.heritagecare.co.uk Heritage Care 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) Ms Phillipa Jones Care Home 7 Category(ies) of Learning disability (7), Physical disability (7), registration, with number Sensory impairment (7) of places Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2006 Brief Description of the Service: 22 Homer Road is a registered care home that provides 24-hour residential care for adults with learning disabilities and/or physical disabilities. Homer Road opened as a care home on 31st of March 2003. The premises are owned and managed by Peabody Trust and Heritage Care provide care. The home is situated in a residential area of Hackney within walking distance from local amenities and public transport links. All bedrooms in the home are single. The home has a garden at the rear of the building. The downstairs part of the house is wheelchair accessible. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day (morning and afternoon) and was unannounced. The inspector spoke to some of the staff working in the home, including the acting manager and he spent time with the service users. He conducted a tour of the premises and viewed various records. The registered manager was not present during this inspection, as she was on secondment at another project. Prior to this inspection the home was asked to complete the Annual Quality Assurance Assessment. Some of the information provided in the assessment has been incorporated into this inspection report. The aim of this announced inspection was to check the home’s progress towards full compliance with the National Minimum Standards for Younger Adults (18-65) and the Care Homes Regulations. The inspector would like to thank everyone who contributed to this inspection. What the service does well: What has improved since the last inspection? Some progress has been made in ensuring that care plans are brought up-todate to reflect the changing needs of the service users. Risk assessments have now been drawn up and they were being reviewed on regular basis, as required. Staff have ensured that all perishable food is now labelled when opened. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 6 Complaints were now appropriately dealt with. Improvements have been made to the communal environment. Portable appliances have now been tested, as previously required. Emergency lighting tests are now being carried out and recorded on a monthly basis, as previously required. The Electrical Wiring Certificate had been obtained, however it was due to be carried out again. Confidentiality was now being maintained. What they could do better: There are 3 requirements, which remain unmet since the last inspection. These are: - It is required that the responsible person ensures that the individual service user contracts are signed by all relevant parties. - The responsible person must ensure that the service users financial affairs are resolved and that they have access to their own finances. - It is required that copies of Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. The following 4 requirements were made during this inspection visit: - It is required that the responsible person ensures that an assessment is undertaken to establish whether the home can appropriately meet the needs of the service user accommodated on the first floor. - It is required that care plans are further improved to include goals and expectations from the placing authorities in order to ensure that staff are fully aware of the service user’s assessed needs and what is expected of them. - The registered person must ensure that the home’s electrical wiring test is carried out. - The registered person must ensure that the home’s health and safety risk assessment is reviewed, to evaluate the current health and safety risks to both service users and staff working in the home. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 7 The following good practice recommendations were also made: - It is recommended that more stringent checks be undertaken by the organisation to satisfy themselves that all staff working in the home have been granted permission to work in the United Kingdom. - It is recommended that the Criminal Records Bureau checks be undertaken every 3 years. - It is recommended that those staff whose first language is not English are supported with their writing skills to use appropriate and respectful language in their written reports and daily notes. 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. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was meeting the needs of the majority of the service users in the home, however the review of the current placement for one of the service users needs to be undertaken, due to their changing mobility needs. Service users’ contracts required to be signed by the service users’ representatives/relatives. EVIDENCE: The acting manager informed the inspector that the home’s statement of purpose has been updated since the last inspection to include details of the new service manager. Although there is one service user vacancy in the home, there have been no new admissions to the home since 2003. The inspector was therefore unable to assess the standard relating to the home’s admission systems. The inspector felt that the home was appropriately meeting the needs of the majority of the service users living at Homer Road, however based on the review of the care plan and discussion with staff working in the home, it appeared that the needs of one of the service have changed, due to their reduced mobility and there were issues around going downstairs to access activities outdoors. The inspector felt that this person would benefit from the Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 10 review of the placement, which should include an occupational therapy assessment. It is required that the responsible person ensures that an assessment is undertaken to establish whether the home can appropriately meet the needs of the service user accommodated on the first floor. Although each service user has a contract which included terms and conditions in place, limited progress has been made to ensure that the service user’s contracts have been signed, as previously required. The requirement that the responsible person ensures that all relevant parties sign individual service user contracts remains unmet and has therefore been repeated and must be met without any further delay. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although improvements have been made, further work is required to ensure that care plans are more comprehensive. Appropriate risk management systems were in place. Confidentiality was maintained. EVIDENCE: As part of this visit the inspector checked four care plans, which were chosen at random. It was noted that improvements have been made to ensure that care plans are improved, further work is required, as at the time of this visit care plans did not fully correspond with care plans provided by the service user’s social workers. The home’s acting manager stated that some of the care plans were currently being reviewed. It is required that care plans are further improved to include goals and expectations from the placing authorities in order to ensure that staff are fully aware of the service user’s assessed needs and what is expected of them. This was explained to the acting manager in more detail at the time of this inspection visit. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 12 Those living in the home have access to the advocacy service. Input from family/relatives is also sought when it is not possible to obtain service user’s opinion. Service users are unable to contribute to the development and review of policies and procedures, due to their disabilities. Since the last inspection all necessary risk assessments have been drawn up and/or updated, as previously required. The inspector was satisfied that confidentiality was being maintained. All confidential documents were kept in the staff room and locked when not in use. Information kept on computers was password protected. Each member of staff was assigned with a password to access relevant information on computers. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a good range of activities offered by the home and are supported with personal development and maintaining personal friendships/relationships. Appropriate food arrangements were in place. EVIDENCE: Following the review of documentation, discussion with staff working in the home, direct and indirect observation, the inspector was satisfied that staff support service users in accessing and engaging in leisure activities and personal development. Some of the people who use the service attend local day centres for people with learning disabilities. Service users are also supported by staff to access leisure activities in the community. Regular visits to leisure centres, cinemas and other places of interest are organised. Each care plan viewed included an activity timetable. On the day of this unannounced inspection staff the majority of service users were attending various activities. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 14 Annual holidays are also organised for all service users. Two of the service users were away on a holiday for a week with 4 members of staff at the time of this visit. Staff working in the home encourage and support service users in maintaining friendships and family relationships. Relatives are invited to participate in reviews and also to act as advocates on behalf of service users. Visitors are welcome in the home. The visitors’ book was being maintained. Documentation such as care plans showed that relatives are consulted on various aspects of care, as and when required. There were appropriate food supplies in the home. Food was mainly prepared by staff, but the service users also had an opportunity to assist in food preparation in accordance with their wishes, assessed abilities and risk involved. The inspector was satisfied that all food was now being appropriately labelled once opened and it was appropriately stored. Records of fridge/freezer temperatures were being maintained. The home has recently introduced a pictorial menu for the service users. Records of food offered/served were also maintained for each person who used the service. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ emotional and health needs were generally being met, however the review of one of the service user’s needs should be undertaken. The home’s medication systems were satisfactory. EVIDENCE: All service users living in the home required assistance and support in attending to their personal care. Care plans viewed contained appropriate guidelines for staff on how to provide personal care to each service user. They also included individual moving and handling guidelines. The acting manager stated that service users are supported with personal care in private, and intimate care is given by a person of the same gender. He stated that staff always give service users a choice to choose their own clothes and that the service user’s appearance reflects their personality. Staff always allow service users to choose the times when they want to go to bed or get up in the morning, as agreed in each individual’s care plan. Following a review of documentation in relation to the healthcare needs of service users, the inspector was satisfied that the needs of the majority of the service users’ were appropriately met. Weight of service users was being Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 16 maintained in accordance with individual care plans. There was evidence that dietician’s input was sought when required. The home appropriately utilised local healthcare facilities, such as dentist, optician, chiropodist, audiologist, occupational therapist, community nurse, continence nurse, diabetic specialist nurse etc. Each person living in the home was registered with a General Practitioner. Staff always support service users to attend outpatient and other appointments. As previously mentioned, it was noted that due to the layout of the building and the first floor not being accessible to those with limited mobility, staff have encountered some difficulties in working with one of the service users who found it difficult to negotiate steep stairs and was therefore reluctant to come down the stairs and the assessment was required to review the suitability of the placement for the service user. Medication systems were found to be satisfactory. Record of medication entering the home, administered to each service user and disposed of was maintained. Medication is only administered by a “designated responsible person”, which have been assessed as suitably trained and knowledgeable in administering medicines. The inspector crosschecked the home’s medication supplies, which were found correct. All medicines were appropriately stored. Medication stocks are checked during each handover. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements have been noted in the home’s complaints systems. Service users were protected from abuse, however the situation of service users’ finances remains unresolved and must be addressed as a matter of urgency. EVIDENCE: There have been two complaints since the last inspection. Following the review of the records, the inspector was satisfied that any complaints were now appropriately dealt with, as previously required. It was noted that service users might not be able to raise any concerns and/or to make complaints due the level of their disabilities. The acting manager stated that keyworkers would always provide appropriate support to service users and they would provide help to access the local advocacy team. The home had an appropriate adult protection protocol in place. The acting manager stated that all staff have attended adult protection training since the last inspection. Accidents/incidents records were appropriately maintained and there was evidence that both documents were monitored by the home’s management team. The inspector is concerned that the situation of service users not being able to access some their finances remains unresolved and must be addressed as a matter of urgency. The inspector was informed that service users have limited Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 18 access to the money held by the local NHS Trust and that some have successfully recovered some of their funds. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises were meeting the needs of the majority of the service users accommodated in the home. Improvements have been made to the building since the last inspection. The home was found to be clean and hygienic. EVIDENCE: The home provided adequate living space for the service users accommodated at Homer Road. None of the service users living in the home were on respite/emergency/short-term placement. The home had one wheelchair user at the time of the Inspection, who occupied the room on a ground floor. Since the last inspection the staff office has been relocated from downstairs to one of the bedrooms upstairs to meet the changing needs of one of the service users who lost his ability to walk and use of stairs. Only the ground floor is wheelchair accessible. The home has undergone a major refurbishment since the last inspection, this included corridors, and lounges on both floors, and kitchen on both floors. Both kitchens have now got new ovens. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 20 The inspector viewed all 6 bedrooms occupied by those using the service. They were found to contain all furniture and fittings in accordance with the National Minimum Standards. The home has recently purchased a double bed for one of the service users. The spare bedroom was being used for storage and the inspector was informed that it would be redecorated, before any new service user has been admitted to the home. Some of the service users’ bedrooms have been repainted since the last inspection, however the acting manager stated that they would be redecorated once again in the forthcoming year and that where appropriate new furniture would be purchased for the service users. The home has a sufficient number of toilets, bathrooms and shower facilities. Homer Road is a purpose built building; those service users who needed specialist equipment (i.e. hoist) have been assessed by occupational therapists. Satisfactory equipment was in place and available throughout the house. The home had satisfactory arrangements in place for repairing and maintenance of specialist equipment. The home had appropriate clinical waste disposal arrangement in place with a weekly collection service. Clinical waste bins have now been removed from bathrooms to safer location in the back garden, which is locked. Appropriate laundry facilities were in place. The laundry room was appropriately ventilated. The home was found to be clean and hygienic at the time of this unannounced inspection. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by appropriately trained staff team, however improvements are needed to the language and terminology used by staff when writing various documents in the home. Appropriate staffing levels were in place. Recruitment practices required minor improvement. EVIDENCE: Duty rosters were displayed in the home. These showed that there were sufficient numbers of staff on each shift to meet the needs of those living in the home. There are 4 staff working in the home during daytime on each shift (2 members of staff on each floor). In addition there were either 1 or 2 care staff working flexible hours during the day (including the acting manager). There is one person sleeping in and one waking night staff in place during nighttime. There was a mix of gender to provide personal care. There is always an assessed person on each shift, who would be in charge of the medication. Staff who spoke with the inspector during this visit stated that the current staffing levels were satisfactory to appropriately meet the needs of the service users accommodated in the home. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 22 According to the Annual Quality Assurance Assessment completed by the acting manager there were 9 full-time, 3 part-time staff employed in the home. Members of staff come from different cultures and backgrounds. Staff training records showed that Heritage Care provide a wide range of courses to its staff. The majority (90 ) of permanent care staff working in the home have obtained their NVQ qualifications. Two other staff working in the home had nursing qualifications. All staff have attended mandatory training, such as Basic Food Hygiene, First Aid, Manual Handling, and Fire safety training. Similar training is required from bank staff before they are allowed to work in the home. During the review of various documents relating to the care provided to the service users, the inspector noted that some of the written language used was inappropriate and required improvement. Examples of this practice were highlighted by the inspector to the acting manager at the time of this visit. It is recommended that those staff whose first language is not English are supported with their writing skills to use appropriate and respectful language in their written reports and daily notes. Limited progress has been made since inspection to ensure that all information listed in Schedule 2 of the Care Homes Regulations is maintained in the home and available for inspection. 2 staff personnel files were viewed during this inspection visit. They were generally well maintained, however it is recommended that more stringent checks are undertaken by the organisation to satisfy themselves that all staff working in the home have been granted permission to work in the United Kingdom. It is required that copies of Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. At the time of the inspection, the inspector was informed that the CRB disclosures are destroyed once received by the organisation, and were subsequently not available for inspection. It was noted however that unique disclosure numbers of checks undertaken on the staff have been kept by the organisation. It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years, as at the time of this visit some of the checks were more than 3 years old and they did not include checks against the Protection of Vulnerable Adults list. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are required to ensure that there is a stable management team in the home. EVIDENCE: The inspector is concerned that the current registered manager has been on secondment at another Heritage Care project since June 2006. Whilst the home is currently managed by the acting manager, a decision must be made by the Heritage Care Management in relation to the registered manager. Members of staff working in the home at the time of this inspection felt uncertain about the future management arrangements in the home and this they felt adversely affected the staff morale. The acting manager has had four years management and supervisory experience in the care setting. He has obtained National Vocational Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 24 Qualification in Care Level 2 & 3 and was pursuing NVQ Level 4 Registered Managers Award. There has been a change in the service manager since the last inspection. The new service manager visits the service one a regular basis. Staff who spoke with the inspector felt that the new service manager was very supportive. Reports from monthly-unannounced visits from the registered provider were available for inspection. As previously mentioned, some improvements are required to the service users’ care plans and generally to the written language used by the care staff working in the home. The inspector was satisfied that appropriate health and safety checks were being carried out on a regular basis. This included fire safety checks, monitoring fridge/freezer temperatures. Portable appliances have been tested since the last inspection. Emergency lighting tests are now being carried out and recorded on a monthly basis, as previously required. The acting manager was able to locate the Electrical Wiring Certificate, however it expired in April 2007 and new test must be carried out. The registered person must ensure that the home’s electrical wiring test is carried out. In addition, the home’s health and safety risk assessment required reviewing, as it was last updated in December 2005. The home was appropriately insured for its stated purpose. Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 x 3 2 4 x 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 3 27 3 28 x 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 2 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x 2 x 3 x 2 2 x Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? YES 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 17 Requirement Timescale for action 01/09/07 2. YA23 3. YA34 4. YA3 It is required that the responsible person ensures that the individual service user contracts are signed by all relevant parties. (Previous timescales of 01/12/05, 01/04/04 and 01/09/06 were not met.) 20 The responsible person must ensure that the service users financial affairs are resolved and that they have access to their own finances. (Previous timescales of 01/04/06 and 01/09/06 were not met.) 7, 9, 19 Sch It is required that copies of 2 Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. (Previous requirement of 15/07/06 was not met.) 14(2)(a)&(b) It is required that the responsible person ensures that an assessment is undertaken to establish whether the home can appropriately meet the needs of the service user DS0000035305.V346155.R01.S.doc 01/09/07 15/08/07 01/09/07 Homer Road (22A-B) Version 5.2 Page 27 5. YA6 15(1), 15(2) 6. YA42 23(2)(c) 7. YA42 14(4)(c) accommodated on the first floor. It is required that care plans are further improved to include goals and expectations from the placing authorities in order to ensure that staff are fully aware of the service user’s assessed needs and what is expected of them. The registered person must ensure that the home’s electrical wiring test is carried out. The registered person must ensure that the home’s health and safety risk assessment is reviewed, to evaluate the current health and safety risks to both service users and staff working in the home. 01/09/07 01/09/07 01/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA34 Good Practice Recommendations It is recommended that more stringent checks be undertaken by the organisation to satisfy themselves that all staff working in the home have been granted permission to work in the United Kingdom. It is recommended that the Criminal Records Bureau checks be undertaken every 3 years. It is recommended that those staff whose first language is not English are supported with their writing skills to use appropriate and respectful language in their written reports and daily notes. 2. 3. YA34 YA33 Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Homer Road (22A-B) DS0000035305.V346155.R01.S.doc Version 5.2 Page 29 - 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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