Inspection on 24/07/06 for Millenium Care (Fox Lane)

This inspection was carried out on 24th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Millenium Care (Fox Lane) 27/10/05

Millenium Care (Fox Lane) 03/05/05

Millenium Care (Fox Lane) 15/09/04

Millenium Care (Fox Lane) 04/05/04

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 Millenium Care (Fox Lane) 89 Fox Lane London N13 4RR Lead Inspector Jane Ray Key Unannounced Inspection 24th July 2006 08:00 Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 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 Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 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. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Millenium Care (Fox Lane) Address 89 Fox Lane London N13 4RR 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 88828171 Millenium Care Mr Idwal Brian Evans Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27th October 2005 Brief Description of the Service: Millenium Care (Fox Lane) is a registered care home, which provides residential service for seven adults who have a learning disability. The home is located in a quiet residential area within a few minutes walk from shopping and transport facilities of Palmers Green. The home is run by Millenium Care a company, which operates a similar residential home nearby. Facilities at the home include seven single bedrooms, a kitchen, a dining room, and a large lounge at the front of the house, a shower room, a bathroom and three toilets. There is a space for car parking at front of the building. At the back of the building there is a garden, which is accessible through the kitchen. From 9am to 3pm Monday to Friday all service users and staff are out of the premises. In the event of an emergency staff can be contacted via the sister home Old Park. Or the registered manager can be contacted via his mobile phone number. Both contact numbers have been given to the relevant day centres or colleges. At the time of the inspection there were seven service users living in the service. The current range of fees in the home is from £676 - £1100 a week. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 24 July and was unannounced. The inspection lasted for the six hours and was the key annual inspection. The inspection looked at how the home was performing in terms of the key National Minimum Standards for Younger Adults and the associated regulations. The inspector was able to meet, speak to and observe the support given to the current seven service users. The inspector was also able to spend time talking to the manager and his line manager as well as the two members of care staff who were working in the home. The inspector did a tour of the premises and also looked at a range of records including service users records, staff files and health and safety documentation. What the service does well: The home provides a high standard of care and support to a group of service users with a range of complex needs. The home by working consistently and professionally with the service users in partnership with other care professionals is able to support the service users to make significant progress with their personal development. The manager and staff demonstrated a good knowledge of the service users and were able to recognise their individual needs and how to respond appropriately to them. The service users are supported to have their individual needs met by a comprehensive care planning system, which incorporates ongoing review meetings. The service users are supported to develop their independent living skills in the home and community, based on their individual needs. The service users are supported to access a range of educational and leisure activities based on their individual interests and this enables them to have participation in the local community. The home has a well established and stable team of staff who are being supported by a manager who is just completing the registration process. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 6 The staff have access to a comprehensive induction and an ongoing programme of training to enable them to perform their roles to a high standard. The manager and staff show a high level of enthusiasm and commitment to their work in the home. The home is very clean, comfortable and homely and the service users each have an attractive single bedroom. The home also has access to two vehicles that are helpful in facilitating some of the community activities. The service users are protected and supported by the effective use of policies and procedures including medication systems, adult protection procedures, comprehensive risk assessments, health and safety procedures and an effective complaints procedure. 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. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 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 Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3 and 5 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. Service users have been supported to have their assessments updated so the home fully understands and can meet their individual needs. Contracts between the home and the service users are fully completed. EVIDENCE: The inspector looked at four service user case notes. They each have comprehensive assessments prepared by the home that look at all aspects of their physical, social, cultural and emotional needs. These assessments are completed to a high standard and reflect the detailed knowledge the staff have of the service users individual needs. These assessments have been updated in the last six months. In addition each service user has a life history in place, which includes information about their family. This provides valuable information for staff to enable a holistic view of each individual to be understood. The four case records also contained costed and signed contracts between the home and the service user. This contract clearly specifies the terms and conditions of the home including the notice period. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 9 The inspector observed that the staff were supporting the service users in an appropriate manner that reflected their knowledge and understanding of their individual needs. The service users were also observed to be comfortable and relaxed within their home environment. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. Service users are each supported to have comprehensive individual care plans and risk assessments and are working towards clearly defined goals agreed in partnership with families and other care professionals. Service users are supported to make decisions about their daily lives within the home and service user meetings take place regularly. EVIDENCE: Four service user case notes were inspected. Each service user has detailed individual care plans. These reflect the decisions made at each service users review meeting where they are supported to make decisions about their personal goals. These meetings take place with the care manager approximately once a year and there is also a review meeting arranged by the home on a six monthly basis. These review meetings were clearly recorded and demonstrated multi-disciplinary working. The care plan goals are divided into short and long term goals. These are clear and easy to understand and are monitored on a monthly basis. These goals Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 11 focus on supporting the service users to gain greater independence and to look a how their lives can be further enhanced by improved activities or by addressing healthcare or behavioural issues. The four service users all had a named key worker and they are involved in maintaining the care planning documentation. The four service users whose case notes were inspected all have complex behaviours. Each service user has a document describing these behaviours and this enables the staff to identify when the service user is distressed and what action they should take in response to this situation. These guidelines are reviewed on a monthly basis. Some of the service users have restrictions in place, for example one service user keeps his cigarettes in the office and some service users need to have the front door secured so they cannot wander out the house. The reasons for these restrictions are recorded in their care plan, risk assessment and behavioural guidelines. Each service user has a record of the individual arrangements in place to support them to manage their personal finances. The four service user case notes inspected all included comprehensive individual risk assessments covering all areas of potential risk and this identified what action the home would take in response to the identified risks whilst at the same time promoting each service users independence. These covered a number of areas including securing the front door, accessing the community, safety during food preparation and mealtimes and bathing for example. Throughout the inspection the service uses were observed being consulted about decisions concerning their daily lives. This included being asked what they wanted to drink and when they felt ready to go out. One service user was able to choose to leave the house early and buy a newspaper on the way to his day service. The record of the service user meetings was inspected. These took place on a regular monthly basis and discussed activities, holidays and things that were happening in the home. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 12 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): 11,12,13,14,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. The service users are supported to have full and active lifestyles. They also enjoy contact with their relatives and friends. The service users are offered a wholesome and healthy diet. EVIDENCE: The manager explained that the service users access a range of activities based on their individual needs and interests. All the service users attend a structured activity from a Monday to Friday. Four service users go to day resources provided by social services or the voluntary sector and three service users access a day service arranged by Millenium Care that incorporates access to college courses. The leisure activities offered to the service users include going to the local Gateway club and enjoying a visit to the pub on a Friday evening. In addition other activities both inside and outside the home include picnics, cookery, Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 13 helping in the garden and having a hand massage. Each service user has a daily activity record and four were inspected and these showed that the service users were enjoying an active lifestyle and being supported to access local community resources. They also show that service users are active within the home and are being supported to develop their independent living skills. The manager explained that two of the service users enjoy going to church each week and two others choose to go on an occasional basis. Three service users have recently enjoyed a break at Eurodisney and plans are being made for the whole group to have a holiday. The manager explained that all the service users have contact with their families and friends. They are made welcome in the home or service users are supported to go to their family homes. It was observed that there was a friendly atmosphere in the home with the staff chatting to the service users. The service users were observed to be very relaxed with the staff. The manager explained that the routine at the weekend is far more relaxed and some of the service users enjoy a lie in after a busy week. The menu for the week was inspected and this offered a healthy and varied diet. The manager explained that two of the service users are supported to have their food finely chopped and they all follow a healthy eating plan. The inspector looked at the record of food provided and this reflected the menu. In addition if service users wish to have an alternative then this is also recorded and it was seen that another option is provided as required. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 14 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 and 20 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. Service users are supported to receive personal care according to their individual needs and wishes. Service users are supported to access healthcare services based on their requirements. Service users have their safety maintained by appropriate medication administration procedures. EVIDENCE: It was observed during the inspection that the service users were given support with their personal care based on their individual needs. Some just need prompting whilst others need individual support. The service users were all very well dressed and groomed. The healthcare records were inspected for four service users. They had all been supported to access the GP, dentist, optician and chiropodist for their primary healthcare checks. They all see the consultant psychiatrist on a regular basis. In addition service users attend outpatient appointments for their specialist healthcare needs and it is also positive to note that a number of other therapy services including psychology and speech and language therapy have been accessed as required for specialist advice. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 15 The medication systems in the home were inspected. The home uses the Lloyds pharmacy blister pack system. The medication was appropriately stored and the temperature of the medication cupboard was recorded daily. The medication administration records were completed correctly. The medication entering the home is recorded appropriately on the medication administration record. There is a separate record for medication returned to the pharmacist. Some of the service users have PRN medication and there are guidelines in place for them explaining when the medication should be administered. Training records were inspected for four members of staff and they had all received medication training in January 2004. The manager explained that a training update was being arranged and it is recommended that this takes place as soon as possible as it is over two years since some of the staff received the training. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 16 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 and 23 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Service users can be confident that they will protected by a well trained staff team and robust adult protection procedures. Some staff need their adult protection training updated. EVIDENCE: The manager explained that the home has not received any complaints since the previous inspection. The inspector looked at the complaints record and was satisfied that previous complaints had been addressed appropriately. The staff training records were inspected for four members of staff. These indicated that two of the staff had not received training on adult protection since 2003. It is required that where staff have not received this training for over two years that the training is updated. The staff training records did however show that all the staff had received NAPPI training in January 2006 to ensure the staff understand how to work positively with service users who have complex challenging behaviours. The inspector looked at the personal finances for two service users. They each have a building society account and their DLA is paid directly into this account. Their corporate appointee pays their personal allowance into the building society account. This arrangement was hard to follow as the corporate appointee was removing the £10 a week contribution that each service user makes towards transport from their mobility allowance from the personal allowance. It is recommended that the arrangements for service users to pay towards transport is reviewed to ensure that there is a clear record of each Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 17 service user receiving their personal allowance. The record of all other expenditure is clear and where expenditure has occurred this is recorded and receipts are obtained. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 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): 24,25,27 and 30 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. The service users live in a homely, comfortable and safe environment that is clean and well maintained. EVIDENCE: The inspector did a tour of the home and looked at all the bedrooms. The home was clean and tidy throughout. Each service users bedroom was well furnished and was homely and personalized. The communal space consists of a large lounge, dining area and a separate kitchen. These were also well furnished and comfortable. There are adequate bathing facilities with a bathroom or shower room on each floor. The home has a laundry on the top floor. All the equipment in the home was observed to be in good working order. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 and 36 Quality in this outcome area is adequate. This judgement has been made from evidence gathered during the visit to this service. The service users are supported by a stable staff team. The staff receive a comprehensive induction and have an ongoing programme of training. The staff training profile needs to be kept up to date to ensure that staff who need their training refreshed receive this is a timely manner. Some staff need to provide copies of their ID and visa for their staff record. EVIDENCE: The inspector looked at the staff rota. The staff team consists of a manager, deputy manager, 2 senior carers and a team of carers. The staff turnover is very low and no staff have left in the last six months and one new member of staff has joined the team. The manager explained that the home does not use agency staff. During the day there are two or three staff working according to the activities planned for the service users. At night there is one waking member of staff and a second member of staff sleeping in. The manager explained that four members of staff have completed the NVQ level 2 or 3 in care and 4 staff are studying for NVQ level 2. This means that more than 50 of the care staff have got or are studying for an NVQ in care. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 20 The recruitment checks were inspected for four staff and these were partly in place including the CRB disclosure, two references and application form. Two of the four staff did not have a copy of their passport ID in their staff record and one did not have a copy of a visa where needed. Each member of staff had a signed record of their contractual details. The record of staff team meetings was inspected and these meetings take place on a monthly basis and discuss a wide range of operational issues. The induction records were inspected for four staff. These consisted of a comprehensive induction book to work through based on the TOPPS guidelines. These induction records were complete. The staff training records were inspected for four staff. Staff are provided with training to support them to work effectively with the service users including topics such as autism and epilepsy. One member of staff according to her records had not had epilepsy training since 1998 and two others needed refresher training at it was over a year since the last training had taken place. The home has a training profile but this was not up to date and did not give accurate information to allow ongoing training to be planned. The staff supervision records were inspected for four staff. All the staff were receiving regular individual supervision on a two monthly basis. In addition the managers supervision records were inspected and he was also receiving regular supervision. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. The service users are benefiting from living in a well-managed service where the focus is on providing a high standard of care and support. Health and safety measures to protect the service users are in place. Ongoing quality assurance monitoring systems underpin continuing self-improvement. EVIDENCE: The home has a manager who is just completing the registration process. He has been supported to learn the role with the support of the previous registered manager who is now his line manager. The manager has the appropriate skills and experience and has also completed the NVQ level 4 in management of care and is waiting to receive the certificate. The home has completed its most recent quality assurance exercise in March 2006. This has included asking service users, relatives, care professionals and other stakeholders who know the home to complete questionnaires asking for Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 22 feedback on the service. The results of these questionnaires have been collated and an action plan prepared. In addition the home conducts an annual selfaudit covering all operational aspects of the service and this also raised some areas for improvement. The home has appropriately reported any serious incidents concerning the service users to the CSCI. Fire safety measures are in place. The fire safety records were inspected and weekly fire alarm checks and monthly fire drills are recorded. On the day of the inspection the fire doors in the home were closed. The fire alarm and extinguishers had received their service and records were available to confirm this had taken place. The home has a fire safety risk assessment and evacuation plan. The certificates were in place to confirm the gas system and electrical installations, portable electrical appliances and water systems had been serviced. The current insurance certificate was displayed and was satisfactory. The staff training records showed that staff had received appropriate health and safety training including fire safety, first aid, moving and handling, and food hygiene. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 4 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 x 28 x 29 x 30 4 STAFFING Standard No Score 31 x 32 3 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 4 x LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 x 4 x x 4 x Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 24 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. 2. Standard YA23 YA34 Regulation 13(6) 17(2) Requirement The registered person must ensure that all the staff receive up to date POVA training. The registered person must ensure that all the staff have a copy of their passport ID in their staff records and a copy of their visa where needed. The registered person must ensure that all staff have their epilepsy training updated. The registered person must ensure that the service has an updated training profile for all the staff so that refresher training can be booked when necessary. Timescale for action 30/09/06 15/08/06 3. 4. YA35 YA35 18(1)(c) 18(1)(c) 30/09/06 15/08/06 Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 25 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. 2. Refer to Standard YA20 YA23 Good Practice Recommendations The registered person should ensure the medication training takes place as soon as possible. The registered person should arrange for the service users to receive their full personal allowance and make separate arrangements for the service users to contribute their mobility payment towards the costs of vehicle provision in the home. Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 26 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 Millenium Care (Fox Lane) DS0000010632.V292057.R01.S.doc Version 5.1 Page 27 - 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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