Inspection on 01/02/07 for Longbridge Road (148)

This inspection was carried out on 1st February 2007.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longbridge Road (148) 17/10/05

Longbridge Road (148) 14/06/05

Longbridge Road (148) 11/03/05

Longbridge Road (148) 22/07/04

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 Longbridge Road (148) 148 Longbridge Road Barking Essex IG11 8SP Lead Inspector Ms Gwen Lording Key Unannounced Inspection 1st February 2007 08:00 Longbridge Road (148) DS0000027905.V329764.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 Longbridge Road (148) DS0000027905.V329764.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. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longbridge Road (148) Address 148 Longbridge Road Barking Essex IG11 8SP 0208 594 7913 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) Outlook Care Ginnette Ann Commons Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include one named person with mental health needs. Date of last inspection 17th October 2005 Brief Description of the Service: 148 Longbridge Road is a care home providing accommodation and support for five adults with a learning disability. The registered providers are Outlook Care. The home is situated in a residential area close to Barking Park and is within easy reach of the local shopping area, Barking Town Centre and there are many easily accessible facilities and amenities within the area. The home is easily accessed by public transport, bus, underground and rail. Parking is restricted as the area is in a residential parking zone. However, visitors may request a parking permit from the home for the duration of their visit. The home has its own transport. All five bedrooms are single and located both upstairs and downstairs. The home is friendly and operates as a ‘family’ type unit. The home aims to integrate the service users into community life and supports them to access and participate in mainstream as well as specialist resources in the community in which they live, within their individual capabilities. On the day of the inspection the fees for the home were £1,149.00 per week. A copy of the Statement of Purpose and service user guide are available in the home, together with a copy of the most recent inspection report. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which started at 8.00am and took place over six hours. A second brief visit took place the following morning to check employment records that had not been available to the inspector at the time of the inspection. The registered manager was not in the home on the day of the inspection as she was undertaking staff interviews at the offices of the registered providers. The deputy manager was available during the visit to aid the inspection process. This was a key inspection visit in the inspection programme for 2006/2007. Discussion took place with the deputy manager and an agency support worker, who were asked about the care that residents receive, and were also observed carrying out their duties. Where possible residents were asked to give their views of the service and their experience of living in the home. For two residents this was not possible due to their level of disability. However, the inspector was able to communicate with these residents with the assistance of staff. The inspector also took the opportunity to speak to the mother of one resident, who was visiting the home at the time. She spoke very positively about the care her daughter was receiving in the home. A tour of the home was made and all areas were clean and tidy with no offensive odours. Residents’ files were case tracked, together with examination of staff and other home records, including medication administration, staff rotas, accident/ incident records and staff recruitment files. Information was also taken from a pre-inspection questionnaire, which was completed by the manager. The inspector would like to thank the staff, residents and relatives for their input during the inspection. What the service does well: All the residents have an independent advocate. The advocate has monthly meetings with the residents, attends their reviews and assists individuals to make decisions about their lives that they are able to understand. The registered providers Outlook Care, actively consult residents on how the service is run and can be further developed. There are a number of user groups and forums and staff encourage and support residents to be involved. Opportunities for social and leisure pursuits and personal development are actively promoted and supported by staff, to enable all residents to participate in the wider community in which they live. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 6 There is a warm, relaxed and welcoming atmosphere in the home, which is run as a ‘family’ type home. It is evident that the home is operated for the benefit of the residents, and every effort is made to retain the independence of those people living in the home, and for them to exercise choice and control over their lives. 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. The summary of this inspection report can be made available in other formats on request. Longbridge Road (148) DS0000027905.V329764.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 Longbridge Road (148) DS0000027905.V329764.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): Standards 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service User Guide provides prospective residents and their relatives/ representatives with all the information they need, and in an appropriate format, to enable them to make an informed choice about whether they wish to live in the home. Assessments undertaken by the home and the information and reports received from health and social care professionals means that staff have detailed information to enable them to determine whether or not the home can meet a prospective residents needs. EVIDENCE: The home has a Statement of Purpose and Service User Guide - ‘Welcome to 148 Longbridge Road’. These are in a part pictorial format and are informative, well presented and provide residents with a good understanding of the service and facilities. There are no vacancies at the home and the current five residents have lived at the home since 1991. However, thorough viewing pre-admission assessments/ documentation it was evident that a full assessment would be undertaken, prior to the admission of any resident to the home. It is also an expectation that there would be a planned phased in introduction to the home Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 9 and the other residents. The length of this process would be dependant on individuals needs. Each resident has a Licence Agreement/ Contract, which is in a part pictorial format. There was evidence to show that where capable residents and/ or their representatives had signed the contract. The Care Homes Regulations 2001 have been amended with effect from the 1st September 2006 for new residents, and for existing residents with effect from the 1st October 2006, so that more comprehensive information information is to be included in the service user guide. Details of information to be included are contained within the amended regulations. Therefore, the service users guide must be reviewed and amended by the stated timescales. The manager was also provided with a copy of the Commission’s ‘Policy and Guidance on Provision of Fees Information by Care Homes’. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Care plans are detailed and provide staff with the information they need to satisfactorily identify and meet residents personal, social support and health care needs. The home maximises independence wherever possible and staff provide residents with information, assistance and support to make decisions about their own lives. EVIDENCE: As part of the inspection the individual files of all five residents were case tracked. Care plans are developed for each resident following the principles of person centred planning and each resident has such a plan that has been agreed with them. The ‘Person Centred Plan’ (PCP) is presented in a part pictorial format, which residents can easily access and understand. It identifies needs, likes, dislikes and considers all areas of the residents life including Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 11 health; personal and social care needs. Staff support and encourage residents to be involved in the ongoing development of their plan and have used a variety of ways to enable residents to contribute and make the process interesting and worthwhile. Each resident has a separate health plan and a daily communication diary. The PCP is reviewed regularly involving the resident, key worker, advocate and, where agreed, their families. The inspector was able to discuss the PCP with one resident. It was clear that this had been drawn up with his involvement and that he had contributed to the information contained in it. “It is my book and I say what I want to put in it”. All of the residents have an independent advocate from Mencap who has a contract with the registered providers, Outlook Care. He has monthly meetings with the residents, attends their reviews and assists individuals to make decisions about their lives that they are enabled to understand. The inspector viewed the risk assessments in place for all the service users. Risk assessments are in place, but can be improved. These are reviewed every three months or sooner where appropriate however, risk assessments must be re-stated to reflect changing needs. One resident has detailed Behavioural Guidelines with an associated risk assessment around his potential for verbal and physical aggression. Whilst staff were aware of the guidelines there was a lack of clarity as to how they were being implemented. For example the guidelines stated that when visitors are in the home he must have 1:1 support at all times. The Regulation 26 report undertaken by the responsible individual dated 24/11/06 states “Permanent staff will remain in –house from now on when working with agency staff”. An entry in the communication book from the manager dated 2/01/07 advices staff that the Behavioural Guidelines have now been changed and agency staff can be left in the home without permanent staff being present. However, none of these changes have been reflected in the Behavioural Guidelines or the associated risk assessment and, there is little evidence as to how these decisions have been made. There is a focus on maintaining and promoting independence whenever possible, and individual staff were observed providing residents with information, assistance and support and were respectful of their right to make decisions. The registered organisation Outlook Care actively consults residents, across the organisation, on how services are run and can be further developed. There are a number of user groups and forums and staff in the home encourage and support residents to be involved. Information for residents and policies and procedures are presented in formats that residents in the home are able to understand. A recent initiative by Outlook Care is the development of a ‘Talking Photo Album’. This will provide pictorial and verbal information to people who use their services and for any potential service user. They have launched a competition for each service to produce the most innovative album reflecting service user involvement. For example a service user guide or person Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 12 centred plan. Staff and residents in the home are currently discussing and sharing ideas. Longbridge Road (148) DS0000027905.V329764.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Opportunities for social and leisure pursuits and personal development are actively promoted and supported by staff, for all residents to enable them to participate in the wider community in which they live. Service users have appropriate relationships and their rights are recognised in their daily lives. Service users are offered a balanced and varied diet and are consulted about their choices of food and participate in shopping. EVIDENCE: Each resident has a planned activity programme, which takes account of the resident’s preferences, interests, experiences, age and capabilities related to their disability. Two residents were asked about the opportunities that they have to attend college, employment and other social activities. Both service users told the inspector about things that they do during the day, which included attending college, drama club, cinema and other social activities. The activity programmes of those residents case tracked were also discussed with Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 14 care staff. Some residents attend specialist day centres and others have programmes of activities in the home being managed / supervised by staff. All residents are supported to participate in leisure activities in the community, both specialist and mainstream. On the day of the visit staff were observed to be supporting individuals to pursue their individual interests and hobbies. Where appropriate residents are involved in taking some responsibility for their own room. One service user said: “I keep my room tidy and the staff help me”. Both residents spoken to said that they were “happy” in the home During the inspection, the residents were observed accessing all areas of the home independently. Residents appeared comfortable and at ease in their surroundings. One resident confirmed that he liked to get up and have a shower first thing in the morning before having his breakfast, and was observed later in the morning preparing his own breakfast. He also said he liked to spend time in his bedroom and was able to do this. The home has limited facilities for private meetings but service users are able to use their bedrooms. Those residents spoken to indicated that they liked the food and there is sufficient choice. The staff prepare and cook meals with some involvement from the residents and staff know what each person likes to eat. The lunchtime meal was observed to be very relaxed, staff were patient and helpful, and residents were not rushed. During the visit, the inspector checked the food stores and menus. There was a variety of food available at the time of the inspection, which included meat fish, dairy produce; and fresh fruit and vegetables. The menu that was viewed constitutes a varied and nutritious diet taking into account personal preferences. Staff support residents to maintain links with family and friends, and their involvement is encouraged, with individual residents agreement. The inspector was able to speak to the mother of one resident who had just returned to the home after accompanying her daughter to a GP’s appointment, with the support of staff. Her daughter has lived in the home for 12 years and she visits very regularly. She commented: “I am very happy with the care. The meals are good and very healthy with lots of choice. I can ‘pop in’ anytime to visit and I am always made to feel welcome”. Longbridge Road (148) DS0000027905.V329764.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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 support in the way they prefer and their physical and emotional needs are closely monitored to ensure that their needs are recognised and met. There are clear medication policies and procedures for staff to follow. However, there are some inconsistencies in the recording of medication, which may result in unsafe practices. EVIDENCE: All of the care and health plans examined, clearly recorded referrals to specialist health care professionals and that appointments were being kept. Records indicated that residents have attended routine health appointments including GP, dentist and chiropodist. There was evidence that support is in place to help residents with their personal care. Staff were observed to be providing residents with sensitive and Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 16 flexible personal support and all such support is provided in private. Two of the residents spoken to confirmed that they are happy with the support they receive around their personal care needs. There are policies and procedures in place for the handling and recording of medication. Medication is stored in a locked bureau in the communal lounge. An audit was undertaken of the management of medicines in the home, and Medication Administration Record (MAR) charts were examined. Two residents are able to keep and administer their own medication with the support of staff. Risk assessments were in place and were being reviewed every three months. However, the last completed risk assessment for one of the residents was September 2003. It is strongly recommended that risk assessments for residents who are self medicating are undertaken at least every six months, with monthly reviews. Hand written entries on MAR charts must be signed and dated by the person making the entry and include the source of the information e.g. GP. Information provided in the pre inspection questionnaire that was sent to the Commission states that 6 members of staff are responsible for the administration of medication and 8 members of staff hold a current first aid certificate. This was evidenced on staff training records examined during the visit. Longbridge Road (148) DS0000027905.V329764.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff make every effort to sort out problems and concerns and make sure that residents and their relatives feel confident that their complaints and concerns are listened to and acted upon. All staff working in the home have received training in adult protection/ abuse awareness to ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: There are policies and procedures for dealing with complaints, which is also produced in a part pictorial format that is well presented and more easily accessible by the resident group. The inspector spoke to two residents about what they would do if they were unhappy with anything. One resident said: “I would tell Ginnette (the manager. Another said: “One of the staff would help me”. Each resident also has a named advocate, who visits him or her once a month. The complaint log was examined and this recorded the number of complaints/ concerns since the last inspection, action taken and the outcome for the complainant. There is a written policy and procedure for dealing with allegations of abuse and whistle blowing. All staff have received training in adult protection/ abuse awareness, and this is included in the induction training for all new staff. Those Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 18 staff spoken to during the inspection, including an agency member of staff, were aware of the action to be taken if there were concerns about the welfare and safety of residents. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 19 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): Standards 24, 25 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are homely and the atmosphere in the home is very welcoming. The living environment is appropriate for the particular lifestyle and needs of the residents and is clean, safe and comfortable. EVIDENCE: The home was toured accompanied by the deputy manager at the start of the inspection, and all areas were visited later accompanied by one of the residents. All the bedrooms are single and those seen were furnished and decorated to suit individual’s preferences and particular needs; and are reflective of their interests and lifestyle. All areas of the home were clean, tidy and free from odour throughout. There is a small utility room, which some residents are able to use with the support of staff. There is a small secluded rear garden with ramped access. The home is close to community facilities and local services with good transport links. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 20 Since the last inspection the communal lounge has been decorated and replaced with new furniture; two bedrooms have been decorated with new floor covering and furniture; the kitchen has been re-painted and has a new dishwasher and oven. The residents are fully involved in decisions about the décor and any changes to the accommodation. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 21 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): Standards 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the residents. The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. EVIDENCE: The duty rota was inspected and reflected the staff on duty in the home at the time of the visit. The deputy manager was in charge with one member of agency staff. The home uses a small number of agency/ bank staff to make up any shortfalls for annual leave, training or sickness. The manager tries hard to restrict the number of agency/ bank staff used to a minimum to ensure there is a continuity of care for residents by staff they are familiar with and who understand their needs. In discussion with both staff on duty it was evident that they understand and fully support the main aims and values of the home. The duty rota must record the full name, that is the first name and surname, of all staff working in the home. The section at the bottom of the rota for Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 22 agency/ bank staff, does not always clearly record the names or hours of duty for these staff. Through observation of staff interaction with residents, it is evident that they have confidence in the staff that care for them, and that staff have a good understanding and knowledge of the particular needs of the residents. Staff were seen to have the skills to communicate effectively with all residents. The registered manager was not in the home on the day of the inspection as she was undertaking staff interviews at the offices of the registered providers. The deputy manager was able to access all records, with the exception of staff employment records, which are in a locked drawer that only the manager has access to. The inspector visited the home the following day to examine these files. In discussion with the manager and the Human Resources department of the registered organisation, it was evident that the issue of accessing staff personnel information in the absence of managers is being actively addressed. An examination of the staff personnel files of the two most recently recruited staff were found to be in good order with necessary references; criminal records bureau (CRB) disclosures and application forms duly completed. Staff files showed that staff had done essential training in fire safety, first aid, food hygiene and adult protection. Other training undertaken by staff includes management of epilepsy, mental health awareness, autism and challenging behaviour. The pre-inspection questionnaire completed by the manager states that 75 of care staff are qualified to NVQ level 2 or above. Staff records showed that all staff have regular supervision and appraisal, and staff meetings are held monthly with minutes being kept. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 23 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): Standards 37, 39, 41, 42 & 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is efficiently managed, residents interests are safeguarded and they benefit as the home is being run in their best interests. EVIDENCE: The current manager is registered to manage this home and a similar home two doors away. On the day of the inspection the manager was not on duty in the home. However, it was very evident that the home is operated for the benefit of residents, and every effort is made to retain the independence of those people living in the home and for them to exercise choice and control over their lives. Some of the residents have high dependency levels and require a lot of support and assistance from care staff. The routines of daily living and activities are flexible and varied to suit the differing needs of the residents, together with their religious and social preferences. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 24 Currently the manager does not act as an appointed agent for any resident. Residents financial affairs are managed by their relatives/ representatives. The home has responsibility for the personal allowances of residents and secure facilities are provided for their safekeeping, with records being maintained. A representative of the registered organisation undertakes monthly Regulation 26 monitoring visits to monitor and report on the quality of the service being provided in the home. A copy of the report is sent to the Commission. A wide range of records were looked at including, fire safety, emergency lighting, recording of water temperatures, accidents/ incidents and portable appliance testing (PAT). These records were found to be in good order, up to date and accurate. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 3 4 3 5 3 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X 3 3 3 Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 26 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 YA9 Regulation 13 Requirement Timescale for action 01/02/07 2. YA20 13 3. YA33 17 Schedule 4 The registered manager must ensure that any changes to risk assessments/ behavioural guidelines are updated accordingly in writing, and include who was involved in the decision. The registered manager must 01/02/07 ensure that all hand written entries on Medication Administration Record (MAR) charts are signed and dated by the person making the entry, and include the source of the information. e.g. GP 01/02/07 The registered manager must ensure that the duty rota records the following: • The full name, i.e. first name and surname, of all staff working in the home. • The duty rota must clearly record the names and hours worked by agency/ bank staff. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 27 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 YA20 Good Practice Recommendations It is strongly recommended that risk assessments for residents who are self medicating are undertaken at least every six months, with monthly reviews. Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 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 Longbridge Road (148) DS0000027905.V329764.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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