Inspection on 23/10/06 for Millenium Care (Old Park Road)

This inspection was carried out on 23rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Millenium Care (Old Park Road) 05/01/06

Millenium Care (Old Park Road) 19/07/05

Millenium Care (Old Park Road) 20/12/04

Millenium Care (Old Park Road) 06/04/04

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 (Old Park Road) 1 Old Park Road London N13 4RG Lead Inspector Jane Ray Key Unannounced Inspection 23rd October 2006 08:30 Millenium Care (Old Park Road) DS0000010633.V313245.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 Millenium Care (Old Park Road) DS0000010633.V313245.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. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Millenium Care (Old Park Road) Address 1 Old Park Road London N13 4RG 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 8447 8897 Millenium Care Mr Lalith Katugampola Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specified service user who is now a wheelchair user may remain accommodated in the home. The home must advise the registering authority at such times as the specified service user vacates the home. 5th January 2006 Date of last inspection Brief Description of the Service: Millenium Care (Old Park Road) is a registered care home, which provides residential service for ten 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 ten single bedrooms, a kitchen, a dining room, and a large lounge at the rear of the house, three shower rooms and two bathrooms. There is a space for car parking at front of the building. At the back of the building there is a large garden. There is a programme of daytime activities provided by the home for service users not attending local day services. The service users make significant use of the local community resources. The stated aim of the home is “to promote independence of the service users and to ensure that privacy and dignity are maintained at all times. At the time of the inspection there were nine service users living in the service. The current range of fees in the home is from £800 - £950 a week. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 23 October and was unannounced. The inspection lasted for four and a half 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 eight of the current nine 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. The inspector had also received a completed pre-inspection form from the home and feedback forms from seven service users and three relatives. 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. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 6 The home has a well established and stable team of staff who are being supported by a registered manager. 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: Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 7 There are seven requirements and two recommendations made at this inspection. One requirement was made under the heading choice of home. This was to ensure all the service user assessments are kept up to date. One recommendation was made under the heading individual needs and choices. This was to maintain contact with care managers to ensure annual reviews are arranged. Two requirements were made under the heading of personal and healthcare to ensure that all the service users have a record kept of their healthcare appointments and to also ensure the medication administration records clearly state when the medication is only to be given as required. Two requirements were made in the environment section. These were to prepare a maintenance programme for decoration work over the coming year and to address the odour, which was found in one of the ground floor bedrooms. In the section on staffing one requirement was made to ensure staff have a current contract in their staff file. A recommendation was also made to remove old staff training certificates from the staff files and just keep the current ones available. One requirement was made in the section called conduct and management of the home to obtain a copy of the gas landlord safety certificate. 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 (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3, and 5 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Service users have been supported to have comprehensive assessments but these need to be updated so the staff understand the current individual needs of each person. 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. 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. Two of these assessments needed to be updated to reflect changes in family circumstances or self help skills. 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 (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 10 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 (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 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. It was noted that Enfield social services have not had the service user reviews for over a year and it is recommended that the home maintains close contact to ensure these reviews take place as soon as possible. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 12 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 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. One service user was able to tell the inspector the name of her key worker and how they enjoyed going shopping together. 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 an annual basis. Some of the service users have restrictions in place, for example some service users need to have the front door secured so they cannot wander out the house and need staff support when out in the community. 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. The record of the service user meetings was inspected. These took place on a regular monthly basis and discussed activities, domestic chores, holidays and things that were happening in the home. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Five service users go to day resources provided by social services or the voluntary sector on either a full time or part time basis and four service users access a day service arranged by Millenium Care that incorporates access to college courses. The inspector was able to observe the day activities on the day of the inspection and this included cookery, games and manicures. The service users were then going out for lunch and a massage therapist was coming to the home in the afternoon. The leisure activities offered to the service users include going to the local Gateway club and enjoying a visit to the café and park. In addition other Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 14 activities both inside and outside the home include picnics, cooking and helping in the garden. 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 senior carer explained that one of the service users enjoys going to church on an occasional basis. Another service user was staying with his family at the time of the inspection to celebrate a Muslim festival. All the service users enjoyed a summer break at Hastings and one service user told the inspector how she had also had a second holiday at Yarmouth. The senior carer explained that most of 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. One of the service users explained how she is able to follow her own routine and will often choose to go to bed later and have a lie in. The menu for the week was inspected and this offered a healthy and varied diet. The senior carer explained that two of the service users are supported to have their food finely chopped and one service user is vegetarian, another has a gluten free diet and one other is diabetic. They all follow a healthy eating plan. The inspector looked at the record of food provided and this reflected the menu. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. 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 although the medication administration records need to clearly state where a medication is only given as required. 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 Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 16 accessed as required for specialist advice. Service users are also supported to have their weight checked on a monthly basis. In two service user records their dental appointments had not been recorded and these need to be put in their healthcare logs. 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. It was however noted that some service users have PRN medication but the printed medication administration record provided by the pharmacist does not state that this is the administration instruction. The home has a list of staff who can administer medication. The manager explained that the pharmacist has provided annual training and that the home also has a supplementary training pack provided by the pharmacist to increase the staff skills and knowledge. The staff training record was inspected and all the staff had received training in the last 12 months. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. 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. EVIDENCE: The manager explained that the home has received one complaint since the previous inspection. The inspector looked at the complaints record and was satisfied that the complaint had been addressed appropriately. The staff training records were inspected for the staff team. These indicated that all the staff had received training on adult protection in 2006. Both the manager and his line manager have been trained to deliver adult protection training. The staff training records also showed that all the staff had received NAPPI training in 2006 to ensure the staff understand how to work positively with service users who have complex challenging behaviours. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. 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 well maintained. Unpleasant odours need to be eradicated and the home needs an ongoing maintenance programme. 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 on each floor. The home has a laundry on the first floor. All the equipment in the home was observed to be in good working order. It was however noted that in one ground floor service user bedroom, there was a strong smell of urine and this needs to be eradicated. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 19 It was also noted that the decoration in a few areas of the house, particularly the lounge and corridors was looking a bit worn. It is required that a programme of environmental improvements is prepared to show how this will be addressed over the coming year. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 and 36 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. The service users are supported by a stable team of staff, who have completed the correct recruitment checks and receive an ongoing programme of training and supervision. 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 three or four 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 three members of staff have completed the NVQ level 2 or 3 in care and two staff are studying for and NVQ in care. In addition six of the staff are registered nurses. The recruitment checks were inspected for four staff and these were in place including the CRB disclosure, two references, ID, visa’s where needed and application form. Two members of staff did not have a signed record of their contractual details in their file. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 21 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 the staff team. Staff are provided with training to support them to work effectively with the service users including topics such as care principles, autism and epilepsy. The home has a training profile for all the staff that shows when they need their training updated. In addition they also have a training programme for the year. It was noted that many of the staff have training certificates that go back for several years in their staff file. It is recommended that old certificates are given to the staff member and that only current copies of certificates are kept in the file. The staff supervision records were inspected for four staff. All the staff were receiving regular individual supervision on a two monthly basis. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 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 registered manager. The manager has the appropriate skills and experience. The home has completed its most recent quality assurance exercise in August 2006. This has included asking service users, relatives, care professionals and other stakeholders who know the home to complete questionnaires asking for feedback on the service. The results of these questionnaires have been collated and an action plan prepared. In addition the home conducts an annual selfMillenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 23 audit 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 electrical installations, portable electrical appliances and water systems had been serviced. The gas system is covered by a maintenance agreement but the landlord safety certificate needs to be obtained. 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 (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 2 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 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 3 34 2 35 3 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 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 x 3 x 4 x x 2 x Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 25 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 YA2 Regulation 14(2) Requirement The registered person must ensure the service users assessments are updated as required. The registered person must ensure the healthcare appointments attended by the service users are recorded in their logs. The registered person must work with the pharmacist to ensure the medication administration records state when a medication is only to be given “as required”. The registered person must prepare an ongoing programme of maintenance for the next 12 months to ensure the home remains in good decorative order. The registered person must ensure the necessary action is taken to eradicate the odour in the ground floor bedroom. The registered person must ensure all the staff have a copy of their contract in their staff file. The registered person must obtain a copy of the gas landlord safety certificate for the home. DS0000010633.V313245.R01.S.doc Timescale for action 31/12/06 2. YA19 13(1) 30/11/06 3. YA20 13(2) 15/11/06 4. YA24 23(2)(b) 30/11/06 5. YA30 16(2)(k) 15/11/06 6. 7. YA34 YA42 17(2) 13(4) 30/11/06 30/11/06 Millenium Care (Old Park Road) Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA35 Good Practice Recommendations The registered person should maintain regular contact with the placing authorities to ensure annual review meetings with care managers take place. The registered person should remove old training certificates from the staff file and just have the current record available. Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Millenium Care (Old Park Road) DS0000010633.V313245.R01.S.doc Version 5.2 Page 28 - 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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