Inspection on 26/01/06 for Hotel in the Park

This inspection was carried out on 26th January 2006.

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

Other inspections for this house

Hotel in the Park 26/09/07

Hotel in the Park 22/05/06

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

CARE HOME ADULTS 18-65 Hotel in the Park 130 Sewardstone Road Bethnal Green London E2 9HN Lead Inspector Anne Chamberlain Announced Inspection 26th January 2006 09:20 Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 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 Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 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. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hotel in the Park Address 130 Sewardstone Road Bethnal Green London E2 9HN 0208 983 1394 020 7267 9099 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) The Camden Society Ms Louise Wood Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Hotel in the Park is a respite service for adults of mixed gender who have learning disabilities. It offers 7 beds and is managed by the The Camden Society. The hotel offers short and longer breaks up to a maximum of around six weeks per year, for each person. The premises are fully adapted for disability and all the bedrooms single and double, are en-suite. There is a comfortable lounge, cheerful dining room and a large garden with outdoor garden furniture. The hotel is situated in a quiet street in Bethnal Green, adjacent to a large and beautiful park, and close to Cambridge Heath Road and good transport links. The building is owned by the London Borough of Tower Hamlets and there are offices on the second floor let to the Primary Health Care Trust. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection and it was announced. It took place over one day and the main aim was to look at the key standards of regulation. The inspector interviewed the manager, and also the responsible individual who is a senior manager in the organisation. The inspector spoke with a guest and a staff member. She also spoke with a professional who has worked with the service, and the relative of a guest. The inspector toured the premises, including the garden and viewed key documentation as well as two guest and two personnel files. The inspector would like to take this opportunity to thank guests, staff and managers at Hotel in the Park for their assistance and co-operation with the inspection. What the service does well: What has improved since the last inspection? This was the first inspection. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 6 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. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 7 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 Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4, The hotel undertakes proper assessment of the needs of individuals. Prospective guests have an opportunity to visit the hotel. EVIDENCE: The inspector discussed with the manager the referral process. Guests come to the hotel through their care managers with the London Borough of Tower Hamlets. Referral information is provided but the project undertakes its own needs assessments. The manager advised that these have been comprehensive including interviews with guests and carers at home. The inspector viewed on two guest files, evidence of assessment by the service. Prospective guests and carers are invited to look around the hotel. There is an allocation of six weeks per year per person, which is booked subject to availability. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Guests have individual plans which record their needs. They are encouraged to make independent decisions, and risk taking is supported by sound assessment. EVIDENCE: The inspector viewed the files of two guests. Both had individual plans. The hotel has been open for only six months but some guests, the manager stated, have had case reviews which she has attended, providing a report. The manager stated that The Camden Societys self monitoring, quality assurance, system will prompt review of care plans if this is not done through case reviews. She stated that due to the nature of the service, long term objectives are not set in care planning. The manager stated that guests are encouraged to make independent choices. They choose their rooms, food and activities. The inspector viewed guest monitoring sheets on their files. These evidenced guests making choices of activities. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 10 The manager stated that risk assessment is integrated into the comprehensive assessment. The inspector also viewed a generic risk assessment from which the individual risk assessments are generated. From this information working practices are developed and the inspector viewed these on files. The manager stated that the health and safety officer checks every six months to ensure that risk assessments are updated. The inspector was satisfied that the importance of sound risk assessment is understood in the service. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Service users take part in a range of enjoyable and appropriate activities. Family and social relationships are encouraged and supported. Rights and responsibilities are respected. Wholesome and enjoyable meals are offered in pleasant surroundings. The hotel is a socially inclusive community resource. EVIDENCE: Most guests attend day centres on weekdays, from the hotel. Aside from this there is an emphasis at the hotel on recreation and relaxation, with a variety of activities or the opportunity to just chill out. The manager listed a number of activities and outings which guests have taken part in, including bowling, cinema trips riding on the London Eye, City Farm, pub meals, and attendance at a local learning disability club, the Bubble Club. Guests have also attended the circus, concerts and the theatre. Entrance fees for guests and staff are built into the budget. The park next door is popular with guests and the hotel has the use of a mini-bus in the evenings and at weekends, which is a great benefit. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 12 In addition to the above guests, most of whom attend the local Anthill Day Centre, can use its facilities in the evening for arts, crafts and movement sessions. The inspector viewed a large photo display in the reception office which showed guests enjoying activities and outings. All the guests live locally and the responsible individual said he believed the they have a real sense of ownership of the hotel as their community resource. There was a lot of publicity for the launch and the hotel has a high local profile and community presence. The hotel presents a welcome to the families and friends of guests. Guests can see visitors in their flats or in communal spaces according to their preference. The inspector viewed the visitors book which evidenced visits from family members to guests. The inspector viewed the policy on rights and responsibilities. Guests have keys to their flats which can be kept in reception. They often receive postcards from their families who have gone on holidays. These are handed over on the understanding that support is available if wanted. The manager stated that staff always knock on bedroom doors and guests have a choice of male or female support with personal care. Itineraries are completed when guests arrive and the inspector viewed these on guest files. After the guest has departed the itineraries are shredded. The hotel has a pleasant dining room and room service is also available. Some people prefer to eat in the lounge watching TV with a tray and this is possible too. Culturally appropriate food is available. There is no formal menu but choice is based on discussion. There is currently no cook at the project and it was generally acknowledged that a cook is needed. The inspector understands that the post is being advertised. It is recommended that a cook be employed as soon as possible to relieve staff to undertake their caring responsibilities. This is a recommendation. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Personal support is provided in an individualised way to meet the needs of the guest. Physical, emotional and health needs are met. The arrangements for the administration of medication are sound but can be improved. EVIDENCE: The inspector discussed the manager her understanding of receiving personal support in a preferred way. She was satisfied that the manager fully understood and endorsed this practice. The inspector viewed on file the hotel assessments which detail guests preferences. These are also reflected in the working practices which the manager stated are constantly updated. The managed explained that if a guest should arrive at the hotel unwell, or become unwell during a stay family and the guests general practitioner are contacted. If guests need to attend health appointments during their stay family members take responsibility for escorting them. The atmosphere at the hotel is generally reassuring and staff are ready to support guests with emotional issues. The inspector viewed the arrangements for the administration of medication. The inspector viewed the medication policy and noted that there is a local Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 14 policy and specimen signatures by members of staff. The manager stated that all permanent staff are trained to administer medication. She further stated that medication is brought into the hotel by guests and is not always in bubble packs but may come in medicine bottles or dossette boxes. MAR sheets are completed and the quantities received recorded. The inspector balanced the two medications and there was no discrepancy. The inspector noted that tippex had been used and this is not acceptable The manager must ensure that tippex is not used on MAR sheets but that errors are crossed through and initialled. This is a requirement. There was medication stored in the cupboard for a guest who was not actually in residence. The carer had asked the hotel to keep the medicine until the guest stayed again. Whilst this is acceptable the manager needs to bear in mind the following points:Will the medications still be viable when the guest returns, for example medications with a limited shelf life The medication must be segregated adequately from those of other guests. There must be a check when the guest returns for another stay to ensure that the medications are still prescribed in the same form, strength dose and directions. Any additional medications prescribed are also provided when the guest returns. The manger stated that she intends to store medications for individuals in separate trays within the medication cupboard. The inspector felt that this would be a great improvement on the present system which is to store medications in labelled carrier bags inside the cabinet. The manager should store the medications for individuals in separate trays within the medication cabinet. This is a recommendation. The inspector was also concerned about the security of medications outside of the home i.e. when guests complete their stay they take the medications to the day centre with them. This is a recommendation. There were currently no controlled drugs stored at the hotel. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The views of guests are listened to and acted upon. Guests are protected from abuse neglect and self harm. EVIDENCE: The inspector viewed the complaints policy, folder and leaflet. The policy gives stages and timescales. The complaints leaflet does not contain the information that complaints can be made direct to the Commission for Social Care Inspection (CSCI) giving the contact details for the Stratford Office. The manager must ensure that the complaints leaflet gives the information that complaints can be made direct to the Commission for Social Care Inspection (CSCI) and gives the contact details for the Stratford Office. This is a requirement. The complaints folder contains records of complaints. The inspector suggested that a log at the front would assist the manager in determining at a glance, if any complaints had not been resolved. The manager should place a log at the front of the complaints folder to indicate the stage of progress of complaints towards resolution. This is a recommendation. The inspector received mixed feedback about the effectiveness in the past of the complaints procedure. She did however feel confident that complaints would now be processed effectively. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 16 The inspector viewed the adult protection policy. It correctly states that adult protection services should be notified at an early stage of any allegation of abuse. It also includes a section on whistleblowing. The manager stated that the hotel policy links to the Tower Hamlets adult protection policy which she had to hand. However the inspector was unable to locate where in the hotel policy this is stated. The manager must ensure that the hotel adult protection policy states that it is linked to the Tower Hamlets adult protection policy. This is a requirement. The manager viewed the missing persons policy and procedure which is quite comprehensive. The procedure gives various helpful telephone numbers but some have not been completed. The manager should amend the missing persons policy and procedure to ensure that all the telephone numbers are present. This is a recommendation. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 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 the following standard(s): 24, 29 and 30. The environment of the hotel is homely comfortable, safe and clean. Specialist equipment is provided to maximise the independence of individuals. EVIDENCE: The inspector toured the premises. The building is newly renovated and refurbished and looks very good indeed. The bedrooms are pleasantly decorated and well furnished. They are all en-suite and some are doubles. A number of bedrooms are adapted with specialist equipment including electronically adjustable beds and mattresses designed to prevent pressure sores. The lounge has state of the art ceiling tracking which can access most of the room and can be used to assist staff to lift a person from the floor. There are a number of bathrooms fitted with specialist equipment to support guests. In one bathroom the inspector noted a broken hand towel dispenser and a broken toilet roll holder. In another bathroom there was no toilet paper. These shortfalls were brought to the attention of the manager who said she would address them. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 18 The manager stated that there is range of health and safety policies including a control of infectious diseases policy. The inspector found the home clean and hygienic. She viewed the laundry room which has an impermeable floor, a washing machine which can wash foul laundry at a high temperature to control the risk of infection, and a sluicing facility. Laundry is washed separately for each guest and every room has a numbered basket. The inspector was told that there is no cleaner employed specifically and care staff undertake the cleaning. This situation was acknowledged by all to be unsatisfactory and the inspector understands that the post of cleaner is currently being advertised. It is recommended that a cleaner be employed as soon as possible to relieve staff to undertake their caring responsibilities. This is a recommendation. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Service users are supported by competent and qualified staff. Recruitment practice is robust and staff selection has improved. Staff receive adequate training and supervision but a requirement has been made with regard to the supervision of the manager. EVIDENCE: Five staff have left the hotel in the short months since it registered with CSCI. The manager advised that there had been some misjudgements in staff selection in the first round of recruitment. The hotel conducted exit interviews which have proved illuminating. Some workers had not appreciated the high levels of support needed for guests with substantial and complex needs. The inspector believes that some of the negative feedback she has received is associated with members of staff who have now left the project. The inspector viewed the recruitment policy which was indicated a robust approach. She also viewed the files of two staff members which contained application and interview forms, references, and contracts with terms and conditions of employment, signed by both parties and dated, and Criminal Records Bureau (CRB) checks. The manager believes that the staff she now has are competent. There is a good level of experience among them and one worker has a nursing background. The staff have between them a number of qualifications. One Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 20 person has NVQ 2, another NVQ 3. Two people will be undertaking Learning Disabilities Assessment Framework (LDAF) soon. The manager has almost completed NVQ 3, she is also undertaking Learning Disabilities (LDAF) and when these are completed she intends to undertake NVQ 4 and her registered managers award. The manager was promoted from the position of deputy and at present has no deputy. The inspector felt that the lack of a deputy could undermine the managers position. The hotel should appoint a suitable deputy manager as soon as possible. This is a recommendation. There was evidence of good levels of staff training. The inspector viewed individual training profiles which show what training is needed for the job and when it has been undertaken. She also saw the training programme for the year with the names highighted of staff who would be attending various courses. The staff member interviewed by the inspector advised that he had joined the hotel in May 2005 and received substantial training before the opening in August 2005. There was evidence on a staff file of induction training and both staff files contained a number of training attendance certificates. The inspector viewed the supervision policy which states that supervision of staff should be monthly. She viewed evidence of staff supervision for a staff member who had had supervision at an acceptable level, and for the manager who had not. The manager had had supervision on three consecutive months in 2005 but then had a four month gap to the present. The manager said that she had had supervision last week and the minutes are not yet on file. The manager is supervised by a senior manager. The manager is new in post and has no deputy. It is important that the manager has regular formal supervision. The manager must have formal supervision not less than six times per year. This is a requirement. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and42. The hotel is well run but there are some issues which have been raised for the management to address Quality assurance tools are being devised. The health and safety of guests is promoted but staff must be diligent in good practice. EVIDENCE: It is the responsibility of the manager to inform CSCI of the death, illness or other event affecting a guest at the hotel. This must be done promptly. The commission received on 20th January 2005 three Regulation 37 notification forms which related to events in October and November 2005. This is entirely unacceptable. The manager explained that a senior manager has assumed the responsibility of forwarding Regulation 37 notifications. The inspector advised the manager that as she is responsible for the day to day running of the hotel she is best placed to notify the commission promptly of occurrences, and will be held responsible for this. The responsible individual present agreed that responsibility for Regulation 37 notifications will transfer to the manager. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 22 The manager must take responsibility for making the necessary notifications to CSCI under Regulation 37, promptly. This is a requirement. The manager is as yet unregistered with CSCI. The manager must be registered with CSCI as quickly as possible. This is a requirement. The hotel is newly opened but there was evidence of quality assurance systems being introduced. The manager advised that there have already been a number of informal social events but that she plans to meet more formally with carers to obtain their views. The inspector saw customer satisfaction sheets which the hotel has devised to collect feedback from guests. The manager advised that she had told families about the coming inspection and the inspector noted an announcement of the inspection in the reception area. The manager advised that The Camden Society undertake a full annual self audit including financial matters, and this is done in quarterly sections. The responsible individual advised that he felt a period of three years would see the project fully established with all likely challenges having been encountered. The inspector viewed the fire safety risk assessment and fire safety policy. She saw records of fire drills and monthly fire systems checks and a record of a call out for a fault in the system in December 2005. In addition the inspector viewed evidence of a check on the intruder alarm in July 2005 and a check of the electrical wiring system in March 2005. The inspector viewed a gas safety certificate dated June 2004. The inspector noted CCTV in the managers office, trained on the various entrances and exits of the hotel. This is a useful aid to security and safety. The manager advised that there is to be training in-house on hoists from Centaur who are specialists in this field. The inspector viewed the Control of Hazardous Substances (COSHH) policy with product information sheets and also inspected the COSHH cupboard, which is located in the laundry room and kept locked. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 23 The inspector viewed the refrigerator and freezer temperature records which were in order. However there were opened and undated foods stored in the refrigerator. The manager must ensure that all food stored in the refrigerator is labelled with the date of opening. This is a requirement. The inspector viewed the water temperature records and noted that there were entries for two occasions only, in July 2005 and January 2006. The manager must ensure that water temperatures for all outlets in the unit are recorded on a weekly basis, to ensure that the water temperature is maintained at around 43 degrees celcius. This is a requirement. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x 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 3 2 x 3 x 3 x x 2 x Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 25 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 Requirement The manager must ensure that tippex is not used on MAR sheets but that errors are crossed through and initialled. The manager must ensure that the complaints leaflet gives the information that complaints can be made direct to the Commission for Social Care Inspection (CSCI) and gives the contact details for the Stratford Office. The manager must ensure that the hotel adult protection policy states that it is linked to the Tower Hamlets adult protection policy. The manager must be registered with CSCI as quickly as possible. The manager must have formal supervision not less than six times per year. Timescale for action 01/03/06 2 YA22 13 01/04/06 3 YA23 13 01/04/06 4 5 YA37 YA36 8 18 01/04/06 01/03/06 Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 26 6 YA42 13 The manager must ensure that all food stored in the refrigerator is labelled with the date of opening. 01/03/06 7 YA42 13 The manager must ensure that 01/03/06 water temperatures for all outlets in the unit are recorded on a weekly basis, to ensure that the water temperature is maintained at around 43 degrees celcius. 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 17 Good Practice Recommendations It is recommended that a cook be employed as soon as possible to relieve staff to undertake their caring responsibilities. The manager should store the medications for individuals in separate trays within the medication cabinet. The manager should place a log at the front of the complaints folder to indicate the stage of progress of complaints towards resolution. It is recommended that a cleaner be employed as soon as possible to relieve staff to undertake their caring responsibilities. The hotel should appoint a suitable deputy manager as soon as possible. The manager should amend the missing persons policy and procedure to ensure that all the telephone numbers are present. The inspector recommends that the manager seriously DS0000063544.V271441.R01.S.doc Version 5.1 Page 27 2 3 20 22 4 30 5 6 32 23 7 20 Hotel in the Park consider the following:If the guests are travelling as one party (in a mini-bus), in the interests of security, it would be reasonable for the medications to be stored in a lockable case under the control of a designated carer, and handed over to day centre staff on arrival for storage in the centres locked medication storage. At the end of the day the medications could be passed back to the guests. The inspector feels that this would cut risks of misappropriation of medication considerably. Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Hotel in the Park DS0000063544.V271441.R01.S.doc Version 5.1 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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