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Inspection on 21/02/07 for Kingswood Road (47)

Also see our care home review for Kingswood Road (47) for more information

This inspection was carried out on 21st February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 no outstanding requirements from the previous inspection report, but made 2 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 residents live in a house that is clean, comfortable, homely and well maintained. They all have their own rooms, which have been personalised to suit their likes and dislikes. Staff and residents get on well with each other and there is a very relaxed atmosphere at the home. One of the staff said "I am proud to work here". A relative said, "it is absolutely excellent there, my sister is very happy". Residents are supported to keep in touch with their families

What has improved since the last inspection?

Staff spoken to said that morale and teamwork are good and things are running very smoothly. Additional funding has been agreed to provide more staff to support residents to do activities. Residents` information has been sorted into a working file and an information file. This makes it much easier to find and record information.

What the care home could do better:

The manager and staff team continue to work to provide a good service for the residents and to meet each person`s needs. The requirements in the previous inspection have been met.

CARE HOME ADULTS 18-65 Kingswood Road (47) 47 Kingswood Road Goodmayes Ilford Essex IG3 8UE Lead Inspector Jackie Date Unannounced Inspection 21st February 2007 1.30pm Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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 Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingswood Road (47) Address 47 Kingswood Road Goodmayes Ilford Essex IG3 8UE 020 8599 7965 020 8270 0925 h3M048OSullivan@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Mr Denis O`Sullivan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: 47 Kingswood Road is situated in a quiet residential road in Seven Kings. There is easy access to public transport, shops and leisure activities. Ground floor accommodation comprises a lounge, kitchen/dining area, laundry area, toilet, shower and two bedrooms. Upstairs there are three bedrooms, a bathroom with toilet, a separate toilet and a small office/sleep in room. Residents’ bedrooms are individually decorated and furnished and reflect their interests. There is also a small well-maintained garden with a large summerhouse. This is heated, comfortably furnished and has a TV and stereo. Five adults with learning difficulties live at the home. Three residents have access to day centres and staff support all of the residents to access activities and leisure pursuits. The scale of charges is approximately £1,200.00 per week. This information was provided in the pre inspection questionnaire. Information about the service provided is contained in the service users guide. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit lasted for about five hours and took place during the afternoon. The staff and the residents were spoken to. All of the shared areas and three of the bedrooms were seen. Staff, care and other records were checked. Staff were asked about the care that residents receive, and were also observed carrying out their duties. Relatives were contacted and asked for their opinions of the service. Feedback was received from the relatives of two of the five residents. This was a key inspection and all of the key inspection standards were tested. What the service does well: What has improved since the last inspection? What they could do better: The manager and staff team continue to work to provide a good service for the residents and to meet each person’s needs. The requirements in the previous inspection have been met. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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 Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to enable the staff team to meet residents’ needs. If a vacancy arose the required information would be gathered on a prospective resident and they and their relatives could spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home, within their capacity to do so. EVIDENCE: The residents have all lived together for several years and the newest residents moved in more than eight years ago. It is therefore not possible to directly test Standard 2 with regard to prospective users needs being assessed. However, the organisation has an admissions procedure that includes gathering of information and assessments. It also contains details of how a prospective resident would be introduced to the home. The staff would be able to assess and introduce a new resident to the home if needed. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ plans focus on their individual needs and abilities and contain detailed information so that staff can meet their needs. Risk assessments are appropriate and reviewed and up to date. Therefore residents’ are supported to take risks according to their needs. Residents are consulted about what happens in the home as far as they are able. EVIDENCE: All of the residents have individual plans that give details of “what I need support with and what I like”. There is also a file for use by relief and new staff. This contains brief but clear information on individuals support needs and preferred routines. Two care plans were examined. These contained updated information to enable staff to meet residents’ needs and support them to reach their goals. For example one resident wanted to lose weight and a goal for another resident was to make a snack. Daily recordings are made about what each person has done and support that they have been given. These recordings are broken down into various areas Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 10 including choice, community presence, skills, physical and emotional health and personal care. Therefore there is information about each individual, which can be used as part of the review process and to identify ongoing and changing needs. Care plans are reviewed and updated and on the day of the visit a review was due to be held but was cancelled by the social worker. Another review was arranged for the next day. Both of the residents concerned knew about their reviews and were going to attend. Relatives spoken to said that they are invited to reviews but also indicated that for personal reasons it was not always possible for them to attend. The information in the care plans examined had been updated in January and February this year. This means that current information is available about residents’ needs and how they should be met. The residents cannot look after their own finances and staff have to help them. The residents can indicate what they want to buy. One resident likes to buy a guitar magazine each week and another was looking forward to going shopping to buy new clothes. Staff spoken to described areas in which residents are given choices. For example meals, shopping, what they do, where they spend their time. During the course of the inspection residents were given a choice of drinks with their evening meal and one resident decided he did not want to eat and would have something later. Residents also talked about their holidays and where they wanted to go this year. At times staff and residents sit chatting in the kitchen whilst having a drink and although there are not any formal residents meetings it was evident that residents opinions are sought and acted upon. There are risk assessments in place. These identify risks for the residents and indicate ways in which the risks can be reduced to enable the residents’ needs to be met as safely as possible. For example, the support a resident needs to make a drink or when bathing. Risk assessments have been reviewed and updated and were relevant to each individual. This should mean that appropriate action is taken to minimise risk and to safeguard residents. Residents’ records and other information are stored in a lockable cabinet in the office and staff are aware of issues of confidentiality. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents are encouraged to be as independent as possible, to take part in activities and to be part of the local community. Residents are supported to keep in contact with their relatives and visitors are made welcome at the home. Residents are given meals that they like and that meet their needs and individual preferences. EVIDENCE: Since the last inspection two residents have “retired” from their day service. This was due to changes in the age range that the day service is now provided for. Both residents found the change difficult but have been supported by the Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 12 staff team who are in the process of developing other activities with these two residents. During the week of this visit funding had finally been agreed for additional staffing to support this. At the time of the inspection the other three residents were attending day services for four days per week. Each person has a different day off each week and during that time they get individual support from the staff team. On their days off they all like to do different things. One resident likes to go out for lunch and buy his newspaper. The care plan of another says that he enjoys trips to the pub. One of the residents goes to church and also to a club in Dagenham. Residents accompany staff to do the house shopping. Last year three of the residents went on holiday together to Yarmouth and the other two went to the New Forest. Residents spoken to said that they enjoyed their holiday and were looking forward to going away again. They also talked about their Christmas meal at the “Harvester” which they enjoyed. One resident was looking forward to going into London to see Mary Poppins. All of the residents seem to be relaxed and very much “at home”. The residents said they were happy and liked living at the home. Feedback from one relative was “ my sister is very happy there, she would tell me if there was anything wrong”. The residents are encouraged to help around the home. One of the residents in particular likes to help around the house and his job is to put the milk bottles out. Others need a bit more encouragement. Daily logs record what residents have done and the choices that they have made. For example one log said that the resident had chosen breakfast, cleaned and hoovered her bedroom, made herself a cup of coffee and had been to church. During the course of the visit residents were offered choices about their lunch and also supported to help prepare the evening meal. Therefore residents are encouraged to develop their skills and be as independent as possible. Some of the residents have contact with their families. One of them stays with his parents for weekends and another phones her sister regularly. Staff also take residents to visit relatives that now find it difficult to get to the home. Recently staff took one residents to visit his father who now lives in a residential home. Relatives are invited to reviews but in most cases declined to attend but asked for notes from the meeting. Residents are supported to keep in contact with the relatives. Residents choose what they want to eat and help to make the menu. As previously stated they also go shopping with staff. Residents’ plans contain information about their dietary likes and needs. For example “likes roasts and casseroles, dislikes pasta, curry and spicy food. Another resident has joined “weightwathchers” and is being successfully supported to follow that diet. Therefore residents have meals that they choose and like and also that are suitable for their individual health needs. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. 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. Residents receive personal care that meets their individual needs and preferences. The staff team support the residents to get the healthcare that they need. Medication is appropriately administered by staff that have been trained to do this. EVIDENCE: The residents all need some support with their personal care. Details of the help that they need and how they prefer to be supported are in their individual plan. For example the care plan and of one resident says the staff must avoid scented soaps and shampoo, and must not use aftershave directly onto his skin, as this will irritate his psoriasis. Residents are encouraged to choose what to wear and at the time of the visit were all smartly dressed. Residents receive personal care that meets their individual needs and preferences. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 14 All of the residents go to the local doctor and specialist help is received when needed. Staff take residents to all of their medical appointments. Residents’ files have details of health care issues and show that residents have regular access to health care professionals. Records are kept of medical appointments and these show that residents have checks from the optician, dentist and when needed the chiropodist. The file for a female resident indicates that she was encouraged to have a mammogram but has refused this twice. One of the residents had gained a lot of weight and this was affecting her health and mobility. She decided that she needed to lose weight and has been supported to join a slimming group. She has lost more than a stone in weight and was very pleased. She was also looking forward to going shopping for some new clothes. A small laminated card has been completed for each resident. This contains brief information about medication and health. The idea is that this is readily available if any resident is taken ill or has an accident and needs to go to hospital. Residents are supported to get the healthcare that they need and to be as healthy as possible. None of the residents are able to self medicate and medication is administered by staff that had been trained to do this. Medication is securely stored in a locked Cabinet in the office. Medication administration records are kept and are up-to-date. The medication file has photographs of each resident and information about the medication that they take, how it is taken and possible side effects. For example one resident needs lots of fluid to take their medication. Medication is appropriately stored and administered. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. 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. The complaints procedure is in a pictorial format to help residents understand how to complain. Staff have received adult protection training to ensure that they are clear about what constitutes abuse and what to do if abuse is seen or suspected. This gives residents a greater protection from abuse. Residents’ finances are adequately managed and monitored and this lessens the risk of financial abuse. EVIDENCE: There is an organisational complaints procedure that would be used in the event of any complaints being made. The staff team have developed a version with photographs for the residents. This is displayed in the home. There have not been any recorded complaints for several years. Mencap has produced a detailed adult protection policy that tells staff the actions to take in the event of abuse/suspected abuse being discovered. Staff have attended a course on protecting residents from abuse and are aware of their responsibility to residents. Staff had Protection of Vulnerable Adults training on the day of the visit and one of the residents had also attended. She said that it was interesting. The relatives spoken to said that they were very happy with the care provided and also that their relatives were happy Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 16 living at Kingswood Road. One relative said that she did not have any worries about her sisters care. During the course of the visit a contractor arrived to check the fire system, a relief worker on duty asked him for identification before letting him in. This also offers protection to residents. All of the residents need help with their finances and have limited capacity to understand about the concept of spending or saving money, other than that money is exchanged for goods. Records are kept of financial transactions. Regular checks are made by the manager to ensure that these are correct. The cash held for two of the residents was checked at the time of the inspection and were found to be correct. The amount recorded in their bankbooks agreed with records kept by the home. Appropriate receipts were on file. Residents’ finances are appropriately managed and monitored. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a clean and comfortable home that is suitable for their needs. EVIDENCE: The home is in a quiet residential road in Seven Kings. There is easy access to public transport, shops and leisure activities. Ground floor accommodation comprises a lounge, kitchen/dining area, laundry area, toilet, shower and two bedrooms. Upstairs there are three bedrooms, a bathroom with toilet, a separate toilet and a small office/sleep in room. There are enough baths, showers and toilets and these meet the residents’ needs. The house was well decorated throughout. Residents’ bedrooms are individually decorated and furnished and reflect their interests. There is also a small well-maintained garden with a large summerhouse. This is heated, comfortably furnished and has a TV and stereo. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 18 None of the residents require any specific adaptations at this time. At the time of the inspection the home was clean and free from offensive odours and it was evident that the staff team work hard to maintain this standard. The house is very comfortable and homely and suitable for the needs of the residents. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Staff are competent and receive the necessary training to give them the skills to meet residents’ current needs and provide an appropriate service for them. Staff are properly recruited and the necessary checks carried out. This helps to protect residents and keep them safe. In addition to informal support staff receive formal supervision and regular staff meetings are held. This gives a chance for work practice and the development of the service to the discussed. EVIDENCE: Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 20 There is a consistent and fairly stable staff team and therefore residents are supported by staff that they know. A minimum of two staff are on duty at peak times. At night there is only one member of staff sleeping in, but with access to support in the event of an emergency. Feedback from staff was that staffing levels had been sufficient when all of the residents were attending day services but that additional staff were now needed to support residents for activities. As stated previously in this report additional staffing has been agreed to support activities and this will be in place in the very near future. The staff team have experience of working with people with learning disabilities. All but one of the care staff has successfully completed NVQ level 2 and some of them have completed NVQ level 3. The other member of staff is enrolling for NVQ. On the staff files were training records. Training covers a variety of areas including Moving and Handling, first aid, fire safety, health & safety, infection control, and food hygiene. As stated previously staff had received Protection of Vulnerable Adults training on the day of this visit. Therefore competent and qualified staff support the residents. The organisation operates an appropriate recruitment procedure. Jobs are advertised, application forms completed and interviews held. The necessary checks are undertaken prior to staff commencing employment. A random sample of staff records held in the home were checked during the inspection. These contained the necessary information and confirmation that appropriate checks had been made. Therefore the recruitment process offers safeguards to residents. Staff meetings and staff supervision have been taking place regularly, providing staff with the opportunity to discuss problems and to be involved in the development of the service. Feedback from staff was that they receive a good level of support and that teamwork is very good. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate management arrangements are in place to ensure that a good quality of service is provided to residents. The home is well managed and provides a safe environment for the residents. The registered provider monitors the service appropriately to check the quality of the service provided to residents. EVIDENCE: The manager has considerable experience of working with people with learning disabilities and of managing residential services. Feedback from staff was that they are well supported by the manager and that he is approachable. They also said that they are involved in discussions about the development of the Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 22 service and that their opinions and ideas are listened to. One relative said, “the manager is first class”. A representative of the organisation carries out monthly unannounced monitoring visits to the home. A report on this visit is left at the home and a summary of this sent to the Commission. The reports cover the necessary areas and indicate any action that is needed. An annual service review is also carried out. Therefore the quality of the service provided to the residents is monitored by the organisation. All of the necessary health and safety checks are carried out and a safe environment is provided for the residents. However portable appliances were last tested in September 2005 and the manager said that Mencap had informed him that checks now needed to be carried out on a two yearly basis and not annually. The Health & Safety Executive does not offer absolute rules on the frequency of testing and inspection of portable appliances, as different situations require different measures. In arriving at a judgement as to the frequency of testing an assessment needs to be carried out. This needs to take into account the environment, the users, the equipment construction and the equipment type. Therefore if regular annual Portable Appliance testing is not going to be carried out an appropriate risk assessment will need to be carried out to identify the frequency of testing required for each item and then testing will need to be carried out in line with this. This will ensure that the equipment is safe to use. In order to effectively deal with any blood spillages and avoid the risk of cross contamination of blood-borne infections a stock of granules containing sodium dichloroisocyanurate (Presept or equivalent) must be available at the home. Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTH CARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 2 X Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42 Regulation 13(4) Requirement If regular annual Portable Appliance testing is not going to be carried out an appropriate risk assessment must be carried out to identify the frequency of testing required for each item and then testing must be carried out in line with this. A stock of granules containing sodium dichloroisocyanurate (Presept or equivalent) must be available at the home. Timescale for action 30/04/07 2 YA42 13(3) 30/04/07 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 Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Kingswood Road (47) DS0000025907.V331056.R01.S.doc Version 5.2 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. 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