Inspection on 09/09/05 for Jennifer Residential Care Home

This inspection was carried out on 9th September 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 05/05/05

Jennifer Residential Care Home 02/08/04

Jennifer Residential Care Home 21/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Jennifer Residential Care Home 17 Pemberton Road Haringey London N4 1AX Lead Inspector Peter Illes Unnannounced 9 September 2005 @ 10.00 am 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 G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 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 2858 Mrs Reva Dhyll Mrs Reva Dhyll PC - Care home only 6 beds Category(ies) of MD - Mental Disorder registration, with number LD - Learning Disability of places Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 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 time as the specific service user vacates the home. Date of last inspection 05 May 2005 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 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. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took approximately four and a half hours with the registered manager being present or available throughout. There were four service users accommodated at the time of the inspection with the home having two vacancies. The inspection included: discussion with three service users, two of them independently; discussion with the registered 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: The home provides a small scale and friendly place to live that service users appreciate and the home’s staff are familiar with the service users needs. The home is maintained and decorated to a high standard, was clean and tidy throughout and service users have the opportunity to personalise their bedrooms. 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 service users varying ethnic preferences. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 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. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 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: No new service users had been admitted to the home since the last inspection. The registered manager stated that the home was in discussion with referring authorities regarding new referrals and was optimistic about this. The four existing service users files were inspected and all contained satisfactory assessment information that had been supplied to the home at the time of their admission. The information was multi-disciplinary with input from relevant health and social care professionals where appropriate. Service users needs continue to be reviewed through care planning approach (CPA) meetings. A requirement was made at the last inspection that minutes of these meetings are made available at the home promptly to ensure that service users current assessed needs continue to be met. The inspector was pleased to note that minutes from current CPA meetings were available at the home and had informed the individual service users care plans. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9 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 generally well supported to retain and maximise their independence by making as many decisions as possible for themselves. However, attention is still needed to ensure that one identified service user’s financial interests are adequately safeguarded. Service users are supported to take responsible risks to assist them keep safe both inside and outside the home. EVIDENCE: All four service users files contained detailed care plans that had been reviewed and signed by the individual service user. The plans were also seen to have been informed by current assessment information. Service users spoken to confirmed that they had been involved in reviewing their care plans. At the previous inspection it was required that a clear audit trail be made available for the money belonging to one identified service user that was being held by the home. The registered manager stated that the service user’s social Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 10 worker was aware of the situation and was going to assist the service user set up a bank account although the home was still waiting for this to happen. In the meantime there was still no clear record available that showed the running total of the money held that included receipts and payments made of this money. The requirement is restated. Satisfactory risk assessments were seen on all four service user files inspected. These covered a range of areas including for the use of hot water in hand basins and for night time staffing needs. The risk assessments had been reviewed and signed by the service user. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 & 17 Service users enjoy a range of appropriate activities including within the local community and these are being kept under review. 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. EVIDENCE: Two service users attend day services external to the home, one four days a week and the other five days a week. The other two service users undertake varying activities although one stated that they would still like to attend external day services. A requirement had been made at the last inspection that the home formally requests the referring authorities for a review of the latter two service users day time activity needs. This had been complied with and the registered manager stated that the social worker for one of the service users had agreed to find a befriender to become involved with one of the service users. The service user concerned confirmed that this was the case. The registered manager went on to say that the other service user’s day time Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 12 activity needs were still being explored with a meeting with that social worker having been arranged for later in September 2005. One service user remains fully independent regarding travelling and a second is able to travel independently to identified destinations including their day services. 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. Three of the four service users continue to have varying contact with their 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. One service user was keen to tell the inspector that they were going to stay out of London with a relative for a few days the following week to participate in a family celebration. 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 two service users. One was positive about the care they received including the personal support they received in bathing from an identified member of staff. The other service user was not so positive and told the inspector about a recent incident involving the service user doing their own laundry where they felt the registered manager had not been fair with them. The inspector discussed this issue with the registered manager and the service user separately. It was the inspector’s opinion that the registered manager had dealt appropriately with the identified issue. The registered manager stated that she would continue to monitor the boundaries the home put on the service user regarding the laundry issue involved. 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. Service users spoken to indicated that they enjoyed the meals at the home and were involved in deciding what meals they preferred. The kitchen was clean and tidy, the food was stored satisfactorily including being within its use by date. Satisfactory records were kept in the kitchen including that of fridge and freezer temperatures. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Service users receive appropriate personal support in accordance with their needs and preferences. Their emotional and physical healthcare needs are met on an individual basis including being supported to attend annual health checks. The implementation of the home’s medication procedures needs to be improved for one identified service user to ensure that their medication needs are fully safeguarded. 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 two service users needed some direct assistance with their personal care including assistance with hair washing and with shaving. The one staff member spoken to was able to describe how the personal needs of service users are met. One service user spoken to told the inspector that the member of staff that assists her with her bath does so in a way that she feels comfortable with. 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. Service users emotional health was Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 14 satisfactorily monitored by both staff in the home and the community health team as appropriate. At the last inspection a requirement was made that the home liaised with the GP and prescribing chemist to ensure that the medication for one identified service user was correctly labelled. This was seen to have been complied with. Medication and medication administration record (MAR) charts were inspected for two service users. These were generally satisfactory although one of the identified service users was refusing to take two identified types of medication that had both been prescribed. The registered manager stated that she had spoken to the GP who had told her that both the identified medications were not essential and that the service user should attend an appointment to review her medication. The registered manager stated that the service user had refused to attend the GP when an appointment was made for her. The service user also told the inspector that she did not want to go to the GP. There was no confirmation of the GP’s advice about the identified medication available for inspection. Both the identified types of medication were still being shown on the MAR chart and being marked as not taken. A requirement is made that written confirmation is obtained from the GP regarding the need for this medication and that the GP be requested in writing to visit the service user at the home or make other alternative arrangements to review the medication. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Service users are able to express their views and concerns 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 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. Service users spoken to indicated that they knew how to raise concerns when they wanted to. The home had a satisfactory whistle blowing policy that was seen. The home also had a satisfactory adult protection policy and procedure with the registered manager and the staff member spoken to being aware of the action they respectively needed to take should an allegation or disclosure be made to the home. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 16 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 & 30 Service users live in a home that is clean, well maintained, comfortable that provides an environment that meets their needs and which they enjoy living in. EVIDENCE: The home was well decorated and maintained throughout and met the needs of the service users living there. It was noted that new double glazed replacement window units had been fitted throughout the home and one service user indicated that she was pleased with these and the rest of her bedroom. The home’s rear garden is well maintained and provides a pleasant area for service users to sit in fine weather. One service user was spoken to independently in the garden and was clearly enjoying sitting in the sunshine at the time. 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. One service user however told the inspector that she preferred to wash her clothes by hand as that made them cleaner in her opinion. The home had a satisfactory infection control policy that was seen. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 17 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) 33, 34 & 35 Service users are generally well supported by an effective staff team although records to evidence this still need improving. The recruitment process still needs improving in identified areas to ensure that the home is fully safeguarding service users through the implementation of its recruitment procedures. Fifty percent of the staff team need to achieve an identified qualification in care by the end of 2005 to ensure that service users needs are appropriately met. The home’s formal staff supervision system remains poor and does not promote staff welfare and development or the welfare of the service users. EVIDENCE: The registered manager stated that the home operates with a staffing ratio of not less than two staff on the early shift, two staff on the late shift and one staff member sleeping in at night. The manager and a care worker were on duty on the day of this unannounced inspection. A requirement was made at the last inspection that a record must be kept of the rota of staff working in the home and a record kept of who actually worked each shift if that is different from the planned rota. The registered manager stated that this had been complied with but could not locate a copy of either record during the inspection. The requirement is restated. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 18 At the last inspection a requirement had been made that an identified staff member must have a protection of vulnerable adults (POVA) clearance to be obtained through a new criminal records bureau (CRB) clearance. The registered manager stated that the member of staff in question had left her employment in the home before the requirement could be complied with. One new member of staff had been recruited to the home since the last inspection. The staff file for this member of staff was inspected and did not contain all the required information to evidence a robust recruitment procedure. The file did contain satisfactory CRB and POVA clearances as well as proof of identity and one personal reference. The file did not contain a last employer reference as is required by the Care Homes Regulations 2001. A requirement was made at the last inspection that the home must be in possession of all necessary documentation for any member of staff employed before they start work in the home. This requirement specified two references as part of the documentation that must be obtained. The requirement is amended and restated to include that the home must ensure that it has two written references, including a verified last employer reference, for all prospective staff members before they start work in the home. The training records for staff were not inspected in detail on this occasion although the member of staff spoken to that had been employed since the last inspection confirmed that she had received an appropriate induction to the home. It was noted that none of the care staff have achieved national vocational qualification (NVQ) level two in care. It is required in the national minimum standards that at least fifty percent of care staff employed in a home has this qualification by 2005. A requirement is made regarding this. At the last inspection a requirement was made that staff receive regular and recorded supervision at least six times a year. The registered manager stated that she is still working towards this and the requirement is restated. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 & 42 The registered manager needs to continue to develop her professional qualifications to ensure that service users and stakeholders are confident that the home will continue to be run in the best interests of the service users. The home still needs to develop an effective and formal quality assurance process to ensure that service user and stakeholders views have a prominent place in developing the service provided by the home. Fire safety continues to be a high priority in the home to promote the welfare and safety of service users and staff. 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 national minimum standards require registered managers to have achieved the NVQ level 4 qualification in both care and management by 2005. The registered Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 20 manager stated that she is not registered on a course that would lead to these qualifications and a requirement is made regarding this. A requirement was made at the last inspection that the home produces an annual development plan based on a formal system of receiving feedback from service users and stakeholders regarding the quality of care at the home. The timescale of 31/10/05 made at the last inspection had not been reached at this inspection. The registered manager stated that the home was still working on this. The home’s health and safety documentation was inspected and was satisfactory at the last inspection so was not inspected again at this inspection. It was noted that the fire officer had visited the home on 5/9/05. The registered manager stated that the fire officer was satisfied with the fire precautions in place at the home and was waiting for a report from this visit. It was also noted that the fire equipment had been satisfactorily serviced. No health and safety hazards were identified during this inspection. Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 1 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x 1 1 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jennifer Residential Care Home Score 3 3 x 2 Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 3 x G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 22 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 7 Regulation 17(2), Sch.4(9) Requirement 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. (timescale of 30/6/05 not met) The registered person must ensure that written confirmation is obtained from the GP regarding the medication needs for an identified service user and that the GP is requested, in writing, to visit the service user at the home or make other alternative arrangements to review the medication. The registered person must ensure that there is a copy of theb planned duty rota of staff working in the home and a record kept of who actually worked each shift if that is different. (timescale of 30/6/05 not met) The registered person must ensure that the home has two written references, including a verified last employer reference, Timescale for action 31/10/05 2. 20 13(2) 31/10/05 3. 33 17(2), Sch.4(7) 31/10/05 4. 34 19(5) 3/10/05 Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 23 5. 35 18(1) 6. 36 18(2) 7. 37 10(3) 8. 39 24 for all prospective staff members before they start work in the home. (timescale of 30/6/05 not met) The registered person must ensure that at least fifty percent of care staff employed in a home achieves the NVQ level 2 qualification in care by the end of 2005. 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 30/6/05 not met) The registered person must ensure that she is registered on an approved scheme that will allow her to obtain the NVQ level 4 qualification both in care and in management. 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. (timescale of 31/10/05 made at the last inspection not reached) 31/12/05 31/10/05 31/12/05 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 None Good Practice Recommendations Jennifer Residential Care Home G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 24 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 G59 S10718 Jennifer Res Home V246352 09.09.05 Stage 4.doc Version 1.40 Page 25 - 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!