Inspection on 29/06/05 for Huddleston Close (34-35)

This inspection was carried out on 29th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Huddleston Close (34-35) 10/12/07

Huddleston Close (34-35) 27/07/06

Huddleston Close (34-35) 29/12/05

Huddleston Close (34-35) 18/03/05

Huddleston Close (34-35) 18/10/04

Huddleston Close (34-35) 02/01/04

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 34-36 Huddlestone Close 34-36 Huddlestone Close Parmiter Street London E2 9NR Lead Inspector Sarah Greaves Announced inspection 29 June 2005 10:00am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 34-36 Huddlestone Close Address 34-36 Huddlestone Close, Parmiter Street, Bethnal Green, London, E2 9NR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8983 3515 h3055@mencap.org.uk Mencap Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2005 Brief Description of the Service: 34-36 Huddleston Close is a care home registered to provide care, support and accomodation for up to seven adults with a learning disability. The service is mananged by MENCAP and the premises are leased from the Bethnal Green and Victoria Housing Association. The premises are three ordinary domestic properties located within a short walking distance of the shops, cafes and other amenities at Bethnal Green High Street. In addition to the underground and overground stations, frequent buses operate to East London districts and central London. The home contains one house which is occupied by three service users, a house accomodating two service users and a flat for one service user. Each property has its own front door and separate rear garden. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted over one day. The inspector reviewed policies, procedures and other relevant documentation with the manager and met all six service users. A sample of the care plans were looked at. Discussions were conducted with members of staff and information was also gathered through direct and indirect observation. Other information was received via a preinspection questionnaire completed by the manager, and questionnaires sent to the representatives of service users and involved social and health care professionals. All of the requirements from the previous inspection had been met; a total of five requirements and three recommendations have been issued in this report. What the service does well: What has improved since the last inspection? A total of five requirements and three recommendations have been issued in this inspection report. The inspector noted in the last inspection report that one of the care plans was of an excellent standard and recommended that the remaining care plans should be developed in the same person-centred style. The home has made considerable progress towards attaining this and four of the care plans are now either re-written or in the process of being changed. The inspector was very pleased to find that service users had been actively 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 6 involved in the production of their new care plans, which was evidenced to the inspector through discussion with service users and by the home’s retention of draft notes and plans. The service has been commended for this excellent improvement. 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. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4 and 5. Service users received very good information and support to enable them to choose their new home. The needs of service users were properly identified through assessments conducted by the placing authority (Tower Hamlets Social Services was the purchaser of care for all of the service users at the time of the inspection) and by the home. The use of pictorial information supported service users to understand their entitlements as residents of the care home. EVIDENCE: The Statement of Purpose and the Service Users Guide were well presented, including a pictorially presented Service Users Guide. The manager was advised of the need to include additional information regarding the registered provider within the Statement of Purpose as detailed within Schedule 1(2) of the Care Homes Regulations. There had been no new admissions since the previous inspection; via the reading of three care plans the inspector noted that the service users had received a full multi-disciplinary assessment of their need and had been offered several opportunities to visit the home prior to moving in. The care plans/ service user files contained pictorial style contracts. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,9 and 10. Service users benefited from a very good care planning system that took into account their own wishes and goals. The home actively promoted service users involvement in the daily running of the home and encouraged people to express their own choices. The safety and rights of service users were sensitively addressed in the risk assessments, and service users rights to confidentiality were maintained in accordance to legislation and good professional practice. EVIDENCE: The home had made very good progress in achieving very well presented ‘person-focused’ care plans and has been commended for exceeding the National Minimum Standard for care planning. The service users received an annual review arranged by their local authority care manager and one internally arranged review by the home. The manager was advised to aim to organise this review approximately six months in-between the statutory reviews although it is acknowledged that the dates of statutory reviews may vary from year to year. The inspector was pleased to observe service users actively making choices about their lives during the inspection such as destinations for holidays and whom they wished to go on their holiday with. The inspector noted that the manager and staff continued to work with service 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 10 users to encourage them to make choices, taking into account that some of the service users have previously lived in establishments (for example, hospitals) where they could not exercise the kind of choices witnessed during this inspection. Service users decided if they wished to show their rooms to the inspector, and according to their individual abilities helped themselves to refreshments. The inspector noted in the previous inspection report that apart from two service users who received an independent advocacy service from The Children’s Society (offered to young adults) the home otherwise accessed a MENCAP advocacy service which is operated separately from MENCAP’s care homes service. The manager stated that they had been unable to find another advocacy service. At the time of this inspection none of the service users have needed to use the services of an advocate; therefore the inspector on an ongoing basis will review the ‘independence’ of this advocacy arrangement. The risk assessments viewed by the inspector were up-to-date and of a satisfactory quality. Confidential information regarding service users was safely stored in a lockable office and the entitlement of service users to ‘confidentiality’ was explained via pictorial information, including guidance on circumstances in which staff would need to pass on information to relevant professionals in order to ensure the safety of a service user. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16 and 17. Service users are provided with opportunities to engage in fulfilling activities and use local community resources. Staff supported service users to broaden their access to leisure facilities; however, the scope of activities offered to service users who cannot access specific facilities should be broadened. Service users help to shop for, plan and prepare their meals but additional recording needs to be undertaken by staff in order to demonstrate that a balanced and nutritious diet is consistently provided. EVIDENCE: On the day of the inspection, one of the service user’s decided not to attend their day centre programme as they wished to spend the day at home. Two of the younger service users took part in structured external daily activities, which met their social, developmental and cultural needs. Two service users went out shopping and for lunch with staff, this trip included a visit to a travel agent to arrange a holiday. Each service user had their own individualised programme of activities that took into account their interests, abilities and health; these activities included sensory sessions, beauty therapy, bowling, meals out, drives in the home’s unmarked vehicle, trips to the park and 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 12 shopping. Activities within the home included listening to music, taking part in daily chores and using the foot spa. The home was planning to purchase a small trampoline. One of the service users told the inspector that they had recently been working with their key-worker in order to compile the ‘My History’ section of their new care plan. The manager informed the inspector that the closure of a day centre facility in a neighbouring borough had resulted in the home needing to find new activities for service users; at the time of the inspection the manager was trying to arrange hydro pool sessions for a service user. The inspector noted that due to the level of their disability, some of the service users would not benefit from certain activities such as the theatre or cinema. A recommendation regarding other activities that the home should consider has been issued in this report. Good support was provided to service users to maintain contact with their families and visitors were encouraged to visit at the home. The home did not pre-plan a weekly menu as service users are encouraged to take part in regular grocery shopping trips and choose their favourite foods. The inspector found that the records for meals demonstrated a balanced and varied choice; however, these records needed to be written with more detail in accordance to the Care Homes Regulations. Fresh fruit and snack foods were available in the two kitchens viewed by the inspector. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 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 standard(s) 18,19 and 20. Service users personal care and health care needs are effectively met. Although the management of medication is generally satisfactorily organised, one requirement and one recommendation have been issued in this report. EVIDENCE: The observations of the inspector and the detailed information within the care plans demonstrated that the preferences and needs of service users determined how service users received support to meet their personal care needs. The manager reported upon a good service from medical and health practitioners; on-going external support for health problems was evidenced in the correspondences sections of individual’s files. The care plans appropriately reflected the identified health care needs of service users, evidencing a collaborative approach by the home and external health care professionals. As previously stated in this report, the manager was applying for a service user to receive hydrotherapy sessions to promote joint health and social benefits for the individual. The inspector checked the storage and administration of medication on one of the units. It was noted that the medicine cabinet had become sticky due to the liquid medications, although there was a rota for the cleaning of this cabinet. The label had become detached from one of the topical ointments and could not be located; the manager was informed that the medication must be returned to the pharmacist for re-labelling. The medication administration records were generally well maintained; however, advice was 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 14 given to the manager regarding the benefits of recording when a service user has refused ‘give when needed’ medication for the prevention and management of pain (for example, a medical practitioner would be able to review the occurrence, frequency and duration of pain experienced by an individual through the home keeping a more comprehensive record via the medication chart). Standard 21 was not assessed at this inspection and will be assessed at the next (unannounced) inspection. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 Service users are protected through the home’s arrangements for encouraging service users (and their representatives) to report any concerns and complaints, and through the provision of a clear Adult Protection procedure accompanied by staff training. The manager has been advised to regularly discuss Adult Protection issues at staff meetings and individual supervision sessions, and ensure that all staff read the Adult Protection procedures at regular intervals, irrespective of their individual level of training and experience. EVIDENCE: The inspector read the complaints procedure, which was clearly written and advised complainants of their entitlement to notify the CSCI at any stage of their complaint. The home also produced a pictorial complaints guide for service users that contained photographs of the local authority care manager, an independent advocate and the inspector. The inspector reviewed the home’s complaints since the last announced inspection; there was one complaint, which was fully investigated and included the involvement of the care manager from the placing social services. The manager had established practices to reassure complainants and prevent any further concerns. The home presented a MENCAP Adult Protection procedure, which informed staff of their role within a multi-agency approach to managing allegations or evidence of potential or actual abuse. The home also possessed a copy of the local social services Adult Protection procedures. Staff had been provided with Adult Protection training by the local social services although the inspector spoke to a member of staff who had been appointed after the provision of this external training and was not clear about the role of social services in relation to Adult Protection. Through reading the training brochure from Tower Hamlets Social Services, the inspector was aware that the Adult Protection training is offered at specific 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 16 dates during the year so new staff may have to wait several months before they can attend the training. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28 and 30. Service users are provided with a comfortable and homely environment that meets their identified needs. Some improvement is still needed to make the garden areas more attractive. EVIDENCE: The home was in the process of being re-decorated although most of the decorating work had been completed at the time of this inspection. The inspector noted that debris and old furniture had been discarded in the front garden. The manager stated that the ‘open plan’ of the front gardens appeared to encourage neighbours to leave unwanted items. The manager had arranged for the removal of this rubbish and proposed building a fence, which would be of a style similar to other fences on neighbouring properties. The inspector deemed this to be an appropriate measure. The inspector was invited by a couple of service users to view their rooms, which were of a satisfactory size, pleasantly decorated and had been personalised by the service users. Each house contained its own bathroom and toilet, which was lockable to ensure service user privacy but staff could ‘over-ride’ the lock if necessary. The lounges were found to be spacious and relaxing. The inspector observed a small table in one of the lounges, which was quite worn and tarnished; 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 18 following confirmation that this is not a favourite personal item of furniture, the manager has been recommended to replace this table. A requirement was issued in a previous inspection report for the home to make the garden areas more attractive to facilitate outdoor activities such as barbeques. The home had provided garden furniture and there was evidence of regular garden maintenance; however, this communal space would benefit from receiving colourful flowers and plants. The premises were found to be clean and free from any offensive odours. Standard 29 was not assessed, as it is not applicable to the service. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35 and 36. Service users benefited from the home’s safe staff recruitment processes and the on-going training and supervision provided to staff, which is relevant to the needs of the service users. EVIDENCE: The inspector checked two staff files; these files were found to contain the recruitment information required by the Care Homes Regulations (for example, evidence of Criminal Record Bureau checks, two references, application forms and documentation to demonstrate appropriate interviews). One of the files did not contain a photograph of the staff member; the manager had already taken action to address this. The inspector reviewed the home’s current status regarding progress with National Vocational Qualifications. At the time of the inspection, seven members of staff were undertaking NVQ level 3, Some of these staff already possessed NVQ level 2 and other staff had directly commenced upon NVQ level 2 due to their existing qualifications and/or experience. The home must demonstrate that at least 50 of staff are qualified at NVQ level 2 (or a recognised equivalent) by the end of 2005.The training records for staff demonstrated that they received mandatory training and also accessed training from Tower Hamlets Social Services. The inspector found that the training arranged by MENCAP or accessed from the local social services was very relevant to the needs of the service users (for example, 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 20 training in understanding epilepsy and how to work effectively with the families of people with a learning disability). The manager stated that staff had received training in applying safe physical interventions since the last inspection. The inspector acknowledged that although the staff employ other techniques to support service users if they become distressed and/or agitated (such as verbal support and offering ‘time out’, as detailed in some of the care plans), it is beneficial for staff to be aware of other safe strategies. At the time of the inspection, certificates of attendance for the training provided by Tower Hamlets social services had not been issued. The staffing levels enabled staff to undertake individual work with service users. The inspector checked the frequency of formal one-to-one supervision within two staff files; supervision was provided at least six times per year in accordance with the National Minimum Standards. Standard 31 was not assessed at this inspection and will be assessed at the next (unannounced) inspection. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 and 42. The management of the home was very good. The service monitored the quality of its care for service users. Most health and safety practices were satisfactory; areas for improvement in the maintenance of health and safety have been addressed by requirements issued in this report. EVIDENCE: The manager of the home had applied to the CSCI for assessment for ‘registered manager’ status. The manager was undertaking the Registered Managers Award and had relevant prior managerial experience. The inspector noted that service users and staff responded positively to the manager, and the manager demonstrated effective skills in progressing requirements and recommendations as well as demonstrating other initiatives to improve upon the quality of the service. Regular staff meetings were held for sharing information and discussing how to improve upon the service. A new deputy manager was due to start at the home in mid-July. The inspector viewed the home’s monthly unannounced inspection reports conducted by the MENCAP 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 22 area manager and the home’s quality assurance annual report; these documents demonstrated a straight –forward and realistic analysis of the home’s areas of good practice and issues for improvement. The inspector checked upon the following health and safety records/practices; (1) weekly testing of the piper alarm system (2) daily refrigerator and freezer temperatures (3) emergency lighting testing (4) annual landlords gas safety testing (5) portable electrical appliances testing (6) annual maintenance of the fire equipment (7) quarterly fire drills and (8) weekly fire alarms testing. These records were found to be satisfactory. The home produced updated environmental risk assessments. The inspector found that the first aid box contained an ampoule of sterile water that had expired. The opened food items in the refrigerator were generally labelled with the date of opening, apart from one item, which needed to be consumed within a specified period of time after opening. The monthly record for the monitoring of the water temperatures of the thermostatically controlled baths and showers demonstrated that these checks had not been recorded for April and May 2005. The home’s public liability insurance was valid. Standards 40, 41 and 43 were not assessed at this inspection and will be assessed at the next (unannounced) inspection. 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 2 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 34-36 Huddlestone Close Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 24 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. Standard 17 Regulation 17(2) Requirement The registered person must ensure that detailed records of service users meals are maintained, as specified in Schedule 4(13) of the Care Homes Regulations. The registered person must ensure that any medications which do not possess a pharmacist label are promptly returned to the pharmacist. The registered person must ensure that all items with an expiry date in the first aid boxes are regularly checked to ensure that they have not expired. The registered person must ensure that a consistent records of water temperature checks are maintained. The registered person must ensure that all opened refrigerated items are labelled with the date of opening. Timescale for action 30/09/05 2. 20 13(2) 31/07/05 3. 42 13(4) 31/07/05 4. 42 13(4) 31/08/05 5. 42 13(4) 31/07/05 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 14 Good Practice Recommendations The home should consider a range of activities for service users who are not able to participate in local theatre/cinema etc. This could include events at local museums and community centres (such as the nearby Museum of Childhood), summer events (street markets, food and music festivals) and engaging the services of entertainers who will visit care homes (this could be arranged in conjunction with other MENCAP homes). Information on local resources is available from local councils Leisure and Sports/Recreation departments. The home should clean the medication cupboards monthly and record that PRN analgesia (painkillers) have been offered. The home should improve upon the communal areas by further attention to the gardens and the replacement of a lounge table, as identified in this report. 2. 3. 20 20 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Gredley House 1-11 Broadway 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 34-36 Huddlestone Close G57 G06 S10298 Huddlestone Close V223228 230605 Stage 4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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