Inspection on 05/05/05 for Jennifer Residential Care Home

This inspection was carried out on 5th May 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Jennifer Residential Care Home 11/04/07

Jennifer Residential Care Home 06/04/06

Jennifer Residential Care Home 09/09/05

Jennifer Residential Care Home 02/08/04

Jennifer Residential Care Home 21/04/04

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Jennifer Residential Care Home 17 Pemberton Road Haringey London N4 1AX Lead Inspector Peter Illes Announced 5th May 2005 @ 09:45am 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. Jennifer Residential Care Home Version 1.10 Page 3 SERVICE INFORMATION Name of service Jennifer Residential Care Home Address 17 Pemberton Road, Haringey, London, N4 1AX 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 8967 7001 020 8352 2658 Mrs Reva Dhyll Mrs Reva Dhyll PC Care Home 6 Category(ies) of MD, LD registration, with number of places Jennifer Residential Care Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 6 people of either gender who have a mental disorder, excluding learning disability or dementia (MD) or a learning disability (LD). 2. One specific service user who is over 65 years of age may remain accommodated in the home. 3. The home must inform the regulating authority at such times as the specific service user vacates the home. Date of last inspection 2 August 2004 Brief Description of the Service: The Jennifer Home is a privately owned care home, registered to provide personal care for six younger adults who are assessed as having mental health needs or learning disabilities. The registered provider is also the registered manager. The home is currently registered to accommodate one identified service user who is over the age of 65 years. The premises consist of a large three-storey terrace house with a small garden at the front and a large garden at the back. There are four single bedrooms and one double bedroom. None of the bedrooms have en-suite facilities although bathrooms and toilets are readily accessible in all areas of the home. The main communal facilities comprising the kitchen, lounge and dining room are all situated on the lower ground floor. The stated aim of the home is to offer service users the opportunity to enhance their quality of life by providing a safe, manageable and comfortable environment with the necessary support and stimulation to help them maximise their potential physical, intellectual, emotional and social capacity, all within a homely atmosphere. The home is situated in a residential area of Haringey and close to the shops, pubs, restaurants, transport facilities and other multicultural amenities of Wood Green. Jennifer Residential Care Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took approximately six hours with the registered manager and deputy manager being present throughout. There were four service users accommodated at the time of the inspection with the home having two vacancies. The inspection included: discussion with all four service users, three of them independently; discussion with the managers and one care staff independently and a tour of the premises. Further information was obtained from the preinspection questionnaire and documentation kept at the home. What the service does well: Service users benefit from a small scale, domestic environment that those spoken stated they appreciated. The home is well decorated, clean and service users have the opportunity to personalise their bedrooms. Service users are consulted effectively about the day to day running of the home and regarding their preferences generally. One service user was excited about being supported by staff to go to vote in the general election that was being held on the same day as this inspection. Service users health needs are understood and effectively met. Service users also benefit from clear care plans that are regularly reviewed as well as benefiting from sensitive personal care that is delivered in accordance to their preferences. Service users are encouraged to maintain and develop relationships with relatives and others. Service users stated that they liked the food provided at the home and meals were seen to be healthy and to cater for a variety of ethnic preferences. Protecting the health and safety of service users and staff remain a high priority for the home. Jennifer Residential Care Home Version 1.10 Page 6 What has improved since the last inspection? What they could do better: One requirement is restated from the previous inspection and this inspection generated a further eight requirements and one recommendation. Staff are still not receiving regular recorded supervision which was a requirement from the previous inspection. Each staff member must have at least six recorded supervision sessions a year in order to promote their welfare and development and the welfare of service users. Jennifer Residential Care Home Version 1.10 Page 7 Three of the four service users accommodated did not have notes of their latest CPA on their files at the home which is essential to ensure continuity by all staff in meeting service users needs on a multi-disciplinary basis. The home is looking after the personal allowance for one service user and there is no clear audit trail to show receipts to, and payments, from that money. A robust audit trail is required to ensure the financial interests of this identified service user are appropriately safeguarded. Two service users would benefit from structured external day services and the home is required to formally request a specific review of their day time needs from their referring authorities. Service users prescribed medication must be correctly labelled at all times to minimise the risk of incorrect administration. In order to promote effective accountability in the home registered person must ensure that there is a written staff rota available in the home and a record of whether the rota was actually worked. The current recruitment procedure used by the home is poor and does not satisfactorily safeguard the interests of service users. Staff files are not complete and each one must include two written references, proof of identity and detailed employment history. A new enhanced CRB and POVA must be obtained for one identified member of staff who was employed in April 2005. The registered person must ensure that the home develops an annual development plan that reflects formal feedback from service users, relatives and other stakeholders in order to ensure the ongoing development of the home. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jennifer Residential Care Home Version 1.10 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Jennifer Residential Care Home Version 1.10 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 3 Prospective service users can be confident that the home will ensure that their needs will be fully assessed before being admitted to the home. The home did not have all the latest records of subsequent multi-disciplinary assessments that could lead to their changing needs not being met as effectively as they could. The home has the capacity to meet the needs of the service users accommodated. EVIDENCE: No new service users had been admitted to the home since the previous inspection. The four service users files did contain evidence however that the service users needs had been assessed prior to their admission to the home by either healthcare and/ or social care professionals as well as by the staff at the home. There was also evidence from the files and from service users spoken to that ongoing assessment and monitoring is taking place of service users and that they are involved in this process. Service users and the registered manager stated that CPA meetings had taken place in the past twelve months and that all four service users had been fully involved in these. The formal record of these meetings however was not in the home for three of the four service users, the latest CPA records available for those three all being dated 2003. It is necessary for the records of these meetings to be available to staff in the home promptly so that all parties are clear of their input, and the input of others, to ensure the service users needs continue to be effectively met on a multi-disciplinary basis. Jennifer Residential Care Home Version 1.10 Page 10 At the previous inspection three service users had attained the aged of 65 years and the conditions of registration for the home only allowed one named service user over 65 years to be accommodated at the home. Since then the two additional service users over the age of 65 years have left the home. This means that the home is now complying with its conditions of registration. Through discussion with the four service users, discussion with staff and evidence seen in records throughout the inspection the inspector was satisfied that the home has the capacity to meet the needs of the current service users accommodated. Jennifer Residential Care Home Version 1.10 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 &9 Service users benefit from up to date individual care plans that they are involved in reviewing. They are able to make decisions about their daily lives, including their finances, with appropriate support from staff. The record keeping however for one identified service user’s personal allowance needs to be more robust to ensure his financial interests are satisfactorily safeguarded. Service users are regularly consulted about life in the home and they are supported to take appropriate risks as part of their overall lifestyle. EVIDENCE: All four service users had satisfactory and detailed individual care plans that were seen. The plans were based on meeting their current and changing needs and there was evidence that they were regularly reviewed with the individual service user who had all signed the record of their review. Service users spoken to confirmed that they were involved in the review of their care plan although with varying degrees of interest being expressed by them about the process. Three of the four service users spoken to confirmed that they were given and retained their personal allowance each week and satisfactory records were seen for two service users that showed they signed for their money each week. Jennifer Residential Care Home Version 1.10 Page 12 The third service user received his allowance independently from the placing authority and stated that this worked satisfactorily. The majority of the personal allowance for the fourth service user was being held for him by the home. This money was seen to be kept locked in the office and was available to the service user when he needed it but their was no clear audit trail available for this money. The home must put in place a clear recording system to show all receipts and payments regarding this money. Service users spoken to stated that they were consulted by staff on the day to day running of the home. The home holds regular weekly service user meetings to discuss issues regarding the home and other issues of potential interest to service users. Records of these meetings were seen and the record of the meeting previous to this inspection included a discussion about the forthcoming general election including any support service users needed in going to vote. One service user told the inspector that she was excited that she was going with a member of staff to vote later on that day following the inspection. The inspector was pleased to see that the home was now keeping clear formal minutes of the service user meetings. A range of satisfactory risk assessments was seen for each service user that also informed their individual care plans. The inspector was pleased to see that these now included specific risk assessments regarding hot water in wash hand basins, the temperature of identified unguarded radiators and the support service users need at night. Jennifer Residential Care Home Version 1.10 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15,16 & 17 Service users generally enjoy a range of appropriate activities including within the local community although two service users would benefit from more structured external day activities. Contact with relatives is maintained and encouraged according to the service users wishes. Service users rights are respected and they enjoy a varied and healthy diet. EVIDENCE: Two service users attend day services, one four days a week and the other five days a week. Both of these service users travel independently to their day service and respectively told the inspector that they enjoyed attending. Both service users had waited at the home to see the inspector on the day of the inspection with one being particularly keen to leave for his day service as soon as possible. One of the other two service users told the inspector that she would also like to go out to a day service as sometimes she becomes bored. The fourth service user did not want to go to day services although the registered manager informed the inspector that she felt that he also would benefit from some structured external day activity for at least part of the week. The registered manager went on to state that she had verbally raised Jennifer Residential Care Home Version 1.10 Page 14 the question of funding for external day activities with the relevant referring authorities for both of these service users but had not received a response. The home must write formally to the respective referring authorities to request a specific review of the identified service user’s daytime activity needs. One service user is fully independent regarding travelling and a second is able to travel independently to identified destinations including her day service. The other two service users generally need support from staff with travelling. Service users stated that they used local shops and other resources such as the hairdressers and local pubs. Service users also confirmed that they sometimes went to local recreational facilities such as Finsbury Park and Alexandra Palace although generally in the summer. Three of the four service users have varying contact with relatives. This varies from one service user seeing a relative on a weekly basis with others having telephone contact and occasional visits throughout the year. One service user has no contact with relatives. The registered manager stated that relatives and friends are welcome and encouraged to visit the home although service users spoken to stated they were aware of this it was the inspector’s impression that they did not appear particularly interested in doing so. Staff were seen to interact appropriately with service users and service users preferred form of address was recorded on their care plans. The inspector spoke independently with one service user in their bedroom at their request and this service user indicated that they were able to choose to be alone or in company as they wished. One service user confirmed that he had a key to the home and others spoken to indicated that they did not want keys. Bedroom doors were lockable from the inside and although the doors did not have keys to lock from the outside service users stated that this was acceptable to them. Service users stated that they enjoyed the food in the home although one service user stated that they would like more chips. Staff were aware of service users preferences with meals and negotiated with them on menus to encourage a varied and balanced diet. Records of meals served were seen and satisfactory, specific attention was seen to be paid to ensuring a range of culturally appropriate meals to meet service users preferences. The kitchen was clean and tidy with food stored appropriately and within its sell by date. The inspector was pleased to see that a satisfactory daily record is now kept of the fridge and freezer temperatures. Jennifer Residential Care Home Version 1.10 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 &20 Service users receive personal support in an appropriate way and in accordance with their preferences. Their physical and emotional health needs are satisfactorily met. Safe administration of service users medication is generally satisfactory although the labelling of one service user’s medication was incorrect and this needs to be rectified to minimise the risk of error in its administration. EVIDENCE: Two service users were generally independent with their personal care although the registered manager stated that they sometimes needed verbal prompts regarding their personal hygiene. The other two service users needed some direct assistance with their personal care including assistance with hair washing and with shaving. Staff were able to describe how this personal care was delivered and were clearly aware of the individual service users preferences in this area. Service users told the inspector that they were comfortable with the respective prompting or assistance received regarding their personal care. Service users health needs are clearly documented in their files. Evidence was seen of input from a range of community health professionals including GP, community nurse and appropriate medical hospital appointments where Jennifer Residential Care Home Version 1.10 Page 16 necessary. Service users emotional health was satisfactorily monitored by both staff in the home and the community health team as appropriate. Medication and medication administration records were inspected and were generally satisfactory. One prescribed medication container for one service user stated that the medication was to be administered three times a day and this did not match the medication administration chart (MAR) chart. The deputy manager stated that the GP had recently changed the medication to PRN but there was no record of this in the home. The home must liaise with the GP and pharmacist to ensure the labelling of all medication is correct at all times. Jennifer Residential Care Home Version 1.10 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Service users are able to express their views and concerns both informally and formally and have these acted on. Service users are also protected by a satisfactory adult protection policy and procedures that staff are familiar with. EVIDENCE: The home has a satisfactory complaints procedure that was seen and no complaints had been received at the home since the previous inspection. Service users spoken to said they were aware of how to complain if they needed to and one stated that she did not need to complain because she told staff if she had a problem and they sorted it out for her. The home had a satisfactory adult protection policy and also a copy of the local authority adult protection policy. The registered manager and deputy manager were knowledgeable regarding the practical implementation of the procedures should the need arise and stated that this was included as a priority in the induction for any new staff recruited. Jennifer Residential Care Home Version 1.10 Page 18 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) 24,27 &30 The home is clean, homely and comfortable including toilets and bathrooms that meet service users needs. EVIDENCE: The home was seen to be satisfactorily decorated and the registered manager confirmed that external decoration of the home was planned for later in the current year. The inspector was pleased to see that the toilets and bathrooms had been redecorated since the previous inspection. The accommodation is suitable for the service users accommodated. The accommodation is located on three floors, is comfortable and offers a pleasant domestic type living environment. Service users spoken to stated that they liked their bedrooms and the facilities in the home. The home was found to be clean and hygienic. Laundry facilities are kept separate from food preparing areas, and there was evidence that they were used regularly and appropriately. Jennifer Residential Care Home Version 1.10 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 & 36 The home is recruiting new staff to ensure service users needs can be fully met. The registered person should be mindful of the need for the overall care staff group to obtain the required vocational qualifications to ensure they are competent and qualified to support service users. The recording of which member of staff works on which shift is poor as is the current recruitment system. The recruitment system in particular does not provide the necessary protection to service users. Service users needs are addressed by the home’s training procedures. The home’s formal staff supervision system is poor and does not promote staff member’s welfare and development or the welfare of service users. EVIDENCE: The current staffing consists of the registered manager, one deputy manager, two RSW’s one of whom started work the week prior to this inspection and one bank RSW. The inspector was informed that an additional RSW is in the process of being recruited. The home has historically encountered difficulties in recruiting staff of sufficient calibre to meet the needs of service users and the inspector was pleased that some progress had been made in recruiting to the staff team. None of the staff employed at the home has obtained or is registered to undertake NVQ level 2. The home should ensure that progress is Jennifer Residential Care Home Version 1.10 Page 20 made regarding this to meet the standard that 50 of care staff are qualified to this level by the end of 2005. The staffing for the home is currently two staff on duty during the waking day and one staff sleeping in at night and a significant amount of shifts are having to be worked by the registered manager and deputy manager to maintain this level of staff cover. Service users spoken to confirmed that this staffing level is maintained. There was no staffing rota available for inspection at the home to verify this and it is essential that a formal and accurate staff rota is maintained at all times. The staff recruitment procedure used to recruit the last member of staff and the prospective member of staff at the time of this inspection is poor. There were no written references, proof of identity or detailed employment history available for inspection for the last member of staff recruited. There was evidence that an enhanced CRB and POVA check had been applied for in respect of this member of staff but neither clearance had been received at the time of the inspection. It is essential that these shortcomings are rectified as a matter of priority to ensure that service users are adequately safeguarded. The inspector was informed by the registered manager that the member of staff was being supervised at all times and evidence was seen of a previous enhanced CRB for the member of staff that had been undertaken by a previous employer in 2004. An induction checklist for the latest member of staff was seen that contained evidence that the induction process was underway. The identified member of staff confirmed this. Evidence was also seen of fire prevention training since the previous inspection and current first aid, food hygiene and health and safety training were seen on other staff files sampled. The deputy manager stated that she received regular supervision from the registered manager but there were no staff supervision records available for inspection for her or any other member of staff employed at the home. The home must ensure that there is a formal supervision and appraisal system in place and available for inspection. Jennifer Residential Care Home Version 1.10 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) 39, 42 & 43 There is no formal system to in place at the home to ensure that service users and others opinions inform the overall review, development and ongoing improvement of services provided by the home. Robust health and safety procedures and required insurance cover in the home protect service users and staff. EVIDENCE: At a previous inspection the inspector was informed by the deputy manager that the home was developing a quality assurance system including a service user questionnaire that was about to be piloted and the home hoped to have an initial development plan based on this by October 2004. The inspector was informed that this had not been progressed largely because of other priorities including the need to recruit more staff. Service users are consulted informally on a day to day basis and through the weekly service user groups. Further formal systems must be developed to ensure service users and other stakeholder’s views are obtained to ensure the meaningful development of the overall service offered by the home. Jennifer Residential Care Home Version 1.10 Page 22 A range of health and safety documentation was inspected and this was satisfactory that evidenced that the health and safety of both the service users and staff remain a priority for the home. The inspector was pleased to see that the home had a current certificate of employers liability insurance following a requirement at the previous inspection. SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Jennifer Residential Care Home Score 3 2 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Version 1.10 Score 3 x x 3 x x 3 Page 23 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score x 2 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x 2 2 1 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 3 Jennifer Residential Care Home Version 1.10 Page 24 yes 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 2 Regulation 14(2) Requirement The registered person must ensure that the records of CPA meetings are available promptly in the home so that all parties are clear of their input, and the input of others, to ensure the service users needs continue to be effectively met on a multidisciplinary basis. The registered person must ensure that there is a clear audit trail for the personal allowance kept by the home for one identified service user that shows all receipts and payments regarding this money. The registered person must ensure the home formally requests the referring authorities of two identified service users to request a specific review of their day time activity needs. The registered person must ensure that the labelling on all prescribed medication is correct at all times. The registered person must ensure that there is a copy of the duty rota of staff working in the home and a record of whether the rota was actually worked. Version 1.10 Timescale for action 30/6/05 2. 7 17(2), Sch.4(9) 30/6/05 3. 12 16(2)(m) 30/6/05 4. 20 13(2) 30/6/05 5. 33 17(2), Sch.4(7) 30/6/05 Jennifer Residential Care Home Page 25 6. 34 19(5), Sch.2(7) 7. 34 19(1), Sch.2(19) 8. 36 18(2) 9. 39 24(1) The registered person must ensure that the identified staff member employed in April 2005 without a POVA check and new CRB obtains these clearances and is supervised at all times by a person qualified to do so at all times until then. Confirmation of this must be sent to the CSCI. The registered person must ensure that the home is in possession of two written references, proof of identity and detailed employment history for any member of staff before they start work at the home. The registered person must ensure that all staff have regular recorded supervision at least six times a year.This requirement is restated from the previous inspection (timescale of 30/9/04 not met) The registered person must ensure that the home develops an annual development plan based on a formal system of obtaining service user and stakeholder feedback. 30/6/05 30/6/05 30/6/05 31/10/05 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 32 Good Practice Recommendations The registered person should ensure that progress is made regarding meeting the standard that 50 of care staff are qualified to NVQ level 2 by the end of 2005. Jennifer Residential Care Home Version 1.10 Page 26 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 Jennifer Residential Care Home Version 1.10 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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