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Inspection on 06/04/06 for Jennifer Residential Care Home

Also see our care home review for Jennifer Residential Care Home for more information

This inspection was carried out on 6th April 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a small-scale environment that service users say they appreciate. The needs and aspirations of service users are well recorded and up to date with staff communicating effectively with relevant health and social care professionals outside of the home. The building is well maintained, decorated and fits in well with the local community. Service users stated that they liked the food provided at the home and meals were seen to be healthy and to cater for service users varying ethnic preferences.

What has improved since the last inspection?

There were eight requirements made at the last inspection; seven of these had been complied with leaving one that is restated in this report. The identified improvements made were in the following areas: records of one service user`s money held by the home, clarifying one service user`s medication needs with their GP, a record of which staff worked which shift in the home, qualification training for both the manager and care staff, and formal staff support.

What the care home could do better:

One requirement is restated from the previous inspection relating to staff recruitment checks for new staff and compliance is essential to ensure that service users are properly protected. Two additional requirements are made at this inspection and these relate to further publicising the home`s complaints procedure to ensure that service users and stakeholders are clear how to raise issues if they wish and an identified repair needed in the laundry room to promote health and safety at the home.

CARE HOME ADULTS 18-65 Jennifer Residential Care Home 17 Pemberton Road Haringey London N4 1AX Lead Inspector Peter Illes Unannounced Inspection 6th April 2006 11:00 Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jennifer Residential Care Home Address 17 Pemberton Road Haringey London N4 1AX 020 8967 7001 020 8352 2858 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Reva Dhyll Mrs Reva Dhyll Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Limited to 6 people of either gender who have a mental disorder, excluding learning disability or dementia (MD) or a learning disability (LD). One specific service user who is over 65 years of age may remain accommodated in the home. The home must inform the regulating authority at such times as the specific service user vacates the home. 9th September 2005 Date of last inspection 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 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 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. 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. Information published by the home for prospective service users includes that CSCI reports are available to them. The current weekly charge starts from £800 depending on the assessed needs of the service user. Additional charges may be made for items such as toiletries and newspapers. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took approximately six hours with the registered manager being present or available throughout. There were five service users accommodated at the time of the inspection with the home having one vacancy. The inspection included: discussion with three service users, two of them independently; discussion with the registered manager, assistant manager and one member of the care staff independently and a tour of the premises. Further information was obtained from a tour of the premises and documentation kept at the home. What the service does well: What has improved since the last inspection? Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 6 There were eight requirements made at the last inspection; seven of these had been complied with leaving one that is restated in this report. The identified improvements made were in the following areas: records of one service user’s money held by the home, clarifying one service user’s medication needs with their GP, a record of which staff worked which shift in the home, qualification training for both the manager and care staff, and formal staff support. 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. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be confident that their needs will be assessed and agreed with them prior to admission to the home to enable their needs to be addressed when they move in. Service users can also be confident that their needs will be kept under review so that their changing needs can continue to be effectively addressed. EVIDENCE: One new service user had been admitted to the home since the last inspection. The file for this service user contained a range of multi-disciplinary assessment information including details of the person’s legal status under mental health legislation. This information was available to the home at the time of admission. Other information available to the home included a current mental health tribunal report, a care planning approach summary and a further assessment of need summary undertaken by the placing authority since the service user was admitted. The files for the other four service users accommodated were also inspected. These showed evidence of reviews or care planning approach meetings within the past year with their respective placing authority’s for three of them. Written evidence was seen on the file of the fourth service user, from the home to the relevant placing authority, requesting a review meeting for that service user. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 9 There was evidence from the files and from service users spoken to that they had been involved and had participated in their assessment and review meetings. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and aspirations are clearly set out in their care plans so that the home can satisfactorily address them. The plans are regularly reviewed with service users to assist the home meet their changing needs. Service users are well supported to retain and maximise their independence by making as many decisions as possible for themselves. Service users are supported to take responsible risks to assist them keep safe both inside and outside the home. EVIDENCE: All five service users accommodated had detailed care plans on their files. These had been informed by current assessment information including up to date risk assessments. There was evidence that care plans were reviewed on a regular basis with the next review date identified. Service users had signed their care plans and those spoken to indicated that they had been meaningfully involved in the care planning process. The registered manager stated that service users are encouraged to take as much responsibility as possible for themselves regarding their daily lives. Areas Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 11 where service users exercise choices or have their rights limited are recorded on their care plans and discussed at their review meetings. This includes restrictions imposed through mental health legislation. Limitations recorded included the need for identified service users to be accompanied when out in the community. At the last inspection a requirement was made regarding how the home was looking after one identified service users finances while their social worker was assisting the person to open a bank account. This requirement had been complied with and the service user now has a bank account and arrangements agreed with the social worker on how the person’s finances were to be managed. Records were seen to confirm this. The registered manager confirmed that the home did not now hold any money for service users. This included their weekly personal allowance that was given to them when received; records inspected confirmed this as did an independent discussion with one of the service users. Satisfactory risk assessments were seen on the service user files. These covered a range of areas including common areas such as the use of hot water in hand basins and for night time staffing needs. The risk assessments had been reviewed and signed by the respective service user. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a range of appropriate activities including within the local community with efforts being made to increase the options available for identified service users. Contact with relatives and friends is maintained and encouraged in accordance with the service users wishes. Service users rights are responsibilities are respected with any limitations appropriately discussed and agreed with them. They also enjoy balanced and varied meals of their choice that reflect their cultural preferences. EVIDENCE: Two service users attend day services external to the home, the registered manager stating five days a week for both. One service user declines to attend day services and following a review by the placing authority for a fourth service user that authority is attempting to identify a suitable day service for this person. The placing authority for the fifth service user, who had been admitted to the home since the last inspection, had agreed funding for external day services for them. The inspector was informed that the funding authority was Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 13 in the process of submitting an application form to an identified day service. Evidence of funding for this service user was seen in documentation on their file. The service user also told the inspector that the social worker was dealing with this. One service user continues to be fully independent regarding travelling and a second remains able to travel independently to identified destinations including their day services. The three other service users need support from staff with travelling with these restrictions recorded and reviewed in their respective review meetings. Service users stated that they used local shops and other resources such as the hairdressers and local pubs. Two service user informed the inspector that they are supported to attend church on a Sunday when they wanted to go. Service users are supported to undertake activities of their choice within the home. One of the service user told the inspector that they liked reading and showed him a dictionary they used to learn new words. The inspector was informed that watching television remains a favourite pastime for service users. Three of the service users continue to have varying contact with their relatives. This varies from one service user seeing a relative most weeks with others having telephone contact and occasional visits throughout the year. Two service users have no contact with relatives. The registered manager stated that relatives and friends are welcome and encouraged to visit the home. Staff were seen to interact appropriately with service users and service users preferred form of address was recorded on their care plans. Three of the service users need some assistance or supervision with bathing and/ or washing their hair and this is recorded on their files. Service users are encouraged to undertake household tasks where agreed and this is appropriately recorded. Records of the meals supplied in the home were seen. These were satisfactory and included a range of options to meet the varying cultural preferences of the service users accommodated, e.g. rice and peas. Three of the service users are Afro-Caribbean and two are white, the registered manager stated that all the service users enjoyed trying different food. Service users spoken to indicated that they enjoyed the meals at the home and were involved in deciding what meals they preferred. Evidence was seen of this from notes of a recent service user meeting. The kitchen was clean and tidy, the food was stored satisfactorily including being within its use by date and there was a good supply of fresh fruit and vegetables available. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive appropriate personal support in accordance with their needs and preferences. Their wellbeing is promoted by their emotional and physical healthcare needs being met on an individual basis. Service users are also protected by the homes procedures relating to medication and by its effective administration. EVIDENCE: Two service users remain generally independent with their personal care although the registered manager confirmed that they sometimes needed verbal prompts regarding their personal hygiene. The other three service users needed some direct assistance with their personal care including assistance with bathing/ hair washing. Two service users who were spoken to independently both indicated that this was undertaken in a sensitive way that met their needs and preferences. One of these service users stated that they “didn’t feel any pressure and felt really comfortable when being helped in the bath”. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 15 Service users health needs are documented in their files. Evidence was seen of input from a range of community health professionals including annual health checks by the GP, monitoring by the community nurse and appropriate medical hospital appointments where necessary. The inspector was pleased to see that all the service users had been supported to have a dental check in February 2006 and also evidence of regular checks by the optician. There was evidence recorded that staff in the home and the community health team where appropriate satisfactorily monitored service users emotional health. The home has an appropriate medication policy that was seen. The inspector was pleased to note that requirement made at the last inspection about one identified service user’s medication had been complied with. The home had sent a copy of a letter from that person’s GP to the inspector to evidence this. Medication and medication administration records were inspected for all five service users and were satisfactory. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to express their views and concerns and have these acted on although the home needs to display information about the complaints procedure more prominently to reinforce how they and their representatives can do this. Service users are protected by a satisfactory adult protection policy and procedures that staff are familiar with. EVIDENCE: The home had a satisfactory complaints procedure that was seen to include the details of the Commission and that complaints would be responded to within twenty-eight days. The registered manager stated that no complaints had been received at the home since the last inspection. The registered manager stated that service users were informed of the complaints procedure when they first moved into the home and could, and did, raise concerns with staff at any time. However, the complaints procedure was not displayed in the home for service users and other stakeholders’ information and a requirement is made regarding this. Service users spoken to indicated that they knew how to raise concerns when they wanted to. The home had a satisfactory adult protection policy and procedure, the home also had a copy of the local authority adult protection policy for the authority in which the home is located. The registered manager and staff spoken to were aware of the action they respectively needed to take should an allegation or disclosure of abuse be made to the home. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home that is clean, well maintained, comfortable and that provides an environment that meets their needs. An identified repair in the laundry needs to be attended to ensure that service users health and safety needs remain met. EVIDENCE: The home was suitably decorated and maintained throughout and met the needs of the service users living there. The registered manager confirmed that the home had an ongoing maintenance and renewal programme with identified work to be carried out over the next twelve months. Service users spoken to were happy with their bedrooms that had been personalised as they wished. The home was clean and hygienic throughout during the inspection. Laundry facilities are kept separate from food preparing areas, and there was evidence that they were used regularly and appropriately. It was noted however that a number of tiles on the laundry floor were broken. The registered manager stated that this had only just occurred when a piece of laundry equipment had been moved. A requirement is made regarding this to prevent a potential health and safety hazard from developing. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Service users are supported to meet their needs by a competent and effective staff team. The recruitment process still remains poor and needs improving to ensure that the home is fully safeguarding service users through the implementation of its recruitment procedures. The home is addressing service users needs through staff training. The home is also promoting service users welfare by developing and implementing an appropriate staff supervision system. EVIDENCE: In addition to the registered manager the home was employing an assistant manager, two care staff and had access to additional bank staff as required. The home was in the process of meeting its target of having a minimum of fifty percent of staff qualified to the national vocational qualification (NVQ) level two in care. The inspector was informed that the assistant manager had started her NVQ level 3 in care, had taken a break in this and was enrolled to continue with this qualification in September 2006. One care worker confirmed that they were in the process of completing their NVQ level 2 in care through the North East London College based in Tottenham. At the last inspection a requirement was made that the home keeps a copy of the staffing rota available for inspection that shows which staff worked which Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 19 shift in the home. The inspector was pleased to see that this requirement had been complied with. At the last inspection a requirement was restated that the home ensures that it had two written references for each staff member recruited, including a last employer reference. The inspector was disappointed that the home had recruited a new member of care staff since the last inspection and that this requirement had still not been fully complied with. The member of staff had started work the week before this inspection and the home was in receipt of a range of required documentation including: a satisfactory application form, proof of identification, a protection of vulnerable adults (POVA) clearance and was supervising the member of staff at all times while waiting for the full enhanced criminal records bureau (CRB) clearance. The registered manager stated that the home requested two references, and had obtained a verbal reference from the staff member’s previous employer but was still waiting to receive the written references. The registered manager stated that she felt it was important to start the member of staff and reiterated to the inspector that she had verified their last employer reference by telephone although had not made a note of this. The requirement is restated again. The new member of staff was in the process of receiving an appropriate induction and confirmed to the inspector that he had two and a half years experience in care. Evidence seen of past training from the staff members file confirmed this. A requirement was made at the last inspection that staff receive regular and recorded supervision at least six times a year. The home had purchased an external staff supervision procedure and was in the process of implementing this. Staff spoken to felt that they were well supported. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from the registered manager undertaking required qualification training and from the home developing a quality assurance system that incorporates their views on the service. Effective health and safety procedures and current insurance cover in the home protect service users, staff and visitors to the home. EVIDENCE: The registered manager has owned and managed the home for a number of years. She is knowledgeable regarding the needs of the service users accommodated, the provision of care to vulnerable adults generally and about the management issues involved in running a small care home. The inspector was very pleased to learn that the registered manager has enrolled on a registered managers award qualification with the Career Development Centre. This complies with a requirement made at the last inspection. The inspector was also pleased to learn that the home has purchased and is starting to implement a formal quality assurance system, which complies with Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 21 a requirement made at the last inspection. The inspector also saw evidence that as part of this the service users were being regularly consulted at their service user meetings about the quality of care being provided at the home. Advice was given to the registered manager about formalising this information into an annual development plan for the home. A range of health and safety documentation was inspected that was satisfactory and provided evidence that the health and safety of both the service users and staff is taken seriously by the home. The documentation included: testing of the fire prevention and fire fighting equipment in the home; testing of the gas and electrical installations; testing of the portable appliances and having current insurance cover for the home. No other health and safety issues were identified. Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 1 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 23 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 YA22 Regulation 22 Requirement Timescale for action 31/05/06 2. YA3030 3. YA34 The registered person must ensure that the home’s complaints procedure is prominently displayed in the home for the information of service users and other stakeholders involved with the home. 13(4) The registered person must ensure that the floor in the laundry room is repaired to enure it is impermeable and readily cleanable. 19(1),Sch.2(5) The registered person must ensure that the home has two written references, including a verified last employer reference, for all prospective staff members before they start work in the home. (timescale of 30/6/05 & 3/10/05 not met) 31/05/06 31/05/06 Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Jennifer Residential Care Home DS0000010718.V287905.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Southgate Area Office 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 DS0000010718.V287905.R01.S.doc Version 5.1 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!