Inspection on 06/06/06 for Laural House

This inspection was carried out on 6th June 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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Laural House 07/06/07

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

CARE HOME ADULTS 18-65 Laural House 15 Fairbourne Road London N17 6TP Lead Inspector Brian Bowie Key Unannounced Inspection 6th June 2006 09:15 Laural House DS0000064230.V295865.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 Laural House DS0000064230.V295865.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. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laural House Address 15 Fairbourne Road London N17 6TP 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) 020 8801 0242 020 8808 3748 akwahouseltd@aol.com Akwa House Limited Mr Alexio Kadira Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First inspection of new home Brief Description of the Service: Laural House is a small care home for 4 adults with mental health needs. It is run by Akwa House Ltd which runs 2 other homes for people with mental health needs. The proprietor and registered manager is Alex Kadira who is a qualified mental health nurse. Laural House opened in March 2006. The home is situated in a residential road off Philip Lane in Tottenham. It is close to shops and public transport. Each bedroom has en-suite facilities. There is a lounge and separate kitchen dining area on the ground floor with a small garden at the rear of the property. The home’s brochures states the aim of the service is: ‘To build a therapeutic relationship and work in partnership with clients to enhance their quality of life to its optimal level, thus empowering them to live independently within the community.’ In June 2006 the minimum fee charged was £800/week, with additional amounts payable for people with particularly high needs. Laural House intends to make inspection reports and other important information about the home available to residents, their families and professionals. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 1 day and lasted 8 hours. Brian Bowie, the allocated inspector for Laural House, carried out the inspection. The assistant manager was present throughout the inspection and showed the inspector around all parts of the home. Both the assistant manager and staff at the home assisted with the inspection. The inspector spoke to 3 of the 4 residents living in the home at the time of the inspection. The residents were very able to communicate how they felt about living at the home. Throughout the inspection the way in which staff communicated with and supported residents was observed. In addition one member of care staff and the assistant manager were interviewed at length. A variety of records, including care plans, staff files and health & safety documents were looked at. The overall impression is that the skilled and experienced staff team at Laural House is providing a good standard of care to residents. What the service does well: ‘I’ve lived in lots of different places, but this is the best. The staff are really good. I can talk to the managers, and sometimes they take me out. I get a card with some money on my birthday and at Christmas which is really good.’ This was the comment of one resident. Feedback from the 3 residents interviewed was very positive about how they found living at Laural House. The home has a homely and relaxed atmosphere and is kept clean and tidy. Members of staff have got to know the residents very well and understand their individual needs and preferences. As a result residents are able to communicate confidently with staff. Each resident is seen and treated as an individual in their own right. A member of staff commented: ‘‘They have a life to live, and we have to encourage them to have that life.’ This approach is giving residents the opportunity to build and develop for themselves a more positive lifestyle than they have had previously. In most cases residents have been through a number of living situations that have not been able to meet their needs. They are now benefiting from being well supported by staff so that in general their mental heath is stabilising and their level of challenging behaviours is reducing. There is a committed and experienced team of staff at Laural House who work well together. Staff feel well supported by the management team at the home. The staff have also had a significant amount of training in working with adults with mental health needs, including those with challenging behaviours. Consequently the residents get the benefit of living in a home where they feel understood and supported. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: At the visit made to the home in February 2006 before it opened there had been 3 items relating to information and records the home had to produce. This had been done. At this inspection 6 areas to be improved are identified. In order that the needs of residents are properly met at all times the home needs to achieve the following: • • Each resident to have a written contract concerning their residence at the home Assessments and care plans drawn up by the home to give proper attention to identifying and meeting the cultural and religious needs of residents Food once opened to be sealed and stored appropriately All medication records to be accurate, legible and contain explanations for any gaps Fire doors not to be obstructed Specified fire doors to be adjusted so that they close properly • • • • These areas for improving the service were discussed and agreed with the assistant manager. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 7 One recommendation is made to highlight how practice can be further improved at the home: • Complaints book to have an outcome column 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. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. People moving into the home can be confident that their needs will be fully assessed and an appropriate plan for meeting these needs will be drawn up. However residents need to have the security afforded by having a contract setting out the their terms and conditions of residence at Laural House. EVIDENCE: The files for 2 of the residents were looked at and indicated that before they moved in a full mental health assessment had been received by the home. A care plan had then been drawn up by the home showing how the resident’s needs were to be met. Residents said, or indicated, that they enjoyed living at the home. Reviews with mental health professionals indicated that residents are appropriately placed and their needs are being met. Observation throughout the inspection showed that none of the 3 residents interviewed is inappropriately placed at Laural House. This indicates that the home is careful to ensure that it is able to meet the needs of new residents and does not admit people whose needs it is unable to meet. In one case the manager met the prospective resident at least twice in their current placement so that a detailed assessment could be made of their suitability for Laural House. This is particularly important since the individuals Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 10 referred to the home have complex mental health needs and may have histories of criminal behaviour. Laural House has an up to date service user guide giving residents and prospective residents information about the home. On the day of the inspection signed contracts for the residents’ terms and conditions of living at Laural House were not available. The manager must ensure that residents have a written contract concerning their residence at the home with a signed copy kept by Laural House. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Care plans provided detailed information on how the needs of residents are met. Laural House is good at finding ways for residents to make as many decisions for themselves as possible. Residents are protected by risk assessments that are comprehensive and indicate clearly how risks to the safety of residents are reduced. However assessments and care plans are failing to identify the cultural and religious needs of residents. EVIDENCE: ‘I’ve lived in lots of different places, but this is the best. The staff are really good. I can talk to the managers, and sometimes they take me out. I get a card with some money on my birthday and at Christmas which is really good.’ These were the thoughts of one resident about Laural House. Feedback from the 3 residents interviewed was very positive about how they found living at Laural House. Residents thought their needs were being met and that they were getting on well. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 12 The records for 3 residents were looked at and indicated that for each one there was a current plan of care. These set out the needs of the resident and how they are to be met by the home. These plans have strategies in place to enable staff to deal with the residents’ challenging behaviours. As a result there have been few serious incidents since the home opened of challenging behaviours. A community psychiatric nurse (CPN) had noted: ‘. My client has told me he is happy living at Laural House and wants to stay.’ Assessments and care plans looked at did not clearly identify the cultural and religious needs of residents. Staff interviews indicated that staff have had training in this area and are aware of key cultural factors. However the manager must ensure that assessments and care plans drawn up by the home give proper attention to this area and identify any areas of need. Throughout the inspection members of staff offered choices to residents. People made choices about when they got up in the morning and when they went out. Residents said they could choose what they had to eat and what outings they went on. All care plans recognise potential risks to residents and the risks that they may pose to others. The plans outline how these risks can be minimised, for example detailing action to be taken by staff if a resident became aggressive or violent within the home. The risk assessments also highlight what things might anger or agitate each resident and how these can be avoided or managed. As a result residents feel more relaxed and settled in the home so that there are fewer incidents of challenging behaviour. Staff interviews indicated that members of staff understand how to support residents. They do this in line with training they have had on how best to manage the challenging behaviours and unpredictable mental health issues presented by the residents. The home is achieving a good standard in this area that is enabling people with complex needs to manage well in a small group living situation. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Residents have a good quality of life because they take part in a range of stimulating activities and members of staff pay attention to sexuality issues for residents. Residents are helped to be part of their local community and to have regular contact with their families. The residents benefit by having staff who allow them to make choices for themselves and to have as much control over their life as possible. Residents have a choice about what they eat and enjoy the food provided. However food in the fridge needs to be stored more hygienically. EVIDENCE: ‘The activities coordinator found me this mental health project in Camden- it’s been really good-just what I wanted. I go there every day. This week I’m helping to interview new staff.’ This was the comment of one resident who was getting a great deal out of this new project he was going to. Residents decide for themselves what they wish to do and when. Each resident is supported in their interests, for example with staff encouragement one resident was making up song lyrics. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 14 Feedback from residents and staff showed that residents get out and about in their local community, including going shopping, to the cinema and on outings. Residents make use of public transport to get out and about. Residents had contact with their families if they wished to. In some cases residents had girlfriends who they went out with regularly and stayed with some nights. In another case a resident was able to have his girlfriend stay overnight at the house on an agreed basis. In this way staff respect and promote personal and sexual relationships for residents. ‘If you want me to treat you nicely then I expect to be treated nicely in return. They’ve got the same rights as us, and we’ve got to respect them.’ These comments from a member of staff summed up how staff respect and promote the rights and wishes of the residents, as well as their responsibilities. Laural House has a charter of rights for residents which makes clear what they can expect from the home. The home also has ‘house rules’ which spell out what is expected of residents. As a result everyone living in, or working at, the home knows what is expected of them which is contributing to the generally relaxed atmosphere at Laural House. ‘The food’s fine- there’s plenty of it and I cook for myself. I’ m a vegetarian, like one of the other residents, and I get vegetarian food here.’ This was the comment of one resident who was positive about food in the home. However in one fridge food had not been sealed properly and had gone off. The manager must ensure that food once opened is sealed and stored appropriately. I can choose and have my favourite food.’ Residents were positive about the food in the home. The lunchtime meal was observed and showed that residents enjoy mealtimes and get a choice about what they eat. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is adequate. This judgement has been made from evidence gathered during the visit to this service. Staff are good at supporting residents in a way which the residents are happy with and which makes sure their physical and emotional health needs are met. However the residents are not protected by effective arrangements regarding medication in the home. EVIDENCE: The care plans are detailed and set out clearly how to respond to the needs and wishes of residents, with guidelines about dealing with any challenging behaviours. As a result individuals with challenging behaviours and significant mental health difficulties feel more relaxed which in turn enables them to have improved relationships both with other residents and with staff. Health needs are responded to with evidence seen of referrals made to other relevant professionals. In some cases residents have a fortnightly injection administered by a CPN. Given the complex needs and histories of each resident there is close contact between the home and the relevant psychiatric team. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 16 Medication arrangements were gone through with the assistant manager who has responsibility for this area within the home. All staff have undergone training so that they can administer medication appropriately and safely. In general medication arrangements in the home are satisfactory, with the temperature in the medication cupboard being recorded. However the medication administration sheet for one resident contained some gaps and was not always legible. Where medication has not been given out as prescribed it is essential the reason for this is noted on the medication sheet. The manager must ensure that as a matter of urgency all medication records are accurate, legible and contain explanations for any gaps in the record. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. The home deals well with complaints so that residents feel confident their complaints and concerns will be listened to and acted on. The residents are protected by adult protection procedures that make sure that they are safe and secure whilst at Laural House. EVIDENCE: ‘It’s ok here. Staff are fine. I don’t have any problems, I’ve no complaints about the home.’ This was the comment of one resident. Residents spoken to said they felt able to raise their concerns or complaints with staff and managers. They said they are listened to and staff follow up complaints, for example if one resident wasn’t getting on with another one staff would suggest ways of dealing with the situation to minimise the problem. The feedback form by a CPN said: ‘I’ve received no complaints about the home.’ The home has policies and procedures in place in relation to reporting and investigating complaints. It is recommended that the complaints book has a column added to indicate the outcome of any complaints made. Staff have attended training courses on how to protect vulnerable adults from abuse and know what to do if they think a resident has been the victim of any form of abuse. The home has procedures and policies on protecting residents from abuse. There have been no allegations of abuse since the home opened. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,30 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Residents at Laural House enjoy an attractive, comfortable and clean living environment that adds to their quality of life. EVIDENCE: Laural House is homely, comfortable and well decorated and furnished. The lounge has a television with a wide variety of channels available. There is a small garden at the back of the property. The home is very close to public transport and shops making it easier for the residents to take advantage of local community facilities. Staff said that repairs are dealt with promptly since a maintenance person has been found who can respond quickly. One resident commented: ‘I like having a toilet in my room. I’m happy with my bedroom-it’s got what I want.’ Bedrooms are well furnished and have ensuite facilities. 2 bedrooms were seen and had been personalised with the residents’ own belongings and reflected their interests. Each resident can watch television on digital channels in their bedroom. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 19 ‘I like coming to work because the home is clean and tidy.’ This was the comment of one member of staff. On the day of the inspection the home was clean and tidy. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 20 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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. The residents have the benefit of a committed and experienced team of staff who have the skills and training to meet their needs. Residents are protected by the home’s recruitment procedures for new staff. EVIDENCE: ‘The job comes with risks, which can happen any time. You need to be prepared for anything and alert.’ If there’s an incident then staff will stay around until it’s sorted out – they don’t leave because it’s the end of their shift.’ This was the comment of one member of staff about working at Laural House. The comment indicated that there is a committed team of staff at the home who work hard at meeting the complex needs of the current group of residents. Most members of staff have achieved the NVQ Level 2 in care, and have considerable experience in working with people with mental health needs. As a result residents are being skilfully supported which is contributing to their improving mental health. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 21 Staff files were looked at and contained the information needed to make sure that all new staff in the home have had the appropriate checks made, including obtaining written references and satisfactory CRB disclosures. As a result residents are protected by the arrangements Laural House has in place when recruiting staff to work at the home. New members of staff have a planned and thorough induction into the roles and responsibilities of being a care worker. One member of staff said: ‘The inhouse training is good. Everyone has to be a qualified first aider.’ The staff team has attended a range of relevant courses, including adult protection, administration of medication, challenging behaviours, and mental health awareness. This is in addition to training in essential areas such as first aid, food hygiene and health and safety. As a result staff are more effective in how they support residents, for example a member of staff explained how he had talked calmly to an agitated resident who was then able to calm down. Staff records showed that members of staff have had a supervision session so that their care practice can be developed and any training needs identified. As the home had only been open 3 months the regularity of supervision meetings will be checked at the next inspection. Staff interviewed said they felt well supported by management at the home. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 22 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 from evidence gathered during the visit to this service. Residents benefit from living at Laural House because the home is run in the best interests of the residents with their views and wishes shaping how the home is run. The home is good at making sure the residents are kept safe and secure but need to improve further fire safety measures to ensure the home is as safe as possible. EVIDENCE: Feedback from a CPN who regularly visits Laural House included the comment: ‘The house has always appeared clean and tidy with a friendly and relaxed atmosphere each time I have visited. My client has told me he is happy living at Laural House and wants to stay.’ Staff interviewed were also positive about working at the home, with one saying: ‘I think the home is excellent. I’ve seen huge differences in last 2 years in the quality of care at Akwa homeswe’ve better quality staff now.’ Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 23 The running of the home was seen to be of a good standard with priority given to meeting the needs of residents. The assistant manager and staff had a good understanding of the needs and wishes of each resident. Residents were seen to be relaxed in the presence of staff and confident about interacting with them. The home uses feedback forms and questionnaires to get the comments and views of residents, families and professionals about the service provided by Laural House. Meetings were to be held to enable residents to contribute their ideas and suggestions on the running of the home. As the home had only recently opened the area of quality assurance will be inspected more thoroughly at the next inspection to ensure the home is actively involving residents in reviewing and improving the service provided. A range of records was looked at, including health and safety and fire safety. In general these records were detailed, up-to-date and accurate and confirmed that the home is being run responsibly with essential checks being made and acted on. However it was noted that 2 specified fire doors were being held open with wedges and that these 2 doors needed adjustment to close properly. The manager must ensure that fire doors are not obstructed, and that if it is necessary for the specified doors to be kept open then an automatic release device should be fitted to ensure that all fire doors close in the event of a fire. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 24 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 2 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 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X X 2 x Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 25 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 YA5 Regulation 5 (1) (b) Timescale for action The registered persons must 30/06/06 ensure that each resident has a written contract stating their terms and conditions of residence at the home. The registered persons must 30/06/06 ensure that assessments and care plans drawn up by the home identify religious and cultural needs and wishes. The registered persons must 30/06/06 ensure that food once opened is sealed and stored appropriately. The registered persons must 30/06/06 ensure that all medication records are accurate, legible and contain explanations for any gaps. The registered persons must 06/06/06 ensure that fire doors are not obstructed. The registered persons ensure that fire doors properly. must 30/06/06 close Requirement 2. YA6 12 (4) (b) 3. YA17 16 (2) (g) 4 YA20 13 (2) 5 YA42 23 (4) (c) 6 YA42 23 (4) (c) Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 26 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 YA22 Good Practice Recommendations The registered persons should ensure that the complaints book has a column added to indicate the outcome of any complaints made. Laural House DS0000064230.V295865.R01.S.doc Version 5.2 Page 27 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. 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