Inspection on 29/08/06 for Meadowside Residential Home

This inspection was carried out on 29th August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Meadowside Residential Home 02/11/09

Meadowside Residential Home 16/12/08

Meadowside Residential Home 01/10/07

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Meadowside Residential Home 60 Holden Road Finchley London N12 7DY Lead Inspector Anthony Lewis Key Announced Inspection 09:00 29 and 30th August 2006 th X10015.doc Version 1.40 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 Meadowside Residential Home DS0000067043.V303093.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 Older People. 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. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowside Residential Home Address 60 Holden Road Finchley London N12 7DY 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 8492 6500 020 8492 6603 admin.meadowside@fremantletrust.org admin@fremantletrust.org The Fremantle Trust Miss Hepsie McKenzie Care Home 68 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (46) of places Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection N/A Brief Description of the Service: Meadowside is a large purpose built care home for sixty-eight men and women over the age of sixty-five. The home was opened on 15th May 2006 as a result of two care homes Chandos Lodge and Lonsdale, closing. The home is owned by Catalyst Housing Association and is one of fifty-five homes managed by The Fremantle Trust. The home is designed over four levels with six separate units. Access to all floors is via the stairs or two lifts. Two units are dedicated dementia units and the other four are mainstream units. Each bedroom has its own en-suit facilities. The ground floor contains offices, a garden lounge, a laundry room, hairdressers, treatment room, kitchen and a reception area. To the front of the home is a car parking area and a small shed. To the rear and side of the home is a well maintained landscaped garden and an enclosed patio area. There is also a day centre at Meadowside managed by Fremantle Trust, providing a service to twenty-nine outside users and residents of Meadowside with dementia. The day centre is open seven days a week. The home is located in a residential area of North Finchley, near Woodside Park underground station and bus routes to various parts of London. The fee for residents living in the home is £496.48 per week. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. Meadowside Residential Home DS0000067043.V303093.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 took place over two days. On the first day, Tuesday 29th August 2006, the inspection began at 9am and was completed at 4.30pm. The registered manager was available throughout and was very helpful and accommodating. Most of the first day was spent gathering evidence through talking to twenty residents, some briefly and some at length in private or informally as a group. Fifteen staff were also spoken to individually in private. An extensive internal and external tour of the home was conducted with the registered manager. Some of the records in the home, such as the statement of purpose, service users’ guide menu and Fremantle’s brochure, were also viewed. Day two was on Wednesday 30th August 2006 at 2pm and was completed at 6.10pm. Again the registered manager was available and was very helpful and accommodating. Six residents were spoken to privately and four staff were informally spoken to privately. Twenty-two resident’s files and eight staff files were viewed along with further files, documents and safety certificates. In addition, residents and staff were indirectly observed and overheard throughout the two days. Evidence was also gathered from the pre-inspection questionnaire and five relative/visitors comment cards. There has been substantial organisational restructuring within Fremantle recently, which has had an impact on the staff in the home. Many of the staff and one relative spoken to stated that staff moral is low due to staffing restructuring throughout Fremantle and within the home in general. The implications of the staffing issues within the home and the impact that this may have on the quality of care provided to residents were discussed at length with the registered manager, who is aware of the issues. What the service does well: What has improved since the last inspection? This was the first inspection of the home since it opened on 15th May 2006. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 6 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. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 and 6. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. The home has comprehensive information and policies and procedures and assessment procedures to enable prospective residents to make an informed choice as to whether to move into the home and whether the home will be able to meet all of their needs. EVIDENCE: The home has a statement of purpose and service users’ guide, which provides prospective residents with comprehensive information about the home to enable them to make an informed choice as to whether the home can meet all of their needs. The statement of purpose contains a brief description about the home and the facilities and services that it provides and what residents can expect from the service. While viewing residents’ personal file, they all contained a copy of their contract, stating the fee for living in the home and the accommodations. The registered manager and the resident or their representative have signed the contract. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 9 Comprehensive risk assessments were seen in residents’ personal files. According to the admissions policies and procedures, assessments are carried out by the local authority Social Services Department and also by the registered manager or another senior member of the staff team. A resident spoken to said, “Someone came and saw me and asked me a load of questions.” Another resident said, “Yes, a nice lady came to see me in hospital and told me about the home and asked me a lot of questions.” Three residents and a relative of a resident were spoken to about visiting the home prior to moving in. One resident said, “I came to the home once then moved in quite quickly, I didn’t mind, I like it here.” The other resident said, “My daughter came to the home and she said it was nice so I moved in.” Another resident said, “I didn’t get to visit the home but they had a video of the home, which we watched, it was really nice, although a bit big.” The son of a resident was spoken to at length about the home. He stated, quite enthusiastically, “My mum couldn’t visit the home, she wasn’t well enough so me and my brother visited for her. I liked the look of the place, it was new and the bedrooms are big, I was really impressed with it.” The registered manager stated that the home does not provide respite or intermediate care. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Comprehensive care plans ensure that residents are being treated with respect and staff are ensuring that residents’ health is monitored with health care professional input when required. EVIDENCE: The care plans of twenty-two residents were viewed and each contained comprehensive care plans. The care plans are generated from the assessments and contained information on individual resident’s care needs such as: physical and mental health care, finances, relationships and social interests. There was also information regarding the support that the resident will receive from staff to fully meet their needs. In addition, resident also have a night care plan setting out their individual needs and how the night staff will support them. For instance, there is information on the sleep patterns of the residents, their night medication, such as sleeping tablets and requests from residents such as nightcaps or hourly checks. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 11 Residents’ care plans show an abundance of information. They are all provided with their own “health care plan,” with information on how they are supported with their physical and health care needs. When health care professionals such as the GP, chiropodist, or district nurse visit the home, they enter information about their visit in the individual resident’s personal file. Two residents with pressure sores to their legs were spoken to individually in private. One of them said, “They’ve been like this for a while now but they’re not causing me any problem.” The other residents said briefly about her legs, “They’re ok, the nurse looks after them.” In each resident’s file was a weight chart, where staff record the weight of the resident monthly. A member of staff spoken to said, “If a resident’s weight increases or decreases substantially, we would report it and seek professional help immediately.” In addition, each resident has their own individual risk assessment, a moving and handling risk assessment and a tissue viability risk assessment. The home has clear guidelines on the safe handling and administration of medication. From the information seen and by speaking to staff in each unit, they have been adhering to the guidelines and procedures. Samples of Medication Administration Records (MAR) charts were viewed in each unit and staff have been ensuring that they are completed correctly. According to one member of staff, the unit leader is responsible for the ordering and storage of all medication. In addition, residents have their own medication profile, with information on drugs prescribed, the dosage and route to administer it, the date the resident started and completed the medication and information on any allergies. All medication is stored in a dedicated air-conditioned medication room. The residents, who administer their own medication, have signed an agreement form along with the staff. Throughout the two-day inspection, staff were observed and overheard supporting and interacting with residents in a respectful and courteous manner at all times. Staff were also observed knocking on bedroom doors prior to entering. Residents’ care plans contained information on how staff should support them with their personal and everyday care. Residents spoken to were unanimous in saying that the staff treat them with a lot of respect. A resident said, “I like staying alone in my bedroom at times and staff will respect that”. Some residents have their own telephone in their bedroom to enable them to make and receive private calls. Another resident said, “When I want to be on my own, I go to my bedroom and staff leave me alone.” Staff spoken to were able to explain how they ensure and respect the privacy and dignity of the residents. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14 and 15. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. The staff are ensuring that residents are given the opportunity to engage in meaningful activities and are able to exercise their autonomy. Staff are also ensuring that residents remain in contact with their family and that they receive wholesome meals in accordance with their dietary requirements. EVIDENCE: Throughout the two-day inspection, staff were observed ensuring that any spare time they had was spent with residents, either talking with them individually or as a group. On the second day of the inspection, two musicians/entertainers were in the home. They were spoken to for a while and explained some of the activities and entertainment that they provide to the residents. They said that they sing “old-time” songs from the twenties, thirties and forties and some pop songs. One resident spoken to said, “I don’t really want to do much, sitting here’s enough for me.” Another residents said, “I like the bingo, but I never seem to win.” A further residents said, “Oh, I like the sing-along, I sometimes get up and dance to the music.” Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 13 Another residents was spoken to in her bedroom. Her chest of drawers and shelves contained a large amount of newspapers and some magazines. She said, “I don’t leave my room much, I receive my daily paper and after breakfast I’ll read it and I sometimes do the puzzles.” The home also has a garden room, which contains a home cinema projector and screen, for showing films. There is also a piano, which according to the registered manager, some residents will play. The registered manager also said that she is actively trying to recruit an activities co-ordinator. All of the five relatives/visitors comment cards indicated that relatives can visit their relative/friend in private. Residents’ personal file contained information about their family and friends. One resident said, “I don’t have any family but I’ve got a good friend who visits me a lot.” The son of one resident was spoken to at length. He said, “I visit my mum about three times a week, I’ve got a brother who also comes a few times a week, we’re lucky because we both drive and it’s not a long journey.” He went on to say, “The staff always welcome you.” While talking with the son, a member of staff came in with tea and biscuits for him and his mother. He smiled and said, “The service here’s brilliant, look what they do for you.” The five relatives/visitors comment cards indicated that staff are welcoming at all times. The staff are ensuring that the residents have the opportunity to discuss their choices and whether the service is meeting their needs. The complaints file was seen and one resident made a complaint about the quality of food and her lack of choice. Information recorded in the complaints file showed that the staff discussed choices with the resident and the outcome was that a list of her choices was compiled. In addition, residents’ care plan contain a list of some of their likes and dislikes. One resident’s care plan described how she dislikes bad language, alcohol and bad behaviour. Residents also have the opportunity to discuss their choices at the residents’ unit meeting, held monthly. A comprehensive tour of the kitchen was undertaken with the cook. Food preparation and menu planning was discussed at length with him. The cook had a good understanding of the dietary needs of the residents. He explained how staff ensure that a daily list of residents meal choices is compiled daily. Information about residents who are diabetic or who receive their meals liquidised was seen on the list. The lunch for residents who receive it liquidised was seen. The foods were separated and pleasantly presented. Lunch was taken on a unit with some of the residents. The dining room in each unit are spacious and well decorated and tables all have tablecloths, coasters and condiments. One resident said, when he received his lunch, “I don’t like the look of this.” After he had finished his lunch he said loudly, “That was very nice,” as he rubbed his stomach with a smile on his face. Another residents said, “The food here’s always nice.” Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Residents are provided with the information if they wish to make a complaint and staff are taking complaints and concerns seriously. Staff are also ensuring that residents are protected from abuse. EVIDENCE: The home has a complaints policy and procedure setting out the procedures if a resident wishes to make a complaint. There is also information in the statement of purpose about the complaints procedure, with the Commission’s details if people wish to take a complaint further. There is also a complaints file with details of complaints made, the action taken and the outcome. Two residents spoken to said that if they wanted to complain, they would speak to the manager. Another resident said quite assertively, “I’d be the first to complain if I weren’t happy.” Concerns raised by a GP recently were discussed with the registered manager. She investigated the concerns and has written to the GP with the outcomes of her investigation and an action plan. The home has the London Borough of Barnet’s Multi-Agency Adult Protection Policy and Procedure. In addition, there is also Fremantle’s policy and procedure for the protection of vulnerable adults. Staff spoken to were able to explain the philosophy of protecting the residents in the home from abuse. Two staff members explained what they had learnt from attending the protection of vulnerable adults training course. All staff files seen contained their certificate of training in protection of vulnerable adults. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26. Qualities in these outcome areas are excellent. This judgement has been made from evidence gathered during the visit to this service. The staff and organisation have ensured that residents live in a clean, safe and well maintained environment with adaptations and facilities to aid their independence and ensure their dignity and privacy. EVIDENCE: Although very large in size, the staff working in the home have ensured that all areas are kept clean, tidy and safe. The home has a maintenance person who ensures that minor maintenance issues are dealt with and other maintenance issues are recorded and passed on to the relevant agency. The garden and enclosed patio areas are well maintained by a gardener. Each unit has an assisted bathroom and toilet. In addition, residents have their own en-suite facility to aid their independence. Unit bathrooms are designed to enable residents with mobility difficulties to be supported as sensitively and in as dignified a manner as possible. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 16 The home’s auxiliary staff are ensuring that all areas of the home are kept clean and tidy. On the day of the inspection, there was still a subtle smell of “newness,” throughout the home from the carpets, furniture and walls. There were no offensive odours within the home. Each unit has its own sluicing facility and there is a dedicated laundry room on the ground floor, with permanent laundry staff. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. Robust recruitment procedures are ensuring that residents are generally protected. However staffing levels in the home may be too low for the staff to meet all of the needs of the residents. In addition, some staff not receiving all of the mandatory training may mean that residents are vulnerable. EVIDENCE: Over the two-day inspection, staff were observed working very hard. At all times the staff seemed very busy and were not able to spend any substantial time with the residents. It seemed as though staff had to pull themselves away from other duties such as cleaning the kitchen in the unit, writing up daily diaries or dealing with other issues. Most staff spoken to complained about the lack of staff on duty on the early and late shifts. One member of staff said, quite angrily, “How can you expect two or sometimes one member of staff to look after twelve residents and do other duties?” She went on to say; “Sometimes there’s only two staff on two units and a “floater”, who will float between the two units. Another member of staff said sadly, “At times we can’t cope, we can’t even sit down for a minute, we work right up to the end of our shift, that’s not right.” Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 18 A resident’s son was spoken to on the phone, he said, “I’m not happy with the staffing levels on units, I’m worried about my mum.” He went on to say, “They’ve cut the staffing and I don’t think it’s for the right reasons. How can you have one permanent member of staff looking after so many people?” Of the five relative/visitors comment cards received, three indicated that in their opinion, there are not sufficient numbers of staff on duty. The staffing levels in the home was discussed at length with the registered manager and a requirement made that staffing levels throughout the home must be reviewed and confirmed and a copy of the review forwarded to the Commission. Out of twelve staff spoken to, three said that they have completed their National Vocational Qualification (NVQ) level 2, seven said that they are at present undertaking their (NVQ) level 2 and two said that they are waiting to begin their (NVQ) level 2. Three (NVQ) level 2 and two level 3 certificate were seen in staff’s file. The personal files of nine staff were viewed and all contained the required recruitment information such as: two references, a recent photograph, confirmation from Fremantle’s head office that they have received a Criminal Records Bureau (CRB) check and a job description. In addition, their was also more information to substantiate the authenticity of the member of staff such as: a birth certificate, passport or information, where required, from the Home Office regarding permission to work or leave to remain in the country. While looking through the staff files, their was a lack of evidence, such as certificates, to show that all of the staff have received the required mandatory training in areas such as: health and safety, food hygiene, moving and handling or dementia training. The home’s training matrix was also viewed and showed a lack of evidence that staff have received the mandatory training. A requirement is made regarding this. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. The home is being run by a competent manager, who is ensuring that the quality of service is reviewed to best meet the needs of the residents. The personal and professional development of some staff is not being adequately monitored by ensuring that they receiving regular supervision. This may impact on the quality of care delivered to residents. EVIDENCE: Throughout the two-day inspection, the registered manager demonstrated her skills and experience in managing the home and understanding the needs of the residents and staff team. She said that she has been in care management since 1994 and her training certificates were seen and showed that she has received significant training to enable her to carry out her duties to the best of her abilities. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 20 Fremantle is ensuring that robust quality assurance monitoring occurs at the home. A quality audit of the home took place on 8th and 9th August 2006 by the service manager and two managers from other services. The home has Fremantle’s quality audit system policy, which details the reasons and benefits of the audit. Fremantle also has a development plan for each service, which according to information from the development plan, is compiled using information gathered from the quality audits and inspections by the Commission for Social Care Inspection. Residents’ finances were discussed at length with the home’s administrator. He was able to explain how residents’ finances are handled by: their family, solicitor, social services or by the resident. The home also has policies and procedures for the safe handling of residents’ money. The financial ledger was viewed and contained information on all financial transactions in the home. A resident spoken to said, “My best friend is my executor and she looks after my affairs, my solicitor took care of that.” The supervision records of eight staff were viewed and although many are receiving regular supervision, there was no evidence that two members of staff had received any supervision this year. In addition, one member of staff had not received any supervision since February 2006 and another since March 2006. A requirement is made regarding this. The staff are ensuring that all fire drills and tests are carried out regularly. The lifts, gas, water and Portable Appliances Test (PAT) certificates were seen and were up to dated and in order. Contraventions identified at an inspection by the London Fire and Emergency Planning Authority (LFEPA) have been rectified. Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X 4 X X X x 4 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 x 3 Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 OP27 Regulation 18 (1) (a) Requirement The registered persons must ensure that staffing levels throughout the home are reviewed and confirmed and a copy of the review forwarded to the Commission. The registered persons must ensure that all staff working in the home receive mandatory training. The registered persons must ensure that all staff working in the home receive regular supervision. Timescale for action 27/10/06 2. OP30 18 (1) (c) (i) 18 (2) 22/12/06 3. OP36 22/12/06 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 Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Meadowside Residential Home DS0000067043.V303093.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!