Inspection on 07/09/05 for Ilford Park Polish Home

This inspection was carried out on 7th September 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

Ilford Park Polish Home 14/06/07

Ilford Park Polish Home 08/02/06

Ilford Park Polish Home 19/01/05

Ilford Park Polish Home 17/08/04

Ilford Park Polish Home 02/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Ilford Park Polish Home Stover Newton Abbot Devon TQ12 6QH Lead Inspector Stella Lindsay Unannounced 7 September 2005 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 Older People. 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. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ilford Park Polish Home Address Stover, Newton Abbot, devon,TQ12 6QH 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) 01626 353961 01626 335088 Veterans Agency Clare Thomas, Linda McVeigh Care Home Care Home with Nursing 95 Category(ies) of Dementia - over 65 years of age (81), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (81), Old age, not falling within any other category (81), Physical disability over 65 years of age (95) Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Only 14 beds for the provision of nursing care in category PD (E) One Service User (named elsewhere) who is under the age of 65 may continue to be accommodated. Date of last inspection 19/01/05 Brief Description of the Service: This is a very spacious, modern purpose-built home set around a large courtyard garden. It is in a rural location about three miles from Newton Abbot, and is reached via a long private drive. It is administered by the Veterans Agency, under the Ministry of Defence. The home provides care for people aged sixty-five and over, who must satisfy conditions of eligibility for admission under the Polish Resettlement Act 1947. Those accommodated may include people suffering from dementia, mental disorder or physical disability. The home is registered to provide personal care for up to 81 service users, and there is also a nursing unit for up to 14. There is an emphasis on promoting Polish culture, many of the staff are Polish speakers and there is a resident Catholic priest. Services provided include regular transport and trips out, and the home is set in extensive grounds which are easily accessible. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a Wednesday in September 2005, between 9.30am and 3.30pm. Two inspectors visited, and the inspection included a tour of the home, speaking to service users and staff and reviewing the documentation. The lunchtime meal was shared with residents. The medication system was inspected, and care and health and safety records examined. Comment cards translated into Polish were distributed. Replies were received from 17 residents, whose opinions will be represented in the text. The Commission for Social Care Inspection has introduced key standards to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that previous reports also be taken into consideration. What the service does well: The management team continue to promote and encourage the education and training of the staff team to ensure they are knowledgeable and understand the care needs of the residents they responsible for. Care planning, the care given, and recording, are all very good. Activities are promoted both within Ilford Park and the wider community. The residents spoken to during the inspection felt that the staff understood them and suggestions they made are taken into account when activities planned. The staffing arrangements enable the residents to have access to carers who speak their first language. The recruitment system is sound, and many Polish speaking staff with knowledge of Polish culture are employed. Any information provided is available in Polish and English. The manager continues to promote the involvement of the residents in the decisions that affects them. A resident Polish-speaking priest provides regular services and pastoral support for the residents. The home is purpose-built and all the rooms for the residents’ private accommodation meet the highest space standards. Each resident living in the residential unit has an en suite facility. The home is spacious and designed with the emphasis on accessibility, safety, space and light. Ground floor bedrooms have their own garden door and small private patio garden. Residents have a fridge, kettle, and microwave according to their wishes and assessed safety. There are five flats available for married couples. Bathing facilities are excellent, and all adaptations and aids to independence are provided. The residents have access to large pleasant open spaces and an enclosed communal garden. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Information for prospective residents and pre-admission assessment were not inspected. EVIDENCE: Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 The residents are cared for the in a way that they would do themselves if they were able; they can have confidence that their social and health care needs will be met by staff team that understands them. The closer monitoring of expiry dates for prescribed topical preparations and dressings will ensure the residents continue to benefit from the treatment prescribed. EVIDENCE: Six residents’ plans of care were viewed during the inspection. These plans had been developed from a comprehensive assessment of care needs. The inspector met four of the residents whose care plans had been viewed. The residents that were able stated that the staff at Ilford Park had consulted them about their care and what was important to them. Their personal preferences and choices had been recorded as part of the care planning process. These covered personal risk assessments for the activities the residents had chosen to undertake. Every resident who completed a comment card said that they feel well cared for at Ilford Park, and that the staff treat them well. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 10 The visits by other healthcare professionals or multidisciplinary team members were recorded in the plans of care. The advice given by these professionals was reflected in the residents’ plans of care. Two residents who are receiving care from the district nurse team had this documented in the plan of care. One of these residents who was receiving district nurse care told the inspector that their key worker had recommended the district nurse came to see them. The residents’ key workers continue to record a monthly review for each of the residents they are responsible for. Copies of these were available in the plans of care. In addition to this, 12 monthly reviews which include the resident, their relative, key workers and relevant members of the multidisciplinary team are carried out. This enables staff to ensure that the residents are able to influence the way they care is delivered. Twice-weekly GP surgeries continue to take place. Two residents told the inspector that they were able to see the GP in private or have the key worker present if this is their wish. They also said they were able to make appointments themselves. Falls risk assessments are in place for the residents who have been identified as at risk of falling. The use of bed guards to prevent falling at night had also been risk assessed for the two residents who were using these in the nursing wing. An Assistant Manager has taken special responsibility for surveying falls within the home. The reporting system picks up near misses, and residents considered to be at risk have checks of their footwear, medication, hazards in their room, etc. The Home had been inspected for a ‘Heartbeat Award’ for Teignbridge PTC, which covered food hygiene, healthy food choices, and provision of smoke free living areas. The manager confirmed that senior staff responsible for medication for the residents have received training. A senior care officer confirmed that only staff who have received the training take responsibility for assisting the residents with their medication. One resident who was able to self medicate had a risk assessment completed which demonstrated their safety would continue to be maintained. A new system for returning medication from the nursing unit has been put in place since the last inspection. The systems in place meets the guidelines. A record of returns/destroyed medication is kept. The record of controlled drugs for one resident was checked against the stock held as correct. Medication storage and records were checked for two residents in three of the day space areas. One storage area had prescribed treatment creams for resident who was no longer at the home, and which had Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 11 passed their expiry date. Two residents’ rooms had prescribed creams which were not for the resident housed in that room. The drug storage fridge contained insulin, eye drops and topical treatment creams for the residents. On the day of inspection the fridge door was unlocked. The manager and the nurse in charge of the nursing wing confirmed that this is usually locked. Service Users have suitable locks on their doors, and doorbells, and the inspector heard staff using these before entering. However, a resident who returned a comment card to the CSCI said that sometimes staff enter private accommodation without knocking, which can be unpleasant. It would be good practice for Senior staff to raise awareness amongst all staff, to make sure their knock has been heard. There is a pay phone on wheels, suitable for people with hearing loss, which can be taken into Service Users’ rooms. Staff observed talking to Service Users were doing so in a respectful friendly manner. Staff were available who spoke Polish to allow Service Users to communicate in the language of their choice. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15 Ilford Park continues to promote and celebrate Polish culture. Mealtimes at Ilford Park are a pleasant experience for the residents and staff, and the menu reflects the residents’ choice for Polish dishes. EVIDENCE: In May, a group of residents and staff had attended official VE Day celebrations at the British Legion headquarters at Crownhill Fort in Plymouth, and been broadcast live on local radio. A General visited the home for the Veterans lapel badge presentation, and visited people in the Nursing Unit. Four residents went on a pilgrimage to Lourdes in May, with two carers. Another group attended the ‘Not Forgotten Association’ garden party at Buckingham Palace on 22nd July, and met Prince Andrew. Polish Soldiers’ Day had been marked on 15th August. All these events and more are recorded, with photos, in the quarterly Newsletter. Regular social events include bingo, played for prizes, and the art and music groups. The events calendar is displayed on the notice board in the Community Hall. Not all residents who completed comment cards answered this question, but 12 said they think the home provides suitable activities. The inspectors shared the lunchtime meal with residents on two different Dayspaces. Very little wastage was seen. Two Polish main courses were available for the residents to choose from. The residents spoken to said the Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 13 food is always good and if they dont like whats on the menu they can be given alternatives. The menus are checked by a professional dietician for their nutritional content, and the suitability of special diets provided. Processed foods have been removed from menus, and now all soups are home made, not from commercial mixes. Sausages are kept on the menu by popular request. The menus were available in Polish and English for the residents. These are provided in advance to enable the residents to choose the meals they wish to eat. Fruit juices are provided at breakfast, to ensure that residents can have enough vitamin C. Rice milk is provided for a person who cannot tolerate dairy foods. Of the 17 residents who completed comment cards, no-one said they did not like the food – six said they like it, and nine said they sometimes like it. The staff assisting the residents were doing so in a friendly discreet manner. One resident commented that nothing seems to be too much trouble for the staff who are caring for them. Some residents had chosen to eat their meals in their own rooms on the day of inspection. The carers spoken to said the residents always have the option to eat in their own rooms if they wish. The residents who were sharing their lunchtime meal with the inspector confirmed this is the case. Each of the resident plans of care viewed had a record of the individual preferences and dietary requirements for meals. Nutrition screening assessment tools had been completed in the residents care plans viewed. These identified the residents at risk. The inspector was advised that the majority of staff had completed a recognised food hygiene course. Staff who had started work at the home since the last inspection were due to attend food hygiene training by the end of the year. Each day space area has facilities for staff to make hot drinks for the residents. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The residents at Ilford Park can be reassured that any concerns or complaints they have will be dealt with in a sensitive supportive way by the staff. EVIDENCE: Computer records are kept for any complaints or concerns the residents raise. The actions taken to address the concerns raised are recorded. This demonstrated that the complaints are dealt with within timescales. Four residents spoken to said they felt able to discuss any concerns they had with the staff caring for them. Each resident has a designated key worker. One instance where residents had said the noise from the television in the lounge could be heard in their bedroom. The residents confirmed that they had been consulted and the television was moved to a different position in the in the lounge in order to reduce the noise levels in the resident’s room. The complaints policy is available in Polish and English and give contact details for the Commission. These policies were easily available for the residents. Complaints about catering are investigated by Eurest, who have the resources to analyse samples. Ilford Park has a clear policy for responding to any allegation of abuse, a whistle blowing policy, and a ‘No Gifts’ policy. Some staff have received training in the protection of vulnerable adults, and more is booked. All the residents who completed comment cards said that they feel safe at Ilford Park. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21,26 The residents at Ilford Park have a pleasant well-maintained environment to live in, which is kept clean, fresh and free from odour. EVIDENCE: A tour of the home revealed a pleasant well-maintained environment. The residents have been enabled to personalise their bedrooms with items of their own choice. Gardens and grounds are stocked with a variety of colourful shrubs and flowers for the residents to enjoy. Two with the residents told the inspector they really enjoyed the garden. The home is set out in four distinct areas and staffing teams are deployed within these. Each area has a lounge and dining area for the residents use. The residents were using these during the inspection. The bathrooms and toilets available to the residents have disabled access. All residents’ rooms have en suite facilities available to them except the shared rooms within the nursing wing. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 16 The Registered Manager stated that representatives of Dementia Voice had visited Ilford Park, to advise about the suitability of the environment for people with dementia. They had been positive about the colour schemes in the home, and they had considered the use of acceptable symbols. The courtyard garden is enclosed, so that people can wander safely. There is a system in the laundry to ensure that no cross contamination occurs between soiled and clean clothes. All floors and walls were in good order and had easily cleanable surfaces. Liquid soap and paper towels are provided by hand basins, to aid control of infection. There are separate contracts for pest control, waste management, and window cleaning. All the bathrooms viewed during the inspection were clean and free from odour. Domestic staff were working in each of the day space areas during the inspection. One member of domestic staff told the inspector that they were well supported to do the job and had access to training. They also commented that they always had sufficient equipment and materials to complete their job well. A disinfecting sluice is provided in the nursing wing. A yellow bag system is in operation for clinical waste. Disposable gloves and aprons were readily available for staff use when they were providing personal care for the residents. Staff observed assisting the residents were following infection control guidelines. The manager and one of the senior care officers confirmed that staff receive training in the prevention of infection and infection-control practices. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 Sufficient staff are provided to meet the changing needs of residents, with attention given to appropriate skills including language, and the systems of recruitment are sound. EVIDENCE: Care staff are provided for the different Day Spaces according to the amount of assistance needed by the occupants. A separate rota is kept for the Nursing Unit. Staffing has been increased to meet changing needs that have been identified, including an extra carer on Day Space 1 from 7 – 11am as more people are needing help to get dressed, an extra from 12noon till 8pm on the nursing unit, to make sure there is enough help at meal times, and a night carer staying on till 8.30am on Day Space 2 to help people getting dressed. Polish speaking staff are always available by day, and almost always at night. Care and administrative staff are employed directly by the Veterans Agency. Catering, laundry and cleaning services are provided by Eurest, security by Group 4, and building maintenance by Land Securities Trillium. Recruitment procedures were seen to be sound, with proof of identity checked, references taken up, and CRB clearances obtained, to assure the safety of residents. Recruitment was in process for a new Chef Supervisor and 2nd Chef, with knowledge of special diets as well as Polish culture being specified in the advert, to meet the very varied needs of residents. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,37,38 The two Registered Managers are competent to manage this large and active establishment, and they maintain sound systems to assure consistent good delivery of services, with safe working practices in place. EVIDENCE: The registered manager has worked in a senior capacity at this home for over ten years, and managed other homes previously. She has a Certificate in Social Services (including management skills) and the NVQ assessor’s award. Another manager who is a first level registered nurse is registered as manager of the home’s nursing unit. The two Registered Managers will start working for their Registered Managers Award this autumn, and are aiming to complete within a year. The Staff Council continues to meet, and staff confirmed that they feel able to raise concerns to be discussed. The Residents’ Committee had met the day before this inspection. Items discussed included the shop, which is transferring to Eurest, the appointment of a new chef, noise made by staff at Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 19 night, events past and planned, the expected arrival of a new Priest, and the order of new computers for residents’ use. The method of recording residents’ personal information has been improved. Each person now has a file kept securely in a desk on their own Day Space, so all their information, assessments and care records are together, staff can keep up to date more easily, and residents could see their own records more easily should they so wish. In the Nursing Unit, there is a cardex system in the office for quick reference, and personal files are kept in each room, as care plans need up-dating frequently in times of illness. All domestic staff had received training in control of infection, which was to be offered next to Kitchen staff. The kitchen staff had already received Health and Safety training. In-house training for specific tasks, such as use of the kitchen steamer, is all documented, to assure that staff are competent before using machinery that is potentially dangerous. Staff are retested annually on their safety in carrying out core tasks. Training in food hygiene had been provided, and Polish versions of the training materials had been obtained, to ensure that all members of staff would be able to understand. All probe temperatures and fridge and freezer temperatures are recorded. The Eurest manager at Ilford Park reviews health and safety in the home, and her manager checks her review. COSHH training had been provided on 15th December 2004, and was being delivered again on the day of the inspection. Manual handling assessments, and task specific risk assessments had been carried out, and reviewed in May ’05. Fire training had been delivered, and awareness followed up during Guidance and Professional Support sessions. The fire precaution system has a six-monthly service by Premtec, and is checked in-house weekly. The emergency lighting is checked monthly, and the fire extinguishers had been checked. The domestic staff have lockable trolleys where they can store the chemicals they use for cleaning. Two of these trolleys seen during the inspection at the chemicals locked within the trolleys. A record of accidents the residents, staff and visitors have our kept on the computer database. The senior care officer advised that this enables them to look at trends and introduce measures to reduce further risk for the residents. One of the plans of care viewed had been updated following a resident’s fall. A falls risk assessment had been completed and actions taken to reduce the risk had been recorded. Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 20 Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 4 x 4 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 4 x x x x 3 3 Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 22 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 Regulation Requirement Timescale for action 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 OP9 Good Practice Recommendations The expiry dates of topical preparations and dressings prescribed for residents should be monitored to ensure that out of date items are disposed of in line with good practice. The drug fridge should be kept locked. Senior staff should raise awareness amongst all staff about the need to knock before entering private accomodation, and to be sure the occupant has heard. 2. OP10 Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Ilford Park Polish Home D54-D07 S28772 Ilford Park Polish Home V245997 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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